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1.
Am J Bot ; 111(1): e16259, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38031479

RESUMO

PREMISE: The rise of angiosperm-dominated tropical rainforests has been proposed to have occurred shortly after the Cretaceous-Paleogene transition. Paleocene fossil wood assemblages are rare yet provide important data for understanding these forests and whether their wood anatomical features can be used to document the changes that occurred during this transition. METHODS: We used standard techniques to section 11 fossil wood specimens of Paleocene-age, described the anatomy using standard terminology, and investigated their affinities to present-day taxa. RESULTS: We report here the first middle Paleocene fossil wood specimens from Myanmar, which at the time was near the equator and anchored to India. Some fossils share affinities with Arecaceae, Sapindales (Anacardiaceae, Meliaceae) and Moraceae and possibly Fabaceae or Lauraceae. One specimen is described as a new species and genus: Compitoxylon paleocenicum gen. et sp. nov. CONCLUSIONS: This assemblage reveals the long-lasting presence of these aforementioned groups in South Asia and suggests the early presence of multiple taxa of Laurasian affinity in Myanmar and India. The wood anatomical features of the dicotyledonous specimens reveal that both "modern" and "primitive" features (in a Baileyan scheme) are present with proportions similar to features in specimens from Paleocene Indian localities. Their anatomical diversity corroborates that tropical flora display "modern" features early in the history of angiosperms and that their high diversity remained steady afterward.


Assuntos
Fósseis , Magnoliopsida , Madeira , Mianmar , Índia
2.
J Chem Inf Model ; 63(7): 1906-1913, 2023 04 10.
Artigo em Inglês | MEDLINE | ID: mdl-36926888

RESUMO

During preclinical evaluations of drug candidates, several physicochemical (p-chem) properties are measured and employed as metrics to estimate drug efficacy in vivo. Two such p-chem properties are the octanol-water partition coefficient, Log P, and distribution coefficient, Log D, which are useful in estimating the distribution of drugs within the body. Log P and Log D are traditionally measured using the shake-flask method and high-performance liquid chromatography. However, it is challenging to measure these properties for species that are very hydrophobic (or hydrophilic) owing to the very low equilibrium concentrations partitioned into octanol (or aqueous) phases. Moreover, the shake-flask method is relatively time-consuming and can require multistep dilutions as the range of analyte concentrations can differ by several orders of magnitude. Here, we circumvent these limitations by using machine learning (ML) to correlate Log P and Log D with liquid chromatography (LC) retention time (RT). Predictive models based on four ML algorithms, which used molecular descriptors and LC RTs as features, were extensively tested and compared. The inclusion of RT as an additional descriptor improves model performance (MAE = 0.366 and R2 = 0.89), and Shapley additive explanations analysis indicates that RT has the highest impact on model accuracy.


Assuntos
Aprendizado de Máquina , Água , Cromatografia Líquida , Cromatografia Líquida de Alta Pressão/métodos , Água/química , Octanóis/química
3.
Biophys J ; 115(10): 2044-2054, 2018 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-30348447

RESUMO

Cells within mechanically dynamic tissues like arteries are exposed to ever-changing forces and deformations. In some pathologies, like aneurysms, complex loads may alter how cells transduce forces, driving maladaptive growth and remodeling. Here, we aimed to determine the dynamic mechanical properties of vascular smooth muscle cells (VSMCs) under biaxial load. Using cellular micro-biaxial stretching microscopy, we measured the large-strain anisotropic stress-strain hysteresis of VSMCs and found that hysteresis is strongly dependent on load orientation and actin organization. Most notably, under some cyclic loads, we found that VSMCs with elongated in-vivo-like architectures display a hysteresis loop that is reverse to what is traditionally measured in polymers, with unloading stresses greater than loading stresses. This reverse hysteresis could not be replicated using a quasilinear viscoelasticity model, but we developed a Hill-type active fiber model that can describe the experimentally observed hysteresis. These results suggest that cells in highly organized tissues, like arteries, can have strongly anisotropic responses to complex loads, which could have important implications in understanding pathological mechanotransduction.


Assuntos
Fenômenos Mecânicos , Modelos Biológicos , Músculo Liso Vascular/citologia , Actomiosina/metabolismo , Anisotropia , Fenômenos Biomecânicos , Mecanotransdução Celular , Análise de Célula Única
4.
J Biomech Eng ; 139(7)2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28397957

RESUMO

The stress in a cell due to extracellular mechanical stimulus is determined by its mechanical properties, and the structural organization of many adherent cells suggests that their properties are anisotropic. This anisotropy may significantly influence the cells' mechanotransductive response to complex loads, and has important implications for development of accurate models of tissue biomechanics. Standard methods for measuring cellular mechanics report linear moduli that cannot capture large-deformation anisotropic properties, which in a continuum mechanics framework are best described by a strain energy density function (SED). In tissues, the SED is most robustly measured using biaxial testing. Here, we describe a cellular microbiaxial stretching (CµBS) method that modifies this tissue-scale approach to measure the anisotropic elastic behavior of individual vascular smooth muscle cells (VSMCs) with nativelike cytoarchitecture. Using CµBS, we reveal that VSMCs are highly anisotropic under large deformations. We then characterize a Holzapfel-Gasser-Ogden type SED for individual VSMCs and find that architecture-dependent properties of the cells can be robustly described using a formulation solely based on the organization of their actin cytoskeleton. These results suggest that cellular anisotropy should be considered when developing biomechanical models, and could play an important role in cellular mechano-adaptation.


Assuntos
Músculo Liso Vascular/citologia , Análise de Célula Única , Estresse Mecânico , Citoesqueleto de Actina/metabolismo , Anisotropia , Fenômenos Biomecânicos , Humanos , Mecanotransdução Celular , Termodinâmica
5.
J Biomech Eng ; 139(7)2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28418526

RESUMO

Cardiovascular disease can alter the mechanical environment of the vascular system, leading to mechano-adaptive growth and remodeling. Predictive models of arterial mechano-adaptation could improve patient treatments and outcomes in cardiovascular disease. Vessel-scale mechano-adaptation includes remodeling of both the cells and extracellular matrix. Here, we aimed to experimentally measure and characterize a phenomenological mechano-adaptation law for vascular smooth muscle cells (VSMCs) within an artery. To do this, we developed a highly controlled and reproducible system for applying a chronic step-change in strain to individual VSMCs with in vivo like architecture and tracked the temporal cellular stress evolution. We found that a simple linear growth law was able to capture the dynamic stress evolution of VSMCs in response to this mechanical perturbation. These results provide an initial framework for development of clinically relevant models of vascular remodeling that include VSMC adaptation.


Assuntos
Adaptação Fisiológica , Fenômenos Mecânicos , Músculo Liso Vascular/citologia , Fenômenos Biomecânicos , Humanos , Modelos Biológicos , Estresse Mecânico
6.
J Trop Pediatr ; 60(3): 189-97, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24401752

RESUMO

BACKGROUND: Diarrhea's impact on childhood morbidity can be reduced by administering oral rehydration solution (ORS) with zinc; challenges to wider use are changing health-seeking behavior and ensuring access. METHODS: We conducted a randomized controlled trial to increase ORS plus zinc uptake in rural Myanmar. Village tracts, matched in 52 pairs, were randomized to standard ORS access vs. a social franchising program training community educators and supplying ORS plus zinc. RESULTS: Intervention and control communities were comparable on demographics, prevalence of diarrhea and previous use of ORS. One year after randomization, ORS plus zinc use was 13.7% in the most recent case of diarrhea in intervention households compared with 1.8% in control households (p < 0.001) (N = 3605). A significant increase in ORS plus zinc use was noted in the intervention (p = 0.044) but not in the control (p = 0.315) group. CONCLUSIONS: Social franchising increased optimal treatment of childhood diarrhea in rural Myanmar. Scale-up stands to reduce morbidity among children in similar settings. TRIAL REGISTRATION: Current Controlled Trials ISRCTN73606238.


Assuntos
Diarreia/terapia , Avaliação do Impacto na Saúde , Soluções para Reidratação/administração & dosagem , Marketing Social , Zinco/administração & dosagem , Bicarbonatos/administração & dosagem , Criança , Serviços de Saúde Comunitária/organização & administração , Feminino , Glucose/administração & dosagem , Serviços de Saúde/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde , Humanos , Mianmar/epidemiologia , Cloreto de Potássio/administração & dosagem , Prevalência , Setor Privado , Avaliação de Programas e Projetos de Saúde , Saúde da População Rural , População Rural , Cloreto de Sódio/administração & dosagem
7.
Int J Equity Health ; 12: 5, 2013 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-23305063

RESUMO

INTRODUCTION: Since 2004, the Sun Quality Health (SQH) franchise network has provided TB care in Myanmar through a network of established private medical clinics. This study compares the wealth distribution of the TB patients to non-TB patients to determine if TB is most common among the poor, and compares the wealth of all TB patients to SQH TB patients to assess whether the franchise achieves its goal of serving the poor. METHODS: The study uses data from two sources: 1) Myanmar's first nationally representative TB prevalence study conducted in 2009, and 2) client exit interviews from TB patients from SQH clinics. In total, 1,114 TB-positive individuals were included in the study, including 739 from the national sample and 375 from the SQH sample. RESULTS: TB patients at SQH clinics were poorer than TB-positive individuals in the overall population, though not at a statistically significant level (p > 0.05). After stratification we found that in urban areas, TB patients at SQH clinics were more likely to be in the poorest quartile compared to general TB positive population (16.8% vs. 8.6%, respectively; p < 0.05). In rural areas, there was no statistically significant difference between the wealth distribution of SQH clinic patients and general TB positive individuals (p > 0.05). CONCLUSION: Franchised clinics in Myanmar are reaching poor populations of TB patients in urban areas; more efforts are needed in order to reach the most vulnerable in rural areas.


Assuntos
Prática Privada/estatística & dados numéricos , Tuberculose/epidemiologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mianmar , Prevalência , Prática Privada/economia , População Rural , Marketing Social , Fatores Socioeconômicos , Tuberculose/economia , População Urbana , Adulto Jovem
8.
J Cell Biol ; 220(5)2021 05 03.
Artigo em Inglês | MEDLINE | ID: mdl-33688935

RESUMO

Epithelia are continuously self-renewed, but how epithelial integrity is maintained during the morphological changes that cells undergo in mitosis is not well understood. Here, we show that as epithelial cells round up when they enter mitosis, they exert tensile forces on neighboring cells. We find that mitotic cell-cell junctions withstand these tensile forces through the mechanosensitive recruitment of the actin-binding protein vinculin to cadherin-based adhesions. Surprisingly, vinculin that is recruited to mitotic junctions originates selectively from the neighbors of mitotic cells, resulting in an asymmetric composition of cadherin junctions. Inhibition of junctional vinculin recruitment in neighbors of mitotic cells results in junctional breakage and weakened epithelial barrier. Conversely, the absence of vinculin from the cadherin complex in mitotic cells is necessary to successfully undergo mitotic rounding. Our data thus identify an asymmetric mechanoresponse at cadherin adhesions during mitosis, which is essential to maintain epithelial integrity while at the same time enable the shape changes of mitotic cells.


Assuntos
Junções Aderentes/fisiologia , Células Epiteliais/fisiologia , Epitélio/fisiologia , Junções Intercelulares/fisiologia , Mitose/fisiologia , Citoesqueleto de Actina/metabolismo , Actinas/metabolismo , Junções Aderentes/metabolismo , Animais , Caderinas/metabolismo , Linhagem Celular , Cães , Células Epiteliais/metabolismo , Epitélio/metabolismo , Junções Intercelulares/metabolismo , Células Madin Darby de Rim Canino , Proteínas dos Microfilamentos/metabolismo
9.
J Biomech ; 111: 110005, 2020 10 09.
Artigo em Inglês | MEDLINE | ID: mdl-32911443

RESUMO

Vascular tissue exhibits marked mechanical nonlinearity when exposed to large strains. Vascular smooth muscle cells (VSMCs) are the most prevalent cell type in the artery wall, but it is unclear how much of the vessel nonlinearity is attributable to VSMCs. Here, we used cellular microbiaxial stretching (CµBS) to measure the large-strain mechanical properties of individual VSMCs. We find that the mechanical properties of VSMCs with native-like architectures are highly anisotropic, due to their highly aligned actomyosin cytoskeletons, and that inhibition of actomyosin contraction with rho-associated kinase inhibitor HA-1077 results in nearly isotropic material properties. We further find that when VSMCS are exposed to large strains (up to 60% stretch), the cells' stress-strain behavior is surprisingly linear. Finally, we modified a previously published Holzapfel-Gasser-Ogden type strain energy density function to characterize individual VSMCs, to account for the observed large-deformation linearity. These data have important implications in the development of models of vascular mechanics and mechanobiology.


Assuntos
Músculo Liso Vascular , Miócitos de Músculo Liso , Citoesqueleto de Actina , Anisotropia , Estresse Mecânico
10.
Dev Cell ; 52(5): 563-573.e3, 2020 03 09.
Artigo em Inglês | MEDLINE | ID: mdl-32032547

RESUMO

To divide in a tissue, both normal and cancer cells become spherical and mechanically stiffen as they enter mitosis. We investigated the effect of oncogene activation on this process in normal epithelial cells. We found that short-term induction of oncogenic RasV12 activates downstream mitogen-activated protein kinase (MEK-ERK) signaling to alter cell mechanics and enhance mitotic rounding, so that RasV12-expressing cells are softer in interphase but stiffen more upon entry into mitosis. These RasV12-dependent changes allow cells to round up and divide faithfully when confined underneath a stiff hydrogel, conditions in which normal cells and cells with reduced levels of Ras-ERK signaling suffer multiple spindle assembly and chromosome segregation errors. Thus, by promoting cell rounding and stiffening in mitosis, oncogenic RasV12 enables cells to proliferate under conditions of mechanical confinement like those experienced by cells in crowded tumors.


Assuntos
Forma Celular , Sistema de Sinalização das MAP Quinases , Mitose , Estresse Mecânico , Proteínas ras/metabolismo , Linhagem Celular , Segregação de Cromossomos , Humanos , Fuso Acromático/metabolismo
11.
Curr Biol ; 30(18): 3687-3696.e4, 2020 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-32735816

RESUMO

Proliferating animal cells are able to orient their mitotic spindles along their interphase cell axis, setting up the axis of cell division, despite rounding up as they enter mitosis. This has previously been attributed to molecular memory and, more specifically, to the maintenance of adhesions and retraction fibers in mitosis [1-6], which are thought to act as local cues that pattern cortical Gαi, LGN, and nuclear mitotic apparatus protein (NuMA) [3, 7-18]. This cortical machinery then recruits and activates Dynein motors, which pull on astral microtubules to position the mitotic spindle. Here, we reveal a dynamic two-way crosstalk between the spindle and cortical motor complexes that depends on a Ran-guanosine triphosphate (GTP) signal [12], which is sufficient to drive continuous monopolar spindle motion independently of adhesive cues in flattened human cells in culture. Building on previous work [1, 12, 19-23], we implemented a physical model of the system that recapitulates the observed spindle-cortex interactions. Strikingly, when this model was used to study spindle dynamics in cells entering mitosis, the chromatin-based signal was found to preferentially clear force generators from the short cell axis, so that cortical motors pulling on astral microtubules align bipolar spindles with the interphase long cell axis, without requiring a fixed cue or a physical memory of interphase shape. Thus, our analysis shows that the ability of chromatin to pattern the cortex during the process of mitotic rounding is sufficient to translate interphase shape into a cortical pattern that can be read by the spindle, which then guides the axis of cell division.


Assuntos
Dineínas/fisiologia , Mecanotransdução Celular , Microtúbulos/fisiologia , Mitose , Fuso Acromático/fisiologia , Células HeLa , Humanos , Transdução de Sinais
13.
Nat Geosci ; 12(10): 863-868, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31579400

RESUMO

Convergence between the Indian and Asian plates has reshaped large parts of Asia, changing regional climate and biodiversity. Yet geodynamic models fundamentally diverge on how convergence was accommodated since the India-Asia collision. Here we report paleomagnetic data from the Burma Terrane, at the eastern edge of the collision zone and famous for its Cretaceous amber biota, to better determine the evolution of the India-Asia collision. The Burma Terrane was part of a Trans-Tethyan island arc and stood at a near-equatorial southern latitude at ~95 Ma, suggesting island endemism for the Burmese amber biota. The Burma Terrane underwent significant clockwise rotation between ~80-50 Ma, causing its subduction margin to become hyper-oblique. Subsequently, it was translated northward on the Indian Plate, by an exceptional distance of at least 2000 km, along a dextral strike-slip fault system in the east. Our reconstructions are only compatible with geodynamic models involving a first collision of India with a near-equatorial Trans-Tethyan subduction system at ~60 Ma, followed by a later collision with the Asian margin.

14.
PLoS One ; 13(4): e0194909, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29617427

RESUMO

Recent advances have made it possible to readily derive cardiac myocytes from human induced pluripotent stem cells (hiPSC-CMs). HiPSC-CMs represent a valuable new experimental model for studying human cardiac muscle physiology and disease. Many laboratories have devoted substantial effort to examining the functional properties of isolated hiPSC-CMs, but to date, force production has not been adequately characterized. Here, we utilized traction force microscopy (TFM) with micro-patterning cell printing to investigate the maximum force production of isolated single hiPSC-CMs under varied culture and assay conditions. We examined the role of length of differentiation in culture and the effects of varied extracellular calcium concentration in the culture media on the maturation of hiPSC-CMs. Results show that hiPSC-CMs developing in culture for two weeks produced significantly less force than cells cultured from one to three months, with hiPSC-CMs cultured for three months resembling the cell morphology and function of neonatal rat ventricular myocytes in terms of size, dimensions, and force production. Furthermore, hiPSC-CMs cultured long term in conditions of physiologic calcium concentrations were larger and produced more force than hiPSC-CMs cultured in standard media with sub-physiological calcium. We also examined relationships between cell morphology, substrate stiffness and force production. Results showed a significant relationship between cell area and force. Implementing directed modifications of substrate stiffness, by varying stiffness from embryonic-like to adult myocardium-like, hiPSC-CMs produced maximal forces on substrates with a lower modulus and significantly less force when assayed on increasingly stiff adult myocardium-like substrates. Calculated strain energy measurements paralleled these findings. Collectively, these findings further establish single cell TFM as a valuable approach to illuminate the quantitative physiological maturation of force in hiPSC-CMs.


Assuntos
Células-Tronco Pluripotentes Induzidas/citologia , Miócitos Cardíacos/citologia , Animais , Cálcio/farmacologia , Diferenciação Celular/efeitos dos fármacos , Células Cultivadas , Módulo de Elasticidade , Humanos , Hidrogéis/química , Microscopia , Miócitos Cardíacos/fisiologia , Ratos , Estresse Mecânico
15.
Nat Commun ; 9(1): 4891, 2018 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-30459308

RESUMO

Contact guidance due to extracellular matrix architecture is a key regulator of carcinoma invasion and metastasis, yet our understanding of how cells sense guidance cues is limited. Here, using a platform with variable stiffness that facilitates uniaxial or biaxial matrix cues, or competing E-cadherin adhesions, we demonstrate distinct mechanoresponsive behavior. Through disruption of traction forces, we observe a profound phenotypic shift towards a mode of dendritic protrusion and identify bimodal processes that govern guidance sensing. In contractile cells, guidance sensing is strongly dependent on formins and FAK signaling and can be perturbed by disrupting microtubule dynamics, while low traction conditions initiate fluidic-like dendritic protrusions that are dependent on Arp2/3. Concomitant disruption of these bimodal mechanisms completely abrogates the contact guidance response. Thus, guidance sensing in carcinoma cells depends on both environment architecture and mechanical properties and targeting the bimodal responses may provide a rational strategy for disrupting metastatic behavior.


Assuntos
Comunicação Celular , Movimento Celular , Modelos Biológicos , Microambiente Tumoral , Neoplasias da Mama/metabolismo , Neoplasias da Mama/patologia , Neoplasias da Mama/fisiopatologia , Caderinas/metabolismo , Adesão Celular , Linhagem Celular Tumoral , Sinais (Psicologia) , Matriz Extracelular/metabolismo , Feminino , Humanos , Microtúbulos/metabolismo , Transdução de Sinais
16.
Dev Cell ; 45(1): 132-145.e3, 2018 04 09.
Artigo em Inglês | MEDLINE | ID: mdl-29634933

RESUMO

Animal cells undergo a dramatic series of shape changes as they divide, which depend on re-modeling of cell-substrate adhesions. Here, we show that while focal adhesion complexes are disassembled during mitotic rounding, integrins remain in place. These integrin-rich contacts connect mitotic cells to the underlying substrate throughout mitosis, guide polarized cell migration following mitotic exit, and are functionally important, since adherent cells undergo division failure when removed from the substrate. Further, the ability of cells to re-spread along pre-existing adhesive contacts is essential for division in cells compromised in their ability to construct a RhoGEF-dependent (Ect2) actomyosin ring. As a result, following Ect2 depletion, cells fail to divide on small adhesive islands but successfully divide on larger patterns, as the connection between daughter cells narrows and severs as they migrate away from one another. In this way, regulated re-modeling of cell-substrate adhesions during mitotic rounding aids division in animal cells.


Assuntos
Citoesqueleto de Actina/metabolismo , Mama/citologia , Adesão Celular/fisiologia , Mitose/fisiologia , Proteínas Proto-Oncogênicas/metabolismo , Epitélio Pigmentado da Retina/citologia , Fuso Acromático/metabolismo , Animais , Mama/metabolismo , Divisão Celular , Polaridade Celular , Células Cultivadas , Feminino , Células HeLa , Humanos , Integrinas/metabolismo , Epitélio Pigmentado da Retina/metabolismo
17.
Nat Commun ; 8: 14923, 2017 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-28401884

RESUMO

Directed migration by contact guidance is a poorly understood yet vital phenomenon, particularly for carcinoma cell invasion on aligned collagen fibres. We demonstrate that for single cells, aligned architectures providing contact guidance cues induce constrained focal adhesion maturation and associated F-actin alignment, consequently orchestrating anisotropic traction stresses that drive cell orientation and directional migration. Consistent with this understanding, relaxing spatial constraints to adhesion maturation either through reduction in substrate alignment density or reduction in adhesion size diminishes the contact guidance response. While such interactions allow single mesenchymal-like cells to spontaneously 'sense' and follow topographic alignment, intercellular interactions within epithelial clusters temper anisotropic cell-substratum forces, resulting in substantially lower directional response. Overall, these results point to the control of contact guidance by a balance of cell-substratum and cell-cell interactions, modulated by cell phenotype-specific cytoskeletal arrangements. Thus, our findings elucidate how phenotypically diverse cells perceive ECM alignment at the molecular level.


Assuntos
Citoesqueleto de Actina/metabolismo , Comunicação Celular , Movimento Celular , Adesões Focais/metabolismo , Actinas/metabolismo , Animais , Anisotropia , Adesão Celular , Linhagem Celular Tumoral , Humanos , Camundongos , Microscopia Confocal , Neoplasias/metabolismo , Neoplasias/patologia , Imagem com Lapso de Tempo/métodos
18.
Chem Commun (Camb) ; 52(90): 13225-13228, 2016 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-27709165

RESUMO

The Ullmann reaction is being widely adopted as a strategy for on-surface organic synthesis. Herein, we investigated the Ullmann reaction on a hexagonal boron nitride (h-BN) layer grown on an Ni(111) substrate using scanning tunneling microscopy (STM). We explored the catalytic activity of Cu and Pd atoms dosed with the molecular precursors. We found that the dispersed atoms of both metals efficiently catalyze the reaction, but lead to different reaction paths.

19.
Health Policy Plan ; 30 Suppl 1: i14-22, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25759450

RESUMO

BACKGROUND: Concerns about appropriate pricing strategies and the high market share of subsidized condoms prompted Population Services International (PSI)/Myanmar to adopt a total market approach (TMA). This article presents data on the size and composition of the Myanmar condom market, identifies inefficiencies and recommends methods for better targeting public subsidy. METHODOLOGY: Data on condom need and condom use came from PSI/Myanmar's (PSI/M's) behavioural surveys; data for key populations' socioeconomic status profiles came from the same surveys and the National Tuberculosis Prevalence Survey. Data on market share, volumes, value and number of condoms were from PSI/M's quarterly retail audits and Joint United Nations Programme on HIV/AIDS (UNAIDS). RESULTS: Between 2008 and 2010, the universal need for condoms decreased from 112.9 to 98.2 million while condom use increased from 32 to 46%. Free and socially marketed condoms dominated the market (94%) in 2009-11 with an increase in the proportion of free condoms over time. The retail price of socially marketed condoms was artificially low at 44 kyats ($0.05 USD) in 2011 while the price for commercial condoms was 119-399 kyats ($0.15-$0.49 USD). Equity analyses demonstrated an equal distribution of female sex workers across national wealth quintiles, but 54% of men who have sex with men and 55% of male clients were in the highest two quintiles. Donor subsidies for condoms increased over time; from $434,000 USD in 2009 to $577,000 USD in 2011. CONCLUSION: The market for male condoms was stagnant in Myanmar due to: limited demand for condoms among key populations, the dominance of free and socially marketed condoms on the market and a neglected commercial sector. Subsidies for socially marketed and free condoms have prevented the growth of the private sector, an unintended consequence. A TMA is needed to grow and sustain the condom market in Myanmar, which requires close co-ordination between the public, socially marketed and commercial sectors.


Assuntos
Comércio/estatística & dados numéricos , Preservativos/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Setor Privado/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Marketing Social , Feminino , Comportamentos Relacionados com a Saúde , Acessibilidade aos Serviços de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Mianmar , Nações Unidas
20.
J Vis Exp ; (100): e52971, 2015 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-26168271

RESUMO

The chronic nature of vascular disease progression requires the development of experimental techniques that simulate physiologic and pathologic vascular behaviors on disease-relevant time scales. Previously, microcontact printing has been used to fabricate two-dimensional functional arterial mimics through patterning of extracellular matrix protein as guidance cues for tissue organization. Vascular muscular thin films utilized these mimics to assess functional contractility. However, the microcontact printing fabrication technique used typically incorporates hydrophobic PDMS substrates. As the tissue turns over the underlying extracellular matrix, new proteins must undergo a conformational change or denaturing in order to expose hydrophobic amino acid residues to the hydrophobic PDMS surfaces for attachment, resulting in altered matrix protein bioactivity, delamination, and death of the tissues. Here, we present a microfluidic deposition technique for patterning of the crosslinker compound genipin. Genipin serves as an intermediary between patterned tissues and PDMS substrates, allowing cells to deposit newly-synthesized extracellular matrix protein onto a more hydrophilic surface and remain attached to the PDMS substrates. We also show that extracellular matrix proteins can be patterned directly onto deposited genipin, allowing dictation of engineered tissue structure. Tissues fabricated with this technique show high fidelity in both structural alignment and contractile function of vascular smooth muscle tissue in a vascular muscular thin film model. This technique can be extended using other cell types and provides the framework for future study of chronic tissue- and organ-level functionality.


Assuntos
Técnicas de Cultura de Células/métodos , Iridoides/química , Técnicas Analíticas Microfluídicas/métodos , Músculo Liso Vascular/citologia , Técnicas de Cultura de Células/instrumentação , Dimetilpolisiloxanos/química , Fibronectinas/química , Humanos , Técnicas Analíticas Microfluídicas/instrumentação
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