Avaliação dos custos para realização de controles de qualidade de radiofármacos marcados com [99mTc]tecnécio em serviços de medicina nuclear no Brasil

OBJETIVO: Estabelecer os custos dos controles de qualidade para os radiofármacos marcados com [99mTc]tecnécio nos serviços de medicina nuclear do Brasil, em atenção às resoluções RDC nº 38/2008 e RDC nº 63/2009 editadas pela Agência Nacional de Vigilância Sanitária. MATERIAIS E MÉTODOS: Foram apurados preços de materiais de consumo, equipamentos e de mão-de-obra para a realização dos controles de qualidade. Os valores foram convertidos para unidades de volume, tempo e outras unidades cabíveis para a determinação do preço unitário. RESULTADOS: O investimento para aquisição de materiais de consumo e equipamentos foi estimado ser de R$ 35.500,00. O custo final para o controle de cada kit variou entre R$ 6,44 e R$ 7,80, dependendo do produto a ser analisado e do profissional selecionado para execução do procedimento. Esses valores podem representar de 0,5% a 10% do valor recebido pelas instituições pela realização dos exames. Na prática, o custo efetivo pode ser menor, uma vez que o produto de um kit pode ser utilizado em diversos pacientes. CONCLUSÃO: Em face do ganho de qualidade e segurança dos pacientes, concluímos que os custos da implantação do programa de controle de qualidade podem ser absorvidos no planejamento financeiro dos serviços de medicina nuclear.

A tomografia por emissão de pósitrons com 2-[18F]-fluoro-2-desoxi-D-glicose é custo-efetiva em pacientes com câncer de pulmão não pequenas células no Brasil

OBJETIVO: Comparar a acurácia e a custo-efetividade do estadiamento metabólico (EM) com o FDG-PET em relação ao estadiamento convencional (EC) no estadiamento inicial de pacientes com câncer de pulmão não pequenas células (CPNPC). MATERIAIS E MÉTODOS: Noventa e cinco pacientes com diagnóstico inicial de CPNPC foram estadiados antes do início do tratamento. Os resultados do EC e EM foram comparados quanto a definição do tratamento e incidência de toracotomia fútil em cada estratégia. RESULTADOS: O EM com FDG-PET classificou 48,4% dos pacientes como estádio mais avançado e 5,3% como menos avançado. O resultado do EM modificaria o tratamento em 41% dos pacientes. A toracotomia foi considerada fútil em 47% dos pacientes com EC e em 19% dos casos com EM. O custo das toracotomias fúteis em oito pacientes no EM foi de R$ 79.720, enquanto em 31 pacientes no EC seria de R$ 308.915. Apenas esta economia seria mais que suficiente para cobrir os custos de todos os exames de FDG-PET nos 95 pacientes (R$ 126.350) ou de FDG-PET/CT (R$ 193.515). CONCLUSÃO: O EM com FDG-PET tem maior acurácia que o EC em pacientes com CPNPC. A FDG-PET e FDG-PET/CT são custo-efetivas e sua utilização se justifica economicamente na saúde pública no Brasil.

Modelagem Molecular: Uma Ferramenta para o Planejamento Racional de Fármacos em Química Medicinal

The molecular basis of modern therapeutics consist in the modulation of cell function by the interaction of microbioactive molecules as drug cells macromolecules structures. Molecular modeling is a computational technique developed to access the chemical structure. This methodology, by means of the molecular similarity and complementary paradigm, is the basis for the computer-assisted drug design universally employed in pharmaceutical research laboratories to obtain more efficient, more selective, and safer drugs. In this work, we discuss some methods for molecular modeling and some approaches to evaluate new bioactive structures in development by our research group.

O processo de latenciação no planejamento de fármacos

Short review about the main aspects of prodrug design, as its objectives, applicability and importance, showing the new trends in the research for selective latent forms, namely targeted drugs.

Técnicas in situ de baixo custo em eletroquímica: a microbalança a cristal de quartzo

Among in situ techniques, the electrochemical quartz crystal microbalance (EQCM) is a powerful tool for the study of electrochemical reactions that produce mass changes in the electrode/solution interface. This review present some systems in which the EQCM combined with classical electrochemical techniques, gives relevant information for understanding the charge transport process at a molecular level. The aim of this review is to do a brief description of experimental arrangements, with emphasis on some special cares that must be considered by the users. Secondly, some chosen electrochemical systems where the technique was successfully applied are discussed. Finally, a brief analysis of electroacoustic impedance experiments was done in order to show when the Sauerbrey equation can be used.

Planejamento racional de fármacos baseado em produtos naturais

In the area of drug discovery, natural products represent a myriad of templates for new lead discovery. It is, however, most unlikely that the bioactive principle itself shall become a drug; it is much more likely that a medicinal chemistry project needs to be initiated as soon the potency or selectivity or specificity of the new natural product candidate has been disclosed. Brazil has an enormous biodiversity where just a few has been disclosed. Nevertheless, it urges to initiate a joint collaboration in order to circumvent a major breakdown linking between natural products and medicinal chemistry in this country. This paper is intended to encourage people to follow up one of the most pushing forward enterprise that needs to be settled: the pharmaceutical industry.

Construção e otimização de um reator de baixo custo para a fotodegradação da matéria orgânica em águas naturais e sua aplicação no estudo da especiação do cobre por voltametria

This work describes the construction of a home-made low-cost reactor, using easily available materials, capable of destroying efficiently dissolved organic matter. Just 30 minutes of irradiation were sufficient to destroy more than 99% of the humic acids present in a solution of 4 mg C L-1. Copper speciation was evaluated in natural waters of different salinities to test the reactor's efficiency in destroying organically complexed metal species. The effect of the organic matter concentration, salinity, dissolved oxygen and temperature in the photo-oxidation process is discussed.

Emprego de planejamento fatorial para a otimização das temperaturas de pirólise e atomização de Al, Cd, Mo e Pb por ETAAS

This work describes a factorial design for the optimization of pyrolysis and atomization temperatures in ETAAS. As examples, Cd and Pb were determined using lower pyrolysis and atomization temperatures and Al and Mo with higher pyrolysis and atomization temperatures. Good results were obtained for Cd employing Rh (m o = 1.4 pg) as a permanent modifier with pyrolysis and atomization temperatures of 640 and 1500 °C, respectively. For Zr, W or Zr+W, the Cd pyrolysis and atomization temperatures were 500 and 1500 °C, respectively, with m o = 1.4 pg using Zr or W and 1.5 pg using Zr+W. The best results for Pb were those using Rh, Zr, W and Zr+Rh, obtaining characteristic masses of 42, 37, 34 and 36 pg, respectively. Pyrolysis and atomization temperatures of 910 and 1850 °C, respectively, were achieved for this metal. For Al, the best results were obtained when Zr or Zr+W were used. Mo was also tested as a possible permanent modifier for Al, but the results were not satisfactory. The results obtained for Mo without modifier were similar to those with conventional modifiers (Mg or Pd+Mg) and the results obtained using permanent chemical modifiers were not satisfactory. In all situations, the experiments were performed faster than those using the univariate procedure.

Métodos de baixo custo para purificação de reagentes e controle da contaminação para a determinação de metais traços em águas naturais

Probably one of the most difficult and challenging aspects of measuring trace metals in natural waters is to avoid contamination during sampling, manipulation and analysis. This work discusses how to avoid contamination using simple procedures, and considers alternative methods to purify deionised water and low grade reagents to enable accurate determination of trace metals in natural waters in a common laboratory. Measurements were performed by cathodic stripping voltammetry and copper was used as a model metal to test the procedures. It was possible to evaluate copper speciation in natural waters even when total dissolved copper concentration was as low as 1.5 nmol L-1. The methods' accuracy was confirmed by analysis of certified seawater.

Estratégia de simplificação molecular no planejamento racional de fármacos: a descoberta de novo agente cardioativo

In this article are described examples of the successful use of molecular simplification strategy in the discovery of new drugs from bioactive natural products and synthetic compounds. The discovery of a new cardiotonic derivative (37, 2-thienylidene-3,4-methylenedioxybenzoylhydrazine; LASSBio-294), efficiently synthesized from Brazilian natural product and structurally designed by molecular simplification of active pyridazinone compounds reported in the literature, is described. A brief description of the pharmacological profile of this new cardiotonic lead-compound, belonging to the N-acylhydrazone (NAH) class, is also reported herein.