Concept and progress in the development of RGD-containmg peptide pharmaceuticals

The cell adhesion domain, arginine-glycine-aspartic acid (RGD), has been incorporated into synthetic peptides to perform either of two modes of drug action, antagonist or agonist. Short, conformationally constrained peptides have been developed as antagonists for the platelet membrane glycoprotein complex, the integrin α_11b, β₃, using cell-based and integrin-based assays. In combination with a comparative molecular modeling study, these results have helped identify common conformotional elements in the pharmacophore of this class of molecules. Peptides are presented that are highly potent, integrin specific, and that possess reduced pharmacological side effects. Also presented is the development of a peptide that modifies, noncovalently, the surfaces of a wide variety of synthetic materials used in medical implants. The agonist activity of this molecule is evident from its ability to stimulate cell attachment on these surfaces. This is shown to translate into an in vivo activity of faster and more complete tissue integration, and a reduction in foreign body response. © 1994 John Wiley & Sons, Inc.     

Best Practice Updates for Nursing Care in Weight Loss Surger

The objective of this study is to update evidence‐based best practice guidelines for nursing in weight loss surgery (WLS). We performed a systematic search of English‐language literature on WLS and perioperative nursing, postoperative, anesthesia, and discharge published between April 2004 and May 2007 in MEDLINE, CINHAL and the Cochrane Library. Key words were used to narrow the search for a selective review of abstracts, retrieval of full articles, and grading of evidence according to systems used in established evidence‐based models. From these, we developed evidence‐based best practice recommendations from the most recent literature on nursing in WLS. We identified >54 papers; the most relevant were reviewed in detail. Regular updates of evidence‐based recommendations for best practices in WLS nursing are required to address advances in surgery and anesthesiology, as well as changes in the demographics and levels of obesity in WLS patients. Key factors in patient safety include staff education, comprehensive admission assessment, patient education, careful preoperative surveillance and postoperative care, and long‐term discharge follow‐up.     

Carotenoid-based sexual coloration and body condition in nesting male sticklebacks

The extent, corrected for body size, and intensity of nuptial coloration of breeding male three-spined sticklebacks Gasterosteus aculeatus L. from a Scottish freshwater population were highly variable but correlated, both in the field and after a period of nest-building in the laboratory. However, marked changes in coloration occurred between the field and the laboratory screenings and the coefficients of variation amongst males decreased. In general, intensity of coloration increased between the field and laboratory screenings, but changes in size-corrected extent were not consistently directional. For both indices, there was a negative relationship between the field value and amount by which colour changed between sampling sessions, with fish that were initially the dullest gaining most in colour. Size-corrected extent and (in particular) intensity of coloration in the field sample were associated positively with body condition measured post mortem and there was a negative, though non-significant, relationship between the extent of coloration and the proportion of white cells in the blood. No such associations were found for the laboratory colour screening. The concentration of astaxanthin in the lower jaw was related strongly and positively to both size-corrected extent and intensity of coloration at the laboratory screening and related negatively, though non-significantly, to proportional white cell counts. These data have implications both for the interpretation of previous laboratory studies and for the design of future experiments, and suggest that coloration is only a true indicator of male quality when measured in the field.