As Boas Práticas de Fabricação de Medicamentos (BPFM) enfatizam que a indústria farmacêutica deve dirigir seus esforços no sentido de compreender a variação do processo, incluindo as fontes, o grau de variação e o impacto dessa variação nas características de qualidade do produto. O processo de fabricação de medicamentos tem apresentado significativas mudanças, em especial no que se refere à introdução de tecnologias analíticas que permitem o controle do processo em tempo real. A abordagem baseada na análise de risco e no novo Sistema de Qualidade Farmacêutica constitui ponto central das BPFM para o século XXI. Os órgãos regulatórios têm exigido da indústria farmacêutica sua adesão na melhoria contínua relativa ao desempenho de seus processos e, por consequência, na qualidade do produto. O objetivo do presente trabalho foi o desenvolvimento e validação de método analítico empregando espectroscopia no infravermelho próximo, assim como a avaliação do processo de fabricação de comprimidos de Captopril 25 mg, empregando abordagem racional-científica. Com referência à avaliação do processo, foram adotadas as seguintes ferramentas: análise de modos e efeitos de falhas (FMEA); gráficos de controle; índices de capacidade e análise de variância (ANOVA). A espectroscopia por infravermelho próximo (NIR) foi selecionada por apresentar maior rapidez na obtenção dos resultados, maior simplicidade na preparação das amostras, multiplicidade das análises a partir de uma única leitura e por apresentar característica não invasiva. Os resultados comprovaram a adequação dessa tecnologia na avaliação quantitativa do Captopril nas etapas de mistura de pós e de compressão. Os desvios padrão relativos na determinação da uniformidade de Captopril na mistura de pós e nos comprimidos empregando método no NIR foram, respectivamente 3,15 e 0,18%. No que se refere à avaliação da estabilidade e da capacidade do processo, as ferramentas adotadas permitiram a compreensão das fontes de variabilidade, assim como a determinação de seu grau, nas diferentes etapas do processo. Os índices de capacidade (CpK) relativos à uniformidade de Captopril (% p/v) na mistura de pós, ao peso médio do comprimido, à uniformidade de conteúdo e à % (p/v) dissolvida de Captopril, no ensaio de dissolução, foram 0,70, 1,94, 1,80 e 2,19, respectivamente. / The Good Manufacturing Practices (GMP) for Medicinal Products point out that the pharmaceutical industry must direct efforts to understand the variation of the processes, including the sources, the level of variation and the variation impact on the process in characteristics of the product. The manufacturing process has shown meaningful changes, especially in the introduction of new analytical technologies that allow the process control in real time. The approach based on risk analyses and on the new Pharmaceutical Quality System is a central key for the GMP for the XXI century. The Regulatory Agencies have demanded the pharmaceutical industry to adhere the continuous improvement related to the performance of its processes and, consequently, the product quality. Thus, the present paper aimed the development and validation of the analytical method employing NIR spectroscopy as the assessment of manufacturing process of Captopril 25 mg tablets, using rational scientific approach. Regarding the process assessment, the following tools were adopted: analysis of failure modes and effects analysis (FMEA), control charts, capability indexes, as well as analysis of variance (ANOVA). The near-infrared spectroscopy was selected due to its greater speed in getting the results, simplicity in sample preparation, and multiplicity of analysis from a single reading and provide non-invasive feature. The results confirmed the suitability of this technology in quantitative assessment of Captopril on the steps of mixing powders and compression. The relative standard deviations for the determination of Captopril uniformity in the post mixtures and in the tablets employing NIR were 3,15 e 0,18%, respectively. In reference to the stability assessment and process capacity, the tools adopted permitted the understanding of the sources of variability, as well as the determination of their level in different phases of the process. The capacity indexes relating to Captopril uniformity (% p/v) in the powder mixture, the average weight of the tablet, the content uniformity and the % (p/v) dissolved Captopril, in the dissolution assay were 0,70, 1,94, 1,80 and 2,19, respectively.

Submitted by Marcos Anselmo (marcos.anselmo@unipampa.edu.br) on 2016-09-21T20:29:32Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Natana Becker.pdf: 1266893 bytes, checksum: 018f6e1bf563008837c534403e5c801e (MD5) / Approved for entry into archive by Marcos Anselmo (marcos.anselmo@unipampa.edu.br) on 2016-09-21T20:29:52Z (GMT) No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Natana Becker.pdf: 1266893 bytes, checksum: 018f6e1bf563008837c534403e5c801e (MD5) / Made available in DSpace on 2016-09-21T20:29:52Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Natana Becker.pdf: 1266893 bytes, checksum: 018f6e1bf563008837c534403e5c801e (MD5) Previous issue date: 2015-08-21 / Os fármacos valsartana (VAL), hidroclorotiazida (HCT) e besilato de anlodipino (ANL) são utilizados em associação e comercializados no Brasil como agentes anti-hipertensivos. Geralmente a determinação simultânea destes fármacos é realizada por cromatografia líquida de alta eficiência (CLAE). Este trabalho teve por objetivo a determinação simultânea de VAL, HCT e ANL em uma formulação comercial de comprimidos através da técnica de espectroscopia no infravermelho próximo com transformada de Fourier e acessório de esfera de integração (FT-NIR) associadas a métodos de análise multivariada. Os modelos de calibração foram construídos utilizando mínimos quadrados parciais (PLS) e seleção de variáveis através dos algoritmos mínimos quadrados parciais por intervalo (iPLS) e mínimos quadrados parciais por sinergismo de intervalos (siPLS). Um total de 36 amostras sintéticas e 1 amostra real (26 amostras para o conjunto de calibração e 11 amostras para o conjunto de previsão), foram utilizadas as faixas de concentração de 261,9-500,0 mg g-1 para VAL; 20,2-83,3 mg g-1 para HCT e 11,6-49,6 mg g-1 para ANL. Os dados espectrais foram adquiridos na faixa de 4000 a 10000 cm-1 com resolução de 4 cm-1 por FT-NIR. Os melhores modelos foram obtidos através da utilização do pré-processamento centrado na média (CM) e do tratamento de correção do espalhamento de luz (MSC). O erro relativo de previsão (RSEP%) de 1,27% para VAL, 1,92% para HCT e 5,19%para ANL, foi obtido após seleção dos melhores intervalos por siPLS para dados obtidos por FT-NIR. Não foi encontrada diferença significativa (teste t-pareado, 95% de confiança) entre os valores do método de referência e do método proposto. Os resultados mostraram que modelos de regressão PLS (associados a métodos de seleção de variáveis, como iPLS e siPLS) combinados com FT-NIR são promissores no desenvolvimento de metodologias mais simples, rápidas e não destrutivas. Estes modelos permitem a determinação simultânea de VAL, HCT e ANL na formulação farmacêutica. / Valsartan (VAL), hydrochlorothiazide (HCT) and amlodipine besylate (ANL) drugs are used in combination and they are commercialized in Brazil as antihypertensive agents. Generally, the simultaneous determination of these drugs is carried out by high performance liquid chromatography (CLAE). This study aimed to the simultaneous determination of VAL, HCT, and ANL in a comercial tablet formulation through the technique near infrared spectroscopy with Fourier transform and integrating sphere accessory (FT- NIR) associated with methods of multivariate analysis. The calibration models were built using partial least squares (PLS) and variable selection through partial least squares algorithms for interval (iPLS) and partial least squares by synergism intervals (siPLS). A total of 36 synthetic samples 1 and commercial sample (26 samples for the calibration sample set and 11 for the prediction set), were used the concentration ranges of 261.9-500.0 mg g-1 for VAL; 20.2-83.3 mg g-1 for HCT and 11.6-49.6 mg g-1 for ANL. The spectral data were acquired in the range 4000-10000 cm-1 with resolution of 4 cm-1 by FT-NIR. Multiplicative scatter correction (MSC) and the data centered in the media (CM) produced the best models. A relative standard error of prediction (RSEP%) of 1.27% for VAL, 1.92% for HCT and 5.19% for ANL was obtained after selection of the best intervals for data obtained by siPLS FT-NIR. There was no significant difference (paired t-test, 95% confidence) between the values of the reference method and the proposed method. Results showed that PLS models regression (associated with iPLS and siPLS regression models) combined with FT-NIR are promising in the development of simpler methods, rapid and non-destructive. These models allow simultaneous determination of VAL, HCT, and ANL in the pharmaceutical formulation.

Un déséquilibre dans les mécanismes de défense de la cornée peut entraîner une invasion par des micro-organismes (MO) et générer une kératite infectieuse (KI), ou encore un syndrome sec. Les KI sont la première cause de cécité monoculaire. Le syndrome sec, également fréquent, est sujet à de nombreuses études cliniques pour l’évaluation de nouveaux traitements. L’objectif de cette thèse est de mettre au point des méthodes d’imagerie pour le diagnostic et le suivi des pathologies de la surface oculaire au travers de deux projets innovants : 1/ le projet FLUOCOR consistant à développer une solution complète de diagnostic rapide in vivo des MO les plus souvent responsables des KI afin de débuter immédiatement le traitement adapté et améliorer le pronostic visuel final. Cette solution comprendra des BioMarqueurs fluorescents (BMfs) spécifiques des agents infectieux, fluorescents dans le rouge ou le proche infrarouge non éblouissant et un nouvel instrument optique de détection. Des BMfs basés sur le couplage de BODIPY innovant avec des molécules ciblant les MO ont été obtenus. Des tests in vitro ont montré une bonne spécificité mais les tests ex vivo sur cornées humaines ont montré une fixation non spécifique sur les cellules épithéliales. Pour pallier ce manque de spécificité, le couplage de ces BODIPY sur des anticorps dirigés contre les MO est en cours. 2/ le projet FLUOSCOPE qui a permis de développer une nouvelle stratégie d’imagerie de la surface oculaire pour le suivi du syndrome sec, de la méthode d’instillation des colorants jusqu’au traitement d’images, en passant par la conception d’un instrument optique désormais industrialisé par les laboratoires Théa. / An imbalance in the defence system of cornea can result in several diseases, like infectious keratitis (IK) in case of invasion by microorganisms (MO) or dry eye in case of insufficient tear quality and/or quality. IK are the first cause of unilateral blindness worldwide. Sicca syndrome, also frequent, is the subject of numerous clinical trials assessing new treatments. The aim of the PhD Thesis work is to develop new imaging methods for the diagnosis and follow-up of diseases of the ocular surface. Two innovative project were conducted: 1/ the FLUOCOR project consists in developing a complete solution of rapid in vivo etiologic diagnosis of IK, for the most frequent and/or severe infections to allow rapid starting of the most adapted treatment in order to improve the final visual prognosis. This solution will comprise fluorescent biomarkers (excitable by sustainable non blinding red or near infrared lights) specific to the target MO, and a new optical imaging device for their detection. Biomarkers based on new BODIPY coupled with molecules targeting the MO were obtained with a good in vitro specificity. Nevertheless, on ex vivo human corneas they stained superficial epithelial cells. In order to overcome this difficulty, the coupling of BODIPY on specific antibodies targeting the MO is ongoing; 2/ the FLUOSCOPE project that allowed development of a new strategy of ocular surface imaging for the diagnosis and follow up of sicca syndrome. The complete chain was revisited from the instillation of the dye to the objective quantification of staining by image analysis, through the development of a prototype of imaging device, now industrialized by les Laboratoires Thea.

Measurement of tissue hemodynamics provides vital information for the assessment of tissue viability. This thesis reports three noninvasive near-infrared diffuse optical systems for spectroscopic measurements and tomographic imaging of tissue hemodynamics in vulnerable tissues with the goal of disease diagnosis and treatment monitoring. A hybrid near-infrared spectroscopy/diffuse correlation spectroscopy (NIRS/DCS) instrument with a contact fiber-optic probe was developed and utilized for simultaneous and continuous monitoring of blood flow (BF), blood oxygenation, and oxidative metabolism in exercising gastrocnemius. Results measured by the hybrid NIRS/DCS instrument in 37 subjects (mean age: 67 ± 6) indicated that vitamin D supplement plus aerobic training improved muscle metabolic function in older population. To reduce the interference and potential infection risk on vulnerable tissues caused by the contact measurement, a noncontact diffuse correlation spectroscopy/tomography (ncDCS/ncDCT) system was then developed. The ncDCS/ncDCT system employed optical lenses to project limited numbers of sources and detectors on the tissue surface. A motor-driven noncontact probe scanned over a region of interest to collect boundary data for three dimensional (3D) tomographic imaging of blood flow distribution. The ncDCS was tested for BF measurements in mastectomy skin flaps. Nineteen (19) patients underwent mastectomy and implant-based breast reconstruction were measured before and immediately after mastectomy. The BF index after mastectomy in each patient was normalized to its baseline value before surgery to get relative BF (rBF). Since rBF values in the patients with necrosis (n = 4) were significantly lower than those without necrosis (n = 15), rBF levels can be used to predict mastectomy skin flap necrosis. The ncDCT was tested for 3D imaging of BF distributions in chronic wounds of 5 patients. Spatial variations in BF contrasts over the wounded tissues were observed, indicating the capability of ncDCT in detecting tissue hemodynamic heterogeneities. To improve temporal/spatial resolution and avoid motion artifacts due to a long mechanical scanning of ncDCT, an electron-multiplying charge-coupled device based noncontact speckle contrast diffuse correlation tomography (scDCT) was developed. Validation of scDCT was done by imaging both high and low BF contrasts in tissue-like phantoms and human forearms. In a wound imaging study using scDCT, significant lower BF values were observed in the burned areas/volumes compared to surrounding normal tissues in two patients with burn. One limitation in this study was the potential influence of other unknown tissue optical properties such as tissue absorption coefficient (µa) on BF measurements. A new algorithm was then developed to extract both µa and BF using light intensities and speckle contrasts measured by scDCT at multiple source-detector distances. The new algorithm was validated using tissue-like liquid phantoms with varied values of µa and BF index. In-vivo validation and application of the innovative scDCT technique with the new algorithm is the subject of future work.

This thesis presents the results of a comprehensive multi-wavelength study of the high mass X-ray binary 2S 0114+650. This enigmatic source has previously been proposed to be the first in a new class of super-slow X-ray pulsars, containing a neutron star revolving once every 2.7 h. The 11.6 d orbital period of this system has been well established in both X-ray and optical wavelengths. During the initial stages of the research presented in this thesis we discovered an additional 30.7 d ???super-orbital??? modulation in the X-ray emission from this source. While similar periodicities seen in other X-ray binaries are commonly attributed to the precession of a warped accretion disc, the observational evidence suggests the absence of such a disc in 2S 0114+650. The purpose of this project is thus to determine the nature of the super-orbital modulation and to better constrain the astrophysical parameters of this system. To investigate the long-term variability we analysed ~8.5 yr of archived data from the Rossi X-ray Timing Explorer space telescope. The problem of the spurious ~24 h periods in this data was solved as a by-product of these studies. Follow-up pointed observations were obtained with this satellite in order to examine the spectral and temporal behaviour over the spin, orbital and super-orbital timescales. Independent confirmation of the super-orbital modulation was performed using ~2 yr of data from the INTEGRAL satellite obtained during a long-term monitoring campaign of the Cassiopeia region. The evolution of the spin, orbital and super-orbital periods over ~10 yr was examined using archived data from the Rossi X-ray Timing Explorer satellite. Radio observations were performed with the Giant Meterwave Radio Telescope to search for any radio emission associated with this source and to determine whether it is variable over the known periodicities. Near infrared observations were performed with the Mt Abu telescope to determine whether a Be star nature can be ruled out for the optical component. Finally, a statistical analysis of the properties of the confirmed super-orbital X-ray binaries was performed in order to search for commonalities between these systems.

<p>The mortality of thoracic aortic diseases (mainly aneurysms and dissections) is high, even with surgical treatment. Epidemiology and long-term outcomes are incompletely investigated. Stroke is a major complication contributing to mortality, morbidity, and possibly to reduced quality of life. </p><p><i>Study I</i> Increasing incidence of thoracic aortic diseases 1987 – 2002 was demonstrated (n=14229). Annual number of operations increased eight-fold. Overall long-time survival was 92%, 77%, and 57% at 1, 5, and 10 years. Risk of operative and long-term mortality was reduced across time.</p><p><i>Study II</i> 2634 patients operated on the proximal thoracic aorta (Swedish Heart Surgery register) were examined. Aortic valve replacement, coronary revascularization, emergency operation, and age were independently associated with surgical death. Long-term mortality was similar for aneurysms and dissections. Operative mortality was reduced (13.7% vs 7.2%) for aneurysms but remained unchanged (22.3% vs 22.4%) for dissections across time.</p><p><i>Study III</i> 65 patients underwent selective antegrade cerebral perfusion (SACP) uni- or bilaterally. Stroke was significantly more common after unilateral SACP (29% vs 8%, p=0.045), confirmed by propensity score-matched analysis. Subclavian artery cannulation with Seldinger-technique entailed vascular complication in one case (1.5%).</p><p><i>Study IV</i> Near-infrared spectroscopy (NIRS) was used to monitor cerebral tissue saturation (rSO2) during SACP in 46 patients. Lower rSO2 were encountered (1) in patients suffering a stroke (2) with unilateral SACP, and (3) in the affected hemisphere of stroke victims. A decrease of rSO2 by 14 – 21% from baseline increased the risk of stroke significantly.</p><p><i>Study V</i> Quality of life (QoL) in 76 survivors of thoracic aortic surgery was examined with the SF-36 health questionnaire. Except for pain, QoL was reduced in all dimensions. QoL was not affected by acuity of operation. Tendencies of lower QoL after descending aortic operations, after major complications, and with persistent dysfunction were non-significant.</p>

Nanoparticles were synthesized and modified for target drug delivery. The research involved the aqueous synthesis of near infrared (NIR) sensitive Au-Au₂S nanoparticles. An anti-cancer drug (<i>cis-platin</i>) was subsequently adsorbed onto the Au-Au₂S nanoparticle surface via the 11-mercaptoundecanoic acid layers. The results showed that the degree of adsorption of cis-platin onto Au-Au₂S nanoparticles was controlled by the pH value of solution, and the rate of drug release was sensitive to NIR irradiation. The results of the synthesis, drug-release properties and nanoparticle-cell interactions will be discussed. / Singapore-MIT Alliance (SMA)

Although the major functions of the lymphatic system are fairly well defined, its vasculature has yet to be well characterized in comparison to its blood vasculature counterpart. Recent advances in optical imaging techniques have allowed for more detailed and quantitative evaluations of lymph flow dynamics and mechanism. A rat tail is often used for investigations of lymph flow because of the simple geometry, superficial nature, and disease progression models of its collecting lymphatic vessels. In this study, a pressure cuff system was fabricated and coupled with an existing functional near infrared (NIR) imaging system to measure the overall pumping pressure of the lymphatic vessels of a rat tail. In addition to adapting the system for use on rodents, previous systems used for measuring lymphatic pumping pressure in humans were improved upon in several ways. The system defined here utilizes closed-loop feedback control of pressure application at smaller, more precise intervals. Using this device, a significant difference in lymphatic vessel pumping pressure was detected between a control case and a treatment case in which a vasoactive substance with a nitric oxide donor (GTNO ointment) was applied to the tail. Although it is known that nitric oxide plays a crucial physiologic role in propagation of flow through lymphatic vessels, this study has quantified its significant pharmacological reduction of pumping pressure for the first time.

In addition to the well known quantum confinement effects resulted from size and shape, interfacial bond structure is another factor, affecting the properties of the nanomaterial that is rarely studied. Inspired by the “Au-S-Au” staple motif discovered from the crystal structure of monothiol protected Au102 nanocluster (Science, 2007, 318, 430), dithiol molecules (e. g. 1, 2-dithiol, 1, 4-dithiol, etc.) with molecular structural constraint have been employed to create dithiolate protected clusters or mixed monothiolate and dithiolate protected clusters. The structure and properties of the Au clusters are expected to change due to two effects: The entropy gain of dithiol over monothiol protection and the constraint to the formation of the thiol bridging motif. DMPS (1, 2-dithiol molecule) stabilized clusters with characteristic absorption bands have been obtained, and characterized by multiple techniques. Monolayer reaction on gold core surface between the monothiol tiopronin and dithiol DMPS has been performed, and the mechanism has been probed. Mixed phenylethanethiolate and durene-dithiolate (1, 4-dithiol molecule) protected Au130 clusters with rich electrochemical features have been created, and the optical and electrochemical energetics have been successfully correlated based on core and core-ligand energy states. Furthermore, the impact of 1, 4-dithiolate-Au bonding on the near infrared luminescence has been studied.

The mortality of thoracic aortic diseases (mainly aneurysms and dissections) is high, even with surgical treatment. Epidemiology and long-term outcomes are incompletely investigated. Stroke is a major complication contributing to mortality, morbidity, and possibly to reduced quality of life. Study I Increasing incidence of thoracic aortic diseases 1987 – 2002 was demonstrated (n=14229). Annual number of operations increased eight-fold. Overall long-time survival was 92%, 77%, and 57% at 1, 5, and 10 years. Risk of operative and long-term mortality was reduced across time. Study II 2634 patients operated on the proximal thoracic aorta (Swedish Heart Surgery register) were examined. Aortic valve replacement, coronary revascularization, emergency operation, and age were independently associated with surgical death. Long-term mortality was similar for aneurysms and dissections. Operative mortality was reduced (13.7% vs 7.2%) for aneurysms but remained unchanged (22.3% vs 22.4%) for dissections across time. Study III 65 patients underwent selective antegrade cerebral perfusion (SACP) uni- or bilaterally. Stroke was significantly more common after unilateral SACP (29% vs 8%, p=0.045), confirmed by propensity score-matched analysis. Subclavian artery cannulation with Seldinger-technique entailed vascular complication in one case (1.5%). Study IV Near-infrared spectroscopy (NIRS) was used to monitor cerebral tissue saturation (rSO2) during SACP in 46 patients. Lower rSO2 were encountered (1) in patients suffering a stroke (2) with unilateral SACP, and (3) in the affected hemisphere of stroke victims. A decrease of rSO2 by 14 – 21% from baseline increased the risk of stroke significantly. Study V Quality of life (QoL) in 76 survivors of thoracic aortic surgery was examined with the SF-36 health questionnaire. Except for pain, QoL was reduced in all dimensions. QoL was not affected by acuity of operation. Tendencies of lower QoL after descending aortic operations, after major complications, and with persistent dysfunction were non-significant.