Towards the identification of a genetic basis for Landau-Kleffner syndrome.

OBJECTIVE: To establish the genetic basis of Landau-Kleffner syndrome (LKS) in a cohort of two discordant monozygotic (MZ) twin pairs and 11 isolated cases. METHODS: We used a multifaceted approach to identify genetic risk factors for LKS. Array comparative genomic hybridization (CGH) was performed using the Agilent 180K array. Whole genome methylation profiling was undertaken in the two discordant twin pairs, three isolated LKS cases, and 12 control samples using the Illumina 27K array. Exome sequencing was undertaken in 13 patients with LKS including two sets of discordant MZ twins. Data were analyzed with respect to novel and rare variants, overlapping genes, variants in reported epilepsy genes, and pathway enrichment. RESULTS: A variant (cG1553A) was found in a single patient in the GRIN2A gene, causing an arginine to histidine change at site 518, a predicted glutamate binding site. Following copy number variation (CNV), methylation, and exome sequencing analysis, no single candidate gene was identified to cause LKS in the remaining cohort. However, a number of interesting additional candidate variants were identified including variants in RELN, BSN, EPHB2, and NID2. SIGNIFICANCE: A single mutation was identified in the GRIN2A gene. This study has identified a number of additional candidate genes including RELN, BSN, EPHB2, and NID2. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.

Benzodiazepine overtreatment in status epilepticus is related to higher need of intubation and longer hospitalization.

Benzodiazepine (BDZ), a widely recognized first-line status epilepticus (SE) treatment, may lead to respiratory depression. This cohort study investigates the effect of BDZ doses in SE patients in terms of morbidity and mortality. It considers incident SE episodes from a prospective registry (2009-2012), comparing patients receiving standard BDZ dose to those receiving exceeding doses (>30% above recommended dose), in terms of likelihood to receive intubation, morbidity, and mortality. Duration of hospitalization was assessed for subjects needing intubation for airways protection (not for refractory SE treatment) versus matched subjects not admitted to the intensive care unit (ICU). We identified 29 subjects receiving "excessive" and 173 "standard" BDZ dose; 45% of the overtreated patients were intubated for airways protection, but only 8% in the standard-dose group (p < 0.001). However, both groups presented similar clinical outcomes: 50% returned to baseline, 40% acquired a new handicap, and 10% died. Orotracheal intubation due to airways protection was associated with significantly longer hospitalization (mean 2 weeks vs. 1 week, p = 0.008). In conclusion, although administration of excessive BDZ doses in SE treatment does not seem to influence outcome, it is related to higher respiratory depression risk and longer hospitalization, potentially exposing patients to additional complications and costs.

Natural Products from Antarctic Colonial Ascidians of the Genera Aplidium and Synoicum: Variability and Defensive Role

Ascidians have developed multiple defensive strategies mostly related to physical, nutritional or chemical properties of the tunic. One of such is chemical defense based on secondary metabolites. We analyzed a series of colonial Antarctic ascidians from deep-water collections belonging to the genera Aplidium and Synoicum to evaluate the incidence of organic deterrents and their variability. The ether fractions from 15 samples including specimens of the species A. falklandicum, A. fuegiense, A. meridianum, A. millari and S. adareanum were subjected to feeding assays towards two relevant sympatric predators: the starfish Odontaster validus, and the amphipod Cheirimedon femoratus. All samples revealed repellency. Nonetheless, some colonies concentrated defensive chemicals in internal body-regions rather than in the tunic. Four ascidian-derived meroterpenoids, rossinones B and the three derivatives 2,3-epoxy-rossinone B, 3-epi-rossinone B, 5,6-epoxy-rossinone B, and the indole alkaloids meridianins AG, along with other minoritary meridianin compounds were isolated from several samples. Some purified metabolites were tested in feeding assays exhibiting potent unpalatabilities, thus revealing their role in predation avoidance. Ascidian extracts and purified compound-fractions were further assessed in antibacterial tests against a marine Antarctic bacterium. Only the meridianins showed inhibition activity, demonstrating a multifunctional defensive role. According to their occurrence in nature and within our colonial specimens, the possible origin of both types of metabolites is discussed.

Natural Products from Antarctic Colonial Ascidians of the Genera Aplidium and Synoicum: Variability and Defensive Role

Ascidians have developed multiple defensive strategies mostly related to physical, nutritional or chemical properties of the tunic. One of such is chemical defense based on secondary metabolites. We analyzed a series of colonial Antarctic ascidians from deep-water collections belonging to the genera Aplidium and Synoicum to evaluate the incidence of organic deterrents and their variability. The ether fractions from 15 samples including specimens of the species A. falklandicum, A. fuegiense, A. meridianum, A. millari and S. adareanum were subjected to feeding assays towards two relevant sympatric predators: the starfish Odontaster validus, and the amphipod Cheirimedon femoratus. All samples revealed repellency. Nonetheless, some colonies concentrated defensive chemicals in internal body-regions rather than in the tunic. Four ascidian-derived meroterpenoids, rossinones B and the three derivatives 2,3-epoxy-rossinone B, 3-epi-rossinone B, 5,6-epoxy-rossinone B, and the indole alkaloids meridianins AG, along with other minoritary meridianin compounds were isolated from several samples. Some purified metabolites were tested in feeding assays exhibiting potent unpalatabilities, thus revealing their role in predation avoidance. Ascidian extracts and purified compound-fractions were further assessed in antibacterial tests against a marine Antarctic bacterium. Only the meridianins showed inhibition activity, demonstrating a multifunctional defensive role. According to their occurrence in nature and within our colonial specimens, the possible origin of both types of metabolites is discussed.

Pauson-Khand Adducts of N-Boc-propargylamine: A New Approach to 4,5-Disubstituted Cyclopentenones

A new approach to the synthesis of 4,5-disubstituted cyclopentenones is described. The strategy is based on the Pauson-Khand (PK) reaction of norbornadiene and N-Boc-propargylamine as alkyne with a masked leaving group, which can be eliminated at will. This approach to the synthesis of 4,5-disubstituted cyclopentenones overcomes the problem of using the alkylation to introduce the alpha-side-chain. As an example, prostane 13-epi-12-oxo-phytodienoic acid (13-epi-12-oxo-PDA) methyl ester was synthesized.

Public libraries: adapting to the digitised environment. An interview with John Lake

During John Lake's visit to Barcelona to take part in a seminar organized by the Facultat de Biblioteconomia i Documentació (Department of Library and Information Science) at the University of Barcelona (UB)1 EPI sought an interview to further explore some of the themes addressed in the seminar, drawing on his extensive experience in the world of public libraries.

The Epidemiology of Common Communicable Diseases, January 2016

Chart of common communicable disease, stating incubation, transmission, control measures, and public health response produced by Iowa Department of Public Health.

Circulating sex steroids during pregnancy and maternal risk of non-epithelial ovarian cancer.

BACKGROUND: Sex steroid hormones have been proposed to play a role in the development of non-epithelial ovarian cancers (NEOC) but so far no direct epidemiological data are available.METHODS: A case-control study was nested within the Finnish Maternity Cohort, the world's largest bio-repository of serum specimens from pregnant women. Study subjects were selected among women who donated a blood sample during a singleton pregnancy that led to the birth of their last child preceding diagnosis of NEOC. Case subjects were 41 women with sex-cord stromal tumors (SCST) and 21 with germ cell tumors (GCT). Three controls, matching the index case for age, parity at the index pregnancy, and date at blood donation were selected (n=171). Odds ratios (OR) and 95% confidence intervals (CI) associated with concentrations of testosterone, androstenedione, 17-OH-progesterone, progesterone, estradiol and sex hormone binding globulin (SHBG) were estimated through conditional logistic regression.RESULTS: For SCST, doubling of testosterone, androstenedione and 17-OH-progesterone concentrations were associated with about 2-fold higher risk of SCST [ORs and 95% CI of 2.16 (1.25-3.74), 2.16 (1.20-3.87), and 2.62 (1.27-5.38), respectively]. These associations remained largely unchanged after excluding women within 2, 4 or 6 years lag-time between blood donation and cancer diagnosis. Sex steroid hormones concentrations were not related to maternal risk of GCT.CONCLUSIONS: This is the first prospective study providing initial evidence that elevated androgens play a role in the pathogenesis of SCST. Impact: Our study may note a particular need for larger confirmatory investigations on sex steroids and NEOC.

Studien zu einer Poetik des Engels

In dieser Thèse "Studien zu einer Poetik des Engels" wird anhand verschiedener Texte aus verschiedenen Epochen, jedoch mit Akzent auf der zweiten Hàlfte des 20. Jahrhunderts, dem Erscheinen von Engeln in literarischen Texten nachgegangen, mit besonderem Augenmerk auf der poetologischen Dimension, die mit der Darstellung von Engelfiguren zusammenhàngt, und mit besonderer Beriicksichtigung der Konsequenzen fur die Texte, in denen sie erscheinen.¦Literarische Texte bieten nàmlich einen geeigneten Immanenzort fur diese Art Epi-phanie an, eine Erscheinungsmoglichkeit fur Engel. Die Art und Weise, wie Dichterinnen und Dichter sie in ihren Texten erscheinen lassen, steht im Zentrum des Interesses dieser Studien. Wie verkorpern sich Engel in diesen Texten? Wie sprechen sie und wie kann mit ihnen und von ihnen gesprochen werden? Welche poetischen Funktionen ubernehmen diese Figuren, von denen die Dichter sprechen und die sie sprechen lassen? Welche poetischen Dynamiken entstehen in diesen Texten durch die Engelserscheinungen?¦Der Engel, der traditionell als Bote (gr. angelos), als Vermittler oder Obermittler gilt, hat im Medium Literatur (oder Text) selbst auch eine mediale Funktion inne, sodass Engel und Literatur einander widerspiegeln und Engeltexte zu Orten werden, an denen eine sprachliche und poetologische Auseinandersetzung stattfinden kann, die sowohl der Lite¬ratur (und auch etwa dem Erzàhler) als auch dem Engel inhàrent ist und es mit dem Ver- mittlungs(un)vermogen zu tun hat.¦In diesen Studien geht es darum, die produktive und dynamische Leistung des Engels (oder der Engel) im Schreib- und im Leseprozess zu erfahren und nachzuzeichnen. Durch ihre Pràsenz im Text bringen Engel einen Perspektivenwechsel ins Spiel, der die Auseinandersetzung mit dem Text pràgt und den Text selbst beeinflusst, sodass die Engel diese Texte zur Schreib- und Leseerfahrung werden lassen.¦Engelsdichtungen erweisen sich als durch und durch relational, sie involvieren den Dichter sowie auch den Leser, der ihnen - lesend - begegnet, und beeinflussen den ganzen Text und seine Dynamik, da diese Figuren unmoglich von ihm abstrahiert werden konnen. Engel erweisen sich auch als àusserst subversiv, wenn sie dem nicht entsprechen, was man von ihnen erwartet, wenn sie sich den geltenden (sozialen, politischen, aber auch - im Medium Literatur - sprachlichen oder dichterischen) Regeln widersetzen.¦In einem einleitenden Kapitel wird die Fragestellung skizziert und anhand vieler Textbeispiele verfeinert, sowie auch die Methode veranschaulicht. Darin werden Texte von Wallace Stevens (The Necessary Angel), Jean Paul (Der Tod eines Engels), Wim Wenders und Peter Handke (Himmel über Berlin) betrachtet, sowie auch etwa von Goethe, Morike, Andersen, Tolstoi (Der Engel Gottes oder Wovon die Menschen leben), Pseudo- Strieker (Der König im Bade), Baudelaire.¦Die weiteren Kapitel sind als Fallstudien zu verstehen und setzen sich mit einzelnen Texten auseinander, die von verschiedenen Autoren und zu verschiedenen Zeiten geschrieben wurden und sich von der Gattung und der Lange her stark unterscheiden:¦- "Zwischen Lichterscheinung und Holzfigur": Zu einem Tagebucheintrag von Franz Kafka (25. Juni 1914).¦- "Schweigende Boten": Zu Heinrich Bolls Roman Der Engel schwieg [1949-1951 niedergeschrieben, erst 1992 posthum erschienen).¦- "Ein subversiver Engel - wider Willen": Zu Fridrich Dürrenmatts Komödie Ein Engel kommt nach Babylon (1. Fassung 1954, 2. Fassung 1957, Neufassung 1980).¦- Zu drei Engel-Texten von Ilse Aichinger:¦- "Ein errungenes Weihnachten - im Spiel": Zum Romankapitel Das grosse Spiel (6. Kapitel aus dem Roman Die grössere Hoffnung, 1948),¦- "»Habt ihr den Engel gesehen?« - Wenn sich mit den Engeln auf einmal jeder Sinn entzieht": Zur Erzählung Engel in der Nacht (1949; aus dem Band Der Gefesselte),¦- "Ober Verwirrung hinweg - Zur subversiven Poetik eines Engels": Zur Erzâhlung Der Engel (1963; aus dem Band Eliza Eliza).¦Im Schlusskapitel, in dem vergleichende Beobachtungen zu diesen Texten und ihren Analysen, Hervorhebungen der Gemeinsamkeiten und entscheidende poetische Merkmale dieser Texte erwähnt werden, wird nicht das Ziel angestrebt, eine Synthese aus dieser Vielfältigkeit zu machen, die in den verschiedenen Kapiteln zum Vorschein kommt. Vielmehr wird gezeigt, wie fruchtbar die Auseinandersetzung mit Engeln in diesen Texten ist und wie diese Texte sich von ihrem 'Gegenstand' berühren lassen, je auf unterschiedliche Weise.

Minimization of Nyquist ghosting for echo-planar imaging at ultra-high fields based on a "negative readout gradient" strategy.

PURPOSE: To improve the traditional Nyquist ghost correction approach in echo planar imaging (EPI) at high fields, via schemes based on the reversal of the EPI readout gradient polarity for every other volume throughout a functional magnetic resonance imaging (fMRI) acquisition train. MATERIALS AND METHODS: An EPI sequence in which the readout gradient was inverted every other volume was implemented on two ultrahigh-field systems. Phantom images and fMRI data were acquired to evaluate ghost intensities and the presence of false-positive blood oxygenation level-dependent (BOLD) signal with and without ghost correction. Three different algorithms for ghost correction of alternating readout EPI were compared. RESULTS: Irrespective of the chosen processing approach, ghosting was significantly reduced (up to 70% lower intensity) in both rat brain images acquired on a 9.4T animal scanner and human brain images acquired at 7T, resulting in a reduction of sources of false-positive activation in fMRI data. CONCLUSION: It is concluded that at high B(0) fields, substantial gains in Nyquist ghost correction of echo planar time series are possible by alternating the readout gradient every other volume.

Pauson-Khand Adducts of N-Boc-propargylamine: A New Approach to 4,5-Disubstituted Cyclopentenones

A new approach to the synthesis of 4,5-disubstituted cyclopentenones is described. The strategy is based on the Pauson-Khand (PK) reaction of norbornadiene and N-Boc-propargylamine as alkyne with a masked leaving group, which can be eliminated at will. This approach to the synthesis of 4,5-disubstituted cyclopentenones overcomes the problem of using the alkylation to introduce the alpha-side-chain. As an example, prostane 13-epi-12-oxo-phytodienoic acid (13-epi-12-oxo-PDA) methyl ester was synthesized.

Pauson-Khand Adducts of N-Boc-propargylamine: A New Approach to 4,5-Disubstituted Cyclopentenones

A new approach to the synthesis of 4,5-disubstituted cyclopentenones is described. The strategy is based on the Pauson-Khand (PK) reaction of norbornadiene and N-Boc-propargylamine as alkyne with a masked leaving group, which can be eliminated at will. This approach to the synthesis of 4,5-disubstituted cyclopentenones overcomes the problem of using the alkylation to introduce the alpha-side-chain. As an example, prostane 13-epi-12-oxo-phytodienoic acid (13-epi-12-oxo-PDA) methyl ester was synthesized.

Hemerotecas de prensa digital: evolución y tendencias

Se analizan las hemerotecas digitales de los diarios españoles de mayor audiencia y difusión. Es un estudio evaluativo basado en 27 indicadores divididos en 4 grandes secciones: aspectos generales, contenidos, sistema de consulta y presentación de resultados. Se muestran los resultados de un análisis realizado en 2010, y se relacionan con los obtenidos anteriormente en 2007. Se señalan los aspectos mejores y peores de las hemerotecas de prensa digital, se establece un ranking de diarios en el que ocupan las primeras posiciones El mundo, Abc, El país y La vanguardia, y se destacan 5 grandes tendencias observadas: ampliación del fondo temporal online, hemerotecas gratuitas versus hemerotecas de pago, simplificación (y empobrecimiento) de la búsqueda, filtros en la presentación de resultados y productos documentales en la sección Hemeroteca

Local shockwave-application prevents flap necrosis

Objective: Local shockwave-application (SW) has shown to improve healing of various tissues and decrease necrosis of flaps. Though, there is no data about the optimal time-point of SW-application with regard to induction of ischemia (i.e. flap elevation) and subsequent effect on flap survival. Therefore we compared 2 shock-wave protocols in a model of persistent ischemia and investigated underlying mechanisms. Methods: 18 C57BL/6-mice equipped with a skinfold chamber containing a musculocutaneous flap were assigned to 3 experimental groups: 1. One session of 500 SWimpulses at 0·15 mJ/mm2 applied 24 hrs before (preconditioning) or 2. Applied 30 min after flap elevation (treatment). 3. Untreated flaps (control). Tissue necrosis,microhemodynamics, inflammation, apoptosis and angiogenesis were assessed by intravital epi-fluorescence microscopy over 10 days. Results: SW significantly reduced flap necrosis independent from the application time-point (preconditioning: 29 ± 7%; treatment: 25 ± 7% vs. control: 47 ± 2%; d10, p<0·05). This was associated with an early increase of functional capillary density (preconditioning: 236 ± 39 cm/cm2; treatment: 211 ± 33 cm/cm2 vs. control: 141 ± 7 cm/cm2; day1, p<0·05). Arteriolar diameter, red blood cell velocity and blood flow were comparable between the 3 experimental groups. SW-application significantly decreased the ischemiainduced inflammatory response (apoptotic cell death and leukocyte-endothelial interaction: (p<0·05)). Sprouts indicating angiogenesis were observed from day 7 only after SW-application. Conclusions: SW protects ischemically challenged musculocutaneous tissue. Interestingly, postoperative SW-application is as efficient as preoperative SWapplication. The protective effect induced by mechanical stress might be based on an early recruitment of ''sleeping capillaries'' maintaining nutritive perfusion and an anti-inflammatory effect within the ischemically jeopardized tissue. SWapplication provides a non-invasive alternative to local thermic and systemic pre-treatment of endangered tissues.

Políticas de información, bibliotecas universitarias y desarrollo: reflexiones desde la cooperación universitaria

Reflexión sobre la interacción entre políticas nacionales de información y proyectos de cooperación al desarrollo en el campo de las bibliotecas universitarias y de investigación. Se analiza la evolución del concepto políticas de información, su relación con la cooperación al desarrollo, y el papel central que durante casi setenta años ha tenido en la Unesco en dicha dinámica. Finalmente se reflexiona sobre escenarios de cooperación en los que los profesionales de las bibliotecas universitarias y de investigación de países en desarrollo podrían desarrollar proyectos alineados con las políticas nacionales de información.