68 results on '"Stanzione, F."'
Search Results
2. Insights on the role of primary and secondary tar reactions in soot inception during fast pyrolysis of coal
- Author
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Apicella, B., Russo, C., Cerciello, F., Stanzione, F., Ciajolo, A., Scherer, V., and Senneca, O.
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- 2020
- Full Text
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3. Investigation on chemical and structural properties of coal- and petroleum-derived pitches and implications on physico-chemical properties (solubility, softening and coking)
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Russo, C., Ciajolo, A., Stanzione, F., Tregrossi, A., Oliano, M.M., Carpentieri, A., and Apicella, B.
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- 2019
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4. High temperature pyrolysis of lignite and synthetic carbons
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Apicella, B., Russo, C., Ciajolo, A., Cortese, L., Cerciello, F., Stanzione, F., Wuetscher, A., Muhler, M., and Senneca, O.
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- 2019
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5. Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey
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Musella M., Vitiello A., Susa A., Greco F., De Luca M., Manno E., Olmi S., Raffaelli M., Lucchese M., Carandina S., Foletto M., Pizza F., Bardi U., Navarra G., Schettino A. M., Gentileschi P., Sarro G., Chiappetta S., Tirone A., Berardi G., Velotti N., Foschi D., Zappa M., Piazza L., Bagaglini G., Benavoli D., Belluzzi A., Callari C., Giusti M., Facchiano E., Licari L., Iovino G., Piatto G., Stanzione F., Uccelli M., Veroux G., Voglino C., Musella, M., Vitiello, A., Susa, A., Greco, F., De Luca, M., Manno, E., Olmi, S., Raffaelli, M., Lucchese, M., Carandina, S., Foletto, M., Pizza, F., Bardi, U., Navarra, G., Schettino, A. M., Gentileschi, P., Sarro, G., Chiappetta, S., Tirone, A., Berardi, G., Velotti, N., Foschi, D., Zappa, M., Piazza, L., Bagaglini, G., Benavoli, D., Belluzzi, A., Callari, C., Giusti, M., Facchiano, E., Licari, L., Iovino, G., Piatto, G., Stanzione, F., Uccelli, M., Veroux, G., Voglino, C., Musella, Mario, Vitiello, Antonio, Susa, Antonio, Greco, Francesco, De Luca, Maurizio, Manno, Emilio, Olmi, Stefano, Raffaelli, Marco, Lucchese, Marcello, Carandina, Sergio, Foletto, Mirto, Pizza, Francesco, Bardi, Ugo, Navarra, Giuseppe, Schettino, Angelo Michele, Gentileschi, Paolo, Sarro, Giuliano, Chiappetta, Sonja, Tirone, Andrea, Berardi, Giovanna, Velotti, Nunzio, Foschi, Diego, Zappa, Marco, and Piazza, Luigi
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Gastric Fistula ,Reoperation ,One anastomosis gastric bypass ,Nutrition and Dietetics ,Complications ,Endocrinology, Diabetes and Metabolism ,Mini gastric bypa ,Original Contributions ,Revisional surgery ,Gastric Bypass ,Mini gastric bypass ,OAGB/MGB ,Obesity, Morbid ,One anastomosis gastric bypa ,Surveys and Questionnaires ,Weight Loss ,Humans ,Surgery ,Complication ,Retrospective Studies - Abstract
Background Efficacy and safety of OAGB/MGB (one anastomosis/mini gastric bypass) have been well documented both as primary and as revisional procedures. However, even after OAGB/MGB, revisional surgery is unavoidable in patients with surgical complications or insufficient weight loss. Methods A questionnaire asking for the total number and demographics of primary and revisional OAGB/MGBs performed between January 2006 and July 2020 was e-mailed to all S.I.C. OB centres of excellence (annual caseload > 100; 5-year follow-up > 50%). Each bariatric centre was asked to provide gender, age, preoperative body mass index (BMI) and obesity-related comorbidities, previous history of abdominal or bariatric surgery, indication for surgical revision of OAGB/MGB, type of revisional procedure, pre- and post-revisional BMI, peri- and post-operative complications, last follow-up (FU). Results Twenty-three bariatric centres (54.8%) responded to our survey reporting a total number of 8676 primary OAGB/MGBS and a follow-up of 62.42 ± 52.22 months. A total of 181 (2.08%) patients underwent revisional surgery: 82 (0.94%) were suffering from intractable DGER (duodeno-gastric-esophageal reflux), 42 (0.48%) were reoperated for weight regain, 16 (0.18%) had excessive weight loss and malnutrition, 12 (0.13%) had a marginal ulcer perforation, 10 (0.11%) had a gastro-gastric fistula, 20 (0.23%) had other causes of revision. Roux-en-Y gastric bypass (RYGB) was the most performed revisional procedure (109; 54%), followed by bilio-pancreatic limb elongation (19; 9.4%) and normal anatomy restoration (19; 9.4%). Conclusions Our findings demonstrate that there is acceptable revisional rate after OAGB/MGB and conversion to RYGB represents the most frequent choice. Graphical abstract
- Published
- 2022
6. Effects of CO2 on submicronic carbon particulate (soot) formed during coal pyrolysis in a drop tube reactor
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Senneca, O., Apicella, B., Heuer, S., Schiemann, M., Scherer, V., Stanzione, F., Ciajolo, A., and Russo, C.
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- 2016
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7. Evaluation of the ‘putative’ role of intraoperative intact parathyroid hormone assay during parathyroidectomy for secondary hyperparathyroidism. A retrospective study on 35 consecutive patients: Intraoperative iPTH assay during parathyroidectomy
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Conzo, G., Perna, A., Avenia, N., De Santo, R. M., Della Pietra, C., Palazzo, A., Sinisi, A. A., Stanzione, F., and Santini, L.
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- 2012
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8. Total parathyroidectomy without autotransplantation in the surgical treatment of secondary hyperparathyroidism of chronic kidney disease
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Conzo, Giovanni, Perna, A. F., Sinisi, A. A., Palazzo, A., Stanzione, F., Delia Pietra, C., and Livrea, A.
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- 2012
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9. COMPARATIVE STUDY OF BIOCHAR FROM SHORT ROTATION COPPICE FOR OPTIMIZATION OF PHYTOEXTRACTION BY-PRODUCTS MANAGEMENT
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GROTTOLA, CORINNA MARIA, GIUDICIANNI, PAOLA, PINDOZZI, STEFANIA, FAUGNO, SALVATORE, FAGNANO, MASSIMO, FIORENTINO, NUNZIO, RAGUCCI, RAFFAELE, Stanzione, F., ASICI - Associazione Sezione Italiana del Combustion Institute, Mario Commodo, Wolter Prins, Fabrizio Scala, Antonio Tregrossi, Grottola, CORINNA MARIA, Giudicianni, Paola, Pindozzi, Stefania, Stanzione, F., Faugno, Salvatore, Fagnano, Massimo, Fiorentino, Nunzio, and Ragucci, Raffaele
- Abstract
Phytoremediation technique is of growing interest in the restoration of trace elements contaminated soils. An integrated approach, combining land restoration and biomass post-processing, using a pyrolysis process for material and/or energy recovery, could allow for effective realization of such a process. The dependence of yields, chemical and structural characteristics of char on the biomass feedstock and pyrolysis thermal conditions are important features to be evaluated to explore the possible applications of such a product. In this framework, a comparative study of steam assisted slow pyrolysis of five biomasses has been carried at 873 K. Results demonstrate that for applications requiring high specific surface area Populus Nigra. On the contrary, if the goal is the maximization of the energy recovery in the char, Eucalyptus represents the best choice.
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- 2016
10. Laparoscopic treatment of chronic slow transit constipation. Report of three cases and review of literature
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Conzo, G., Allaria, A., Stanzione, F., Rossetti, G., Candela, G., Mauriello, C., Landino FEI, Santini, L., Conzo, Giovanni, Allaria, Alfredo, Stanzione, F, Rossetti, G, Candela, Giancarlo, Mauriello, C, Fei, Landino, and Santini, Luigi
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Laparoscopic subtotal colectomy ,Colonic inertia ,Cecorectal anastomosi - Abstract
"\"Abstract. INTRODUCTION:. The Authors present their experience with laparoscopic total or subtotal colectomy (TC or SC) in three patients operated for intractable chronic slow transit constipation (STC), together with a review of literature.. MATERIAL AND METHODS:. From July 2005 to July 2009 three young patients affected by STC, after meticulous preoperative instrumental work-up and after failure of medical treatment, were submitted to laparoscopic TC and ideo rectal anastomosis (IRA) in two cases and to laparo assisted SC followed by Ceco Rectal Anastomosis (CRA) in one case. Number of daily bowel motions, urgency soiling, incontinence, abdominal pain, bloating with special regard to patient's quality of life, were analyzed.. RESULTS:. All the interventions were completed via laparoscopic approach. No postoperative morbidity or mortality were observed. After twelve months, the patients referred two-three daily evacuation of soft stool, with a good continence and disappearance of abdominal pain and other relatives symptoms. They reported excellent satisfaction with the surgical results and a significant improvement of their quality of life.. DISCUSSION:. TC with IRA and CRA after SC represent the most effective and widely used surgical operations in the treatment of STC, in well selected patients, after failure of conservative treatment. According to Literature data, and in our experience, no significant differences in terms of postoperative morbidity or mortality neither in quality of life were observed between the two operations. It is well demonstrated the feasibility of the laparoscopic approach in treatment of colorectal pathologies with typically advantages of less invasive surgery, respect of parietal integrity, less postoperative pain and ileus, fewer postoperative adhesions, a reduced hospitalisation and finally a better cosmesis.. CONCLUSIONS:. Laparoscopic TC and IRA and CRA after laparo assisted SC represent efficacious operations in the treatment of STC offering a good postoperative quality of life and reduced morbidity compared to open surgery.\""
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- 2012
11. Videolaparo- assisted subtotal colectomy with cecorectal anastomosis in the treatment of chronic slow transit constipation
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CONZO, Giovanni, STANZIONE F, CELSI S, PALAZZO A, DELLA PIETRA C, CANDILIO G, LIVREA A., Conzo, Giovanni, Stanzione, F, Celsi, S, Palazzo, A, DELLA PIETRA, C, Candilio, G, and Livrea, A.
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slow transit costipation, cecorectal anastomosis, laparoscopic subtotal colectomy, ileorectal anastomosis - Abstract
Mechanical cecorectal anastomosis after subtotal colectomy, in the treatment of slow transit constipation, probably represents the most attractive surgical alternative to total colectomy and ileorectal anastomosis. In fact the operation allows better results in terms of postoperative diarrhoea, fecal incontinence and postoperative adherential syndrome. Literature data have demonstrated the feasibility of the laparoscopic approach with tipically advantages of less invasive surgery respect of parietal integrity,less postoperative pain and ileus, fewer postoperative adhesions, a reduced hospitalitation and finally, a better cosmesis. The Authors report a case of mechanical end to end cecorectal anastomosis after laparo-assisted subtotal colectomy (by four trocars) preserving superior rectal and ilecolic vessels, for the treatment of slow transit constipation in a 20 years old male patient .The reported operative approach which links tipical laparoscopic advantages to a more "safety" and "accurate" extracorporeal mechanical anastomosis.
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- 2010
12. Multidisciplinary approach in the treatment of intrahepatic lithiasis. Case report
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Esposito MG, Iaccarino V, Venetucci P, Stanzione F, Brancaccio U, Palazzo A, Celsi S, Livrea A, CONZO, Giovanni, Esposito, Mg, Conzo, Giovanni, Iaccarino, V, Venetucci, P, Stanzione, F, Brancaccio, U, Palazzo, A, Celsi, S, and Livrea, A
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- 2007
13. Nitrite metabolism in tobacco yeast strain Debaryomyces hansenii TOB-Y7
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PARENTE D, FIORENTINO F, SORRENTINO F. A, STANZIONE F, MASSARDO D. R, PONTIERI P, DEL GIUDICE L, CARATA, ELISABETTA, TREDICI, Salvatore Maurizio, VIGLIOTTA, Giovanni, ALIFANO, Pietro, Parente, D, Fiorentino, F, SORRENTINO F., A, Stanzione, F, MASSARDO D., R, Pontieri, P, DEL GIUDICE, L, Carata, Elisabetta, Tredici, Salvatore Maurizio, Vigliotta, Giovanni, and Alifano, Pietro
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Tobacco fermentation ,Debaryomyces hansenii ,Tobacco specific nitrosamines - Published
- 2007
14. VL subtotal colectomy with cecorectal anastomosis for crhonic constopation from slow transit
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CONZO, Giovanni, Esposito M. G., Brancaccio U., Palazzo A., Stanzione F., Celsi S., Livrea A., Conzo, Giovanni, Esposito, M. G., Brancaccio, U., Palazzo, A., Stanzione, F., Celsi, S., and Livrea, A.
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- 2006
15. Surgical treatment of obstructed defecation in rectocele. Our experience
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Brancaccio U., Palazzo A., Stanzione F., Esposito M.G., Celsi S., Livrea A., CONZO, Giovanni, Brancaccio, U., Palazzo, A., Stanzione, F., Esposito, M. G., Celsi, S., Conzo, Giovanni, and Livrea, A.
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- 2006
16. Total parathyroidectomy with subcutaneous autotransplantation for secondary hyperparathyroidism
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Esposito M.G., Stanzione F., Palazzo A., Brancaccio U., Celsi S., Livrea A., CONZO, Giovanni, Esposito, M. G., Stanzione, F., Palazzo, A., Brancaccio, U., Celsi, S., Conzo, Giovanni, and Livrea, A.
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- 2006
17. Total parathyroidectomy with subcutaneous autotransplantation. Our experience
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Esposito M. G., Brancaccio U., Palazzo A., Stanzione F., Celsi S., Livrea A., CONZO, Giovanni, Esposito, M. G., Conzo, Giovanni, Brancaccio, U., Palazzo, A., Stanzione, F., Celsi, S., and Livrea, A.
- Published
- 2006
18. Surgical tecnique of VL subtotal colectomy with ceco-rectal anastomosis:case report
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Esposito M.G., Brancaccio U., Palazzo A., Stanzione F., Celsi S., Livrea A., CONZO, Giovanni, Esposito, M. G., Conzo, Giovanni, Brancaccio, U., Palazzo, A., Stanzione, F., Celsi, S., and Livrea, A.
- Published
- 2006
19. Surgical treatment of iatrogenic bile duct injuries following laparoscopic cholecystectomy: analysis of long-term results. Retrospective clinical study in 51 patients operated in the Campania region from 1991 to 2003
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CONZO, Giovanni, AMATO G, ANGRISANI L, BARDI U, BARONE G, BELLI G, BRANCACCIO U, CALISE F, CALIENDO A, CELSI S, CORCIONE F, CUCCURULLO D, DE FALCO G, DELRIO P, DE WERRA C, DE SENA G, ESPOSITO MG, FANTINI C, GIARDIELLO C, MUSELLA M, MOLINO C, MUTO C, PENNETTI L, PUZIELLO A, PORCELLI A, REA R, RENDANO F, PALAZZO A, SANTANGELO M, SANTANIELLO W, SANTINI L, SPERLONGANO, Pasquale, STANZIONE F, TARTAGLIA A, TRICARICO A, VINCENTI R, LORENZO M., DOCIMO, Giovanni, Conzo, Giovanni, Amato, G, Angrisani, L, Bardi, U, Barone, G, Belli, G, Brancaccio, U, Calise, F, Caliendo, A, Celsi, S, Corcione, F, Cuccurullo, D, DE FALCO, G, Delrio, P, DE WERRA, C, DE SENA, G, Docimo, Giovanni, Esposito, Mg, Fantini, C, Giardiello, C, Musella, M, Molino, C, Muto, C, Pennetti, L, Puziello, A, Porcelli, A, Rea, R, Rendano, F, Palazzo, A, Santangelo, M, Santaniello, W, Santini, L, Sperlongano, Pasquale, Stanzione, F, Tartaglia, A, Tricarico, A, Vincenti, R, and Lorenzo, M.
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laparoscopic cholecistectomy ,hepatic jejunostomy ,t-tube plastly ,bile duct injures - Abstract
An higher incidence rate of iatrogenic bile duct injuries is reported in cholecystectomy performed with the laparoscopy than with the laparotomy approach. The aim of this study was to provide a multicentre report on surgical treatment and the outcome of biliary complications during and following laparoscopic cholecystectomy. A questionnaire was mailed to all surgeons with experience in laparoscopic cholecystectomy in the Campania region. Data were collected from January 1991 to December 2003. Each patient was requested to indicate age, gender, associated diseases, site and type of lesion, surgical experience, diagnosis, treatment and complications. Twenty-six surgeons answered the questionnaire. Fifty-one patients (36 F/15 M; mean age: 42.5 +/- 11.9, range 13-91 years) with bile duct injuries following laparoscopic cholecystectomy were reported. The most frequent lesions were main bile duct partial or total transection. The intraoperative mortality rate was 1/51 (1.9%) due to a complex biliary and vascular injury. The postoperative mortality rate of revision surgery was 5/50 (10%). T-tube positioning (n = 20) and Roux-en-Y hepato-jejunostomy (n = 20) were the procedures most frequently performed. The complication rate in patients treated with the T-tube was significantly higher than in those treated with hepatico-jejunostomy. Surgical treatment of biliary injuries following laparoscopic cholecystectomy was characterized by unusually high mortality and morbidity for a non-neoplastic disease. Roux-en-Y hepato-jejunostomy remains the procedure of choice for these injuries.
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- 2005
20. Characterization of Nanometric-size Fractions of Flame-formed Particulate
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Alfe M., Stanzione F., and Ciajolo A.
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lcsh:Computer engineering. Computer hardware ,ComputingMethodologies_DOCUMENTANDTEXTPROCESSING ,lcsh:TP155-156 ,lcsh:TK7885-7895 ,lcsh:Chemical engineering ,ComputingMilieux_MISCELLANEOUS ,ComputingMethodologies_COMPUTERGRAPHICS - Abstract
The adverse health effects of aerosol combustion-formed carbon pollutants, ranging from polycyclic aromatic hydrocarbons (PAH) to solid soot (Ciajolo et al., 2009), are due both to particle size (the health impact could becomes even more important going down to the nanometric size range, (Kennedy, 2007, Kumfer et al. 2009) and to the aromatic species (polymer-like species and PAH) often strongly adsorbed on soot particles (Mathieu et al., 2007, Alfè et al., 2008). The complex chemical nature of nanometric particles is currently under study representing a fundamental step to understand their role in health impact and in soot formation process. In this work a novel analytical approach was used to characterize in detail the species adsorbed fraction on combustion-formed particulate by means of extraction with diverse solvents and further mass spectrometric and FT-IR spectroscopy analysis of the chemical functionalities of both soot and soot extract. Copyright © 2010 AIDIC servizi S.r.l.
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- 2010
- Full Text
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21. Role of Nanostructure and Adsorbed Organic Compounds on Radical Activity of Flame Formed Soot
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Alfe M., Stanzione F., Carella E., Ghiazza M., Tomatis M., Fenoglio I., and Ciajolo A.
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radical ,lcsh:Computer engineering. Computer hardware ,ComputingMethodologies_DOCUMENTANDTEXTPROCESSING ,esr spectroscopy ,lcsh:TP155-156 ,lcsh:TK7885-7895 ,lcsh:Chemical engineering ,complex mixtures ,soot ,ComputingMilieux_MISCELLANEOUS ,ComputingMethodologies_COMPUTERGRAPHICS - Abstract
Combustion-derived soot is a polydispersion of carbon-based molecules/particles ranging from a molecular scale length to a particle scale length (1-100 nm). It is considered responsible of respiratory and heart disease (Kumfer et al., 2009), and its mechanisms of action is related to the composition and structure, in turn mainly depending on the fuel and temperature environment in which soot is generated. Soot particles present a structural variability at a mesoscopic scale (size, geometry, nanostructure, primary particle diameter) that can be responsible of a different lung deposition degree and particle translocation behaviour. The toxic effects of inhaled dusts are believed to be mainly driven by oxidative stress which is the result of reactive oxygen species (ROS) (i.e. hydrogen peroxide, superoxide anion, hydroxyl radical) either generated directly by the particles/molecules or by cells in response to the particle exposure (Donaldson et al., 2005). This work aims to gain insights about the radical activity measured by electron spin resonance of soot generated from different fuels, namely benzene and ethylene, in relation to the specific local chemistry and nanostructural features as inferred by FT-IR and Raman spectroscopy. This study was performed on soot washed by solvent in order to eliminate light PAH (< 300u) adsorbed on soot surface with the aim to study the specific soot activity independently from the well known role of PAH. Copyright © 2010 AIDIC servizi S.r.l.
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- 2010
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22. Role of nanostructure and adsorbed organic compounds on radical activity of flame formed soot Chemical Engineering Transaction
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Alfè, M., Stanzione, F., Carella, Emanuele, Ghiazza, Mara, Tomatis, Maura, Fenoglio, Ivana, and Ciajolo, A.
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- 2010
23. Optical Properties of Particulates Collected in Rich Premixed
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Russo C., Stanzione F., Tregrossi A., and Ciajolo A.
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benzene flame ,soot - Abstract
Optical Properties of Particulates Collected in Rich Premixed Benzene Flames at Different Temperatures
- Published
- 2009
24. Light Absorption Coefficient and Hydrogen Content as Key Properties for Inferring Structural Features of Soot.
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Russo, C., Stanzione, F., Tregrossi, A., and Ciajolo, A.
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LIGHT absorption ,HYDROGEN as fuel ,ULTRAVIOLET radiation ,FOURIER transform infrared spectroscopy ,ETHYLENE ,OPTICAL spectroscopy - Abstract
The relationship between the light absorption coefficient of flame-formed soot and its hydrogen content was investigated by coupling UV-Visible spectroscopy with elemental analysis and FT-IR quantification of hydrogen tethered to soot sampled along the axis of a premixed ethylene flame. Just after soot inception, the preferential depletion of aliphatic hydrogen was observed moving from 0.2 to 0.1 hydrogen mole fraction and in correspondence of a relatively slight increase of the absorption coefficient. Soot formation rate decreased just after the disappearance of aliphatic hydrogen due to the consequent decrease of active sites on soot particles necessary for further carbon addition and growth. Crossing the threshold hydrogen mole fraction value of about 0.1, aromatic hydrogen resulted to survive to dehydrogenation producing a highly light-absorbing carbon. Thus, the high absorption coefficient appeared to be due to coagulation and thermal annealing marking the end of the soot formation process. [ABSTRACT FROM PUBLISHER]
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- 2014
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25. Spectral Analysis in the UV-Visible Range for Revealing the Molecular Form of Combustion-Generated Carbonaceous Species.
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Russo, C., Stanzione, F., Alfè, M., Ciajolo, A., and Tregrossi, A.
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SPECTRUM analysis ,ULTRAVIOLET spectroscopy ,OPTICAL spectroscopy ,COMBUSTION ,OPTICAL properties ,CARBON ,DECONVOLUTION (Mathematics) ,GEL permeation chromatography - Abstract
A method of UV-visible spectra analysis was developed for investigating the relationship between the optical properties and the complex composition/structure of carbonaceous species formed in a sooting premixed ethylene flame. The UV-visible spectra were measured on carbonaceous species, caught on quartz plates inserted along the flame and recovered by solvent treatment. The contribution and the structure of components in a very wide molecular weight range, from 200 to 1E11 u, were evaluated by size exclusion chromatography coupled with on-line UV-visible spectroscopy of the dichloromethane-soluble and dry soot fractions. The optical band gap and the UV peak position of each MW-segregated fraction were evaluated by means of a spectral deconvolution procedure, to get details on the carbon network structure in terms of sp2 and sp3 sites and size and stacking of the aromatic units. The species included in the 1E8-1E11 u range underwent graphitization/growth reactions during the formation process of carbonaceous species. Large polycyclic aroamtic hydrocarbon (PAH) molecules and clusters of PAH, included in the 200-1E8 u range, did not exhibit molecular growth and internal structure transformation, suggesting that they merely aggregate/coagulate participating to the formation of carbon particles. [ABSTRACT FROM AUTHOR]
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- 2012
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26. Integrated treatment of secondary hepatolithiasis. Case report.
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Conzo, G., Stanzione, F., Celsi, S., Candela, G., Venetucci, P., Palazzo, A., Pietra, C. Della, Santini, L., and Iaccarino, V.
- Published
- 2011
27. Videolaparo-assisted subtotal colectomy with cecorectal anastomosis in the treatment of chronic slow transit constipation.
- Author
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Conzo, G., Stanzione, F., Celsi, S., Palazzo, A., Della Pietra, C., Candilio, G., and Livrea, A.
- Published
- 2010
28. Role of preoperative adrenergic blockade with doxazosin on hemodynamic control during the surgical treatment of phechromocytoma. A retrospective study of 48 cases
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Antonio Agostino-Sinisi, Luigi Santini, Mario Musella, Marco Milone, Giovanni Conzo, Francesco Corcione, Fausto Ferraro, Daniela Pasquali, Salvatore Napolitano, Cristina Della-Pietra, Antonietta Palazzo, Maurizio Depalma, Francesco Stanzione, Conzo, G., Musella, M., Corcione, F., De Palma, M., Stanzione, F., Della Pietra, C., Palazzo, A., Napolitano, S., Pasquali, D., Milone, M., Sinisi, A. A., Ferraro, F., Santini, L., Conzo, G, Musella, Mario, Corcione, F, Depalma, M, Stanzione, F, Della Pietra, C, Palazzo, A, Napolitano, S, Pasquali, D, Milone, Marco, Agostino Sinisi, A, Ferraro, F, Conzo, Giovanni, Musella, M, Pasquali, Daniela, Milone, M, and Ferraro, Fausto
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Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Premedication ,Operative Time ,Adrenal Gland Neoplasms ,Hemodynamics ,Preoperative care ,Pheochromocytoma ,Young Adult ,Hemodynamic control ,Preoperative Care ,Doxazosin ,Medicine ,Humans ,Aged ,Retrospective Studies ,business.industry ,Adrenalectomy ,Age Factors ,Retrospective cohort study ,General Medicine ,Perioperative ,Middle Aged ,medicine.disease ,pheochromocytoma ,Surgery ,Blood pressure ,laparoscopic adrenalectomy, pheochromocytoma, doxazosin ,Anesthesia ,Hypertension ,Preoperative adrenergic blockade ,Adrenergic alpha-1 Receptor Antagonists ,Female ,business ,medicine.drug - Abstract
Authors evaluated the effects of selective adrenergic blockade by means of doxazosin on blood pressure in 48 patients operated on for pheochromocytoma by a multicenter retrospective study. Age, tumor size, surgical approach, and operative time were analyzed as predictive factors of intraoperative hypertensive crises. Forty-eight patients underwent adrenalectomy—four open surgery and 44 laparoscopic surgery—for pheochromocytoma of adrenal glands from 1998 to 2008 after preoperative administration of doxazosin. Perioperative cardiovascular status modifications and surgical medium- and long-term outcomes were analyzed. There was no mortality, conversion rate was 4.5 per cent, and morbidity rate was 8.3 per cent. Intraoperative hypertensive crises (180/ 90 mmHg or higher) were observed in 14.5 per cent (seven of 48) of patients and were treated pharmacologically with no aftermath. None of the examined variables influenced the occurrence of intraoperative hypertensive episodes. Postoperative hypotension (lower than 90/60 mmHg) was observed in four of 48 patients (8.3%) and was treated by crystalloids and hydrocortisone. In the surgical treatment of pheochromocytoma, the preoperative adrenergic blockade by doxazosin does not prevent intraoperative hypertensive crises. Nevertheless, in our series, they were of short duration and were not associated with major cardiovascular complications. Perioperative hemodynamic instability was managed bypreoperative pharmacological treatment, allowing low morbidity.
- Published
- 2013
29. Radiofrequency-assisted partial nephrectomy for metanephric adenoma: A case report and literature review
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Giovanni Conzo, Antonietta Palazzo, Francesco Stanzione, Leonardo Radice, Cristina Della Pietra, Valerio Sciascia, Valentina Natella, Luigi Insabato, Luigi Santini, Conzo, Giovanni, Sciascia, Valerio, Palazzo, Antonietta, Stanzione, Francesco, Della Pietra, Cristina, Insabato, Luigi, Natella, Valentina, Radice, Leonardo, Santini, Luigi, Sciascia, V, Palazzo, A, Stanzione, F, Della Pietra, C, Insabato, L, Natella, V, and Radice, L
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Adenoma ,medicine.medical_specialty ,Radio Waves ,partial nephrectomy ,medicine.medical_treatment ,Metanephric adenoma ,Nephrectomy ,Benign tumor ,Text mining ,radiofrequency energy ,medicine ,Humans ,Surgical treatment ,business.industry ,Kidney Neoplasm ,Middle Aged ,medicine.disease ,Kidney Neoplasms ,Radio Wave ,Surgery ,metanephric adenoma ,Catheter Ablation ,Female ,business ,Radiofrequency energy ,Human - Abstract
Metanephric adenoma (MA) is a rare benign tumor, diagnosis of which is often carried out after surgical treatment. In case of peripheral lesions, a partial nephrectomy (PN)—either open or laparoscopic may be preferred—and, furthermore, a radiofrequency (RF)-assisted procedure may facilitate adequate hemostasis. In November 2010, the authors performed a RF-assisted PN, according to Habib’s technique, using a 4-needle bipolar device, on a woman affected by a small exophytic MA of the right kidney. Fibrin glue was applied on the cut surface. Postoperative course was uneventful, and discharge was on postoperative day 4. MA is an extremely rare benign tumor with a favorable prognosis. In case of a preoperative cytological diagnosis, a careful follow-up has to be considered. PN represents the standard of care for small exophytic MA, and RF-assisted procedures allow an excellent hemostasis and a rapid conservative resection, with very low morbidity.
- Published
- 2013
30. Dynamical properties of steric zipper polymorphs formed by a IAPP-derived peptide
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Luigi Vitagliano, Alfonso De Simone, Luciana Esposito, Francesca Stanzione, Stanzione, F., De Simone, A., Esposito, L., and Vitagliano, L.
- Subjects
Models, Molecular ,Steric effects ,Amyloid ,Molecular dynamic ,Zipper ,Protein Conformation ,Stereochemistry ,IAPP polypeptide ,Peptide ,Molecular Dynamics Simulation ,Neurodegenerative disease ,Biochemistry ,Type II diabetes ,Protein Structure, Secondary ,Molecular dynamics ,Protein structure ,Structural Biology ,Small peptide ,Peptide sequence ,chemistry.chemical_classification ,Chemistry ,β-sheet stability ,Neurodegenerative Diseases ,General Medicine ,Phenotype ,Diabetes Mellitus, Type 2 ,Amylin ,Crystallization ,Peptides - Abstract
Understanding the molecular basis of neurodegenerative diseases has enormous implications for the development of effective therapeutic strategies. One of the most puzzling features of these pathologies is the occurrence of distinct strains, which are believed to be generated by alternative conformational transitions of the same protein/peptide. Very recently, it has been discovered that small model peptides are able to form alternative tightly packed assemblies (polymorphs) in the crystalline state. Intriguingly, it has been postulated that the different polymorphs of the same polypeptide sequence may be representative of distinct strains. As the organization of crystalline aggregates of small peptides may be heavily biased by crystal packing, we have here performed MD simulations on steric zipper polymorphs formed by of the IAPP-derived fragment SSTNVG. Our analyses show that these aggregates are rather stable also in a non-crystalline environment. This finding corroborates the hypothesis that steric zipper assemblies are good candidates to account for the phenomenon of strain in neurodegenerative diseases. Present investigations also provide clues on the factors that favour the formation of polymorphs. Indeed, the intrinsic stability of individual β-sheets formed by SSTNVG strands is very poor. Therefore, the formation of these aggregates is essentially dictated by inter-sheet interactions established within the steric zipper assembly. © 2012 Bentham Science Publishers. © 2012 Bentham Science Publishers.
- Published
- 2012
31. Tracheal necrosis, oesophageal fistula: unusual complications of thyroidectomy. Report of two case and literature review
- Author
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Conzo, Giovanni, Stanzione, Francesco, Della Pietra, Cristina, Palazzo, Antonietta, Candilio, Giuseppe, Fiorelli, Alfonso, Mario SANTINI, Conzo, Giovanni, Stanzione, F, Della Pietra, C, Palazzo, A, Candilio, G, Fiorelli, Alfonso, and Santini, Mario
- Subjects
Male ,Trachea ,Necrosis ,Esophageal perforation ,Thyroidectomy ,Pneumomediastinum ,Humans ,Esophageal fistula ,Aged - Abstract
BACKGROUND: Thyroidectomy is considered a low-risk operation. The authors report a case of tracheal necrosis after total thyroidectomy for multinodular goiter with bilateral adenomas, and a case of oesophageal fistula after total thyroidectomy for papillary cancer. METHODS AND RESULTS: The patient with tracheal perforation was treated by a non operative management after clinical stabilization. The patient with oesophageal perforation underwent surgical treatment consisting of neck drain placement. Both patients are alive after 12 months of follow-up, although the patient who had surgery for papillary cancer of the thyroid gland was found to have multiple diffuse liver and lung metastases. CONCLUSIONS: Thyroidectomy is a safe surgical procedure, but in some patients major complications may arise. In cases of iatrogenic tracheal or oesophageal perforation, conservative non-surgical or conservative surgical treatment, in specialized centers, results in a favourable outcome. The authors discuss the risk factors and management of these two rare complications.
- Published
- 2012
32. Integrated treatment of secondary hepatolithiasis. Case report
- Author
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G, Conzo, F, Stanzione, S, Celsi, G, Candela, P, Venetucci, A, Palazzo, C, Della Pietra, L, Santini, V, Iaccarino, Conzo, Giovanni, Stanzione, F, Celsi, S, Candela, Giancarlo, Venetucci, P, Palazzo, A, Della Pietra, C, Santini, Luigi, and Iaccarino, V.
- Subjects
Male ,Liver Diseases ,Hepatolithiasis, Hepatic resection, Percotaneous cholangioscopy lithotomy ,Humans ,Lithiasis ,Aged - Abstract
"Hepatolithiasis is defined as the occurrence of stones proximal to the biliary confluence and represents a prevalent disease in South East Asia being uncommon in Western countries. Biliary sepsis, hepatic abscesses and cholangiocarcinoma are considered potential complications. The Authors describe a case of a 68 years male patient affected by a left massive intrahepatic lithiasis secondary to common duct stones and associated to acute pancreatitis. The patient refused surgery and was submitted to a conservative transhepatic percutaneous treatment. After a complete removal of intrahepatic stones and a positioning of external internal biliary drainage (14F), a laparoscopic cholecistectomy was performed. The MRI control showed a complete resolution of the intrahepatic lithiasis. Conservative transhepatic percutaneous approach to hepatolithiasis represents a safe and effective treatment allowing good medium-long term results. Surgery is recommended in case of severe hepatic fibrosis or atrophy, suspected cholangiocarcinoma or multiple strictures with biliary distorsion. Integrated therapeutical protocols in referral multidisciplinary centers-offers the best long term results."
- Published
- 2011
33. Role of the conformational versatility of the neurotrophin N-terminal regions in their recognition by Trk receptors
- Author
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Antonella Paladino, Giancarlo Morelli, Francesca Stanzione, Carlo Pedone, Luciana Esposito, Luigi Vitagliano, Stanzione, F, Esposito, L, Paladino, A, Pedone, Carlo, Morelli, Giancarlo, and Vitagliano, L.
- Subjects
Circular dichroism ,Stereochemistry ,Protein Conformation ,Trk Receptor ,Molecular Sequence Data ,Biophysics ,Receptors, Nerve Growth Factor ,Molecular Dynamics Simulation ,CD Spectroscopy ,Molecular recognition ,Protein structure ,Amino Acid Sequence ,Nerve Growth Factors ,Receptor ,Peptide sequence ,Chemistry ,Circular Dichroism ,Protein ,Hydrogen Bonding ,Rational peptide design ,Small molecule ,Random coil ,nervous system ,Trk receptor ,Spectrophotometry, Ultraviolet ,Neurotrophin ,Peptides - Abstract
Neurotrophins (NTs) represent a family of proteins that play an important role in the survival, development, and function of neurons. Extensive efforts are currently being made to develop small molecules endowed with agonist or antagonist NT activity. The structurally versatile N-termini of these proteins are considered regions of interest for the design of new molecules. By combining experimental and computational approaches, we analyzed the intrinsic conformational preferences of the N-termini of two of the most important NTs: NGF (NGF-Nter) and NT4 (NT4-Nter). Circular dichroism spectra clearly indicate that both peptides show a preference for random coil states. Because this finding does not preclude the possibility that structured forms may occur in solution as minor conformational states, we performed molecular-dynamics simulations to gain insights into the structural features of populated species. In line with the circular dichroism analysis, the simulations show a preference for unstructured states for both peptides. However, the simulations also show that for NT4-Nter, and to a lesser extent for NGF-Nter, helical conformations, which are required for binding to the Trk receptor, are present in the repertoire of structures that are intrinsically accessible to these peptides. Accordingly, molecular recognition of NTs by the Trk receptor is accomplished by the general mechanism known as population shift. These findings provide a structural rationale for the observed activity of synthetic peptides based on these NT regions. They also suggest strategies for the development of biologically active peptide-based compounds.
- Published
- 2010
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34. Dynamics and stability of amyloid-like steric zipper assemblies with hydrophobic dry interfaces
- Author
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Francesca Stanzione, Luciana Esposito, Alfonso De Simone, Luigi Vitagliano, Vitagliano, L., Stanzione, F., De Simone, A., and Esposito, L.
- Subjects
Models, Molecular ,Steric effects ,Molecular dynamic ,Amyloid ,Protein Folding ,Zipper ,Protein Conformation ,Yeast prion ,Biophysics ,Context (language use) ,Crystal structure ,Neurodegenerative disease ,Crystallography, X-Ray ,Biochemistry ,Protein Structure, Secondary ,Biomaterials ,Molecular dynamics ,Side chain ,Computer Simulation ,Amino Acid Sequence ,Databases, Protein ,Structural motif ,Protein Stability ,Chemistry ,Organic Chemistry ,β-sheet stability ,General Medicine ,Protein Structure, Tertiary ,Kinetics ,Crystallography ,Thermodynamics ,Polar ,Hydrophobic and Hydrophilic Interactions - Abstract
Recent seminal investigations have suggested that the basic structural motif of amyloid fibers may be constituted by a tight association of two facing β-sheets (steric zipper). Although this model has been derived from crystal structures of small peptide models, several theoretical investigations, essentially focused on steric zipper interface containing large polar and/or aromatic side chains, have confirmed the stability of this motif in a crystal-free context. To analyze the general validity of these findings, we carried out molecular dynamics (MD) simulations on aggregates stabilized by steric zipper interfaces made also of small or hydrophobic residues. In particular, we here characterized assemblies formed by the peptides SSTSAA and VQIVYK, whose structures have been recently solved at high resolution. In contrast to previous results obtained for polar/aromatic aggregates of the same size and with similar interface area, steric zipper assemblies composed of a pair of 10-stranded β-sheets show high fluctuations and significant distortions in the simulation timescales (40–60 ns). Taking into account the crystal packing, the effect of the addition of an extra sheet to the assemblies was also evaluated. The MD results indicate that this addition does not provide extra-stabilization to the pair of sheet models. Although present data do not preclude the possibility that the steric zipper association identified in the crystal structure is the basic motif of SSTSAA and VQIVYK fibers, our findings highlight the importance of the nature of residues directly involved in the motif. Indeed, polar and aromatic residues that may form intrasheet and intersheet interactions likely provide a strong contribution to the steric zipper motif stability. Along this line, assemblies endowed with hydrophobic residues presumably require larger interfaces. In line with this suggestion, MD analysis of the HET-s(218–289) prion models composed of a similar number of strands shows that the assembly is endowed with a remarkable stability. © 2009 Wiley Periodicals, Inc. Biopolymers 91: 1161–1171, 2009. This article was originally published online as an accepted preprint. The “Published Online” date corresponds to the preprint version. You can request a copy of the preprint by emailing the Biopolymers editorial office at biopolymers@wiley.com
- Published
- 2009
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35. Imaging diagnosis of a rare case of intermittent intestinal pneumatosis: A consequence of ileocecal valve clip dysfunction?
- Author
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Russo A, Patanè V, Zaccaria C, Verolino P, Cioce F, Stanzione F, and Reginelli A
- Abstract
Pneumatosis intestinalis is a condition characterized by the presence of gas or air pockets within the walls of the intestines. It can occur in any section of the gastrointestinal tract but it is most commonly found in the colon. Etiology and pathogenesis of PI are not yet fully understood, but several potential factors have been suggested to play a pivotal role in the development of this pathologic condition. Pneumatosis intestinalis seems to arise from a complex interplay between various factors, such as the integrity of the intestinal lining, pressure within the portal vein, the composition of the microbiological flora in the gut. Pneumatosis intestinalis can be caused by a variety of underlying conditions, such as bowel obstruction, intestinal ischemia, infection, inflammatory bowel disease, or certain medications. Symptoms may include abdominal pain, bloating, diarrhea, vomiting, and bloody stools. We present a case report of a 63-year-old male patient who underwent laparoscopic cholecystectomy for symptomatic cholelithiasis with recurrent cholecystitis. Following the surgery, the patient experienced a rapid drop in hemoglobin levels, necessitating an urgency regimen laparoscopic abdominal exploration which revealed Meckel's diverticulitis with active bleeding leading to diverticulectomy. The next day, the patient developed a radiological condition characterized by the co-presence of intermittent pneumatosis intestinalis, Portal pneumatosis and intermittent small bowel obstruction., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
- Published
- 2023
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36. Combining simulations and experiments for the molecular engineering of multifunctional collagen mimetic peptide-based materials.
- Author
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Hilderbrand AM, Taylor PA, Stanzione F, LaRue M, Guo C, Jayaraman A, and Kloxin AM
- Subjects
- Biocompatible Materials, Biomimetics, Hydrogels, Collagen, Peptides
- Abstract
Assembling peptides allow the creation of structurally complex materials, where amino acid selection influences resulting properties. We present a synergistic approach of experiments and simulations for examining the influence of natural and non-natural amino acid substitutions via incorporation of charged residues and a reactive handle on the thermal stability and assembly of multifunctional collagen mimetic peptides (CMPs). Experimentally, we observed inclusion of charged residues significantly decreased the melting temperature of CMP triple helices with further destabilization upon inclusion of the reactive handle. Atomistic simulations of a single CMP triple helix in explicit water showed increased residue-level and helical structural fluctuations caused by the inclusion of the reactive handle; however, these atomistic simulations cannot be used to predict changes in CMP melting transition. Coarse-grained (CG) simulations of CMPs at experimentally relevant solution conditions, showed, qualitatively, the same trends as experiments in CMP melting transition temperature with CMP design. These simulations show that when charged residues are included electrostatic repulsions significantly destabilize the CMP triple helix and that an additional inclusion of a reactive handle does not significantly change the melting transition. Based on findings from both experiments and simulations, the sequence design was refined for increased CMP triple helix thermal stability, and the reactive handle was utilized for the incorporation of the assembled CMPs within covalently crosslinked hydrogels. Overall, a unique approach was established for predicting stability of CMP triple helices for various sequences prior to synthesis, providing molecular insights for sequence design towards the creation of bulk nanostructured soft biomaterials.
- Published
- 2021
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- View/download PDF
37. Use of molecular docking computational tools in drug discovery.
- Author
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Stanzione F, Giangreco I, and Cole JC
- Subjects
- Protein Binding, Protein Conformation, Structure-Activity Relationship, Drug Discovery methods, Molecular Docking Simulation, Proteins chemistry, Proteins metabolism
- Abstract
Molecular docking has become an important component of the drug discovery process. Since first being developed in the 1980s, advancements in the power of computer hardware and the increasing number of and ease of access to small molecule and protein structures have contributed to the development of improved methods, making docking more popular in both industrial and academic settings. Over the years, the modalities by which docking is used to assist the different tasks of drug discovery have changed. Although initially developed and used as a standalone method, docking is now mostly employed in combination with other computational approaches within integrated workflows. Despite its invaluable contribution to the drug discovery process, molecular docking is still far from perfect. In this chapter we will provide an introduction to molecular docking and to the different docking procedures with a focus on several considerations and protocols, including protonation states, active site waters and consensus, that can greatly improve the docking results., (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Published
- 2021
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38. New insights and innovation from a million crystal structures in the Cambridge Structural Database.
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Cole JC, Wiggin S, and Stanzione F
- Abstract
The Cambridge Structural Database (CSD) is the world's largest and most comprehensive collection of organic, organometallic, and metal-organic crystal structure information. Analyses using the data have wide impact across the chemical sciences in allowing understanding of structural preferences. In this short review, we illustrate the more common methods by which CSD data influence molecular design. We show how more data could lead to more refined insights into the future using a simple example of trifluoromethylphenyl fragments, highlighting how with sufficient data one can build a reasonable model of geometric change in a chemical fragment with torsional rotation, and show some recent examples where the CSD has been used in conjunction with other methods to provide design ideas and more computationally tractable workflows for derivation of useful insights into structural design.
- Published
- 2019
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39. Intrinsic Structural Features of the Human IRE1α Transmembrane Domain Sense Membrane Lipid Saturation.
- Author
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Cho H, Stanzione F, Oak A, Kim GH, Yerneni S, Qi L, Sum AK, and Chan C
- Subjects
- Animals, Cell Line, Cells, Cultured, Conserved Sequence, Endoplasmic Reticulum metabolism, Endoribonucleases genetics, Endoribonucleases metabolism, Humans, Mice, Mutation, Protein Domains, Protein Serine-Threonine Kinases genetics, Protein Serine-Threonine Kinases metabolism, Endoribonucleases chemistry, Fatty Acids metabolism, Membrane Lipids metabolism, Protein Multimerization, Protein Serine-Threonine Kinases chemistry
- Abstract
Activation of inositol-requiring enzyme (IRE1α) is an indispensable step in remedying the cellular stress associated with lipid perturbation in the endoplasmic reticulum (ER) membrane. IRE1α is a single-spanning ER transmembrane protein possessing both kinase and endonuclease functions, and its activation can be fully achieved through the dimerization and/or oligomerization process. How IRE1α senses membrane lipid saturation remains largely unresolved. Using both computational and experimental tools, we systematically investigated the dimerization process of the transmembrane domain (TMD) of IRE1α and found that, with help of the serine 450 residue, the conserved tryptophan 457 residue buttresses the core dimerization interface of IRE1α-TMD. BiFC (bimolecular fluorescence complementation) experiments revealed that mutation on these residues abolished the saturated fatty acid-induced dimerization in the ER membrane and subsequently inactivated IRE1α activity in vivo. Therefore, our results suggest that the structural elements of IRE1α-TMD serve as a key sensor that detects membrane aberrancy., (Copyright © 2019 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
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40. Steam assisted slow pyrolysis of contaminated biomasses: Effect of plant parts and process temperature on heavy metals fate.
- Author
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Grottola CM, Giudicianni P, Pindozzi S, Stanzione F, Faugno S, Fagnano M, Fiorentino N, and Ragucci R
- Subjects
- Biomass, Pyrolysis, Temperature, Metals, Heavy, Steam
- Abstract
The post-treatment of biomass from phytoremediation is not yet a well-established practice due to the risk induced by the presence of Potentially Toxic Elements (PTEs). Pyrolysis is a thermochemical treatment that reduces the volume and weight of contaminated matter producing a combustible vapor phase and a solid residue (char). A key factor enhancing the economic and the environmental sustainability of biomass valorization through pyrolysis is the production of a market value char. A proper choice of the pyrolysis operating conditions should take into account the effect of final temperature on PTEs release, on the char physicochemical properties as well as on the mobility of retained PTEs. In particular, in this work the influence of both the temperature and the plant parts is discussed (branches and leaves of Populus Nigra L. and rhizomes and culms of Arundo donax L.) on the release of Cd, Pb, Cu, and Zn in the temperature range 653-873 K under steam assisted slow pyrolysis conditions. The mobility of the heavy metals retained in the chars was also studied as well as the product yields, the gas composition and char porosity. The results suggested that in presence of Cd it is necessary to operate at low-temperature (lower than 703 K) to obtain a heavy metals free vapor phase fuel, whereas in presence of one or more metals among Pb, Cu, and Zn, it is possible to conduct a pyrolytic treatment at higher temperatures, thus obtaining a char with high BET surface area and lower metals mobility., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
41. Pyrolysis for exploitation of biomasses selected for soil phytoremediation: Characterization of gaseous and solid products.
- Author
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Giudicianni P, Pindozzi S, Grottola CM, Stanzione F, Faugno S, Fagnano M, Fiorentino N, and Ragucci R
- Subjects
- Biomass, Carbon Sequestration, Eucalyptus chemistry, Poaceae chemistry, Populus chemistry, Salix chemistry, Soil, Temperature, Waste Products, Biodegradation, Environmental, Charcoal
- Abstract
Biomasses to be used in the phytoremediation process are generally selected to match agronomic parameters and heavy metals uptake ability. A proper selection can be made greatly effective if knowledge of the properties of the residual char from pyrolysis is available to identify possible valorization routes. In this study a comparative analysis of the yields and characteristics of char obtained from slow pyrolysis of five uncontaminated biomasses (Populus nigra, Salix alba, Fraxinus oxyphylla, Eucalyptus occidentalis and Arundo donax) was carried out under steam atmosphere to better develop char porosity. Moreover, the dependence of the properties of solid residue on the process final temperature was studied for E. occidentalis in the temperature range of 688-967K. The results demonstrate that, among the studied biomasses, chars from P. nigra and E. occidentalis have to be preferred for applications regulated by surface phenomena given their highest surface area (270-300m
2 /g), whereas char from E. occidentalis is the best choice when the goal is to maximize energy recovery., (Copyright © 2017 Elsevier Ltd. All rights reserved.)- Published
- 2017
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- View/download PDF
42. Hybrid Atomistic and Coarse-Grained Molecular Dynamics Simulations of Polyethylene Glycol (PEG) in Explicit Water.
- Author
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Stanzione F and Jayaraman A
- Subjects
- Molecular Dynamics Simulation, Polyethylene Glycols chemistry, Water chemistry
- Abstract
In-silico design of polymeric biomaterials requires molecular dynamics (MD) simulations that retain essential atomistic/molecular details (e.g., explicit water around the biofunctional macromolecule) while simultaneously achieving large length and time scales pertinent to macroscale function. Such large-scale atomistically detailed macromolecular MD simulations with explicit solvent representation are computationally expensive. One way to overcome this limitation is to use an adaptive resolution scheme (AdResS) in which the explicit solvent molecules dynamically adopt either atomistic or coarse-grained resolution depending on their location (e.g., near or far from the macromolecule) in the system. In this study we present the feasibility and the limitations of AdResS methodology for studying polyethylene glycol (PEG) in adaptive resolution water, for varying PEG length and architecture. We first validate the AdResS methodology for such systems, by comparing PEG and solvent structure with that from all-atom simulations. We elucidate the role of the atomistic zone size and the need for calculating thermodynamic force correction within this AdResS approach to correctly reproduce the structure of PEG and water. Lastly, by varying the PEG length and architecture, we study the hydration of PEG, and the effect of PEG architectures on the structural properties of water. Changing the architecture of PEG from linear to multiarm star, we observe reduction in the solvent accessible surface area of the PEG, and an increase in the order of water molecules in the hydration shells.
- Published
- 2016
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43. Design Principles for Nanoparticles Enveloped by a Polymer-Tethered Lipid Membrane.
- Author
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Hu M, Stanzione F, Sum AK, Faller R, and Deserno M
- Subjects
- Algorithms, Molecular Dynamics Simulation, Nanotechnology, Liposomes chemistry, Membrane Lipids chemistry, Nanoparticles chemistry, Polymers chemistry
- Abstract
We propose the design for a nanoparticle carrier that combines three existing motifs into a single construct: a liposome is stabilized by anchoring it to an enclosed solid core via extended polymeric tethers that are chemically grafted to the core and physisorb into the surrounding lipid membrane. Such a design would exhibit several enticing properties, among them: (i) the anchoring stabilizes the liposome against a variety of external stresses, while preserving an aqueous compartment between core and membrane; (ii) the interplay of design parameters such as polymer length or grafting density enforces strong constraints on nanoparticle size and hence ensures a high degree of uniformity; and (iii) the physical and chemical characteristics of the individual constituents equip the construct with numerous functionalities that can be exploited in many ways. However, navigating the large parameter space requires a sound prior understanding for how various design features work together, and how this impacts potential pathways for synthesizing and assembling these nanoparticles. In this paper, we examine these connections in detail, using both soft matter theory and computer simulations at all levels of resolution. We thereby derive strong constraints on the experimentally relevant parameter space, and also propose potential equilibrium and nonequilibrium pathways for nanoparticle assembly.
- Published
- 2015
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44. Computational Design of Oligopeptide Containing Poly(ethylene glycol) Brushes for Stimuli-Responsive Drug Delivery.
- Author
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Stanzione F and Jayaraman A
- Subjects
- Drug Delivery Systems, Oligopeptides chemistry, Polyethylene Glycols chemistry
- Abstract
Stimuli-responsive biomaterials are used to facilitate drug and gene delivery by shielding the drug/gene during circulation times and selectively releasing the cargo at the desired target. Within stimuli-responsive materials, pH-responsive materials are exploited for delivery to specific organs, intracellular compartments, cancer cells, site of inflammation or infection as those sites are characterized by pH that is different from the blood pH. In this paper we use molecular dynamics (MD) simulations to design such pH-responsive biomaterials where the balance between the various intermolecular interactions (e.g., electrostatics, van der Waals) within the biomaterials allow biofunctional molecules to be reversibly shielded and exposed to the environment with change in pH. In our model the shielding aspect is imparted by a polyethylene glycol (PEG) brush and the pH-responsive component is a PEG-tethered oligopeptide that undergoes changes in conformations via protonation of residues upon changes in pH. Starting with a PEG-tethered peptide in a monodisperse short PEG brush, we first vary the composition and sequence of histidine (H), lysine (K), and glutamate (E) along the oligopeptide sequence to find the design parameters that maximize the shielding and exposure of the oligopeptide at pH ∼ 7.0 and pH < 7.0, respectively. Then, we probe the effect of the PEG brush on the conformations of the oligopeptides by simulating PEG-tethered peptide in a bimodal PEG brush containing short PEG and long PEG chains. We characterize the intermolecular interactions involving the PEG, peptide, and solvent that influence the shielded and exposed conformations of the oligopeptides at the two different pHs. In a short monodisperse PEG brush, with a longer PEG-tethered peptide containing large blocks of histidines that undergo change in protonation state as a response to pH change, placed between a protonated lysine and deprotonated glutamate, the PEG brush exhibits maximum shielding and exposure with pH change. This change from shielded to exposed state is driven by electrostatic repulsion upon H protonation. The presence of long PEG chains in a bimodal PEG brush leads to dominating PEG-peptide attractive interactions that reduces the contrast in shielded and exposed conformations of the PEG-tethered peptide upon protonation of histidines.
- Published
- 2015
- Full Text
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45. The role of computed tomography in the preoperative assessment of gastrointestinal causes of acute abdomen in elderly patients.
- Author
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Reginelli A, Russo A, Pinto A, Stanzione F, Martiniello C, Cappabianca S, Brunese L, and Squillaci E
- Subjects
- Abdomen, Acute etiology, Abdomen, Acute surgery, Abdominal Pain etiology, Aged, Aged, 80 and over, Carcinoma complications, Carcinoma surgery, Cohort Studies, Colorectal Neoplasms complications, Colorectal Neoplasms surgery, Diverticulitis complications, Diverticulitis surgery, Emergency Service, Hospital, Female, Foreign Bodies complications, Foreign Bodies surgery, Humans, Intestinal Perforation complications, Intestinal Perforation surgery, Male, Mesenteric Ischemia complications, Mesenteric Ischemia surgery, Retrospective Studies, Sensitivity and Specificity, Tomography, X-Ray Computed, Abdomen, Acute diagnostic imaging, Carcinoma diagnostic imaging, Colorectal Neoplasms diagnostic imaging, Diverticulitis diagnostic imaging, Foreign Bodies diagnostic imaging, Gastrointestinal Tract diagnostic imaging, Intestinal Perforation diagnostic imaging, Mesenteric Ischemia diagnostic imaging
- Abstract
Gastro-intestinal disorders in older patients is a medical emergency that requires immediate medical care. Chances of recovery improve with an early diagnosis and treatment. It might be caused by a number of different diseases, including perforations by foreign bodies, colon cancer, diverticulitis, ischemia. CT is often the initial modality used to assess patients with acute abdomen, the radiologist may be the first to suggest such a diagnosis. Computed tomography allows to identify the site of gastrointestinal perforations, of ischemia and to determine the most predictive signs in this diagnosis. The purpose of this study was to assess the diagnostic performance of CT gastrointestinal emergency of elderly patients with nontraumatic acute abdominal pain. The cases of 126 consecutively registered patients 65 years old or older presenting to the emergency department with acute abdominal pain and who underwent CT were retrospectively reviewed by two radiologists. Diagnostic accuracy was calculated according to the level of correctly classified cases in both the entire cohort and a surgical subgroup and was compared between readings. Agreement between each reading and the reference diagnosis and interobserver agreement were assessed with kappa statistics. In both the entire cohort (87.5% vs 85.3%, p = 0.07) and the surgical group (94% vs 91%, p = 0.15), there was no significant difference in CT accuracy between diagnoses made by the radiologist. Agreement between the CT diagnosis and the final diagnosis was excellent. In the care of elderly patients, CT is accurate for diagnosing the cause of acute abdominal pain, particularly when it is of gastrointestinal surgical origin. Thus CT interpretation should not be delayed until complete clinicobiologic data are available, and the images should be quickly transmitted to the emergency physician so that appropriate therapy can be begun., (Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2014
- Full Text
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46. Role of preoperative adrenergic blockade with doxazosin on hemodynamic control during the surgical treatment of pheochromocytoma: a retrospective study of 48 cases.
- Author
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Conzo G, Musella M, Corcione F, Depalma M, Stanzione F, Della-Pietra C, Palazzo A, Napolitano S, Pasquali D, Milone M, Agostino-Sinisi A, Ferraro F, and Santini L
- Subjects
- Adrenal Gland Neoplasms pathology, Adrenal Gland Neoplasms physiopathology, Adrenalectomy, Adult, Age Factors, Aged, Female, Humans, Hypertension etiology, Male, Middle Aged, Operative Time, Pheochromocytoma pathology, Pheochromocytoma physiopathology, Preoperative Care, Retrospective Studies, Young Adult, Adrenal Gland Neoplasms surgery, Adrenergic alpha-1 Receptor Antagonists administration & dosage, Doxazosin administration & dosage, Hypertension prevention & control, Pheochromocytoma surgery, Premedication
- Abstract
Authors evaluated the effects of selective adrenergic blockade by means of doxazosin on blood pressure in 48 patients operated on for pheochromocytoma by a multicenter retrospective study. Age, tumor size, surgical approach, and operative time were analyzed as predictive factors of intraoperative hypertensive crises. Forty-eight patients underwent adrenalectomy--four open surgery and 44 laparoscopic surgery--for pheochromocytoma of adrenal glands from 1998 to 2008 after preoperative administration of doxazosin. Perioperative cardiovascular status modifications and surgical medium- and long-term outcomes were analyzed. There was no mortality, conversion rate was 4.5 per cent, and morbidity rate was 8.3 per cent. Intraoperative hypertensive crises (180/90 mmHg or higher) were observed in 14.5 per cent (seven of 48) of patients and were treated pharmacologically with no aftermath. None of the examined variables influenced the occurrence of intraoperative hypertensive episodes. Postoperative hypotension (lower than 90/60 mmHg) was observed in four of 48 patients (8.3%) and was treated by crystalloids and hydrocortisone. In the surgical treatment of pheochromocytoma, the preoperative adrenergic blockade by doxazosin does not prevent intraoperative hypertensive crises. Nevertheless, in our series, they were of short duration and were not associated with major cardiovascular complications. Perioperative hemodynamic instability was managed by preoperative pharmacological treatment, allowing low morbidity.
- Published
- 2013
47. Dendritic amphiphiles strongly affect the biophysical properties of DPPC bilayer membranes.
- Author
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Muckom RJ, Stanzione F, Gandour RD, and Sum AK
- Subjects
- Gels chemistry, Hydrogen Bonding, Liquid Crystals chemistry, Molecular Dynamics Simulation, Temperature, 1,2-Dipalmitoylphosphatidylcholine chemistry, Dendrimers chemistry, Lipid Bilayers chemistry
- Abstract
Molecular dynamics (MD) simulations were used to gain insight on the molecular interactions in a model biological membrane comprised of a bilayer with DPPC (dipalmitoylphosphotidylcholine) and antimicrobial dendritic amphiphile molecules [RCONHC(CH(2)CH(2)COOH)(3), where R is the saturated hydrocarbon tail (R = n-C(n)H(2n+1)), to be abbreviated as 3CAmn]. This study analyzes different biophysical properties of the equilibrated mixed bilayers, at 300 and 325 K, to determine how the presence of the 3CAmn, in varying concentrations and tail lengths, affects the lipid bilayer. Lipid tail order parameter data, bilayer thickness trends, and qualitative lipid tail tilt observations suggest that a molar ratio of 0.2 3CAm19/DPPC is sufficient to induce a phase transition in the bilayer from gel to liquid crystalline at 300 K. These results also imply that the phase transition temperature of the mixed bilayer decreases upon incorporation of higher concentrations of 3CAm19. Hydrogen bonding takes place between the 3CAmn and DPPC at specific sites, as evidenced by the radial distribution function. Increased hydrogen bonding and the smaller headgroup size of the 3CAmn molecule result in a decrease in the total lateral area with higher concentrations of 3CAm19. Diffusion constants of 3CAmn varied with concentration and tail length; diffusion constants of DPPC and 3CAm19 increased with increasing 3CAm19 concentration at 300 K and shorter 3CAmn tails had higher diffusion constants at both temperatures. These computational studies provide a comprehensive understanding of the biophysical changes to model biological membranes by the association of 3CAmn.
- Published
- 2013
- Full Text
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48. Radiofrequency-assisted partial nephrectomy for metanephric adenoma: a case report and literature review.
- Author
-
Conzo G, Sciascia V, Palazzo A, Stanzione F, Della Pietra C, Insabato L, Natella V, Radice L, and Santini L
- Subjects
- Adenoma chemistry, Adenoma pathology, Female, Humans, Kidney Neoplasms chemistry, Kidney Neoplasms pathology, Middle Aged, Radio Waves, Adenoma surgery, Catheter Ablation instrumentation, Catheter Ablation methods, Kidney Neoplasms surgery, Nephrectomy instrumentation, Nephrectomy methods
- Abstract
Metanephric adenoma (MA) is a rare benign tumor, diagnosis of which is often carried out after surgical treatment. In case of peripheral lesions, a partial nephrectomy (PN)--either open or laparoscopic may be preferred--and, furthermore, a radiofrequency (RF)-assisted procedure may facilitate adequate hemostasis. In November 2010, the authors performed a RF-assisted PN, according to Habib's technique, using a 4-needle bipolar device, on a woman affected by a small exophytic MA of the right kidney. Fibrin glue was applied on the cut surface. Postoperative course was uneventful, and discharge was on postoperative day 4. MA is an extremely rare benign tumor with a favorable prognosis. In case of a preoperative cytological diagnosis, a careful follow-up has to be considered. PN represents the standard of care for small exophytic MA, and RF-assisted procedures allow an excellent hemostasis and a rapid conservative resection, with very low morbidity.
- Published
- 2013
- Full Text
- View/download PDF
49. The intrinsic stability of the human prion β-sheet region investigated by molecular dynamics.
- Author
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De Simone A, Stanzione F, Marasco D, Vitagliano L, and Esposito L
- Subjects
- Amino Acid Sequence, Humans, Hydrogen Bonding, Mutation, Missense, Prions genetics, Protein Stability, Protein Structure, Secondary, Thermodynamics, Molecular Dynamics Simulation, Prions chemistry
- Abstract
Human prion diseases are neurodegenerative disorders associated to the misfolding of the prion protein (PrP). Common features of prion disorders are the fibrillar amyloid deposits and the formation of prefibrillar oligomeric species also suggested as the origin of cytotoxicity associated with diseases. Although the process of PrP misfolding has been extensively investigated, many crucial aspects of this process remain unclear. We have here carried out a molecular dynamics study to evaluate the intrinsic dynamics of PrP β-sheet, a region that is believed to play a crucial role in prion aggregation. Moreover, as this region mediates protein association in dimeric assemblies frequently observed in prion crystallographic investigations, we also analyzed the dynamics of these intermolecular interactions. The extensive sampling of replica exchange shows that the native antiparallel β-structure of the prion is endowed with a remarkable stability. Therefore, upon unfolding, the persistence of a structured β-region may seed molecular association and influence the subsequent phases of the aggregation process. The analysis of the four-stranded β-sheet detected in the dimeric assemblies of PrP shows a tendency of this region to form dynamical structured states. The impact on the β-sheet structure and dynamics of disease associated point mutations has also been evaluated.
- Published
- 2013
- Full Text
- View/download PDF
50. The role of percutaneous US-guided drainage in the treatment of splenic abscess. Case report and review of the literature.
- Author
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Conzo G, Docimo G, Palazzo A, Della Pietra C, Stanzione F, Sciascia V, and Santini L
- Subjects
- Abscess diagnostic imaging, Aged, Gram-Negative Bacterial Infections diagnostic imaging, Humans, Male, Splenic Diseases diagnostic imaging, Ultrasonography, Interventional, Abscess surgery, Drainage methods, Gram-Negative Bacterial Infections surgery, Splenic Diseases surgery
- Abstract
Splenic abscess is an uncommon but potentially life-threatening disease that generally occurs in patients with neoplasia, immunodeficiency, hemoglobinopathies, trauma, metastatic infection, splenic infarction and diabetes. Splenic abscess should be considered in a patient with fever, left upper abdominal pain, and leukocytosis. Splenectomy has been the gold standard treatment for splenic abscess, however, burdened by high morbidity rate related clinical conditions of the patient. With the recent development of minimally invasive techniques and percutaneous US- or CT-guided procedures, the placement of a drainage has achieved excellent results with resolution of the disease in a high percentage of cases with low morbidity and negligible mortality. Percutaneous drainage is indicated for uniloculated or biloculated abscesses and for high risk surgical patients. It is a reliable technique with a high rate of therapeutical success and low costs compared to surgery. Other advantages include avoiding risks of intra-abdominal spillage and perioperative complications and saving time, along with a better patient compliance and an easier nursing care. The authors describe a case of splenic abscess treated by percutaneous US-guided drainage. Our results suggest that ultrasound-guided percutaneous drainage is a safe and feasible alternative to surgery in the treatment of splenic abscesses. In addition, it allows spleen preservation.
- Published
- 2012
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