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A recent finding of tuning critical current in metallic nanowires by application of small gate voltages seems at odds with general understanding. Here, Ritter et al. study similar nanowires and link the origin of the critical current suppression to tunneling of few high-energy electrons between gate and nanowire, ruling out direct tuning by electric fields.

Leptin is associated to the lack of blood pressure control as well as target organ damage in resistant hypertensive (RH) subjects. Single-nucleotide polymorphisms (SNPs) rs7799039 and rs1137101 in leptin (LEP) and leptin receptor (LEPR) genes, respectively, are associated with cardiovascular disease and metabolic syndrome. We evaluated the association of these two SNPs with clinical and biochemical features in 109 apparent treatment-RH subjects (aTRH) and 125 controlled hypertensives. Homozygous genotypes GG (n = 43) vs. AA (n = 14) for rs7799039 and AA (n = 34) vs. GG (n = 26) genotypes for rs1137101 were compared in aTRH subjects. There was no difference in leptin levels among both SNPs. On the other hand, LEP SNP (GG vs. AA) associated with the levels of glycated haemoglobin (6.4 ± 1.4 vs. 7.8 ± 2.3%, p = 0.03), insulin (8.6 ± 4.6 vs. 30.6 ± 27.7 uUI/mL, p = 0.01), HDL-cholesterol (51 ± 16 vs. 39 ± 11 mg/dL, p = 0.001) and PWV (9.5 ± 2.1 vs. 11.2 ± 2.8 m/s, p = 0.03). LEPR SNP (AA vs. GG), associated with heart rate (69 ± 12 vs. 67 ± 12 bpm, p = 0.03), fat mass (31 ± 11 vs. 24 ± 8 kg, p = 0.03) and triglycerides levels (175 ± 69 vs. 135 ± 75 mg/dL, p = 0.03). These findings may be clinically useful for identifying a group of aTRH who may have a LEP and/or LEPR gene variants, which may predispose this specific group to worse or better outcomes.

The development of a stable immunoresistance against human papillomavirus occurs largely due to the reactions of the innate immune system, mediated through Toll-like receptors. It is known, that allelic polymorphism of the Toll-like receptors genes, associated with single nucleotide polymorphisms can influence on the sensitivity of reception and lead to disruption of pathogen recognition and, thus lead to reduced susceptibility of the body to infectious agents. The aim of the study was to find the association of polymorphisms T-1237S, A2848G of TLR 9 gene, Phe-412 Leu of TLR 3 gene and С-819 Т, G-1082 A of IL-10 gene with persistence of human papillomavirus infection of high oncogenic types. There were examined 194 women aged 18–42 years with the presence of HPV types 16 and 18. The material for laboratory studies were scraped from the mucosa of the urogenital tract and peripheral blood of patients. Depending on the presence of virus women were divided into two groups: 98 patients with persistent human papillomavirus infection and 96 women without it. As the result after investigation some significant differences in the distribution of variants of polymorphic loci (A2848G) TLR 9, (Phe412 Leu) TLR 3 and (G-1082A) IL-10 were identified.

The study aimed to identify Integrative Review of the factors impeding the implementation of policies for Attention to Emergencies, focusing on pre-hospital care in northen Mato Grosso. It can be seen the results that the lack of professional qualification and organization of the system, failure to in inform the public about the service, leading to overcrowding of this, and the lack of a systematic database between units at the national level, are obstacles that must be overcome for the implementation of a system of prehospital care more efficient.

The study aimed to identify Integrative Review of the factors impeding the implementation of policies for Attention to Emergencies, focusing on pre-hospital care in northen MatoGrosso. It can be seen the results that the lack of professional qualification and organization of the system, failure to in inform the public about the service, leading to overcrowding of this, and the lack of a systematic database between units at the national level, are obstacles that must be overcome for the implementation of a system of prehospital care more efficient.

The net mass transfer of cholesteryl ester (CE) from high density lipoprotein (HDL) to the apolipoprotein (apo) B-containing lipoproteins, very low density lipoprotein (VLDL) and low density lipoprotein (LDL) in plasma (cholesteryl ester transfer (CET)) from three patients lacking lipoprotein lipase (LpL) activity was significantly lower (P < 0.001) than in plasma from fasting control subjects with comparable triglyceride levels. Chylomicrons isolated from LpL-deficient fasting plasma showed the same low level of CET activity as observed in the intact plasma when combined with HDL and cholesteryl ester transfer protein (CETP)-containing d 1.063 g/ml bottom fractions from control subjects. Preincubation of chylomicrons and large triglyceride-rich lipoproteins (Sf > 400) from LpL-deficient plasma with milk LpL, however, stimulated the capacity to engage in CET 4- to 5-fold to the same level as chylomicrons and VLDL from control subjects after a fat load. Consistent with these measurements of CET activity in plasma, chylomicrons obtained from the LpL-deficient subjects after a 14-h fast had higher TG/CE ratios than chylomicrons from controls 3 h after ingesting a fat load (LpL-deficient 26.3 +/- 9.0 vs. controls 6.9 +/- 2.1; mean +/- SD). The mass of CETP did not differ in LpL-deficient and control subjects (LpL-deficient 1.03 +/- 0.22 micrograms/ml vs. controls 1.58 +/- 0.58 micrograms/ml). These studies are consistent with earlier in vitro studies showing that the actions of lipoprotein lipase and its lipolytic products are essential, for maximal cholesteryl ester transfer protein activity.

Abstract In this paper it is presented how the influence of soil-structure interaction (SSI) interferes on reinforced concrete structures in small buildings with deep foundations, with the objective of analyzing the influence of SSI on the loads and repressions, global stability and costs of materials. The analysis were based on numerical-computational simulations of a commercial building using CAD/TQS commercial software. The building was simulated with 4, 6 and 8 floors with 3 different profiles of soils, generating 8 case studies. When considering SSI, the loads and repressions did not present significant variations and the parameters of global instability were within the normative recommendations. Among the variables analyzed, the material cost of the structure was the least affected item with the SSI consideration.

Resumo Fundamento: A citocina fator de necrose tumoral alfa (TNF-α) é elevada na hipertensão resistente (HAR), mas os efeitos dos inibidores de TNF-α nessa população ainda são desconhecidos. Objetivos: O objetivo deste estudo foi avaliar se uma única dose de infliximabe controlada por placebo reduz a pressão arterial (PA) de forma aguda em pacientes com HAR. Métodos: Realizamos um estudo cruzado, randomizado, duplo-cego e controlado por placebo em que pacientes com HAR receberam infliximabe ou placebo. O desfecho primário foi a alteração dos níveis de PA média em relação ao basal imediatamente após a infusão, obtida por avaliação hemodinâmica não invasiva contínua, batimento a batimento. Os desfechos secundários incluíram alterações em medidas de PA central, ambulatorial e em consultório, na função endotelial, e nos biomarcadores inflamatórios após 7 dias. O nível de significância aceito foi alfa=0,05. Resultados: Foram incluídos dez portadores de HAR. O resultado do desfecho primário demonstrou uma redução aguda dos níveis de PA média (média das diferenças ± desvio padrão = -6,3 ± 7,2 mmHg, p=0,02) em relação ao basal, após o uso de infliximabe, em comparação com o placebo. Os níveis de PA diastólica (-4,9 ± 5,5 mmHg, p=0,02), mas não os níveis de PA sistólica (-9,4 ± 19,7 mmHg, p=0,16), reduziram após a infusão de infliximabe. Não foram identificadas diferenças significativas nos demais parâmetros hemodinâmicos, nem nos resultados dos desfechos secundários, com exceção dos níveis de TNF-α, que aumentaram continuamente após o uso de infliximabe. Não foram relatados eventos adversos durante o protocolo. Conclusões: Uma dose única de infliximabe reduziu os níveis de PA média e diastólica imediatamente após sua infusão, em comparação com placebo em HAR. A terapia com anti-TNF-α foi considerada segura e bem tolerada. Os resultados desse estudo prova de conceito são geradores de hipótese e precisam ser investigados em maior detalhe. (Arq Bras Cardiol. 2021; 116(3):443-451)