Benign afebrile cluster convulsions with gastroenteritis: an observational study

BACKROUND: The occurrence of afebrile seizures in association with viral gastroenteritis, without dehydration or electrolyte imbalance, is virtually unknown outside Asia. They are reported to have a benign prognosis and not to require specific investigations or therapy. METHODS: We report the occurrence of such afebrile convulsions in association with viral gastroenteritis without dehydration or electrolyte imbalance, over a 3-year period, in a cohort of 14 British children. RESULTS: The children (5 males and 9 females, 10 Caucasians and 4 Asians) were aged 9 to 60 months (median 14.5 months). All 14 had a normal neurological examination and normal serum biochemistry. Twelve children had generalised seizures and 2 had, in addition, absence seizures. The number of seizures per child ranged from 1 to 8. Most convulsions were short with 85.7% of children having the longest seizure not longer than 4 minutes. The longest duration for a seizure was 10 minutes and occurred in 2 children. Convulsions did not recur after the first day in 10 children, 3 children had recurrences the second day and one child on the fourth day. No convulsions recurred after 4 days. Cerebrospinal fluid studies, computed tomography and electroencephalogram (EEG) were performed on two children who had prolonged seizures and the results were normal. No pathogenic bacteria were grown in any of the stools. Enzyme immunoassay detection of Rotavirus in the stools was positive in 7 of the 10 children where it was tested. All 14 children recovered spontaneously within a few days. On long-term follow of up to 31 months (median 16 months), none had further convulsions and all had normal development milestones. CONCLUSIONS: Afebrile seizures in association with viral gastroenteritis do also occur outside Asia. Recognition of this entity should lead to reassurance of the parents. As in previously published series, investigations such as lumbar puncture, neuroimaging and EEG are usually normal and may not be necessary in most cases. Likewise, published data indicate that long-term anticonvulsant therapy is not usually warranted and the prognosis seems to be reassuring

Development of a Model Foamy Viscous Fluid

The objective is to develop a model viscous foamy fluid, i.e. below the very wet limit, the rheological and stability properties of which can be tuned. First, the method used for the preparation of foamy fluids is detailed, including process and formulation. Then, experimental results highlight that stable foamy fluids with a monomodal bubble size distribution can be prepared with a void fraction between 25% and 50% (v/v). Their viscoelastic properties under flow and low-strain oscillatory conditions are shown to result from the interplay between the formulation of the continuous phase, void fraction and bubble size. Their apparent viscosity can be described using the Cross equation and zero-shear Newtonian viscosity may be predicted by a Mooney equation up to a void fraction about 40%. The Cox-Merz and the Laun’s rules apply when the capillary number Ca is lower than 0.1. The upper limit of the zero-shear plateau region decreases when void fraction increases or bubble size decreases. In the shear-thinning region, shear stress varies with Ca1/2, as in wet foams with immobile surfaces. Finally, foamy fluids can be sheared up to Ca about 0.1 without impairing their microstructure. Their stability at rest achieves several hours and increases with void fraction due to compact packing constraints. These constitute, therefore, versatile model fluids to investigate the behaviour of foamy fluids below the very wet limit in process conditions

Development of a Model Foamy Viscous Fluid

The objective is to develop a model viscous foamy fluid, i.e. below the very wet limit, the rheological and stability properties of which can be tuned. First, the method used for the preparation of foamy fluids is detailed, including process and formulation. Then, experimental results highlight that stable foamy fluids with a monomodal bubble size distribution can be prepared with a void fraction between 25% and 50% (v/v). Their viscoelastic properties under flow and low-strain oscillatory conditions are shown to result from the interplay between the formulation of the continuous phase, void fraction and bubble size. Their apparent viscosity can be described using the Cross equation and zero-shear Newtonian viscosity may be predicted by a Mooney equation up to a void fraction about 40%. The Cox-Merz and the Laun’s rules apply when the capillary number Ca is lower than 0.1. The upper limit of the zero-shear plateau region decreases when void fraction increases or bubble size decreases. In the shear-thinning region, shear stress varies with Ca1/2, as in wet foams with immobile surfaces. Finally, foamy fluids can be sheared up to Ca about 0.1 without impairing their microstructure. Their stability at rest achieves several hours and increases with void fraction due to compact packing constraints. These constitute, therefore, versatile model fluids to investigate the behaviour of foamy fluids below the very wet limit in process conditions

Nanoscale Investigation of Carrier Lifetime on the Cross Section of Epitaxial Silicon Solar Cells Using Kelvin Probe Force Microscopy

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