Found the needle in the haystack! The case of a fishbone causing vasovagal syncopes and abdominal pain: a case report

Foreign body ingestion is a very common reason for access to the Emergency Department and in most cases, it doesn't cause symptoms; in case of fishbones, intestinal perforation is rare but possible. In this report, besides the typical picture of bowel perforation, we found atypical symptoms due to the specific location. We present a case of a 70-year-old man who presented to the Emergency Department complaining abdominal pain and several syncopes; a CT scan of the abdomen revealed the presence of a foreign body in the pyloric area, which was removed by surgical intervention and resulted to be a fishbone. Both abdominal and neurological symptoms disappeared. Results and conclusion We suppose that the specific location of fishbone, in the area when the pyloric branches of left vagus nerve run, can explain both the abdominal symptoms and the vasovagal syncope, through a sympathetic inhibition mechanism: Emergency physicians and emergency surgeons must be aware when dealing with symptoms apparently discordant that could be attributable to one common factor

Massive pulmonary embolism as a rare complication of a stab in the inguinal region in a HIV-positive patient: a case report

Venous thromboembolism (VTE) is a severe preventable disease; HIV-infection represents a prothrombotic condition, because of specific factors due to the virus itself, the host response and the antiretroviral therapy. Our aim is to raise awareness of thromboembolic risk when dealing with HIV-positive patients presenting to the Emergency Department for treatment of injuries, even though small

Adenomesenteritis following sars-cov-2 vaccination in children. a case report and review of the literature

At present, the vaccine authorized in children aged 5 years and older is the BNT162b2 messenger RNA COVID-19 vaccine. Unlike adults, there is limited data available in the pediatric age describing adverse events after vaccine. We report a case of adenomesenteritis in a young girl following the first dose of vaccine

Gastro-intestinal symptoms as clinical manifestation of peritoneal and retroperitoneal spread of an invasive lobular breast cancer: report of a case and review of the literature

BACKGROUND: Distant spread from breast cancer is commonly found in bones, lungs, liver and central nervous system. Metastatic involvement of peritoneum and retroperitoneum is unusual and unexpected. CASE PRESENTATION: We report the case of a 67 year-old-woman who presented with gastrointestinal symptoms which revealed to be the clinical manifestations of peritoneal and retroperitoneal metastatic spread of an invasive lobular breast cancer diagnosed 15 years before. CONCLUSION: To the best of our knowledge, the case presented is the third one reported in literature showing a wide peritoneal and extraperitoneal diffusion of an invasive lobular breast cancer. The long and complex diagnostic work up which led us to the diagnosis is illustrated, with particular emphasis on the multidisciplinary approach, which is mandatory to obtain such a result in these cases. Awareness of such a condition by clinicians is mandatory in order to make an early diagnosis and start a prompt and correct therapeutic approach

ESTIMATION OF REAL PER CAPITA CONSUMPTION OF MEAT IN ITALY

Food consumption refers to the amount of food available for human consumption. The knowledge of food consumption is crucial to set production and food supply policies, to compare eating habits with other countries, to assess the nutritional status of a population and to study the relationship between diet and health. In the last years all these aspects have taken an increasingly important interest because epidemiological studies have indicated a possible association between high consumption of meat and an risk of several forms of cancer as well as metabolic and cardiovascular diseases. Unfortunately meat consumption is often estimated by methods that are inappropriate for this use because they do not represent the actual amount of meat consumed or, better, eaten by the consumers. The actual food consumption may be lower than the quantity shown as food availability depending on the magnitude of wastage and losses of food during the slaughtering, in the household, e.g. during storage, in preparation and cooking, as plate-waste or quantities fed to domestic animals and pets, thrown or given away The consumption estimated by FAO and by statistical offices of the various countries through the national food balance sheets does not indicate the amount of meat, ie the weight of the skeletal muscles of animals with included or adherent tissues, but the amount of the weighted carcass at the slaughterhouse, including bones, tendons, connective tissues and fat. This paper discusses a method of estimating the real per capita consumption of meat in Italy with accuracy comparable to that of individual consumption, developed by the Study Commission of Animal Science and Production Association (ASPA). This action responds to the need of producing statistical indicator related to health food, as recommended by many international organizations (FAO, Eurostat)

Modellazione di un'ala completa in materiale composito

Dottorato di ricerca in ingegneria aerospaziale. 8. ciclo. Tutore P. SantiniConsiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome; Biblioteca Nazionale Centrale - P.za Cavalleggeri, 1, Florence / CNR - Consiglio Nazionale delle RichercheSIGLEITItal

Combined management of open abdomen with enteroatmospheric fistula by negative pressure instill wound therapy and dermal matrix wound dressing

The management of open abdomen with enteroatmospheric fistula is a real nightmare for surgeons; negative pressure with fluid instillation is affordable and effective. After improvement of general conditions, a good strategy for promoting tissue granulation around the fistula could be the application of a matrix wound dressing

Nuovi indicatori statistici per la valutazione della digitalizzazione delle aziende zootecniche

The analysis of the evolution of the animal production sector shows that, over time, the integration of technology, instrumentation and all activities in the subsidiary sectors has taken place according to a truly global approach. This approach starts from the need to increase livestock production and includes the need to protect the environment, the human health and the animal welfare. The digital transformation involving specific sectors of livestock activity often plays an important role in the farm to fork strategy outlined by the European Union, especially concerning the environmental impact of supply chains. Modern and efficient management of livestock farms will make possible to achieve in a faster way the Sustainable Development Goals linked to the 2030 Agenda of the Organization of United Nations (UN). Most Member States have made progress in digital transformation, while the adoption rate of advanced digital technologies such as artificial intelligence (AI) and big data remains low. It is necessary to increase the spread of connectivity infrastructures, in particular the 5G, essential for highly innovative services and applications. Digital skills are another important area where Member States need to make more progress. The Digital Divide (or gap between those who use IT and those who do not due to lack of infrastructure and/or skills) is increasingly an obstacle to digital transformation. In the agricultural sector, it is essential to understand the impacts of the ongoing digital transformation on the dynamics of the livestock sector. In particular, traditional indicators for evaluating farms may not be sufficient. Traditional indicators for evaluating livestock farms have typically focused on measures of productivity and cost-effectiveness. For example, an agricultural business may be highly productive and profitable, but may not be fully exploiting the benefits of digitalization. To address this issue, new statistical indicators have been developed that can provide information on the level of digitalization and potential areas for improvement in livestock operations. The objective was to evaluate more precisely the current state of the digitalization of livestock farms in Italy with a “readiness” Index by analyzing and comparing the various statistical surveys produced by Istat. For instance if a farm collects large amounts of data but does not analyze it effectively, this may indicate a need to improve data analysis tools or training of farm staff. Similarly, if a farm uses digital technologies to collect data but does not integrate it into business management decisions, this may suggest a need for better communication and collaboration between different departments or staff on the farm. By identifying these areas for improvement, livestock sector or in general the agricultural one can be helped to optimize the use of digital technologies and improve overall operational efficiency. Another benefit of using simpler statistical indicators to evaluate digitalization on farms is that they can help promote transparency and accountability. By providing a more complete picture of the extent to which agricultural businesses use digital technologies, these indicators can help raise trust among stakeholders. This is especially important given the growing emphasis on sustainability and ethical farming practices. By demonstrating their commitment to digitalization, livestock farms can show that they are making progress to improve their operations and reduce their environmental impact. In conclusion, the development of more modern and more easily calculable indicators compared to more complicated statistical techniques difficult to access to a user not expert in data analysis are a valuable tool to ensure the long-term sustainability and success of livestock operations in the digital era

Revisiting Filtered and Closed-Form Solutions for Perturbed Geostationary Orbits

Abstract. The general equations for the geostationary orbit of a satellite subjected to perturbing forces are written: the filtered state is introduced as the difference between the true state and the geostationary state. The final equations contain nonlinear terms (both in the Keplerian terms and in the per- turbing forces) which are omitted in the linearized version. A general analytical, closed form solution in terms of unit initial conditions and of forcing terms is provided, with spe- cial attention for the effect of tesseral harmonics. Numerical examples are carried out to discuss the limits of acceptability of the linearized solution

Maasai on the phone: materiality, tourism, and the extraordinary in Zanzibar

Abstract Thousands of Maasai men have been flocking in recent years to the island of Zanzibar to take part in the burgeoning tourism industry. Many are employed as guards and security personnel. Others roam the beaches, selling souvenirs and touting tourist services, while some are involved in sex-tourism. In this article, we show how these men skillfully employ their traditional materiality: red robes, swords, daggers, clubs, beaded sandals and jewelry, as well as their own muscular bodies, so as to construct an extraordinary image, which they use to attract the attention of tourists and promote their businesses. Concomitantly, their use of modern material objects, such as mobile phones and stylish sunglasses, undermines their extraordinary image, making their presence mundane and even disturbing, to the extent of being accused by some Tanzanians and tourists of faking Maasai identity. We conclude by arguing that material objects and the ways in which they are used may define people as ordinary and extraordinary at the same time. Materiality therefore underlies a complex, dynamic, and ambiguous perception of the extraordinary in contemporary tourism