A K-Theoretic Proof of Boutet de Monvel's Index Theorem for Boundary Value Problems

We study the C*-closure A of the algebra of all operators of order and class zero in Boutet de Monvel's calculus on a compact connected manifold X with non-empty boundary. We find short exact sequences in K-theory 0->K_i(C(X))->K_i(A/K)->K_{1-i}(C_0(T*X'))->0, i= 0,1, which split, where K denotes the compact ideal and T*X' the cotangent bundle of the interior of X. Using only simple K-theoretic arguments and the Atiyah-Singer Index Theorem, we show that the Fredholm index of an elliptic element in A is given as the composition of the topological index with mapping K_1(A/K)->K_0(C_0(T*X')) defined above. This relation was first established by Boutet de Monvel by different methods.Comment: Title slightly changed. Accepted for publication in Journal fuer die reine und angewandte Mathemati

Four-year follow-up study in a NF1 Boy with a focal pontine hamartoma

Neurofibromatosis is a collective name for a group of genetic conditions in which benign tumours affect the nervous system. Type 1 is caused by a genetic mutation in the NF1 gene (OMIM 613113) and symptoms can vary dramatically between individuals, even within the same family. Some people have very mild skin changes, whereas others suffer severe medical complications. The condition usually appears in childhood and is diagnosed if two of the following are present: six or more café-au-lait patches larger than 1.5 cm in diameter, axillary or groin freckling, 2 or more Lisch nodules (small pigmented areas in the iris of the eye), 2 or more neurofibromas, optic pathway gliomas, bone dysplasia, and a first-degree family relative with Neurofibromatosis type 1. The pattern of inheritance is autosomal dominant, however, half of all NF1 cases are 'sporadic' and there is no family history. Neurofibromatosis type 1 is an extremely variable condition whose morbidity and mortality is largely dictated by the occurrence of the many complications that may involve any of the body systems. We describe a family affected by NF1 in whom genetic molecular analysis identified the same mutation in the son and father. Routine MRI showed pontine focal lesions in the eight-year-old son, though not in the father. We performed a four years follow-up study and at follow-up pontine hamartoma size remained unchanged in the son, and the father showed still no brain lesions, confirming thus an intra-familial phenotype variability

Effective conductivity of inertial flows through porous media

We study two-dimensional incompressible inertial flows through porous media. At core (small) scale, we prove that the constitutive, nonlinear model can be rewritten into a linear one by means of a new parameter K* which encompasses all the inertial effects. In natural (large-scale) formations, K* is erratically changing, and we analytically compute its counterpart, which is coined generalized effective conductivity, by the self-consistent approach (SCA). In spite of its approximate nature, the SCA leads to simple results that are in good agreement with Monte Carlo simulations

Systematic study of luminescent properties of new lanthanide complexes using crown ethers as ligand

AbstractThis is a report on the synthesis, characterization and spectroscopic study of 24 lanthanide-crown ether coordination compounds, where Eu(III), Tb(III) and Gd(III) were complexes to 12-crown-4 (12C4), 15-crown-5 (15C5), 1,10-phenanthroline (phen) and 2,2′-dipyridyl (dipy). The compounds were synthesized in an ethanol/acetone solution at room temperature and analyzed using CHN elemental analysis and infrared, absorption and emission spectroscopies. The polarizability that the ligand exerts on the emission process was verified and found remarkable. The Eu-15C5-phen complex showed the highest quantum efficiency (71.6%) because of its low non-radiative rate and highest polarizability with reference to the ligands system

Method for speciation of organoarsenic in mussels by liquid chromatography coupled to electrospray ionization and QTRAP tandem mass spectrometry.

Arsenic toxicity to humans critically depends on the chemical form of the arsenic. The Expert Committee of the Food and Agriculture Organization and the World Health Organization defined a tolerable intake only for inorganic arsenic, although the toxicity of some organoarsenic compounds is known. Arsenobetaine (AsB), arsenocholine (AsC), dimethylarsinic acid (DMA), and monomethylarsonic acid (MMA) are abundant in shellfish. We present a fast and reliable method for identification of the type of organic arsenic in mussels by using liquid chromatography coupled to electrospray ionization tandem mass spectrometry on triple quadrupole with parallel determination of total arsenic by atomic absorption spectrophotometry. The method was validated by evaluating mean recoveries, repeatability, specificity, limits of quantification, and limits of detection that produced satisfactory results. The method was used to carry out the first survey of the concentrations of AsB, AsC, MMA, and DMA in seafood from southern Italy. Total As concentrations ranged from 1.38 to 12.79 mg/kg. AsB and DMA were detected in all samples (AsB: 0.72 to 10.36 mg/kg; DMA: 0.28 to 1.08 mg/kg), and concentrations of AsC and MMA ranged from 0.20 to 1.53 mg/kg. This method allowed us to rapidly and inexpensively identify arsenic types in fishery products and would be suitable for routine detection of organoarsenic compounds in molluscs

A decrease of calcitonin serum concentrations less than 50 percent 30 minutes after thyroid surgery suggests incomplete C-cell tumor tissue removal

The prognosis of medullary thyroid carcinoma (MTC) depends on the completeness of the first surgical treatment. To date, it is not possible to predict whether the tumor has been completely removed after surgery. The aim of this study was to evaluate the reliability of an intraoperative calcitonin monitoring as a predictor of the final outcome after surgery in patients with MTC

Risk Factors and Cellular Differences in Heart Failure: The Key Role of Sex Hormones

Patients with heart failure are conventionally stratified into phenotypic groups based on their ejection fraction. The aim of this stratification is to improve disease management with a more targeted therapeutic approach. A further subdivision based on patient gender is justified. It is recognized that women are underrepresented in randomized controlled clinical trials, resulting in limited clinical and molecular differentiation between males and females. However, many observational studies show that the onset, development, and clinical course of the disease may substantially differ between the two sexes. According to the emerging concept of precision medicine, investigators should further explore the mechanisms responsible for the onset of heart failure due to sex differences. Indeed, the synergistic or opposing effects of sex hormones on the cardiovascular system and underlying heart failure mechanisms have not yet been clarified. Sex hormones, risk factors impact, and cardiovascular adaptations may be relevant for a better understanding of the intrinsic pathophysiological mechanisms in the two sexes. Despite the differences, treatment for HF is similar across the whole population, regardless of sex and gender. In our review, we describe the main differences in terms of cardiovascular dysfunction, risk factors, and cellular signaling modifications related to the hormonal pattern

Hemocompatibility of stent materials: alterations in electrical parameters of erythrocyte membranes

A Basoli1, C Cametti2, F Ginnari Satriani2, P Mariani3, P Severino31Department of Surgery, "P Stefanini," University of Rome "La Sapienza," Rome, Italy; 2Department of Physics, University of Rome "La Sapienza," Rome Italy; 3Department of Internal Medicine, University of Rome "La Sapienza," Rome, ItalyBackground: It is presently unknown if stents used in the correction of artery stenosis are fully hemocompatible or if their implantation causes alterations at the level of the plasma membrane in red blood cells.Methods: We addressed this important issue by measuring the passive electrical properties of the erythrocyte membrane before and after stent insertion by means of dielectric relaxation spectroscopy in the radiowave frequency range in a series of patients who were undergoing standard surgical treatment of arterial disease.Results: Our findings provide evidence that full hemocompatibility of stents has not yet been reached, and that there are some measurable alterations in the passive electrical behavior of the red blood cell membrane induced by the presence of the stent.Conclusion: It is possible that these changes do not have any physiological significance and simply reflect the intrinsic variability of biological samples. However, caution is urged, and the technique we describe here should be considered when investigating the hemocompatibility of a medical device at a cell membrane level.Keywords: hemocompatibility, stent, arterial disease, cell membran