Engineering geological 3D modeling and geotechnical characterization in the framework of technical rules for geotechnical design: the case study of the Nola’s logistic plant (southern Italy)

model is an essential step to optimize costs of the construction and limit risks from failure or damage due to unforeseen ground conditions. The modeling of ground conditions is a challenging issue to be tackled especially in the case of geological units with complex geometries and spatially variable geotechnical properties. In such a direction, coupled geological and geotechnical criteria are usually adopted to define engineering geological units. These concepts are considered by the current technical rules for geotechnical design such as the Eurocode 7 and in the national regulations which have followed it, known in Italy as “Norme Tecniche per le Costruzioni (NTC).” Notwithstanding this advanced regulatory framework, no comprehensive indications on methodological approaches were given for the 3D engineering geological modeling and geotechnical characterization of a design and construction site. In this paper, the case study of the highly heterogeneous and heteropic pyroclastic-alluvial stratigraphic setting of the Nola plain (Campania, southern Italy) characterizing the site of the Nola’s logistic plant is dealt with. The approaches are based on the engineering geological modeling analysis of a high number of stratigraphic, laboratory and in situ geotechnical data, collected for the design of the plant, and the use of a specialized modeling software providing advanced capabilities in spatial modeling of geological and geotechnical information, as well as in their visual representation. The results obtained, including also the analysis of statistical variability of geotechnical properties and the identification of representative geotechnical values, can be potentially considered a methodological approach, consistent with the current technical rules for geotechnical design as well as with fundamental concepts of engineering geological modeling and mapping

Expression analysis of miRNA hsa-let7b-5p in naso-oropharyngeal swabs of COVID-19 patients supports its role in regulating ACE2 and DPP4 receptors

Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is the novel coronavirus responsible for worldwide coronavirus disease (COVID-19). We previously observed that Angiotensin-converting enzyme 2 (ACE2) and Dipeptidyl peptidase-4 (DPP4) are significantly overexpressed in naso-oropharyngeal swabs (NPS) of COVID-19 patients, suggesting their putative functional role in the disease progression. ACE2 and DPP4 overexpression in COVID-19 patients may be associated to epigenetic mechanism, such as miRNA differential expression. We investigated if hsa-let7b-5p, reported to target both ACE2 and DPP4 transcripts, could be involved in the regulation of these genes. We verified that the inhibition and overexpression of hsa-let7b-5p matched to a modulation of both ACE2 and DPP4 levels. Then, we observed a statistically significant downregulation (FC = -1.5; p < 0.05) of hsa-let7b-5p in the same COVID-19 and control samples of our previous study. This is the first study that shows hsa-let7b-5p low expression in naso-oropharyngeal swabs of COVID-19 patients and demonstrates a functional role of this miR in regulating ACE2 and DPP4 levels. These data suggest the involvement of hsa-let7b-5p in the regulation of genes necessary for SARS-CoV-2 infections and its putative role as a therapeutic target for COVID-19

Expression profile of HERVs and inflammatory mediators detected in nasal mucosa as a predictive biomarker of COVID-19 severity

IntroductionOur research group and others demonstrated the implication of the human endogenous retroviruses (HERVs) in SARS-CoV-2 infection and their association with disease progression, suggesting HERVs as contributing factors in COVID-19 immunopathology. To identify early predictive biomarkers of the COVID-19 severity, we analyzed the expression of HERVs and inflammatory mediators in SARS-CoV-2-positive and -negative nasopharyngeal/oropharyngeal swabs with respect to biochemical parameters and clinical outcome.MethodsResiduals of swab samples (20 SARS-CoV-2-negative and 43 SARS-CoV-2-positive) were collected during the first wave of the pandemic and expression levels of HERVs and inflammatory mediators were analyzed by qRT-Real time PCR.ResultsThe results obtained show that infection with SARS-CoV-2 resulted in a general increase in the expression of HERVs and mediators of the immune response. In particular, SARS-CoV-2 infection is associated with increased expression of HERV-K and HERV-W, IL-1β, IL-6, IL-17, TNF-α, MCP-1, INF-γ, TLR-3, and TLR-7, while lower levels of IL-10, IFN-α, IFN-β, and TLR-4 were found in individuals who underwent hospitalization. Moreover, higher expression of HERV-W, IL-1β, IL-6, IFN-α, and IFN-β reflected the respiratory outcome of patients during hospitalization. Interestingly, a machine learning model was able to classify hospitalized vs not hospitalized patients with good accuracy based on the expression levels of HERV-K, HERV-W, IL-6, TNF-a, TLR-3, TLR-7, and the N gene of SARS-CoV-2. These latest biomarkers also correlated with parameters of coagulation and inflammation.DiscussionOverall, the present results suggest HERVs as contributing elements in COVID-19 and early genomic biomarkers to predict COVID-19 severity and disease outcome

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

L’emorroidectomia secondo Milligan-Morgan con bisturi ad ultrasuoni

Premessa: L’emorroidectomia secondo Milligan-Morgan rappre - senta tutt’oggi il trattamento di scelta per la patologia emorroidaria. Il dolore post-operatorio rimane comunque la complicanza più temu - ta dai pazienti e molteplici sono le ricerche rivolte a ridurne l’inten - sità. Scopo del presente lavoro è stato quello di valutare se nell’emor - roidectomia secondo Milligan-Morgan l’uso del bisturi ad ultrasuoni possa ridurre il dolore post-operatorio. Materiali e metodi: Trenta pazienti affetti da emorroidi di III e IV grado sono stati inclusi nello studio e suddivisi in due gruppi. Nel I gruppo l’emorroidectomia sec. Milligan-Morgan è stata praticata utilizzando strumenti convenzionali, nel II gruppo lo stesso interven - to è stato effettuato con il bisturi ad ultrasuoni. Sono stati valutati: la durata dell’intervento, il tempo di degenza, il tempo di apertura dell’alvo alle feci, i tempi di completa riepitelizzazione e di ritorno alle normali attività, le complicanze, il dolore e la quantità di anal - gesici somministrati. Risultati: Nei pazienti del II gruppo è stato osservato un minor tempo di riepitelizzazione delle ferite con ridotta estensione della necrosi e dell’infiltrato flogistico associato ad una riduzione del dolore post-operatorio e ad un minor consumo di analgesici. C o n c l u s i o n i: L’utilizzo del bisturi ad ultrasuoni nell’emorroi - dectomia sec. Milligan- Morgan, rispetto agli strumenti convenziona - li, riduce il dolore post-operatorio e consente un accorciamento dei tempi di guarigione con un precoce ritorno alle normali attività. Per tale motivo il suo utilizzo, nonostante, i più elevati costi, appare van - taggioso

Engineering geological 3D modeling and geotechnical characterization in the framework of technical rules for geotechnical design: the case study of the Nola’s logistic plant (southern Italy)

In the design and construction of buildings and infrastructures, the reconstruction of a reliable 3D engineering geological model is an essential step to optimize costs of the construction and limit risks from failure or damage due to unforeseen ground conditions. The modeling of ground conditions is a challenging issue to be tackled especially in the case of geological units with complex geometries and spatially variable geotechnical properties. In such a direction, coupled geological and geotechnical criteria are usually adopted to define engineering geological units. These concepts are considered by the current technical rules for geotechnical design such as the Eurocode 7 and in the national regulations which have followed it, known in Italy as “Norme Tecniche per le Costruzioni (NTC).” Notwithstanding this advanced regulatory framework, no comprehensive indications on methodological approaches were given for the 3D engineering geological modeling and geotechnical characterization of a design and construction site. In this paper, the case study of the highly heterogeneous and heteropic pyroclastic-alluvial stratigraphic setting of the Nola plain (Campania, southern Italy) characterizing the site of the Nola’s logistic plant is dealt with. The approaches are based on the engineering geological modeling analysis of a high number of stratigraphic, laboratory and in situ geotechnical data, collected for the design of the plant, and the use of a specialized modeling software providing advanced capabilities in spatial modeling of geological and geotechnical information, as well as in their visual representation. The results obtained, including also the analysis of statistical variability of geotechnical properties and the identification of representative geotechnical values, can be potentially considered a methodological approach, consistent with the current technical rules for geotechnical design as well as with fundamental concepts of engineering geological modeling and mapping

Multidistrict Host–Pathogen Interaction during COVID-19 and the Development Post-Infection Chronic Inflammation

Due to the presence of the ACE2 receptor in different tissues (nasopharynx, lung, nervous tissue, intestine, liver), the COVID-19 disease involves several organs in our bodies. SARS-CoV-2 is able to infect different cell types, spreading to different districts. In the host, an uncontrolled and altered immunological response is triggered, leading to cytokine storm, lymphopenia, and cellular exhaustion. Hence, respiratory distress syndrome (ARDS) and systemic multi-organ dysfunction syndrome (MODS) are established. This scenario is also reflected in the composition of the microbiota, the balance of which is regulated by the interaction with the immune system. A change in microbial diversity has been demonstrated in COVID-19 patients compared with healthy donors, with an increase in potentially pathogenic microbial genera. In addition to other symptoms, particularly neurological, the occurrence of dysbiosis persists after the SARS-CoV-2 infection, characterizing the post-acute COVID syndrome. This review will describe and contextualize the role of the immune system in unbalance and dysbiosis during SARS-CoV-2 infection, from the acute phase to the post-COVID-19 phase. Considering the tight relationship between the immune system and the gut–brain axis, the analysis of new, multidistrict parameters should be aimed at understanding and addressing chronic multisystem dysfunction related to COVID-19

Annali storici di Principato Citra A. 5, n. 1.1 (2007)

A. 5, n. 1.1 (2007): G. Guardia, Editoriale, P. 3 ; F. La Greca, I terremoti in Campania in età romana e medioevale. Sismologia e sismografia storica, P. 5 ; R. Ricci, II grande santo protettore di Cannalonga: Toribio Mogrovejo, P. 35 ; A. De Vita, Universitas civium, baronaggio e "dialettica politica" nel Principato Citra nell'età moderna (secc. XVII-XVIII). Alla ricerca del patriziato "rurale" nel Regno di Napoli: alcuni casi di studio, P. 65 ; D. Petrone, Il monastero di Santa Maria delle Grazie di Eboli in due testimonianze archivistiche del XIX secolo, P. 83 ; S. Marchetti, Liborio Bonifacio ed il siero della speranza, P. 101 ; G. Incarnato, Una saga borghese: i Ferrara di S. Biase, P. 147 ; D. Di Ruocco, La Madonna del Sacro Monte tra modernità e tradizione, P. 158

Thymosin α1 interacts with Galectin-1 modulating the β-galactosides affinity and inducing alteration in the biological activity

The study of mechanism of action of Thymosin alpha 1 (T alpha 1) and the basis of the pleiotropic effect in health and disease, is one of the main focus of our ongoing research. T alpha 1 is a thymic peptide that demonstrates a peculiar ability to restore homeostasis in different physiological and pathological conditions (i.e., infections, cancer, immunodeficiency, vaccination, and aging) acting as multitasking protein depending on the host state of inflammation or immune dysfunction. However, few are the information about mechanisms of action mediated by specific T alpha 1-target protein interaction that could explain its pleiotropic effect. We investigated the interaction of T alpha 1 with Galectin-1 (Gal-1), a protein belonging to an oligosaccharide binding protein family involved in a variety of biological and pathological processes, including immunoregulation, infections, cancer progression and aggressiveness. Using molecular and cellular methodological approaches, we demonstrated the interaction be-tween these two proteins. T alpha 1 specifically inhibited the hemagglutination activity of Gal-1, the Gal-1 dependent in vitro formation of endothelial cell tubular structures, and the migration of cancer cells in wound healing assay. Physico-chemical methods revealed the details of the molecular interaction of T alpha 1 with Gal-1. Hence, the study allowed the identification of the not known until now specific interaction between T alpha 1 and Gal-1, and unraveled a novel mechanism of action of T alpha 1 that could support understanding of its pleiotropic activity