Blue toe syndrome: A challenging diagnosis

\u201cBlue toe syndrome\u201d (BTS) refers to the acute onset of purple painful digits in the absence of evident trauma, cold-associated injury or disorders that induce generalized cyanosis. The term was used for the first time in 1976 by Komody, who underlined the vascular etiology of the disease and its possible diagnostic confirmation through angiography.[1,2] Indeed, BTS may occur from end-arterial occlusion, impaired venous outflow, and/or abnormal blood circulation. Peripheral microembolism with distal arterial occlusion is one of the most frequent underlying mechanisms of the disease and consists of disrupted material from ulcerated atheromatous plaques (atheromatous or cholesterol crystal emboli). The case described by us assumes significance because of an atypical clinical presentation of a peripheral embolism from an abdominal aortic aneurysm, hence necessitating a high index of suspicion to achieve the correct diagnosis.

Effective Hadron Dynamics: From Meson Masses to the Proton Spin Puzzle

We construct a three flavor chiral Lagrangian of pseudoscalars and vectors with special emphasis on the symmetry breaking terms. Comparing tree level two and three point functions with experiment allows us to first, fix the parameters of the model (including the light quark mass ratios) and second, to predict $m(K^{*+})-m(K^{*\circ}),\, \Gamma(K^*\rightarrow K\pi)$ and $\Gamma(\phi\rightarrow K {\overline K})$. The last mentioned quantities come out reasonably well, in contrast to an ``ordinary" $SU(3)$ treatment. For this purpose we need ``second order" symmetry breakers involving the vector fields analogous to those needed for the chiral perturbation theory program with only pseudoscalars. An improved description of the $\eta-\eta^\prime$ system is also given. We then use the soliton sector of this improved chiral Lagrangian to investigate some aspects of baryon physics which are especially sensitive to symmetry breaking. For this purpose a fairly elaborate ``cranking" techinque is employed in connection with the collective Hamiltonian. In addition to the ``strong" baryon mass spectrum a careful investigation is made of the non-electromagnetic part of the neutron-proton mass difference. This work is needed to improve our previous estimates concerning the two component approach to the ``proton spin" puzzle. We find that both the ``matter" and ``glue" contributions are small but they do tend to cancel each other.Comment: 33 pages, LaTe

ONTOLOGY IN DIALOGUE

In its first section the volume contains contributions dealing with the debate between the German philosopher Markus Gabriel and some scholars in Palermo who discussed the fundaments of his ontology. In the next sections are gathered essays on critical ontology in the modern age, essays on intersubjectivity in social ontology and on ontology of arts and aesthetics

Putative Light Scalar Nonet

We investigate the "family" relationship of a possible scalar nonet composed of the a_0(980), the f_0(980) and the \sigma and \kappa type states found in recent treatments of \pi\pi and \pi K scattering. We work in the effective Lagrangian framework, starting from terms which yield "ideal mixing" according to Okubo's original formulation. It is noted that there is another solution corresponding to dual ideal mixing which agrees with Jaffe's picture of scalars as qq\bar q \bar q states rather than as q\bar q states. At the Lagrangian level there is no difference in the formulation of the two cases (other than the numerical values of the coefficients). In order to agree with experiment, additional mass and coupling terms which break ideal mixing are included. The resulting model turns out to be closer to dual ideal mixing than to conventional ideal mixing; the scalar mixing angle is roughly -17 degrees in a convention where dual ideal mixing is 0 degrees.Comment: 24 pages, 3 figure

Monitoraggio delle modificazioni immunologiche nel trapianto di vasi arteriosi autologhi

none5Titolo della collana: Il monitoraggio in chirurgia vascolarenoneM. Mirelli; A. Freyrie; A. Saccà; G. Testi; A. StellaM. Mirelli; A. Freyrie; A. Saccà; G. Testi; A. Stell

Spasm of arm arteries due to ergotamine tartrate. A case report

Ergotamine tartrate and caffeine has been widely prescribed for the prevention and treatment of migraine headaches. Rarely the ergotamine can cause symptoms of peripheral vascular insufficiency, often concerning the lower extremities. A case report of bilateral severe ischemia to the upper limbs, caused by a chronic assumption of ergotamine tartrate is presented