Does soy increase blood counts in myelodysplastic syndromes? / Será que a soja aumenta as contagens sanguíneas em síndrome mielodisplásica?

Myelodysplastic syndromes (MDS) are a group of clonal stem cell diseases characterized by ineffective hematopoiesis, bone marrow hyperproliferation, cytopenias in peripheral blood and risk of transformation into acute leukemia. We decided to investigate the effects of a soy concentrate on MDS patients based on the follow-up results of a 61 year-old Japanese female patient who was diagnosed with MDS and refractory cytopenia with multilineage dysplasia in 2003 (hemoglobin = 11g/dL; white blood cells count = 2,500/uL and platelets = 25,000/uL; marrow with mild dysplasia and normal karyotype; paroxysmal nocturnal hemoglobinuria was excluded). She started using soy as a dietary supplementation in May 2004 and presented a gradual increment in blood counts, achieving normalization approximately eight months afterwards. Among the soy components, the main compounds with anti-carcinogenic activity are the isoflavones (genistein and daidzein). Based on these lines of evidence, we proposed to administer daily a standard soy concentrate to 14 MDS out-patients for a minimum period of three months and maximum of 12 months, in an attempt to evaluate prospectively the possible increase in hemoglobin, neutrophils and platelet counts. A historical control group was used to compare results. The use of a soy concentrate in a standardized manner was associated with an increase in neutrophil and/or platelet counts in some cases, but spontaneous increments were also observed in historical controls. This preliminary study does not allow establishing a relation between soy supplementation and blood cell count increase.

As síndromes mielodisplásicas (SMD) são um grupo das doenças clonais de células-tronco caracterizado por hematopoese ineficaz, hiperproliferação de medula óssea, citopenias no sangue periférico e risco de transformação para leucemia aguda. Decidimos investigar os efeitos de um concentrado de soja em pacientes com SMD com base no fato de termos o seguimento de uma paciente japonesa, de 61 anos de idade, que foi diagnosticada em 2003 com SMD, citopenia refratária com displasia subtipo multilinhagens (hemoglobina = 11 g/dL; contagem de glóbulos brancos = 2.500/uL e plaquetas = 25.000/uL; medula com displasia leve e cariótipo normal; hemoglobinúria paroxística excluída), e que começou a usar a soja como suplemento alimentar em maio de 2004, apresentando gradual aumento da contagem das células sanguíneas, atingindo a normalização cerca de oito meses depois. Entre os componentes da soja, os principais compostos com propriedades anticarcinogênese são as isoflavonas (Ge nisteína e daidzeína). Com base nessas linhas de evidência, foi proposto oferecer diariamente um concentrado de soja padrão, por um período mínimo de três meses e máximo de doze meses, a 14 pacientes ambulatoriais, na tentativa de avaliar, prospectivamente, o possível aumento de hemoglobina, neutrófilos e plaquetas. Um grupo controle histórico foi utilizado para comparar os resultados. O uso de um concentrado de soja de forma padronizada foi associado ao aumento na contagem de neutrófilos e/ou de plaquetas em alguns casos, mas aumentos espontâneos também foram observados em controles históricos. Este estudo preliminar não permite estabelecer relação entre o uso de soja e o aumento na contagem sanguínea.

Significant reduction of granulomas in Nrf2-deficientmice infected with Mycobacterium tuberculosis.

Objective: We have reported previously that mice deficient in nuclear erythroid 2 p45-related factor 2 (Nrf2), which regulates the expression of antioxidant and detoxification genes, showed significant susceptibility to airway inflammatory responses when exposed to diesel exhaust particles for eight weeks2. As disruption of Nrf2 promotes immune cells that stimulate Th2-like immunoresponsiveness, Nrf2-deficient mice may be resistant to M. tuberculosis infection. Setting: Nrf2-deficient mice were infected with M. tuberculosis aerially, and the size of their granulomas and cytokine mRNA expression were compared with those of wild-type mice. Results: Significant reduction of granuloma formation and tubercle bacilli in granulomas was noted in the deficient mice 27 weeks after infection, concurrently with higher expression of IL-2 and IL-13 mRNA. Conclusion: It is concluded that Nrf2 inversely regulates M. tuberculosis-induced granuloma development at the late stage.

Agonistic and reproductive behaviors in males of red hybrid tilapia, Oreochromis niloticus (Linnaeus, 1758) x O. mossambicus (Peters, 1852) (Osteichthyes: Cichlidae)

The red hybrid tilapia, Oreochromis niloticus (Linnaeus, 1758) x O. mossambicus (Peters, 1852) is a fertile hybrid used in the semi-intensive level of fish culture in the Northeast of Brazil. It is a territorial cichlid and is highly aggressive towards conspecifics during the breeding season. The purpose of this study was to investigate and describe the aggressive behaviour displayed by the males of this hybrid in non-reproductive and reproductive contexts. Behavioural observations revealed that aggression displayed by the reproductive males of red hybrid tilapia included threatening, undulation, parallel, lateral and frontal attacks, chasing, escape and submission. Possession of a territory influenced male aggressiveness, which was more intense in their own territory than that observed in a neutral situation. The males built nests, irrespective of female presence. All the behavioural patterns were in accordance with those previously described for one parental species, the Nile tilapia, O. niloticus.

O híbrido vermelho de tilápia Oreochromis niloticus (Linnaeus, 1758) x O. mossambicus (Peters, 1852) é um híbrido fértil utilizado na piscicultura numa escala semi-intensiva no Nordeste brasileiro. É um ciclídeo territorial e altamente agressivo frente a coespecíficos na época reprodutiva. O objetivo deste estudo foi investigar e descrever os comportamentos agressivos exibidos pelos machos deste híbrido em contextos não-reprodutivos e reprodutivos. As observações comportamentais mostraram que as agressões exibidas pelos machos de híbrido vermelho de tilápia incluíram ameaça, ondulação, confronto paralelo, lateral e frontal, perseguição, fuga e submissão. A posse do território influenciou a agressividade dos machos, cuja intensidade foi maior no próprio território em relação àquela observada em situação neutra. Os ninhos foram escavados pelos machos independente da presença das fêmeas. Todos os padrões comportamentais descritos estavam de acordo com os padrões previamente descritos para uma das espécies parentais, a Tilápia do Nilo, O. niloticus.

Mating system of the amazonian cichlid angel fish, Pterophyllum scalare

The species, Pterophyllum scalare distinguishes itself by its breeding behavior, involving competition for territory, sexual partners, courtship and parental care. The purpose of this study was to identify the mating system adopted by this species of fish. Twenty males and twenty females were observed under semi-natural and experimental conditions to test the hypothesis of serial monogamy. Under semi-natural conditions, after the third breeding cycle, the couples changed mates. Under experimental conditions, the couples changed partners after the first breeding cycle. Under experimental conditions, mate recognition was investigated through the preference of the females, indicated by the time they spent with the males. The females were available or not for courtship from new males, depending on their aggressiveness or submission. The larger and more aggressive males obtained new mating opportunities while the submissive males were rejected by the females. The mated fish were aggressive towards intruders in the presence of the mate, protecting their pair bond. In the interval between breeding cycles, the couples did not display aggression towards intruders, confirming the hypothesis of serial monogamy. Best mate selection by the females and the opportunity of new matings for both sexes influenced the reproductive success of this species.

A espécie Pterophyllum scalare se destaca pela complexidade de seu comportamento reprodutivo, envolvendo competição por território e parceiros sexuais, corte, acasalamento e cuidado parental. Este trabalho teve como objetivo identificar o tipo de sistema de acasalamento adotado pelos peixes desta espécie. Vinte machos e vinte fêmeas foram observados nas situações seminatural e experimental para testar a hipótese de monogamia serial. Em situação seminatural, após o terceiro ciclo reprodutivo, os casais mudaram de parceiros, enquanto que, em situação experimental, os casais mudaram de parceiros a partir do primeiro ciclo reprodutivo. Em situação experimental foi investigado o reconhecimento do parceiro, pela permanência das fêmeas que se mostraram disponíveis ou não à corte de novos machos, em função da agressividade e submissão deles. Machos maiores e mais agressivos obtiveram novas oportunidades de acasalamento e machos submissos foram rejeitados pelas fêmeas. Os peixes acasalados foram agressivos a intrusos na presença do parceiro, protegendo a ligação do par. No intervalo entre os ciclos reprodutivos, os pares não mostraram agressão a intrusos, confirmando a hipótese de monogamia serial. A escolha do melhor parceiro pelas fêmeas e a oportunidade de novos acasalamentos para ambos os sexos influenciaram o sucesso reprodutivo desta espécie.

Implicancias del diagnóstico antenatal de dilatación ureteral / Prenatal diagnosis of ureteral dilation

Muchos de los hallazgos del diagnóstico antenatal de patología urológica son inespecíficos y sólo nos permiten diferenciar pacientes con un mayor riesgo de infección urinaria o de perder función renal. El hecho de identificar un uréter en la ecografía prenatal es un hallazgo inespecífico, que aún no tenemos claro qué significa y qué pronóstico tiene para nuestros pacientes. A partir de noviembre de 1999, tenemos un protocolo prospectivo para el seguimiento y manejo de pacientes con diagnóstico antenatal de patología urológica. Se revisó en forma retrospectiva los pacientes en que hubo dilatación ureteral en la ecografía prenatal.180 pacientes han sido referidos y seguidos según protocolo. En 21 pacientes (11.7 por ciento) se ha hecho diagnóstico de dilatación ureteral en la ecografía prenatal. Once hombres y 10 mujeres. Los diagnósticos postnatales de estos pacientes fueron: 4 pacientes con doble sistema pieloureteral; 2 pacientes con megauréteres; 1paciente con una cloaca; 5 pacientes con dilataciones transitorias; 2 pacientes con ureterocele en sistemaúnico; 1 paciente con reflujo vesicoureteral en un sistema único y con un riñón multicístico en el contralateral; 1 paciente con valvas de uretra posterior y 5 pacientes con obstrucción pieloureteral. Un total de 13 pacientes de los 21 requirieron cirugía (62por ciento) y 8 se manejaron médicamente (38.09 por ciento).El hecho de identificar el uréter dilatado en la ecografía prenatal nos permite identificar una población prenatal de riesgo, ya que un 57,1 por ciento de nuestros pacientes requirieron de cirugía. Llama la atención que 5 pacientes en que se vio el uréter dilatado en la ecografía prenatal, terminaron operándose de obstrucción pieloureteral. Esto apoya la hipótesis de que estas obstrucciones sean secundarias a dilataciones ureterales prenatales. El consejo prenatal tiene que ser dado con cautela y por gente con experiencia, ya que a pesar de existir un riesgo elevado de cirugía...

Prenatal diagnosis is usually non specific and only allows for early detection of patients with a higher risk of developing urinary tract infections or loss of renal function. The identification of the ureter in a prenatal ultrasound is a nonspecific finding. The relevance of this is unknown. A prospective protocol for the management and follow up of patients with antenatal diagnosis of urologicmal formations was started in 1999. We retrospectively review our patients who presented a ureteral dilatation in the antenatal ultrasound.180 patients were referred and follow up was carried out according to protocol. 21 patients (11.7 percent) had ureteral dilatation on the prenatal ultrasound, 11 male and 10 female. The following post natal diagnoses were registered: 4 patients had a duplex kidney, 2 patients had megaureter, 1 patient had a cloaca, 5 patients had transitory dilatations, 2 patients had ureterocele in an single system, 1 patient had VUR in a single system and a contralateral muticystic kidney, 1 patient had posterior urethral valves, and 5 patients had ureteropelvic obstruction.13 of 21 patients required surgery (62 percent), the other 8 required only prophylaxis and follow up (38.09 percent). Being able to identify a dilated ureter in an prenatal ultrasound allowed us to define a high risk group, in which 62 percent required surgery. Of the patients in this group, it is noteworthy that 5 patients in whom a dilated ureter was visualized were operated on for ureteropelvic obstruction. This fact supports the idea that obstructions are secondary to antenatal ureteral dilations. Antenatal advice should be given carefully and by experienced personnel because, although there was a high percentage of surgery in this group, there was also a group of patients that only required antibiotics prophylaxis and image monitoring.

Contested dominance modifies the anovulatory consequences of social subordination in female marmosets

Dominance status among female marmosets is reflected in agonistic behavior and ovarian function. Socially dominant females receive submissive behavior from subordinates, while exhibiting normal ovulatory function. Subordinate females, however, receive agonistic behavior from dominants, while exhibiting reduced or absent ovulatory function. Such disparity in female fertility is not absolute, and groups with two breeding females have been described. The data reported here were obtained from 8 female-female pairs of captive female marmosets, each housed with a single unrelated male. Pairs were classified into two groups: "uncontested" dominance (UD) and "contested" dominance (CD), with 4 pairs each. Dominant females in UD pairs showed significantly higher frequencies (4.1) of agonism (piloerection, attack and chasing) than their subordinates (0.36), and agonistic behaviors were overall more frequently displayed by CD than by UD pairs. Subordinates in CD pairs exhibited more agonistic behavior (2.9) than subordinates in UD pairs (0.36), which displayed significantly more submissive (6.97) behaviors than their dominants (0.35). The data suggest that there is more than one kind of dominance relationship between female common marmosets. Assessment of progesterone levels showed that while subordinates in UD pairs appeared to be anovulatory, the degree of ovulatory disruption in subordinates of CD pairs was more varied and less complete. We suggest that such variation in female-female social dominance relationships and the associated variation in the degree and reliability of fertility suppression may explain variations of the reproductive condition of free-living groups of common marmosets.

Fludarabine induces apoptosis in chronic lymphocytic leukemia - the role of P53, Bcl-2, Bax, Mcl-1, and Bag-1 proteins

The expression of P53, Bcl-2, Bax, Bag-1, and Mcl-1 proteins in CD5/CD20-positive B-chronic lymphocytic leukemia (B-CLL) cells from 30 typical CLL patients was evaluated before and after 48 h of incubation with 10-6 M fludarabine using multiparametric flow cytometric analysis. Protein expression was correlated with annexin V expression, Rai modified clinical staging, lymphocyte doubling time, and previous treatment. Our main goal was to determine the predictive value of these proteins in CLL cells in terms of disease evolution. Bcl-2 expression decreased from a median fluorescence index (MFI) of 331.71 ± 42.2 to 245.81 ± 52.2 (P < 0.001) after fludarabine treatment, but there was no difference between viable cells (331.57 ± 44.6 MFI) and apoptotic cells (331.71 ± 42.2 MFI) before incubation (P = 0.859). Bax expression was higher in viable cells (156.24 ± 32.2 MFI) than in apoptotic cells (133.56 ± 35.7 MFI) before incubation, probably reflecting defective apoptosis in CLL (P = 0.001). Mcl-1 expression was increased in fludarabine-resistant cells and seemed to be a remarkable protein for the inhibition of the apoptotic process in CLL (from 233.59 ± 29.8 to 252.04 ± 35.5; P = 0.033). After fludarabine treatment, Bag-1 expression was increased in fludarabine-resistant cells (from 425.55 ± 39.3 to 447.49 ± 34.5 MFI, P = 0.012), and interestingly, this higher expression occurred in patients who had a short lymphocyte doubling time (P = 0.022). Therefore, we could assume that Bag-1 expression in such situation might identify CLL patients who will need treatment earlier.

Acute myeloid leukemia in elderly patients: experience of a single center

Acute myeloid leukemia (AML) is a disease predominantly of older adults. Treatment of AML in the elderly is complicated not only by comorbidities but also by the high prevalence of poor prognosis markers. Thirty-one consecutive unselected patients with AML older than 60 years (representing 33 percent of all AML cases diagnosed at our institution during the same period) were followed over a period of 5 years (1997-2002). A high incidence of AML with multilineage dysplasia (45 percent) and no favorable cytogenetic abnormalities but 62 percent intermediate and 38 percent unfavorable karyotypes were found. Sixteen patients (52 percent) were selected for induction of intensive cytotoxic treatment and complete remission was achieved only by some of these intensively treated patients (7 of 16). Of these, 3 remained alive without disease (median: 11 months), 1 patient died shortly after complete remission, and 3 patients relapsed and died from refractory disease. Only 1 patient that was refractory to intensive cytotoxic treatment remained alive with disease under supportive care. Fifteen patients (48 percent) were managed with palliative/supportive care: 7 received palliative treatment and supportive care, 8 received supportive care only, and 4 patients remained alive with disease under supportive care (median: 9 months). Mortality rate was 74 percent and overall survival at two years was 12 percent. To the best of our knowledge, there is no previous report regarding elderly patients with AML in Brazilian subsets. The present data are similar to previously reported studies showing that elderly AML patients are not only older but also biologically distinct from younger AML patients, particularly in terms of the high incidence of poor prognostic karyotypes and resistance to therapy

Acute promyelocytic leukemia: the study of t(15; 17) translocation by fluorescent in situ hybridization, reverse transcriptase-polymerase chain reaction and cytogenetic techniques

Acute promyelocytic leukemia (AML M3) is a well-defined subtype of leukemia with specific and peculiar characteristics. Immediate identification of t(15;17) or the PML/RARA gene rearrangement is fundamental for treatment. The objective of the present study was to compare fluorescent in situ hybridization (FISH), reverse transcriptase-polymerase chain reaction (RT-PCR) and karyotyping in 18 samples (12 at diagnosis and 6 after treatment) from 13 AML M3 patients. Bone marrow samples were submitted to karyotype G-banding, FISH and RT-PCR. At diagnosis, cytogenetics was successful in 10 of 12 samples, 8 with t(15;17) and 2 without. FISH was positive in 11/12 cases (one had no cells for analysis) and positivity varied from 25 to 93 per cent (mean: 56 per cent). RT-PCR was done in 6/12 cases and all were positive. Four of 8 patients with t(15;17) presented positive RT-PCR as well as 2 without metaphases. The lack of RT-PCR results in the other samples was due to poor quality RNA. When the three tests were compared at diagnosis, karyotyping presented the translocation in 80 per cent of the tested samples while FISH and RT-PCR showed the PML/RARA rearrangement in 100 per cent of them. Of 6 samples evaluated after treatment, 3 showed a normal karyotype, 1 persistence of an abnormal clone and 2 no metaphases. FISH was negative in 4 samples studied and 2 had no material for analysis. RT-PCR was positive in 4 (2 of which showed negative FISH, indicating residual disease) and negative in 2. When the three tests were compared after treatment, they showed concordance in 2 of 6 samples or, when there were not enough cells for all tests, concordance between karyotype and RT-PCR in one. At remission, RT-PCR was the most sensitive test in detecting residual disease, as expected (positive in 4/6 samples). An incidence of about 40 per cent of 5' breaks and 60 per cent of 3' breaks, i.e., bcr3 and bcr1/bcr2, respectively, was observed.

Leucemia mielóide aguda Ph1-positivo de novo ou crise blástica de leucemia mielóide crônica? Análise molecular e evoluçäo clínica de um caso / Ph1-positive acute myeloid leukemia de novo or chronic myeloid leukemia? Molecular analysis and clinical evolution of a case

Os autores relatam um caso de leucemia mielóide aguda (LMA) que apresentava, ao diagnóstico, basofilia no sangue periférico e cariótipo com presença do cromossomo Filadélfia (Ph1). Após um ano de tratamento com quimioterapia intensiva e em fase de remissao clínica e hematológica, a análise molecular pela técnica da reaçao em cadeia da polimerase-trasncriptase reversa (RT-PCR) revelou presença de doença residual (rearranjo b2-a2). A seguir, o paciente apresentou primeira recidiva como LMA e, após a remissao, evoluiu com quadro hematológico sugestivo de leucemia mielóide crônica (LMC) em fase crônica. Após dez meses, apresentou nova recidiva da LMA. Os autores discutem a dificuldade do diagnóstico diferencial entre LMA Ph1-positivo de novo e crise blástica mielóide como primeira manifestaçao clínica da LMC, baseados nos aspectos clínicos e moleculares.

Necrólise epidérmica tóxica secundária ao uso da citosina-arabinosídeo em dose intermediária / Toxic epidermal necrolysis after the use of intermediate dose of cytosine arabinoside

A necrólise epidérmica tóxica é afecçao dermatológica secundária ao uso de drogas e corresponde à síndrome de Lyell, relacionada ao eritema multiforme e à síndrome de Stevens-Johnson. Objetivos. Relatar um caso de necrólise epidérmica fatal secundária à citosina-arabinosídeo (Ara-C) em dose intermediária. Relato de Caso. Paciente do sexo feminino, com 16 anos de idade, portadora de leucemia linfóide aguda - LLA-L1. Iniciou tratamento segundo o protocolo do Grupo Brasileiro de Tratamento da Leucemia Infantil/85, alto risco. Na fase II da induçäo, após o uso de Ara-C na dose de 1,5g/m2, intravenoso, 12/12h x três dias, desenvolveu múltiplas lesöes cutâneas bolhosas, que aumentaram rapidamente por progressäo das bordas. As bolhas continham secreçäo serosa, evoluíram para ulceraçäo superficial central, com infecçäo secundária múltipla. Faleceu por septicemia, no 13 dia após o início do quadro dermatológico. Conclusäo. O Ara-C tem sido relacionado a diversas manifestaçöes de toxicidade dermatológica; no entanto, até o momento, näo há relato de necrólise epidérmica tóxica, sendo este o primeiro caso da literatura.

Alteraçöes citogenética como fatores prognósticos em leucemias mielóides agudas / Cytogenetic abnormalities as prognostic factors in acute myeloide leukemia

O estudo das alteraçoes cromossômica nas leucemias mielóides agudas (LMA) vem-se tornando importante no diagnóstico e na caracterizaçao de subtipos, pois associam-se a características clínicas, morfológicas e imunológicas definidas à resposta a tratamento e à sobrevida. OBJETIVO. O presente trabalho objetiva avaliar a importância relativa das alteraçoes citogenética em portadores de LMA. MATERIAL. Foram estudados, ao diagnóstico, 13 pacientes com LMA e com idade mediana igual a 38 anos. O estudo citogenético foi realizado em material medular.RESULTADOS. Os subtipos FAB M1 e M2 foram o mais freqüentes (61,6 por cento). A análise citogenética mostrou cariótipo anormal em 61,5 por cento dos casos e, dentre estes, apenas 15,3 por cento tinham alteraçoes indicadoras de bom prognóstico [t(l5;17) e t(8;21)]. Na data de avaliaçao do estudo havia três pacientes vivos, dois em remissao completa contínua e um em segunda remissao. A sobrevida mediana global foi de 7 meses. Os pacientes foram divididos em dois grupos: um intitulado "bom prognóstico", que englobou cinco indivíduos com cariótipo normal e dois com as translocaçoes t(l5;17) e t(8;21), e outro, "mau prognóstico", com oito pacientes com alteraçoes cromossômicas desfavoráveis. O grupo "bom prognóstico" teve sobrevida mediana de nove meses, enquanto outro, de 6,2 meses, mas sem diferença estatisticamente significante (p= 0,180084), provavelmente devido ao pequeno número de casos em cada grupo. Entretanto, ao se analisar os casos em separado nota-se que os pacientes com translocaçoes (8;21) e (15;17), tidas como de bom prognóstico, tiveram sobrevidas mais longas. CONCLUSAO. Concluímos que o trabalho evidenciou sobrevida desigual entre os dois grupos, ressaltando a importância da análise citogenética que permite distinguir o paciente que terá evoluçao favorável.

Behavior and progesterone levels in Callithrix jacchus females

In callitrichids, and especially in the Callithrix and Saguinus genera, reproductive suppression maintains the breeding exclusivity of dominant females. It has been suggested that dominance may be inferred from agonistic behavior of females. The purpose of this study was to assess the adequacy of behaviors as indicators of hormonal status in Callithrix jacchus females. Two paires of twin females were observed for affiliative, agonistic and sexual behaviors for 20 weeks, in four stages of increasingly potential competition for one male. During the same period, blood samples were taken regularly for progesterone determination by ELISA. The two pairs differed markedly as to behaviors and hormonal status: pair 1 showed a well established behavioral dominance and only one ovulating female from the beginning of the observation period; pair 2 showed competition for dominance until the last stage of observation, when one of the females started ovulating. Correlations between behaviors and progesterone levels showed differences between subordinate and dominant females mostly in pair 2. Although limited in number of animals studied, these results suggest that there is a relationship between behavior and hormones in female marmosets, but this relationship may be useful in the identification of the physiological status of females only in groups where the dominance is not well estblished

Resistencia a drogas lisogenia e producao de colicinas e hemolisinas em amostras de Eschericha coli enteropatogenicas. / Drug resistance, lisogeny and production of colicin and hemolysin among enteropathogenic Escherichia coli strains

Foram estudadas 90 amostras de Escherichia coli anteropatogenicas classicas (EPEC), pertencentes a 10 diferentes sorogrupos em relacao a resistencia a drogas, lisogenia e producao de colicinas e hemolisinas. Oitenta e oito amostras foram resistentes de uma a nove drogas sendo que as amostras dos sorogrupos 055, 0111, 0119 e 0142 apresentaram resistencia a um maior numero de drogas. Cinco amostras eram colicinogenicas, duas hemoliticas e duas lisogenicas Os sorogrupos, envolvidos nessas caracteristicas, foram 026, 055, 0111 e 0119. Os resultados sugerem que colicinas e hemolisinas nao constituem fatores de virulencia nas amostras estudadas

A campanha de vacinacao contra a poliomielite: uma parcela da populacao da sua opiniao. / The vacination campaign against poliomyelitis: part of the population gives opinion

Os autores entrevistaram 72 pessoas durante o Dia Nacional de Vacinacao contra a Poliomielite, realizado em 14 de junho de 1980, procurando, atraves de um roteiro de perguntas, estabelecer: qual a repercussao da propaganda sobre a populacao; como ela entendeu e sentiu a campanha e qual a sua compreensao sobre a poliomielite, as vacinas e os metodos de prevencao. Utilizando uma abordagem qualitativa, os autores discutem: a campanha de vacinacao e sua propaganda e o papel que esta exerce em nossa sociedade; as relacoes entre os profissionais de saude e os usuarios e as relacoes estabelecidas com a populacao no contexto de um trabalho como este