321 research outputs found
Macroseismic effects highlight site response in Rome and its geological signature
A detailed analysis of the earthquake effects on the urban area of Rome has been conducted for the L’Aquila sequence, which occurred in April 2009, by using an on-line macroseismic questionnaire. Intensity residuals calculated using the mainshock and four aftershocks are analyzed in the light of a very accurate and original geological reconstruction of the subsoil of Rome based on a large amount of wells. The aim of this work is to highlight ground motion amplification areas and to find a correlation with the geological settings at a sub-regional scale, putting in evidence the extreme complexity of the phenomenon and the difficulty of making a simplified model. Correlations between amplification areas and both near-surface and deep geology were found. Moreover, the detailed scale of investigation has permitted us to find a correlation between seismic amplification in recent alluvial settings and subsiding zones, and between heard seismic sound and Tiber alluvial sediments
Usefulness of transesophageal echocardiography in the assessment of aortic dissection
The acute dissection of the ascending aorta requires prompt and reliable diagnosis to reduce the high risk of mortality; in addition, prognosis is influenced by longterm complications. The aim of this article is to discuss transesophageal echocardiography (TEE) and (1) its diagnostic accuracy in the presurgical evaluation of patients, (2) its role in reducing time of diagnosis and surgery, and (3) its ability to reduce hospital mortality. TEE has also been tested as a screening method in the postsurgical follow-up of these patients. The retrospective investigation concerns a sample of 80 cases of acute dissection of the aorta, submitted for surgical intervention from April 1986 to February 1999. TEE has allowed a precise estimation of aortic diameters and optimal visualization of intimal flap and tear entry with a fine distinction between true and false lumen. A direct comparison of the results of TEE and of transthoracic echocardiography has demonstrated that some elements (visualization of flap and diameters in descending aorta, sites of entry and reentry, direction of let trough intimal tears, phasic intimal flap movement, diastolic collapse of flap on the valvular plane, false lumen thrombosis, coronary involvement, intramural hematoma, and aortic fissuration) were identified only by TEE, whereas other additional diagnostic elements (cardiac tamponade, aortic valve insufficiency, left ventricular function) show a similar pattern of significance. Routine employment of this method has confirmed a reduction of hospitalization time (about 1.5 hours of waiting time), and hospital mortality has changed from 42.8% to 17.3%. In the follow-up of patients operated on for aortic dissection, fundamental information may be obtained from TEE (assessment of the progression of thrombosis in the false lumen with its complete obliteration and modifications in aortic diameter with a consequent, possible worsening of aortic valve insufficiency). In conclusion, our study demonstrated that TEE may provide fast and efficient detection of acute aortic dissection. In the postsurgical follow-up, TEE has confirmed detection of major complications that can influence long-term prognosis and may be proposed as a method with easy access-one that is repeatable and inexpensive for the screening of aortic dissection surgical patients. (C) 2000 by Excerpta Medica, Inc
Double Heterozygous Mutations Involving Both HNF1A/MODY3 and HNF4A/MODY1 Genes: A case report
none9Abstract
We describe the first MODY case with mutations involving both HNF4A and HNF1A genes.
History and Examination. A male patient was diagnosed with diabetes at age 17; the metabolic control rapidly worsened to insulin requirement. At that time no relatives were known to be affected by diabetes, which was diagnosed years later in both parents (father at age 50, mother at age 54) and the sister (age 32 during pregnancy).
Investigations. The genetic screening showed a double heterozygosity for the mutation p.E508K in HNF1A/MODY3 gene and the novel variant p.R80Q in HNF4A/MODY1 gene. The genetic testing of the family showed that the father carried the MODY3 mutation while the mother, the sister and her two children carried the MODY1 mutation.
Conclusions. MODY1 and MODY3 mutations may interact by chance to give a more severe form of diabetes (younger age at presentation, early need of insulin therapy to control hyperglycemia).mixedG. Forlani; S. Zucchini; A. Di Rocco; R. Di Luzio; M. Scipione; E. Marasco; G. Romeo; G. Marchesini Reggiani; V. MantovaniG. Forlani; S. Zucchini; A. Di Rocco; R. Di Luzio; M. Scipione; E. Marasco; G. Romeo; G. Marchesini Reggiani; V. Mantovan
18F-fluorodeoxyglucose (18F-FDG) functionalized gold nanoparticles (GNPs) for plasmonic photothermal ablation of cancer. A review
The meeting and merging between innovative nanotechnological systems, such as nanoparticles, and the persistent need to outperform diagnostic-therapeutic approaches to fighting cancer are revolutionizing the medical research scenario, leading us into the world of nanomedicine. Photothermal therapy (PTT) is a non-invasive thermo-ablative treatment in which cellular hyperthermia is generated through the interaction of near-infrared light with light-to-heat converter entities, such as gold nanoparticles (GNPs). GNPs have great potential to improve recovery time, cure complexity, and time spent on the treatment of specific types of cancer. The development of gold nanostructures for photothermal efficacy and target selectivity ensures effective and deep tissue-penetrating PTT with fewer worries about adverse effects from nonspecific distributions. Regardless of the thriving research recorded in the last decade regarding the multiple biomedical applications of nanoparticles and, in particular, their conjugation with drugs, few works have been completed regarding the possibility of combining GNPs with the cancer-targeted pharmaceutical fluorodeoxyglucose (FDG). This review aims to provide an actual scenario on the application of functionalized GNP-mediated PTT for cancer ablation purposes, regarding the opportunity given by the 18F-fluorodeoxyglucose (18F-FDG) functionalization
Does the term 'trophic' actually mean anti-amyloidogenic? The case of NGF.
The term trophic is widely used to indicate a general pro-survival action exerted on target cells by different classes of extracellular messengers, including neurotrophins (NTs), a family of low-molecular-weight proteins whose archetypal member is the nerve growth factor (NGF). The pro-survival action exerted by NTs results from a coordinated activation of multiple metabolic pathways, some of which have only recently come to light. NGF has been shown to exert a number of different, experimentally distinguishable effects on neurons, such as survival, differentiation of target neurons, growth of nerve fibers and their guidance (tropism) toward the source of its production. We have proposed a more complete definition of the NGF trophic action that should also include its newly discovered property of inhibiting the amyloidogenic processing of amyloid precursor protein (APP), which is among the first hypothesized primary trigger of Alzheimer's disease (AD) pathogenesis. This inhibitory action appears to be mediated by a complex series of molecular events and by interactions among NGF receptors (TrkA and p75), APP processing and tau metabolic fate and fun
PREDICTING THE LONG-TERM PERFORMANCE OF STRUCTURES MADE WITH ADVANCED CEMENT BASED MATERIALS IN EXTREMELY AGGRESSIVE ENVIRONMENTS: CURRENT STATE OF PRACTICE AND RESEARCH NEEDS – THE APPROACH OF H2020 PROJECT RESHEALIENCE.
Recently, in the framework of H2020, the European Commission has funded the project
ReSHEALience (www.uhdc.eu), whose main goal is to develop an Ultra High Durability
Concrete (UHDC) and a Durability Assessment-based Design (DAD) methodology for
structures, to improve durability and predict their long-term performance under Extremely
Aggressive Exposures. The project, coordinated by Politecnico di Milano, gathers 14 partners
from 8 different countries (Italy, Spain, Estonia, Germany, Greece, Ireland, Israel, Malta),
including 6 academic and research institutions together with 8 industrial partners, which cover
the whole value chain, from producers of concrete constituents to construction companies to
stake-holders and end-users. A key activity of the project will consist in the development of a
theoretical model to evaluate ageing and degradation of UHDC structures, extending the
modelling to predict the lifespan, and its incorporation in a Durability Assessment-based Design
(DAD) methodology, which will be validated against experimental tests performed in the same
project and the monitored performance of six full-scale pilots in real exposure conditions. The
paper, starting from a review of the current state of art on the modelling of advanced cement
based materials in extremely aggressive environments (EAE), will address the approach
pursued in the project
First results from the CROP-11 deep seismic profile, central Apennines, Italy: evidence of mid-crustal folding
The CROP-11 deep seismic profile across the central Apennines, Italy, reveals a previously unknown, mid-crustal antiform here interpreted as a fault-bend fold-like structure. The seismic facies and gravity signature suggest that this structure consists of low-grade metamorphic rocks. Geomorphological, stratigraphic and tectonic evidence in the overlying shallow thrusts suggests that this structure developed in early to mid-Messinian time and grew out of sequence in late Messinian–
Pliocene time. The out-of-sequence growth may reflect a taper subcriticality stage of the Apenninic thrust wedge, which
induced renewed contraction in the rear.Published583–586ope
First results from CROP-11 deep seismic profile, central Apennines, Italy:evidence of mid-crustal folding.
Geophysical and geological data used to reconstruct the deep structures of central Ital
First results from the CROP-11 deep seismic profile, central Apennines, Italy: evidence of mid-crustal folding
The CROP-11 deep seismic profile across the central Apennines, Italy, reveals a previously unknown, mid-crustal antiform here interpreted as a fault-bend fold-like structure. The seismic facies and gravity signature suggest that this structure consists of low-grade metamorphic rocks. Geomorphological, stratigraphic and tectonic evidence in the overlying shallow thrusts suggests that this structure developed in early to mid-Messinian time and grew out of sequence in late Messinian–
Pliocene time. The out-of-sequence growth may reflect a taper subcriticality stage of the Apenninic thrust wedge, which
induced renewed contraction in the rear
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