Tuesday, September 7, 2010

7 DE SETEMBRO....

SETE DE SETEMBRO A INDEPENDÊNCIA AINDA PRECISA SER CONQUISTADA!!!
FALTA MUITO PARA REALMENTE SERMOS UM PAIS LIVRE.
http://t0.gstatic.com/images?q=tbn:ANd9GcT2lkUGX3o3DH38JXfXTRb5LIlmztHIetuv3c3QIk77bgIxSu8&t=1&usg=__06T8EyLLuDZvTwnu2pkYiUQ-2f8=

Independência do Brasil
História da Independência do Brasil, Dom Pedro I, Grito do Ipiranga, 7 de setembro, História do Brasil Império, Dia da Independência, transformações políticas, econômicas e sociais, dependência da Inglaterra no Brasil

História da Independência do Brasil - pintura, quadro de Pedro Américo
Independência ou Morte: 7 de setembro de 1822 - quadro de Pedro Américo

(texto e imagem net)

TEMOS MUITO QUE AINDA CONQUISTAR
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

PEÇO DESCULPAS POR VOCÊS NÃO CONSEGUIREM ABRIR A POSTAGEM ANTERIOR. AS VEZES NÃO CONSEGUIDO ENTENDER PORQUE NÃO ABRE. UMA LINDA MENSAGEM. MAS TUDO. AGRADEÇO A SUA VINDA. QUE BOM QUE VEIO.

RADEÇO A SUA COMPANHIA!!!Clique Aqui e veja mais imagens

Poetas-Um Voo Livre-

Sinal de Liberdade-uma expressão de sentimento-

Blog Coletivo-Uma Interação de Amigos-
NOVOS TEMAS...COMPARTILHE...

MEUS MIMOS . AQUI. OFERECIDOS/RECEBIDOS- PARA AS MULHERES..VENHAM SUPER DEZ. REPASSANDO..
VOU TE ESPERAR..


VOU FAZER COLETIVA PARA COMEMORAR O 2º ANIVER DO BLOG.
SE VOCÊ TIVER INTERESSE PODE PARTICIPAR. ESCREVA UM PEQUENO TEXTO, DIZENDO O QUE TE FAZ FELIZ.
DIA 10 A 12 DE SETEMBRO.
DEIXE O LINK AQUI NA CURIOSA.
COLETIVA DA CURIOSA

Monday, September 6, 2010

VALE A PENA LER E REFLETIR...

ESTA HISTORIA É FANTÁTICA!! VALE A PENA LER O TEXTO..

UMA LIÇÃO PARA TODA A VIDA....



































GRADEÇO A SUA COMPANHIA!!!Clique Aqui e veja mais imagens

Poetas-Um Voo Livre-

Sinal de Liberdade-uma expressão de sentimento-

Blog Coletivo-Uma Interação de Amigos-
NOVOS TEMAS...COMPARTILHE...

MEUS MIMOS . AQUI. OFERECIDOS/RECEBIDOS- PARA AS MULHERES..VENHAM SUPER DEZ. REPASSANDO..
VOU TE ESPERAR...

NAÕ DEIXE DE CONFERI A MENSAGEM ABAIXO. É SUPER MARAVILHOSAS.
NOSSAS MUDANÇAS FAZEM A DIFERENÇA.

A PCR Primer

The latest episode in the nail-biting scientific drama of "Does The XMRV Virus Cause Chronic Fatigue Syndrome?" has arrived, in the form of a paper in PNAS. A team of virologists led by the renowned Harvey Alter reported finding various XMRV-like viruses, but not XMRV itself, in chronic fatigue patients.

There's been plenty of excellent coverage of this new study, but most of it has come from specialists and has assumed a certain degree of technical knowledge. So here's my attempt to provide a summary for the non-expert, writing as someone who last got his hands dirty in a molecular lab 5 years ago...

The key to the controversy is PCR, a very useful technique invented by a guy on acid (kind of). PCR means Polymerase Chain Reaction. Polymerase is an enzyme which copies DNA. If you ask it nicely, it also copies the copies, then copies the copies of the copies, and so on. Thanks to this chain reaction, you can start with a tiny bit of DNA and end up with loads.

Using PCR, you can detect certain DNA sequences, for example, the DNA sequence of XMRV. (XMRV itself has RNA, rather than DNA, but as a retrovirus, it's able to insert itself into the DNA of infected cells.)

Here's how. DNA is a chain, or strand, of simple molecules called nucleotide bases. There are four: A, C, T, and G. Most of the time, DNA molecules are double-stranded, containing two chains of bases paired up (bound) together. Whenever one strand has A, the other has C, and vice versa. T and G pair up in the same way. They can only pair up in that particular way. T can't pair with C, or G, or with another T.
PCR takes double-stranded DNA and makes more of it. It does this by taking each strand and adding a second strand which is the "opposite" (complementary) sequence of the original, with T and A swapped, and C and G swapped.

That's nothing more than a replica of the original double-stranded DNA.

However, there's a catch. Polymerase can't start a strand of DNA out of nothing, it can only make an existing strand longer. So it needs a primer which can bind to the original DNA and provide "something to work with".

No primer, no duplication. The primer has to be specific: it has to be able to pair up with the DNA. This fact allows us to use PCR to detect specific DNA sequences. Suppose you want to know whether a sample of DNA contains a certain gene, and you know that this gene starts with AAAAA, and ends with CCCCC.

You would make some corresponding primers: a forward primer AAAAA and a reverse primer GGGGG. If the gene is present, these primers will bind to the corresponding target sequences bookending the gene of interest. The PCR will work, and you'll end with loads of copies of that gene. Hooray. If not, nothing much happens. Note that the forward primer is the "opposite" of what you might expect, because it has to bind to the complementary strand. The two primers bookend the region to be amplified - see this pic for an explanation of why.

Once you've run the PCR it's relatively easy to tell whether it amplified the gene or not. But remember that PCR doesn't detect genes, it detects primer targets. The DNA in between the target regions could be anything, as long as the primers fit. In fact, you can tell the length of the amplified DNA, which does provide some information. You can also resequence the amplified DNA to see exactly what it is, but that's expensive.

On the other hand, the match has to be exact. If you're testing for a gene starting with AAAAA, and that gene is present except that it starts with AAAAC instead, you won't find it: a single base difference in the primer sequence throws the whole thing off.

So if someone "used PCR to detect dog DNA", what they mean is that they used primers which they think are specific to dog DNA. This relies on two things being true: that the primers do in fact match the DNA of all dogs (not just some breeds of dog) and that they only match dog DNA (not cats, or mice.)

There are also technical considerations. PCR is vulnerable to contamination by unwanted DNA, because it's so sensitive: even a tiny bit of contamination will cause a false positive. Rogue DNA could come from anywhere: from the researcher running the experiment, from other samples in the lab... So, every PCR experiment needs a negative control, a sample known not to contain the gene of interest. A drop of water is the simplest example. If you "detect" the gene in the negative control, you have to try again (after cleaning all your equipment and washing your hands.)

PCR also doesn't always work. It's like cooking: you have to have the right mix of ingredients, the right temperature, the right timing. If not, you'll end up with a mess. This is why every PCR experiment needs a positive control, i.e. a sample in which you know the gene of interest is present. If you fail to detect the gene in the positive control, you have to check the recipe and try again.

How does this relate to the XMRV story? That's another post...

A PCR Primer

The latest episode in the nail-biting scientific drama of "Does The XMRV Virus Cause Chronic Fatigue Syndrome?" has arrived, in the form of a paper in PNAS. A team of virologists led by the renowned Harvey Alter reported finding various XMRV-like viruses, but not XMRV itself, in chronic fatigue patients.

There's been plenty of excellent coverage of this new study, but most of it has come from specialists and has assumed a certain degree of technical knowledge. So here's my attempt to provide a summary for the non-expert, writing as someone who last got his hands dirty in a molecular lab 5 years ago...

The key to the controversy is PCR, a very useful technique invented by a guy on acid (kind of). PCR means Polymerase Chain Reaction. Polymerase is an enzyme which copies DNA. If you ask it nicely, it also copies the copies, then copies the copies of the copies, and so on. Thanks to this chain reaction, you can start with a tiny bit of DNA and end up with loads.

Using PCR, you can detect certain DNA sequences, for example, the DNA sequence of XMRV. (XMRV itself has RNA, rather than DNA, but as a retrovirus, it's able to insert itself into the DNA of infected cells.)

Here's how. DNA is a chain, or strand, of simple molecules called nucleotide bases. There are four: A, C, T, and G. Most of the time, DNA molecules are double-stranded, containing two chains of bases paired up (bound) together. Whenever one strand has A, the other has C, and vice versa. T and G pair up in the same way. They can only pair up in that particular way. T can't pair with C, or G, or with another T.
PCR takes double-stranded DNA and makes more of it. It does this by taking each strand and adding a second strand which is the "opposite" (complementary) sequence of the original, with T and A swapped, and C and G swapped.

That's nothing more than a replica of the original double-stranded DNA.

However, there's a catch. Polymerase can't start a strand of DNA out of nothing, it can only make an existing strand longer. So it needs a primer which can bind to the original DNA and provide "something to work with".

No primer, no duplication. The primer has to be specific: it has to be able to pair up with the DNA. This fact allows us to use PCR to detect specific DNA sequences. Suppose you want to know whether a sample of DNA contains a certain gene, and you know that this gene starts with AAAAA, and ends with CCCCC.

You would make some corresponding primers: a forward primer AAAAA and a reverse primer GGGGG. If the gene is present, these primers will bind to the corresponding target sequences bookending the gene of interest. The PCR will work, and you'll end with loads of copies of that gene. Hooray. If not, nothing much happens. Note that the forward primer is the "opposite" of what you might expect, because it has to bind to the complementary strand. The two primers bookend the region to be amplified - see this pic for an explanation of why.

Once you've run the PCR it's relatively easy to tell whether it amplified the gene or not. But remember that PCR doesn't detect genes, it detects primer targets. The DNA in between the target regions could be anything, as long as the primers fit. In fact, you can tell the length of the amplified DNA, which does provide some information. You can also resequence the amplified DNA to see exactly what it is, but that's expensive.

On the other hand, the match has to be exact. If you're testing for a gene starting with AAAAA, and that gene is present except that it starts with AAAAC instead, you won't find it: a single base difference in the primer sequence throws the whole thing off.

So if someone "used PCR to detect dog DNA", what they mean is that they used primers which they think are specific to dog DNA. This relies on two things being true: that the primers do in fact match the DNA of all dogs (not just some breeds of dog) and that they only match dog DNA (not cats, or mice.)

There are also technical considerations. PCR is vulnerable to contamination by unwanted DNA, because it's so sensitive: even a tiny bit of contamination will cause a false positive. Rogue DNA could come from anywhere: from the researcher running the experiment, from other samples in the lab... So, every PCR experiment needs a negative control, a sample known not to contain the gene of interest. A drop of water is the simplest example. If you "detect" the gene in the negative control, you have to try again (after cleaning all your equipment and washing your hands.)

PCR also doesn't always work. It's like cooking: you have to have the right mix of ingredients, the right temperature, the right timing. If not, you'll end up with a mess. This is why every PCR experiment needs a positive control, i.e. a sample in which you know the gene of interest is present. If you fail to detect the gene in the positive control, you have to check the recipe and try again.

How does this relate to the XMRV story? That's another post...

Sunday, September 5, 2010

PARTE DE NÓS!!!

http://3.bp.blogspot.com/_jS8m8-DuAjc/SXPuePrJHeI/AAAAAAAAAhY/IqUcjTt1Iek/s320/liberdade_imagem.jpg

Parte de Nós

Espero que você possa aceitar as coisas como elas são...
  • Sem pensar que tudo conspira contra você...
  • Porque parte de nós é entendimento...
  • ...Mas a outra parte é aprendizado...
Que você possa ter forças para vencer todos os seus medos...
  • Que no final possa alcançar todos os seus objetivos...
  • Porque parte de nós é cansaço...
  • ...Mas a outra parte é vontade...
Que tudo aquilo que você vê e escuta possa lhe trazer conhecimento....
  • Que essa escola possa ser longa e feliz...
  • Porque parte de nós é o que vivemos...
  • ...Mas a outra parte é o que esperamos...
Que a manhã possa lhe oferecer todo dia a Divina luz...
  • Que você possa fazê-la seu único e verdadeiro caminho...
  • Porque parte de nós é dúvida...
  • ...Mas a outra parte é crença...
Que você possa aprender a perder sem se sentir derrotado...
  • Que isso possa fazer você cada vez mais guerreiro...
  • Porque parte de nós é o que temos...
  • ...Mas a outra parte é sonho... mas se do seu tamanho, lutando você o realizará...
Que durante a sua vida você possa construir sentimentos
  • verdadeiros....
  • Que você possa aceitar que só quem soube da sombra, pode saber da luz...
  • Porque parte de nós é angústia...
  • ...Mas a outra parte é conforto...
Que você nunca deixe de acreditar...
  • Que nunca perca sua fé...
  • Porque parte de Deus é amor...
  • ...E a outra parte também!

GRADEÇO A SUA COMPANHIA!!!Clique Aqui e veja mais imagens

Poetas-Um Voo Livre-

Sinal de Liberdade-uma expressão de sentimento-

Blog Coletivo-Uma Interação de Amigos-
NOVOS TEMAS...COMPARTILHE...

MEUS MIMOS . AQUI. OFERECIDOS/RECEBIDOS- TEM UM ABRAÇO PARA VOCÊ!!

NAÕ DEIXE DE CONFERI A MENSAGEM ABAIXO. É SUPER MARAVILHOSAS.
NOSSAS MUDANÇAS FAZEM A DIFERENÇA.

Saturday, September 4, 2010

Normal? You're Weird - Psychiatrists

Almost everyone is pretty screwed up. That's not my opinion, that's official - according to a new paper in the latest British Journal of Psychiatry.

Make sure you're sitting down for this. No less than 48% of the population have "personality difficulties", and on top of that 21% have a full blown "personality disorder", and another 7% have it even worse with "complex" or "severe" personality disorders.

That's quite a lot of people. Indeed it only leaves an elite 22.5% with no personality disturbances whatsoever. You're as likely to have a "simple PD" as you are to have a normal personality, and fully half the population fall into the "difficulties" category.

I have difficulties with this.

Where do these results come from? The Adult Psychiatric Morbidity Survey, which is a government study of the British population. They phoned up a random sample of several thousand people, and gave them the SCID interview, in other words they asked them questions. 116 questions in fact.

48% of people answered "yes" to enough questions such that, according to their criteria, they had "personality difficulties". They defined "personality difficulties", which is not a term in common use, as being "one criterion less than the threshold for personality disorder (PD)" according to DSM-IV criteria.

So what? Well, as far as I'm concerned, that means simply that "personality difficulties" is a crap category, which labels normality as pathological. I can tell that most of people with "difficulties" are in fact normal because they are the literally the norm. It's not rocket science.

So we can conclude that "personality difficulties" should either be scrapped or renamed "normal". In which case the weird minority of people without any such features should be relabelled. Maybe they are best known as "saints", or "Übermenschen", or perhaps "people who lie on questionnaires".

This, however, is not what the authors say. They defend their category of Personality Difficulties on the grounds that this group are slightly more likely to have a history of "issues" than the elite 22.5 percent, e.g. homelessness (3.0% vs. 1.6%), 'financial crisis' (10.1% vs. 6.8%), or having had treatment for mental illness (11% vs 6%).

They say:
The finding that 72% of the population has at least some degree of personality disturbance is counterintuitive, but the evidence that those with ‘personality difficulty’ covering two out of five of the population [it's actually closer to half], differs significantly from those with no personality disturbance in the prevalence of a history of running away from home, police contacts, homelessness... shows that this separation is useful from both clinical and societal viewpoints.
Well, yeah...but no. The vast majority (90+%) of people with Personality Difficulty had no history of these things. It's true that, as a group, they have higher average rates, but all this tells you is that some of them have problems. I suspect they're the ones right at the "top end" of this category, the people who are almost into the next category up.

Here's what I think is going on:

The "difficulties" group and the "none" group are essentially the same in terms of the levels of crap stuff happening to them - because they are the same, normal, everyday people - except that a small % of the "difficulties" group do have some moderate degree of problems, because they are close to being "PD".

This does not mean that the "difficulties" category is good. Quite the reverse, it means it's rubbish, because it spans so many diverse people and lumps them all together. What you should do, if you insist on drawing lines in the sand, would be this:

Now I don't know that that's how things work, but it seems plausible. Bearing in mind that the categories they used are entirely arbitrary, it would be very odd if they did correspond to reality.

To be fair to the authors, this is not the only argument in their paper. Their basic point is that personality disturbance is a spectrum: rather than it being a black-and-white question of "normal" vs."PD", there are degrees, ranging from "simple PD" which is associated with a moderate degree of life crap, up to "complex PD" which has much more and "severe PD" which is worst of all.

They suggest that in the upcoming DSM-V revision of psychiatric diagnosis, it would be useful to formally incorporate the severity spectrum in some way - unlike the current DSM-IV, there everything is either/or. They also argue that with more severe cases of PD, it is not very useful to assign individual PD diagnoses (DSM-IV has no less than 10 different PDs) - severe PD is just severe PD.

That's all fine, as long as it doesn't lead to pathologizing 78% of the population - but this is exactly what it might do. The authors do admit that "the SCID screen for personality disorder, like almost all screening instruments, overdiagnoses personality pathology", but provide little assurance that a "spectrum" approach won't do the same thing.

ResearchBlogging.orgYang M, Coid J, & Tyrer P (2010). Personality pathology recorded by severity: national survey. The British Journal of Psychiatry 197, 193-9 PMID: 20807963

Normal? You're Weird - Psychiatrists

Almost everyone is pretty screwed up. That's not my opinion, that's official - according to a new paper in the latest British Journal of Psychiatry.

Make sure you're sitting down for this. No less than 48% of the population have "personality difficulties", and on top of that 21% have a full blown "personality disorder", and another 7% have it even worse with "complex" or "severe" personality disorders.

That's quite a lot of people. Indeed it only leaves an elite 22.5% with no personality disturbances whatsoever. You're as likely to have a "simple PD" as you are to have a normal personality, and fully half the population fall into the "difficulties" category.

I have difficulties with this.

Where do these results come from? The Adult Psychiatric Morbidity Survey, which is a government study of the British population. They phoned up a random sample of several thousand people, and gave them the SCID interview, in other words they asked them questions. 116 questions in fact.

48% of people answered "yes" to enough questions such that, according to their criteria, they had "personality difficulties". They defined "personality difficulties", which is not a term in common use, as being "one criterion less than the threshold for personality disorder (PD)" according to DSM-IV criteria.

So what? Well, as far as I'm concerned, that means simply that "personality difficulties" is a crap category, which labels normality as pathological. I can tell that most of people with "difficulties" are in fact normal because they are the literally the norm. It's not rocket science.

So we can conclude that "personality difficulties" should either be scrapped or renamed "normal". In which case the weird minority of people without any such features should be relabelled. Maybe they are best known as "saints", or "Übermenschen", or perhaps "people who lie on questionnaires".

This, however, is not what the authors say. They defend their category of Personality Difficulties on the grounds that this group are slightly more likely to have a history of "issues" than the elite 22.5 percent, e.g. homelessness (3.0% vs. 1.6%), 'financial crisis' (10.1% vs. 6.8%), or having had treatment for mental illness (11% vs 6%).

They say:
The finding that 72% of the population has at least some degree of personality disturbance is counterintuitive, but the evidence that those with ‘personality difficulty’ covering two out of five of the population [it's actually closer to half], differs significantly from those with no personality disturbance in the prevalence of a history of running away from home, police contacts, homelessness... shows that this separation is useful from both clinical and societal viewpoints.
Well, yeah...but no. The vast majority (90+%) of people with Personality Difficulty had no history of these things. It's true that, as a group, they have higher average rates, but all this tells you is that some of them have problems. I suspect they're the ones right at the "top end" of this category, the people who are almost into the next category up.

Here's what I think is going on:

The "difficulties" group and the "none" group are essentially the same in terms of the levels of crap stuff happening to them - because they are the same, normal, everyday people - except that a small % of the "difficulties" group do have some moderate degree of problems, because they are close to being "PD".

This does not mean that the "difficulties" category is good. Quite the reverse, it means it's rubbish, because it spans so many diverse people and lumps them all together. What you should do, if you insist on drawing lines in the sand, would be this:

Now I don't know that that's how things work, but it seems plausible. Bearing in mind that the categories they used are entirely arbitrary, it would be very odd if they did correspond to reality.

To be fair to the authors, this is not the only argument in their paper. Their basic point is that personality disturbance is a spectrum: rather than it being a black-and-white question of "normal" vs."PD", there are degrees, ranging from "simple PD" which is associated with a moderate degree of life crap, up to "complex PD" which has much more and "severe PD" which is worst of all.

They suggest that in the upcoming DSM-V revision of psychiatric diagnosis, it would be useful to formally incorporate the severity spectrum in some way - unlike the current DSM-IV, there everything is either/or. They also argue that with more severe cases of PD, it is not very useful to assign individual PD diagnoses (DSM-IV has no less than 10 different PDs) - severe PD is just severe PD.

That's all fine, as long as it doesn't lead to pathologizing 78% of the population - but this is exactly what it might do. The authors do admit that "the SCID screen for personality disorder, like almost all screening instruments, overdiagnoses personality pathology", but provide little assurance that a "spectrum" approach won't do the same thing.

ResearchBlogging.orgYang M, Coid J, & Tyrer P (2010). Personality pathology recorded by severity: national survey. The British Journal of Psychiatry 197, 193-9 PMID: 20807963