Vengono attuati plurimi accertamenti laboratoristici, ecocardiografici e radiologici, che portano a concludere per aortite a cellule giganti. In particolare lo studio angio TC dell'aorta mostra un diffuso ispessimento della parete in tutto il decorso del vaso. La proposta di indagine bioptica non trova il consenso da parte della paziente. Ai controlli seriati, nel corso della graduale riduzione po-sologica dello steroide, non si osservano segni di ripresa della malattia. A circa 6 mesi dalla diagnosi, la paziente gode di buona salute. Salvadori 1, A.
Zacchei 1, S. Bocchini 1, M. Artusa 1. Vari criteri diagnostici sono stati proposti. Si ricovera per la comparsa, da circa 4 giorni, di raucedine, iperpiressia e flogosi violacea del padiglione auricolare sx e, successivamente, dolore alle articolazioni tibio-tarsiche con impossibilita a deambulare associato a vasculite. L'obiettivita ORL mo-stra anche intenso stato flogistico del cappuccio aritenoideo destro ed ipoacusia sx.
I dati clinici depongono per una policondrite ricorrente associata a vasculite leucocitoclasica. La paziente trattata con boli di Metilprednisolone, e poi terapia steroidea per os, ha recuperato un soddisfacente stato di benessere. Aim of this study was to investigate the prevalence of pain in a nursing home, and if a relationship could be established between cognitive performance in aged people and ability to refer about pain; particularly, if MMSE could be utilized as an indicator of adequate, or not, ability to communicate a condition of pain.
Mean MMSE score was 15; Pearson correlation index and the p-value have been calculated, by SSPS calculator. The result of a very low relation between NRS and PAINAD is worrying and astonishing, as if the test made to depict pain in uncommunicative people were inable to do so. Further study is needed. Agnelli 1 F. Colombo 1 G. Bollini 2, S. Magni 3, P. Marino 4, D. Mari 5, G.
Ippoliti 6, M. Poli 7, A. Porro 8, M. Vanoli 9, M. Nichelatti Background Ultrasonography of the lung is a simple method to learn and can be considered an effective extension of semiotics. It can be performed quickly at the patient's bedside to investigate or aid in the diagnosis for respiratory disease such as dyspnea, pleural effusion, empyema, pneumothorax, mesothelioma, pulmonary edema, pneumonia and neoplastic disease.
Aims The lung U. Materials And Methods I describe three patients in whom ultrasound-guided lung biopsy allows etiologic diagnosis of non resolving pneumonia. A young female patient had a ischemic infarction from pulmonary embolism. Blood pressure control and pharmacological treatment in patients evaluated with ambulatory blood pressure monitoring. Objective BP increases with age;a more aggressive treatment should be used in elderly to face their increasing global cardiovascular risk.
Methods ABPMs performed were analyzed. Usual data were recorded: sistolic, diastolic, pulse pressure, blood pressure variability, dipping status and heart rate, clinical BP measurements, age, sex, body mass index, smoking habits, diabetes, anti-hypertensive therapies. Subjects were divided in two groups according to their mean. Every group was furtherly divided according to age and number of anti-hypertensive drugs used.
Normotensives showed a direct relation between increasing therapies and age, even if a reduction in 4 or more drugs was noted above 70 year of age. Calcium channel blockers and diuretics were the most used drugs in normotensives independently from their age, while no differences were noted among hypertensives. Antonio e Biagio e C. Arrigo" - Alessandria; 2Infective Diseases - A. Arrigo" - Alessandria. These factors, if present, should address to a more aggressive control of risk factors and the use of resource for the early diagnosis of coronary artery disease.
Materiali e metodi Donna di 69 anni con anamnesi di TBC polmonare a 29 anni e di osteoporosi con frattura D12, ricoverata per dispnea da sforzo, edemi declivi, mialgie e deficit di forza ai cingoli. L'ecocardio-gramma documentava la presenza di un versamento pericardico moderato con iniziali segni di discinesia a carico della parete dell'atrio dx. La presenza di quest'ultima veniva confermata dalle immagini fornite dalla HRCT che mostravano un aspetto reticolare e micronodulare.
Negativi risultavano tutti gli accertamenti bioumorali, colturali, sierologici ed il lavaggio bronchiolo-alveolare BAL escludendo in particolare la presenza di ma-lattie del connettivo, sarcoidosi o di patologia infettiva. Risultati Nel sospetto di fibrosi polmonare idiopatica si procedeva a biopsia polmonare toracoscopica ottenendo un quadro istologico di UIP che confermava il sospetto clinico. Il versamento pericardico si autolimitava come dimostrato dal controllo ecocardiografico successivo.
La presenza contemporanea delle due patologie ha determinato un iter diagnostico che, pur ricercando inizialmente una patologia unificante, non ha escluso la presenza di patologie concomitanti permettendo un corretto inquadramento diagnostico. Almerlgogna S. Donnini F. Bucciero M. Marsico M. Giannotta 1 T. Gabbani 1 R. Puntili 1 M. Biagini 1 G. Macri 1 S. Milani 1 F. Corradi 2, A. Morettini 2. Nel etp del colon sottoposta a resezione chirurgica e chemioterapia.
Nel TVP arti inferiori. EGDS nella norma. Alla colonscopia in ur-genza abbondante sanguinamento ileale in atto. All'Angio-TC in urgen-za trombosi non recente a carico delle vena splenica e mesenterica superiore con formazione di circoli collaterali porto-portali e porto-si-stemici spleno-renale, gastroesofageo, emorroidario, digiuno-ileale e a carico del ventaglio mesenterico ; varici venose a carico della parete del tenue nel tratto di passaggio digiuno-ileale con presenza di mdc stravasato nel lume dell'organo. Eseguita trasfusione in emergenza e terapia con terlipressina, plasma expander e profilassi antibiotica.
Il paziente e stato sottoposto a confezionamento di shunt tra vena cava e mesenterica superiore. L'intervento si e complicato con trombosi dello shunt per cui sono state eseguite ripetute disostruzioni chirurgiche. E stata intrapresa terapia con warfarin nonostante l'alto rischio di sanguinamento.
Sanguinamenti variceali possono essere conseguenza di trombosi, necessitando in tal caso di un'adeguata terapia anticoagulante nonostante il forte rischio emorragico. Ambrosca M. Varriale T. D'errico S. Luca S. Tassinario S. Costa 1 G.
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De Siena 1 N. Armogida 1 M. Visconti 2. Medicina Interna P. Migratory flows and shortage of vaccines have been caused an increasing of TB in west countries, where it was considered eradicated. In an Asiatic 53 years old lady was hospitalized in our ward for suspected. The physical examination showed ascites; the laboratory analysis showed anemia, VES , PCR 33 mg, transaminases increase, negative major and minor hepatitis viruses markers and autoimmunity; the chest-ray was negative.
The abdominal eco displayed a 3 cm hypoe-choic subglissonian nodule and medium effusion; the results were confirmed by tc images. Ascitic fluid analysis showed a non neoplastic exudate. Anamnestic, clinical, instrumental and laboratory data helped us to hypothesize abdominal TB. An abdominal miliary injury was shown by laparotomy. The histology result of the hepatic injury proved a tuberculous granuloma. A tuberculous and hepatic peritonitis was diagnosed and treated with Rifampicin, Isoniazid, Ethambutol and Pyrazinamide,.
After two months the remission was total. This clinical case highlights the importance of considering abdominal TB as a possible cause of ascites, especially in patients coming from high endemic countries. If this pathology is late diagnosed the mortality is high, but if it is early recognized the remission, thanks to the current therapy, is total. Q Day-night dip and early-morning surge in blood pressure in essential hypertension: prognostic implications. Over a mean follow-up period of 8. After adjustment for the same covaria-tes, neither the dipping pattern nor the measures of early morning BP surge were independent predictors of mortality.
In conclusion, in initially untreated subjects with hypertension a blunted day-night BP dip was associated with a blunted morning BP surge. In addition, a blunted morning BP surge was an independent predictor of CV events, whereas an excessive BP surge did not portend an increased risk of events. Ambulatory pulse pressure and neutrophil count for the cardiovascular risk stratification of hypertensive post-menopausal women. Reboldi 2, E. Angeli 1 G. Mazzotta 3, M. Garofoli 3, E. Ramundo 3, C. Poltronieri 3, G. Ambrosio 3, P.
Verdecchia 4. Experimental and clinical studies show that oestrogen deficiency may trigger an inflammatory response associated with endothelial and vascular dysfunction, leading in turn to reduced compliance of large arteries and consequent increase in pulse pressure PP. To investigate the possible link between menopause, hypertension, and an over-expression of inflammatory state, we assessed the association between elevated neutrophil count and increased arterial stiffness high PP.
We also tested the independent prognostic value of neutrophil count for cardiovascular CV events in hypertensive postmenopausal women. We analyzed hypertensive post-menopausal women. Follow-up of patients was in charge of family doctors in close collaboration with our hospital staff.
Median duration of follow-up was 7. During follow-up there were first major CV events. In a multivariate analysis, h ambulatory PP and neutrophil count were independent predictors of total CV events after adjustment for the influence of other risk markers. In conclusion, an increased arterial stiffness, reflected by high values of hour ambulatory PP, is an adverse prognostic marker, and also an additional correlate of systemic inflammation.
In addition, we confirmed the additive prognostic value of neutrophil count over traditional risk factors in post-menopausal hypertension. Introduction and aim of the study Invasive diagnostic and therapeutic procedures IDTP may be painful and cause physical and emotional discomfort. An observational study was conducted in three medical wards of S.
Giovanni Battista Hospital, to a assess pain and discomfort experienced by patients during IDTPs and nurses' opinion; b describe frequency and outcomes of the administration of analgesics and anxioli-tics. An anonymous questionnaire was completed by nurses to express their opinion on painfulness and discomfort caused by a list of IDTPs. IDTPs; the lack of protocols for pain control may be responsible for the different levels of discomfort experienced. Antonielli 1, C. Bazzini 1, O. Para 1, V.
Vannucchi 1, F. Bacci 1, C. Lualdi 1, F. Rocchi 1, F. Pieralli 1, C. Nozzoli 1. We report a case of subacute ataxic GBS variant. Clinical Course A 65 year old man presented to ED with progressive ataxia and sensorial deficit of lower limbs. History was relevant for asbestos exposure;tabagism;monoclonal gammopathy IgM e IgG kappa. Neurological examination revealed severe ataxia with gait disorder, dysmetria and adiadococinesia. Distal paresthesia with propioceptive sensorial deficis and areflexia were present without motor deficit. Cranial nerves were normal. An electromyography showed a sensorial distal assonopatic polyradiculoneuropaty.
A total body CT scan was negative for neoplastic lesions. High titer antigan-glioside autoantibodies GD1b-IgG were detected. The ataxic variant of GBS is a rare but well-described condition associated with anti GD1b-IgG well responding to plasmapheresis and intravenous Ig therapy. Una grave complicanza in un caso di catheter-Related blood stream Infection in paziente dializzata.
Bazzini 1, M. Grazzini 1, M. Castelli 1, T. Fintoni 1, M. Biagioni 1, C. Marrani 1, F. Riportiamo il caso di una donna di 63 anni giunta alla nostra osserva-zione per episodi febbrili recidivanti e decadimento clinico generale. Decorso All'ingresso paziente piretica ,ipotesa. All'esame obbiettivo soffio sistolico ad alta frequenza udibile all'apice. Agli esami ematochi-mici leucocitosi neutrofila,incremento degli indici di flogosi. Documen-tazione ecografica di formazione endocarditica tricuspidalica in contin-guita con apice del CVC ,determinante insufficienza valvolare severa.
Alla TC torace focolai ascessuali multipli. Rimosso CVC e instaurata politera-pia antibiotica mirata. Deterioramento emodinamico progressivo nono-stante gli opportuni interventi di carattere farmacologico. All'ETE ascesso anulare mitralico. Paziente trasferita presso il Reparto di Car-dioChirurgia per essere sottoposta a sostituzione valvolare tricuspidalica e mitralica. Nei pazienti uremici, per lo stato di immunodeficienza spesso presente, l'accesso vascolare rappresenta un'importante porta di ingresso per i microorganismi.
Arioli 1, S. Lombardini 1, N. Pipitone 1, F. Pileri 2, L. Bertolini 1, F. Decembrino 1, L. Dardani 1, A. Cavazza 1, I. Iori 1, E. Negri 1. Introduction Systemic vasculitis are multi system diseases requiring detailed multidisciplinary assessment. Two weeks previously he had first noticed arthralgia treated with Ketoprofene.
He was subsequently evaluated for generalized palpable purpuric rash at Dermatology Clinic where hypersensitivity vasculitis was suspected. Two days later he developed abdominal pain and was hospitalized. At admission, lab tests showed just mildly elevated inflammatory markers. Skin biopsy was performed and "wait and see" strategy chosen. In few days the patient developed rectal bleeding and computed tomography CT and pan colonoscopy PC were performed: the CT showed a diffusely edematous and thickened gut while the PC detected severe petechiae throughout the intestinal wall.
Intestinal and Skin biopsy showed leukocytoclastic vasculitis while the control lab tests revealed new onset microscopic hematuria. Intravenous Methylprednisolone was started and transitioned to Prednisone tapering orally to complete six months therapy. There was marked improvement of abdominal pain and gastrointestinal bleeding while skin lesions gradually faded.
Anyway, even in adults, HSP can present with arthralgia, abdominal pain and rectal bleeding, palpable purpura and hematuria which represent a pathognomonic clinical tetrad. Major digestive bleeding secondary to chronic portal venous thrombosis as clinical onset of previously unknown hepatic cirrhosis complicated by hepatic carcinoma.
Arioli1, F. Bassi1, F. Pileri2, M. Leone1, C. Trenti1, D. Galimber-ti1, L. Camellini1, E. Negri1, I. Iori1, A. Introduction Hepatocarcinoma HCC is a complication of hepatic cirrhosis HC generally detected in early stage due to Ultrasonographic US surveillance in hepatopathic patients.
It can be treated effectively with well tolerated loco-regional treatment. In advanced stages of the disease, HCC may be complicated by portal vein thrombosis PVT that represents the limiting element of the treatment and, therefore, the more devastating prognostic element. In both cases the diagnostic role of Doppler US study is emphasized such as the importance of alpha fetoprotein requested in the correct scenario.
In both cases patients underwent endoscopic variceal ligation VL regardless to the chance of etiologic treatment of HCC and anticoagulant therapy was attempted. Just in the first case it was possible to begin Sorafenib due to the better Child Class present at the diagnosis A5 versus B8. In this scenario anticoagulant therapy can be considered just in case of preserved liver function and should be individualized.
Unlike the anticoagulation, VL is codified therapy and shouldn't be denied to patients since it appears to significatively prolong surveillance. The patient had recently undergone surgical removal of a bone tumor in the left heel about 10 months before. X-rays performed in the ER revealed an area of bone resorption in the right hip, therefore the patient was admitted in the Internal Medicine ward.
The patient provided the histological report of the previously removed tumor, that revealed a diagnosis of osteoclastoma. At admission, the patient was found to have hypercalcemia Furher X-rays showed multiple bone cysts localized in the right hip iliopubic branch and iliac crest and in both the scapulas. Neck ultrasonography revealed a hypoechoic nodule of 3 cm in diameter adjacent to the lower pole of the left thyroid lobe, compatible with a parathyroid adenoma.
Abdomen ultrasound showed a 6 mm stone in the right kidney. The patient underwent surgical removal of the abnormal gland, and the histological findings confirmed the diagnosis of parathyroid adenoma. Post operative period was marked by persistent hypocalcemia, and the patient was managed consequently.
The previously removed osteoclastoma was probably a first sign of the skeletal involvement in primary hyperparathyroidism. Therefore, when a diagnosis of osteoclastoma is made, it would be worth investigating mineral metabolism in order to exclude the presence of primary hyperparathyroidism.
Background and aim of the study A diagnostic and therapeutic challenge. Materials and methods We studied a 50 years old woman for persistent cough and fever with a history of prolonged juvenile pulmonary infection. At chest radiograph pleuric and pulmonary fibrotic outcomes at the right apex and a pulmonary infiltrate at the right upper lobe. The chest CT revealed a cavity with internal vegetation at the right apex and multiple right infiltrates. Not sure, but still suspecting TB, treatment with Isoniazid, Pyrazinamide, Rifampin and Ethambutol was started with slow improvement of symptoms, inflammation and radiographs.
After 2 months treatment was tapered to Isoniazid and Rifampin, but the patient clinically relapsed despite a improvement on chest CT. Assuming drug resistance we restarted a 4 drugs regimen plus levofloxacin for 2 months with new slow improvement. The clinical course was complicated by polyneuropathy, attributed to levofloxacin; the drug was replaced with linezolid for 1 month and then the 4 drugs regimen was continued for 2 months. Complete clinical and laboratoristic resolution was obtained with disappearance of all radiologic lesions.
Asti1, M. Di Guglielmo1, G. Fertuso1, A. D'alessandro1, G. Perrone1, S. Nardi1, G. Maresca1, P. Objective examination shows treatable abdomen, reduced MV, hyperpyrexia and he reports sacrococcygeal pain, because of which he fails to maintain the sitting position. On examination, there aren't clinical signs of relief, except for sacrococcygeal pain patient-reported and hyperpyrexia. The microbiological investigations, such as the Widal Wright serodia-gnosis, throat swab and urine culture, result negative. Abdominal ultrasound shows a gross swelling of 8x6 cm, multilobed and multi-divided, in front inseparable from the rear wall of the rectum and in the back to the coccyx; this finding is confirmed by NMR.
For this reason, the patient undergoes surgery of drainage of the retroperitoneal abscess by laparotomy, and bacteriological examination concludes for Staphylococcus Aureus etiology. Asti1, G. Fertuso2, M. Di Guglielmo2, A. D'alessandro2, G. Perrone2, S. Nardi2, G. Maresca2, P. Maria di Loreto Nuovo" A. Senegalese patient, 34 years old, arrived to emergency room because of generalized asthenia for a few days, therefore he fails to maintain the upright position. He also complains severe pain in the sacral region. Routine investigations shows a severe lymphocytopenia and the signs of a possible degenerative process in action, as evidenced by high values of LDH and CPK.
The patient underwent lumbosacral CT scan, which shows lysis of D with heterogeneous paravertebral tissue cold abscess seat left an-terolateral. As a result of a CT lumbar scan, practiced after 6 months of therapy, the cold abscess is almost absorbed. Fertuso1, M. D'alessandro1, A.
Male patient, 78 years old, arrives to emergency room in stupor state. In case history the patient was taking sertraline hydrochloride for depressive syndrome. He carries out ECG, routine laboratory tests, cranial CT and neurological consultation, which excludes acute neurological diseases, and he is hospitalized in the Department of Medicine. In objective examination he appears stupor, responsive to painful stimuli.
The biochemical investigations show alterations of electrolyte balance, with reduction in the concentrations of sodium and potassium, plasma osmolarity below normal, abnormal nitrogen balance, with reduced concentrations of uric acid; thyroid hormones normal.
The clinical presentation seems consistent with impaired secretion of ADH, evidenced by high plasma concentrations of cortisol. Chest CT scan shows an outbreak of pneumonic thickening in the basal right, which is treated with ciprofloxacin mg x 2 ev for 10 days. The patient is discharged after thirteen days with a diagnosis of iatrogenic Syndrome of inappropriate secretion of ADH and right basal bronchopneumonia.
The diabetic subjects are considered to great risk in relationship to the concomitant diabetic nephropathy with secondary hyporeninemic hypoal-dosteronism. In 8 patients diagnosis of "pseudoiperkalemia" has been set the plasma potassium was normal unlike the serum potassium. To the clinical examination she is in good hemodynamic compensation with ascending right lung base, confirmed by chest x-ray. The skin has a yellowish tinge and she denies fever. The hemoglobin electrophoresis indicates high levels of HbS and of HbF.
In the following hours the patient is confused: brain CT is negative.
The hematologist decides to transfuse two filtered and washed packed red blood cells bags, suspecting a vaso-occlusive complication. After the transfusion, an intense chest and abdominal pain appears with vomit, hypotension, polypnea and abdominal tenderness. The laboratory tests highlight a further increase of leucocytes and bilirubin with increase of D-dimer and Troponin I.
Assuming an acute abdominal disease, an ultrasonography is performed: a nasogastric tube is placed and thick bile is drained. The possible diagnosis of Pulmonary Embolism is supported by a Wells Score of 4,5. The chest CT-Angiography displays multiple defects of thromboembolic opacification. The specific treatment is started LMWH with graduated elastic compression of the lower limbs. The patient denies notable pathologies.
To the clinical examination the vital signs are normal, reduced the vesicular murmur to the bases with some adventitious expiratory sounds to the apexes. Chest radiography underlines reticulonodular changes in the upper-lung zones and the costoph-renic angles are spared; normal the laboratory tests. After chest CT, a HRCT is performed and it shows ill-defined nodules maximum diameter 5 cm , especially to superior lobes, some of which are excavated.
The patient performs a bronchoscopy too. The diagnostic suspect directs toward a granulomatosis disease Langherhans Cells Histiocytosis. The relatively selective lung involve-. The development of PLCH following Hodgkin disease or its treatment raises the question of common etiologic factors or aberrant immune responses by dendritic cells following iatrogenic immunosuppression.
However smoking cessation is recommended although the resolution of disease has rarely been documented. Muscle involvement may come from contiguous infectious foci, penetrating trauma, vascular ischemia or haematogenous spreading. A and B-Strept. Ileopsoas muscle was involved in 7 cases; thigh muscles in 5; gluteus in 2, abdominal rectus and lions in 1. Isolated bacteria were: Staph. Relevant comorbidity was present in 7 patients. For diagnosis we utilised: MRI in all cases, CT-scan in 8, ultrasound in 5; 7 patients underwent FNAB for culture; bacterium were isolated from blood in the remaining 2 cases.
Associated arthritis sacroileitis, spondilodiscitis, coxitis was found in 7 patients. Antibiotics were administered for long periods; 4 patients needed surgical debridement and drainage. No mortality was registered; functional recovery was observed in 2 cases only. MRI is important both in early diagnosis and follow-up; antibiotics should be utilised at high dose and long periods; quoad valetudinem-prognosis is almost always poor. Poorly-differentiated hepatocellular carcinoma without underlying liver disease presenting with recurrent fever: case-report.
Patients without underlying liver diseases are very rare and generally they are incidentally discovered or show symptoms such as weight loss, nausea, anemia, juandice, abdominal pain and less frequently low-grade fever. Antibiotic treatment was uneventful; routine lab-data normal; chest x-ray negative. Partial resolution with steroids. One month before admission: increasing asthenia and anorexia.
Ultrasound: hypere-chogenous liver nodules, regular portal vein, no ascites. CT-scan with. Echo-guided FNAB of two right hepatic lobe nodules: lobular structure preserved; neoplasm with positivity for hepatocellular antigen poorly-differentiated hepatocellular carcinoma, grades II-IV Edmon-dson. The patient underwent termoablative procedures of the three nodules followed by sorafenib treatment. Seven months later, admission in ER for acute dyspnoea: occurrence of massive, fatal pulmonary embolism.
Pulmonary tumor thrombotic microangiopathy associated with heart neoplasm: report of a fatal case. Its incidence at autopsy among patients with metastatic carcinoma ranges from 0. The most frequent primary tumors are breast, stomach and lung. Tumor cells spread occurs by means of direct hematogenous metastasis or through the lymphatics, with entrance into the venous system through the thoracic duct. Typically, there is evidence of metastatic disease at the time of presentation, but cases of occult cancer manifested as PTTM have been reported.
No relevant anamnestic data were recorded. Examination revealed ortho-tachypnea, tachycardia, hypoxemia, peripheral edema. During the hospital stay 8th day the patient died because of irreversible cardiogenic shock. Treatment targeting the primary tumor remains the only therapeutic option.
Unfortunately, the poor performance status of most patients at the time of presentation usually precludes this treatment. A case of difficult management: multiple paraneoplastic syndromes with predominant severe thrombophilia in ovarian cancer. Bagnulo 1 V. Maccabruni 1 M.
Macaluso 1 G. Gandini 1 1Unita' internistica multidisciplinare correggio-auslre.
Interviewing John Robb: how to build your DIY bright Future while the Big Reset is coming.
We report a unique case of multiple syndromes retrospectively correlated to later diagnosis of ovarian cancer. Subjected to heparin therapy and then to warfarin with initial clinical improvement. Anamnesis reports erythema migrans skin erythema nodosum by months,and joint pain. Routine biochemical and rheumatologic examinations are normal. It is also present right pulmonary massive embolism. Then we proceed with a full dose of enoxaparin; you can not place a vena cava filter via trans-jugular. The very severe thrombophilic syndrome leads to postpone the surgical time for the ovarian mass,continuing enoxaparin and starting chemotherapy.
Erythema nodosum and polyarthritis without palmar fasciitis appeared 5 months before the cancer diagnosis. This leads us to emphasize the importance of conducting a clinical screening for cancer in patients with symptoms correlated with PNS. Effects of 2 years of receptor blockade or anti-TNF antibodies therapy in patients with psoriatic arthritis. Balbi 1 M. Puato 1 M. Zanon 1 M. Rattazzi 1 S.
Galliazzo 1 E. Faggin R. Ramonda A. Doria P. Wikipedia ne ha una buona recensione e una bella foto ripresa dal telescopio spaziale Hubble. Un altro studente di scuola superiore fu inizialmente colpito dalle immagini di una macchia informe rossa che si dice sia Nibiru. Come lo spiega? Tutto questo sarebbe divertente, se non fosse usato per spaventare la gente.
Qualcuno ipotizza che queste siano le coordinate in cui si trova attualmente Nibiru. Anche se lo volesse, tuttavia, il governo non potrebbe tenere segreto Nibiru. Se Nibiru fosse reale, infatti, sarebbe monitorato da migliaia di astronomi, amatori e professionisti. Astronomi che sono presenti in tutto il mondo.
Ho sentito che i Maya stessi sono stati abbastanza accurati, in passato, con altre previsioni planetarie. I calendari esistono per tenere traccia del passaggio del tempo, non per predire il futuro.
Gli stronomi maya erano intelligenti, e hanno messo a punto un calendario molto complesso. Essi sostengono che vi sia una relazione tra il campo magnetico della Terra e la sua rotazione, rotazione che cambierebbe in modo imprevedibile nel momento in cui avesse luogo una inversione magnetica, cosa che accade, in media, ogni anni. Per quanto ne sappiamo una inversione magnetica non causa alcun danno alla vita sulla Terra.
Potrebbe causare uno spostamento dei poli, ed in questo caso cosa dovremmo aspettarci? Se si riferiscono alla Galassia della Via Lattea, noi ci troviamo a circa 30, anni luce dal centro di questa galassia a spirale. Facciamo il giro del centro galattico in un periodo di milioni di anni, mantenendo approssimativamente sempre la stessa distanza. Per quanto riguarda uno spostamento dei poli, neppure questo so cosa significhi.
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- HUDOC - European Court of Human Rights.
Non ci sono forze speciali provenienti dal piano galattico o dal centro galattico. Cosa provocherebbe? La Terra verrebbe risucchiata? Le eruzioni e le eiezioni di massa non rappresentano un pericolo per gli esseri umani o per altre forme di vita sulla Terra. Grandi eruzioni possono interrompere le trasmissioni radio, provocare aurore molto luminose Aurore Boreale e Australe , e danneggiare i componenti elettronici di qualche satellite nello spazio. Tuttavia, i dettagli del ciclo solare restano fondamentalmente imprevedibili. Queste inversioni magnetiche si verificano mediamente solo una volta ogni Il problema sta nel modo in cui questo tipo di informazioni possono essere usate fuori dal loro contesto.
Se andate sulla home page della NASA, nasa. Provate a cercare su nasa. Queste bufale non hanno niente a che vedere con la NASA e non si basano su dati suoi, per cui noi, come agenzia, non siamo direttamente coinvolti. Dovremmo essere contenti che non ci siano censori.
Ma se usiamo il buon senso possiamo riconoscere le menzogne. Ricordate il commento spesso citato di Carl Sagan, che dice che dichiarazioni straordinarie richiedono dimostrazioni straordinarie. Tuttavia penso che gli astronomi abbiano raggiunto il punto in cui si possono fornire argomentazioni estremamente valide sul fatto che Nibiru non esiste. View on ombrecorte. Bianco e Nero. History of the Italians' Racial Identity] more. Esso unisce la ricerca e le competenze di due A quest'ultima in particolare il volume dedica, infine, le conclusioni.
Beyond Curiosity. In questo contesto la History emerse non solo come importante serbatoio di conoscenze e di progetti di riforma, ma anche come elemento—chiave nella costruzione del discorso che venne posto a legittimazione del governo coloniale britannico. Publication Date: Publication Name: Aracne. View on catalogoaracneeditrice. Journal Articles. This article investigates the role, reception, and socio-cultural, political relevance of mondo movies in the context of late s-early s film and documentary.
The mondo genre debuted with reportage films about sexuality in Europe The mondo genre debuted with reportage films about sexuality in Europe and reached its pinnacle with Gualtiero Jacopetti's assemblage films. A brief review of some of the author's published work on mondo movies introduces Cannibal Holocaust and director Ruggero Deodato's controversial reflection on the white, capitalist, sexist, Western and neo-colonial anthropological gaze. View on cambridge. Monstrosity, Abjection and Europe in the War on Terror more.
My argument is based on the research undertaken on the origins and transformations of anti-Muslim feelings from the foundation of Modern Christian Europe up to today, and specifically at the time of empires and afterwards, focusing on Britain and the US. I am referring to the debate on the relation between racism, anti-semitism and Islamophobia, the one between Islamophobia and colonialism, and finally the one on Islamophobia in postcolonial modernity. The first debate e. View on tandfonline. Giochi al Buio o Parole per Dirlo? Giochi al buio o parole per dirlo?
Riflessioni su razza, razzismo e antirazzismo intorno a un colloquio con Gaia Giuliani, by Maria Teresa Milicia. Annuale di Science Umane. My essay explores processes of naturalisation and inferiorisation of the racialised Other in a series of colonial and postcolonial situations. Its aim is to map colour assignments along some transnational trajectories of travelling Specifically, it focuses on the visual reproduction of racialisation.
Its premise is an idea of race as a discursive construction that uses visual texts to signify a position of subalternity Hall b. View on europeansouth. My article focuses on particular forms of exoticizing discursive practices produced and reproduced in Italy through the most popular and transgenerational media. This discussion will also analyze the discursive strategies employed by both El Mahroug and Kyenge against the exotizing and openly inferiorizing discourses built around them.
Italian Racism between Fascism and Contemporary Articulations] more. View on estudogeral. This article aims at mapping the impact of 'fears of disasters and crisis' on European self-representations in terms of racial stereotypes, 'white fantasies', gender hierarchies, and heteronormativities. Its methodology is a critical Its methodology is a critical discourse analysis of texts-specifically television series such as the BBC's Dead Set and the first season of BBC US and UK, In the Flesh, and movies such as 28 Days Later , L'Horde , and World War Z -read through the lens of postcolonial theories, critical race and whiteness studies, the concepts of political philosophy and the theoretical insights of post-human feminism.
This composite theoretical framework permits a grasp of gendered, racialised and classed fantasies behind the narratives of catastrophe and the visions of the post-apocalyptic world s the catastrophe is supposed to bring to life; it also allows an analysis of the meaning and articulations of catastrophe and post-world spatial constructions, and the latter's relation to actual and imagined social hierarchies gender, colour and class of the survivors.
These are a few of the themes that this article discusses in an attempt to uncover what fantasies of the present are hidden behind present memories of the future. View on cultureunbound. I discuss the complicated process of the early twentieth-century construction of the multifaceted, certainly controversial and mostly unspoken, Italian idea of whiteness. In order to capture the wide range of representations and With alteroreferential racism I refer to a system of racialization that is centred on the Other.
This second phase would be characterized by a decidedly auto-referential racialization that claimed racial purity and self-consistency as the mark of the incommensurability between Italian racial identity and inferior racialized groups. The Colour Lines of Settler Colonialism more. Colour has been important to the thinking and practice of Western settler colonialism since the mid-sixteenth century. Since the emerging dominance of modernity, and within the expanding perimeter of the colonial enterprise, human Since the emerging dominance of modernity, and within the expanding perimeter of the colonial enterprise, human communities in European and overseas territories have been portrayed geometrically, chronologically and visibly through colour.
Colour has been the cipher of colonial diversity. Whether or not a correspondence exists with real phenotypic characteristics, colour has signified a set of characteristics that has codified diversity, including un-humanness and inferiority, within a broader system of knowledge that assigned full human standing and superiority solely to the colonizers.
The essay focuses on the relationship between colour, processes of racialisation and agency in a transnational and transdisciplinary perspective, with a particular focus on the British and English-speaking colonial and postcolonial world The essay focuses on the relationship between colour, processes of racialisation and agency in a transnational and transdisciplinary perspective, with a particular focus on the British and English-speaking colonial and postcolonial world.
Doi: For a Carthography of Race in the Pacific] more. Settler colonialism and race: mapping colours in the Pacific Taking predominantly as case-studies Australia and the United States-the two white shores of the Pacific-this article aims to draw a sort of political anthropology of race in Settler colonialism and race: mapping colours in the Pacific Taking predominantly as case-studies Australia and the United States-the two white shores of the Pacific-this article aims to draw a sort of political anthropology of race in settler colonialism.
It sets out to grasp the particular practical and theoretical articulation s of colours in settler colonialism, and its accordance with what could be considered as the settler body politics' foundational statements. These statements claim: 1 the absolute originality of the settler State as political formation that is coincident with the denial of prior-ness or a pre-colonial "time and polity" ; 2 its biological community or bio-community as internally homogenous and homologous to the settled land in-sidedness and homology ; and 3 its separateness isolation from its out-sidedness, that is the surrounding areas and populations.
Il colore-intendendo con esso un groviglio di elementi che, dal grado di pigmentazione della pelle, giunge a includere tutta una se. Assegnazione del Colore e Lavoro Servile. Il Fenomeno del Blackbirding nel Contesto Australiano. Blackbirding in the Australian Context] more. Negli ultimi decenni del secolo XIX l'economia agricola australiana era in espansione, con al centro le piantagioni di canna da zucchero e di cotone del Queensland.
Quella stessa economia, nonostante il progetto di popola-mento settler Quella stessa economia, nonostante il progetto di popola-mento settler alla base delle strategie di reclutamento della forza lavoro britannica bianca , necessitava dell'ingresso e dello sfruttamento di manodopera non bianca e a basso costo. Il lavoro a contratto, o indentured labour, era l'equivalente del lavoro servile, sottoposto a li-velli di disciplina, controllo e coercizione molto elevati e senza reali garanzie di salario, condizioni e durata.
Questo contributo esplora le connessioni esistenti fra un particolare sistema di produzione quello della piantagione di zucchero e cotone nel Queensland e il corrispondente modello di sfruttamento il lavoro coatto nel contesto dell'assegnazione del colore o razzializzazione delle popolazioni. Il Bianco Negro. Whiteness in Italy from Unity to Fascism] more. All'inizio del XX secolo il progetto di un'Italia unificata era ben lungi dall'essere compiuto. Throwaway Labour. Blackbirding and a White Australia more.
In a time when a white labour-force was lacking and fear for the survival of the white man in Tropical Australia was widespread, when a cultural and economic hegemony in the Tropical North was still to be achieved, and slavery in the In a time when a white labour-force was lacking and fear for the survival of the white man in Tropical Australia was widespread, when a cultural and economic hegemony in the Tropical North was still to be achieved, and slavery in the British Empire was outlawed, the transportation of often forced native labour from the Pacific Islands to Queensland"s plantations ss became the best solution to guarantee two important effects: 1 the availability of an almost unwaged, racialised and segregated labour-force; and 2 the eventual return home of this labour, so its presence would not threaten Australia"s design of racial autarchy.
My article investigates the connections between that particular system of production sugar and cotton plantations in Queensland , its correspondent model of exploitation indentured labour , the colour assignment in the Pacific, and the particular characteristics of Australia as a white settler colony. Its focus is on blackbirding, that particular system of labour recruitment and exploitation that involved Pacific islanders as indentured labourers between and View on ub.
Tutti i Colori del Bianco. Theoretical and Historical Perspectives on Whiteness] more. Allen Matthew F. Due Sotto l'Impero. India and Australia in 19th Century] more. The Body, Sexuality and Precarity more. Gender Studies , Gender and Sexuality , and Precarity. View on palgrave-journals. Il dibattito sulla definizione cronologica del razzismo ruota attorno all'individuazione delle sue forme storiche. Critical Race Theory. Book Chapters. View on rowman. La Razza Fuoristrada. Si tratta di quel cinema porno soft che vedeva tra le sue protagoniste l'attrice eritrea Zeudi Araya e l'attrice indonesiana-olandese Laura Gemser.
View on cambridgescholars. View on rowmaninternational. My aim in this afterword is to provide a semiotic analysis that captures the contemporary discourse on the Mediterranean and identify potential links to the historical reasons, power relations, colonial archives and memories that My aim in this afterword is to provide a semiotic analysis that captures the contemporary discourse on the Mediterranean and identify potential links to the historical reasons, power relations, colonial archives and memories that constitute what Sandro Mezzadra calls the "postcolonial condition.
Today the sea is no longer a space regulated solely by international law and State jurisdiction, but a space of governmentality. By space of governmentality I mean a space defined by the collaboration of a number of institutional and non-institutional actors governance in the management and biopolitical control of global and transnational trajectories of people, products, and capital mobility.
I interpret it here as invested in a specific exercise of power that reaffirms the symbolic and discretionary nature of its modern borders and of the border in general. Borders are deconstructed and reorganised across space according to the unceasing re-articulation of international power relations, national sovereignties, market technologies and systems of measurement and control on a global scale. A conception of the sea in terms of a border, or rather as a set of often de-territorialised borders that cut across lands, waters, and continents.
View on mulino. Bella e Abbronzata. Visualizzare la Razza nella Televisione [Beautiful and Tanned. Visualise Race in Television, ]. La Zona d'Ombra. View on aracneeditrice. Publication Date: Publication Name: Castagnito. View on antares-online. Bianchezza [Whiteness], in Mascat, J.
Grovigli da Districare [Keywords in Feminism].
- Numeri con testo integrale.
- How far is the “bright future”?;
- The UK bullying and hate crime handbook.
Publication Date: Publication Name: Ediesse. Famiglie [Families], in Mascat, J. Gender Studies. Le riflessioni mie e di Marcasciano si sono dunque mescolate per costituire il terreno stesso di questo articolo. Seppur appartenenti a generazioni differenti, veniamo entrambe dal milieu culturale e politico della scena femminista e queer bolognese.
Lo riprendo tenendo fede a questa accezione. Publication Date: Publication Name: Scriptaweb. Whose Whiteness? Diasporas, Histories, Geopolitical Spaces. View on peterlang. Fascismo e Biopolitica. Tortorelli ed.. Publication Date: Publication Name: Compositori. View on online. Publication Date: Publication Name: Diabasis. Special Journal Issues. Donne Insuccesso da Ormoni, Ma Dai!