Human chromosome aberrations induced in vitro by Paracoccidioides brasiliensis glycoproteic component (GP 43)

The in vitro cytogenetic effects of the 43-kDa molecular mass exocellular glycoproteic component (GP 43) from Paracoccidioides brasiliensis were studied in cultures from human lymphocytes. The sample included 10 healthy, white, non-smoking, non-related males (mean age of 31.3 ± 8.2 years). Besides the control, three concentrations of GP 43 (0.125, 1.25 and 5 μg/ml) were used. In each group, around 1000 cells were examined in search of chromosome aberrations, and 30,000 metaphases were analysed for the determination of the Mitotic Index. The authors conclude that GP 43 most probably causes inhibition of the cell cycle and aneugenic and clastogenic effects.

Estudo comparativo de isolados de P. brasiliensis em adesão celular. Sinalização celular mediada pela GP 43

Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR

高等植物PSI ,PSII反应中心及天线系统色素蛋白复合体结构与功能的研究

一、实验证明了Cd H、Mg“在小麦类囊体膜上色素蛋白复合体的解聚和再聚合过程中，具有不同的作用。因此，二阶阳离子对激发能在光系统间的分配调节作用，可能不能仅仅用“静电现象”(Barber(1980))去解释。分析表明，在Ca2+作用下与PSII内周天线CP-47，GP-43多肽结合的L H C II和LHClb是来自间质膜区的PS I系统的。从PSI迁移到P S II的捕光色素蛋白，增加了PSII的捕光截面，从而促进了激发能有利于PsII分配。 二、Ca2*、Mg2+对小麦和菠菜类囊体膜光谱性质的影响有所差异。Ca2+对小麦类囊体膜光谱性质的影响还可以随着介质中Ca2+的消除而消除。同小麦类囊体膜相比，菠菜PSII以及LHCII更为集中在基粒区域，这可能是菠菜类囊体膜强Fv以及高F888／F735，F89H／F735比值的原因。因此，Ca2+，HgH对激发能在光系统间分配的调节作用是依赖于光系统间激发能及天线色素蛋白的分配状况的。 三、对菠菜叶中分离的PSII-RC: D1-D2-cyt b55g复合物进行的低温荧光发射光谱的研究表明，这一复合物可能具有F681和F684两种波长的低温荧光发射，但它们通常并不是同时存在，而是取决于Ca-670与Ca-680 Chla分子的相对含量的。PSII-RC内周无线GP-47，GP-43多肽的存在是D1-D2-cyt b559复合物低温荧光发射红移的原因;而D1一D2cyt b559复合物的不稳定性则与其低温荧光发射的蓝移现象有关。 从蕹菜叶中分离的Dl—D2-cyt b559复合物的F 381低温荧光发射也是由其相对含量较高的C．i-6 7 0 Chla分子的存在决定的。对蕹菜D 1一D 2-cyt b559复合物中的分析还表明，F 681的低温荧光发射直接来源于Di／D2复合物，而415nm处相对较强的吸收，则可能主要是与Pheo的存在有关的。 四、多肽分析与光谱分析的对照表明，CP-26内周天线多肽可能是PSII中F695低温荧光发射的真正来源。 五、实验分析了蔗糖密度离心分离的LHClI和PSI颗粒。结果排除了CP-27多肽（以及CP，一2 5，GP-47，CP -4 3多肽）具有F695低温荧光发射的可能，因此支持了CP-26多肽是PSII中F695低荧光发射来源的看法。对PsI颗粒的分析表明，P700的存在可能是与PSI-RC中较大的Sub-I亚基相联系的。 六、根据以上的研究结果，提出了PSI，PSII在类囊体膜上的结构模式，并对其内容进行了分析和讨论。

IL-12 and neutralization of endogenous IL-10 revert the in vitro antigen-specific cellular immunosuppression of paracoccidioidomycosis patients

Treatment of patients with paracoccidioidomycosis is still a challenge. Patients present defective lymphoproliferation and IFN-γ responses to the main Paracoccidioides brasiliensis antigen (gp43), which correlates with disease severity. Here, we demonstrated that the patients show also a defective synthesis of interleukin (IL)-12. Therefore, we attempted to revert this immune disfunction by adding IL-12 and neutralizing anti-IL-10 antibody to gp-43-stimulated peripheral blood mononuclear cell cultures. Both treatments increased IFN-γ secretion to levels observed with healthy sensitized individuals, but affected proliferation only modestly. When combined, the treatments further increased IFN-γ synthesis and cell proliferation. The addition of suboptimal concentrations of IL-2 also further increased the IL-12-mediated secretion of IFN-γ. Interestingly, the immune modulation was mostly antigen-specific, since the responses to Candida albicans' antigen were not affected. These results suggest that appropriate immune intervention with cytokines and/or anti-cytokines may help in the treatment of PCM. © 2002 Elsevier Science Ltd. All rights reserved.

Efeito de chalconas e/ou anticorpos anti gp43 na infecção por Paracoccidioides spp

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito de chalconas e/ou anticorpos anti gp43 na infecção por Paracoccidioides spp

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Building Healthy Communities : GP Network, Medicare Local and Primary Health Care in the Wheatbelt Region of Western Australia

• Government reports consistently recognise the importance of Primary Health Care to an efficient health system. Barriers identified in Australia’s Primary Health Care include workforce pressures, increase rate of chronic disease, and equitable access to Primary Health Care services. • General Practitioners (GPs) are the key to the successful delivery of Primary Health Care especially in rural and remote regions such as the Wheatbelt region in Western Australia (WA). • The Wheatbelt region of WA is vast: some 72,500 residents spread across 150,000km2 in 43 Local Government Authorities catchments. Majority of the Wheatbelt residents live in small towns. There is a higher reported rates of chronic disease, more at risk of chronic diseases and less utilisation of Primary Health Care services in this region. • General practice patients in the Wheatbelt are among those most in need of Primary Health Care services. • Wheatbelt GP Network (the “Network”) was established in 1998. It is a key health service delivery stakeholder in the Wheatbelt. • The Network has responded to the health needs of the community by creating a mobile Allied Health Team that works closely with GPs and is adaptive to ensure priority needs are met. • The Medicare Local model introduced by the Australian Government in 2011 aimed to improve the delivery of Primary Health Care services by improved health planning and coordinating service delivery. • Little if any recognition has been given to the outstanding work that many Divisions of General Practice have done in improving the delivery of Primary Health Care services such as the Network. • The Network has continued to support GPs and general practices and created a complementary system that integrated general practice with the work of an Allied Health Team. Its program mix is extensive. • The Network has consistently delivered on-required contract outputs and has a fifteen (15) years history of operating successfully in a large geographical area comprising in the main smaller communities that cannot support the traditional health services model. • The complexity of supporting International Medical Graduates in the region requires special attention. • The introduction of the Medicare Local in the South West of WA and their intention to take over the delivery of health services, thus effectively shutting the Network will have catastrophic consequences and cannot be supported economically. • The Network proposes to create a new model, built on its past work that increases the delivery of Primary Health Care services through its current Allied Health Team. • The proposal uses the Wheatbelt GP Super Clinic currently under construction in Northam, part of the Network and funded by the Australian Government is a key to the proposed new model. • Wheatbelt GP Super Clinic is different from existing models of GP Super Clinics around Australia which focus predominately on co-location of services. Wheatbelt GP Super Clinic utilises a hub and spoke model of service outreach to small rural towns to ensure equitable Primary Health Care coverage and continuum of care in a financially responsible and viable manner. In particular, the Wheatbelt GP Super Clinic recognises the importance of Allied Health Professionals and will involve them in a collaborative model with rural general practice. • The proposed model advocated by the Network aims to substitute the South West WA Medicare Local direct service delivery proposed for the Wheatbelt. The Network’s proposed model is to expand on the current hub and spoke model of Primary Health Care delivery to otherwise small unviable Wheatbelt towns. A flexible and adaptive skill mix of Allied Health Professionals, Nurse Practitioners and GPs ensure equitable access to service. Expanded scope of practices are utilised to reduce duplication of service and concentration of services in major towns. This involves a partnership approach. • If the proposed model not funded, the Network and the Wheatbelt region will stand to lose 16 Allied Health Professionals and defeats the purpose of Australian Government current funding for the construction of the Wheatbelt GP Super Clinic. • The Network has considered how its model can best be funded. It proposes a re-allocation of funds made available to the South West WA Medicare Local. • This submission argues that the proposal for the South West WA Medicare Local to take over the service delivery of Primary Health Care services in the Wheatbelt makes no economic sense when an existing agency (the Network) has the infrastructure in place, is experienced in working in this geographical area that has special needs and is capable to expand its programs to meet demand.

Questionnaire Survey of Physical activITy in Genral Practictioners (PHIT GP Study)

Objectives: To assess the levels of physical activity and other health related behaviours of General Practitioners (GPs) and compare their reported levels of physical activity with those of the general population. Study Design: Cross sectional postal questionnaire survey. Methods: A questionnaire, which did not allow identification of individual respondents, was posted to all 1074 (GPs) in Northern Ireland. It included the validated International Physical Activity Questionnaire (IPAQ) and questions relating to smoking and alcohol consumption. A national survey of a representative sample of the general population of similar age (29-67 years; n = 3010) provided comparative data. Results: 735 GPs responded (68.4%). IPAQ data indicated that fewer GPs (43.4%) were “physically inactive” compared to the general population (56.2%) (p

GP Comunicação, Ciência, Meio Ambiente e Sociedade 2004-2014: Quem somos? O que pesquisamos?

Artigo publicado dos anais da Intercom 2015

Mineral and chemical compositions of sedimentary and volcano-sedimentary rocks drilled in DSDP Legs 43 and 44

Sedimentary cover on the bottom of the Northwest Atlantic Ocean is underlain by Late Jurassic - Cretaceous tholeiite-basalt formation. It consists of come sedimentary formations with different lithologic features and age. Their composition, stratigraphic position and, distribution are described on materials of deep-sea drilling. Mineralogical and geochemical studies of DSDP Leg 43 and Leg 44 holes lead to new ideas about composition and genesis of some sediment types of and their associations. High metal contents in the chalk formation of black clays on the Bermuda Rise probably result from exhalations. Connection of red-colored and speckled deposits with hiatuses in sedimentation is shown. Main stages of geological history of the North American Basin are reflected in accumulation of the followed formations: ancient carbonate formation (Late Jurassic - Early Cretaceous), formation of black clays rich in organic matter (Cretaceous), formation of speckled clays (Late Cretaceous), siliceous-clayey turbidite formation (Eocene), hemipelagic and pelagic clayey formation (Neogene), and terrigenous turbidite formation (Pleistocene).

Factors that influence Information Systems decisions and outcomes: A summary of key themes from four case studies" (2006). ACIS 2006 Proceedings. Paper 43.

This paper reports a summary of key findings from an examination of Information Systems decision making in four organisations. The study focused on what factors influenced decision makers during the critical preimplementation phase of Information Systems projects when systems were evaluated, selected and acquired. Using data gathered from interviews and organisational documentation, a critical hermeneutic analysis was performed in order to build an understanding of how informational and contextual influences acted on decision makers. Eight broad themes of factors were identified as having influence on decision makers and outcomes.

Patient influences on satisfaction and loyalty for GP services

Little is known about the influence that patients themselves have on their loyalty to a general practitioner (GP). Consequently, a theoretical framework that draws on diverse literature is proposed to suggest that along with satisfaction, patient loyalty is an important outcome for GPs. Comprising 174 Australian patients, this study identified that knowledgeable patients reported lower levels of loyalty while older patients and patients visiting a GP more frequently reported higher levels of loyalty. The results suggest that extending patient-centred care practices to encompass all patients may be warranted in order to improve patient satisfaction and loyalty. Further, future research opportunities abound, with intervention and dyadic research methodologies recommended.

Telephone support to rural and remote patients with heart failure : the Chronic Heart failure Assessment by Telephone (CHAT) study

Background Heart failure (HF) remains a condition with high morbidity and mortality. We tested a telephone support strategy to reduce major events in rural and remote Australians with HF, who have limited healthcare access. Telephone support comprised an interactive telecommunication software tool (TeleWatch) with follow-up by trained cardiac nurses. Methods Patients with a general practice (GP) diagnosis of HF were randomised to usual care (UC) or UC and telephone support intervention (UC+I) using a cluster design involving 143 GPs throughout Australia. Patients were followed for 12 months. The primary end-point was the Packer clinical composite score. Secondary end-points included hospitalisation for any cause, death or hospitalisation, as well as HF hospitalisation. Results Four hundred and five patients were randomised into CHAT. Patients were well matched at baseline for key demographic variables. The primary end-point of the Packer Score was not different between the two groups (P=0.98), although more patients improved with UC+I. There were fewer patients hospitalised for any cause (74 versus 114, adjusted HR 0.67 [95% CI 0.50-0.89], p=0.006) and who died or were hospitalised (89 versus 124, adjusted HR 0.70 [95% CI 0.53 – 0.92], p=0.011), in the UC+I vs UC group. HF hospitalisations were reduced with UC+I (23 versus 35, adjusted HR 0.81 [95% CI 0.44 – 1.38]), although this was not significant (p=0.43). There were 16 deaths in the UC group and 17 in the UC+I group (p=0.43). Conclusions Although no difference was observed in the primary end-point of CHAT (Packer composite score), UC+I significantly reduced the number of HF patients hospitalised amongst a rural and remote cohort. These data suggest that telephone support may be an efficacious approach to improve clinical outcomes in rural and remote HF patients.