Dose and temporal effects on gene expression profiles of urothelial cells from rats exposed to diuron

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Estudo teórico da contribuição à dose de partículas secundárias geradas por prótons de energias entre 100 e 200 MeV num Phantom de substituto de tecido MS20

The goal of this project is the reproduction, through the simulation code based on the MCNPX (Monte Carlo N-Particle eXtended) v2.50 method, of the proton beam interaction with the material, since, in proton therapy, only the particle ionization and excitation are analyzed and the occurence of nuclear interactive inelastic process are not considered. This work will help the development of studies concerning the contribution to the total dosis of secondary particles generated by nuclear interaction in proton therapy. They are: alpha particles ( ), deuterium(2H), tritium (3H), neutron (n) and helium (3He). A MS20 tissue substitute phantom was used as the target and the energy of the proton beams was within an interest range of 100 to 200MeV. With the results obtained, it was possible to generate graphics which allows the analysis of the dosis deposition relation with and without nuclear interaction, the percentage of secondary particles deposited dosis, the radial dispersion of neutrons in the material, the secondary particles multiplicity, as well as the relation between the secondary particles spectrum with the próton generated spectrum

Estudo da dose efetiva, razão sinal-ruído e razão contraste-ruído em tomografia computadorizada de múltiplos detetores

Since discovery, computed tomography is a widely used diagnostic modality. However, this modality imparts relatively high doses to the patients and with fast technological advancement, it is necessary optimize the doses used and ensure the quality of the images through a quality assurance program. This work intended to compare Computed Tomography Dose Index (CTDIW) and effective dose with components of image quality: the Contrast-to-Noise Ratio (CNR) and Signal-to-Noise Ratio (SNR), and a quality factor (Q) deduced by the Rose model for two groups of computed tomography units. The first group was composed by equipments with 10 up to 16 slices and the second one presented 40 up to 320 slices detectors, for the protocols of head and abdomen. It was realized a comparison between different selectable parameters in the protocol of a Philips Brilliance 16, too. The results of the first group to CTDIW, effective dose, SNR and CNR showed variations of 28%, 33%, 37% and 32% respectively for head protocol, and 21%, 27%, 43% and 37% respectively for abdomen protocol. The results of the group 2 to CTDIW, effective dose, SNR and CNR showed variations of 15%, 26%, 36% and 34% respectively for the head protocol, and 8%, 13%, 50% and 60% respectively for abdomen protocol. The comparison between both groups demonstrated similar levels of doses impartation to patients though having so many different configurations, if the uncertainties associated with this measurement were considered. The results of the comparison between different parameters in the Philips Brilliance 16 scanner were in agreement with expected

Cálculo das funções de anisotropia e radial de dose para braquiterapia com semente de 192Ir em diferentes materiais de interesse em radiologia com o auxílio do programa baseado no método de Monte Carlo MCNPX

The brachytherapy braquiterapia is an x-ray modality radiotherapy in which stamped or halfstamped radioactive sources in format of seeds are used, wires or to one short distance, in contact or implanted to the fabric to be treated. All the treatment modalities require a previous planning. The formalism recommended for calculation of dose was considered by the AAPM for the first TG-43 Report. In it distributions of dose of isolated seeds measured and calculated by Monte Carlo method in water instead of with models half-empiricists. In this work we in accordance with present some preliminary results of the calculation of functions of radial anisotropy and of dose in the distance for seed of 192Ir, wide used in brachytherapy treatments of high tax of dose (HDR), with the aid of the program based on the Monte Carlo method MCNPX v2.50 (Mount Carlo N ParticleeXtended). The materials chosen in the simulation beyond water, had been MS20 and estriado muscle

Estudo teórico das funções de anisotropia e radial de dose para braquiterapia com semente de Ir192 em diferentes materiais de interesse em radiologia

The brachytherapy braquiterapia is an x-ray modality radiotherapy in which stamped or halfstamped radioactive sources in format of seeds are used, wires or to one short distance, in contact or implanted to the fabric to be treated. All the treatment modalities require a previous planning.The formalism recommended for calculation of dose was considered by the AAPM for the first TG-43 Report. In it distributions of dose of isolated seeds measured and calculated by Monte Carlo method in water instead of with models half-empiricists.In this work we in accordance with present some preliminary results of the calculation of functions of radial anisotropy and of dose in the distance for seed of 192Ir, wide used in brachytherapy treatments of high tax of dose (HDR), with the aid of the program based on the Monte Carlo method MCNPX v2.50 (Mount Carlo N ParticleeXtended).The materials chosen in the simulation beyond water, had been MS20 and estriado muscle

Estudo da contribuição do espalhamento nuclear não elástico de prótons na dose depositada em alvos com composição homogênea

Due the differences between interaction physics process with matter for protons and photons, the proton beam tomography (pCT) has some vantages to comparison with conventional tomography. Also it is confirmed that usually pCT has better dose distribution and highest contrast resolution. The pCT allow not only view the internal structure of an object without destroying it, but also directly measure of volume density of electrons. Also it is confirmed that usually pCT has better dose distribution and highest contrast resolution. At the same time, there are many scientific and technical aspects to a detailed study: the capacity and limitations of the pCT methods are not well clarified. Through computations, based on Monte Carlo Method was carried out a detailed study of the contribution of non-elastic nuclear spreading, and together was compared with an analytical model for the deflection angle and the lateral deflection of protons in the target volume. The programs used were SRIM 2006 code and MCNPX v.2.50 code

Avaliação dos fatores de virulência de cepas de Staphylococcus aureus isoladas de pacientes submetidos à diálise peritoneal e correlação com a evolução clínica dos episódios de peritonite

10 A diálise peritoneal (DP) é uma terapia de substituição renal utilizada em pacientes renais crônicos. A peritonite é uma das suas principais complicações; sendo o Staphylococcus aureus causador de episódios mais graves e reincidentes. Os fatores de virulência desta bactéria são responsáveis por essa alta patogenicidade. Esse estudo objetivou avaliar esses fatores e a presença do gene mecA em amostras de S.aureus obtidas de episódios de peritonites de pacientes tratados com DP. Foram estudadas 73 amostras de peritonites ocorridas entre janeiro de 1996 e setembro de 2008. O estudo dos fatores de patogenicidade consistiu na detecção da produção de biofilme, de enzimas hemolisinas α e β, lipase, lecitinase e nucleases; e das enterotoxinas A, B, C, D e da Toxina 1 da Síndrome do Choque Tóxico (TSST-1). Ainda foi verificado o perfil de sensibilidade dos isolados à oxacilina pelo Etest® e detecção do gene mecA por PCR. Dentre todos os resultados, a produção de toxina B e a resistência à oxacilina foram os dois fatores que influenciaram a evolução dos casos de nova infecção. Quanto aos casos recorrentes, características dos pacientes como idade, raça e presença de diabetes foram mais determinantes para a não resolução dos surtos de peritonite

Estudo teórico da contribuição a dose de partículas secundárias geradas por prótons de energias entre 100-200 MeV num phantom de músculo estriado

In the treatment plans in conventional Proton therapy are considered only the elastic interactions of protons with electrons and/or nuclei, it means, mainly ionization and coulomb excitation processes. As the energy needed to reach the deep tumors should be of several hundred of MeVs, certainly the nuclear inelastic channels are open. Only some previous studies of the contribution of these processes in the full dose have been made towards targets composed of water. In this study will be presented the results of the simulation of the processes of interaction of beams of protons in the range of 100-200 MeV of energy with a cylindrical phantom composed by striated muscle (ICRU), emphasizing in the contribution to total dose due to the deposition of energy by secondary particles alpha (α), deuterium (2H), tritium (3H), neutron (n) and hélio3 (3He), originated by nuclear inelastic processes. The simulations were performed by using the method of Monte Carlo, via the computer code MCNPX v2.50 (Monte Carlo N-Particle eXtended). The results will be shown demonstrated through the graphics of the deposited dose with or without nuclear interaction, the percentual of dose deposited by secondary particles, the radial dispersion of neutrons, as well as the multiplicity of secondary particles

Immunomodulatory effects of low dose chemotherapy and perspectives of combanation with immunotherapy

Nowadays cancer is one of the main causes of death and many efforts worldwide have been driven to find out new treatments and approaches in order to extinguish or reduce this group of disorder. Chemotherapy is the main treatment for cancer, however, conventional schedule based on maximum tolerated dose (MTD) show several side effects and frequently allow the development of drug resistance. In this review we present the evidence that metronomic chemotherapy, based on the frequent administration of low or intermediate doses of chemotherapeutics is as efficient as MTD and works better in some situations. Finally, we present some data indicating that noncytotoxic concentrations of antineoplastic agents are able to both up-regulate the immune system and increase the susceptibility of tumor cells to cytotoxic T lymphocytes. Taken together, data from the literature provide us the evidence that low concentrations of selected chemotherapeutics agents, rather than conventional high doses, should be chosen for combination with immunotherapy

Estudo teórico da contribuição à dose de partículas secundárias geradas por Prótons de energias entre 100 e 200 MeV num Phantom de osso cortical

In proton therapy, the deposition of secondary particles energy originated by nuclear inelastic process (n, 2H, 3H, 3He and α) has a contribution in the total dose that deserves to be discussed. In calculations of plans implemented for routine treatment, the paid dose is calculated whereas the proton loses energy by ionization and or coulomb excitement. The contribution of inelastic processes associated with nuclear reactions is not considered. There are only estimates for pure materials or simple composition (water, for example), because of the difficulty of processing targets consisting of different materials. For this project, we use the Monte Carlo method employing the code MCNPX v2.50 (Monte Carlo N-Particle eXtended) to present results of the contribution to the total dose of secondary particles. In this work, it was implemented a cylindrical phantom composed by cortical bone, for proton beams between 100 and 200 MeV. With the results obtained, it was possible to generate graphics to analyze: the dose deposition relation with and without nuclear interaction, the multiplicity and percentage of deposited dose for each secondary particle and a radial dispersion of neutrons in the material

Análise de algoritmos computacionais utilizados em sistemas de planejamento de braquiterapia de alta taxa de dose: estudo comparativo com o Código MCNP-5C

In radiotherapy, computational systems are used for radiation dose determination in the treatment’s volume and radiometric parameters quality analysis of equipment and field irradiated. Due to the increasing technological advancement, several research has been performed in brachytherapy for different computational algorithms development which may be incorporated to treatment planning systems, providing greater accuracy and confidence in the dose calculation. Informatics and information technology fields undergo constant updating and refinement, allowing the use Monte Carlo Method to simulate brachytherapy source dose distribution. The methodology formalization employed to dosimetric analysis is based mainly in the American Association of Physicists in Medicine (AAPM) studies, by Task Group nº 43 (TG-43) and protocols aimed at dosimetry of these radiation sources types. This work aims to analyze the feasibility of using the MCNP-5C (Monte Carlo N-Particle) code to obtain radiometric parameters of brachytherapy sources and so to study the radiation dose variation in the treatment planning. Simulations were performed for the radiation dose variation in the source plan and determined the dosimetric parameters required by TG-43 formalism for the characterization of the two high dose rate iridium-192 sources. The calculated values were compared with the presents in the literature, which were obtained with different Monte Carlo simulations codes. The results showed excellent consistency with the compared codes, enhancing MCNP-5C code the capacity and viability in the sources dosimetry employed in HDR brachytherapy. The method employed may suggest a possible incorporation of this code in the treatment planning systems provided by manufactures together with the equipment, since besides reducing acquisition cost, it can also make the used computational routines more comprehensive, facilitating the brachytherapy ...

Participação da família no tratamento de paciente em diálise peritoneal

Dramatic changes occur in the lives of patients on peritoneal dialysis and his family life, changing lifestyle, professional and social activities. Considering the important role of family in treatment, is crucial for nurses to know how these families perceive their role as caregivers and their difficulties and needs, in the process of peritoneal dialysis. The approach chosen for the study was the phenomenological method, based on Merleau-Ponty, who proposes to understand the human experience, from the description of those who lived it. The study findings show that in the beginning of treatment, family members, feel impacted with the disease severity and eager to become responsible for maintenance treatment, fearing not match the expectations.Guided by staff, appear confident in taking care and deal with the difficulties and complications of treatment, supported by professionals. However, resent the great changes in their social activities and work, his life turns out to be quite limited, due to the dedication to a sick family member. Many feel overwhelmed because they are not supported by other family members. Some envision a future outlook for renal transplant, others seem skeptical, given the long waiting list, especially when advanced age of the sick family member. These results suggest the need for individualized attention to family caregivers, and to encourage the family to organize itself and develop a joint work. In this sense, the design of health care, taking care with the focus of the family, it seems highly appropriate in preparing the plan of family orientation, this is defined as a dynamic unity, which, working in harmony, can contribute positively in the treatment of health a sick member

Efeito de dose efetiva mínima e dose não tóxica de 5-Fluorouracil e Leucovorina sobre a atividade de células dendríticas humanas e sobre a imunogenicidade de células de câncer colorretal

A quimioterapia antitumoral convencional, baseada na aplicação da dose máxima tolerável de drogas antineoplásicas, está comumente associada com mielossupressão e causa diminuição da viabilidade e número de células dendríticas (DCs), principais células apresentadoras de antígenos (APCs) do sistema imune. Uma alternativa para limitar os efeitos tóxicos desses agentes é a quimioterapia metronômica, baseada na administração das drogas em doses baixas e frequentes que, entre outros aspectos, melhora a eficácia antitumoral pela inibição da angiogênese no sítio do tumor. Estudos prévios do grupo indicam que doses ultrabaixas de determinados agentes antineoplásicos modulam positivamente o estado de ativação e as funções das células dendríticas, sugerindo que a associação entre vacinas de DCs e quimioterapia metronômica possibilitaria a estimulação da resposta imune, ao mesmo tempo em que as células tumorais sofrem o efeito dos agentes antineoplásicos em doses ultrabaixas. Assim, hipotetizamos que o uso de 5-Fluorouracil e Leucovorina, drogas de escolha para o tratamento do câncer colorretal, em dose efetiva mínima ou dose ultrabaixa não tóxica, poderia modular positivamente as DCs humanas e potencializar a imunogenicidade de células tumorais, além de torná-las mais sensíveis à ação de linfócitos T citotóxicos. Desse modo, o presente estudo tem o objetivo de avaliar o efeito in vitro da dose efetiva mínima e dose não tóxica de 5-Fluorouracil e Leucovorina sobre as funções de células dendríticas humanas e sobre a imunogenicidade de células de câncer colorretal humano da linhagem HT-29. Com esse propósito as DCs humanas foram sensibilizadas com lisatos de células tumorais pré tratadas com as doses previamente determinadas das drogas e avaliadas quanto à capacidade de apresentação de antígenos e indução de linfócitos T citotóxicos... (Resumo completo, clicar acesso eletrônico abaixo)

Avaliação teórico-experimental da distribuição de dose absorvida em radioterapia em tumores de pele

O trabalho propõe rotinas computacionais usando o Método de Monte Carlo com o Código MCNP-5, para analisar os perfis de dose de radiação liberada nos tratamentos de tumores de pele e otimizar os cálculos radiométricos dos feixes de radiação estudados. Foram realizadas medidas dosimétricas do feixe de radiação, comparando os resultados obtidos com os respectivos valores fornecidos pelo serviço de física médica das instituições, com resultados informados pelo fabricante do equipamento e com as simulações computacionais efetuadas com o Código MCNP-5. A quantificação dos erros relativos percentual entre os resultados simulados e os fornecidos pelo Serviço de Radioterapia (E1), os informados pelo fabricante (E2) e os medidos experimentalmente (E3) são inferiores a 4,0% e validam a metodologia computacional proposta para avaliação do comportamento do feixe de raios-X superficial e do feixe de raios γ da unidade de Cobaltoterapia. A metodologia de análise do espectro energético e da curva de porcentagem de dose profunda (PDP) desenvolvida neste trabalho pode ser estendida para estudos de outros feixes clínicos e subsidiar os dados radiométricos utilizados nos planejamentos e cálculos de dose realizados pelo profissional da física médica na sua rotina nos Serviços de Radioterapia

Estudo teórico da contribuição a dose de partículas secundárias geradas por prótons de energias entre 100-200 MeV num phantom de osso compacto

The contribution of the total dose due to deposition of secondary energy particles caused by nuclear inelastic processes (n, 2H, 3H, 3He and  ) in proton therapy is an opened problem and in discussion. In the calculations of plans implemented for routine treatment, the paid dose is calculated whereas that the proton loses energy by ionization and or coulomb excitement. The contribution of inelastic processes associated with nuclear reactions is not considered, mainly due to the difficulty of processing targets consisting of various materials. In this sense, there are only estimates for pure materials or simple composition (water, for example).This work presents the results of simulations by the Monte Carlo method employing the code MCNPX v2.50 (Monte Carlo N-Particle eXtended) of the contribution to the total dose of secondary particles. The study was implemented in a cylindrical phantom composed by compact bone, for monochromatic beams of protons between 100 and 200 MeV with pencil beam form