Post-mortem diagnosis of intravascular large B-cell lymphoma

Intravascular large B-cell lymphoma (IVLBCL) is a rare (<1%), typically aggressive extranodal variant of mature non-Hodgkin B-cell lymphoma. IVLBCL is characterized by malignant lymphoid cells lodged within blood vessels, particularly capillary channels. Herein, we present a case of a 50-year-old man with a history of myeloradiculitis (∼1 year) and paraparesis requiring hospitalization. During the course of his hospital stay, computed tomography (CT), magnetic resonance imaging, CT-positron emission tomography, and biopsy failed to establish a diagnosis. The patient died 2 months later from bilateral pneumonia. Postmortem examination was undertaken to determine the cause of death. Histologic sections of the patient’s brain, heart, lung, and liver showed aggregates of highly atypical cells bearing enlarged, pleomorphic, and hyperchromatic nuclei. Strong intravascular positivity for CD45 and CD20 markers indicated the cells were of B-cell origin, supporting a diagnosis of IVLBCL

The potential mechanism of black crust development on the historic buildings in Cairo and Venice

The development of black crusts on natural stones of historic buildings is mainly related to the surrounded polluted atmosphere. The blackening of surfaces is caused, in fact, by the accumulation of air pollutants produced by human activity, especially carbon particles originating from the incomplete combustion of fossil fuel. Investigations of the chemical composition of such layers in the monuments can be the basis for planning suitable strategies for the protection and conservation of the built cultural heritage. Cairo (Egypt) and Venice (Italy) are two cities with a large amount of cultural heritage buildings; moreover, they suffer high level of air pollution. Black crust with the hosted stones from different sites in Historic Cairo, as well as samples of different archaeological sites in Venice city, were collected and analyzed by using several techniques: polarizing optical microscopy (OM), scanning electron microscopy coupled with energy-dispersive X-ray spectrometry (SEM-EDS), infrared spectroscopic techniques (FT-IR) and laser ablation inductively coupled mass spectrometry (LA-ICP-MS). The characterization of such samples provided information on the chemical composition of black crusts, the state of conservation of the substrates and the crust-stone interactions. The chemical study highlighted a different pattern of elements within the two cities. Regarding the black crusts of Cairo, results suggest that the air pollution in Cairo is mainly related to vehicular traffic. Indeed, in the city there is high vehicular traffic almost 24 h a day and the direct impact of vehicle emissions is particularly severe. Samples from the Venice show different composition in terms of heavy metals with respect to Cairo that can be explained with the emission from several industries sited in the near industrial center of Porto Marghera and Island of Murano. Moreover, the fuels used for marine transportation, which is abundant into the area, have a slight different fingerprinting in terms of metals with respect to the vehicles

Autopsy findings in COVID-19-related deaths. A literature review

Although many clinical reports have been published, little is known about the pathological post-mortem findings from people who have died of the novel coronavirus disease. The need for postmortem information is urgent to improve patient management of mild and severe illness, and treatment strategies. The present systematic review was carried out according to the Preferred Reporting Items for Systematic Review (PRISMA) standards. A systematic literature search and a critical review of the collected studies were conducted. An electronic search of PubMed, Science Direct Scopus, Google Scholar, and Excerpta Medica Database (EMBASE) from database inception to June 2020 was performed. We found 28 scientific papers; the total amount of cases is 341. The major histological feature in the lung is diffuse alveolar damage with hyaline membrane formation, alongside microthrombi in small pulmonary vessels. It appears that there is a high incidence of deep vein thrombosis and pulmonary embolism among COVID-19 decedents, suggesting endothelial involvement, but more studies are needed. A uniform COVID-19 post-mortem diagnostic protocol has not yet been developed. In a time in which international collaboration is essential, standardized diagnostic criteria are fundamental requirements

Sustainable solutions for removing aged wax-based coatings from cultural heritage. Exploiting hydrophobic deep eutectic solvents (DESs)

This study describes the investigation on the use of hydrophobic Deep Eutectic Solvents (DESs) for the removal of nonpolar coatings from works of art to replace toxic solvents. Beeswax and two microcrystalline waxes (R21 and Renaissances) have been selected as reference nonpolar coatings since they are commonly present in their aged state on metal and stone artifacts. The interaction between the DESs and three waxes has been evaluated through contact angle measurements, solubility tests, and cleaning tests carried out by implementing a method that is ordinarily used by restorers. Tests have been conducted on mockups consisting of microscope glass slides covered by wax. The effective removal of the wax-based coating from the mockups has been assessed through spectrocolorimetry and multispectral imaging under visible (VIS) and ultraviolet light (UV) at 365 nm by loading the waxes with a fluorescent marker (Rhodamine 6G). Fourier Transform Infrared (FT-IR) spectroscopy in the Attenuated Total Reflectance (ATR) mode was performed to assess the presence of both the wax and the solvent on the swabs used for the cleaning tests, confirming the actual interaction among the solvent and the solute. The experimental process proved DESs’ potential of being used as green solvents for cleaning treatments on Cultural Heritage

The importance of post-mortem computed tomography (PMCT) as a complementary diagnostic technique to traditional autopsy in a case of asphyxia related-death

Although asphyxia related-death is a common occurrence in forensic setting, traditional autopsy with neck dissection is not always sufficient to gain information about potential injuries of the deep structures of the neck. In this case a 40 years-old white female was found unresponsive on the floor of her living room, in supine position with a widespread brownish area on her neck. A preliminary PMCT examination showed a fracture line within the hyoid bone. This finding was confirmed by the autopsy, which revealed soft tissue’s haemorrhage of the sternocleidomastoid and sternohyoid muscles and a fracture of the right horn of the hyoid bone. A 3D reconstruction of the event showed the aggressor standing behind the victim while holding his arm around her neck. Our study demonstrates that, PMCT represent an effective aid to traditional examination techniques in order to visualize fractures. The former always requires to be associated with autoptic examination

Preliminary archaeometric analysis on a marble bas-relief of unknown origin

This paper addresses an archaeometric study of a marble bas-relief seized by the Cosenza Carabinieri Unit for the Protection of Cultural Heritage and Anti-Counterfeiting (Calabria, Italy). The research aimed to collect data on the authenticity of the artwork, providing indications about the compositional features of the sampled materials. An analytical approach based on the use of SEM-EDX and FT-IR techniques along with a stylistic evaluation of the artwork, allowed us to answer the requests posed by the institutions and to set the work in a different historical context from the Roman production

Study of the effects of salt crystallisation on degradation of limestone rocks

Salt crystallization is widely recognized as a cause of deterioration of porous building materials. In particular, the crystallization pressure of salt crystals growing in confined pores is found to be the main cause for damage. The aim of this study is to better understand the degradation of porous rocks induced by salt crystallisation and correlate such processes with the intrinsic characteristics of materials. With this intend, an experimental salt weathering simulation has been carried out on two limestones widely used in the Baroque architecture of eastern Sicily. A systematic approach including petrographic, porosimetric and colorimetric analyses, was used to evaluate the correlation among salt crystallisation, microstructural and chromatic variations of limestone. Results showed a quite different resistance of the two limestones to salt damage, and this was found to be strongly dependent on their pore structure and textural characteristics

Natural based products for cleaning copper and copper alloys artefacts

Copper alloys objects can deteriorate their conservation state through irreversible corrosion. Since in the cultural heritage field every artefact is unique and any loss irreplaceable, solutions for conservation are needed. Hence, there is the necessity to stop the corrosion process with a suitable cleaning and conservation process to avoid further degradation processes without changing its morphological aspect. Chelating solutions are commonly used in chemical cleaning, mainly sodium salts of ethylenediaminetetraacetic acid (EDTA). However, it is resistant to water purification procedures and is not biodegradable. The goal of this study was to see if applying an ecologically friendly chelating agent as an alternative to EDTA cleaning procedures for cultural heritage was suitable. In this study were chosen six natural-based chelators that could be a new green non-toxic alternative to EDTA in corrosion-inhibiting properties. They were tested for cleaning copper artefacts exposed to atmospheric environment in polluted areas. The study considered four amino acids, a glucoheptonate (CSA) and an industrial green chelator (GLDA). The effectiveness was tested on corrosion copper compounds and on laboratory corroded copper sheets. Finally, the cleaning efficacy was tested on four Roman coins and a modern copper painting. To define the cleaning efficacy, surface analytical investigations have been carried out by means ICP-OES, UV-VIS, µ-Raman, spectro-colorimetry, XRD and FTIR. Among the amino acids, alanine was the most effective, showing an unaltered noble patina and a good effective copper recovery from corrosion patinas

Study of The Corrosion Processes On Roman And Byzantine Glasses From Northern Tunisia

The present investigation focuses on some glass objects among those discovered in an area around the ancient city of Thugga in northern Tunisia, particularly flourishing during the Roman and Byzantine periods (1). The Late Roman-Byzantine time is not characterised by elaborate vessel shapes derived from precious metal prototypes, but rather by simpler multifunctional forms, as beakers, goblets, and dishes with similar features in the whole Mediterranean world. Also the glass composition seems to change between the 4th and the 5th century, turning to a yellowish-green or olive green colouration of the glass instead of the typical Roman blue-greenish colouration of earlier times. This new glass colouration varies further drastically in the 7th century, when a characteristic light blue-turquoise glass becomes the most widespread. A complete chemical characterization of these objects was carried out in a previous study (2) aimed to investigate the production technology including the chromophores responsible for the different shades. In the present work we have investigated the degradation and corrosion processes affecting some of these shards. It is worth to note that to ascertain the composition of the glass surfaces the analyses have been carried out by means of non-destructive techniques such as XPS (X-ray photoelectron spectroscopy), SEM-EDX (scanning electron microscopy coupled with energy dispersive X-ray analysis) and laser-ablation ICP-MS ((Inductively Coupled Plasma \u2013 Mass Spectrometry)