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Background Cluster headache (CH) is a significant health concern due to its major socioeconomic consequences and most patients being refractory to conventional strategies. For treatment resistant CH, occipital nerve stimulation (ONS) is considered an effective treatment option. Whereas most patients do not adjust the amplitude of the ONS system, a subset changes the amplitude on a regular basis using their remote control, and are therefore referred to as ‘voltage tuners’. Anxiety and self-control are thought to be central themes to this behavior. Research on this voltage tuning behavior could provide new insights in the use of ONS as acute attack treatment. To date, voltage tuning has not been assessed for CH. Hence this is a unique study aiming to investigate the occurrence and efficacy of voltage tuning in patients with CH and ONS. Methods For this analysis, patients with CH who received ONS from 2020–2024, at our university medical center, were included. All patients underwent bilateral ONS implantation. Data on attack frequency, intensity and duration were collected retrospectively. Outcomes on the response, frequency, moment during the day, duration, rationale, sensation, average increase in amplitude, and efficacy of voltage tuning were collected with prospective interviews. Results Thirty-three patients (M = 20) (42 ± 12.7 years) were included in the current analysis. At 1y follow-up, an overall response rate of 70% (23/33) was found for ONS. In total, 48% (18/33) of patients were defined as voltage tuners. Voltage tuning was performed with an average increase in amplitude of 92 (20–360)%, a frequency of 1–20 times/month and duration of 20 minutes-48 hours. Sensations of voltage tuning were described as “tingling” and/or “pinching”. The rationale for voltage tuning in patients varied from prevention and ceasing to lowering the intensity and enhance control of CH attack. Conclusions Outcomes show that voltage tuning may cease and/or terminate CH attacks and therefore raise interests in the use of ONS as acute attack treatment for patients with resistant CH treated with ONS. Future research on the occurrence and potential of voltage tuning will provide valuable insights for achieving optimal efficacy of ONS and quality of life in patients with CH. Graphical abstract

To date, phosphorus recovery as struvite in wastewater treatment plants has been mainly implemented on water phases resulting from dewatering processes of the sludge line. However, it is possible to recover struvite directly from sludge phases. Besides minimising the return loads of phosphorus from the sludge line to the water line, placing such a process within the sludge line is claimed to offer advantages such as a higher recovery potential, enhanced dewaterability of the treated sludge, and reduced speed of scaling in pipes and dewatering devices. In the wastewater treatment plant at Leuven (Belgium), a full-scale struvite recovery process from digested sludge has been tested for 1 year. Several monitoring campaigns and experiments provided indications of the efficiency of the process for recovery. The load of phosphorus from the sludge line returning to the water line as centrate accounted for 15% of the P-load of the plant in the reference situation. Data indicated that the process divides this phosphorus load by two. An improved dewaterability of 1.5% of dry solids content was achieved, provided a proper tuning of the installation. Quality analyses showed that the formed struvite was quite pure.

Objective. Nd:YAP laser has several potentialities of clinical applications in endodontics. The aim of our study is to determine the safety range of irradiation parameters during endodontic application of Nd:YAP laser that can be used without damaging and overheating the periodontal tissue. Material and Methods. Twenty-seven caries-free single-rooted extracted human teeth were used. Crowns were sectioned to obtain 11 mm root canal length. Temperature increases at root surfaces were measured by a thermocouple during Nd:YAP laser irradiation of root canals at different energy densities. Canal irradiation was accomplished with a circular and retrograde movement from the apex until the cervical part of the canal during 10 seconds with an axial speed of 1 mm/s. Each irradiation was done in a canal irrigated continuously with 2.25% NaOCl solution. Results. Periodontal temperature increase depends on the value of energy density. Means and standard deviations of temperature increases at root surfaces were below 10°C (safe threshold level) when the average energy densities delivered per second were equal to or below 4981 J/cm2 and 9554 J/cm2, respectively, for irradiations using a fiber diameter of 320 μm and 200 μm. Conclusions. Within the limitations of this study and under specific irradiation conditions, Nd:YAP laser beam may be considered harmless for periodontal tissues during endodontic applications.

Photo-activated decontamination (PAD) has been reported in caries treatment as an aid in dentine decontamination. The aim of this study is to verify the harmlessness for pulp vitality of photo-activated decontamination (PAD) in caries treatment. Twenty freshly extracted single-rooted teeth were used. Deep class I cavities with a ≤ 0.5 mm dentine thickness between the floor of the cavity and the roof of cameral pulp were prepared. Following the manufacturer’s instructions, cavities were filled with a photo-sensitizer (Phenothiazinechloride: 10 mg /ml), irradiated during 30 s with a 660-nm diode laser (output power: 40 mW in continuous wave; total delivered energy density: 4.87 J/cm 2 ). Pulp temperature raises were recorded using a thermocouple (ALCr). Measurements were recorded every second during the irradiation and 150 s afterwards. Six records were repeated for each tooth. After 30 s of irradiation, the mean of temperature rise was 0.83°C ± 0.22°C. All records showed temperature increases lower than the 3°C (safety level for pulp injury). Based on our in vitro study, we can conclude that the dental pulp temperature rise following the use of PAD technique for the decontamination of dentine can be considered as save procedure for pulp vitality.

Most legislation pertaining to non-native organisms is implicitly focussed at the individual species level. However, in some cases interspecific hybrids can be more invasive than any of the parent species. This is problematic for policy makers, and for horticulturists developing or trading in new ornamental cultivars. We explore these issues in the context of the need to manage naturalized populations of Kangaroo Paws (Anigozanthos species) in South Africa. Self-sustaining, dense populations of naturalized Kangaroo Paws occur at several localities and are highly attractive to local nectar-feeding birds. The populations show high levels of seed set with or without bird pollination. Given the known propensity of Kangaroo Paws to hybridise in their native range in Australia, and confusion about the species identity of naturalized populations in South Africa, it was essential to resolve some key taxonomic issues in the group. We constructed the first molecular phylogeny for all species of the Kangaroo Paw group (genera Anigozanthos and Macropidia; family Haemodoraceae). As previously determined by taxonomists working on herbarium specimens, naturalized populations were identified as A. flavidus. In addition, we also identified a second species, A. rufus. Relative genome size estimates for Anigozanthos species indicated that small inter-specific differences in genome sizes are positively correlated to hybrid fitness. Anigozanthos flavidus and A. rufus have relatively ‘compatible' genomes and may produce fertile hybrids under field conditions. However, for species whose genome size differ more than ~30%, there is little inter-specific compatibility and consequently a very low risk of producing fertile hybrids. In conclusion, we recommend that trade in Kangaroo Paws in South Africa should be temporarily restricted and that particular cultivars should first be subjected to a careful risk assessment.

A survey was conducted in 150 households owning 1756 pigs in the rural areas of Mayo-Danay division in the north of Cameroon. A questionnaire survey was carried out to collect information on the pig-farming system and to identify potential risk factors for Taenia solium cysticercosis infection in pigs. Blood samples were collected from 398 pigs with the aim of estimating the seroprevalence of T. solium cysticercosis. The results showed that 90.7% of the pigs are free roaming during the dry season and that 42.7% of households keeping pigs in the rural areas have no latrine facility. Seventy-six per cent of the interviewed pig owners confirmed that members of the household used open-field defecation. Enzyme-linked immunosorbent assay (ELISA) for antigen and antibody detection showed an apparent prevalence of cysticercosis of 24.6% and 32.2%, respectively. A Bayesian approach, using the conditional dependence between the two diagnostic tests, indicated that the true seroprevalence of cysticercosis in Mayo-Danay was 26.6%. Binary logistic regression analysis indicated that a lack of knowledge of the taeniasis–cysticercosis complex and the absence of a pig pen in the household were associated with pig cysticercosis.

Thirty-five serum samples and six hygroma fluid samples were collected from sexually mature cattle in one herd with clinical signs of brucellosis (abortion and hygromas) in the Western Region of the Gambia in order to isolate and characterise Brucella species. Information on the sex, age, number of calvings, number of abortions, presence of hygromas, and presence of orchitis was also collected for each animal sampled. Twenty-six (74 per cent) of the serum samples were positive in the rose bengal test and 29 (83 per cent) were positive by indirect ELISA. Three isolates of Brucella, biotyped as Brucella abortus biovar 3, were cultured from six hygroma fluid samples. The multiple locus variable number tandem repeat analysis assay clustered the isolates as B abortus with the same profile for the three isolates, suggesting a common origin of contamination.

The capacity of photo-sensitizers, used in combination with laser light to kill micro-organisms has been demonstrated in different studies. Photo-activated disinfection (PAD) has been introduced in periodontology as an aid for disinfection of periodontal pockets. The aim of this study is to verify the harm for dental vitality of the use of PAD in periodontal pockets. Root canals of 24 freshly extracted human teeth where prepared using profiles up to a size of ISO #50 and filled with thermo-conductor paste. A silicon-based false gum was made in which a periodontal pocket was created and filled with photo-sensitizer phenothiazine chloride (phenothiazine-5-ium, 3.7-bis (dimethylamino)-, chloride). The external root surface was irradiated during 60 s with a 660-nm diode laser (output power: 20 mW; power density: 0.090 W/cm 2 ; Energy density: 5.46 J/cm 2 ) using a periodontal tip with a diameter of 1 mm and a length of 7 mm. Temperatures were recorded inside the root canal using a thermocouple. Measurements were recorded every second, starting at 10 s before lasering, during the irradiation and were continued for 150 s after the end of irradiation, and six measurements were done per tooth. An average temperature increase of 0.48 ± 0.11°C was recorded. Our results demonstrated that pulp temperature increase was lower than 3°C, which is considered to be harmless for pulp injury. Regarding pulp temperature increase, the use of PAD for disinfection of periodontal pockets can be considered as a safe procedure for dental vitality.