Radioterapia externa conformada 3D para o carcinoma de próstata: experiência do Instituto do Radium de Campinas com 285 pacientes

OBJETIVO: Reportar resultados de tratamentos do câncer de próstata com radioterapia conformada 3D realizados em uma única instituição. MATERIAIS E MÉTODOS: De julho de 1997 a janeiro de 2002, 285 pacientes consecutivos com câncer de próstata foram submetidos a radioterapia conformada 3D com dose mediana de 7.920 cGy na próstata e analisados retrospectivamente. A distribuição segundo o grupo de risco foi a seguinte: baixo risco - 95 (33,7%); risco intermediário - 66 (23,4%); alto risco - 121 (42,9%) pacientes. RESULTADOS: Em seguimento mediano de 53,6 meses (3,6-95,3 meses), sobrevidas atuariais global, causa específica, livre de metástases a distância e livre de recidiva bioquímica em cinco anos foram de 85,1%, 97,0%, 94,2% e 75,8%, respectivamente. Sobrevidas atuariais livre de toxicidade retal e urinária tardias em cinco anos foram de 96,4% e 91,1%, respectivamente. Ressecção transuretral pré-radioterapia conformada 3D e doses > 70 Gy em 30% do volume da bexiga implicaram maior toxicidade urinária tardia grau 2-3 em cinco anos (p = 0,0002 e p = 0,0264, respectivamente). CONCLUSÃO: A primeira experiência relatada de radioterapia conformada 3D no Brasil permitiu altas doses de radiação, com toxicidades retal e urinária aceitáveis. A existência de ressecção transuretral de próstata pré-radioterapia conformada 3D pode sinalizar maior risco de toxicidade urinária tardia grau 2-3 após irradiação. Restrição da dose < 70 Gy em 30% do volume da bexiga à tomografia de planejamento pode reduzir complicações urinárias tardias.

Cicloadições [3+4] via cátions oxialílicos: aplicações em sínteses orgânicas

Several methodologies for the generation of oxyallyl cations from polybromoketones and other substrates are discussed. The mechanistic aspect of the [3+4] cycloaddition reaction between these cations and dienes leading to the formation of seven membered ring carbocyclic compounds is presented. Finally, some synthetic applications of the [3+4] cycloaddition are shown.

Preparation and phytotoxicity of sorgoleone analogues

3,5-Dimethoxybenzylic alcohol was converted into the 2-acetoxy-5-methoxy-3-(pent-1-yl)-1,4-benzoquinone (12), in seven steps, with an overall yield of 14.6%. The natural quinone sorgoleone (1) was isolated from Sorghum bicolor and converted into the corresponding quinone (13) having a saturated side chain. The selective effects of these compounds (1, 12 and 13), at the dose of 5.6 mug of a.i./ g of substrate, on the growth of Cucumis sativus, Lactuca sativa, Desmodium tortuosum, Hyptis suaveolens and Euphorbia heterophylla were evaluated. All three compounds caused some inhibition on the root growth of the test plants (0.0-69.19%) with the aerial parts less affected. The results showed that the triene unit of the sorgoleone side chain is not essential for the phytotoxicity and also the synthetic quinone was as active as the natural product.

Isolamento e avaliação da atividade nematicida de constituintes químicos de Mucuna cinerea contra Meloidogyne incognita e Heterodera glycines

Phytochemical investigation of the aerial parts and roots of Mucuna cinerea led to the isolation of a mixture of fatty acids, triacylglicerols, beta-sitosterol, stigmasterol, stigmasterol glucoside, daucosterol, asperglaucide (4) and the isoflavonoids prunetin (1), genistein (2), medicarpin (3), daidzein (5), 7-O-alpha-glycopiranosyl daidzein (6). An in vitro bioassay was carried out with compounds 1-4, at the concentration of 50 and 5 mug mL-1 against the phytonematodes M. incognita and H. glycines. Although the four compounds showed some nematocidal property, the most active was (1), causing 70% mortality of M. incognita at the concentration of 50 mug mL-1.

Síntese e avaliação da atividade fitotóxica de novos análogos oxigenados do ácido helmintospórico

Several compounds related to helminthosporic acid (3) were synthesized via the [3+4] cycloaddition. The reaction of 3-hydroxymethyl-2-methylfuran (12) with 1,1,3,3-tetrabromo-4-methylpentan-2-one (13) resulted in 7-hydroxymethyl-4alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6-en-3-one (8) (37%) and 7-hydroxymethyl-2alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6-en-3-one (14) (12%), which were converted into 7-formyl-4alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6-en-3-one (16) (32% from 8) and 7-formyl-2alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6-en-3-one (18) (40% from 14), respectively. Reduction of (8) resulted in 7-hydroxymethyl-4alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6 -en-3alpha-ol (11) (63% from 8) and 7-hydroxymethyl-4alpha-isopropyl-1alpha-methyl-8-oxabicyclo[3.2.1]oct-6-en-3 beta-ol (15) (30% from 8). The 4alpha-isopropyl-1alpha-methyl-3-oxo-8-oxabicyclo[3.2.1]oct-6-en-7-oic acid (19) was obtained by oxidation of (16) (78%). The results of biological tests are described in details. The best result was observed for compound (15) that caused 76% inhibition on the root growth of D. tortuosum.

Síntese de novos herbicidas derivados do 1,2alfa,4alfa,5-tetrametil-8-oxabiciclo[3.2.1]oct-6-en-3-ona

In this paper we report the synthesis of biologically active compounds through a [3+4] cycloaddition reaction to produce the main frame structure, followed by several conventional transformations. The 1,2alpha,4alpha,5-tetramethyl-8-oxabicyclo[3.2.1]oct-6-en-3-one (11) obtained from a [3+4] cycloaddition reaction was converted into 1,2alpha,4alpha,5-tetramethyl-6,7-exo-isopropylidenedioxi-8 -oxabicyclo[3.2.1]octan-3-one (13) in 46% yield. This was further converted into the alcohols 1,2alpha,4alpha,5-tetramethyl-6,7-exo-isopropylidenedioxi-8-oxabicyclo[3.2.1]octan-3 alpha-ol (14), 1,2alpha,4alpha,5-tetramethyl-6,7-exo-isopropylidenedioxi-8 -oxabicyclo[3.2.1]octan-3beta-ol (15), 1,2alpha,4alpha,5-tetramethyl-3-butyl-6,7-exo-isopropylidenedioxi-8-oxabicyclo[3.2.1]octan-3 alpha-ol (17), 1,2alpha,4alpha,5-tetramethyl-3-hexyl-6,7-exo-isopropylidenedioxi-8-oxabicyclo[3.2.1]octan-3 alpha-ol (18) and 1,2alpha,4alpha,5-tetramethyl-3-decyl-6,7-exo-isopropylidenedioxi-8-oxabicyclo[3.2.1]octan-3 alpha-ol (19). Dehydration of 17, 18 and 19 with thionyl chloride in pyridine resulted in the alkenes 20, 21 and 22 in ca. 82% - 89% yields from starting alcohols. The herbicidal activity of the compounds synthesized was evaluated at a concentration of 100 µg g-1. The most active compound was 21 causing 42,7% inhibition against Cucumis sativus L.

Mercúrio total em solos de manguezais da Baixada Santista e Ilha do Cardoso, estado de São Paulo

Total Hg content in soils of Baixada Santista, affected by different sources of pollution, and Cardoso Island, which is almost free of anthropogenic activities, were determined by CVAAS. To explain the fate of Hg in the ecosystem, pH, Eh, AVS, Stotal and Total Organic Carbon were also obtained throughout the soil profiles. With the exception of two sampling sites the average content of Hg in samples obtained for Baixada Santista was 0.34 ± 0.20 mg kg-1, which was close to the average data at Cardoso Island (0.30 ± 0.21 mg kg-1). Both of them were below the limit established by CETESB - 0.50 mg kg-1.

Seasonal variation in the composition of volatile oils from Schinus terebinthifolius raddi

Essential oils from leaves, ripe and unripe fruits of Schinus terebinthifolius growing in Brazil were investigated. Oil content from either ripe or unripe fruits was similar (4.65% and 3.98%, respectively). Sesquiterpenes (from 78.0% to 90.4%) dominated the oil content of both leaves and unripe fruit. The essential oils were tested in vitro for their allelopathic activity on germination and radicle growth of Lactuca sativa and Cucumis sativus at 1,000 and 10,000 µg mL-1concentrations. The three samples tested were more active in inhibiting the radicle growth for L. sativa (88.6-92.4%) than for C. sativus (50.5-84.5%) at 10,000 µg mL-1 concentration.

Estratégias para a síntese de γ-alquilidenobutenolídeos

α,β-unsaturated lactones possessing an alkylidene appendage group at the γ-position, are frequently termed γ-alkylidenebutenolides. Over the past decades, an increasing number of these compounds have been isolated from various natural sources. Members of this class of substances vary greatly in structural complexity and functionality. Besides that, many of them have been shown to display a wide range of biological activities. The γ-alkylidenebutenolides has attracted the attention of the organic synthetic chemists resulting in the development of a variety of process to synthesize them. This article review is concerned with the different approaches that can be utilized to prepare γ-alkylidenebutenolides.

Phytotoxic effects of metabolites from Alternaria euphorbiicola against its host plant Euphorbia heterophylla

A bioassay-guided fractionation of culture filtrates of the fungus Alternaria euphorbiicola, a pathogen of the weed Euphorbia heterophylla, led to the isolation of anhydromevalonolactone (1), tyrosol (2), (R)-( - )-mevalonolactone (3), and cycloglycylproline (4). When tested on the punctured leaves of the host plant, these compounds produced bleached lesions with dark brown margins at concentrations as low as 80 µM. When tested on the leaves of other relevant weeds, only cycloglycylproline showed selective activity against E. heterophylla. This is the first report on the isolation of phytotoxins from A. euphorbiicola and on the phytotoxicity of anhydromevalonolactone, (R)-( - )-mevalonolactone, and cycloglycylproline.

Constituintes químicos da casca de Ochroma lagopus swartz (Bombacaceae)

O estudo químico das cascas de Ochroma lagopus Swartz levou ao isolamento e ou, identificação de uma mistura de ácidos graxos e triacilglicerídeos, de b-sitosterol (1), estigmasterol (2), daucosterol (3), estigmasterol-3-O-b-D-glicosídeo (4) e manitol (5).

Sintese e avaliação da atividade nematicida de derivados da piperazina

Na busca de novos nematicidas sintéticos, oito derivados da piperazina foram preparados. Esses compostos, e também dois derivados da piperazina e a piperazina, disponíveis comercialmente, foram submetidos a ensaios biológicos para avaliar a atividade dos mesmos sobre os fitonematóides Meloidogyne incognita e Heterodera glycines. Na concentração de 20 mig mL-1, os compostos causaram de 3 a 73% de mortalidade em M. incognita e de 7 a 58% de mortalidade em H. glycines.

LEIBNIZ Y LA FILOSOFÍA DE LA RELIGIÓN EN NISHIDA KITARÔ

ABSTRACT This paper is an analysis of the manner Nishida Kitarô (1870-1945), in the process of construction of his own philosophy of religion, enters into dialogue with Leibniz's thought concerning Pre-established Harmony. Although the philosophy of religion is an important theme and Nishida goes back to Leibniz at some points in his textual career, there are relatively few studies that touch on the relationship between these two thinkers. I study Nishida's approach under three headings. The first section concerns ten main aspects of the world of pre-established harmony. The second tries to show the manner in which such a world becomes a guide towards a philosophy of religion, placing the emphasis on three characteristically Christian aspects: a created, fallen, and Trinitarian world. The third section includes some elements such as the entrance into religion, metanoia, satori and a comparison between Christian agape and Buddhist maha-kruna. These are themes on which Nishida elaborates in his 1945 masterpiece, The Logic of Basho and a Religious Worldview.

Efeitos de diferentes níveis de matéria orgânica no solo e de inóculo sobre a interação planta-Meloidogyne spp. e a produção massal de Pasteuria penetrans

Foram estudados os efeitos de quatro proporções de esterco de curral no solo, 0, 20, 33 e 50% (V:V), e três níveis de inóculo de Meloidogyne spp. (3.000, 6.000 e 9.000 J2 por planta) na concentração de fenóis em raízes de tomateiro, no desenvolvimento das fêmeas, nas células gigantes induzidas por esses patógenos e na infecção e reprodução de Pasteuria penetrans. O experimento foi conduzido em casa-de-vegetação, em delineamento inteiramente ao acaso com doze repetições, sendo avaliado 50 dias após a inoculação das plantas. O tamanho médio das fêmeas do nematóide foi maior quando as plantas foram inoculadas com 3.000 J2. Maior percentual de fêmeas infectadas por P. penetrans foi observado quando não se utilizou esterco no substrato ou quando as plantas foram inoculadas com 3.000 J2. As plantas inoculadas com 9.000 J2 e cultivadas no substrato com 20% de esterco foram as que produziram mais endósporos. A concentração de fenóis nas raízes aumentou à medida que se acrescentou esterco de curral ao substrato. As células gigantes de plantas cultivadas no substrato com 33 e 50% de esterco apresentaram menores número, tamanho e quantidade de núcleos. O aumento da proporção de esterco de curral ao substrato causou aumento nas concentrações de fenóis nas raízes, fato que foi deletério às células gigantes, prejudicial ao desenvolvimento do nematóide e à reprodução de P. penetrans.

Atenção básica no SUS: publicações do campus São Paulo da Unifesp, 1994-2009

OBJETIVO: Descrever a produção científica de professores e profissionais do campus da Universidade Federal de São Paulo (Unifesp) que toma a Atenção Básica em saúde e o SUS como objeto de estudo de 1994 a 2009. MÉTODO: Trata-se de um estudo quali-quantitativo, baseado em informações obtidas em periódicos indexados nos bancos Pubmed, Medline, Lilacs e Scielo, no período de 1994-2009. RESULTADOS: Foram identificados 98 trabalhos no período, verificando-se aumento progressivo do número de publicações a partir de 2003, principalmente de docentes e técnicos em educação superior vinculados aos departamentos de Medicina Preventiva, Enfermagem, Pediatria e Fonoaudiologia. Muitos deles foram realizados em parceria com outras universidades e serviços de saúde. A avaliação dos conteúdos dos trabalhos foi feita mediante categorização em quatro temas: política, planejamento e gestão; educação em saúde; morbidade; promoção da saúde. CONCLUSÃO: As publicações expressam que a relação dos pesquisadores da Unifesp com a rede do SUS vem se tornando construtiva nestes sete anos, contribuindo para a consolidação do SUS e o apoio à sua dinâmica, planejamento e gestão.