Made available in DSpace on 2016-07-18T17:53:13Z (GMT). No. of bitstreams: 1 Diane de Vasconcelos.pdf: 426778 bytes, checksum: a79e736afc3105a358ff39a7fe06c74e (MD5) Previous issue date: 2014-09-23 / Over the years, the platelet-rich plasma (PRP) autologous has been used to great advantage in the healing of acute and chronic wounds. However, some situations make it impossible to use this source, should be considered as alternatives to PRP homologous or heterologous. Aiming to evaluate the effect of platelet-rich plasma (PRP) in autologous, heterologous and homologous form gel on cutaneous wound healing in vivo, 24 rabbits (9 males and 9 females) divided into three groups were used for the experiment and 6 animals (3 males and 3 females) were donors PRP. For the heterologous group, used a dog, adult mongrel to obtain PRP. The lesions were performed using a punch of 8 mm, and the right side was treated with 0.9% NaCl ® (A) and left side (B) applied PRP gel (GA = autologous, GHE=heterologous, and GHO = homologous). Lesions were evaluated for a period of 17 days. On days 0, 3, 7, 10, 14 and 17 animals were clinically evaluated by weight and pain, and on day 17 biopsies were taken for histopathological assessment of wounds. The percentage of contraction was evident in side B (treated) in all groups, which was also confirmed in the microscopic analysis of histological sections. Thus, it was concluded that the PRP, regardless of source, improves and accelerates the healing process, demonstrating their therapeutic potential on skin lesions and can be used in patients with impaired wound healing. / Ao longo dos anos, o plasma rico em plaquetas (PRP) autólogo tem sido utilizado com grandes vantagens na cicatrização de feridas agudas e crônicas. No entanto, algumas situações inviabilizam o uso desta fonte, devendo ser consideradas outras alternativas de PRPs como homóloga ou heteróloga. Com o objetivo de avaliar o efeito do plasma rico em plaquetas (PRP) na forma gel autólogo, heterólogo e homólogo sobre a cicatrização de feridas cutâneas in vivo, foram utilizados 24 coelhos (9 machos e 9 fêmeas) divididos em 3 grupos para o experimento e 6 animais (3 machos e 3 fêmeas) foram doadores de PRP. Para o grupo heterólogo, utilizou-se um cão, adulto, sem raça definida para obtenção do PRP. As lesões foram feitas com auxílio de um punch de 8 mm, sendo que o lado direito foi tratado com NaCl 0,9%® (A) e o lado esquerdo (B) aplicado gel de PRP (GA=autólogo; GHE=heterólogo e GHO=homólogo). As lesões foram avaliadas por um período de 17 dias. Nos dias 0, 3, 7, 10, 14 e 17 os animais foram avaliados clinicamente por meio de peso e dor, e no 17º dia foi feita biópsia para avaliação histopatológica das feridas. O percentual de contração foi evidente no lado B (tratado), o que também foi comprovado nas análises microscópicas dos cortes histológicos. Com isso, concluiu-se que o PRP, independente da fonte, melhora e acelera o processo de cicatrização, comprovando seu potencial terapêutico sobre as lesões cutâneas, podendo ser utilizado em pacientes com dificuldades de cicatrização.

Orientador: José Eduardo Cezar Sampaio / Banca: Patrícia Helena Rodrigues de Souza / Banca: Marília Compagnoni Martins / Banca: Élcio Marcantonio Júnior / Banca: Wilson Sallum / Resumo: A remoção da smear layer e a exposição da matriz colágena da dentina de superfícies radiculares desprovidas de sua inserção conjuntiva tem o potencial de auxiliar o tratamento e/ou a regeneração periodontal. Diferentes substâncias têm sido empregadas para remover esta camada e expor fibras colágenas da superfície dental. A adesão de elementos sangüíneos a superfícies radiculares desmineralizadas e a estabilização do colágeno pelas fibras colágenas são de extrema importância no sucesso da cirurgia periodontal. O objetivo deste estudo foi avaliar os diferentes padrões de adsorção e adesão de plasma rico em plaquetas (PRP) e de PRP + células sangüíneas a superfícies radiculares quimicamente condicionadas. Oitenta dentes foram raspados, eqüitativamente divididos em 5 grupos: irrigação com soro fisiológico (controle), aplicação de solução de ácido cítrico a 25%, gel de EDTA a 24%, solução de cloridrato de tetraciclina a 50mg/mL e solução de citrato de sódio a 30%. Metade das superfícies condicionadas foi exposta ao PRP e a outra metade ao PRP e sangue fresco para avaliação com microscopia eletrônica de varredura. Não houve diferenças estatisticamente significantes entre os grupos quando aplicou-se o PRP seguido de sangue. O EDTA e o ácido cítrico mostraram-se mais efetivos na remoção de smear layer, porém o ácido cítrico foi o único agente que apresentou adesão de PRP nas superfícies radiculares. Dessa forma, o emprego do PRP sobre a superfície radicular pareceu favorecer a adsorção e adesão de células sangüíneas e a estabilização da rede de fibrina. / Abstract: Smear layer removal and collagen fibers exposure may improve periodontal treatment and regeneration. Different substances have been used to remove it and to expose collagen fibers from tooth surface. Blood elements adhesion to demineralized roots and clot stabilization by collagen fibers are extremely important for the success of periodontal surgery. The aim of this study was to evaluate the different patterns of platelet - rich plasma (PRP) and PRP + blood cells adsorption and adhesion to root surfaces chemically conditioned. Eighty teeth were planed and equitably divided into five groups: irrigation with saline solution (control), application of a 25% citric acid solution, 24% EDTA gel, 50mg/mL tetracycline hydrochloride and 30% sodium citrate solution. Half of the conditioned surface was exposed to PRP and another half to the PRP and fresh blood and prepared for scanning electron microscopy. Planed root surfaces and conditioned with EDTA and citric acid were more effective on smear layer removal, but citric acid was the only agent that showed blood cells adhesion to root surface. This way, PRP employments on root surface probably improve blood element adsorption and adhesion to root surface and fibrin network stabilization. / Doutor

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22636号 / 医博第4619号 / 新制||医||1044(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 高橋 淳, 教授 古川 壽亮, 教授 村井 俊哉 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Introducción: Las cicatrices post-acné son frecuentes y ocasionan un impacto negativo en la salud mental y en la calidad de vida de las personas. Recientemente el uso del plasma rico en plaquetas (PRP) se ha propuesto como parte de su manejo. Objetivos: Sintetizar la evidencia primaria con respecto a la eficacia y la seguridad del PRP como tratamiento adyuvante de las cicatrices atróficas post-acné. Métodos: Llevamos a cabo una revisión sistemática y metaanálisis de ensayos clínicos controlados. Realizamos búsqueda primaria en PUBMED-MEDLINE, WEB OF SCIENCE, WEB OF SCIENCE-MEDLINE, EMBASE, SCOPUS y CENTRAL; así como, en los registros de ensayos clínicos de EE.UU., Europa y de la Organización Mundial de la Salud (OMS) hasta diciembre del 2019. También buscamos en repositorios de literatura gris. Para la evaluación del riesgo de sesgo utilizamos el instrumento de la Colaboración Cochrane. Calculamos riesgos relativos (RR) mediante modelos de efectos aleatorios con un intervalo de confianza (IC) de 95%. Resultados: De un total de 547 registros, incluimos 14 estudios (n=429). Respecto a la mejoría clínica, evidenciamos superioridad del PRP como terapia adyuvante en los estudios que utilizaron escalas por cuartiles (RR=1,79; IC95% 1,39–2,31; I2=21,7%; p<0,001) y en los que emplearon la escala cualitativa de Goodman y Barón (RR=4,34; IC95% 1,60–11,76; I2=29,1%; p<0,001). Asimismo, en la evaluación de la satisfacción del paciente observamos superioridad en el grupo asignado a PRP (RR=1,51; IC95% 1,19-1,92; I2=51,6%; p=0,001). En el análisis por subgrupo, el grupo de PRP con microagujas obtuvo un mayor tamaño del efecto en cuanto a mejoría clínica y satisfacción del paciente (RR=2,66; IC95% 1,72–4,11; I2=0,0%; p<0,001; RR=1,67; IC95% 1,09–2,54; I2=69,9%; p<0,05, respectivamente). Además, el grupo con asignación “split face” obtuvo un mayor tamaño del efecto en cuanto a satisfacción del paciente (RR=1,58; IC95% 1,11–2,24; I2=65,6%; p<0,05). En cuanto a la seguridad, no realizamos metaanálisis por la alta heterogeneidad clínica y metodológica en el reporte de los efectos adversos. Siete publicaciones concluyeron que la duración e intensidad del eritema, edema o dolor fue menor en el grupo asignado a PRP, mientras que cuatro investigaciones informaron que no existió diferencia significativa para ambos grupos. Conclusiones: La evidencia proveniente de estudios clínicos controlados sugiere que el uso de PRP como terapia adyuvante es más eficaz y seguro que el recibir monoterapia en el manejo de las cicatrices atróficas post-acné. Asimismo, la combinación de PRP con microagujas presenta mayor efecto que con otras combinaciones. La aparición, duración e intensidad de efectos adversos es igual o menor con el uso del PRP como terapia adyuvante. Son necesarios nuevos ensayos clínicos aleatorizados controlados, con mayor tamaño de muestra, con protocolos estandarizados de uso del PRP y con escalas uniformes de medición de desenlaces. / Background: Acne scars are frequent and result in impairment of mental health and quality of life among affected individuals. The use of platelet-rich plasma (PRP) has been recently proposed as part of acne scarring management. Objective: To synthesize the primary evidence regarding the efficacy and safety of PRP as an adjuvant treatment of atrophic acne scars. Methods: We carried out a systematic review and meta-analysis of controlled clinical trials. We performed a primary search on PUBMED-MEDLINE, WEB OF SCIENCE, WEB OF SCIENCE-MEDLINE, EMBASE, SCOPUS, and CENTRAL. Moreover, we searched clinical trial registries from the United States of America, Europe, and of the World Health Organization (WHO) as well as gray literature repositories until December 2019. We used the Cochrane tool for assessing risk of bias. We estimated relative risks (RR) with 95% confidence interval (CI) using random-effects models. Results: From 547 registers, we included 14 clinical trials (n=429). The PRP group showed a significantly higher clinical improvement compared to the control group in the studies using quartile grading scales (RR=1.79; 95%CI 1.39–2.31; I2=21.7%; p<0.001) and in the studies using the qualitative scarring grading system of Goodman and Baron (RR=4.34; 95%CI 1.60-11.76; I2=29.1%; p<0.001). Furthermore, the patient satisfaction was higher in the PRP group compared to the control group (RR=1.52; 95%CI 1.20-1.93; I2=51.1%; p=0.001). In the subgroup analysis, the PRP group with microneedling obtained a larger effect size in terms of clinical improvement and patient satisfaction (RR=2.66; 95%CI 1.72-4.11; I2=0.0%; p<0.001; RR=1.67; 95%CI 1.09-2.54; I2=69.9%; p<0.05, respectively). In addition, the split-face group had a larger effect size in terms of patient satisfaction (RR=1.58, 95%CI 1.11-2.24; I2=65.6%; p<0.05). Regarding the safety of the PRP, we did not perform a meta-analysis due to the high clinical and methodological heterogeneity in the reporting of adverse effects. Seven publications concluded that the duration and intensity of erythema, edema, and pain was less in the PRP group, while four investigations reported no significant difference for both groups. Conclusions: Evidence from controlled clinical studies suggests that in the management of atrophic acne scars, the use of PRP as an adjuvant treatment is more effective and safer than receiving monotherapy. Also, the combination of PRP with micro-needles has more effect than other combinations. The occurrence, duration, and intensity of adverse effects are equal or less with the use of PRP as an adjuvant therapy compared to receiving monotherapy. There is a need for further randomized controlled trials with larger sample sizes, standardized protocols for the use of PRP, and uniform outcome measurement scales. / Tesis

Práce má za cíl navrhnout a implementovat plaftormu pro interaktivní webové aplikace (Rich Internet Application - RIA) na základě vhodných technologíí pro programovací jazyky Java a JavaScript. Důraz je kladen na výběr odpovídající sady softwarových knihoven, používání principů správného objektově-orientovaného návrhu a programování a možnost dlouhodobé údržby výsledné aplikace.

The goal of this work is design and implementation of library for RTF processing. The library contains classes for conversion of  RTF files to XHTML files. Implementation of library is made in Java programming language and it is tested by using proposed set of tests. Application interface of the library is a subset of the DOM standard and allows to manipulate with final XHTML document.

Les hétérogénéités de répartition de la matière organique (MO) du Crétacé de l'océan Atlantique central sont souvent liées à des facteurs d'ordre géodynamique et paléocéanographique. Or, la forte proportion de MO terrestre questionne l'hégémonie de ces mécanismes et appelle à mieux contraindre la dynamique sédimentaire des dépôts associés à cette MO. Par une approche source to sink couplant une étude géochimique de provenance à une étude de bassin à partir de données de subsurface, nous montrons une réorganisation du drainage sur les cratons ouest-africain et guyanais, caractérisée par une extension progressive des bassins versants vers les domaines internes pendant le Crétacé supérieur. En Afrique, ce processus s'accompagne d'un arrêt de la dynamique turbiditique dès le Turonien, et d'une diminution de celle-ci au Guyana Suriname. Dans les deux cas, ces changements ont été défavorables à l'accumulation de matière organique en domaine océanique profond. / The distribution heterogeneities of Cretaceous organic matter (OM) in the Central Atlantic Ocean are often related to geodynamic and paleoceanographic factors. However, the high proportion of terrestrial OM questions the hegemony of these mechanisms and shows the need to better constrain the sedimentary dynamics of organic-rich sediments. Using a source-to-sink approach coupling a geochemical provenance study with a basin study from subsurface data, we show a reorganization of drainage on the West African Craton and the Guyana Shield, characterized by a gradual extension of watersheds to the inner areas during the Upper Cretaceous. In the African deep basin, this process is coeval to a break of the turbiditic sedimentation from the Turonian and to its decrease in the Guyana-Suriname deep basin. In both cases, these changes were unfavorable to the enrichment of OM in the deep oceanic domain of the Central Atlantic.

RNA-ligand binding often depends crucially on the local RNA secondary structure at the binding site. We develop here a model that quantitatively predicts the effect of RNA secondary structure on effective RNA-ligand binding activities based on equilibrium thermodynamics and the explicit computations of partition functions for the RNA structures. A statistical test for the impact of a particular structural feature on the binding affinities follows directly from this approach. The formalism is extended to describing the effects of hybridizing small \modifier RNAs' to a target RNA molecule outside its ligand binding site. We illustrate the applicability of our approach by quantitatively describing the interaction of the mRNA stabilizing protein HuR with AU-rich elements [Meisner et al. (2004), Chem. Biochem. in press]. We discuss our model and recent experimental findings demonstrating the ffectivity of modifier RNAs in vitro in the context of the current research activities in the field of non-coding RNAs. We speculate that modifier RNAs might also exist in nature; if so, they present an additional regulatory layer for fine-tuning gene expression that could evolve rapidly, leaving no obvious traces in the genomic DNA sequences.

Indiana University-Purdue University Indianapolis (IUPUI) / In the last years, lithium-ion batteries (LIBs) have become the most important energy storage system for consumer electronics, electric vehicles, and smart grids. The development of lithium-ion batteries (LIBs) based on current practice allows an energy density increase estimated at 10% per year. However, the required power for portable electronic devices is predicted to increase at a much faster rate, namely 20% per year. Similarly, the global electric vehicle battery capacity is expected to increase from around 170 GWh per year today to 1.5 TWh per year in 2030--this is an increase of 125% per year. Without a breakthrough in battery design technology, it will be difficult to keep up with the increasing energy demand. To that end, a design methodology to accelerate the LIB development is needed. This can be achieved through the integration of electro-chemical numerical simulations and machine learning algorithms. To help this cause, this study develops a design methodology and framework using Simcenter Battery Design Studio® (BDS) and Bayesian optimization for design and optimization of cylindrical cell type 18650. The materials of the cathode are Nickel-Cobalt-Aluminum (NCA)/Nickel-Manganese-Cobalt-Aluminum (NMCA), anode is graphite, and electrolyte is Lithium hexafluorophosphate (LiPF6). Bayesian optimization has emerged as a powerful gradient-free optimization methodology to solve optimization problems that involve the evaluation of expensive black-box functions. The black-box functions are simulations of the cyclic performance test in Simcenter Battery Design Studio. The physics model used for this study is based on full system model described by Fuller and Newman. It uses Butler-Volmer Equation for ion-transportation across an interface and solvent diffusion model (Ploehn Model) for Aging of Lithium-Ion Battery Cells. The BDS model considers effects of SEI, cell electrode and microstructure dimensions, and charge-discharge rates to simulate battery degradation. Two objectives are optimized: maximization of the specific energy and minimization of the capacity fade. We perform global sensitivity analysis and see that thickness and porosity of the coating of the LIB electrodes that affect the objective functions the most. As such the design variables selected for this study are thickness and porosity of the electrodes. The thickness is restricted to vary from 22microns to 240microns and the porosity varies from 0.22 to 0.54. Two case studies are carried out using the above-mentioned objective functions and parameters. In the first study, cycling tests of 18650 NCA cathode Li-ion cells are simulated. The cells are charged and discharged using a constant 0.2C rate for 500 cycles. In the second case study a cathode active material more relevant to the electric vehicle industry, Nickel-Manganese-Cobalt-Aluminum (NMCA), is used. Here, the cells are cycled for 5 different charge-discharge scenarios to replicate charge-discharge scenario that an EVs battery module experiences. The results show that the design and optimization methodology can identify cells to satisfy the design objective that extend and improve the pareto front outside the original sampling plan for several practical charge-discharge scenarios which maximize energy density and minimize capacity fade.

No description available.