Focal fast rhythmic epileptiform discharges on scalp EEG in a patient with cortical dysplasia

AbstractA distinctive scalp electroencephalographic (EEG) pattern of focal fast rhythmic epileptiform discharges (FREDs) in a 23-year-old man with symptomatic localization related epilepsy is presented. Magnetic resonance imaging (MRI) of the brain revealed cortical dysplasia over the right temporal region where the peculiar EEG abnormality was detected. We suggest that this characteristic EEG pattern may be predictive of focal cortical dysplasia (FCD). A brief review of the rhythmic EEG abnormalities in FCDs is also presented

Successful localization of the Broca area with short-train pulses instead of ‘Penfield’ stimulation

AbstractDirect electrical stimulation of functional cortical areas is a standard procedure in epilepsy and glioma surgery. Many previous studies support that stimulation of the motor cortex with short-train pulses is a less epileptogenic alternative to the 50–60Hz ‘Penfield’ technique. However, whether the short-train stimulation is useful also in mapping of speech areas is unclear. In this case report we present a patient with oligodendroglioma near the Broca area. Extraoperative electrical stimulation via a subdural grid electrode was primarily performed to locate the speech area. The cortex was stimulated with short-train pulses (5 pulses, 0.5 pulse duration and 3ms interpulse interval) in addition to 1–3s 50Hz stimulation. The patient had speech arrest from both types of stimulation techniques during a naming task. It was however critical that the short (14.5ms) train stimulation was synchronized with the presentation of the naming objects. If not, there was no speech arrest. Despite this possible pitfall, this case has encouraged us to further try short-train stimulation in attempts to reduce stimulus-triggered seizures during mapping of eloquent areas

Managing Intra-Party Democracy: Comparing the French Socialist and British Labour Party Conferences

The French Socialists and British Labour consider intra-party democracy as a central tenet of their philosophies. It is a core value that orientates their political attitudes and defines their identity. Traditionally, they have privileged a particular type of decision-making, based on the sovereignty of the party conference. However, at the beginning of the 1990s, these meetings projected a damaging image of division and chaos. Confronted with the intense scrutiny of their internal debates by the media, the two parties had to find a better balance between their culture and practices, and the need to promote an image of unity and efficiency. They introduced a number of reforms that, they claim, have expanded the possibilities for individual members to participate while at the same time giving the two leaderships a firmer grip on decision-making. Based on qualitative research conducted over many years, this paper explores the parties' new attitudes to internal democracy and analyses the process of power redistribution within the organizations

Aktuelle Herausforderungen der Wissenschafts- und Hochschulforschung

In den letzten Jahren ist im deutschen Sprachraum, abweichend von der internationalen Nomenklatur, vermehrt von »Wissenschafts- und Hochschulforschung« die Rede. Angezeigt ist damit die Suche nach einem Überbegriff für die diversen sozialwissenschaftlichen Perspektiven auf Wissenschaft und Universität. Vor diesem Hintergrund versteht sich der vorliegende Beitrag als kollektive Standortbestimmung. Anhand von sieben Forschungsagenden zeigen die Autor/innen das Potenzial einer stärkeren Verbindung von Wissenschafts- und Hochschulforschung. Die sieben Agenden bilden zum einen Fragen und Probleme ab, die der aktuelle Forschungsstand aufwirft, zum anderen zeigen sie Relevanz der soziologischen Perspektive für die theoretische und methodische Integration der beiden Forschungsfelder. In recent years, social science perspectives that are concerned with academic research and higher education have increasingly been subsumed under the umbrella term »science and higher education studies« – a peculiar German category that is uncommon in the international context, where »science and technology studies« and »higher education studies« are developing rather independently from each other. Against this background, the current paper documents a discussion of several scholars from both science and higher education studies. Sketching seven research agendas, the contribution identifies fields of study for which a closer interaction between the two fields would be beneficial. On the one hand, these agendas highlight open questions of the current state of research. On the other hand, the agendas illustrate how a sociological perspective can contribute to integrating science and higher education studies both theoretically and methodologically

The role of war in deep transitions: exploring mechanisms, imprints and rules in sociotechnical systems

This paper explores in what ways the two world wars influenced the development of sociotechnical systems underpinning the culmination of the first deep transition. The role of war is an underexplored aspect in both the Techno-Economic Paradigms (TEP) approach and the Multi-level perspective (MLP) which form the two key conceptual building blocks of the Deep Transitions (DT) framework. Thus, we develop a conceptual approach tailored to this particular topic which integrates accounts of total war and mechanisms of war from historical studies and imprinting from organisational studies with the DT framework’s attention towards rules and meta-rules. We explore in what ways the three sociotechnical systems of energy, food, and transport were affected by the emergence of new demand pressures and logistical challenges during conditions of total war; how war impacted the directionality of sociotechnical systems; the extent to which new national and international policy capacities emerged during wartime in the energy, food, and transport systems; and the extent to which these systems were influenced by cooperation and shared sacrifice under wartime conditions. We then explore what lasting changes were influenced by the two wars in the energy, food, and transport systems across the transatlantic zone. This paper seeks to open up a hitherto neglected area in analysis on sociotechnical transitions and we discuss the importance of further research that is attentive towards entanglements of warfare and the military particularly in the field of sustainability transitions

Long-term follow-up after callosotomy : A prospective, population based, observational study

Objective Analyze the long-term outcome of callosotomies with regard to seizure types and frequencies and antiepileptic drug treatment. Methods This longitudinal observational study is based on data from the prospective Swedish National Epilepsy Surgery Register. Thirty-one patients had undergone callosotomy in Sweden 1995-2007 and had been followed for 2 and 5 or 10years after surgery. Data on their seizure types and frequencies, associated impairments, and use of antiepileptic drugs have been analyzed. Results The median total number of seizures per patient and month was reduced from 195 before surgery to 110 twoyears after surgery and 90 at the long-term follow-up (5 or 10years). The corresponding figures for drop attacks (tonic or atonic) were 190 before surgery, 100 2years after surgery, and 20 at the long-term follow-up. Ten (56%) of the 18 patients with drop attacks were free from drop attacks at long-term follow-up. Three of the remaining eight patients had a reduction of >75%. At long-term follow-up, four were off medication. Only one of the 31 patients had no neurologic impairment. Significance The present population-based, prospective observational study shows that the corpus callosotomy reduces seizure frequency effectively and sustainably over the years. Most improvement was seen in drop attacks. The improvement in seizure frequency over time shown in this study suggests that callosotomy should be considered at an early age in children with intractable epilepsy and traumatizing drop attacks

Pancreatic Cancer, Healthcare Cost, and Loss of Productivity: A Register-based Approach.

BACKGROUND: Despite the fact that pancreatic cancer is the fourth leading cause of cancer-related death, there is little empirical evidence on its direct healthcare costs and, especially, its indirect costs due to loss of production. METHODS: The present study is a retrospective analysis of all patients with pancreatic cancer (excluding endocrine cancer) in the primary catchment area of Lund University Hospital, Sweden, during the period 2005-2007. Detailed information on all diagnostic and therapeutic investigations, interventions, and postoperative course and long-term follow-up was collected, as well as absenteeism from work due to the health problem, from which direct costs were calculated. The indirect costs for loss of production due to sickness and premature death were calculated by the human capital method. A total of 83 patients were included, for an incidence rate of 9.9 patients/100,000 inhabitants. RESULTS: Direct treatment cost per pancreatic-cancer patient was estimated at EUR 16,066 for each patient's remaining lifetime. Hospitalization accounted for the major expenditure-60% of the lifetime treatment cost. Patients with resectable tumor had a mean cost of EUR 19,809; locally advanced disease, EUR 14,899; and metastatic disease, 16,179. Younger patients and men had a higher than average lifetime treatment cost. The loss of productivity was estimated at EUR 287,420 per patient younger than 65 years of age, of which premature mortality accounted for 79%. CONCLUSIONS: Adding the cost of palliative care estimated in a previous Swedish study, health-care costs and productivity losses for pancreatic cancer would add up to a substantial economic burden for Sweden at large in 2009 (population 9.1 million), between EUR 86 million and EUR 93 million

Long-term outcomes of epilepsy surgery in Sweden: A national prospective and longitudinal study.

To investigate prospective, population-based long-term outcomes concerning seizures and antiepileptic drug (AED) treatment after resective epilepsy surgery in Sweden