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.

Non invasive assessment of right ventricle in patients with operated tetralogy of Fallot

The objective of this study was to evaluate right ventricular function in patients with right ventricular volume overload in patients with (tetralogy of Fallot, and pulmonary atresia + VSD ) underwent corrective surgery; with echocardiography measure that can be easily applied; and to study the relationship between ProBNP and the contractile function of the right ventricle, dilated right atrium, and the consequences of pulmonary insufficiency . Methods: The study included 50 patients (50% males, mean age 30.64 ± 13.30 years) with prior cardiac surgical intervention of TDF (90%) or pulmonary atresia + VSD (10%). (49 pz) have performed a cardiac MRI and clinical evaluation, (47 pz) echocardiogram, (48 pz) ECG, (34 pz) a cardiopulmonary exercise testing, (29 pz) a dosage of ProBNP. Results: The S-wave velocity (p <0.0001), the TAPSE (p <0.0001) correlated significantly with RVEF estimated by cardiac MRI. The VO2 max was 27.93 ± 12.91 ml / kg / min, 15% of patients had VE/VCO2 The peak> 35. ProBNP correlated positively and significantly with the area of the right atrium (p = 0.0001), and negative and significant with VO2 max (p = 0.04). Those who have increased pulmonary insufficiency (PVR fraction> 30%) have a significantly increased RVED volume (p = 0.01), reduced VO2 max (p = 0.04), and lower ejection fraction of LV (p = 0.02) than the group of patients with PVR ≤ 30. Conclusion: The TAPSE and S-wave velocity are fundamental and may become the technique of choice for routine assessment of RV systolic function in adult patients with TOF. The monitoring of the Pro BNP is probably a choice, given the simplicity and their information that correlate with the test cardiopulmonary. In view of the ventricular-ventricular interaction, so measures to maintain or restore the functioning of the pulmonary valve could preserve biventricular function.

La salute: un diritto o un lusso?

Il diritto a un minimo decente di assistenza sanitaria – spesso chiamato, più semplicemente, diritto alla salute – fa parte dei cosiddetti diritti di seconda generazione, cioè quelli che richiedono un impegno attivo da parte dello stato per assicurare ad ogni cittadino la possibilità di una vita dignitosa. Il diritto alla salute si trova enunciato nei più importanti documenti internazionali, a partire dalla Dichiarazione universale dei diritti dell’uomo (1948), e nella maggior parte delle costituzioni nazionali, compresa quella italiana. Tuttavia, nel Sud del mondo, la sua applicazione è ostacolata da un gran numero di fattori (povertà, guerre, corruzione politica, ecc.); cosicché la maggior parte degli esseri umani vive in società prive di un sistema sanitario nazionale, cadendo vittima di malattie facilmente curabili o prevenibili. Per affrontare questo problema, la cooperazione sanitaria internazionale ha sperimentato nel tempo due diverse forme di intervento: una incentrata sulla diffusione dell’assistenza sanitaria di base (come raccomandato dalla Conferenza di Alma-Ata del 1978), l’altra sui cosiddetti “programmi verticali”, i quali agiscono su singole malattie o branche della sanità. Nessuno dei due approcci però ha prodotto i risultati sperati. L’Ong italiana Emergency propone un modello di cooperazione sanitaria per molti aspetti innovativo: esso si fonda su progetti autogestiti e totalmente gratuiti (che vanno dalla pediatria alla chirurgia di guerra alla cardiochirurgia) ed è capace di incidere sul tessuto sociale nel quale si inserisce, fino ad influenzare le scelte politiche delle autorità locali. Solamente intervenendo in un modo simile sui determinanti sociali della salute, sembra possibile migliorare realmente lo stato di salute delle popolazioni più povere e garantire così la prima delle condizioni necessarie perché ogni persona abbia la possibilità di vivere una vita decente.

Role of the stratospheric dynamics in the southern hemisphere long-term climate change

Il raffreddamento stratosferico associato alla riduzione dell’ozono nelle regioni polari induce un rafforzamento dei venti occidentali nella bassa stratosfera, uno spostamento verso il polo e un’intensificazione del jet troposferico delle medie latitudini. Si riscontra una proiezione di questi cambiamenti a lungo termine sulla polarità ad alto indice di un modo di variabilità climatica, il Southern Annular Mode, alla superficie, dove i venti occidentali alle medie latitudini guidano la Corrente Circumpolare Antartica influenzando la circolazione oceanica meridionale e probabilmente l’estensione del ghiaccio marino ed i flussi di carbonio aria-mare nell’Oceano Meridionale. Una limitata rappresentazione dei processi stratosferici nei modelli climatici per la simulazione del passato e la previsione dei cambiamenti climatici futuri, sembrerebbe portare ad un errore nella rappresentazione dei cambiamenti troposferici a lungo termine nelle rispettive simulazioni. In questa tesi viene condotta un’analisi multi-model mettendo insieme i dati di output derivati da diverse simulazioni di modelli climatici accoppiati oceano-atmosfera, che partecipano al progetto CMIP5, con l'obiettivo di comprendere come le diverse rappresentazioni della dinamica stratosferica possano portare ad una differente rappresentazione dei cambiamenti climatici alla superficie. Vengono utilizzati modelli “High Top” (HT), che hanno una buona rappresentazione della dinamica stratosferica, e modelli “Low Top” (LT), che invece non ne hanno. I risultati vengono confrontati con le reanalisi meteorologiche globali disponibili (ERA-40). Viene mostrato come la rappresentazione e l’intensità del raffreddamento radiativo iniziale e di quello dinamico nella bassa stratosfera, nei modelli, siano i fattori chiave che controllano la successiva risposta troposferica, e come il raffreddamento stesso dipenda dalla rappresentazione della dinamica stratosferica. Si cerca inoltre di differenziare i modelli in base alla loro rappresentazione del raffreddamento radiativo e dinamico nella bassa stratosfera e alla risposta del jet troposferico. Nei modelli, si riscontra che il trend del jet nell'intera troposfera è significativamente correlato linearmente al raffreddamento stesso della bassa stratosfera.

The Right to Voice: Its Realization by Estonian and American Parents in Public Schools

Investigating parents’ formal engagement opportunities in public schools serves well to characterize the relationship between states and societies. While the relationship between parental involvement and students’ academic success has been thoroughly investigated, rarely has it been seen to indicate countries’ governing regimes. The researcher was curious to see whether and how does parents’ voice differ in different democracies. The hypothesis was that in mature regimes, institutional opportunities for formal parental engagement are plenty and parents are actively involved; while in young democracies there are less opportunities and the engagement is lower. The assumption was also that parental deliberation in expressing their dissatisfaction with schools differs across democracies: where it is more intense, there it translates to higher engagement. Parents’ informedness on relevant regulations and agendas was assumed to be equally average, and their demographic background to have similar effects on engagement. The comparative, most different systems design was employed where public middle schools last graders’ parents in Tartu, Estonia and in Huntsville, Alabama the United States served as a sample. The multidimensional study includes the theoretical review, country and community analyses, institutional analysis in terms of formal parental involvement, and parents’ survey. The findings revealed sizeable differences between parents’ engagement levels in Huntsville and Tartu. The results indicate passivity in both communities, while in Tartu the engagement seems to be alarmingly low. Furthermore, Tartu parents have much less institutional opportunities to engage. In the United States, multilevel efforts to engage parents are visible from local to federal level, in Estonia similar intentions seem to be missing and meaningful parental organizations do not exist. In terms of civic education there is much room for development in both countries. The road will be longer for a young democracy Estonia in transforming its institutional systems from formally democratic to inherently inclusive.

„Let ´em have it – right on the chin.“ – Die Haltung der britischen Öffentlichkeit zum RAF-Flächenbombardement 1939-1945

In „’Let ‘em have it – right on the chin.’ – Die Haltung der britischen Öffentlich-keit zum RAF-Flächenbombardement 1939-1945“ wird durch die Untersuchung der vier Tageszeitungen Times, Manchester Guardian, Daily Express und Daily Mirror sowie der wöchentlichen Berichte des britischen Informationsministeriums nachgewiesen, dass 1942 ein Konsens in der britischen Öffentlichkeit für Flächenbombardements eintrat. Diese Einigkeit entstand aufgrund der Kriegssituation, sozialpsychologischer Mechanismen und realpolitischer Erwägungen und verfestigte sich 1943 und zum Teil auch 1944 deutlich. Die öffentliche Meinung kehrte sich in den drei Jahren zwischen 1940 und 1943 vollständig um und wandelte sich 1944 erneut: Während 1940 die Mehrheit gegen die Bombardierung der deutschen Zivilbevölkerung eingestellt war, fand in den folgenden drei Jahren eine Entwicklung statt, die 1943 in den Konsens, 1944 aber in die Tabuisierung des Themas mündete. Dabei verstärkten insbesondere zwei Argumente den Prozess der Konsensbildung: Nachdem bis Anfang 1941 die Bedeutung der Begrifflichkeiten so weit vereinheitlicht worden war, dass beispielsweise die Mehrheit der Briten etwas mit dem Ausdruck „Flächenbombardement“ anfangen konnte, setzte sich im Laufe des Jahres 1940 – in Presse und Bevölkerung parallel – ein Feindbild durch, das das gesamte deutsche Volk in Haftung nahm und es insofern auch für die deutschen Luftangriffe auf Großbritannien verantwortlich machte. Erst daraus erwuchs die Rechtfertigung für die Forderung nach Vergeltung, die durch diese Begründung von bloßen Rachegelüsten losgelöst werden konnte. Seit dem deutschen Angriff auf die Sowjetunion im Juni 1941 galten Flächenbombardements – hier folgten Bevölkerung und Presse der britischen Regierung – außerdem als Vorbereitung für die Westoffensive. Eine Mehrheit sprach sich schon 1941 für Flächenbombardements aus, mit den großen Angriffen 1942 und vor allem 1943 war der Konsens dann so vollständig erreicht, dass kritische Stimmen fast gänzlich verstummten. Als mit der alliierten Landung in der Normandie 1944 ein wichtiges Argument für die Notwendigkeit von Flächenbombardements wegfiel, setzte eine Tabuisierung des Themas ein, die sich 1945 verfestigte. Insgesamt beleuchtet die Arbeit, durch welche Faktoren in einer Kontroverse eine gesellschaftliche Einigkeit im Großbritannien der frühen vierziger Jahre erzeugt wurde. Dieser Zusammenhalt war notwendig, um die Handlungsfähigkeit der Gesellschaft zu gewährleisten, so dass sich der Konsens in der Kriegssituation als wichtige Überlebensstrategie erwies. Erreicht wurde er aber auf Kosten des für eine demokratische Gesellschaft auch charakteristischen Pluralismus von Meinungen und Einstellungen.

L'influenza della preferenza manuale nell'interpretazione di conferenza: un contributo sperimentale

This study is based on a former student’s work, aimed at examining the influence of handedness on conference interpreting. In simultaneous interpreting (IS) both cerebral hemispheres participate in the decoding of the incoming message and in the activation of the motor functions for the production of the output signal. In right-handers language functions are mainly located in the left hemisphere, while left-handers have a more symmetrical representation of language functions. Given that with the development of interpreting skills and a long work experience the interpreters’ brain becomes less lateralized for language functions, in an initial phase left-handers may be «neurobiologically better suited for interpreting tasks» (Gran and Fabbro 1988: 37). To test this hypothesis, 9 students (5 right-handers and 4 left-handers) participated in a dual test of simultaneous and consecutive interpretation (CI) from English into Italian. The subjects were asked to interpret one text with their preferred ear and the other with the non-preferred one, since according neuropsychology aural symmetry reflects cerebral symmetry. The aim of this study was to analyze:1) the differences between the number of errors in consecutive and simultaneous interpretation with the preferred and non-preferred ear; 2) the differences in performance (in terms of number of errors) between right-handed and left-handed, both with the preferred and non-preferred ear; 3) the most frequent types of errors in right and left-handers; 4) the influence of the degree of handedness on interpreting quality. The students’ performances were analyzed in terms of errors of meaning, errors of numbers, omissions of text, omissions of numbers, inaccuracies, errors of nexus, and unfinished sentences. The results showed that: 1) in SI subjects committed fewer errors interpreting with the preferred ear, whereas in CI a slight advantage of the non-preferred ear was observed. Moreover, in CI, right-handers committed fewer mistakes with the non-preferred ear than with the preferred one. 2) The total performance of left-handers proved to be better than that of right-handers. 3) In SI left-handers committed fewer errors of meaning and fewer errors of number than right-handers, whereas in CI left-handers committed fewer errors of meaning and more errors of number than right-handers 4) As the degree of left-handedness increases, the number of errors committed also increases. Moreover, there is a statistically significant left-ear advantage for right-handers and a right-ear one for left-handers. Finally, those who interpreted with their right ear committed fewer errors of number than those who have used their left ear or both ears.

[Right-sided lower abdominal pain and diarrhea of a young diabetic woman]

We report the case of a 24-years old diabetic women hospitalised because of right-sided lower abdominal pain and diarrhea. She fulminantly developed shock before appendectomy could be performed and was transferred to intensive care unit. Hypotension remained and laparoscopy revealed primary peritonitis and toxic shock syndrome by Group A Streptococcus which was cultivated in blood and ascites. Therapy with penicilline and clindamycine resolved symptoms. During hospitalisation Clostridium difficile colitis occurred. This complication leaded to prolonged hospitalisation.

Right ventricular systolic function and cardiac resynchronization therapy

AIMS: The effect of cardiac resynchronization therapy (CRT) on right ventricular ejection fraction (RVEF) has not been well studied. Furthermore, it is unclear whether baseline RVEF influences response to CRT. To evaluate the acute and chronic effects of CRT on right ventricular systolic function, and to investigate whether baseline RVEF impacts response to CRT. METHODS AND RESULTS: Forty-four patients with a standard indication for CRT underwent radionuclide angiography at baseline and after at least 6 months' follow-up for measuring RVEF, right ventricular synchrony (using phase analysis), and left ventricular ejection fraction (LVEF). In addition, NYHA functional class and 6-min walking distance (6MWD) were evaluated. There were no significant acute changes in RVEF with CRT. After a mean follow-up of 9 +/- 5 months, RVEF was slightly improved (by 1.9 +/- 5.0% in absolute terms, P = 0.016), and to a lesser extent than LVEF (5.1 +/- 9.0%, P = 0.009 compared with RVEF). Right ventricular dyssynchrony was significantly improved at follow-up (P = 0.016). Patients with a baseline RVEF < or = 0.35 (n = 19) were less likely to improve in NYHA class (P = 0.016), and also tended to improve less in 6MWD and LVEF (P < 0.06). CONCLUSION: Cardiac resynchronization therapy has no acute effect on RVEF, and only slightly improves RVEF at follow-up. Patients with reduced RVEF at baseline were less likely to respond to CRT, indicating that right ventricular systolic dysfunction may play a role in patient selection.

[Chronic right-sided pain-associated nondermatomal somatosensory deficit following an accident]

We present the case of a 48-year old man who, eight years after an industrial accident, presents with chronic right-sided nondermatomal pain and hypaesthesia to heat and touch. During symmetric peripheral touch functional magnetic resonance imaging revealed hypometabolism in the left thalamus, somatosensory cortex, and anterior cingulate cortex. Pain-associated nondermatomal somatosensory deficits (NDSDs) localizing to one side of the body are a frequent clinical entity, which are often triggered by an accident. The tendency of NDSDs to extend to adjunct ipsilateral body parts and to become chronic points to maladaptive adjustment of pain-processing areas in the central nervous system. Psychological stress prior to or around the triggering event seems an important risk factor for NDSDs.

Assessment of right ventricular systolic function: Comparison between cardiac magnetic resonance derived ejection fraction and pulsed-wave tissue Doppler imaging of the tricuspid annulus

Systolic right ventricular (RV) function is an important predictor in the course of various congenital and acquired heart diseases. Its practical determination by echocardiography remains challenging. We compared routine assessment of lateral tricuspid annular systolic motion velocity (TV(lat), cm/s) using pulsed-wave tissue Doppler imaging from the apical 4-chamber view with cardiac magnetic resonance (CMR) as reference method.