The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension with proteinuria, but it has now been classified with new clinical parameters besides proteinuria. Morbidity and mortality should be reduced in a continental country such as Brazil using protocols for the early treatment of complications by calculating severe outcomes in preeclampsia. The early treatment of acute hypertension, use of magnesium sulfate and early hospitalization in cases of preeclampsia are concepts to pursue the reduction of our pregnant women's mortality.
RESUMOSistemas de integração lavoura-pecuária têm um alto potencial de uso no sul do país, especialmente em áreas de soja sob plantio direto, com espécies de cobertura no inverno. A condução de sistemas de integração com diferentes intensidades de manejo da pastagem resultará, ao longo do tempo, em estoques de C orgânico (CO) e de N diferenciados, decorrentes do aporte diferenciado de resíduos. Este trabalho foi realizado para avaliar a evolução dos estoques de CO e de N total (NT) e em frações físicas da matéria orgânica em solo submetido a diferentes intensidades
RESUMOEm sistemas de integração lavoura-pecuária, boa parte do suprimento de nutrientes para as pastagens provém das excreções dos animais, na forma de esterco e de urina, o que resulta em estímulo à atividade e ao acúmulo de nutrientes nas suas células. Este estudo foi desenvolvido num experimento de integração lavourapecuária em plantio direto, iniciado em 2001, e objetivou avaliar o impacto de diferentes intensidades de pastejo da pastagem de inverno (aveia-preta + azevém; 10, 20 e 40 cm, e um tratamento sem pastejo) sobre a atividade microbiana e sobre os teores e estoques de C, N e P na biomassa microbiana na camada de 0-10 cm de um Latossolo Vermelho, no Sul do Brasil, durante o ciclo da pastagem. Os teores e estoques dos nutrientes na biomassa e a atividade microbiana foram alterados pela intensidade de pastejo e pela época no ciclo da pastagem. Os teores de C e de P microbiano aumentaram do início da pastagem, em maio, até o período de grande produção de fitomassa, em setembro, após o qual decresceram, acompanhando o início de senescência da pastagem. Por sua vez, o N microbiano decresceu de maio para novembro, possivelmente devido à absorção desse nutriente pelas plantas. Sistemas de integração lavoura-pecuária em plantio direto mantêm a qualidade
Polypeptides are promising carriers for chemotherapeutics: they have minimal toxicity, can be recombinantly synthesized with precise control over molecular weight, and enhance drug pharmacokinetics as self-assembled nanoparticles. Polypeptide-based systems also provide the ability to achieve active targeting with genetically encoded targeting ligands. While passive targeting promotes accumulation of nanocarriers in solid tumors, active targeting provides an additional layer of tunable control and widens the therapeutic window. However, fusion of most targeting proteins to polypeptide carriers exposes the limitations of this approach: the residues that are used for drug attachment are also promiscuously distributed on protein surfaces. We present here a universal methodology to solve this problem by the site-specific attachment of extrinsic moieties to polypeptide drug delivery systems without cross-reactivity to fused targeting domains. We incorporate an unnatural amino acid, p-acetylphenylalanine, to provide a biorthogonal ketone for attachment of doxorubicin in the presence of reactive amino acids in a nanobody-targeted, elastin-like polypeptide nanoparticle. These nanoparticles exhibit significantly greater cytotoxicity than nontargeted controls in multiple cancer cell lines.
Biological systems use post-translational modifications (PTMs) to control the structure, location, and function of proteins after expression. Despite the ubiquity of PTMs in biology, their use to create genetically encoded recombinant biomaterials is limited. We have utilized a natural lipidation PTM (hedgehog-mediated cholesterol modification of proteins) to create a class of hybrid biomaterials called cholesterol-modified polypeptides (CHaMPs), that exhibit programmable self-assembly at the nanoscale. To demonstrate the biomedical utility of CHaMPs, we used this approach to append cholesterol to the biologically active peptide exendin-4 that is an approved drug for the treatment of type II diabetes. The exendin-cholesterol conjugate selfassembled into micelles and these micelles activate the glucagon-like peptide-1 receptor with a potency comparable to current gold standard treatments.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.