Os usos e sentidos do metilfenidato: experiências entre o tratamento e o aprimoramento da atenção.

O cloridrato de metilfenidato é um estimulante moderado do sistema nervoso central com propriedades semelhantes à anfetamina, indicado principalmente para tratar o Transtorno do Déficit de Atenção e Hiperatividade (TDAH). Segundo relatórios da ONU, sua produção mundial cresceu em torno de 357% entre os anos de 1996 e 2012 enquanto que sua comercialização no Brasil, nesse mesmo período, passou de 9 Kg para 578 Kg, o que significou um aumento de aproximadamente 6.322%. A ampliação no consumo se justifica pela expansão da categoria diagnóstica de TDAH, visto que, a desordem transitória que atingia um número menor de crianças foi transformada em um quadro psiquiátrico incluindo um maior número de sinais e sintomas, persistindo durante a adolescência e toda a vida adulta. Outro possível motivo para o crescimento na comercialização do fármaco é o uso para aprimoramento cognitivo, ou seja, a utilização do metilfenidato por pessoas sem o citado diagnóstico, mas com a finalidade de melhorar o desempenho nos estudos e no trabalho. Assim, buscando entender os usos e sentidos associados ao consumo do remédio, fizemos uma pesquisa de campo de cunho qualitativo e exploratório. Foram realizadas dezesseis entrevistas semiestruturadas com usuários do medicamento. Participaram da investigação onze homens e cinco mulheres, entre 23 e 48 anos. A análise de dados mostrou que todos os entrevistados, independentemente de terem ou não o diagnóstico de TDAH, se reconheciam com dificuldades de atenção, que poderia ser constitucional ou passageiro. Mas, para a maioria dos entrevistados, a procura pelo remédio só ocorreu quando essa característica virou um problema, atrapalhando a preparação para uma importante etapa na vida profissional, como uma prova para concurso público ou residência. Também foi percebido que o relato dos amigos sobre os benefícios do remédio e a experiência pessoal do primeiro comprimido de metilfenidato foi fundamental para que a muitos usuários investigados buscassem a prescrição médica. Ou seja, a maior parte dos entrevistados da pesquisa iniciou a ingestão quando seus amigos lhes contaram sobre os benefícios do remédio para superar os problemas na concentração que atrapalhavam o alcance de uma importante meta profissional. Os participantes da pesquisa apontaram que o consumo do fármaco teria contribuído para melhorar o rendimento nos estudos, já que o estimulante teria aumentado a disposição, a concentração, a memória e a eficiência do desempenho cognitivo. Porém, não foi possível identificar o quanto os efeitos positivos podiam ser o resultado de uma sugestão psicológica, questão levantada por alguns usuários. A análise qualitativa dos dados também revelou que o uso do estimulante ora era vivido como um tratamento para TDAH, ora como aprimoramento cognitivo. Tal ambiguidade parece ser o reflexo de o discurso médico ser o principal meio para justificar o uso do remédio, sem precisar questionar aspectos emocionais, sociais e/ou éticos para alcançar uma melhor performance cognitiva. Assim, entendemos que o presente estudo é uma importante contribuição no campo da Saúde Coletiva por ampliar o conhecimento sobre os usos e sentidos que os seus usuários depositam no estimulante.

Os usos e sentidos do metilfenidato: experiências entre o tratamento e o aprimoramento da atenção.

O cloridrato de metilfenidato é um estimulante moderado do sistema nervoso central com propriedades semelhantes à anfetamina, indicado principalmente para tratar o Transtorno do Déficit de Atenção e Hiperatividade (TDAH). Segundo relatórios da ONU, sua produção mundial cresceu em torno de 357% entre os anos de 1996 e 2012 enquanto que sua comercialização no Brasil, nesse mesmo período, passou de 9 Kg para 578 Kg, o que significou um aumento de aproximadamente 6.322%. A ampliação no consumo se justifica pela expansão da categoria diagnóstica de TDAH, visto que, a desordem transitória que atingia um número menor de crianças foi transformada em um quadro psiquiátrico incluindo um maior número de sinais e sintomas, persistindo durante a adolescência e toda a vida adulta. Outro possível motivo para o crescimento na comercialização do fármaco é o uso para aprimoramento cognitivo, ou seja, a utilização do metilfenidato por pessoas sem o citado diagnóstico, mas com a finalidade de melhorar o desempenho nos estudos e no trabalho. Assim, buscando entender os usos e sentidos associados ao consumo do remédio, fizemos uma pesquisa de campo de cunho qualitativo e exploratório. Foram realizadas dezesseis entrevistas semiestruturadas com usuários do medicamento. Participaram da investigação onze homens e cinco mulheres, entre 23 e 48 anos. A análise de dados mostrou que todos os entrevistados, independentemente de terem ou não o diagnóstico de TDAH, se reconheciam com dificuldades de atenção, que poderia ser constitucional ou passageiro. Mas, para a maioria dos entrevistados, a procura pelo remédio só ocorreu quando essa característica virou um problema, atrapalhando a preparação para uma importante etapa na vida profissional, como uma prova para concurso público ou residência. Também foi percebido que o relato dos amigos sobre os benefícios do remédio e a experiência pessoal do primeiro comprimido de metilfenidato foi fundamental para que a muitos usuários investigados buscassem a prescrição médica. Ou seja, a maior parte dos entrevistados da pesquisa iniciou a ingestão quando seus amigos lhes contaram sobre os benefícios do remédio para superar os problemas na concentração que atrapalhavam o alcance de uma importante meta profissional. Os participantes da pesquisa apontaram que o consumo do fármaco teria contribuído para melhorar o rendimento nos estudos, já que o estimulante teria aumentado a disposição, a concentração, a memória e a eficiência do desempenho cognitivo. Porém, não foi possível identificar o quanto os efeitos positivos podiam ser o resultado de uma sugestão psicológica, questão levantada por alguns usuários. A análise qualitativa dos dados também revelou que o uso do estimulante ora era vivido como um tratamento para TDAH, ora como aprimoramento cognitivo. Tal ambiguidade parece ser o reflexo de o discurso médico ser o principal meio para justificar o uso do remédio, sem precisar questionar aspectos emocionais, sociais e/ou éticos para alcançar uma melhor performance cognitiva. Assim, entendemos que o presente estudo é uma importante contribuição no campo da Saúde Coletiva por ampliar o conhecimento sobre os usos e sentidos que os seus usuários depositam no estimulante.

Growth, recruitment, and abundance of juvenile striped mullet (Mugil cephalus) in South Carolina estuaries

Growth, recruitment, and abundance of young-of-the-year (YOY) striped mullet (Mugil cephalus L.) in estuarine habitats in South Carolina from 1998 to 2000 were examined and compared to historical data (1986–91) of growth, recruitment, and abundance. Daily growth increments from the sagittal otoliths of juvenile striped mullet were validated by using fish immersed in oxytetracycline hydrochloride (OTC) for five hours from the Charleston Harbor Estuary system. The distribution of back-calculated birthdates indicated that striped mullet spawn from October to late April and estuarine recruitment occurs from January through May. Juveniles were more abundant in mesohaline and polyhaline salinity regimes but were found throughout the estuary. Juvenile growth after recruitment into the estuary can be described by the relationship Total length (mm) = 0.341 (Age)1.04 (r2=0.741, P=0.001). Growth of juveniles according to the analysis of size-frequency data from historical surveys (1986 to 1991) in the same estuaries gave the relationship Total length (mm) = 8.77 (month)1.12 (r2=0.950, P=0.001). The similarity in the growth curves for both groups of fish suggests that juvenile striped mullet in South Carolina have consistent annual growth during the first year of life.

Purification and properties of Aspartate aminotransferase (E.C. 2.6.1.1) from skeletal muscle of Cirrhina mrigala

Aspartate aminotransferase (E.C. 2.6.1.1.) from the skeletal muscle of fresh water fish Cirrhina mrigala has been purified 40 fold by ammonium sulphate fractionation, adsorption on alumina Csub(8) gel and chromatography using DEAE-cellulose column and the properties of the purified enzyme studied. The pH optimum of the enzyme is 7.8. The Km value of aspartic acid and 2-oxoglutaric acid are found to be 2.8 x 10sub(-3) M and 1.0 x 10sub(-4) M respectively. The activity of enzyme is inhibited by p-chloromercurybenzoate, hydroxylamine hydrochloride and sodium cyanide. The inhibition by pchloromercurybenzoate is reversed by reduced glutathione, B-mercaptoethanol and cysteine. Dicarboxylic acids such as maleic acid, malic acid and succinic acid inhibit the enzyme activity. The enzyme is not activated by any of the metal ions tested and heavy metal ions such as mercury and silver strongly inhibit the enzyme activity.

The dynamics of hippocampal sensory gating during the development of morphine dependence and withdrawal in rats

The effects of morphine on hippocampal sensory gating (N40) during the development of morphine dependence and withdrawal were investigated in the double click auditory evoked potential (EP) suppression paradigm. Rats were made dependent upon morphine hydrochloride by a series of injections (every 12h) over 6 days, followed by withdrawal after stopping morphine administration. Hippocampal gating was examined during the development of dependence and withdrawal. Moreover, the DA antagonist haloperidol was used to assess the contribution of dopamine to hippocampal gating induced by morphine. Our results showed that the morphine-treated rats exhibited significantly disrupted hippocampal gating during the development of morphine dependence and this disrupted gating was partially reversed by haloperidol pretreatment. In contrast, there was significantly enhanced hippocampal gating at the fifth and sixth days of withdrawal. The dynamics of hippocampal gating during the development of morphine dependence and withdrawal suggests the interaction between the hippocampus and opioids. (c) 2005 Elsevier Ireland Ltd. All rights reserved.

Composite electrospun gelatin fiber-alginate gel scaffolds for mechanically robust tissue engineered cornea.

A severe shortage of good quality donor cornea is now an international crisis in public health. Alternatives for donor tissue need to be urgently developed to meet the increasing demand for corneal transplantation. Hydrogels have been widely used as scaffolds for corneal tissue regeneration due to their large water content, similar to that of native tissue. However, these hydrogel scaffolds lack the fibrous structure that functions as a load-bearing component in the native tissue, resulting in poor mechanical performance. This work shows that mechanical properties of compliant hydrogels can be substantially enhanced with electrospun nanofiber reinforcement. Electrospun gelatin nanofibers were infiltrated with alginate hydrogels, yielding transparent fiber-reinforced hydrogels. Without prior crosslinking, electrospun gelatin nanofibers improved the tensile elastic modulus of the hydrogels from 78±19 kPa to 450±100 kPa. Stiffer hydrogels, with elastic modulus of 820±210 kPa, were obtained by crosslinking the gelatin fibers with carbodiimide hydrochloride in ethanol before the infiltration process, but at the expense of transparency. The developed fiber-reinforced hydrogels show great promise as mechanically robust scaffolds for corneal tissue engineering applications.

Composite electrospun gelatin fiber-alginate gel scaffolds for mechanically robust tissue engineered cornea

A severe shortage of good quality donor cornea is now an international crisis in public health. Alternatives for donor tissue need to be urgently developed to meet the increasing demand for corneal transplantation. Hydrogels have been widely used as scaffolds for corneal tissue regeneration due to their large water content, similar to that of native tissue. However, these hydrogel scaffolds lack the fibrous structure that functions as a load-bearing component in the native tissue, resulting in poor mechanical performance. This work shows that mechanical properties of compliant hydrogels can be substantially enhanced with electrospun nanofiber reinforcement. Electrospun gelatin nanofibers were infiltrated with alginate hydrogels, yielding transparent fiber-reinforced hydrogels. Without prior crosslinking, electrospun gelatin nanofibers improved the tensile elastic modulus of the hydrogels from 78±19. kPa to 450±100. kPa. Stiffer hydrogels, with elastic modulus of 820±210. kPa, were obtained by crosslinking the gelatin fibers with carbodiimide hydrochloride in ethanol before the infiltration process, but at the expense of transparency. The developed fiber-reinforced hydrogels show great promise as mechanically robust scaffolds for corneal tissue engineering applications. © 2013 Elsevier Ltd.

Hydrodynamics in an expanded bed of large size ion-exchange resin, and natural product adsorption

Successful applications of expanded bed adsorption (EBA) technology have been widely reported in the literature for protein purification. Little has been reported on the recovery of natural products and active components of Chinese herbal preparations using EBA technology. In this study, the hydrodynamic behavior in an expanded bed of cation resin, 001 x 7 Styrene-DVB, was investigated. Ephedrine hydrochloride (EH) was used as a model natural product to test the dynamic binding capacity (DBC) in the expanded bed. EBA of EH directly from a feedstock containing powdered herbs has also been investigated. These particles are different from commercially available expanded bed adsorbents by virtue of their large size (20S to 1030 gm). When the adsorbent bed is expanded to approximately 1.3 to 1.5 times its settled bed height, the axial liquid-phase dispersion coefficient was found to be of the order 10(-5) m(2) s(-1), which falls into the range 1.0 x 10(-6) to 1.0 X 10(-5) m(2) s(-1) observed previously in protein purification. Because of the favorable column efficiency (low axial dispersion coefficient), the recovery yield and purification factor values of EH directly from a feedstock reached 86.5% and 18, respectively. The results suggest that EBA technology holds promise for the recovery of natural products and active components of Chinese herbal preparations.

低极性化合物的电喷雾质谱检测方法及几种中藏药材的活性成分研究

本学位论文首先报道了为解决低极性化合物的电喷雾质谱（ESI-MS）分析难题而建立的一种衍生化分析方法；然后从色谱-质谱联用分析、分离纯化和结构鉴定等方面分别报道了几种中藏药材的活性成分研究。论文由下述六章组成： 第一章报道了盐酸羟胺衍生化方法在电喷雾质谱 (ESI-MS) 分析中的应用。该方法利用盐酸羟胺和羰基成肟的快速反应，建立了针对三萜酮等含酮或醛羰基低极性化合物的ESI-MS 信号增强技术。此方法不仅可应用于增强羰基化合物的ESI-MS 质谱信号，还可检测化合物中羰基的个数以及辨别涉及羰基官能团的同分异构体。此外，通过简单的氧化反应，还可将该方法拓展到三萜醇、甾醇等含羟基的低极性化合物，增强它们的ESI-MS 信号。对比已报道的相关ESI-MS 增强质谱信号的衍生化方法，此方法有经济、实用、快速和简便的显著特点。 第二章是关于野生羌活及其栽培品种化学成分的色谱-质谱联用分析。对不同产地野生羌活生长过程中活性成分的动态变化、野生羌活不同形态部位和人工栽培羌活中的活性成分含量进行了HPLC 定量分析。结果表明主要活性成分羌活醇和异欧前胡素都随生长期存在规律性变化，羌活不同形态部位中的活性成分含量也有明显不同。这些实验结果有些较好地印证了传统中医的用药理论，有些也对羌活的传统使用方法提出了新的建议。 第三章介绍了几种传统中藏药材的色谱-质谱联用及串联质谱分析。通过GC-MS 方法，从藏药材长花党参挥发油中共分离鉴定出45 个化合物；利用HPLC方法测定了该藏药材中的主要化学成分——木犀草素的含量（0.7%）；利用串联质谱技术，对西番莲和射干中的主要成分进行了快速鉴定，从西番莲中鉴定了4个黄酮碳苷；从不同产地的射干和川射干中鉴定了8 个主要异黄酮成分，其中包括一个未见报道的化合物。 第四章的内容为藏药材石莲叶点地梅的活性成分研究。从植物石莲叶点地梅(Androsace integra (Maxim.) Hand.-Mazz.) 乙醇提取物的正丁醇萃取部分共分离和鉴定了6 个化合物，利用MS 和NMR 等现代波谱学技术阐明了它们的结构：其中包括4 个三萜类化合物：分别是androsacin (1)、 ardisiacrispin A (2) 、saxifragifolin A (3) 和20(29)-lupen-3-one (4)；一个神经酰胺：4-羟基-Δ8,9(Z)-鞘氨醇-2'-羟基正二十四碳酸酰胺(5)；一个甾体类化合物：胡萝卜苷(6)。化合物1为新的13,28-epoxy-oleanane 型三萜皂苷，在其结构表征的过程中，采用LC-MS 进行糖分析，获得了值得推广的好结果。通过活性筛选发现化合物1~3 对HepG2肝癌细胞表现出不同程度的抑制活性，其中化合物2 活性最好，其IG50 为1.65μg/mL。 第五章是关于一些传统中藏药材的农药活性筛选。利用Syngenta 公司的活性筛选平台对68 种传统中藏药材醇提物进行了抗菌和除草的生物源农药活性筛选。结果表明所筛选的68 种植物提取物中，共有14 种样品表现出明显的除草/杀虫活性，其中水母雪莲花、松萝和茯神木等植物提取物还具有多种生物活性。活性成分还有待进一步追踪分离、纯化和结构鉴定。 第六章为文献综述，概述了羌活药材的研究进展。对羌活属及药用羌活植物从分类学、本草学、品质评价、人工栽培、化学成分及药理作用等方面进行了文献归纳和总结。 In this dissertation, an electrospray ionization mass spectrometry (ESI-MS) signal enhancement method, as well as the work of bioactive components study, HPLC-MS/MS application, bioassay screening, chromatograph separation and structure identification of the metabolites in several medicinal herbs have been reported. First chapter expounded a rapid, simple ESI-MS sensitivity enhancement method for detecting carbonyl groups in natural products has been developed by using hydroxylamine hydrochloride (NH2OH·HCl) as a derivatization reagent. We use the oxime formed during the derivatization reactions and its Beckmann rearrangement intermediates as a means of detecting the carbonyl groups originally present in these triterpenoids. In comparison with other derivatization methods in the literature, this method is simple, specific and can be used to detect carbonyl groups in triterpenoids which have low polarity and are poorly or non-ionizable. Moreover, it can also be used to detect hydroxyl groups by using the Dess-Martin periodinane (DMP) to convert primary and secondary hydroxyls into carbonyl groups. Chapter 2 reported an HPLC-MS method for analyzing the main bioactive compounds in both wild and cultured Notopterygium incisum. The results indicated that the main bioactive compounds varied through different seasons regularly, and in different commercial parts of this herb the content of these compounds also differed from each other. The quantitative analysis results showed that in the traditional commercial parts, the content of main chemical constitutes in Silkworm Notopterygium, Bamboo Notopterygium and Irregular-nodal Notopterygium are higher than that in Striped Notopterygium. This result is tally with the traditionally concept that the quality of Notopterygium, Bamboo Notopterygium and Irregular-nodal Notopterygium are better than that of Striped Notopterygium, which means that the quality of rhizomes is better than main roots. The chemical constituents of cultured N. incisum is reported for the first time in this dissertation and the analysis results showed some growth curves of chemical constituents in this plant, but still left some questions unanswered. Chapter 3 discussed the GC/LC-MS analysis of the traditional Chinese medicines Codonopsis thalictrifolis, Passiflora incarnate, Belamcanda chinensis and Passiflora incarnate. The main constituent, luteolin was isolated and identified from the traditional Tibet medicine of C. thalictrifolis. The quantitative analysis by HPLC has revealed that the content of luteolin in this herb is 0.7%. GC-MS was employed to analyzed chemical constituents of the essential oil from the flower of C. thalictrifolis. More than 60 peaks were detected and 45 of them were identified by comparing their spectra with that of the standards in the database and literatures. ESI-MS/MS was used to analyze the n-butanol extract of Passiflora incarnate. Based on the information of pseudo molecular ions and fragment ions of the glycosides, four major flavone-C-glycosides have been detected and identified as 7-methoxyluteolin-6-C-β-D-glucopyranoside, vitexin, swertisin and orientin. The isoflavone compounds in theextracts of three samples of B. chinensis collected in Gansu, Sichuan and Hunan, and the extract of Iris tectorum collected in Sichuan were analyzed by using TOF-HRMS and IT-MS. From the extracts of these herbs, a new isoflavone, identified as 5’,5,6,7-tetrahydroxy-3’4’-dimethoxyl isoflavon, and 7 known ones have been identified by analyzing the fragmentation patterns and their molecular formulas given by HRMS and the tandem mass spectrometry acquired by IT-MS. Chapter 4 elucidated the isolation and identification of a new triterpene saponin, androsacin (1), along with five known compounds (2-6) were isolated from the whole plants of Androsace integra (Maxim.) Hand.-Mazz., an herb used in traditional Chinese and Tibetan medicine. The chemical structure of the new compound was established as 3β-O-{β-D-glucopyranosyl-(1→4)-O-β-D-xylopyranosyl-(1→2)-O-β-D-glucopyranosyl-(1→4)-[O-β-D-glucopyranosyl-(1→2)]-α-L-arabinopyranosyl}-16α-hydroxy-13β,28-epoxy-olean-30-al by analyzing its MS, 1D- and 2D-NMR spectra. Compound 2 was cytotoxic toward HepG2 cancer cell with the GI50 value of 1.65 μg/mL. Chapter 5 described the biogenic pesticide activity screening of 68 traditional Chinese and Tibetan medicine extractions. The intention of this study is to explore bioactive natural compounds from these traditional medicinal herbs for biogenic insecticides use. Based on Syngenta’s bioassay, 14 extractions of these traditional medicines showed pesticide activities, and some of them had multi-activities on antibacterial and insecticidal. Chapter 6 is a review on the chemical and bioactivity research progress of Notopterygium incisum and N. forbesii.

New process for the preparation of 3,5-dihydroxy-1-pentylbenzene

A new process for the preparation of 3,5-dihydroxy-1-pentylbenzene, which is used as medicinal intermediate and raw material for the synthesis of HIV restrainer, is proposed in this paper. Technical 3,5-dimethoxybenzoic acid reacted with lithium hydride to form a salt (I) which acylated n-butyllithium directly to give 1-(3,5-dimethoxyphenyl)-1-pentanone (II) in 85.06% yield. Then (II) was reduced through a Wolff-K-Huangminglong reaction at 210 degrees C to give 3,5-dimethoxy-1-pentylbenzene (III). Finally, (III) refluxed with melt pyridine hydrochloride at 200 degrees C for 2 h to afford the target product 3,5-dihydroxy-1-pentylbenzene (IV). The total yield of (IV) amounted to 61.50% and its mass percentage was 98.22%. The products were characterized by means of IR, H-1-NMR, GC and HLPC-MS. The results indicated that this synthetic route was feasible, characterized by simple process and higher yield, and superior to the published ones.

Assembly of 12-tungstosilicic acid and 4-aminobenzo-15-crown-5 ether based on the electrostatic attraction through bridging of oxonium ions on different substrates

Based on the electrostatic attraction Keggin-type polyoxometalate H4SiW12O40 (SiW12) and small molecule 4-aminobenzo-15-crown-5 ether (4-AB15C5) were alternately deposited on poly (allylamine hydrochloride) (PAH)-derived indium tin oxide (ITO) substrate through a layer-by-layer (LBL) self-assembly, forming a supramolecular multilayer film (film-A). SiW12 was also deposited on a glassy carbon electrode (GCE) derived by 4-AB15C5 via covalent bonding in 0.1 M NaCl aqueous solution and formed a composite monolayer film (film-B). UV-vis absorption spectroscopy, X-ray photoelectron spectroscopy (XPS) and Fourier-transform infrared (FTIR) spectroscopy measurements demonstrated that the interactions between SiW12 and 4-AB15C5 in both two film electrodes were the same and caused by the bridging action of oxonium ions. But, the nanostructure in the two film electrodes was different. 4-AB15C5 in film-A was oriented horizontally to ITO substrate, however, that in film-B was oriented vertically to GCE. Namely film-A corresponded to a layer structure, and film-B corresponded to an intercalation structure.

Synthesis and characterization of the nanoporous ultrathin multilayer films based on molybdenum polyoxometalate (Mo-36)(n)

Ultrathin multilayer films of the wheel-shaped molybdenum polyoxometalate cluster (Mo-36)(n) and poly(allylamine hydrochloride) (PAH) have been prepared by the layer-by-layer (LbL) self-assembly method. The ((Mo-36)(n)/PAH)(m) multilayer films have been characterized by Xray photoelectron spectroscopy (XPS) and atomic force microscopy (AFM). UV-VIS measurements reveal regular film growth with each (Mo-36)(n) adsorption. The electrochemical behavior of the film at room temperature was investigated.

Preparation and characterization of ultrathin multilayer films based on polyoxometalate Mo8V2O28 center dot 7H(2)O

The ultrathin multilayer films of sphere-shaped polyoxomolybdate Mo8V2O28.7H(2)O (abbreviated to Mo8V2) and poly(allylamine hydrochloride) (DAH) have been prepared by the layer-by-layer (LbL) self-assembly method. The (Mo8V2/DAH)(m) multilayer films have been characterized by X-ray photoelectron spectra (XPS) and atomic force microscopy (AFM). The electrochemistry behavior of the film at room temperature was investigated.