Narcolepsy and emotional experience: a review of the literature

Narcolepsy is a chronic sleep disorder characterized by excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis. This disease affects significantly the overall patient functioning, interfering with social, work, and affective life. Some symptoms of narcolepsy depend on emotional stimuli; for instance, cataplectic attacks can be triggered by emotional inputs such as laughing, joking, a pleasant surprise, and also anger. Neurophysiological and neurochemical findings suggest the involvement of emotional brain circuits in the physiopathology of cataplexy, which seems to depending on the dysfunctional interplay between the hypothalamus and the amygdala associated with an alteration of hypocretin levels. Furthermore, behavioral studies suggest an impairment of emotions processing in narcolepsy-cataplexy (NC), like a probable coping strategy to avoid or reduce the frequency of cataplexy attacks. Consistently, NC patients seem to use coping strategies even during their sleep, avoiding unpleasant mental sleep activity through lucid dreaming. Interestingly, NC patients, even during sleep, have a different emotional experience than healthy subjects, with more vivid, bizarre, and frightening dreams. Notwithstanding this evidence, the relationship between emotion and narcolepsy is poorly investigated. This review aims to provide a synthesis of behavioral, neurophysiological, and neurochemical evidence to discuss the complex relationship between NC and emotional experience and to direct future research

Vaccination and anaphylaxis: a forensic perspective.

To review the available literature pertaining to fatalities following vaccine administration and, in particular, cases of vaccine-related fatal anaphylaxis. The MEDLINE database was systematically searched up to March 2016 to identify all relevant articles pertaining to fatal cases of anaphylaxis following vaccine administration. Six papers pertaining to fatal anaphylaxis following vaccination were found relevant. Mast cell tryptase and total IgE concentration was assessed exclusively in one case. Laryngeal edema was not detected in any of these cases, whereas eosinophil or mast cell infiltration was observed in lymphoid organs. In one case, immunohistochemical investigations using anti-tryptase antibodies allowed pulmonary mast cells and degranulating mast cells with tryptase-positive material outside to be identified. In any suspected IgE-mediated fatal anaphylactic cases, biochemical investigations should be systematically performed for forensic purposes. Splenic tissue should be routinely sampled for immunohistochemical investigations in all suspected anaphylaxis-related deaths and mast cell/eosinophil infiltrations should be systematically sought out in the spleen, myocardium, and coronary artery wall. The hypothesis of fatal anaphylaxis following vaccination should be formulated exclusively when circumstantial data, available medical records, laboratory investigations, and autopsy or histology findings converge in a consistent pattern. The reasonable exclusion of alternative causes of death after all postmortem investigations is also imperative in order to establish or rule out a cause-and-effect relationship between vaccine administration and any presumptive temporarily-related death

Effective potential in Lorentz-breaking field theory models

We calculate explicitly the one-loop effective potential in different Lorentz-breaking field theory models. First, we consider a Yukawa-like theory and, then, some examples of Lorentz-violating extensions of scalar QED. We observed, for the extended QED models, that the resulting effective potential converges to the known result in the limit in which Lorentz-symmetry is restored. Besides, the one-loop corrections to the effective potential in all the cases we studied depend on the background tensors responsible for the Lorentz symmetry violation. This have consequences in physical quantities like, for example, in the induced mass due to Coleman-Weinberg mechanism.Comment: Version accepted for publication in EPJ

Dual embedding of the Lorentz-violating electrodinamics and Batalin-Vilkovisky quantization

Modifications of the electromagnetic Maxwell Lagrangian in four dimensions have been considered by some authors. One may include an explicit massive term (Proca) and a topological but not Lorentz-invariant term within certain observational limits. We find the dual-corresponding gauge invariant version of this theory by using the recently suggested gauge embedding method. We enforce this dualisation procedure by showing that, in many cases, this is actually a constructive method to find a sort of parent action, which manifestly establishes duality. We also use the gauge invariant version of this theory to formulate a Batalin-Vilkovisky quantization and present a detailed discussion on the excitation spectrum.Comment: 8 page