Pupil-sparing cranial nerve III palsy after intranasal cocaine treatment for cluster headache.

This case report discusses a cranial nerve III palsy in a 47-year-old, type II diabetic man that originally presented with a cluster headache that was treated with 100% oxygen by nasal cannula, 975 mg Tylenol, and 100 mg of Imitrex without any symptom relief. He then received a sphenopalatine fossa block using 1 ampule of 4% cocaine. Three days after medicinal, intranasal cocaine for treatment of a cluster headache, the patient presented with a cranial nerve III palsy with spontaneous resolution in 4 months without any intervention. Previously, intranasal cocaine had been standard treatment for cluster headaches; however, recently lidocaine has come into favor for the sphenopalatine block. Intranasal cocaine has been associated with cerebrovascular accidents, even in young adults. The time from cocaine use to cerebrovascular accident can range from hours to years. This known side effect of intranasal cocaine in young, otherwise healthy individuals should be considered when this medication is being used to treat headache, especially in higher risk patients. Therefore, when considering a sphenopalatine nerve block for treatment of headaches, both cluster and migraine, lidocaine should be the preferential treatment over intra-nasal cocaine.

Public accessibility of biomedical articles from PubMed Central reduces journal readership--retrospective cohort analysis.

Does PubMed Central--a government-run digital archive of biomedical articles--compete with scientific society journals? A longitudinal, retrospective cohort analysis of 13,223 articles (5999 treatment, 7224 control) published in 14 society-run biomedical research journals in nutrition, experimental biology, physiology, and radiology between February 2008 and January 2011 reveals a 21.4% reduction in full-text hypertext markup language (HTML) article downloads and a 13.8% reduction in portable document format (PDF) article downloads from the journals' websites when U.S. National Institutes of Health-sponsored articles (treatment) become freely available from the PubMed Central repository. In addition, the effect of PubMed Central on reducing PDF article downloads is increasing over time, growing at a rate of 1.6% per year. There was no longitudinal effect for full-text HTML downloads. While PubMed Central may be providing complementary access to readers traditionally underserved by scientific journals, the loss of article readership from the journal website may weaken the ability of the journal to build communities of interest around research papers, impede the communication of news and events to scientific society members and journal readers, and reduce the perceived value of the journal to institutional subscribers.

How Shakespeare tempests the brain: neuroimaging insights.

Shakespeare made extensive use of the functional shift (FS), a rhetorical device involving a change in the grammatical status of words, e.g., using nouns as verbs. Previous work using event-related brain potentials showed how FS triggers a surprise effect inviting mental re-evaluation, seemingly independent of semantic processing. Here, we used functional magnetic resonance imaging to investigate brain activation in participants making judgements on the semantic relationship between sentences -some containing a Shakespearean FS- and subsequently presented words. Behavioural performance in the semantic decision task was high and unaffected by sentence type. However, neuroimaging results showed that sentences featuring FS elicited significant activation beyond regions classically activated by typical language tasks, including the left caudate nucleus, the right inferior frontal gyrus and the right inferior temporal gyrus. These findings show how Shakespeare's grammatical exploration forces the listener to take a more active role in integrating the meaning of what is said.

The effect of public deposit of scientific articles on readership.

A longitudinal cohort analysis of 3,499 articles published in 12 physiology journals reveals a 14% reduction in full text article downloads when they are made publicly available from the PubMed Central archive. The loss of article readership from the journal website may weaken the ability of the publisher to build communities of interest around the research article, impede the communication of news and events with society members and reduce the perceived value of the journal to institutional subscribers.

The persistence of error: a study of retracted articles on the Internet and in personal libraries.

OBJECTIVE: To determine the accessibility of retracted articles residing on non-publisher websites and in personal libraries. METHODS: Searches were performed to locate Internet copies of 1,779 retracted articles identified in MEDLINE, published between 1973 and 2010, excluding the publishers' website. Found copies were classified by article version and location. Mendeley (a bibliographic software) was searched for copies residing in personal libraries. RESULTS: Non-publisher websites provided 321 publicly accessible copies for 289 retracted articles: 304 (95%) copies were the publisher' versions, and 13 (4%) were final manuscripts. PubMed Central had 138 (43%) copies; educational websites 94 (29%); commercial websites 24 (7%); advocacy websites 16 (5%); and institutional repositories 10 (3%). Just 16 [corrected] (5%) full-article views included a retraction statement. Personal Mendeley libraries contained records for 1,340 (75%) retracted articles, shared by 3.4 users, on average. CONCLUSIONS: The benefits of decentralized access to scientific articles may come with the cost of promoting incorrect, invalid, or untrustworthy science. Automated methods to deliver status updates to readers may reduce the persistence of error in the scientific literature.

The impact of free access to the scientific literature: a review of recent research.

OBJECTIVES: The paper reviews recent studies that evaluate the impact of free access (open access) on the behavior of scientists as authors, readers, and citers in developed and developing nations. It also examines the extent to which the biomedical literature is used by the general public. METHOD: The paper is a critical review of the literature, with systematic description of key studies. RESULTS: Researchers report that their access to the scientific literature is generally good and improving. For authors, the access status of a journal is not an important consideration when deciding where to publish. There is clear evidence that free access increases the number of article downloads, although its impact on article citations is not clear. Recent studies indicate that large citation advantages are simply artifacts of the failure to adequately control for confounding variables. The effect of free access on the general public's use of the primary medical literature has not been thoroughly evaluated. CONCLUSIONS: Recent studies provide little evidence to support the idea that there is a crisis in access to the scholarly literature. Further research is needed to investigate whether free access is making a difference in non-research contexts and to better understand the dissemination of scientific literature through peer-to-peer networks and other informal mechanisms.

Open access, readership, citations: a randomized controlled trial of scientific journal publishing.

Does free access to journal articles result in greater diffusion of scientific knowledge? Using a randomized controlled trial of open access publishing, involving 36 participating journals in the sciences, social sciences, and humanities, we report on the effects of free access on article downloads and citations. Articles placed in the open access condition (n=712) received significantly more downloads and reached a broader audience within the first year, yet were cited no more frequently, nor earlier, than subscription-access control articles (n=2533) within 3 yr. These results may be explained by social stratification, a process that concentrates scientific authors at a small number of elite research universities with excellent access to the scientific literature. The real beneficiaries of open access publishing may not be the research community but communities of practice that consume, but rarely contribute to, the corpus of literature.

Open access publishing, article downloads, and citations: randomised controlled trial.

OBJECTIVE: To measure the effect of free access to the scientific literature on article downloads and citations. DESIGN: Randomised controlled trial. SETTING: 11 journals published by the American Physiological Society. PARTICIPANTS: 1619 research articles and reviews. MAIN OUTCOME MEASURES: Article readership (measured as downloads of full text, PDFs, and abstracts) and number of unique visitors (internet protocol addresses). Citations to articles were gathered from the Institute for Scientific Information after one year. INTERVENTIONS: Random assignment on online publication of articles published in 11 scientific journals to open access (treatment) or subscription access (control). RESULTS: Articles assigned to open access were associated with 89% more full text downloads (95% confidence interval 76% to 103%), 42% more PDF downloads (32% to 52%), and 23% more unique visitors (16% to 30%), but 24% fewer abstract downloads (-29% to -19%) than subscription access articles in the first six months after publication. Open access articles were no more likely to be cited than subscription access articles in the first year after publication. Fifty nine per cent of open access articles (146 of 247) were cited nine to 12 months after publication compared with 63% (859 of 1372) of subscription access articles. Logistic and negative binomial regression analysis of article citation counts confirmed no citation advantage for open access articles. CONCLUSIONS: Open access publishing may reach more readers than subscription access publishing. No evidence was found of a citation advantage for open access articles in the first year after publication. The citation advantage from open access reported widely in the literature may be an artefact of other causes.

Event-related potential characterisation of the Shakespearean functional shift in narrative sentence structure.

Neurolinguistic studies have scrutinised the physiological consequences of disruptions in the flow of language comprehension produced by violations of meaning, syntax, or both. Some 400 years ago, Shakespeare already crafted verses in which the functional status of words was changed, as in "to lip a wanton in a secure couch". Here, we tested the effect of word class conversion as used by Shakespeare--the functional shift--on event-related brain potential waves traditionally reported in neurophysiolinguistics: the left anterior negativity (LAN), the N400, and the P600. Participants made meaningfulness decisions to sentences containing (a) a semantic incongruity, (b) a functional shift, (c) a double violation, or (d) neither a semantic incongruity nor a syntactic violation. The Shakespearean functional shift elicited significant LAN and P600 modulations but failed to modulate the N400 wave. This provides evidence that words which had their functional status changed triggered both an early syntactic evaluation process thought to be mainly automatic and a delayed re-evaluation/repair process that is more controlled, but semantic integration required no additional processing. We propose that this dissociation between syntactic and semantic evaluation enabled Shakespeare to create dramatic effects without diverting his public away from meaning.