Influenza A virus-specific CD8.sup.+ T-cell responses : from induction to function

Seasonal influenza virus infection is a leading cause of illness and mortality in young children and the elderly each year. Current influenza vaccines generate protective antibody responses; however, these must be given annually to provide protection against serologically distinct viruses. By contrast, CD8.sup.+ T cells are capable of recognizing conserved antigenic determinants within the influenza virion and, as such, may provide protection against a number of variant strains of the virus. CD8.sup.+ T cells play a critical key role in controlling and resolving influenza virus infections via the production of cytokines and cytolytic mediators. This article focuses on the induction of the influenza-specific CD8.sup.+ T-cell response and how these cells acquire and maintain effector function after induction. Moreover, we discuss how cytotoxic T-lymphocyte function correlates with protection following vaccination.

Improving the coordination of care for low back pain patients by creating better links between acute and community services

This paper reports on the development of a care-pathway to improve service linkages between the acute setting and community health services in the treatment of low back pain. The pathway was informed by two processes: (1) a literature review based on best-practice guidelines in the assessment, treatment and continuity of care for low back pain patients; and (2) consultation with staff and key stakeholders. Stakeholders from both the acute and community sectors comprised the Working Group, who identified central areas of concern to be addressed in the care-pathway, with the goal of preventing chronicity of low back pain and reducing emergency department presentations. The main outcomes achieved include: the development of a new care-coordinator role, which would support a greater focus on integration between acute and community sectors for low back pain patients; identifying the need to screen at-risk patients; implementation of the SCTT (Service Coordination Tool Templates) tool as a system of referral across the acute and community settings; and agreement on the need to develop an evidence-based self-management program to be offered to low back pain patients. The benefits and challenges of implementing this care pathway are discussed.

The development of a national salt reduction strategy for Australia

Excess dietary salt is a well established cause of high blood pressure and vascular disease. National and international bodies recommend a significant reduction in population salt intakes on the basis of strong evidence for health gains that population salt reduction strategies could achieve. The Australian Division of World Action on Salt and Health (AWASH) coordinates the Drop the Salt! campaign in Australia. This aims to reduce the average amount of salt consumed by Australians to six grams per day over five years through three main implementation strategies targeting the food industry, the media and government. This strategy has the potential to achieve a rapid and significant reduction in dietary salt consumption in Australia. With industry and government engagement, this promises to be a highly effective, low cost option for preventing chronic disease.

Enhanced properties in chemically polymerized poly(terthiophene) using vapour phase techniques

Poly(terthiophene) is an electronically conducting polymer with potential applications in solar energy devices. In the present study a series of poly(terthiophene) (PTTh) films are chemically polymerized (CP) at various temperatures and compared with a novel method of vapour phase polymerization (VPP). Utilizing the thiophene trimer (terthiophene) as the starting material, polymerization is achieved with Fe(III) tosylate. The films are characterized by their Raman and absorption spectra, in addition to differential scanning calorimetry (DSC), optical microscopy, electrochemical impedance spectroscopy (EIS) and four-point probe surface conductivity measurements. From the spectroscopy studies, increased conjugation length of the polymer chains with decreasing temperature or vapour phase polymerization is evident. More surprisingly, DSC results indicate the order of the polymer chains is dramatically enhanced by vapour phase polymerization and the D.C. conductivity is an order of magnitude higher for VPP compared with traditional CP films. Additionally, the optical micrographs reveal a significantly different morphology than the films cast from solution.

One-step synthesis of conducting polymer–noble metal nanoparticle composites using an ionic liquid

Conducting polymers containing incorporated gold or silver nanoparticles have been synthesized using ionic liquid solutions of gold chloride or silver nitrate. Use of the metal salts as the oxidant for monomers such as pyrrole and terthiophene allows the composites to be formed in one simple step, without the need for templates or capping agents. The incorporated metal nanoparticles are clearly visible by TEM, and the composites have been further analyzed by TGA, CV, UV-Vis, Raman, XPS and scanning TEM coupled with EDS analysis. Utilization of an ionic liquid allows the full oxidizing power of the gold chloride to be accessed, resulting in incorporation of metallic gold into the polymers.

Order–disorder transitions in poly(3,4-ethylenedioxythiophene)

The commonly held perception that high conductivity in conducting polymers is linked to a high level of π-stacking order in the material is shown here to be of lesser importance in highly conducting poly(3,4-ethylenedioxythiophene) (PEDT), which has been prepared by chemical vapour phase polymerisation. Despite the fact that there is a highly energetic phase transition about 130 °C (110 J/g), and that this transition corresponds to a loss of the long-range π-stacking as observed in grazing angle XRD, the conductivity remains unchanged beyond the transition and only decreases by a factor of two when heating to above 200 °C. The XRD data suggest that order in two dimension remains above the phase transition measured by DSC and this order is sufficient to maintain a high level of electronic conductivity. Furthermore, as the ligand on the iron salt used in the synthesis is varied, the conductivity of the PEDT varies over two orders of magnitude. These phenomena cannot be explained by different degree of doping or crystallinity and it is proposed that the iron salt has an ordering effect during the vapour phase polymerisation.

High current density and drift velocity in templated conducting polymers

Conducting polymers prepared by a templated vapour phase polymerisation process involving solid phase transition metal complexes are found to produce polymers with charge carriers that exhibit maximum drift velocity in the range of 1 m/s. This super-mobility seems to be related to a high degree of ordering in the materials as evidenced by the X-ray diffraction data. This may result from a templated polymerisation process. The high mobility manifests itself as a capacity to sustain very high current densities (>10000 A/cm2); such high current densities are of importance in thin film conductor applications.

Control of magnesium interfacial reactions in aqueous electrolytes towards a biocompatible battery

A stable magnesium battery has been developed based on a magnesium anode, a poly(dioxyethane thiophene) (PEDOT) cathode and a near-saturated aqueous solution of LiCl, MgCl₂, or mixture of these salts at pH of 11. This combination leads to a low water activity in the electrolyte, which thus suppresses the hydrogen evolution reaction on Mg, as well as producing a stable oxy-hydroxide film which protects the metal surface from freely corroding. The conducting polymer cathode is reduced somewhat during the discharge process, however, appears to be readily re-oxidised (as determined from the resistance) by the oxygen present in the cell. The cell is therefore primarily a Mg/O₂ battery, however, the PEDOT appears to enhance the performance, in particular the discharge voltage.

High rates of oxygen reduction over a vapor phase-polymerized PEDOT electrode

The air electrode, which reduces oxygen (O₂), is a critical component in energy generation and storage applications such as fuel cells and metal/air batteries. The highest current densities are achieved with platinum (Pt), but in addition to its cost and scarcity, Pt particles in composite electrodes tend to be inactivated by contact with carbon monoxide (CO) or by agglomeration. We describe an air electrode based on a porous material coated with poly(3,4-ethylenedioxythiophene) (PEDOT), which acts as an O₂ reduction catalyst. Continuous operation for 1500 hours was demonstrated without material degradation or deterioration in performance. O₂ conversion rates were comparable with those of Pt-catalyzed electrodes of the same geometry, and the electrode was not sensitive to CO. Operation was demonstrated as an air electrode and as a dissolved O₂ electrode in aqueous solution.