[Kleine Levin Syndrome: more than just periodic hypersomnia]. / Kleine-Levin-syndroom: meer dan periodieke hypersomnie.

BACKGROUND: Kleine Levin Syndrome (KLS) is a rare disease with periodic hypersomnia as its main feature. Hyperphagia and hypersexuality are also described as classical symptoms, although quite recently it has become clear that the full triad is absent in the majority of patients. CASE DESCRIPTION: A 14-year-old boy developed KLS after a period of flu-like symptoms. Over the course of three years he suffered from seven one-week episodes of extreme hypersomnia (sleeping 18 hours a day), depersonalisation, apathy, anxiety, paranoia, confusion, hallucinations and uninhibited sexual behaviour. He ate little. Ancillary investigations did not reveal any abnormalities. In between these episodes he had no symptoms. CONCLUSION: From this case description and a summary of the symptoms of twelve other patients with KLS, it appears that neuropsychiatric symptoms are much more prominent than hyperphagia and hypersexuality. It is important that the typical KLS phenotype be reappraised, so that the condition can be recognised early and patients managed appropriately.

Heat-killed Staphylococcus aureus reduces atherosclerosis by inducing anti-inflammatory macrophages.

BACKGROUND: Staphylococcus aureus cell wall components can induce IL-10 responses by immune cells, which may be atheroprotective. Therefore, in this study, we investigated whether heat-killed S. aureus (HK-SA) could inhibit the development of atherosclerosis. METHODS: Atherosclerosis-susceptible LDL receptor-deficient mice were administered intraperitoneal HK-SA twice weekly and fed a Western-type diet for 6 weeks. RESULTS: HK-SA administration resulted in a 1.6-fold increase in IL-10 production by peritoneal macrophages and splenocytes, and a 12-fold increase in serum IL-10 levels. Moreover, aortic plaque ICAM-1, VCAM-1 and CCL2 expression levels were significantly downregulated by on average 40%. HK-SA-treated mice had reduced numbers of inflammatory Ly-6C(hi) monocytes as well as Th1 and Th17 cells in the circulation and spleen, respectively. Attenuated leucocyte recruitment resulted in a significant inhibition of macrophage and T cell infiltration in atherosclerotic plaques, culminating in a significant 34% reduction in the development of atherosclerosis. To determine the effects of intraperitoneal HK-SA treatment, we stimulated macrophages with HK-SA in vitro. This resulted in a significant toll-like receptor 2 (TLR2)-dependent increase in IL-10, arginase-1, iNOS, TNF-α, PD-L1, CCL22 and indoleamine 2,3-dioxygenase expression. It was found that phosphoinositide 3-kinase crucially determined the balance of pro- and anti-inflammatory gene expression. The HK-SA-induced macrophage phenotype resembled M2b-like immunoregulatory macrophages. CONCLUSIONS: We have shown that HK-SA treatment induces strong anti-inflammatory IL-10 responses by macrophages, which are largely dependent on TLR2 and PI3K, and protects against the development of atherosclerosis. Commensalism with S. aureus could thus reduce cardiovascular events.

From incommensurate correlations to mesoscopic spin resonance in YbRh2Si2.

Spin fluctuations are reported near the magnetic field-driven quantum critical point in YbRh(2)Si(2). On cooling, ferromagnetic fluctuations evolve into incommensurate correlations located at q(0) = ±(δ,δ), with δ = 0.14 ± 0.04 r.l.u. At low temperatures, an in-plane magnetic field induces a sharp intradoublet resonant excitation at an energy E(0) = gµ(B)µ(0)H with g = 3.8 ± 0.2. The intensity is localized at the zone center, indicating precession of spin density extending ξ = 6 ± 2 Å beyond the 4f site.

A µSR study of the magnetoresistive ruthenocuprates RuSr2Nd(1.8-x)Y0.2Ce(x)Cu2O(10-δ) (x = 0.95 and 0.80).

Zero field muon spin relaxation (ZF-µSR) has been used to study the magnetic properties of the underdoped giant magnetoresistive ruthenocuprates RuSr(2)Nd(1.8-x)Y (0.2)Ce(x)Cu(2)O(10-δ) (x = 0.95, 0.80). The magnetoresistance (MR) is defined so that MR = ((ρ(H)-ρ(0))/ρ(0)) and the giant magnetoresistive ruthenocuprates RuSr(2)Nd(1.8-x)Y(0.2)Ce(x)Cu(2)O(10-δ) exhibit a large reduction in electronic resistivity upon application of a magnetic field. The ZF-µSR results show a gradual loss of initial asymmetry A(0) at the ruthenium spin transition temperature, T(Ru). At the same time the electronic relaxation rate, λ, shows a gradual increase with decreasing temperature below T(Ru). These results have been interpreted as evidence for Cu spin cluster formation below T(Ru). These magnetically ordered clusters grow as the temperature is decreased thus causing the initial asymmetry to decrease slowly. Giant magnetoresistance is observed over a wide temperature range in the materials studied and the magnitude increases as the temperature is reduced from T(Ru) to 4 K which suggests a relation between Cu spin cluster size and |-MR|.

Inhomogeneous level splitting in Pr 2-x BixRu2O7.

We report that Bi doping drives Pr 2-x BixRu2O7 from an antiferromagnetic insulator (x = 0) to a metallic paramagnet (x approximately 1) with a broad low T maximum in C/T. Neutron scattering reveals local low energy spin excitations (variant Planck's omega approximately 1 meV) with a spectrum that is unaffected by heating to k(B)T >> variant Planck's omega. We show that a continuous distribution of splittings of the non-Kramers Pr3+ ground-state doublet such as might result from various types of lattice strain can account for all the data.

Monocrystal elastic constants of the negative-thermal-expansion compound zirconium tungstate (ZrW2O8).

We measured zirconium tungstate's elastic constants C(ij). This compound shows relatively soft, nearly isotropic elastic constants with normal Poisson ratios and no approach to Born instability. ZrW2O8 shows normal ambient-temperature elastic constants C(ij), but remarkable dC(ij)/dT that show dominant low-frequency acoustic-vibration modes. From the bulk modulus, we estimated the total ambient-temperature thermodynamic Grüneisen parameter as gamma = -1.2. The dB/dT slope gives a Grüneisen parameter gamma = -7. The 300-0 K bulk-modulus increase (40%) seems unprecedented and breaks Birch's law of corresponding states.

Random fields and the partially paramagnetic state of CsCo0.83Mg0.17Br3: critical scattering study.

We have performed measurements of the critical neutron scattering on CsCo0.83Mg0.17Br3, a dilute stacked triangular lattice (STL) Ising antiferromagnet (AF). A two component line shape associated with the critical fluctuations appears at a temperature coincident with T(N1) observed in pure CsCoBr3. Such scattering is indicative of fluctuations in prototypical random field Ising model (RFIM) systems. The random field domain state arises in this case due to geometrical frustration within the STL Ising AF, which gives rise to a three sublattice Néel state, in which one sublattice is disordered. Magnetic vacancies nucleate AF domains in which the vacancies reside on the disordered sublattice thereby generating a RFIM state in the absence of an applied magnetic field.

Unconventional magnetic correlations in DyB2C and HoB2C.

Layered borocarbides RB2C (R=Dy, Ho, and Er) have been studied by powder neutron diffraction at 2-30 K. ErB2C has two-sublattice antiferromagnetic order below T(N)=16.3 K, but DyB2C and HoB2C show a coexistence of a conventional canted k=(000) ferromagnetic structure and unconventional magnetic correlations. The k=(000) phase orders at T(c)=8.5 K (DyB2C) and 7.1 K (HoB2C), but low-Q diffraction peaks from the unconventional correlations appear above T(c) with different critical temperatures for different peaks: at 8, 10.5, and 15.7 K for HoB2C. This scattering is fitted as diffraction from a Warren-type random magnetic layer lattice and may result from quadrupolar interactions between R3+ spins.

Boron - Carbon Order in CeB(2)C(2).

Powder neutron diffraction studies show that boron and carbon atoms alternate in the planar pi-conjugated layers in CeB(2)C(2) and its lanthanide analogues, rather than being paired as was previously reported. Long and short B-C bonds correspond to the idealized arrangement of single and double bonds shown in the picture.

High pressure liquid chromatographic determination with ultraviolet detection of gentamicin and correlation with the microbiological potency.

The content of gentamicin in pharmaceuticals is measured by the high pressure liquid chromatographic technique described in the monographs for Gentamicin Sulphate and Gentamicin Injection in the British Pharmacopoeia 1980 for the determination of the composition of gentamicin. Calculation procedures are presented to transform this qualitative high pressure liquid chromatographic procedure for the assay of gentamicin so that it gives results in terms of potency. A comparison is made of this data with the results of the microbiological assay according to the European Pharmacopoeia.