ABSTRACT
Currently, there is no discussion on the need to improve and strengthen the institutional health care modality of FONASA (MAI), the health care system used by the public services net and by most of the population, despite the widely known and long lasting problems such as waiting lists, hospital debt with suppliers, lack of specialists and increasing services purchase transference to the private sector, etc. In a dichotomous sectorial context, such as the one of healths social security in Chile (the state on one side and the market on the other), points of view are polarized and stances tend to seek refuge within themselves. As a consequence, to protect the public solution is commonly associated with protecting the status quo, creating an environment that is reluctant to change. The author proposes a solution based on three basic core ideas, which, if proven effective, can strengthen each other if combined properly. These are: network financing management, governance of health care services in MAI and investments and human resources in networked self-managed institutions. The proposal of these core ideas was done introducing a reality testing that minimizes the politic complexity of their implementation.
Subject(s)
Animals , Humans , Rats , AMP-Activated Protein Kinases/metabolism , Antioxidants/therapeutic use , Autophagy/drug effects , Signal Transduction/drug effects , Sirtuin 1/metabolism , Stilbenes/therapeutic use , Cell Line, Transformed , Dose-Response Relationship, Drug , Doxycycline/pharmacology , Gene Expression Regulation/drug effects , Insecticides/toxicity , Microscopy, Immunoelectron/methods , Microtubule-Associated Proteins/genetics , Microtubule-Associated Proteins/metabolism , Mutation/genetics , Poly(ADP-ribose) Polymerases/metabolism , RNA, Small Interfering/pharmacology , Rotenone/toxicity , Time Factors , alpha-Synuclein/genetics , alpha-Synuclein/metabolismABSTRACT
The Purkinje cell and their synaptic contacts have been described using (1) light microsocopy, (2) transmission and scanning electron microscopy, and freeze etching technique, (3) conventional and field emission scanning electron microscopy and cryofracture methods, (4) confocal laser scanning microscopy using intravital stain FM64, and (5) immunocytochemical techniques for Synapsin-I, PSD9-5, GluR1 subunit of AMPA receptors, N-cadherin, and CamKII alpha. The outer surface and inner content of plasma membrane, cell organelles, cytoskeleton, nucleus, dendritic and axonal processes have been exposed and analyzed in a three-dimensional view. The intramembrane morphology, in bi- and three-dimensional views, and immunocytochemical labeling of synaptic contacts with parallel and climbing fibers, basket and stellate cell axons have been characterized. Freeze etching technique, field emission scanning microscopy and cryofracture methods, and GluR1 immunohistochemistry showed the morphology and localization of postsynaptic receptors. Purkinje cell shows N-cadherin and CamKII alpha immunoreactivity. The correlative microscopy approach provides a deeper understanding of structure and function of the Purkinje cell, a new three-dimensional outer and inner vision, a more detailed study of afferent and intrinsic synaptic junctions, and of intracortical circuits.
Subject(s)
Animals , Humans , Microscopy, Confocal/methods , Microscopy, Electron, Scanning/methods , Microscopy, Immunoelectron/methods , Purkinje Cells/ultrastructure , Biomarkers/metabolism , Immunoenzyme Techniques , Purkinje Cells/metabolismABSTRACT
Objetivo: avaliar os efeitos do peróxido de carbamida a 16% aplicado na mucosa oral de ratos diabéticos e não diabéticos. Métodos: foram utilizados trinta ratos albinos sendo 15 diabéticos induzidos por estreptozotocina e 15 normais, machos, adultos jovens, variedade Wistar. Os animais foram dividos em 6 grupos: NDC (não diabético controle), NDIP (não diabético imediato peróxido), ND7DP (não diabético 7 dias peróxido), DC (diabético controle), DIP (diabético imediato peróxido), D7DP (diabético 7 dias peróxido). Os grupos NDC e DC não receberam qualquer tratamento. Nos grupos NDIP e DIP foi aplicado o gel de peróxido de carbamida a 16% por 7dias (2 horas/dia) e os animais foram sacrificados no sétimo dia do experimento. Nos grupos ND7DP e D7DP foi aplicado o gel de peróxido de carbamida a 16% por 7 dias (2 horas dia) e os animais foram sacrificados 7 dias após (reparo). Após o sacrifício dos animais, a região mentual foi retirada cirurgicamente e preparada para estudo ao microscópio de luz com estereologia e imunohistoquímica para α-actina de músculo liso (ACML, detecção de vasos). Resultados: todos os animais tratados com estreptozotocina tornaram-se diabéticos. A determinação da densidade de volume de tecido conjuntivo (Vv[tc]), da densidade de volume de vasos (Vv[vasos]) e da densidade de mastócitos na área-teste (QA[mast]) foram realizadas através do programa Image Pro Plus Version 5.0.5 2004 Media Cybernetics Inc. O Vv[tc] se apresentou 23% maior no grupo DC, em relação ao grupo NDC. A Vv[vasos] foi 125% maior no grupo DC em relação ao grupo NDC, e 108% maior no grupo DP7D em relação ao grupo NDP7D, todos com diferença estatística significante. A (QA[mast]) se apresentou maior nos grupos diabéticos, porém sem diferença estatística significante...
Purpose: to evaluate the effects of the application of 16% carbamide peroxide in the oral mucosa of diabetic and non diabetic rats. Methods: we studied 30 young, male and adult Wistar albino rats, 15 diabetics induced by streptozotocin, and 15 non diabetics. The animals were divided in 6 groups: NDC (non diabetic control), NDIP (non diabetic immediately peroxide), ND7DP (non diabetic 7 days peroxide), DC (diabetic control), DIP (diabetic immediately peroxide), D7DP (diabetic 7 days peroxide). Groups NDC and DC had no treatment. In groups NDIP e DIP were applied the 16% carbamide peroxide gel (for 2 hours a day) and the animals were sacrificed in the seventh day of the experimentation. In groups ND7DP e D7DP were applied the 16% carbamide peroxide gel (for 2 hours a day) and the animals were sacrificed 7 days after (repair). After the sacrifice, the material from the jugal mucosa of the animals was removed for study with light microscope, stereology and immunohistochemistry for smooth muscle alfa-actin (SMAA, vessel detection). Results: all the specimens treated with streptozotocin became diabetics. For determination of the density of connective tissue (Vv[tc]), of the density of vessel volume (Vv[vasos]) and the density of mast cells (QA[mast]) was used the program Image Pro Plus Version 5.0.5 2004 Media Cybernetics Inc. The Vv[tc] were 23% higher in group DC than the group NDC. The Vv[vasos] was 125% higher in group DC than the group NDC, and 108% higher in group DP7D than the group NDP7D, all data with statistically significant difference. The (QA[mast]) was higher in diabetic groups but without statistically significant difference...
Subject(s)
Animals , Rats , Tooth Bleaching/adverse effects , Diabetes Mellitus, Experimental , Peroxides/therapeutic use , Case-Control Studies , Materials Testing , Microscopy, Immunoelectron/methods , Rats, Wistar , StreptozocinABSTRACT
O gene PKHD1, mutado na doença renal policística autossômica recessiva, apresenta um padrão de splicing complexo associado a múltiplos transcritos alternativos. Neste trabalho estudamos o perfil de expressão de seu produto, poliductina. Análises por western blot revelaram produtos putativos de membrana de >440 kDa e aproximadamente 230 kDa, e de aproximadamente 140 kDa em frações solúveis de rim, fígado e pâncreas. Estudos imunoistoquímicos mostraram marcação em ductos coletores renais e porção ascendente espessa da alça de Henle, em epitélios ductais biliar e pancreático e, no período embrionário, em broto ureteral, ductos biliar e pancreático e glândula salivar. /PKHD1, the gene mutated in autosomal recessive polycystic kidney disease, presents a complex splicing pattern, associated with multiple alternative transcripts. In this work we have studied the expression profile of its product, polyductin. Western blot analysis revealed putative membrane products of >440 kDa and 230 kDa, and of about 140 kDa in soluble fractions in kidney, liver and pancreas. Immunohistochemistry studies showed staining in renal collecting duct and thick ascending limb of Henle, in biliary and pancreatic ductal epithelia and, in the embryonic period, in ureteric bud, biliary and pancreatic ducts and salivary gland...
Subject(s)
Protein Isoforms/analysis , Polycystic Kidney, Autosomal Recessive/physiopathology , Immunohistochemistry , Microscopy, Immunoelectron/methods , Microscopy, Fluorescence/methods , Membrane Proteins/analysis , Polycystic Kidney, Autosomal Recessive/etiology , Polycystic Kidney, Autosomal Recessive/genetics , Kidney Tubules, Collecting/physiopathology , Kidney Tubules, Collecting/pathology , Blotting, Western/methodsABSTRACT
Immunocytochemical localization of antigens in advanced third-stage larvae of Gnathostoma spinigerum (GsAL3) was studied by immunogold labeling method using seven G. spinigerum specific monoclonal antibodies (MAbs), FS-3D11, SS-5H5, SK-6C4, SK-4E1, SK-7G6, SK-8D4 and SA-9B5. All these MAbs belong to the IgG1 subclass and only FS-3D11 and SS-5H5 recognize carbohydrate epitopes. The paraformaldehyde-fixed GsAL3 were embedded in Lowicryl K4M medium, and the gold colloidal particles used were 15 nm in size. When the worm sections were probed with FS-3D11, the gold particles appeared to concentrate specifically on the intestinal brush border. When SS-5H5 was applied, the particles were scattered densely over the brush border and in the cytoplasm of epithelial cells. The rest of the MAbs which recognize protein determinants exhibited a lack of labeling. The results suggested that the carbohydrate antigenic determinants recognized by the two MAbs are the most stable and most abundant particularly in the intestine of GsAL3. These results also confirmed the previous finding that the most antigenic site of GsAL3 is the intestine.
Subject(s)
Animals , Antibodies, Monoclonal/diagnosis , Antigens, Helminth/immunology , Epitopes/immunology , Gnathostoma/immunology , Gold , Larva/immunology , Microscopy, Immunoelectron/methods , Spirurida Infections/parasitologyABSTRACT
A total of 142 sporadic cases of viral hepatitis in Thailand were tested for HAV and HBV infections. Thirty nine and 58 cases were serologically found to be associated with HAV and HBV infections, respectively. The remaining 45 cases were unrelated to infection by HAV or HBV. In nine of these cases, we detected 27-32 nm virus-like particles in stools by immunoelectron microscopy using a reference serum of enterically transmitted non-A, non-B hepatitis (Fausta 3/87). This finding implies that enterically transmitted non-A, non-B hepatitis is prevalent also in Thailand.