Correction to: FTIR-ATR analysis of the H-bond network of water in branched polyethyleneimine/TEMPO-oxidized cellulose nano-fiber xerogels

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Transmyocardial laser revascularization. Personal experience

Background. Indirect revascularization is a therapeutic approach in case of severe angina not suitable for percutaneous or surgical revascularization. Transmyocardial revascularization (TMR) is one of the techniques used for indirect revascularization and it allows to create transmyocardial channels by a laser energy bundle delivered on left ventricular epicardial surface. Benefits of the procedure are related mainly to the angiogenesis caused by inflammation and secondly to the destruction of the nervous fibers of the heart. Patients and method. From September 1996 up to July 1997, 14 patients (9 males – 66.7%, mean age 64.8±7.9 years) underwent TMR. All patients referred angina at rest; Canadian Angina Class was IV in 7 patients (58.3%), III in 5 (41.7%). Before the enrollment, coronarography was routinely performed to find out the feasibility of Coronary Artery Bypass Graft (CABG): 13 patients (91,6%) had coronary arteries lesions not suitable for direct revascularization; this condition was limited only to postero-lateral area in one patient submitted to combined TMR + CABG procedures. Results. Mean discharge time was 3,2±1,3 days after surgery. All patients were discharged in good clinical conditions. Perfusion thallium scintigraphy was performed in 7 patients at a mean follow-up of 4±2 months, showing in all but one an improvement of perfusion defects. Moreover an exercise treadmill improvement was observed in the same patients and all of them are in good clinical conditions, with significantly reduced use of active drugs. Conclusion. Our experience confirms that TMR is a safe and feasible procedure and it offers a therapeutic solution in case of untreatable angina. Moreover, it could be a hybrid approach for patients undergoing CABGs in case of absence of vessels suitable for surgical approach in limited areas of the heart

Cellular Responses Induced by Zinc in Zebra Mussel Haemocytes. Loss of DNA Integrity as a Cellular Mechanism to Evaluate the Suitability of Nanocellulose-Based Materials in Nanoremediation

: Zinc environmental levels are increasing due to human activities, posing a threat to ecosystems and human health. Therefore, new tools able to remediate Zn contamination in freshwater are highly recommended. Specimens of Dreissena polymorpha (zebra mussel) were exposed for 48 h and 7 days to a wide range of ZnCl2 nominal concentrations (1–10–50–100 mg/L), including those environmentally relevant. Cellulose-based nanosponges (CNS) were also tested to assess their safety and suitability for Zn removal from freshwater. Zebra mussels were exposed to 50 mg/L ZnCl2 alone or incubated with 1.25 g/L of CNS (2 h) and then removed by filtration. The effect of Zn decontamination induced by CNS has been verified by the acute toxicity bioassay Microtox®. DNA primary damage was investigated by the Comet assay; micronuclei frequency and nuclear morphological alterations were assessed by Cytome assay in mussels’ haemocytes. The results confirmed the genotoxic effect of ZnCl2 in zebra mussel haemocytes at 48 h and 7-day exposure time. Zinc concentrations were measured in CNS, suggesting that cellulose-based nanosponges were able to remove Zn(II) by reducing its levels in exposure waters and soft tissues of D. polymorpha in agreement with the observed restoration of genetic damage exerted by zinc exposure alon

Toward an accurate prediction of inter-residue distances in proteins using 2D recursive neural networks

BACKGROUND: Protein inter-residue contact maps provide a translation and rotation invariant topological representation of a protein. They can be used as an intermediary step in protein structure predictions. However, the prediction of contact maps represents an unbalanced problem as far fewer examples of contacts than non-contacts exist in a protein structure. In this study we explore the possibility of completely eliminating the unbalanced nature of the contact map prediction problem by predicting real-value distances between residues. Predicting full inter-residue distance maps and applying them in protein structure predictions has been relatively unexplored in the past. RESULTS: We initially demonstrate that the use of native-like distance maps is able to reproduce 3D structures almost identical to the targets, giving an average RMSD of 0.5Å. In addition, the corrupted physical maps with an introduced random error of ±6Å are able to reconstruct the targets within an average RMSD of 2Å. After demonstrating the reconstruction potential of distance maps, we develop two classes of predictors using two-dimensional recursive neural networks: an ab initio predictor that relies only on the protein sequence and evolutionary information, and a template-based predictor in which additional structural homology information is provided. We find that the ab initio predictor is able to reproduce distances with an RMSD of 6Å, regardless of the evolutionary content provided. Furthermore, we show that the template-based predictor exploits both sequence and structure information even in cases of dubious homology and outperforms the best template hit with a clear margin of up to 3.7Å. Lastly, we demonstrate the ability of the two predictors to reconstruct the CASP9 targets shorter than 200 residues producing the results similar to the state of the machine learning art approach implemented in the Distill server. CONCLUSIONS: The methodology presented here, if complemented by more complex reconstruction protocols, can represent a possible path to improve machine learning algorithms for 3D protein structure prediction. Moreover, it can be used as an intermediary step in protein structure predictions either on its own or complemented by NMR restraints

2D Correlation Spectroscopy (2DCoS) Analysis of Temperature-Dependent FTIR-ATR Spectra in Branched Polyethyleneimine/TEMPO-Oxidized Cellulose Nano-Fiber Xerogels

Fourier transform infrared spectroscopy in attenuated total reflectance geometry (FTIR-ATR), combined with a 2D correlation analysis, was here employed to investigate temperature-induced spectral changes occurring in a particular type of novel cellulosic-based nano-material prepared using 2,2,6,6-tetramethyl-piperidine-1-oxyl (TEMPO) oxidized and ultra-sonicated cellulose nano-fibers (TOUS-CNFs) as three-dimensional scaffolds, and branched polyethyleneimine (bPEI) as cross-linking agent. The aim was to highlight the complex sequential events involving the different functional groups of the polymeric network, as well as to gain insight into the interplay between the amount of bPEI and the resulting sponge-like material, upon increasing temperature. In this framework, synchronous and asynchronous 2D spectra were computed and analyzed in three wavenumber regions (900–1200 cm−1, 1500–1700 cm−1 and 2680–3780 cm−1), where specific vibrational modes of the cellulosic structure fall, and over a T-range between 250 K and 340 K. A step-by-step evolution of the different arrangements of the polymer functional groups was proposed, with particular regard to how the cooperativity degree of inter- and intramolecular hydrogen bonds (HBs) changes upon heating. Information acquired can be useful, in principle, in order to develop a next-generation, T-sensitive novel material to be used for water remediation applications or for drug-delivery nano-vectors

Giant Aneursym of the Ascending Aorta 37 Years after Aortic Valve Replacement

Giant ascending aorta aneurysms (AAA), which are larger than 10 cm, are rare. We hereby present the case of a giant AAA of about 13 cm, incidentally detected several years after aortic valve replacement and treated according to the Cabrol technique without postoperative complications. [Arch Clin Exp Surg 2013; 2(2.000): 129-131

Cross-linked cellulose nano-sponges: a small angle neutron scattering (SANS) study

Cellulose nano-sponges (CNS), obtained by cross-linking TEMPO oxidized and ultra-sonicated cellulose nano-fibers (TOUS-CNFs) with branched polyethyleneimine (bPEI), underwent here a systematic small angle neutron scattering investigation, by varying the amount of cross-linker and the water content. The aim was to provide experimental evidence of nano-porosity in the TOUS-CNF network of these nano-sponges (CNSs) by investigating the water nano-confinement geometries in the adsorbent material. Moreover, we also verified how the breaking/reformation of specific intermolecular hydrogen bond interactions between water and the chemical groups present in the architecture of the CNSs could contribute to regulate the water adsorption process observed at macroscopic level. The analysis of the experimental data, performed in terms of the correlation length model, allowed us to extract the short-range correlation length ξ, interpreted as a very first indirect estimation of the effective nano-dimension of the cavities produced by the cross-linking of the reticulated cellulose nano-fibers. From the model, power-law (n) and Lorentzian (m) exponents have been also obtained, associated with the density of TOUS-CNFs at high (larger than hundreds of Å) and low (~ 10–100 Å) spatial scales, respectively. These parameters were all sensitive to the structural variations induced by the progressive uptake of water on the bPEI/TOUS-CNF sponges with different bPEI:TOUS-CNF (w/w) ratios. Finally, we investigated the effect of the addition of citric acid in the CNS formulation, confirming its role in increasing cross-linking density and sponge rigidity. The obtained results appear crucial in order to rationalize the design of these sponges and to track the changes in the ability of the final products as efficient nano-confinement systems for water

The role of psychological support in cardiac surgery: initial experience

The scientific literature has pointed out several predictors of negative outcome after surgery such as pain and depression, negatively affecting the postoperative outcome in cardiac surgery. From January 2009 until June 2010, 15 patients scheduled for cardiac surgery were enrolled. The patients were assessed by psychological evaluation either in the hospital stay either in the rehabilitation period with the aim of identifying their emotional condition (sentiments about the onset of the disease, support received from family and friends) even by means of preformed tests for anxiety and depression (tests of Stay and Back). Thus, in our preliminary experience, the psychological evaluation failed to detect the occurrence of postoperative complications. Conversely, the psychological evaluation is very effective in detecting a poor emotional state and the psychological support decreases the degree of anxiety and depression with positive effects on postoperative outcome. In conclusion, a standardize test for anxiety and depression should be used for patients at hospital admission to detect who may benefits by psychological support