четверг, 15 марта 2012 г.

Stalberg open to time with checking line

Viktor Stalberg's goal is to stick where he's at.

But if coach Joel Quenneville feels compelled to drop him for whatever reason from first-line wing and into a checking role during games as he has recently, Stalberg feels he can handle that, too.

"I don't think you'd like to be taken off a line," Stalberg said. "At the same time, I know Joel likes to change things. Sometimes it's frustrating to not get the ice time you want. But you just have to stick with it.

"[Against the San Jose Sharks], I got a chance to play with [ Dave] Bolland. I want to find more consistency in my game so if I don't play on that first line, I can play in that checking …

Biosimilars, Part 3: Interchangeability

In recent editorials, I have discussed two major issues involved in biosimilars: intellectual property protection (see more on p. 46) and the comparability standard. Now, let's consider the third holy grail of biosimilars: interchangeability.

Under the new US biosimilars legislation, the FDA will decide whether or not to designate a biosimilar as interchangeable with its reference product. Under such a designation, the biosimilar may be substituted for the reference product without involving the prescribing physician. The stakes surrounding this determination are high. If a biosimilar is not designated as interchangeable with its reference product, the manufacturer will achieve …

Mass. gov's daughter says she's gay; dad says he's proud

The youngest daughter of Massachusetts Gov. Deval Patrick said in an interview published Thursday that she's gay, and came out to her parents after lawmakers voted to kill a proposal that could have outlawed gay marriage in the state.

Katherine Patrick said her father responded to her announcement by giving her a bear hug and saying: "Well, we love you no matter what."

She made her revelation public in an interview with her family published Thursday in Bay Windows, a weekly Boston newspaper aimed at the gay, lesbian, bisexual and transgendered community.

The governor told the paper his family agreed to the interview to make the news …

Arthouse films

Here's a look at some of the art house films opening today:

"Pulse" ("Kairo") Rating 3 1/2 out of 4

The screechy, creepy sound of a computer modem hooking up to theInternet over a phone line is the first sound of "Pulse." It's heardbefore we see the first scene, as if Japanese director KiyoshiKurosawa ("Bright Future") wants us online before he posts his storyof a secular apocalypse.

Taguchi (Kenji Mizuhashi) is a week late finishing a computerproject, so co-worker Michi (Kumiko Aso) checks on him at home.Taguchi quietly hangs himself as she looks for the disk. Later hisvoice calls for help through a static-filled cell phone call. All onits own, a …

среда, 14 марта 2012 г.

The tale of Omar Shareef: Activist falls from grace into an indictment

The tale of Omar Shareef: Activist falls from grace into an indictment

Who is Omar Shareef, and why has the state's attorney indicted him for theft and forgery? It depends on whom you ask.

Ask Chicago schools CEO Paul Vallas, and he'll tell you that Shareef is a "shakedown artist" who's being prosecuted because he tried to defraud the school system on a small contracting job.

Ask Shareef, and he'll tell you he's an activist, and that his indictment is payback for a political embarrassment he delivered to Vallas a year and a half ago.

Shareef is the president and founder of the African American Contractors Association (AACA), an 11-year-old activist group …

Ponting confident of playing in Melbourne

PERTH, Australia (AP) — Captain Ricky Ponting is confident of overcoming a broken finger in time to lead Australia in the fourth Ashes test against England starting Dec. 26.

A fractured little finger on his left hand prevented Ponting from taking the field on his 36th birthday Sunday, and instead watched from the pavilion as his team took the last five England wickets inside an hour of the morning session to complete an emphatic 267-run win that squared the series 1-1.

"I am a really good chance of playing," Ponting said after the victory. "I'll be alright.

"I am not going to be silly and put myself ahead of the team. I will make the decision on the morning of the game …

Pelosi lays down new travel rules for lawmakers

House lawmakers traveling on official business will be sitting back with the tourists and spending their own money on souvenirs under new rules announced by Speaker Nancy Pelosi on Friday.

Lawmakers and their staff will have to fly coach or economy class for almost all overseas trips, with business-class seats allowable only when a trip is more than 14 hours, Pelosi said. The new rule applies to domestic flights too.

"These travel policy announcements are part of our continuing effort to ensure transparency and accountability in congressional management," the California Democrat said.

They also come six months before congressional elections …

'It was better to do something'; Drawn to Obama, Iran native holds fund- raiser

BERKELEY, Calif. -- Amir Massih and I are sitting on his backporch drinking black tea and talking about Iranians in California,the failure of the Bush administration and the small fund-raiserMassih held the night before for Barack Obama. His wife, Yasi, isdoing the laundry. His children, Kasra, 4, and Darya, 1, are downfor their afternoon nap. We have an hour to talk politics.

Massih's fund-raiser, in this town where politics still wearslong hair and Birkenstocks, involved about 50 people, mostly friendswho raised $6,000 for Obama. No, Obama wasn't there. He attends thebigger, glitzier, million-dollar- raising dinners, but Massih andhis friends partied and celebrated …

Gourmet Dinner wins Delta Downs Jackpot

VINTON, LA. (AP) — Gourmet Dinner, a 20-1 long shot, raced past the field down the stretch to win the $1 million Delta Downs Jackpot on Saturday and move closer to a trip to next year's Kentucky Derby.

Ridden by Sebastian Madrid, Gourmet Dinner broke from the rail, stayed back until the halfway mark of the 1 1/16-mile graded race for 2-year-olds and sprinted to victory. His winning time was 1:45.23.

With a $600,000 winning payout and the Derby entries decided by purse money in graded races, the winner of the Delta Downs Jackpot is almost assured of a spot in the May race.

Decisive Moment, another long shot, finished two lengths back in second and Rush Now grabbed third. …

TSA's Pistole says screeners braced for boycott

WASHINGTON (AP) — The head of the nation's airport security agency says authorities are braced to deal with any delays brought on by protests over full body scans.

At the same time, John Pistole tells ABC's "Good Morning America" Wednesday he hopes angry passengers won't engage in a boycott of the full body scan, which he said would cause disruptions in long lines of passengers awaiting clearance for their flights.

Pistole says Transportation …

NATIONAL HURRICANE CENTER IMPROVES WEB SITE

The National Hurricane Center has recently revamped its Web site (www.nhc.noaa.gov) to make it easier to navigate and track tropical cyclones. Along with a quick view on the home page of storms and potential storms in the Atlantic Ocean, Gulf of Mexico, and Caribbean Sea, a graphic showing how likely weather systems are to grow into tropical cyclones has been upgraded.

The center improved its Graphical Tropical Weather Outlook, which debuted last season, to more quickly inform users of what's happening. The outlook shows a satellite view of disturbed weather that forecasters are watching, such as areas of low pressure that have the potential to develop into storms. It includes a …

Macedonia to end contentious talks with Greece over name if NATO bid vetoed

The Macedonian foreign minister threatened to end negotiations with Greece over the former Yugoslav republic's name if Macedonia's southern neighbor vetoes its bid to join NATO.

Antonio Milososki also said Monday that chances are small that a deal on the name can be reached before next week's NATO summit.

Greece has insisted that Macedonia change its name, which it says implies territorial claims on the neighboring province of northern Greece that also is called Macedonia. Greece's greatest hero, Alexander the Great, was Macedonian.

U.N. envoy Matthew Nimetz has invited Greek and Macedonian negotiators to New York for talks on Tuesday. The …

(null)

Mexico's top epidemiologist says the World Health Organization was slow to react to an outbreak of atypical pneumonia that grew into the swine flu epidemic, and wants a probe.

In a telephone interview with The Associated Press, Dr. Miguel Angel Lezana says he is troubled by the response of the Pan American Health Organization, or PAHO, and its parent organization, the WHO, in the early days of the outbreak.

Lezana, director of the National Epidemiology Center, says it notified PAHO on April 16 about the outbreak in Mexico, but that action wasn't taken until eight days later, when the WHO announced the spreading epidemic.

Port To Appeal Over Car Park Expansion

Bristol Port Company is to appeal against a council decision toreject its plans to expand the giant car parks at Royal Portbury Dockinto the countryside.

The company currently stores more than 50,000 imported vehicles inits pounds between the M5 Avonmouth Bridge and the dockside.

But it wants to stretch its boundaries into the green fields ofneighbouring Shipway Farm to park more cars and light vans after theyarrive by sea.

The company applied to North Somerset Council in February forpermission to change the use of the land from agriculture to vehiclestorage with security fencing and lighting.

But councillors sitting on the district's North Area Committeerejected the application by a large majority.

They said they were all for the dock flourishing, but not at theexpense of more land at Shipway Farm.

Some said that if the port company wants more space then perhapsthe time had come when they should start looking to build multi-storey car parks.

It was claimed that this would cost about the same as tarmacingover a couple of acres of land and it was being done at SouthamptonDocks.

But Bristol Port Company greeted the decision with disappointment.

Spokesman Patrick Kieron said: "We just don''t have enough land tooffer new customers at the port which would not only increase thedock's prosperity, but would help to secure the business we havetoday.

"We are disappointed because after all the investment - more thanGBP300 million in the last 11 years - we have not had any extra landallocated to us beyond that set in 1971." The appeal will be heard ata public inquiry at a date and venue to be set.

вторник, 13 марта 2012 г.

Paris routs Nancy 4-1 in French league

Paris Saint-Germain routed Nancy 4-1 with two goals from Guillaume Hoarau to consolidate its second spot in the French league on Sunday.

Marseille and Bordeaux kept pace with PSG in the race for a Champions League berth as Marseille edged Caen 1-0 while Bordeaux beat Lorient 1-0.

Hoarau opened the scoring for PSG in the 10th minute, heading in a free kick from Jerome Rothen.

Ludovic Giuly doubled the lead in the 13th after some fine work on the right flank from Benin playmaker Stephane Sessegnon.

Nancy pulled a goal back in the 30th when Julien Feret chipped goalkeeper Mickael Landreau from a tight angle.

Hoarau notched his 15th goal this season to tie Andre-Pierre Gignac as the top striker in the league and make it 3-1 in the 40th minute. The PSG forward pounced on a free kick from Rothen and had his shot stopped by goalkeeper Gennaro Bracigliano before tapping home the rebound.

Hoarau set up the fourth goal from the left flank, pulling the ball back toward Sessegnon who shot past Bracigliano in the 63rd.

"At 2-0 after 15 minutes, we relaxed a bit and conceded a goal," PSG fullback Sylvain Armand told the club's Web site. "But this season, we have the capacity to not make the same mistakes as last season when we conceded a goal."

PSG earned its fourth straight victory at home to retain second place with 49 points from 26 matches while Nancy dropped to 14th place with 29 points.

Marseille remained in third place with 48 points after Brandao scored the winning goal at Caen.

The Brazilian forward, signed from Shakhtar Donetsk during the winter transfer window, beat the offside trap and dribbled past goalkeeper Vincent Plante to tuck the ball into the empty net in the 67th.

"There are 10 players in front of me who fight and who don't give in," Marseille goalkeeper Steve Mandanda told the club's Web site. "It paid off today and we're really happy. We won't give away anything until the last round."

Marseille forward Bakari Kone sprained his ankle in the 10th and was replaced by Sylvain Wiltord.

Caen dropped to 17th place with 26 points but avoided falling into the relegation zone due to a better goal difference than Sochaux.

In Bordeaux, Fernando Cavenaghi released Marouane Chamakh inside the box and the Morocco forward scored with a powerful strike from close range in the 49th.

Bordeaux leapfrogged Toulouse into fourth place with 47 points.

Monaco drew 2-2 at home with Saint-Etienne, Yohan Mollo equalizing for the hosts in stoppage time with a curling shot off a pass from South Korea midfielder Park Chu-young.

Frederic Nimani put Monaco ahead in the 20th, collecting a through ball from Park and slipping it past goalkeeper Jeremie Janot.

But Dimitri Payet leveled for Saint-Etienne in the 25th, taking a pass from Araujo Ilan, after a dummy from Bafetimbi Gomis, to fire home a diagonal shot.

Japan midfielder Daisuke Matsui gave Saint-Etienne a 2-1 lead in the 60th with a powerful strike from 20 meters.

Saint-Etienne remained in the relegation zone with 26 points, but trail 12th-place Monaco by just three points.

Lyon, which tops the standings with 52 points, played Rennes later on Sunday.

On Saturday, it was: Valenciennes 2, Lille 0; Auxerre 1, Toulouse 1; Sochaux 1, Nice 0; Nantes 1, Grenoble 1; and Le Mans 2, Le Havre 0.

Israeli police raid government offices, stepping up criminal investigation into Olmert

Dozens of police raided more than 20 government buildings and private offices Sunday morning, gathering evidence in a series of criminal investigations of Prime Minister Ehud Olmert, potentially weakening his position ahead of a crucial Mideast peace conference in the United States.

The early-morning sweep came just as Olmert's popularity, which plummeted after last year's inconclusive war against Lebanese Hezbollah guerrillas, has been on the rise.

The raid Sunday targeted more than 20 locations, including the Industry and Trade Ministry, the Postal Authority and Jerusalem's City Hall, said police spokesman Mickey Rosenfeld.

"Police investigators are searching a number of government and private offices in connection with three ongoing investigations" into Olmert, Rosenfeld said.

Plainclothes police hauled cardboard boxes full of files out of the offices and loaded them into police vehicles _ a scene that has been repeated several times in recent years as police investigate allegations against Israeli premiers.

Benjamin Netanyahu, prime minister from 1996-1999, was the object of suspicions including misuse of power and improper appropriation of government gifts. His successor, Ehud Barak, was suspected of illegal campaign financing, and the investigation clouded his premiership from 1999-2001. Ariel Sharon, who served from 2001 until he was disabled by a stroke in 2006, was targeted by several police inquiries, including campaign finance and real estate irregularities.

None of the prime ministers was formally charged. Barak is now the defense minister, and Netanyahu, leader of the hard-line Likud opposition party, is a leading candidate for prime minister again.

Olmert's office would not comment on Sunday's raids, but in the past he has often insisted he has done nothing wrong, dismissing the investigations as a political witch hunt.

Olmert is preparing for a U.S.-hosted Mideast peace conference later this month in Annapolis, Maryland. He hopes the gathering will provide a launching pad for formal peace talks with the Palestinians after a seven-year lull.

A criminal indictment in any of the three investigations facing Olmert would deal a heavy blow to the peace efforts. Although Olmert would not be forced to step down, he would be seriously weakened and likely face heavy public pressure to step aside.

In one case, Olmert is suspected of buying a luxurious Jerusalem home at a substantial discount from a developer in exchange for arranging construction permits for the builder. Olmert is a former mayor of Jerusalem.

In a second case, police are looking into suspicions that Olmert acted improperly when he was trade minister earlier this decade. Authorities suspect Olmert steered a government grant to a friend and arranged improper political appointments.

Olmert also is suspected of trying _ albeit unsuccessfully _ to rig the sale of Israel's second-largest bank in favor of two associates while he was finance minister in 2005.

Investigators were still collecting evidence on Sunday afternoon, and the search was expected to possibly continue into early evening, Rosenfeld said.

He said authorities were expected to confiscate documents and other materials, but gave no further details.

Olmert has been dogged by corruption allegations throughout his three-decade career in politics, but has never been convicted of any wrongdoing.

Still, the probes have threatened to undermine him just as his public approval ratings have begun to rebound from last year's inconclusive war in Lebanon.

Italian Soccer Results

Results in the Serie A, the Italian first-division soccer league (home teams listed first):

Saturday's Games

Inter Milan 2, Livorno 0

Parma 0, AC Milan 0

Juventus 1, AS Roma 0

Sunday's Games

Fiorentina 2, Catania 1

Genoa 0, Sampdoria 1

Lazio 3, Atalanta 0

Napoli 1, Empoli 3

Palermo 2, Cagliari 1

Reggina 1, Udinese 3

Siena 0, Torino 0

Saturday, Feb. 23

Torino vs. Parma

Reggina vs. Juventus

Sunday, Feb. 24

Atalanta vs. Siena

Cagliari vs. Lazio

Empoli vs. Catania

Livorno vs. Napoli

AS Roma vs. Fiorentina

Sampdoria vs. Inter Milan

Udinese vs. Genoa

AC Milan vs. Palermo

`Cuckoo' heading to NYC

After months of negotiations, the Steppenwolf Theatre productionof Ken Kesey's "One Flew Over the Cuckoo's Nest" will move toBroadway in March.

Steppenwolf ensemble member Gary Sinise, who starred here asRandall McMurphy, will reprise his role in New York.

Previews begin in mid-March at the Royale Theatre, with an Aprilopening date. Information about additional casting, as well as ticketsales, will be announced shortly.

Brother Prays for Slain Militant Cleric

BASTI ABDULLAH, Pakistan - The captured chief cleric of a militant mosque led the funeral for his slain brother Thursday and predicted that the deaths of the mosque's defenders in an army raid would push Pakistan toward an "Islamic revolution."

President Gen. Pervez Musharraf, meanwhile, vowed in a nationally televised address that he would crush extremists throughout Pakistan and move against religious schools, like those at the Red Mosque, that breed them.

Musharraf also said that within the next six months, security forces along the Pakistan-Afghanistan border would be equipped with modern weaponry, including tanks, to bolster a push against terrorism.

This is a breaking news update. Check back soon for further information. AP's earlier story is below.

BASTI ABDULLAH, Pakistan (AP) - The captured chief cleric of a militant mosque was allowed to lead funeral prayers for his slain brother Thursday, and he predicted that the deaths of the mosque's defenders in an army raid would push Pakistan toward an "Islamic revolution."

The crackdown on the Red Mosque raised the standing of President Gen. Pervez Musharraf among moderates and foreign backers worried about rising extremism in Pakistan.

But it has given hard-liners a rallying point, as well as new martyrs, and has prompted calls from al-Qaida and Taliban for revenge attacks.

According to official reports, 108 people died in the eight-day siege and army assault at the mosque.

There were at least three protests Thursday in Pakistan and two suicide attacks that killed six people in the northwest, a hotbed of Islamic extremism. Government forces surrounded the mosque compound in the capital, Islamabad, following deadly clashes with militants. Elite Special Services Group commandos raided the mosque after unsuccessful attempts to get the militants to surrender.

Troops found the body of the cleric's brother, Abdul Rashid Ghazi, among the remains of at least 73 people after the 35-hour commando assault ended Wednesday. Ghazi's body was released to his relatives, who carried it to his ancestral village in Punjab province for burial.

The chief cleric, Maulana Abdul Aziz, was escorted by police to the village, Basti Abdullah, so that he could lead the funeral attended by about 3,000 mourners and some 700 police, including 100 plainclothes officers, officials said.

According to custom, prisoners are normally granted permission to attend the funerals of close relatives. Aziz remains under arrest facing charges including possession of illegal weapons and involvement in terrorism.

"Hundreds of our mothers, sisters, sons and daughters have rendered sacrifices," said Aziz, dressed in white with a checkered head scarf. "God willing, Pakistan will have an Islamic revolution soon. The blood of martyrs will bear fruit.

"Our struggle will continue. There are many Ghazis living to be martyred," said Aziz, who was captured during the siege while trying to flee disguised as a woman from the Red Mosque.

After the prayers, about two dozen police commandos drove Aziz away in a white police pickup truck.

Meanwhile, the bodies of about 70 of Ghazi's followers, including two minors, were buried in a graveyard near Islamabad's police academy. Officials said they took photographs, fingerprints and DNA samples from the bodies before the simple wooden coffins were lowered into shallow, temporary graves to help relatives identify and claim the bodies later.

Militants used the mosque and its adjoining girls' seminary as a base to challenge the government with an increasingly aggressive anti-vice campaign in the capital. Many in Pakistan are skeptical and believe the death toll could be higher.

Officials said the dead included 10 soldiers, one police officer and several civilians killed in the crossfire of the initial street battles.

Al-Qaida's deputy leader joined the militant outcry against Musharraf, calling on Pakistanis to wage holy war to avenge the army assault. In a video message Wednesday, Ayman al-Zawahri told Pakistanis their president "rubbed your honor in the dirt."

Ghazi's death was a "dirty, despicable crime" that can "only be washed away by repentance or blood," said al-Zawahri, who is believed to be hiding near the Pakistan-Afghanistan border.

A suicide car bomber killed three police officers in northwest Pakistan on Thursday, while three government officials died in another suicide attack near the Afghan border, officials said.

There was no immediate claim of responsibility for the blasts.

Some 6,000 people gathered for funerals of three religious students killed in the mosque in the Bajur tribal region of the northwest.

"This is a conspiracy by Jews and Christians against Islam," cleric Mohammed Sadiq said.

Also in the northwest, several hundred protesters in the town of Bana attacked the offices of three non-governmental organizations, including Care and Save the Children, said police officer Mohammed Idrees.

Prayers were offered for Ghazi in the city of Lahore by more than 2,000 lawyers and opposition activists who hold weekly, largely secular protests of Musharraf's attempt to dismiss the country's chief justice.

"This issue could have been resolved through negotiations but General Musharraf intentionally spilled the blood of innocent people to please his foreign masters," said Mohammed Ahsan Bhoon, president of the Lahore High Court Bar Association.

Many of the protesters chanted "Go, Musharraf, go!" and "Musharraf is a dog!"

Musharraf vowed five years ago to regulate Pakistan's thousands of religious schools, but concerns have only grown that some are used as sanctuaries or training sites for militants.

Prime Minister Shaukat Aziz warned that the government would act against any other madrassa, or religious school, found to be involved in militancy.

Deputy Information Minister Tariq Azim said that the Red Mosque assault had sent a strong message that the government "meant business."

---

Associated Press writers Sadaqat Jan and Matthew Pennington contributed to this report.

Tour set for record dope-testing program

More doping tests will be carried out for next month's Tour de France than any previous sporting event, UCI president Pat McQuaid said on Wednesday.

More than 500 tests will be conducted in the weeks leading up to the Tour and during the three-week race, which starts on July 4th.

McQuaid, who heads the ruling International Cycling Union, said: "From the numbers of tests, in my opinion, it will be the most tested event in the history of sports. It's enormous."

McQuaid was speaking during a news conference with the French antidoping agency (AFLD) head, Pierre Bordry. The UCI and the AFLD will work together on the Tour, having already collaborated at the beginning of the season during the Paris-Nice race.

A group of 50 targeted riders, considered as the race favorites or whose biological passport data have raised suspicion, will be under further scrutiny.

"What's important, is not the number of tests but the fact that we target riders", Bordry said.

Riders will also be tested before the race while training. During the Tour, testers will be able to detect the blood-boosting hormone CERA, and insulin, UCI doctor Mario Zorzoli said.

"Many samples taken in the Tour will be stored for future analysis," McQuaid said, in case riders used substances that could only be detected in the future.

Two days before the race, all riders will give two blood samples that will be tested and stored. "Then between eight and 11 riders will be tested every day on the basis of their sporting results but also on the basis of our targeting policy", Zorzoli said.

After each stage, some riders will also be picked at random for checks.

Last year's Tour de France was marred by a string of doping affairs. Six riders tested positive during the race or in retroactive checks ordered by the AFLD.

Austrian cyclist Bernhard Kohl, who retired after admitting he had used CERA, was one of them and has criticized the efficiency of the biological passport.

"I've invited him to come and see us at the UCI headquarters in Aigle", McQuaid said. "If he has information to share with us, he is welcome. But when he comes, we will show him his biological passport and I'm sure his opinion will change afterward."

McQuaid also announced the start of disciplinary proceedings against a "certain number of riders" based on suspicious data on their biological passport.

He declined to name the riders but pledged to do so early next week, once the riders, their teams and national federations have been informed. He said that none of the cyclists would get a provisional suspension and it would be "up to the teams" and federations to take action.

The biological passport has been used to monitor more than 850 professional riders since it was created with the World Anti-Doping Agency and launched in January 2008.

Each rider has given a series of blood and urine samples, which helped to create an individual body chemistry profile using analysis designed by a WADA-accredited laboratory in Lausanne, Switzerland.

Suspected doping offenses are then spotted in fluctuations from the athlete's known baseline levels _ in effect, searching for the evidence of doping rather than specific illegal substances.

However, the UCI has hesitated in bringing a disciplinary case based solely on passport evidence because of fears the entire process could be challenged in court.

Morneau Powers Twins to Sweep of ChiSox

CHICAGO - Justin Morneau took a swing at history, but settled for a career game. Morneau homered three times in the second game of a day-night doubleheader and the Minnesota Twins capped a huge day on offense by routing the Chicago White Sox 12-0 on Friday night.

"Those are just days you put in your memory bank and don't expect them to happen," Morneau said.

Morneau became the fourth Twins player to hit three home runs in a game, and Minnesota hit six in all in the nightcap to complete the sweep. The Twins won 20-14 in the opener of the day-night doubleheader.

Morneau hit a three-run drive in the first, a solo shot in the third and a two-run homer in the seventh, giving him 23 on the year. He became the first Twins player to hit three in a game since Tony Oliva against Kansas City on July 3, 1973, and he joined a group that also includes Bob Allison and Harmon Killebrew.

Morneau had a shot at tying the major league record in the eighth but fell one shy. He unleashed a big swing and missed the first offering and flied to left five pitches later.

"He just missed that last one," Torii Hunter said. "He popped it up, hit it high. We hadn't had anyone do that in 34 years, Tony Oliva, so that's a big honor for him."

Morneau watched a video of his hits from last season on Thursday night and responded with his first three-homer game at any level.

"I was trying to get something good in my mind before I went to bed, and it ended up working," he said.

Hunter added a solo shot in the third after going deep in the early game, Michael Cuddyer hit a solo homer in the fifth and Jeff Cirillo pinch hit a three-run homer in the seventh.

This came after a day game that featured more runs than any contest in more than eight years.

The 34 runs were the most since May 19, 1999, when Cincinnati beat Colorado 24-12, according to the Elias Sports Bureau.

But a major scare tempered the good vibe.

Catcher Mike Redmond suffered a bloody gash on his head after Chicago's Jim Thome accidentally hit him in the head with his bat in the first inning of the second game.

Thome fouled off a pitch and lost control of the bat on the backswing, sending it flying into the right side of Redmond's head. The catcher got seven stitches at the ballpark but said he's fine.

Designated hitter Joe Mauer went in to catch for the Twins, meaning starting pitcher Matt Garza became the first pitcher to hit in an American League game since Boston's Hipolito Pichardo at Seattle on July 31, 2000.

Garza (1-0) pitched six shutout innings, allowing five hits and three walks while striking out six in his first start and second appearance this season since being called up from Triple-A Rochester.

Gavin Floyd (0-1) allowed six runs and eight hits in 5 2-3 innings. He struck out two and walked four in his first appearance for the White Sox. Acquired from Philadelphia in the Freddy Garcia trade last December, Floyd was called up from Triple-A Charlotte on Thursday.

"It was hard to watch, hard to feel that way," manager Ozzie Guillen said. "You can do nothing about it."

Morneau lined his first homer of the game off the Holiday Inn sign at the back of the bullpen. He and Hunter hit back-to-back shots in the third - the third time the Twins did that this year.

It was Morneau's fourth multi-homer game this season and the eighth of his career.

Morneau became the fourth big league player to connect three times in a game this season, joining Houston's Carlos Lee (April 13), the Chicago Cubs' Alfonso Soriano (June 8) and Texas' Brad Wilkerson (July 3).

It was fitting given what happened in the first game.

Hunter homered, Jason Kubel hit a grand slam, and the Twins handed Chicago's Jon Garland one of the worst beatings of his career in the opener.

It was the most runs for the Twins since they scored 23 against Cleveland on June 4, 2002. The White Sox had not surrendered 20 since April 2, 1998, against Texas.

Garland (6-6) tied a career-high by allowing 12 runs, 11 of them earned. He gave up 11 hits, tying a season-high, walked three and did not strike out a batter.

He did all that in just 3 1-3 innings, his earliest exit since lasting 2 2-3 innings against Detroit on Aug. 19, 2004. But that was enough time for his ERA to leap from 3.15 to 3.92.

Garland's day ended when Kubel hit the second grand slam of his career to make it 12-4 - even though things had gotten ugly long before that.

"The result was absolutely terrible," Garland said. "I'm embarrassed by it."

Scott Baker (3-3) got the win despite allowing seven runs and nine hits in five innings. He struck out six and walked one.

Chicago set season highs for runs and hits (18). It was the most runs for the White Sox since scoring 20 against St. Louis on June 20, 2006.

"I didn't know we were going to play a football game," Twins manager Ron Gardenhire said.

Kubel drove in a career-high seven runs for the Twins. Mauer had four hits and tied a career-high with five RBIs. Hunter, Luis Castillo, Jason Bartlett and Morneau each had three hits, and Minnesota banged out 21 in all - one shy of their season-high.

Notes:@ The Twins' previous season-high was 16 runs against Detroit on May 13. ... Hunter delivered a highlight reel play in the third inning of the first game when the center fielder raced into the gap to snag Juan Uribe's drive to left-center. He leaped as he backhanded the ball, avoiding a collision with Kubel. ... The White Sox placed reliever Mike MacDougal on the 15-day disabled list with right shoulder inflammation and activated right-hander Dewon Day (sore back).

понедельник, 12 марта 2012 г.

Public policy and private health insurance: distributional impact on public and private hospital usage

Abstract

Objective: To study the effectiveness of recent private health insurance (PHI) reforms, in particular the 30% rebate and Lifetime Health Cover, in terms of their stated aim of reducing the load on public hospitals.

Methods: Combines the use of two new projection models - "Private Health Insurance" (PHI) and "New South Wales Hospitals" that use public and private hospital inpatient data from 1996-97 to 1999-2000, and NSW population and private health insurance coverage statistics.

Results: With the PHI reforms 15% fewer individuals would use public hospitals in 2010 than without these reforms (around 18% fewer among the 40% most affluent Australians and 9% among the 40% least affluent). Lower public hospital usage would mainly be due to Lifetime Health Cover.

Conclusion: If the PHI reforms remain in place, in 2010 a significant proportion of hospital use would be redirected away from the public sector and towards the private sector, with the shift being greatest among better-off Australians.

Aust Health Rev 2007: 31(2): 305-314

IN RECENT DECADES the health of the population in developed countries improved dramatically, but the related public health expenditures outpaced economic growth. This forced governments to contain costs (largely in the hospital sector), to find new funds or to pass a larger share of the costs on to individuals.1,2 This latter approach is the aim of the Australian federal government's policies to increase the take-up of private health insurance that is, the 30% private health insurance (PHI) rebate, Lifetime Health Cover and the Medicare Levy Surcharge. A recent Senate inquiry noted that two of the rebates objectives were to make PHI more affordable and to reduce the load on public hospitals,3 but concluded that there were insufficient analyses on whether the new PHI policies had achieved this latter aim.

The paper reports on the current and projected impact of the new PHI policies on public hospital utilisation in NSW, linking two new analytical tools: the "Private Health Insurance Model" and the "NSW Hospitals Model". Because Australians with higher incomes are more likely to have hospital insurance, the impact of the new PHI policies on groups with different socioeconomic status (SES) was also studied.

The PHI model and scenarios

The Private Health Insurance Model is a projection model based on Australian Bureau of Statistics (ABS) surveys. The model and the simulated scenarios are described in an earlier publication.4 Briefly, the model uses logistic regression to estimate the probability of a person having private health insurance. Predictive variables are: age, sex, year (as number of years from 1983), premium costs (as a proportion of average household disposable income) and, to account for SES, gross income quintiles (at income unit level).

As shown in Box 1, simulations with current policies indicated that it was the most affluent group, that is the 20% of the NSW population with highest incomes, that was most responsive to the new PHI policies introduced between mid1997 and mid-2000 (Medicare levy surcharge, the 30% rebate and Lifetime Health Cover).

Three scenarios were modelled (Box 2), assuming that premium costs (as a proportion of household disposable income) rose at a real annual rate of 2%. The scenarios study the impact on insurance coverage of the major private health insurance policy changes implemented since the late 1990s. Scenario A is a base scenario which models the decline in insurance coverage that would have occurred without the 30% rebate and Lifetime Health Cover. Under this scenario the proportion of the population covered by PHI drops to just under 20% in 2010. Scenario B is a "current world" scenario that models the decline in insurance coverage from 1983 to 1998 and the introduction of the 30% rebate and Lifetime Health Cover. Under this scenario the proportion of the population covered by PHI peaks in 2000 then gradually falls to just over 40% in 2010.

Scenario C models the same circumstances as for scenario B, but with the 30% rebate removed from 2004 onwards (thus households paying the full price of the premium,* compared with the "full price less the 30% rebate" under scenario B). Under scenario C the proportion of the population covered by PHI peaks in 2000, then gradually falls to around 35% in 2010, with a drop associated with the removal of the rebate in 2004. Box 2 charts the simulated scenario results at the aggregate PHI coverage level. The simulated impacts of these scenarios on hospital usage are reported in the Results.

Projecting NSW hospital usage

Details of the new NSW Hospitals Model are provided elsewhere.5'6 Below are summaries of the unit record datasets constructed and the operation of the model's projection facility.

The model is based on time-series inpatient admission data in NSW hospitals (excluding public psychiatric hospitals) from 1996-97 to 1999-00, in which services used by individual patients can be tracked within each year of the time-series (through statistical linking). Thus the number of times a patient has been admitted and administratively recorded as a "separation"[dagger] in a particular year is known. Patients can be analysed across a wide range of variables, such as age, sex, the geographic area of their residential addresses, whether admitted to a public or private hospital, and the types of services provided.

Geocoding of the hospital data at the Census Collector District (CD) level containing around 200 households allowed imputation of SES to each patient. A novel imputation method was developed that makes use of a dataset extracted by the ABS from its 1996 Census for this project. This approach is similar to the traditional geographic-area-based method, which uses patients' place of usual residence. However, unlike the traditional method, it is able to also account for, several individual-level patient characteristics, such as age - a critical factor affecting health sex and family size. We chose the commonly used "equivalent family income" (EFI) quintile indicator of SES,7-11 because it reflects households' relative standards of living.8

Box 3 shows that the older people were in 1999-2000, the more likely they were to have been hospitalised. Box 3 also shows that although the SES effect is slight, people with low SES tended, within younger age groups, to use hospitals more than higher SES people. However, this was reversed for people 60 years and older (that is, top SES people used hospitals more than others in that age group). Further research indicates that this reversal mainly affected private patients in both private and public hospitals, and that the higher admission rates for top SES people 60 years and over were most pronounced for renal dialysis, chemotherapy, colonoscopies and other diagnostic scopes, rehabilitation and follow-up, and cataract operations.12

Onto this enhanced hospitals administrative data series, we built a facility to project 10 years ahead, accounting for population growth and ageing, and for changes in the propensity to utilise particular hospital services.3'6 The projections were based on the assumption that trends observed in the 1996-97 to 1999-2000 time series administrative data will continue in future. This means that the original projections do not fully account for the impact of Lifetime Health Cover because it commenced on 1 July 2000, although many people purchased PHI cover a few months before 1 July 2000, presumably to avoid or minimise the Lifetime Health Cover's age-related loadings. Another assumption was that the change in capacity required to meet future growth in hospital utilisation will be carried out by the public and private sectors. A further assumption was that the age-sex pattern of EFI remained unchanged between 1999-2000 and 2009-10.

We chose growth in inpatient admissions (referred to later in the text as "patient numbers") as an indicator of the "load" placed on public hospitals. There are a number of other indicators that could have been used, with waiting lists being a popular alternative (for example, for elective surgery waiting lists13). However, waiting lists have been seen as an indicator of "stress" on patients rather than "load" on hospitals.14 Another possible alternative, the number of inpatient days, was not chosen because of the considerable shifts that took place away from inpatient and toward same-day treatment over the time period.

The original projections of patient numbers6 are summarised in Box 4. The table suggests that the private hospital sector will grow considerably more rapidly over the 10-year study period than the public sector (7.2% and 0.9% respectively). Possible reasons for the stronger private sector growth are the trend for uninsured patients to pay for themselves and the growth in low cost dayprocedure centres that offer diagnostic procedures, such as endoscopy and colonoscopy. In addition, new arrangements for veterans made it easier for these patients to access private hospitals. Growth in public hospital admissions was slower partly because some hospital episodes classified as "inpatient" in earlier years were reclassified as "outpatient". For example, many of the diagnostic procedures that account for a large proportion of growth in private hospitals are classified as outpatient services in public hospitals.

Box 4 also shows that growth in the number of low SES patients (quintiles 1 and 2) was considerably stronger than growth in higher SES groups. The main reason for this was population ageing, combined with the fact that older people tended to fall into the lower SES quintiles (mainly due to their "not employed" status).

Linking the models

To estimate the proportion of patients with and without PHI who chose either a public or a private hospital, we obtained a data extract from a TQA Research syndicated survey.15 This 2001 survey involved 5194 telephone interviews with a random sample of insurable unit heads from all areas of Australia. The sample was weighted for, among other things, known private hospital insurance status (effectively to match Private Health Insurance Administration Council statistics16). We studied the private or public hospital responses of the 1038 people who reported using hospitals in the 12 months before interview.

In an earlier article we described the survey in detail, discussed its limitations, and presented the responses.4 In Box 5 we reproduced the earlier income-based table,4 but rearranged the income brackets into quintiles based on ABS data,17 with the $0-$ 15 000 annual household income group representing SES quintile 1; $15001-$35000 quintile 2; $35 001-$50000 quintile 3; $50000-$70000 quintile 4; and the over $70000 group quintile 5. We then used the Box 5 tabulation to link the PHI and NSW hospitals models.

Box 5 shows that in 2001 14% of people without insurance who reported being hospitalised in the previous 12 months used a private hospital. It also shows that among patients with PHI a much higher proportion used a private hospital (69%), and that among those without PHI an even higher proportion used public hospitals (86%). Among those with PHI, low SES people were less likely to use a private hospital than high SES people (possibly because of their fears that usage of private hospital may involve unexpected out-of-pocket expenditures).

The linking of the PHI and NSW Hospitals models through the Box 5 behavioural data was carried out as follows. First we used the PHI Model to determine the proportion of Australians with hospital insurance cover. Next we assumed that the same proportions with PHI applied in the NSW population. Finally, the data in Box 5 were used to split the total number of patients (projected by the Hospitals Model) into those using public hospitals and those using private hospitals.* For each SES quintile, the total number of patients (from the NSW Hospitals Model) was first split between those with PHI and those without (based on PHI model estimates). Then, given patients' PHI status, the TQA proportions were applied to assign the patients between the public and private sectors.

Key assumptions in these computations were that PHI policies only affected the public/private hospital split, and thus had no impact on total NSW hospital utilisation; the proportions reported in the TQA survey remained constant over time; and the Australia-wide responses were representative of those in NSW

Results

Examination of the NSW hospitals time series data showed that the scenarios studied in this paper occurred in a period when there was stronger growth in private hospital usage than in public hospital usage. Because this pattern was evident before the introduction of PHI policies, our projections under the PHI scenarios should be seen as being superimposed onto this underlying "non-PHI policy-dependent" trend. A further study using a 1-year longer time-series dataset reports on changes in hospital rates and costs in NSW over the 1996-97 to 2000-01 period.18

Scenario A: no PHI rebate and no Lifetime Health Cover

Under this scenario the assumption is that the post-1998 PHI policies, including the 30% rebate and the Lifetime Health Cover, had not been introduced. We modelled this by setting the simulation phase in the PHI model to commence in 1999, with actual data being retained to 1998. The impact by 2010 was a decline in PHI coverage to just under 20% of the Australian population. The consequent impact on NSW public hospital usage is estimated to be an increase of around 13% by 2009-10, relative to patient numbers in 1999-2000 (Box 6). Most of that increase was due to higher SES patients who used private hospitals in 1999-2000, but shifted to public hospitals in 2009-10 because they no longer had private hospital cover.

Consequences arising from the older population structure in 2009-10 were reported in an earlier paper,20 with increases of over 30% estimated for inpatients aged 55 and over in public hospitals.

Scenario B: current PHI policies

Scenario B assumes that the current PHI policies remain operational throughout the study period. Under this scenario the PHI model's simulations commence in 2003 (that is, actual data is retained to 2002).Under this scenario hospital cover would decline to just over 40% by 2009-10. Box 7 shows that patient numbers in NSW public hospitals would be 10.1% higher in 2009-10 than they were in 1999-2000 and 15.3% lower than patient numbers predicted under Scenario A. The declines in public hospital use (and the related increases in private hospital usage) were found to be greatest for the most affluent 20% of the Australian population.

Scenario C: Current PHI policies, but 30% rebate removed from 2004

Scenario C assumes that the Lifetime Health Cover is retained, but the 30% PHI rebate is removed from 2004 onwards. Under this scenario, the PHI model's simulations commence in 2004 (that is, actual data is retained to 2003). The impact by 2010 was a decline in PHI coverage to around 35% of the Australian population. Box 8 shows that under Scenario C public hospital utilisation would increase by 10.4% in 2009-10 relative to 1999-2000 and decline by 12.7% relative to patient numbers predicted under Scenario A. This 12.7% arises almost entirely from the Lifetime Health Cover policy. Once again, the declines in public hospital usage were greatest for patients in the top SES quintile.

Comparison of Box 7 and Box 8 indicates that the impact in 2009-10 of the 30% rebate was a 2.6% decline in public hospital utilisation, with Lifetime Health Cover contributing the bulk of the reductions in the load on public hospitals (12.7%).

Conclusions, limitations and possible future improvements

The research presented in this paper extends previous analyses by studying the PHI-to-hospital-choice link at a greater level of complexity. In relation to analyses of such links, Cormack14 noted that the assumptions chosen for the modelling exercises, and the impact of the many factors external to the models, needed careful consideration.8 Others relied on the available evidence to argue that subsidising private health care, rather than insurance, was a more effective way of reducing the demand for public health services.21

Overall, because the complex interactions between the many factors impacting on the PHI-to-hospital-use relationship are not well understood, the findings reported in this paper are unlikely to provide "definitive" answers.

Our simulations indicate that the introduction of the 30% PHI rebate and Lifetime Health Cover is likely to reduce pressure on public hospitals in future. However, most of that would be due to Lifetime Health Cover, and not to the 30% rebate which was the policy with the stated aim of reducing the load on public hospitals. Regarding distributional impacts, we found that if the new PHI policies were retained, higher SES people would switch to private hospitals. This implies that if the PHI policies were retained, a greater proportion of total hospital expenditure would be borne by individuals (and thus a lesser proportion by governments) than without these policies.

Studying the likely impact of the 30% rebate in isolation as well as with the Lifetime Health Cover was important because, unlike the rebate, Lifetime Health Cover does not involve government subsidies. While some have studied the rebate in isolation,22 others have assumed that the rebate and the Lifetime Health Cover were an inseparable package.23

Regarding "inseparability", the 30% rebate was introduced 18 months earlier than Lifetime Health Cover, and the increase in PHI membership that followed was small.4 While the rebates withdrawal would affect the cost of PHI, it has not as yet been demonstrated that its withdrawal would have the reverse impact of what occurred following its introduction. As recommended by a Senate Inquiry,3 more research on the equity and effectiveness of the 30% PHI rebate and the integral Lifetime Health Cover policy could have considerable benefits.

Limitations and possible future improvements

Future studies using the linked models could improve and broaden the preliminary analyses reported in this paper. First, once historical data on the number of patients and the treatments they received becomes available, projections based on past trends could be considerably improved through extension of the study period. Once past trends can be assessed over a longer time period, the projections estimated by the NSW Hospitals Model would improve.

second, alternative measures of hospital use could be considered. Some could reflect, for example, the number of separations and the number of separations weighted for casemix (that is differences in the nature of conditions for which patients are admitted and the intensity of the services provided).

Third, better alignment across private and public hospitals of classification methods that identify inpatients and outpatients could in future lead to more meaningful predictions by our models. Although their extent is not known, the current classification issues relating to the boundary between outpatient and same-day inpatient care cloud the interpretation of trends.

Fourth, analyses using the PHI model could be extended to estimate the impact that a range of possible future PHI policy settings may have on rich and poor hospital users, including the impact of higher or lower premium increases than the 2% annual rate we assumed. Also, the question could be asked whether, under the scenarios studied, each of these groups would be able to afford the related out-of-pocket expenditures.

Finally, because the PHI model is based on Australia-wide data, similar analyses could in future be carried out nationwide.

Acknowledgements

The authors wish to thank the NSW Health Department for making the NSW hospitals administrative data available for this project, and for their efforts in patient-linking and geocoding these data. Funding for the main 3-year project: "Health Policy and Socioeconomic Status in Australia", was by an Australian Research Council grant with the NSW Health Department, the Health Insurance Commission and the Productivity Commission as industry partners (Project ID: C00107794, 2001-2003). The views expressed in this paper are the authors' own and are not necessarily shared by the industry partners.

Competing interests

The authors declare that they have no competing interests.

[Sidebar]

What is known about the topic?

Studies have arrived at conflicting results in relation to the impact of the private health insurance policy initiatives (30% rebate and Lifetime Health Cover) on public hospital utilisation.

What does this paper add?

The two modelling techniques used suggest that the reforms, in particular the Lifetime Health Cover, would lead to a 15% reduction in NSW public hospital utilisation by 2010.

What are the implications for practitioners?

This study suggests that Lifetime Health Cover will assist in meeting the government aim of reducing the load on public hospitals.

[Reference]

References

1 Organisation for Economic Co-operation and Development. Health at a Glance: OECD Indicators. Paris: OECD, 2003.

2 Organisation for Economic Co-operation and Development. OECD countries struggle with rising demand for health spending [media release]. Available at: www.oecd.org/document/38/0,2340,en_2649_33929_ 16560422_1_1_1_1.OO.html (accessed Oct 2003).

3 Senate Select Committee on Medicare. Medicare -healthcare or welfare? Canberra: Senate Printing Unit, Parliament House, 2003.

4 Walker A, Percival R, Thurecht L, Pearse J. Distributional impact of recent changes in private health insurance policies. Aust Health Rev 2005; 29(2): 167-77. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ahr_29_2_0505/ahr_29_2_167-177.asp (accessed Feb 2007).

5 Thurecht L, Bennett D, Gibbs A, et al. A microsimulation model of hospital patients: New South Wales. Technical Paper No 29. Canberra: National Centre for Social and Economic Modelling, University of Canberra, 2003.

6 Thurecht L, Walker A, Harding A, Pearse J. The 'inverse care law', population ageing and the hospital system: a distributional analysis. Economic Papers 2005; 24(1): 1-17.

7 Australian Bureau of Statistics. Government benefits, taxes and household income, Australia, 1998-99. (ABS Cat. No. 6537.0.) Canberra: ABS, 2001.

8 Australian Bureau of Statistics. National health survey: users' guide, 2001. (ABS Cat. No. 4363.0.55.001.) Canberra: ABS, 2003.

9 Australian Bureau of Statistics. Household income and income distribution, Australia, 2000-01. (ABS Cat. No. 6523.0.) Canberra: ABS, 2003.

10 Saunders P. Poverty, income distribution and health: an Australian study. Sydney: Social Policy Research Centre, University of New South Wales, 1996.

11 Mejer L, Siermann C. Income poverty in the European Union: children, gender and poverty gaps. In: Statistics in focus. Luxembourg: Eurostat, 2000.

12 Walker A, Pearse J, Thurecht L, Harding A. Hospital admissions by socioeconomic status: does the 'inverse care law' apply to older Australians? AustNZ J Public Health 2006; 30: 467-73.

13 Powers N, Sandararajan V, Gillett S, Marshal R. The effect of increased private health insurance coverage on Victorian public hospitals. Aust Health Rev 2003; 26(2): 6-10. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ahr_26_2_ 150903/ahr_26_2_06-10.asp (accessed Feb 2007).

14 Cormack M. Private health insurance: the problem child faces adulthood. Aust Health Rev 2002; 25(2): 38-51. Available at: http://www.aushealthre-view.com.au/publications/articles/issues/ahr_25_2_ 010402/ahr_25_2_38-51 .asp (accessed Feb 2007).

15 TQA Research. Health care and insurance, Australia 2001 [syndicated survey]. Sandringham, Victoria: TQA Research, 2001.

16 Private Health Insurance Administration Council. Report on the operations of the registered health benefits organisations [time series data). Available at: www.phiac.gov.au (accessed Jun 2003).

17 Australian Bureau of Statistics. Disability ageing and carers, 1998. Confidentialised unit record files. Canberra: 1999. (ABS Cat. No. 4430.0.30.001.)

18 Walker A, Thurecht L, Harding A. Changes in hospitalisation rates and costs - New South Wales, 1996-97 and 2000-01. Australian Economic Review 2006; 39(4): 301-408.

19 Hanning B. Has the increase in private health insurance uptake affected the Victorian public hospital waiting list? Aust Health Rev 2002; 25(6): 64-71. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ahr_25_6_031202/ahr_25_6_64-71 .asp (accessed Feb 2007).

20 Walker A, Percival R, Thurecht L, Pearse J. Public policy and private health insurance: distributional impact on public and private hospital usage in New South Wales. International Microsimulation Conference on Population Ageing and Health; Canberra; 2003 December 7-12.

21 Vaithianathan R. Will subsidising private health insurance help the public health system? The Economic Record 2002; 78(242): 277-283.

22 Deeble J. The private health insurance rebate - report to state and territory health ministers. Canberra: National Centre for Epidemiology and Population Health, Australian National University, 2003.

23 Econtech. Easing the pressure: the intergenerational report and private health insurance. Report prepared for Medibank Private Ltd by Econtech Pty Ltd, 2004.

(Received 18/08/05, revised 1/11/06, accepted 18/12/06)

[Author Affiliation]

Agnes E Walker, MEngSc, MEcon, PhD, Fellow

Australian Centre for Economic Research on Health,

Australian National University, Canberra, ACT.

Richard Percival, Principal Research Fellow

Line Thurecht, PhD, Senior Research Fellow

National Centre for Social and Economic Modelling,

University of Canberra, Canberra, ACT.

Jim Pearse, MSc, Associate Professor

Centre for Health Service Development, University of

Wollongong, Wollongong, NSW.

Correspondence: Dr Agnes E Walker, Australian Centre for

Economic Research on Health, Australian National

University, Barry Drive (Building 62), Canberra, ACT 0200.

Agnes.Walker@anu.edu.au

GE plans to invest $6B to lower health care costs

General Electric Co. said Thursday that it will invest $6 billion over the next six years in an attempt to lower the cost of health care and improve the quality of medical care in underserved regions of the United States and abroad.

The broad program sets goals of reducing health care costs by 15 percent through $3 billion of spending on new, lower cost medical technology. The initiative also plans to broaden the use of tools such as electronic medical records and other medical information technology, with the hope of providing more advanced care to 100 million additional people each year.

That will include $2 billion of financing for rural health care systems in the United States to adopt medical IT systems. It will also expand clinics in Cambodia and provide additional funding for maternal health care programs in Bangladesh.

"Health care needs new solutions," said GE CEO Jeffrey Immelt. "We must combine technology with innovations and smarter processes that help doctors and hospitals deliver better health care to more people at a lower cost."

The company, which has struggled over the past year due to the recession and problems at its GE Capital financing arm, has said that health care and energy are two likely growth areas over the next several years.

GE plans to use its NBC television networks as a way to increase consumer knowledge about health, and will launch a daily program devoted to health in June on MSNBC.

The Fairfield, Conn.-based GE is one of the world's largest industrial companies, making products like jet engines, household appliances and light bulbs. It also has a large health care division, which produces diagnostic equipment for hospitals and medical information technology systems.

GE has dubbed the program "healthymagination," saying it is on par with its "ecomagination" initiative that focuses on cleaner energy projects like wind turbines and more efficient electric grids.

As part of "healthymagination," GE plans to appoint a health care advisory board that includes former Sens. Tom Daschle and Bill Frist.

U.S. building `star wars' test computer

NEW YORK (UPI) The Pentagon has started construction of a $1billion supercomputer facility to determine whether a "star wars"missile defense system will work, a published report said Sunday.

The National Test Facility, being built under heavy securitynear Colorado Springs, Colo., will simulate attacks by Soviet misslesand assess the ability of the proposed Strategic Defense Initiativeto defend the country, the New York Times reported.

Some 2,300 military and computer experts will be employed at thefacility, which will be the size of a football field, and analyze newdata as well as information already compiled by the Strategic DefenseInitiative Organization, the newspaper said.

Air Force Col. Richard Paul said the supercomputers will testthe capacity of weapons to destroy nuclear missiles by smashing them.

The Encore's 'Damn Yankees' has heart

The Encore's 'Damn Yankees' has heart

REVIEW

'Damn Yankees'

The Encore Musical Theatre Company, 3126 Broad St., Dexter. Thursday-Sunday through Oct. 24. $28. 734-268-6200Mp:// theencoretheatre.org

In an era of angst-filled, opera-like musicals, it's a treat to occasionally revisit a once-popular, Tony Award-winning classic that hearkens back to simpler times - an era when "love conquers all" is enough of a moral to satisfy theatergoers who then return home feeling thoroughly entertained. And that's pretty much the case with "Damn Yankees," the devilishly delightful musical now on stage at The Encore Musical Theatre in Dexter.

Based on the novel "The Year the Yankees Lost the Pennant" and first staged on Broadway in 1955, "Damn Yankees" is most remembered today for its songs ("Heart," "Shoeless Joe from Hannibal, Mo." and "Whatever Lola Wants, Lola Gets") than anything else - and very few theaters in the area have staged it in recent years. But there's a reason for that: While the tunes by Richard Adler and Jerry Ross will stick with you for hours or days after you see the show, the script by George Abbott and Douglass Wallop - although sweet and uplifting - is fairly pedestrian. And the ending is telegraphed very early in the first act.

The challenge for any director, then, is to populate the production with performers who not only can sing and dance well, but who can take their often sketchy roles and fill them with life, energy and personality. And that's precisely what director Dan Cooney has accomplished with his production.

To read the complete review, log on to ...

www.EncoreMichigan.com or PrideSource.com

Cochran continues crusade for justice

The media remains fixed on the O.J. trial but defense counsel Johnnie Cochran has moved on.

America's best known defense lawyer writes about the trial of the century and its outcomes for him in an enthralling look at this rapper of consequential rhymes, the autobiographical "A Lawyer's Life" (Thomas Dunne Books/St. Martin's Press, Oct. 2002).

Happily for the goal of establishing a more democratized social order, his passion as a litigator has been ignited by numerous other cases since. First up, he got involved in representing Latrell Sprewell of the Golden State Warriors whose contract had been severed for an aberrant infraction which was going to cost the basketball star $25 million.

Then came the Abner Louima personal injury/police brutality case, carried out in a new city for Cochran, New York. Some changes that likely occurred because of the success of the defense include the creation of a civilian panel rather than one comprised of members of the NYPD to prosecute police brutality, and improved training procedures concerning the use of force.

Police brutality cases have been a specialty of Cochran, who had been a longtime resident of L.A., since the mid-1960s when the court battles he waged were fought far from the glare of TV lights. These days, as in the case of the killing of Amadou Diallo by four white police officers, there are public demonstrations and newspaper headlines. Madame Diallo, Amadou's mother, asks Cochran to take on the case against the NYPD officers.

To identify only two more of many significant cases, you will also read of how an infuriated Cochran takes on the public transit system and a shopping mall in Buffalo, New York in the case of the death of part-time worker Cynthia Wiggins, a teen mom. A case involving racial profiling on the New Jersey turnpike put that phrase firmly in the public consciousness.

Cochran's prowess as a defense attorney has amazed people. "A Lawyer's Life" displays another astonishing facet to this legal prudence giant as reading along you realize how the outcomes of his cases have alleviated so many injustices of our times.

The motivation for police misconduct in these cases is likely not a puzzle for the victims who clearly sense they are being seen through the prism of race or as "the other." This entrenched twist of the psyche is at the heart of what Cochran is battling in the courtroom. Little wonder he is such a passionate litigator.

Poet Lucille Clifton describes it very well in a piece she entitles "Powell," named for one of the officers who beat Rodney King.

She writes as if Powell were speaking: "This is that dream I wake from crying...something about my life they know and hate and I hate them for knowing it so well...and, as they surround me nearer, nearer I reach to pick up anything - a tool, a stick, a weapon - and something begins to die." The poem quoted from appears in the most recent issue of "Callaloo" magazine (Vol. 25, No.4).

A heavy shower late in the morning on Veterans Day had surprised the guests at the Ritz Carlton who shook off raindrops as they plunged into the swank lobby. Lloyd Hart, owner of the Black Library Booksellers, and this writer were early for our meeting with Johnnie Cochran, who had stopped in Boston as part of a tour promoting his book.

At exactly to the minute of our appointment, the sharply dressed Mr. Cochran stepped off the elevator easily recognizing us as we waved copies of his book in his direction. A helpful hotel employee showed us to a private room on the mezzanine level so we could talk uninterrupted.

The three of us sat around a small table with Mr. Cochran pleasantly open to any question we might have. Many of the topics were provided by Hart, who mans a book kiosk on wheels in Downtown Crossing where he talks books to customers every day.

In response to Hart's query about what Johnnie Cochran thinks about being a black man in this society, Mr. Cochran began his response by referring to a book published a century ago. He knew passages of the book by heart. "In 1903, W. E. B. DuBois in his "Souls of Black Folk" addressed that issue," said the modern day lawyer. "He wrote about functioning with two souls, two thoughts, two warring ideals.

"Only inner strength keeps you from being torn asunder," Cochran said.

"To be successful you have to have a dual consciousness and be mindful of both people (that you are) and remain true to both," he said.

Hart was also interested in hearing from Cochran about where he thinks the real power of the African American lies. "That's changed somewhat," replied Cochran. "The black church was a great repository of our strength, but maybe not so much now as in the past.

"When Dr. King came to town, the black church was the golden place, now we're not (so apt to meet there).

"I would hope, along with the church, that the African American family unit would be the source of strength.

"If we don't have our unity, and with America so evenly divided as the last (presidential) election showed, we are weakened. We could carry the day. We're making a serious mistake not to seize the power we could have," he said.

The topic changed to Mr. Cochran's reading habits. "Reading has all along enhanced my desires," he said.

??? he was eleven years old ???wing up in the Louisiana countryside, Cochran became fascinated by the crusading attorney Thurgood Marshall, whom he read about. He tracked down and pored over important cases that the civil rights lawyer carried out despite the danger to himself.

"I could read about what I didn't see around me," Cochran said. "I could visualize what I wanted to be. I could dream about it."

Photograph (Johnnie Cochran with Lloyd Hart)

Israel approves inquiry into Gaza flotilla raid

Israel's Cabinet on Monday approved an investigation into the navy's deadly raid on a flotilla carrying pro-Palestinian activists bound for blockaded Gaza that will include two respected foreign observers in a step aimed at countering worldwide criticism of the operation.

Israel has been under heavy pressure to carry out an impartial inquiry into the events of May 31, when naval commandos clashed with activists on board a Turkish ship headed to Gaza. Nine Turkish activists were killed, and dozens of people, including seven soldiers, were wounded.

Israel has rejected calls for an international investigation, saying the United Nations and other global bodies have a long history of bias against the Jewish state.

But in consultation with its key ally, the United States, Israel agreed to add two high-ranking foreign observers to bolster the credibility of the probe: David Trimble, a Nobel peace laureate from Northern Ireland, and Canada's former chief military prosecutor, retired Brig. Gen. Ken Watkin.

Trimble is a member of a pro-Israel faction in Britain's House of Lords. Watkin has been a visiting fellow in the human rights program at Harvard Law School.

Before Monday's Cabinet vote, Prime Minister Benjamin Netanyahu said he was confident the makeup of the commission would blunt the international criticism and prove Israel handled the affair responsibly.

"I am convinced that the commission's uncovering of the facts will prove that the goals and actions of the state of Israel and the Israeli military were appropriate defensive actions in accordance with the highest international standards," he said.

The White House has backed Israel's inquiry into the raid, calling it "an important step forward."

The naval commandos clashed with the activists after landing on the deck of the Turkish ship from helicopters.

Israel says the ship was carrying dozens of trained militants who had prepared to confront the soldiers. It has released videos showing the activists attacking the soldiers with clubs, metal pipes and knives.

The activists say they were only defending themselves, and some members of the international community, particularly Turkey, have accused Israel of using excessive force and acting illegally in international waters.

There was no immediate international reaction to Monday's Cabinet decision.

T.O. Silenced As Eagles Dominate Cowboys

PHILADELPHIA - With Terrell Owens watching from the sideline, Donovan McNabb turned ordinary receivers into big-time playmakers.

As for T.O., the most overhyped homecoming in recent memory was totally ordinary: three catches, 45 yards, 0 drama.

McNabb threw touchdown passes of 40 yards to Reggie Brown and 87 yards to Hank Baskett, and Lito Sheppard returned an interception 102 yards in the final minute to seal the Eagles' 38-24 victory over the Dallas Cowboys on Sunday.

Owens' return to Philadelphia dominated the headlines this week, with Philly fans planning a hostile welcome. But Owens was merely a decoy for most of the game, and those fans were too dazzled by McNabb to fixate much on the erstwhile Eagles receiver who helped them reach the Super Bowl in 2004 before last year's bitter departure.

"It's frustrating," Owens said. "Opportunities were there and we didn't make them. I'm a competitor. I do not like to lose. Maybe I need to work harder."

Not only did Owens not score, he didn't catch a pass until the third quarter - then dropped the next one thrown to him, much to the delight of a frenzied crowd that showered Owens with derisive chants, insults and boos.

"I was surprised Terrell didn't have more catches. That was not our plan," Cowboys owner Jerry Jones said after chatting with Owens in the locker room.

The Eagles (4-1) took the lead for good when McNabb connected with Brown on a flea-flicker pass with 9:13 left that made it 31-24. Brown, a second-year pro who replaced a suspended Owens in the starting lineup last year, beat rookie safety Patrick Watkins and caught the ball deep in the end zone.

The Cowboys (2-2) drove to the Eagles 33 on the ensuing drive. But Sheppard intercepted Drew Bledsoe's badly underthrown pass - intended for an open Owens.

Owens angrily snapped at his chin strap, walked off the field and took his usual spot at the end of the bench.

The Cowboys had one more chance after a pass interference penalty on Michael Lewis allowed them to convert a fourth-and-18 from their 37.

But from the Eagles 6, Sheppard stepped in front of Bledsoe's pass and raced the other way to put the game away. Bledsoe threw three interceptions and was sacked seven times.

For a while, the Cowboys were doing just fine without getting Owens involved. DeMarcus Ware scored on a 69-yard fumble return and Bledsoe ran in from the 7 to give Dallas a 21-17 halftime lead.

But Philadelphia's struggling offense turned it around with one big play.

McNabb took a deep drop, eluded a sack, stepped up and heaved a pass downfield. Baskett ran past Watkins, caught the ball in stride, broke a tackle near the 30 and streaked into the end zone for his first career touchdown.

Baskett, acquired in a trade after he was signed by Minnesota as a rookie free agent, was starting for the injured Donte' Stallworth. He finished with three catches for 112 yards.

Dallas tied it at 24 on a 39-yard field goal by Mike Vanderjagt early in the fourth quarter. Then McNabb took over.

"This is a total team game," said McNabb, who was 18-of-33 for 354 yards and two TDs. "It's not T.O. vs. Donovan. All of us play together."

Owens was a non-factor in the first half as the Cowboys relied on their running game. Bledsoe finally looked Owens' way on the Cowboys' 17th offensive play, but he was hit on the throw and Brian Dawkins intercepted.

Owens' first catch - on Dallas' 41st play - was a short pass that he turned into a 9-yard gain. He then looked toward the Eagles' sideline and spun the ball on the ground in their direction while gesturing.

Perhaps distracted by the Owens' hoopla, both teams were sloppy at the start.

Eagles running back Brian Westbrook, who didn't practice all week because of a knee injury, looked fine on a 24-yard screen pass on the first play from scrimmage. But he fumbled on the next play, giving Dallas the ball at its 38.

Cowboys punter Mat McBriar later fumbled a snap and Shawn Barber recovered at the 12. Westbrook ran in from the 5.

Darwin Walker sacked Bledsoe on Dallas' first play on the ensuing possession, forcing a fumble Trent Cole recovered at the Cowboys 14. But the Eagles settled for David Akers' 27-yard field goal that made it 10-0.

Marion Barber's 2-yard TD run made it 10-7.

In the second quarter, Greg Ellis hit McNabb and the ball popped. Ware caught it and, with no one in front of him, raced 69 yards for a touchdown.

The Eagles answered quickly, taking a 17-14 lead on McNabb's sneak from the 1. McNabb connected with L.J. Smith on a 60-yard pass to set up the score.

Bledsoe, not known for his scrambling, scored on a 7-yard run to give the Cowboys a 21-17 lead.

"We came out in the second half, showed a lot of character," said linebacker Jeremiah Trotter. "I think we really took a great step forward."

Notes: Stallworth (hamstring) and CB Rod Hood (heel) missed their second straight game for the Eagles. ... The Eagles snapped a seven-game losing streak against NFC East opponents, including a 30-24 overtime loss in Week 2 to the Giants after they wasted a 17-point lead in the fourth quarter.

среда, 7 марта 2012 г.

Kinetic Analysis of the Thermal Stability of the Photosynthetic Reaction Center from Rhodobacter sphaeroides

ABSTRACT

The temperature-induced denaturation of the photosynthetic reaction center from Rhodobacter sphaeroides has been studied through the changes that occur in the absorption spectrum of the bound chromophores on heating. At elevated temperatures, the characteristic absorbance bands of the bacteriochlorins bound to the polypeptides within the reaction center are lost, and are replaced by features typical of unbound bacteriochlorophyll and bacteriopheophytin. The kinetics of the spectral changes cannot be explained by a direct conversion from the functional to the denatured form of the protein, and require the presence of at least one intermediate. Possible mechanisms for the transformation via an intermediate are examined using a global analysis of the kinetic data, and the most likely mechanism is shown to involve a reversible transformation between the native state and an off-pathway intermediate, coupled to an irreversible transformation to the denatured state. The activation energies for the transformations between the three components are calculated from the effect of temperature on the individual rate constants, and the likely structural changes of the protein during the temperature-induced transformation are discussed.

INTRODUCTION

One of the principal aims of structural biology is to understand the factors that contribute to the structural stability of protein-based systems. Proteins have evolved to operate under wide ranges of temperature, pH, salinity, and pressure, and there is enormous interest in the strategies adopted by enzymes and other proteins to deal with challenges of environmental extremes. In contrast to the wealth of information gathered for soluble proteins (see (1) for a recent review), relatively little is known about the extent to which integral membrane proteins need to be adapted for efficient operation in extreme environments, and the nature of any adaptations. This difference mirrors the relative lack of atomic-level structural information for membrane proteins, and limitations in our understanding of how membrane proteins are folded and how different structural features and the membrane lipids contribute to their overall stability.

One of the simplest ways to examine the stability of a protein is to look at its response to elevated temperatures. The thermal stability of a protein is usually assessed by examining the kinetics or thermodynamics of a loss of structural or functional integrity in response to temperature. A large number of soluble proteins have been studied in this way, and their folding and unfolding transitions explored in great detail. Investigations into the thermal stability of membrane proteins have been far more limited, and only the sequence of unfolding transitions of bacteriorhodopsin has been explored in any depth (2,3). The unfolding of membrane proteins has been reviewed by Haltia and Freire (4), membrane protein design has been reviewed by Popot and Engelman (5), and the thermodynamics of membrane protein folding and stability have been discussed in detail by White and Wimley (6). As indicated above, this field is hampered by a lack of structural information to guide the interpretation of thermodynamic or kinetic data. As discussed by White and Wimley (6), secondary structure elements of membrane proteins such as membrane-spanning α-helices typically show great stability, and are highly resistant to thermal denaturation. Loss of functional activity or structural integrity of membrane proteins is instead often due to separation of subunits of multimeric systems, the loss of interactions between elements such as membrane spanning α-helices, or the unfolding of domains lying outside the membrane itself. Unfolding of proteins from detergent suspension or SDS-containing micelles has been studied, but these obviously lack any contribution from the stabilizing effect of the lipid bilayer itself and/or specific lipids, which is often the aspect of most interest with respect to membrane proteins.

In the case of soluble proteins, one useful approach is to compare the x-ray crystal structures of a protein from closely related thermophilic and mesophilic organisms. The first opportunity to carry out such an analysis for a membrane protein has recently arrived with the publication of a highresolution x-ray crystal structure for the reaction center from the moderately thermophilic purple photosynthetic bacterium Thermochromatium (Tch.) tepidum (7). Although this bacterium is not an extreme thermophile, its optimum temperature for growth (50�C) is ~15�C higher than that of other purple bacteria whose reaction centers have also been characterized by x-ray crystallography, such as Rhodobacter (Rb.) sphaeroides (8-11) and Blasiochloris viridis (12-14). Accordingly, there has been some discussion of factors that may contribute to an enhanced thermal stability of the Teh. tepidum reaction center (7,15). Despite the fact that it is not an extreme thermophile, soluble proteins from Teh. tepidum such as ribulose-1,5-bisphosphate carboxylase/oxygenase (RuBisCO) do exhibit enhanced thermal stability (16), indicating that some adaptation to growth at elevated temperature has occurred in this organism.

The purple bacterial reaction center is a robust and tractable membrane protein that has been used extensively as a model system for investigating photosynthetic energy transduction and the principles governing biological electron transfer (17,18). Rather less is known about how different structural features of the protein contribute to the overall stability of the complex, and there is very little information on how the complex of polypeptides and bound cofactors is assembled in the native bacterial membrane. However, the same features that have made the bacterial reaction center a useful tool for studying energy transduction and electron transfer also make this an attractive subject for study of membrane protein stability and assembly. In particular the Rb. sphaeroides reaction center is amenable to mutagenesis, the x-ray crystal structure is known to a resolution of ~2 [Angstrom] (7,19-23), and the bacteriochlorin cofactors have strong and highly distinctive absorbance properties that are acutely sensitive to the structural integrity of the surrounding protein (and which also report on the functional integrity of the complex).

The Rb. sphaeroides reaction center consists of three polypeptides, termed L, M, and H, that bind 10 cofactors (Fig. 1 A). These are two bacteriopheophytin a (BPhe), four bacteriochlorophyll a (BChl), two ubiquinones, a carotenoid, and a nonheme iron atom. The ubiquinone and bacteriochlorin cofactors are arranged in two membrane-spanning branches (Fig. 1 B). Detailed spectroscopic studies have shown that absorbed light energy drives electron transfer from a pair of excitonically coupled BChIs (P, the primary donor of electrons) near the periplasmic side of the protein, to a ubiquinone (Q^sub A^) on the opposite side of the membrane, via an accessory BChI and a BPhe. The transfer occurs along only one of the two cofactor branches (the so-called active branch), and occurs on a timescale of a few hundreds of picoseconds (for reviews, see (17,18,24)).

A small number of previous reports have examined the thermal stability of bacterial reaction centers. Pierson et al. (25) compared the stability of detergent-solubilized Rb. sphaeroides and Chloroflexus (C.) aurantiacus reaction centers while Nozawa and Madigan (26) investigated reaction centers from Teh. tepidum and Chloroflexus (C.) aurantiacus as a function of temperature and exposure to organic solvents, again using detergent-solubilized protein. Antolini et al. (27) examined the stability of reaction centers from Rb. sphaeroides solubilized in detergents with reaction centers in Langmuir-Blodgett films. The effect of illumination on the stability of the protein was considered by Tokaji et al. (28), and it was reported that prolonged illumination severely degraded the ability of the protein to withstand elevated temperatures. In a recent study, we compared the stability of Rb. sphaeroides reaction centers in antenna-deficient native membranes and solubilized in lauryldimethylamine oxide (LDAO), and showed that the membrane environment has a major stabilizing influence (15). In all of these studies, the stability of the protein was assessed in terms of the changes that occur to its absorbance spectrum on heating and, to our knowledge, previous studies have not addressed kinetic or thermodynamic aspects of the unfolding of the reaction centers in any depth. Rather, authors have simply reported temperatures at which the native spectrum was lost, or was degraded by 50%.

To make progress in studying factors that influence the thermal stability of a complex, multicomponent membrane protein such as the reaction center, an analysis of the dissociation kinetics of the wild-type protein is necessary. In this report, we describe such an analysis for the reaction center from Rb. sphaeroides reconstituted into phosphatidylcholine liposomes as a simplified membrane environment. We show that the thermally induced dissociation of the protein must occur via at least one intermediate, which must lie off the main pathway from the native to the denatured state. Based on the kinetic mechanism, we discuss the likely structural transformations that occur during the degradation of the native structure of the protein.

MATERIALS AND METHODS

Protein isolation and purification

Full details of the growth of mutant bacterial strains under dark/semiaerobic conditions have been given elsewhere (29). Reaction centers were isolated as described in detail in McAuley-Hecht et al. (30); the procedure involved solubilization of the complex in LDAO, followed by ion exchange on DE52 (Whatman, Brentford, Middlesex, UK) and Sepharose Q (Pharmacia, Milton Keynes, UK) columns, and gel filtration on a Sephadex 200 preparative srade (Pharmacia) column. The final material had an index of purity (A^sup 281^/A^sup 802^) of ≤1.3.

Protein reconstitution into liposomes

The detergent in LDAO-solubilized reaction centers was exchanged for β-octyl glucoside (β-OG) using the procedure described by Alegria and Dutton (31). This involved loading the reaction centers onto a DEAE Sepharose ion exchange column (Sigma-Aldrich, St. Louis, MO), washing the column with copious detergent-free buffer (20 mM Tris-HCl, pH 8.0), and then with 30 mM β-OG, 20 mM Tris-HCl (pH 8.0). The reaction centers were eluted by washing with 30 mM β-OG, 200 mM NaCl/20 mM Tris-HCl (pH 8.0). Liposomes were prepared by suspending dry 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC) powder (Avanti Polar Lipids. Alabaster, AL) in 20 mM Tris-HCl (pH 8.0) by mechanical agitation, followed by high pressure extrusion through a 200 nm pore membrane.

Reaction centers suspended in β-OG were added to the pre-prepared liposome suspension in a 1000:1 lipid/protein ratio. The detergent/lipid ratio was never allowed to exceed 13:1. The detergent was removed by overnight dialysis versus 20 mM Tris-HCl (pH 8.0).

Absorbance spectroscopy

Absorption spectra were recorded using a Perkin-Elmer Lambda 35 spectrophotometer (Boston, MA) in dual-beam mode. The reference cuvette contained 20 mM Tris-HCl (pH 8.0). Sodium ascorbate (Aldrich) was added to the blank and sample cuvettes to a concentration of 1 mM immediately before heating. This was to ensure full reduction of the reaction center bacteriochlorins. Water-jacketed cuvettes were used (model No. 160.001QS, Hellma, Plainview, NY), and both the blank and sample cuvettes were heated simultaneously using water from a circulating thermostated water bath. Sample temperature was monitored to an accuracy of 0.1�C using an immersed k-type thermocouple, and the temperature of the samples was allowed to equilibrate for 3 min before data collection. Spectra were collected between 600 nm and 1100 nm (scan time -20 s) at intervals of 1.5 min. Temperature-quenching experiments were performed using two water baths held at different temperatures, connected to the cuvettes using three-way valves allowing either the hot or cold water bath to be selected.

The genetic algorithm

Data analysis was carried out using a real-valued, multipopulation genetic algorithm. Each population comprised 100 individuals, and 10 populations were used. Migration of individuals between populations was allowed every 10 iterations, and migration was bidirectional between randomly chosen populations. Selection of migrating individuals was random, and insertion into the target population was carried out on a fitness selection basis, where the 10 least-fit individuals were replaced by the incoming individuals. At each iteration, the fitness of the individuals was calculated and they were ranked on a linear scale. Individuals were then selected for breeding using a stochastic universal sampling algorithm (32). Crossover was carried out using discrete recombination, and mutation was applied to the offspring using the breeder genetic algorithm (33). The mutation rate was the inverse of the number of variables per individual. The fitness of the mutated offspring was then calculated, and reinsertion of the mutated offspring into the original population was via a fitness-based replacement strategy, with the 10 worst individuals being replaced by the 10 best in the offspring. The fitness of the individuals was the ^-squared goodness-of-fit parameter. For curve fits of multiple curves, the fitness was defined as the sum of the X-squared parameter for each individual curve. Convergence was defined as a lack of improvement of the fitness over 30 consecutive iterations. The algorithm was implemented in the MatLab environment (The Math Works, Natick, MA), using the public domain Genetic Algorithm Toolbox (http://www.shef.ac.uk/~gaipp/ga-toolbox/).

RESULTS

The effect of heating on the absorbance spectrum of the reaction center

The room temperature absorbance spectrum of the Rb. sphaeroides reaction center reconstituted into POPC liposomes is shown in Fig. 2 a (corrected for the sloping baseline caused by the wavelength-dependent scattering of incident light). In the region between 650 and 920 nm the reaction center bacteriochlorins gave rise to four absorbance bands. The band around 760 nm is attributable to the Q^sub y^ transitions of the two reaction center BPhes (termed the 760 band), and the band around 800 nm is principally assigned to the Q^sub y^ transitions of the two monomeric accessory BChIs, with a minor contribution from a high energy exciton component of the Q^sub y^ transition of the special-pair P BChIs (termed the 800 band). The band around 860 nm is attributable to the low energy exciton component of the of Q^sub y^ transition of the two P BChIs (termed the 860 band). The precise absorbance maximum of each band varied somewhat with sample conditions, such as the presence of the membrane, and type and concentration of detergent present. In addition, the maximum of the 860 band was dependent on sample temperature, being positioned at 867 nm in membrane-embedded reaction centers at room temperature, and shifting to the blue as the incubation temperature was increased. This can be seen in Fig. 2 b, where a sample of reaction centers in POPC liposomes had been heated for 2 min at 79�C. There was also a small band centered at 670 nm, which is usually visible in spectra of both membrane-bound and purified reaction centers, the assignment of which is unclear. The spectrum could be deconvoluted into four Gaussian peaks as shown in Fig. 2.

On prolonged heating, the spectrum changed as shown in the sequence shown in Fig. 2, b-d, which covers a 2 h incubation at 79�C. The characteristic absorbance spectrum of the bacteriochlorin cofactors was lost, with both the 800 and the 860 absorbance bands decreasing in amplitude. At the same time absorbance around 760 nm showed a net increase. Because both BChI and BPhe in organic solvents show an absorbance maximum in the range 750-770 nm (34), the increase in absorbance at 760 nm is attributed to the loss of BChI and BPhe from their native protein environments. As a result the dissociation kinetics of the reaction center BPhes were masked by the appearance of free BChI and, presumably, free BPhe. For this reason, most of the discussion in this report relates to the kinetics of the BChI cofactors. However, to make progress in understanding the kinetics of the denaturation process both the loss of the native state and the appearance of the breakdown products must be accounted for, and any model describing this process must therefore account for the composite nature of the 760-nm band.

Fig. 3 shows the (deconvoluted) heights of the 760, 800, and 860 absorbance bands over time for reaction centers heated at 79�C. The kinetics of the loss of the 800 band was clearly biphasic, which hinted at a more complex mechanism for denaturation of the protein than a simple linear first-order process. As expected, the 760 band showed a net growth as free BChI appeared. The inset to Fig. 3 shows normalized kinetic traces (normalized as y' = (y - y^sub min^)/(y^sub max^ - y^sub min^)) for the 860 and 800 bands and, as can be seen, they were coincident to within the accuracy of the measurement, indicating that a single kinetic model should be able to describe the loss of absorbance from both the accessory and primary donor BChIs. It was not possible to ascertain whether the kinetics of BPhe dissociation were also the same as those of the BChIs, as the spectra of both the native BPhes and any BPhe that was released from the complex were obscured by the absorbance of free BChI. The BPhe unbinding kinetics could therefore differ from that of the BChIs, and these were treated separately in the kinetic model.

Kinetic model and fitting strategy

The aim of the kinetic analysis was to describe the effects of heating on the absorption spectrum of the reaction center in terms of the simplest possible mechanism, and to obtain Arrhenius-type activation energies for each kinetic pathway. The biphasic kinetics shown in Fig. 3 suggested that at least one intermediate must be present during the mechanism, since the appearance of n exponential terms in kinetic data generally requires the presence of at least n + 1 participating species (35). These are conventionally assumed to be linked by a series of first-order transformations, some or all of which may be reversible. To assess the reversibility of the dissociation, the protein was heated at 79�C and then quenched to 25�C (where the protein is stable), and the response of the 800 band was monitored. As can be seen from Fig. 4, some recovery of the 800 band was observed on quenching. The recovery was not complete, and the absolute magnitude of the recovery decreased with increasing heating time, as shown in the inset to Fig. 4.

At very long heating times (where the native spectrum had completely disappeared), no recovery was seen (data not shown). This suggests that while there must be some reversible component to the mechanism, there cannot be a completely reversible pathway between the native and the denatured state. There are two minimal mechanisms involving one intermediate that satisfy these criteria, and these are shown in Fig. 5. In Scheme 1(a) (commonly known as the Lumry-Eyring model (36)), the intermediate (I) lies on the kinetic pathway from the native (N) to the denatured (D) state. Alternatively, in mechanism 1(b) in Fig. 5 the intermediate may lie off the main kinetic pathway as a species which must refold to the native state before the subsequent unfolding transition (the "offset" mechanism). The first goal of the kinetic analysis was to distinguish between these possibilities.

To simulate the time-dependence of the absorbance data, the relevant differential equations for each candidate mechanism were integrated using the eigenvalue method (35), as summarized in the Appendix. From the Beer-Lambert relation, the kinetics of the absorption data is then given by the time-dependence multiplied by the relevant extinction coefficient of the absorbance band in question. For absorbance data taken at a range of temperatures, the analysis yields a set of curves that vary in terms of the rate constants, but have common values for the extinction coefficients.

To evaluate the two alternative mechanisms, curves arising from the linear (Scheme 1a) and offset (Scheme 1b) mechanisms were fitted to the experimental data for the timedependence of the 760 and 800 absorbance bands when the reaction center solution was heated at 79�C. This was done using Eqs. 1-7, and those given in the Appendix. The resulting best-fit curves are shown in Fig. 6. As can be seen, for the linear model, the 800-nm peak was reproduced quite well, but the fit to the 760-nm peak was very poor. Other fits were obtained where the reverse case was true (i.e., good fit to the 760 nm with a poor fit to the 800-nm peak), which are omitted for clarity, but in general, the model was able to reproduce one or other of the traces but never both simultaneously. The fit of the offset model, however, was excellent, and both traces are well reproduced. The summed χ-squared value for the offset model is two orders-of-magnitude smaller than that of the linear model, and it is clear that the offset model is by far the most successful at reproducing the kinetic data.

The next aim was to determine the effect of temperature on the rate constants in the offset mechanism, and from these to calculate Arrhenius activation energies for each. The dataset at each temperature (i.e., 800 band decrease and 760 band increase) was described by 10 fitting parameters-the three BChI rate constants (k^sub 1^, k^sub 2^, and k^sub 3^), the three BPhe rate constants (kp^sub 1^, kp^sub 2^, and kp^sub 3^), and the three unknown extinction coefficients for bound BPhe (ε^sup BPhe^^sub 760^), free BPhe (ε^sup free-BPhe^^sub 760^). and free BChI (ε^sup free-BChl^^sub 760^). In principle, it should have been possible to obtain the initial zero-time concentration from the spectrum taken before heating, but in practice the dead-time of the measurement made this problematic. The cuvettes took up to 3 min to reach the constant set temperature, and during this time, the kinetics was variable. Extrapolation of the temperature curves to zero time would therefore reach the axis at a different absorbance to that measured from the unheated solution, and therefore the initial concentration of the protein, A^sub 0^, was also included as a fitting parameter.

Of these 11 parameters, four were common between all the datasets (the three extinction coefficients and A^sub 0^) and hence were expected to be identical for each curve. As a result, the main goal was a global analysis of the data, with the kinetics at a range of temperatures being fitted simultaneously. In practice, it was beneficial to fit the datasets individually in the first instance, and to use the values obtained to constrain the search space of the global fits. This was done for purely practical reasons, since genetic algorithms are stochastic search algorithms, and large parameter spaces can lead to very slow convergence.

DISCUSSION

The Rb. sphaeroides reaction center is clearly highly resistant to thermal denaturation when in the lipid bilayer environment. It can be heated to upwards of 70�C and still maintain integrity over periods of hours, as assessed by the absorbance spectrum of the bacteriochlorin cofactors. At low temperatures, all reaction centers occupy the native state (N). On heating, a proportion of the reaction centers gained sufficient energy to irreversibly transform to the denatured state (D) and, from the kinetic analysis, the activation barrier for this irreversible process was 172 kJ mol^sup -1^ (Table 2; Ea^sub 2^). A proportion of the reaction centers also crossed to the intermediate state (I) across a larger activation barrier of 320 kJ mol^sup -1^ (Table 2; E^sub a1^). However, the activation barrier for the return process from the intermediate to the native state was considerably smaller, at 82 kJ mol^sup -1^ (Table 2; Ea^sub 3^), and so population of the intermediate state would be expected to be low. Fig. 9 shows the relative concentrations of the N-, I-, and D-states over a 200-min period at 79�C, calculated from the best-fit parameters in Table 2. As can be seen, the proportion of the reaction centers in the intermediate state was always considerably less than that in the native state. This is consistent with Fig. 4, where the recovery of absorption on quenching (which must be due to reaction centers returning from the intermediate state) was always small compared to the total remaining absorption.

In Fig. 9, the appearance of the D-state can be seen to be linear. As an independent probe of this behavior, we examined the time-dependence of fluorescence from the reactioncenter bacteriochlorins under heating. Ordinarily, the bacteriochlorins within the reaction center do not fluoresce to any significant extent as the function of the protein is to transduce light energy, and losing energy via fluorescence would be wasteful. Free BChI and BPhe, however, do exhibit fluorescence, since the energy of absorbed photons cannot be redistributed to adjacent cofactors and will be released dissipatively or radiatively as photons. Both bound and unbound BChI and BPhe have a Q^sub x^ absorbance between 500 and 600 nm, with the maximum of the BPhe Q^sub x^ band at 531 nm and that of BChI at 597 nm. When excited at these wavelengths, free bacteriochlorins fluoresce at 770 nm, somewhat to the red of their Qy absorbance when not bound to the reaction center. The time-dependence of the fluorescence during heating is shown in Fig. 10 for BPhe (squares) and BChI (circles). As can be seen, the fluorescence rose monotonically, which is consistent with Fig. 9. (It should be noted that while the fluorescence could, in principle, be used as an independent probe of the D-state in the global fit, thus circumventing the problem of overlap of the BPhe absorbance with free bacteriochlorins, in this case we elected not to do so. The fluorescence data is considerably noisier than the absorbance data, and also the precise nature of the free form of the bacteriochlorins is unknown. Thus, we have no knowledge of the fluorescence yield and this would become an extra, unknown fitting parameter in the global fit. We therefore only use the fluorescence data to show that the linear increase is in qualitative agreement with Fig. 9.)

The activation energies obtained for the loss of BPhe (Table 1; Eap^sub 1^-Eap^sub 3^) were considerably different to those for BChI, with, in this case, the N[arrow right]I transition appearing to be the most favorable. However, some caution must be exercised in the interpretation of these values. Fig. 11 indicates the difficulty in interpreting the fitted BPhe values associated with the data on the composite 760-nm absorbance band. The figure shows three pairs of curves for decay of bound BPhe and appearance of free BPhe, calculated using different values of ε^sup BPhe^^sub 760^, ε^sup free-BPhe^^sub 760^, and the three rate constants. Although the three sets of curves are markedly different, the overall behavior (i.e., the sum of the decay and appearance curves) in all three cases is coincident, as represented by the thick uppermost line. The values of the individual rate constants obtained from the fit, along with the apparent activation energies, are therefore the particular choice of the minimization algorithm rather than having any physical significance. The same problems do not apply to the parameters calculated from the 804-nm data, since the spectra of bound and free BChI are not coincident.

What do the changes in spectrum indicate in terms of overall changes in the structure of the reaction center? Measurement of the state of the protein, using the absorbance spectrum, probes the effect of temperature on the environment of the bacteriochlorin cofactors, rather than on the protein itself. The measurement, therefore, has the limitation that it probes only part of the overall unfolding process. However, from the standpoint of examining the resilience of protein function to temperature stress, the measurement probes the most important part of the unfolding process, as loss of the native spectrum reports the conversion of the protein-cofactor complex from a functional to nonfunctional state. From the point of view of reaction-center design, the key stabilization must be the retention of the electron transfer cofactors in their native binding pockets. As with bacteriorhodopsin, even minor structural changes that cause loss of the native states of the cofactors are terminal to protein function, irrespective of whether the protein component retains a largely native tertiary structure.

Loss of the native absorption spectrum of the BChI cofactors is accompanied by the appearance of absorbance characteristic of free BChI. Although the actual state of this free BChI is not yet known, if it is physically separate from the protein husk then it is not surprising that there is no reversible path from the final to the initial state, whether directly or through the intermediate state. For the process to be fully reversible, all the cofactors would have to simultaneously diffuse back into an appropriate bonding site in the protein husk, which is statistically unlikely.

The binding pockets of the bacteriochlorin cofactors lay at the interface between the L- and M-polypeptides, and each cofactor makes contacts with both (e.g., see Tables in (9) for details). In the case where a protein consists of a number of noncovalently associated polypeptides, irrespective of whether these associations are strong or weak, the initial stage of unfolding almost always involves disruption of these interpolypeptide contacts and their subsequent separation (6). Given that the kinetics of loss of the native spectra of the accessory and primary donor BChIs were identical, it seems plausible that the irreversible N[arrow right]D transition represents a separation of the L- and M-polypeptides, disrupting all of the bacteriochlorin binding pockets and leading to simultaneous (and irreversible) release of the bacteriochlorin cofactors from the protein scaffold.

In the case of the intermediate, the fact that it is kinetically distinct suggests some disruption of the tertiary structure of the protein, but the easy reversibility suggests that this disruption is too small to allow full unbinding of the bacteriochlorin cofactors. It is well known that the absorbance spectrum of these cofactors is acutely sensitive to the protein environment, and so in principle it would take only very subtle alterations in structure for dramatic spectral changes to occur. If the tertiary structure of the protein were to become loosened, such that the binding pockets of the BChI cofactors were sufficiently disrupted that the native spectrum was lost, but that the cofactors themselves were still associated with the protein, it would be possible to lose the native absorbance spectrum in a reversible manner.

Intuitively, in the case of this system one could reasonably expect that a loosened intermediate state could also progress directly to the denatured state in which the cofactors have been irreversibly lost. In fact, there is nothing in the absorbance data presented above to exclude this as a possibility. The offset mechanism shown as Scheme l(b) in Fig. 5 is a submechanism of the fully triangular mechanism shown as Scheme 2(a) in Fig. 5. The lack of complete reversibility from D to N (see Fig. 5) indicates that k^sub DI^ is effectively zero under these conditions. Similarly, the alternative path from D to N via I does not seem to occur, whereas reversal from the intermediate does, which suggests that km must be vanishingly small. However, the mechanism shown as Scheme 2(b) in Fig. 5 is not excluded by any of these arguments, and indeed this alternative mechanism describes the data just as well as the offset mechanism discussed above (Fig. 5, Scheme 1 (b)). Ikai and Tanford (37) have shown that the socalled offset and triangular mechanisms can only be distinguished if both the forward and reverse kinetics are known. However, as can be seen from Fig. 4, the reversal of the premelting N[arrow right]I transition is too rapid for our current method of measurement. In practice, when the fits described in the previous section were carried out with the triangular mechanism shown as Scheme 2(b) in Fig. 5 we encountered problems with their reproducibility. The extra degree of freedom introduced by inclusion of the additional I [arrow right] D pathway leads to a level of complexity in the kinetic model that is not justified given the available data. Applying Occam's razor, the offset mechanism is the minimal possible mechanism that describes the data. Given that the I [arrow right] D transition is likely to be feasible, it is probably more correct to represent the kinetics with the Scheme shown as Scheme 2(c) in Fig. 5, with a likely but unproven I [arrow right] D kinetic pathway represented by a dotted line. For the case of bacteriorhodopsin, the rebinding of retinal to the apoprotein is seen in the presence of a large excess of retinal (3). If full reversibility could be observed under such circumstances for the reaction center, then it is possible that the kinetic Scheme would then become consistent with the full triangular mechanism of Scheme 2(a) in Fig. 5. The offset mechanism we describe here is thus the mechanism observed under the specific set of conditions described in Materials and Methods, and we cannot rule out that full reversibility is possible under conditions where this becomes more statistically favorable.

Returning to the motivation for this work-that of understanding factors that contribute to the thermal stability of complex membrane proteins-it would usually be appropriate to invoke a thermodynamic analysis of the system, since protein stability is usually discussed in terms of the free energy changes associated with the transitions between the kinetically distinct states. However, in the case of the present system, the similarity in the rates of the transitions precludes such analysis. For globular proteins, most transitions are seen to be fully reversible and as such are readily discussed in terms of classical equilibrium thermodynamic models. For many proteins, however, an irreversible step is often seen that cannot be analyzed thermodynamically, and is simply treated as a kinetic step with Arrhenius-type parameters. As discussed by Sanchez-Ruiz (38), such an approach is only strictly valid for systems where the rate constants of the reversible step are orders-of-magnitude faster than the accompanying irreversible transition, and so are approximately in a thermodynamic stationary state. The analysis of sigmoidal activity curves by thermodynamic models (a common method of analyzing protein stability), as described by Tokaji (28) for the reaction center, is therefore incorrect. In that work it was assumed that denaturation followed the linear LumryEyring mechanism (i.e., Scheme Ia in Fig. 5), and that the initial reversible step was faster than the final irreversible transition. As described in this work, it is likely that neither assumption is valid, and investigations of the stability of the reaction center should therefore be carried out using a kinetic analysis.

A thermodynamic analysis of the kinetic Scheme described here is outside the scope of classical equilibrium thermodynamics. Classical irreversible thermodynamics would also be expected to be invalid, since protein folding transitions (and chemical transformations generally) are usually far from equilibrium events and hence outside the linear regime. A full thermodynamic analysis of this system would require a nonequilibrium thermodynamic description in the nonlinear regime (39)-which, to our knowledge, has yet to be developed for protein conformational changes.

Although the information obtained from Arrhenius activation energies is more limited than that derived from a thermodynamic description, it does allow comparative studies of the effect of variations in the system on the robustness of the protein. For example, if the N [arrow right] I transition really is substantially caused by subunit separation as we have suggested here, this activation energy should be strongly affected by both membrane composition and by mutation of residues, whose function is to hold the subunits together. Similarly, it should be possible to gain insights into the nature of the offpathway intermediate by monitoring the effects of targeted mutations on the rate constants of this transition. A large number of point mutants of the Rb. sphaeroides reaction center already exist, and for a subset of these the x-ray crystal structure is also known (21). Investigations of the effect of mutation on the kinetics of thermal inactivation of the reaction center are currently underway, and should allow the mechanism of inactivation of the reaction center to be studied in further detail.

CONCLUSIONS

The kinetics of the early stages of thermal denaturation of the reaction center from Rb. sphaeroides have been studied. Upon heating, the kinetic pathway of the stage of inactivation in which the bacteriochlorin cofactors lose their native absorption spectrum involves an off-pathway intermediate. The transition between the intermediate and the native state is reversible, and this reversible transition is coupled to an irreversible transition to the denatured state. A global analysis of the kinetic data suggests that the activation energy of the irreversible process is 172 kJ mol'~. The transition to the intermediate has a significantly higher activation energy of 320 kJ mol^sup -1^, although the activation energy of the reverse transition is significantly smaller at 82 kJ mol^sup -1^. The intermediate is therefore populated only to a minor extent during the transition. We suggest that the irreversible step represents a loss of the cofactors from the protein, and that this is most likely to be connected with a separation of the component polypeptides. We further suggest that the intermediate represents a misfolded state of the protein, with the structure disrupted sufficiently to affect the absorption spectrum, but with the cofactors remaining associated with the protein leading to the relatively easy reversibility of the N[Lef-right arrow]I transition.

This work was supported by the Biotechnology and Biological Sciences Research Council of the United Kingdom.

[Reference]

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[Author Affiliation]

Arwel V. Hughes,* Paul Rees,[dagger] Peter Heathcote,[double dagger] and Michael R. Jones*

* Department of Biochemistry, School of Medical Sciences, University of Bristol, Bristol, United Kingdom; [dagger] Department of Engineering, University of Wales-Swansea, Swansea, Wales, United Kingdom; and [double dagger] School of Biological Sciences-Queen Mary, University of London, London, United Kingdom

[Author Affiliation]

Submitted August 10, 2005, and accepted for publication January 19, 2006.

Address reprint requests to A. V. Hughes, Tel.: +44-(0)1235-446088; E-mail: a.v.hughes@rl.ac.uk.

A. V. Hughes's present address is ISIS, Rutherford Appleton Laboratory, Chilton, Didcot, Oxon, OX11 OPU, United Kingdom.