Self-amplified photo-induced gap quenching in a correlated electron material.

Capturing the dynamic electronic band structure of a correlated material presents a powerful capability for uncovering the complex couplings between the electronic and structural degrees of freedom. When combined with ultrafast laser excitation, new phases of matter can result, since far-from-equilibrium excited states are instantaneously populated. Here, we elucidate a general relation between ultrafast non-equilibrium electron dynamics and the size of the characteristic energy gap in a correlated electron material. We show that carrier multiplication via impact ionization can be one of the most important processes in a gapped material, and that the speed of carrier multiplication critically depends on the size of the energy gap. In the case of the charge-density wave material 1T-TiSe2, our data indicate that carrier multiplication and gap dynamics mutually amplify each other, which explains-on a microscopic level-the extremely fast response of this material to ultrafast optical excitation.

Iron(II) spin-crossover complexes in ultrathin films: electronic structure and spin-state switching by visible and vacuum-UV light.

The electronic structure of the iron(II) spin crossover complex [Fe(H2bpz)2(phen)] deposited as an ultrathin film on Au(111) is determined by means of UV-photoelectron spectroscopy (UPS) in the high-spin and in the low-spin state. This also allows monitoring the thermal as well as photoinduced spin transition in this system. Moreover, the complex is excited to the metastable high-spin state by irradiation with vacuum-UV light. Relaxation rates after photoexcitation are determined as a function of temperature. They exhibit a transition from thermally activated to tunneling behavior and are two orders of magnitude higher than in the bulk material.

A child with benign neonatal jitteriness and spasmus nutans.

This patient, a 26-month-old girl, developed benign neonatal jitteriness soon after birth that subsequently resolved at 3 months of age. At 6 months of age, she developed spasmus nutans with left monocular nystagmus and head shaking in a "no-no" pattern. Physical examination was otherwise unremarkable. Magnetic resonance imaging (MRI) of the brain, optic nerves, and orbits was normal. The spasmus nutans also gradually resolved by 18 months of age. To our knowledge, the co-occurrence of these 2 benign movement disorders in an individual has not previously been reported. The pathogenesis of benign neonatal jitteriness and spasmus nutans is unknown. Their co-occurrence may reflect a shared underlying mechanism.

The growth and electronic structure of azobenzene-based functional molecules on layered crystals.

In situ ultraviolet photoelectron spectroscopy is used to study the growth of ultrathin films of azobenzene-based functional molecules (azobenzene, Disperse Orange 3 and a triazatriangulenium platform with an attached functional azo-group) on the layered metal TiTe(2) and on the layered semiconductor HfS(2) at liquid nitrogen temperatures. Effects of intermolecular interactions, of the substrate electronic structure, and of the thermal energy of the sublimated molecules on the growth process and on the adsorbate electronic structure are identified and discussed. A weak adsorbate-substrate interaction is particularly observed for the layered semiconducting substrate, holding the promise of efficient molecular photoswitching.

Time-domain classification of charge-density-wave insulators.

Distinguishing insulators by the dominant type of interaction is a central problem in condensed matter physics. Basic models include the Bloch-Wilson and the Peierls insulator due to electron-lattice interactions, the Mott and the excitonic insulator caused by electron-electron interactions, and the Anderson insulator arising from electron-impurity interactions. In real materials, however, all the interactions are simultaneously present so that classification is often not straightforward. Here, we show that time- and angle-resolved photoemission spectroscopy can directly measure the melting times of electronic order parameters and thus identify-via systematic temporal discrimination of elementary electronic and structural processes-the dominant interaction. Specifically, we resolve the debates about the nature of two peculiar charge-density-wave states in the family of transition-metal dichalcogenides, and show that Rb intercalated 1T-TaS(2) is a Peierls insulator and that the ultrafast response of 1T-TiSe(2) is highly suggestive of an excitonic insulator.

Ultrafast melting of a charge-density wave in the Mott insulator 1T-TaS2.

Femtosecond time-resolved core-level photoemission spectroscopy with a free-electron laser is used to measure the atomic-site specific charge-order dynamics of the charge-density wave in the Mott insulator 1T-TaS2. After strong photoexcitation, a prompt loss of charge order and subsequent fast equilibration dynamics of the electron-lattice system are observed. On the time scale of electron-phonon thermalization, about 1 ps, the system is driven across a phase transition from a long-range charge ordered state to a quasiequilibrium state with domainlike short-range charge and lattice order. The experiment opens the way to study the nonequilibrium dynamics of condensed matter systems with full elemental, chemical, and atomic-site selectivity.

Oxcarbazepine use in paroxysmal kinesigenic dyskinesia: report on four patients.

The paroxysmal dyskinesias are a heterogeneous group of movement disorders. They are distinguished from one another by the mechanism through which abnormal movements are induced. Paroxysmal kinesigenic dyskinesia is the most common subtype, consisting of involuntary dyskinesias induced by purposeful movements. It typically responds favorably to anticonvulsants. This retrospective review describes four unrelated children and adolescents with idiopathic paroxysmal kinesigenic dyskinesia who were treated with oxcarbazepine. Each patient achieved complete resolution of signs with low-dose oxcarbazepine monotherapy.

Effects of sleep deprivation on the pediatric electroencephalogram.

BACKGROUND: The routine electroencephalogram aids in epilepsy syndrome diagnosis. Unfortunately, routine outpatient electroencephalogram results are normal in roughly half of children with epilepsy. To increase the yield, practice guidelines recommend electroencephalograms with sleep and sleep deprivation. The purpose of this study was to rigorously evaluate this recommendation in children. METHODS: We conducted a randomized, blinded comparison of routine electroencephalograms versus sleep-deprived electroencephalograms in 206 children aged 0 to 18 years. Electroencephalograms were ordered for standard indications after a neurologist's clinical assessment indicated > or =1 seizure (83%) or unclear spell (17%). The primary outcome was the proportion of normal routine electroencephalogram results versus sleep-deprived electroencephalogram results. Logistic regression modeling was used to assess the influence of sleep, as well as other clinical factors. RESULTS: Although children with sleep-deprived electroencephalograms had less sleep the night before (4.9 vs 7.9 hours) and more sleep during electroencephalograms (73% vs 55%), the increase in electroencephalogram yield was borderline significant (56% normal sleep-deprived electroencephalogram versus 68% normal routine electroencephalogram). Moreover, sleep during the electroencephalogram did not increase its diagnostic yield. Sleep-deprived electroencephalogram yield tended to be higher in children with preelectroencephalogram clinical diagnosis of seizure(s) and at older ages (>3 years). CONCLUSIONS: Sleep deprivation, but not sleep during the electroencephalogram, modestly increases the yield of the electroencephalogram in children diagnosed with seizures by neurologists. Compared with a routine electroencephalogram, the number needed to test with sleep-deprived electroencephalogram to identify 1 additional child with epileptiform discharges is approximately 11.

Stabilization of the misfit layer compound (PbS)1.13TaS2 by metal cross substitution.

Photoemission microspectroscopy on the layered misfit compound (PbS)1.13TaS2 provides direct evidence for Ta substitution into PbS layers as well as for Pb substitution into TaS2 layers. This metal cross substitution alters the charge balance between alternating layers and can explain the remarkable stability of (PbS)1.13TaS2 and, possibly, of analogous misfit compounds. It is suggested that even formally stoichiometric misfit compounds can be stabilized by this mechanism.

Determination of the hole lifetime from photoemission: Ti 3d states in TiTe2.

The electron hole spectral width Gamma(h) of Ti 3d states in layered TiTe2 and the inverse lifetime V(i) of the photoelectron final states are determined from experiment within the one-step theory of photoemission. The condition for the possibility of separating the effects of Gamma(h) and V(i) is a strongly non-free-electron character of the final states. The resulting drastic changes of the line shape with photon energy are experimentally observed and explained by an ab initio theory. A nonmonotonic dependence of V(i) on the final-state energy is observed; it is shown to reveal the real space structure of the complex electron self-energy.

Continuous tuning of electronic correlations by alkali adsorption on layered 1T-TaS2.

Angle-resolved photoemission spectroscopy shows that a Mott-Hubbard type metal-insulator transition occurs at the Rb adsorbed surface of the layered charge-density-wave compound 1T-TaS2. The transition is driven by adsorption induced modifications of the charge-density wave and of the interlayer coupling, leading to an increase of the on-site Coulomb correlation energy and a narrowing of the Ta 5d band perpendicular to the layers, respectively. The continuous rearrangement of spectral weight is measured live during the deposition process.

Hyperekplexia: a treatable neurogenetic disease.

Hyperekplexia is primarily an autosomal dominant disease characterized by exaggerated startle reflex and neonatal hypertonia. It can be associated with, if untreated, sudden infant death from apnea or aspiration pneumonia and serious injuries and loss of ambulation from frequent falls. Different mutations in the alpha1 subunit of inhibitory glycine receptor (GLRA1) gene have been identified in many affected families. The most common mutation is Arg271 reported in at least 12 independent families. These mutations uncouple the ligand binding and chloride channel function of inhibitory glycine receptor and result in increased excitability in pontomedullary reticular neurons and abnormal spinal reciprocal inhibition. Three mouse models from spontaneous mutations in GLRA1 and beta subunit of inhibitory glycine receptor (GLRB) genes and two transgenic mouse models are valuable for the study of the pathophysiology and the genotype-phenotype correlation of the disease. The disease caused by mutation in GLRB in mice supports the notion that human hyperekplexia with no detectable mutations in GLRA1 may harbor mutations in GLRB. Clonazepam, a gamma aminobutyric acid (GABA) receptor agonist, is highly effective and is the drug of choice. It enhances the GABA-gated chloride channel function and presumably compensates for the defective glycine-gated chloride channel in hyperekplexia. Recognition of the disease will lead to appropriate treatment and genetic counseling.

Direct comparison between potential landscape and local density of states in a disordered two-dimensional electron system.

The local density of states (LDOS) of the adsorbate-induced two-dimensional electron system (2DES) on n-InAs(110) is studied by scanning tunneling spectroscopy. In contrast to a similar 3DES, the 2DES LDOS exhibits 20 times stronger corrugations and rather irregular structures. Both results are interpreted as consequences of weak localization. Fourier transforms of the LDOS reveal that the k values of the unperturbed 2DES still dominate the 2DES, but additional lower k values contribute. To clarify the origin of the LDOS patterns, we measure the potential landscape of the 2DES area. We use it to calculate the expected LDOS and find reasonable agreement between calculation and experiment.

Sharper images by focusing soft X-rays with photon sieves.

Fresnel zone plates consisting of alternating transmissive and opaque circular rings can be used to focus X-rays. The spatial resolution that can be achieved with these devices is of the order of the width of the outermost zone and is therefore limited by the smallest structure (20-40 nm) that can be fabricated by lithography today. Here we show that a large number of pinholes distributed appropriately over the Fresnel zones make it possible to focus soft X-rays to spot sizes smaller than the diameter of the smallest pinhole. In addition, higher orders of diffraction and secondary maxima can be suppressed by several orders of magnitude. In combination with the next generation of synchrotron light sources (free-electron lasers) these 'photon sieves' offer new opportunities for high-resolution X-ray microscopy and spectroscopy in physical and life sciences.

Backscattering X-ray standing waves in the XUV region.

It is demonstrated that Bragg reflection of XUV radiation can be used to study structural properties of crystalline materials with large unit cells. A standing-wave field is formed in a layered TiSe2 single crystal for a near-backscattering geometry (theta = 88.5 degrees). The partial electron yield is measured as a function of photon energy across the (001) Bragg reflection condition (hv approximately equal to 1033 eV) and its characteristic modulation is compared with the results derived from dynamical diffraction theory in the two-wave approximation. The data reveal a large amount of disorder along the c-axis.

Tuning dimensionality by nanowire adsorption on layered materials.

The dimensionality of electronic states determines a number of physical phenomena such as phase transitions, transport, or superconductivity. Employing scanning tunneling microscopy combined with angle-resolved photoemission spectroscopy we demonstrate how the dimensionality of electronic states can be continuously tuned from three to two dimensions. This is achieved by adsorption of nanowires on surfaces of layered crystals without changing the chemical composition of the material. Exemplary results for Rb nanowires on TiTe2 are discussed with the help of electronic structure calculations.

Effectiveness and economic impact of antidepressant medications: a review.

This article reviews the existing literature on the pharmacoeconomics and effectiveness of antidepressant medications. Although selective serotonin reuptake inhibitors (SSRIs) have not proved to be more efficacious than the older tricyclics, and their prescription costs are significantly higher, they provide superior effectiveness; ie, patients are less likely to discontinue taking them or switch antidepressants. Pharmacoeconomic studies consistently demonstrate a relationship between this superior effectiveness and reductions in overall treatment costs, often through decreased utilization of medical and hospital services. The most conservative study found a cost offset that more than negated the extra cost of drugs, although the cost savings were not statistically significant. Other studies found statistically significant lowering of utilization costs by using SSRIs rather than tricyclics. Studies comparing SSRIs with each other present conflicting findings, although fluoxetine appears to have an edge over sertraline and paroxetine with regards to effectiveness and pharmacoeconomics. More studies employing a prospective outcome design and naturalistic study setting need to be conducted with SSRIs and other new antidepressants.