The study of polythiophene/water interfaces by sum-frequency generation spectroscopy and molecular dynamics simulations.

Semiconducting polymer/water interfaces are gaining increasing attention due to a variety of promising applications in the fields of biology and electrochemistry, such as electrochemically-gated transistors and photodetectors, which have been used for biosensing and neuroscience applications. However, a detailed characterization of the polymer surface in the presence of an aqueous environment is still lacking. In this work, we employed sum-frequency generation vibrational spectroscopy, a surface-specific technique compatible with electrochemical/biological conditions, to demonstrate that the surface of thin films of regio-regular poly-3-hexylthiophene (rr-P3HT) undergoes a molecular reorientation when exposed to aqueous electrolytes, with respect to their surface structure in air. Experimental results are corroborated by molecular dynamics simulations. Since surface molecular orientation is believed to play a fundamental role in electrochemical and environmental stability of conjugated polymers, the reported findings not only contribute to the fundamental understanding of conjugated polymer/water interfaces, but they may also have implications in the design of conjugated polymers for enhancing their performance in electrolytic environments.

GRP78 clustering at the cell surface of neurons transduces the action of exogenous alpha-synuclein.

Mutation or multiplication of the alpha-synuclein (Syn)-encoding gene is frequent cause of early onset Parkinson's disease (PD). Recent evidences point to the pathogenic role of excess Syn also in sporadic PD. Syn is a cytosolic protein, which has been shown to be released from neurons. Here we provide evidence that extracellular Syn induces an increase in surface-exposed glucose-related protein of 78 kDa (GRP78), which becomes clustered in microdomains of the neuronal plasma membrane. Upon interacting with Syn, GRP78 activates a signaling cascade leading to cofilin 1 inactivation and stabilization of microfilaments, thus affecting morphology and dynamics of actin cytoskeleton in cultured neurons. Downregulation of GRP78 abolishes the activity of exogenous Syn, indicating that it is the primary target of Syn. Inactivation of cofilin 1 and stabilization of actin cytoskeleton are present also in fibroblasts derived from genetic PD patients, which show a dramatic increase in stress fibers. Similar changes are displayed by control cells incubated with the medium of PD fibroblasts, only when Syn is present. The accumulation of Syn in the extracellular milieu, its interaction with the plasma membrane and Syn-driven clustering of GRP78 appear, therefore, responsible for the dysregulation of actin turnover, leading to early deficits in synaptic function that precede neurodegeneration.

[Vital signs of hemodynamic monitoring]. / I parametri vitali del monitoraggio emodinamico.

The aim of hemodynamic monitoring in intensive care is to recognize derangements in physiologic variables, which herald the progression toward organ failure. Traditionally the term "vital signs" refers to heart rate, arterial pressure, respiratory rate and body temperature monitoring. Continuous monitoring of vital signs, is advocated, since trends are more significant than single measurements, and is still a cornerstone, in the hemodynamic evaluation of a critically ill patient. Nevertheless, the spectrum of hemodynamic derangements that can arise during intensive care unit stay is very large and often additional information, beside the vital signs, are needed to evaluate correctly the individual patient.

[Ventilator associated pneumonia]. / La polmonite da ventilatore.

Ventilator associated pneumonia (VAP) is a nosocomial lower respiratory tract infection that ensues in critically ill patients undergoing mechanical ventilation. The reported incidence of VAP varies between 9% and 68% with a mortality ranging between 33% and 71%. Two key factors are implicated in the pathogenesis of VAP: bacterial colonization of the upper digestive-respiratory tract and aspiration of oral secretions into the trachea. Preventive measurements are advocated to reduce the incidence of VAP, such as selective decontamination of the digestive tract (SDD), supraglottic aspiration and positioning. Prompt recognition and treatment of established VAP has also been demostrated to affect outcome. Therefore, the knowledge of risk factors associated with the development of VAP and the implementation of strategies to prevent, diagnose and treat VAP are mainstems in the nursing of mechanically ventilated patients.