Pediatric stroke related to Lyme neuroborreliosis: Data from the Swiss NeuroPaediatric Stroke Registry and literature review.

Cerebrovascular complications of Lyme neuroborreliosis (LNB) are poorly documented in the paediatric population. We performed a retrospective analysis from prospectively registered cases of acute ischemic stroke (AIS) from the Swiss NeuroPaediatric Stroke Registry (SNPSR) from 2000 to 2015. Only cases with serologically confirmed LNB were included. In addition, a literature review on paediatric stroke cases secondary to Lyme neuroborreliosis in the same time frame was performed. 4 children out of 229 children with arterial ischemic childhood stroke and serologically confirmed LNB were identified in the SNPSR giving a global incidence of 1.7%. Median age was 9.9 years. A prior history of tick bites or erythema migrans (EM) was reported in two cases. Clinical presenting signs were suggestive of acute cerebellar/brainstem dysfunction. On imaging, three children demonstrated a stroke in the distribution of the posterior inferior cerebellar artery. The remaining fourth child had a "stroke-like" picture with scattered white matter lesions and a multifocal vasculitis with prominent basilar artery involvement. Lymphocytic pleocytosis as well as intrathecal synthesis of Borrelia burgdorferi antibodies were typical biological features. Acute intravenous third generation cephalosporins proved to be effective with rapid improvement in all patients. No child had recurrent stroke. Data from the literature concerning eight patients gave similar results, with prominent posterior circulation stroke, multifocal vasculitis and abnormal CSF as distinctive features. Lyme Neuroborreliosis accounts for a small proportion of paediatric stroke even in an endemic country. The strong predilection towards posterior cerebral circulation with clinical occurrence of brainstem signs associated with meningeal symptoms and CSF lymphocytosis are suggestive features that should rapidly point to the diagnosis. This can be confirmed by appropriate serological testing in the serum and CSF. Clinicians must be aware of this rare neurological complication of Lyme disease that demands specific antibiotic treatment

Dual Beam FIB for Imaging, Nano-Sectioning and Sample Preparation of Spores: Initial Results.

Results from the first use of Focused Ion Beam (FIB) technology to section Bacillus spores at LLNL in a dual-beam (electron and ion) instrument is presented and discussed. With the use of a dual-beam instrument, high resolution imaging of single spores using low voltage scanning electron microscopy followed by FIB sectioning, SEM imaging of internal structure of the same spore is demonstrated to be possible. Additionally, FIB is shown to be able to precisely micro-machine spores thus potentially facilitating micro-scale experiments on single spores

Pu Workshop Letter

In preparation for the upcoming Pu Workshop in Livermore, CA, USA, during July 14 and 15, 2006, we have begun to give some thought as to how the meeting will be structured and what will be discussed. Below, you will find our first proposal as to the agenda and contents of the meeting. From you, we need your feedback and suggestions concerning the desirability of each aspect of our proposal. Hopefully, we will be able to converge to a format that is acceptable to all parties. First, it now appears that we will be limited to three main sessions, Friday morning (July 14), Friday afternoon (July 14) and Saturday morning (July 15). The Pu Futures Meeting will conclude on Thursday, July 13. Following a social excursion, the Russian participants will be transported from Monterey Bay to their hotel in Livermore. We anticipate that the hotel will be the Residence Inn at 1000 Airway Blvd in Livermore. However, the hotel arrangements still need to be confirmed. We expect that many of our participants will begin their travels homeward in the afternoon of Saturday, July 15 and the morning of Sunday, July 16. Associated with the three main sessions, we propose that there be three main topics. Each session will have an individual focus. Because of the limited time available, we will need to make some judicious choices concerning the focus and the speakers for each session. We will also have a poster session associated with each session, to facilitate discussions, and a rotating set of Lab Tours, to maximize participation in the tour and minimize the disruption of the speaking schedule. Presently, we are planning a tour of the Dynamical Transmission Electron Microscope (DTEM) facilities, but this is still in a preliminary stage. We estimate that for each session and topic, there will be time for five (5) speakers. We propose that, typically, there be three (3) Russian and two (2) American speakers per session. We also propose that each session have a chair (or two chairs), who will be given a small amount of time to set the stage for the upcoming talks and pose previously prepared, crucial questions. While this imposes a significant burden upon the session chairs, it seems to us that such an arrangement will maximize the impact of each session. While some of the topics overlap with those at Pu Futures, we propose that there will be enough complementarity and amplification of specific topics that the overlap will be minimal

Muon spin rotation measurements of the superfluid density in fresh and aged superconducting PuCoGa5_5

We have measured the temperature dependence and magnitude of the superfluid density $\rho_{\rm s}(T)$ via the magnetic field penetration depth $\lambda(T)$ in PuCoGa$_5$ (nominal critical temperature $T_{c0} = 18.5$ K) using the muon spin rotation technique in order to investigate the symmetry of the order parameter, and to study the effects of aging on the superconducting properties of a radioactive material. The same single crystals were measured after 25 days ($T_c = 18.25$ K) and 400 days ($T_c = 15.0$ K) of aging at room temperature. The temperature dependence of the superfluid density is well described in both materials by a model using d-wave gap symmetry. The magnitude of the muon spin relaxation rate $\sigma$ in the aged sample, $\sigma\propto 1/\lambda^2\propto\rho_s/m^*$, where $m^*$ is the effective mass, is reduced by about 70% compared to fresh sample. This indicates that the scattering from self-irradiation induced defects is not in the limit of the conventional Abrikosov-Gor'kov pair-breaking theory, but rather in the limit of short coherence length (about 2 nm in PuCoGa$_5$) superconductivity.Comment: 11 page

Evolving microstructure: Mechanisms of electromigration in stressed aluminum-copper and copper films

We report on a collective body of work wherein we have studied the mass transport phenomena which are likely to be operative during stress driven changes in microstructure arising from electromigration and stress voiding. Our goal is to understand such microstructural evolution leading to failure of the metal lines or interconnects associated with integrated electronic circuits or chips. This work, when complete, will lead to improved electronics performance and reliability and faster product development arising from accurate and predictive models of wearout phenomena. We report on the role of thermal induced strain leading to hole and hillock formation, the influence of grains structure on the reliability of Al- based interconnects, and the observation of counter-current electromigration of Ua in Al grain boundaries

Manual dexterity, but not cerebral palsy, predicts cognitive functioning after neonatal stroke

AIM: To disentangle the respective impacts of manual dexterity and cerebral palsy (CP) in cognitive functioning after neonatal arterial ischaemic stroke. METHOD: The population included 60 children (21 females, 39 males) with neonatal arterial ischaemic stroke but not epilepsy. The presence of CP was assessed clinically at the age of 7 years and 2 months (range 6y 11mo-7y 8mo) using the definition of the Surveillance of CP in Europe network. Standardized tests (Nine-Hole Peg Test and Box and Blocks Test) were used to quantify manual (finger and hand respectively) dexterity. General cognitive functioning was evaluated with the Wechsler Intelligence Scale for Children, Fourth Edition. Simple and multiple linear regression models were performed while controlling for socio-economic status, lesion side, and sex. RESULTS: Fifteen children were diagnosed with CP. In simple regression models, both manual dexterity and CP were associated with cognitive functioning (β=0.41 [p=0.002] and β=0.31 [p=0.019] respectively). However, in multiple regression models, manual dexterity was the only associated variable of cognitive functioning, whether or not a child had CP (β=0.35; p=0.007). This result was reproduced in models with other covariables (β=0.31; p=0.017). INTERPRETATION: As observed in typically developing children, manual dexterity is related to cognitive functioning in children having suffered a focal brain insult during the neonatal period. WHAT THIS PAPER ADDS: Manual dexterity predicts cognitive functioning after neonatal arterial ischaemic stroke. Correlations between manual dexterity and cognitive functioning occur irrespective of sex, lesion side, presence of cerebral palsy, and socio-economic status. Residual motor ability may support cognitive functioning

An Internal LLNL Report: Spectroscopic Signature of Aging in (Delta)-Pu(Ga)

Resonant Photoemission, a variant of Photoelectron Spectroscopy, has been demonstrated to have sensitivity to aging of Pu samples. The spectroscopic results are correlated with resistivity measurements and are shown to be the fingerprint of mesoscopic or nanoscale internal damage in the Pu physical structure. This means that a spectroscopic signature of internal damage due to aging in Pu has been established

Magnetic Properties of Radiation Damage in Pu

First, we review earlier studies reporting possible magnetic characteristics for radiation defects in Pu. We then report, for {alpha}-Pu, two studies of the excess magnetic susceptibility (EMS) due to radiation damage, as a function of time and temperature. We have observed several annealing stages associated with the EMS of the accumulated self-damage and we report that annealing begins at {approx}31K, while below that temperature the displacement damage from self-irradiation of the Pu alpha particle emission and the U recoil are immobile. A detailed investigation was made of this EMS well below the first annealing stage as a function of temperature (2K < T < 15K) and time in a magnetic field of 2T. A linear increase in magnetic susceptibility is seen as a function of time for all isotherms. The excess susceptibility per alpha decay, determined from a linear fit of the slope of the time dependent EMS, is reasonably described with a Curie-Weiss law exhibiting a small negative Weiss temperature. We conclude by describing some future experiments in light of the present results

Radiation Damage Effects on the Magnetic Properties of Pu(1-x)Am(x) (x=0.224)

Pu(Am) is stable in the fcc {delta}-phase from a few atomic percent to nearly 80 atomic percent Am, expanding the average interatomic separation as the alloy concentration of Am increases. Both Pu and Am spontaneously decay by {alpha}-emission creating self-damage in the lattice in the form of vacancy-interstitial pairs and their aggregates. At sufficiently low temperatures, the damage is frozen in place, but can be removed by thermal annealing at sufficiently high temperatures, effectively resetting the system to an undamaged condition. The magnetic susceptibility and magnetization are observed to increase systematically as a function of accumulated damage in the fcc {delta}-Pu{sub 1-x}Am{sub x} (x=0.224). Some results of these observations are reported here