Autoimmune hepatitis and dermatomyositis: a rare association

The association between autoimmune hepatitis and idiopathic inflammatory myopathies has been rarely described in literature. To our knowledge, there are only five reports of autoimmune hepatitis, all coursing with polymyositis. In the present work, we describe a female patient at the age of 58 with cutaneous lesions (heliotrope), progressive proximal muscle weakness of four limbs and constitutional symptoms for 12 months, and worsened two months ago. She had also been episodes of jaundice for five months. During hospitalization, after intense clinical investigation, the diagnosis of dermatomyositis and autoimmune hepatitis were defined, and the patient had a good clinical and laboratory response to corticosteroids and immunosuppressive.

Rare-earth impurities in gallium nitride: The role of the Hubbard potential

We performed a first principles investigation on the electronic properties of 4f-rare earth substitutional impurities in zincblende gallium nitride (GaN:REGa, with RE=Eu, Gd, Tb, Dy, Ho, Er and Tm). The calculations were performed within the all electron methodology and the density functional theory. We investigated how the introduction of the on-site Hubbard U potential (GGA + U) corrects the electronic properties of those impurities. We showed that a self-consistent procedure to compute the Hubbard potential provides a reliable description on the position of the 4f-related energy levels with respect of the GaN valence band top. The results were compared to available data coming from a recent phenomenological model. (C) 2012 Elsevier B.V. All rights reserved.

Primary malignant melanoma of the esophagus: a rare and aggressive disease

Primary malignant melanoma of the esophagus is an uncommon tumor, with approximately 300 cases having been reported thus far. The purpose of this study was to describe a case of a 60 year-old man with a 10 month history of progressive dysphagia and thoracic pain, the investigations of which led to a diagnosis of primary malignant melanoma of the esophagus. The patient underwent a transhiatal esophagectomy with subcarinal lymphadenectomy, and isoperistaltic gastric tube replacement of the esophagus. Nine months after surgery, he developed ischemic colitis, and metastasis in the mesentery was diagnosed. His disease progressed and he died one year after the esophagectomy. A review of the literature was performed.

Different approaches for dealing with rare variants in family-based genetic studies: application of a Genetic Analysis Workshop 17 problem

Rare variants are becoming the new candidates in the search for genetic variants that predispose individuals to a phenotype of interest. Their low prevalence in a population requires the development of dedicated detection and analytical methods. A family-based approach could greatly enhance their detection and interpretation because rare variants are nearly family specific. In this report, we test several distinct approaches for analyzing the information provided by rare and common variants and how they can be effectively used to pinpoint putative candidate genes for follow-up studies. The analyses were performed on the mini-exome data set provided by Genetic Analysis Workshop 17. Eight approaches were tested, four using the trait’s heritability estimates and four using QTDT models. These methods had their sensitivity, specificity, and positive and negative predictive values compared in light of the simulation parameters. Our results highlight important limitations of current methods to deal with rare and common variants, all methods presented a reduced specificity and, consequently, prone to false positive associations. Methods analyzing common variants information showed an enhanced sensibility when compared to rare variants methods. Furthermore, our limited knowledge of the use of biological databases for gene annotations, possibly for use as covariates in regression models, imposes a barrier to further research.

Rediscovered after 77 years: Odontodiaptomus thomseni - a rare species of calanoid (Crustacea: Copepoda) from South America

The freshwater copepod Odontodiaptomus thomseni (Brehm, 1933) (Calanoida: Diaptomidae) is a rare species that has been reported only once - in its original description (BREHM 1933). The lack of subsequent records led to its inclusion in the Red List of threatened species (IUCN). Here we present a new record for O.thomseni. It was discovered in Salto Grande reservoir, which is located in the lower stretches of the Uruguay River, between Uruguay and Argentina, at the River Plate basin. In January 2010, three specimens (two males and one female) were found, and these were studied in detail using scanning electron microscopy (SEM). We only had material of Odontodiaptomus paulistanus (Wright, 1936) for comparison, but the position of the lateral spine in right P5 of the male, and the shape and size of lateral wings of the female are especially distinctive. Odontodiaptomus thomseni remains a rare species and we recommend keeping it on the IUCN Red List.

Infective endocarditis with left to right intracardiac fistula due to Streptococcus anginosus - a rare complication caused by an even rarer bacterium

Although infective endocarditis (IE) has been described in reports dating from the Renaissance, the diagnosis still challenges and the outcome often surprises. In the course of time, diagnostic criteria have been updated and validated to reduce misdiagnosis. Some risk factors and epidemiology have shown dynamic changes since degenerative valvular disease became more predominant in developed countries, and the mean age of the affected population increased. Despite streptococci have been being well known as etiologic agents, some groups, although rare, have been increasingly reported (e.g., Streptococcus milleri.) Intracardiac complications of IE are common and have a worse prognosis, frequently requiring surgical treatment. We report a case of a middle-aged diabetic man who presented with prolonged fever, weight loss, and ultimately severe dyspnea. IE was diagnosed based on a new valvular regurgitation murmur, a positive blood culture for Streptococcus anginosus, an echocardiographic finding of an aortic valve vegetation, fever, and pulmonary thromboembolism. Despite an appropriate antibiotic regimen, the patient died. Autopsy findings showed vegetation attached to a bicuspid aortic valve with an associated septal abscess and left ventricle and aortic root fistula connecting with the pulmonary artery. A large thrombus was adherent to the pulmonary artery trunk and a pulmonary septic thromboemboli were also identified.

Messung der K 0 L e + e - e + e - und K 0 L my + my - e + e - Zerfallsraten

Das NA48 Experiment am CERN misst die direkte CP-Verletzung im System der neutralen Kaonen aus der Zerfallsrate von kurzlebigen undlanglebigen neutralen Kaonen in zwei Pionen.Des Weiteren gestattet der experimentelle Aufbau den Nachweis seltenener Kaonzerfaelle.In dieser Dissertation werden Zerfaelle des langlebigen Kaons in Endzustaende mit vier Leptonen untersucht. Fuer das Verzweigungsverhaeltnis von K_L -> e+e-e+e- ergibt sich(3.94E-8 +/- 0.40E-8).Fuer das von K_L -> mu+mu-mu+mu- ergibt sich (3.08E-9 +/- 0.71E-9).Fuer den Leptonenzahl verletzenden ZerfallK_L -> mu(+/-)mu(+/-)e(-/+)e(-/+) wirdeine obere Grenze von 3.5E-10 (CL=90%) gesetzt.

Polarization in heavy quark decays

In this thesis I concentrate on the angular correlations in top quark decays and their next--to--leading order (NLO) QCD corrections. I also discuss the leading--order (LO) angular correlations in unpolarized and polarized hyperon decays. In the first part of the thesis I calculate the angular correlation between the top quark spin and the momentum of decay products in the rest frame decay of a polarized top quark into a charged Higgs boson and a bottom quark in Two-Higgs-Doublet-Models: $t(uparrow)rightarrow b+H^{+}$. The decay rate in this process is split into an angular independent part (unpolarized) and an angular dependent part (polar correlation). I provide closed form formulae for the ${mathcal O}(alpha_{s})$ radiative corrections to the unpolarized and the polar correlation functions for $m_{b}neq 0$ and $m_{b}=0$. The results for the unpolarized rate agree with the existing results in the literature. The results for the polarized correlations are new. I found that, for certain values of $tanbeta$, the ${mathcal O}(alpha_s)$ radiative corrections to the unpolarized, polarized rates, and the asymmetry parameter can become quite large. In the second part I concentrate on the semileptonic rest frame decay of a polarized top quark into a bottom quark and a lepton pair: $t(uparrow) to X_b + ell^+ + nu_ell$. I analyze the angular correlations between the top quark spin and the momenta of the decay products in two different helicity coordinate systems: system 1a with the $z$--axis along the charged lepton momentum, and system 3a with the $z$--axis along the neutrino momentum. The decay rate then splits into an angular independent part (unpolarized), a polar angle dependent part (polar correlation) and an azimuthal angle dependent part (azimuthal correlation). I present closed form expressions for the ${mathcal O}(alpha_{s})$ radiative corrections to the unpolarized part and the polar and azimuthal correlations in system 1a and 3a for $m_{b}neq 0$ and $m_{b}=0$. For the unpolarized part and the polar correlation I agree with existing results. My results for the azimuthal correlations are new. In system 1a I found that the azimuthal correlation vanishes in the leading order as a consequence of the $(V-A)$ nature of the Standard Model current. The ${mathcal O}(alpha_{s})$ radiative corrections to the azimuthal correlation in system 1a are very small (around 0.24% relative to the unpolarized LO rate). In system 3a the azimuthal correlation does not vanish at LO. The ${mathcal O}(alpha_{s})$ radiative corrections decreases the LO azimuthal asymmetry by around 1%. In the last part I turn to the angular distribution in semileptonic hyperon decays. Using the helicity method I derive complete formulas for the leading order joint angular decay distributions occurring in semileptonic hyperon decays including lepton mass and polarization effects. Compared to the traditional covariant calculation the helicity method allows one to organize the calculation of the angular decay distributions in a very compact and efficient way. This is demonstrated by the specific example of the polarized hyperon decay $Xi^0(uparrow) to Sigma^+ + l^- + bar{nu}_l$ ,($l^-=e^-, mu^-$) followed by the nonleptonic decay $Sigma^+ to p + pi^0$, which is described by a five--fold angular decay distribution.

Distribuzione delle Terre Rare nelle acque destinate all’alimentazione umana

La distribuzione delle Terre Rare (REE) nell’ambiente deriva da una serie di processi interagenti all’interno di un sistema dinamico che include il ciclo idrologico, attività geologiche, fisiche – chimiche (weathering), fenomeni atmosferici e attività umane. Queste contribuiscono alla dispersione superficiale di tutti gli elementi e in particolare di quelli in traccia tra cui i lantanidi (La, Ce, Pr, Nd, Pm, Sm, Eu, Gd, Tb, Dy, Tm, Ho, Er, Yb e Lu) che si ritrovano un po’ ovunque in tutte le matrici, frazionate in modo diverso. L’acqua destinata al consumo alimentare è una di queste. Prelevata di solito da acquiferi profondi, superficiali o da pozzi posti in differenti contesti litologici, può essere soggetta a modifiche importanti delle proprietà fisiche-chimiche e microbiologiche. Più acque minerali relative a marche differenti e conservate in bottiglie di vetro e PET messe a confronto, hanno dimostrato che il vetro è in grado di rilasciare numerosi elementi in funzione della tipologia di acqua contenuta, del tipo di vetro (chiaro o colorato) e delle condizioni predisponenti il rilascio (proprietà intrinseche dell’elemento, fattori esterni quali fonti di calore, ecc.). Terre rare come Ce, La, Pr, Nd, Sm, Eu, Er, Dy, Y e Sc possono essere ceduti in modo differenziale nell’acqua delle bottiglie. In più casi l’arricchimento è evidenziato da acque nelle quali è stata aggiunta anidride carbonica, mentre non si notano cambiamenti eccessivi nel corrispettive naturali. Per i contenitori in PET si registra un marcato rilascio di antimonio (Sb), ampiamente usato sotto forma di triossido di antimonio nel ciclo produttivo delle plastiche. Rispetto alle acque minerali, quelle di rubinetto soffrono gli effetti dei trattamenti di potabilizzazione e dell’interazione con il sistema di distribuzione idrico. La distribuzione dei lantanidi è influenzata dalle condizioni redox (particolarmente per Ce, ed Eu) e dalla relativa capacità di essere complessati e, quindi, mobilizzati in maniera differente. Nonostante il forte impatto delle attività umane, i valori anomali di alcuni (Gd, Nd) sono nell’ordine dei ng/L, come del resto per tutti gli altri e non costituiscono un pericolo per la salute umana. Al fattore geogenico si attribuiscono i tenori maggiori (ΣREE >1000ng/L) riscontrati in Sardegna.

Structure and properties of intermetallic ternary rare earth compounds

The so called material science is an always growing field in modern research. For the development of new materials not only the experimental characterization but also theoretical calculation of the electronic structure plays an important role. A class of compounds that has attracted a great deal of attention in recent years is known as REME compounds. These compounds are often referred to with RE designating rare earth, actinide or an element from group 1 - 4, M representing a late transition metal from groups 8 - 12, and E belonging to groups 13 - 15. There are more than 2000 compounds with 1:1:1 stoichiometry belonging to this class of compounds and they offer a broad variety of different structure types. Although many REME compounds are know to exist, mainly only structure and magnetism has been determined for these compounds. In particular, in the field of electronic and transport properties relatively few efforts have been made. The main focus in this study is on compounds crystallizing in MgAgAs and LiGaGe structure. Both structures can only be found among 18 valence electron compounds. The f electrons are localized and therefor not count as valence electrons. A special focus here was also on the magnetoresistance effects and spintronic properties found among the REME compounds. An examination of the following compounds was made: GdAuE (E = In, Cd, Mg), GdPdSb, GdNiSb, REAuSn (RE = Gd, Er, Tm) and RENiBi (RE = Pr, Sm, Gd - Tm, Lu). The experimental results were compared with theoretic band structure calculations. The first half metallic ferromagnet with LiGaGe structure (GdPdSb) was found. All semiconducting REME compounds with MgAgAs structure show giant magnetoresistance (GMR) at low temperatures. The GMR is related to a metal-insulator transition, and the value of the GMR depends on the value of the spin-orbit coupling. Inhomogeneous DyNiBi samples show a small positive MR at low temperature that depends on the amount of metallic impurities. At higher fields the samples show a negative GMR. Inhomogeneous nonmagnetic LuNiBi samples show no negative GMR, but a large positive MR of 27.5% at room temperature, which is interesting for application.

Rare and complicated forms of infantile hemangiomas: new therapeutic outlooks

Infantile hemangiomas (IHs) are the most common benign neoplastic pathology of childhood; their natural history generally involves three phases: after the onset, which usually occurs in the first weeks of life, there is the proliferation phase where the IH reaches its maximum development and it is followed by the spontaneous involution which leads to the IH regression. The duration and the extent of these phases may vary widely even though in most of the cases the involution process begins around twelve months of life and the regression, complete or partial, is completed around seventh-ninth year of life. The majority of the IHs does not require any treatment. However, 10%-20% is likely to develop serious complications, functional impairments or aesthetic alterations and entail a timely treatment. Although there is no treatment protocol currently shared, therapies usually used in cases with a complication risk consist in: systemic or intralesional steroids as a first choice; interferon α, vincristine and/or bleomicin as second or third choice and/or surgical treatment. Propranolol, a non-selective beta-blocker, has been used for cardiovascular diseases even in childhood for decades. Since 2008 it has been widely used in the IHs treatment, although it is still "off-label". In literature there are hundreds of cases and some clinical studies that show the effectiveness and safety of this drug for this indication. Thanks to a multidisciplinary team (Dermatologists, Cardiologists, Paediatricians, and Radiologists) of S. Orsola-Malpighi Hospital, a clinical study, which has been previously approved by the ethics committee, is carried out in order to evaluate the efficacy and safety of systemic propranolol in the treatment of IHs in paediatric age. At the end of 2012, 78 patients underwent this treatment: the results we have obtained so far show a good efficacy and safety profile in agreement with the data provided by the literature.