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Avaliação estrutural e quantificação de colágeno na porção atrial do coração de cães sadios e diabéticos / Structural evaluation and quantification of collagen in the atrial portion of the heart healthy and diabetic dogsMiler Rodrigo Pereira 18 December 2009 (has links)
O coração é formado por tecido muscular especializado e por um esqueleto de tecido conjuntivo que sustenta e dá inserção a musculatura. Este tecido conjuntivo é formado predominantemente por fibras colágenas tipo I, tipo III e fibras elásticas, as quais influenciam diretamente as propriedades estruturais e funcionais do miocárdio. Algumas doenças podem provocar alterações qualitativas e quantitativas no colágeno comprometendo a funcionalidade do órgão. Diante da inexistência de informações sobre os efeitos diretos do diabetes na estrutura atrial e a concentração de pesquisas em torno dos ventrículos, especialmente o esquerdo, que está ligado à circulação sistema, a proposta deste trabalho foi analisar as alterações morfológicas quantitativas e qualitativas do colágeno nas câmaras atriais comparando as diferenças entre os grupos de cães sadios e diabéticos. Além disto, esta pesquisa verificou a distribuição de outros constituintes do átrio como fibras elásticas e colágenas do tipo III. Foram utilizados corações de cães sem raça definida, machos e fêmeas, sadios e diabéticos. As estruturas foram examinadas por microscopia óptica, imunofluorescência e microscopia eletrônica de varredura. A taxa de colágeno nos átrios de cães diabéticos foi maior do que nos átrios de cães sadios. Isso indica que há uma mudança estrutural nos átrios de animais com doença metabólica, a partir da verificação de uma proteína estrutural importante como o colágeno. / The heart is composed of specialized muscle tissue and a skeleton of connective tissue that supports and gives muscle insertion. This tissue connective is formed predominantly of collagen type I, type III and elastic fibers, which directly influence the structural and functional properties of the myocardium. Some diseases can cause qualitative and quantitative changes in collagen compromising the functionality of the organ. Due to the lack of information on the direct effects of diabetes on atrial structure and the concentration of researches about the ventricles, especially the left, which is connected to the macro circulation system, the purpose of this study was to analyse the morphological quantitative and qualitative collagen in the chambers atrial comparing the differences between the groups of healthy and diabetic dogs. Moreover, this study found the distribution of other constituents like elastic and collagen type III fibers. We used hearts of mongreal dogs, males and females, healthy and diabetics. The structures were examined by light microscopy, immunofluorescence and scanning electron microscopy. The rate of collagen in the atria of diabetic dogs was greater than in the healthy dogs. This indicates that there is a structural change in the atria of animals with metabolic disease, from the finding of a major structural protein like collagen.
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Quantificação de tecido conjuntivo do músculo cardíaco de cães / Quantification of connective tissue in dogs cardiac muscleHildebrando Gomes Benedicto 26 June 2002 (has links)
Objetivou-se, neste trabalho, estudar a proporção de tecido conjuntivo existente na fração ventricular direita e esquerda do músculo cardíaco de cães, buscando, através da morfometria, dados referentes a inter-relação entre o tecido conjuntivo e o tecido muscular cardíaco, para o conhecimento das relações anátomo-funcionais da estrutura cardíaca, característica de determinados processos ligados a diminuição do trabalho do órgão. Utilizou-se 6 corações de cães SRD, machos e fêmeas, com idade entre 48 e 150 meses, pesando entre 18 e 30 Kg, sem alterações cardíacas, confirmado mediante exames eletrocardiográfico e ecocardiográfico. Preparou-se o material oriundo de três regiões ventriculares em relação a sua base, proximal, média e distal, tanto da face direita quanto da esquerda, segundo as técnicas histológicas convencionais e corados com Picrosirius red, Fucsina-Paraldeido e Tricromo de Gomori, para evidenciação das fibras conjuntivas. As lâminas foram analisadas com auxílio do Axioscópio Zeiss acoplado ao programa de análise de imagens KS-400 Zeiss. A quantidade de tecido conjuntivo no Ventrículo Esquerdo variou de 0,44 a 26,26%; no Ventrículo Direito variou de 0,97 a 21,18%; no ápice variou de 1,32 a 29,24% e no septo interventricular variou de 5,41 a 11,24%. Os resultados obtidos mostram que há uma complexa rede de fibras conjuntivas envolvendo as fibras do tecido muscular cardíaco e que sua quantidade e disposição é muito variada, dependendo da região estudada. / The aim of this study was to evaluate the ratio of connective tissue on the right and left ventricule of the cardiac muscle in the dog. Throughout of the morphometric study, we can gather information regarding the relationship between the connective and the muscle tissue, in order to find out the anatomic and functional relationship of the heart, which can provide information as for the diseases of the heart. In this study, we evaluated the heart of dogs, males and females, from 48 to 150 months-old, whose weight ranged from 18 to 30 kilograms, with no heart diseases confirmed by eletrocardographic and echocardiographic examinations. We got sample from 3 different regions of the ventricule, on the proximal, medial and distal faces, both on the right and left parts. We used the Picrosirius red and Gomori´s Trichrome to stain the material and bring out the connective fibers. We evaluated the slides by Axioscope Zeiss® with program KS400 analyse of images. The amount of connective tissue on the left ventricule ranged from 0,44 to 26,26%. On the right ventricule ranged from 0,97 to 21,18%. On the apex ranged from 1,32 to 29,24% and on the septo interventricular ranged from 5,41 to 11,24%. The results showed that there is a accureted connective fibers pattern surrounding the cardiac muscle tissue and it has na assorted amount and arrangement.
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Estudo da distribuição diferencial das fibras do sistema elástico no ventrículo esquerdo do coração de ratos normais / Estudo da distribuição diferencial das fibras do sistema elástico no ventrículo esquerdo do coração de ratos normaisGisele Miozzo Fink 10 March 2009 (has links)
A elasticidade do tecido conjuntivo desempenha uma função protetora agindo como uma mola tênsil durante o trabalho muscular, No entanto, existem poucos estudos sobre a distribuição das fibras do sistema elástico no coração. Considerando que: a) o estudo da distribuição destas fibras pode ajudar a compreender a mecânica cardíaca, e b) o rato tem sido usado como o melhor modelo animal para as disfunções cardiovasculares, o objetivo deste estudo é apresentar uma descrição sistemática da distribuição diferencial das fibras do sistema elástico do endocárdio, epicárdio e miocárdio ventricular. Cortes histológicos de ventrículo esquerdo obtido de ratos normais adultos foram estudados pela comparação do padrão ultraestrutural de cada um dos tipos fibrilares com coloração pela técnica da resorcina-fucsina com prévia oxidação, para microscopia de luz. As observações ultra-estruturais foram feitas em tecidos fixados com ácido tânico - glutaraldeído, que permite a identificação mais precisa das fibras oxitalânicas, elaunínicas e elásticas. Foi aplicado um sistema semiquantitativo de avaliação. A análise dos cortes histológicos corados pela Resorcina-fucsina com oxidação prévia mostrou um estrato de fibras elásticas em estreita associação ao endotélio no endocárdio e ao mesotélio no epicárdio. Quando observado ao microscópio eletrônico é possível identificar que nestas ambas localizações as fibras do sistema elástico estão arranjadas em dois estratos dispostos ortogonalmente. Ao nível ultraestrutural, notou-se a distribuição diferencial das fibras do sistema elástico nos três compartimentos do tecido conjuntivo associado ao miocárdio propriamente dito: epimísio, perimísio e endomísio. O epimísio apresenta fibroblastos, fibras colágenas grossas, fibras elaunínicas e elásticas entremeadas à substância amorfa. No perimísio, a microscopia eletrônica mostrou uma grande quantidade de microfibrilas associadas a fibras elásticas, elaunínicas e mesmo fibras colagênicas. Freqüentemente, neste compartimento, as microfibrilas estão compactadas formando feixes que correspondem ao padrão ultra-estrutural das fibras oxitalânicas. O endomísio é rico em fibras oxitalânicas associadas à lâmina basal dos cardiomiócitos. Uma rede microfilamentar conecta os elementos do endomísio entre si. Ainda que as implicações funcionais sejam especulativas, a distribuição diferencial das fibras do sistema elástico nos compartimentos da parede ventricular sugere que diferenças na elasticidade conferem versatilidade biomecânica ao tecido como um todo. A análise ultra-estrutural mostra que as fibras oxitalânicas (menos elásticas) se co-localizam com fibras colagênicas finas no endomísio e perimísio, enquanto que a presença de fibrilas colágenas mais grossas coincide com fibras elásticas e elaunínicas (com mais elasticidade) no endo- e epicárdio. Estas observações sugerem que o sistema elástico, em co-evolução com o sistema colagênico, contribui para acomodar a diversidade funcional / The connective tissue elasticity has a protective function acting as a tensile spring during muscular work. Nevertheless, few is known about the distribution of the elastic system fibers in the heart. Considering that a) the study of the distribution of these fibers may help understand the cardiac mechanics, and b) rat models are used to study cardiac dysfunctions, our aim is to study the distribution of elastic system fibers in the ventricular endocardium, epicardium and myocardium of normal rats. Histological tissue sections of left ventricle (obtained from adult rats) were studied by comparing the typical ultrastructural picture of each of the fiber types with Resorcinfuchsin staining technique for light microscopy. The ultrastructural observation was made in tissues fixed with tannic acid-glutaraldehyde, which provided a reliable means to identify the elastic system fibers, as oxytalan, elaunin and elastic fibers. A semiquantitative evaluation was performed. The analysis of the histological sections stained by Resorcin-fuchsin technique after oxidation shows a stratum of elastic system fibers in close association to the endothelium in the endocardium and to the mesothelium in the epicardium. When observed at the transmission electron microscope, it was possible to see that in both locations the elastic system fibers are arranged in two orthogonally disposed layers. At the ultrastructural level, the epimysium presents fibroblasts, thick collagen, elaunin and elastic fibers interspersed in the amorphous substance. In the perimysium, the electron microscope disclosed a great amount of microfibrils, surrounding all fibrilar components: elastic fibers, elaunin fibers and even collagen fibers. Frequently, at this location, the microfibrils are closely packed, forming bundles devoid of elastin that correspond to the ultrasctructural picture of the oxytalan fibers. The endomysium is rich in oxytalan fibers in a close association with the basal lamina of the myocytes. A microfibrilar network interconnects the endomysium elements each other. In spite of the functional implications being speculative, the differential distribution of the elastic system fibers in the compartments of the ventricular wall suggests that the differences in elasticity provide biomechanical versatility to the intire system. Ultrastructural analysis shows that oxytalan fibres and thin collagen fibrils are co-localized in endomysium and perimysium, whereas, the presence of thicker collagen fibrils coincides with elaunin and elastic fibers in endo- and epicardium. These specific co-localizations suggest that elastic system, in co-evolution with collagen, has contributed to accommodating functional diversity
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Identification and Phenotypic Plasticity of Metastatic Cells in a Mouse Model of MelanomaLi, Xiaoshuang 16 June 2017 (has links)
Melanoma is the deadliest form of skin cancer due to its high propensity to metastasize and resistance to current therapies. We have created a spontaneous mouse model of metastatic melanoma (Dct-Grm1/K5-Edn3) where metastasis to the lungs is 80% penetrant. The primary tumors of these mice present cellular heterogeneity with cells at varying levels of differentiation. The main goal of this study was to determine the metastatic potential of the primary tumor resident Tyrosinase positive cells and evaluate the dynamic phenotypic changes as those cells move from the primary tumors to the sites of metastasis. To accomplish this aim I crossed the Dct-Grm1/K5-Edn3 mice to CreERT2/mT/mG mice to indelibly label Tyrosinase cell populations within the primary tumor with Green Fluorescent Protein (GFP) by topical application of 4-hydroxytamoxifen (4HT) at the tumor site. In vivo lineage tracing and characterization of GFP+ cells were performed in the metastatic lesions.
In the 4HT treated Dct-Grm1/ K5-Edn3/Tyr-CreERT2/mT/mG mice, primary tumor derived Tyrosinase positive cells or their progeny (GFP+) established successful metastases in the distant organs indicating the tumorigenic capacity of the differentiated cell populations. Numerous metastatic melanoma cells were identified in the vasculature of the metastatic organs and established close association with the vascular endothelium. The intravascular cells lost pigmentation and did not express melanocytic markers; however, they mimicked endothelial cell properties and gained the expression of CD31 (also known as platelet endothelial cell adhesion molecule PECAM-1) and vascular endothelial (VE)-Cadherin. In the lung metastatic foci, GFP+ cells resumed pigmentation production and lost the expression of endothelial cell markers. Evidence from other metastatic organs in the mice further supported the phenotypic plasticity of metastatic melanoma cells.
The in vivo lineage tracing system established in the melanoma mouse model revealed tumor phenotypic plasticity and will be a powerful model to evaluate and help us understand the etiology and pathogenesis of melanoma metastasis. Further characterization of those more aggressive cells in melanoma will allow for the development of new prognostic tests and novel therapeutic strategies to eliminate metastasis.
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Differential Diagnosis of Pan-Uveitis: Behçet’s DiseaseBlosser, Peter, Simon, Remil, Ridner, Courtney 05 April 2018 (has links)
This report describes the case of a 56-year-old man who presented with blurry vision, increased intraocular pressure, and conjunctival injection after posterior chamber intraocular lens implantation. Initially post-operative endophalmitis and foreign body inflammation were considered as differential diagnoses, but after further examination pan-uveitis was diagnosed. Uveitis is an ocular finding that may indicate several diseases, one of which is Behçet’s Disease. During the interview, the patient mentioned a history of apthous ulcers and genital ulcers which then lead to the clinical diagnosis of Behçet’s Disease. This report emphasizes that Behçet’s Disease is rare in Caucasians. Therefore, is frequently misdiagnosed in North America due to variable presentations and by not exploring the option when analyzing differential diagnoses. Early diagnosis and intervention will prevent the development of blindness and fatality due to complications of the disease.
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Studies of <em>Leishmania major</em> Pteridine Reductase 1, a Novel Short Chain DehydrogenaseLuba, James 01 September 1997 (has links)
Pteridine reductase 1 (PTR1) is an NADPH dependent reductase that catalyzes the reduction of several pterins and folates. The gene encoding this enzyme was originally identified in Leishmania based on its ability to provide resistance to the drug methotrexate (MTX). The DNA and amino acid sequences are known, and overproducing strains of Escherichia coli are available. PTR1 has been previously shown to be required for the salvage of oxidized pteridines (folate, biopterin, and others). Since Leishmaniaare folate and pterin auxotrophes, PTR1 is a possible target for novel anti-folate drugs for the treatment of leishmaniasis.
PTR1 catalyzes the transfer of hydride from NADPH to the 2-amino-4-oxo-pteridine ring system yielding 7, 8-dihydropteridines, and to the pteridine ring system of 7, 8-dihydropteridines yielding 5,6, 7, 8-tetrahydropteridines. PTR1 shows a pH dependent substrate specificity. At pH 4.6 the specific activity of PTR1 is highest with pterins, while at pH 6.0 the specific activity of PTR1 was highest with folates.
The sequence of PTR1 is only 20-30% homologous to the sequences of members of the short chain dehydrogenase/reductase enzyme family. Although this is typical for members of this enzyme family, it does not allow for unambiguous classification in this family. In fact, when the DNA sequence of PTR1was first determined, PTR1 was classified as an aldoketo reductase. To classify PTR1 definitively, further biochemical characterization was required. To provide this information, the work described here was undertaken: (i) the stereochemical and kinetic course of PTR1 was determined; (ii) residues important in catalysis and ligand binding were identified; and (iii) conditions for the crystallization of PTR1 were developed.
The stereochemistry of hydride transfer
The use of [3H]-folate, showed that the ultimate product of PTR1 was 5, 6, 7, 8-tetrahydrofolate. 4R-[3H]-NADPH and 4S-[3H]-NADPH were synthesized enzymatically and used as the cofactor for the reduction of folate. PTR1 was coupled to thymidylate synthase (TS), and tritium from 4S-[3H]-NADPH was transferred to thymidylate. Therefore, the pro-S hydride of NADPH was transferred to the si face of dihydrofolate (DHF; see figure I-1). The transfer of the pro-Shydride indicates that PTR1 is a B-side dehydrogenase which is consistent with its membership in the short chain dehydrogenase (SDR) family.
The kinetic mechanism of PTR1
When NADPH was varied at several fixed concentrations of folate (and vice-versa) V/K (Vmax/KM) showed a dependence upon concentration of the fixed substrate. This is consistent with a ternary complex mechanism, in contrast to a substituted enzyme mechanism that exhibits no dependence of V/K on fixed substrate. Product inhibition patterns using NADP+ and 5-deazatetrahydrofolate (5dTHF, a stable product analog) were consistent with an ordered ternary complex mechanism in which NADPH binds first and NADP+ dissociates last. However, an enzyme-DHF binary complex was detected by fluorescence. Isotope partitioning experiments showed that the enzyme-DHF binary complex was not catalytically competent whereas the enzyme-NADPH complex was. Measurement of the tritium isotope effect on V/K (T(V/K)) at high and low dihydrofolate confirmed that PTR1 proceeds via a steady state ordered mechanism. Rapid quench analysis showed that dihydrofolate was a transient intermediate during the reduction of folate to tetrahydrofolate and that folate reduction is biphasic.
Catalytic Residues of PTR1
The amino acid sequences of dihydropteridine reductase and 3-α, 20-β, hydroxy steroid dehydrogenase were aligned to that of PTR1. Based on the results of the alignment, site directed mutagenesis was used to investigate the role of specific residues in the catalytic cycle of PTR1. Variant enzymes were screened based on their ability to rescue a dihydrofolate reductase (DHFR) deficient strain of E. coli. Selected PTR1 variants (some complementing and some non-complementing) were purified and further characterized. Tyrosine 193 of the wild type enzyme was found to be involved in the reduction of pteridines, but not in the reduction of 7, 8-dihydropteridines, and eliminated the substrate inhibition of 7, 8-dihydropteridines observed with the wild type enzyme. Both PTR1(K197Q) and PTR1(Y193F/K197Q) had decreased activity for all substrates and low affinity for NADPH. In contrast to the wild type enzyme, NADPH displayed substrate inhibition towards PTR1(K197Q). All PTR1(D180) variants that were purified were inactive except for PTR1(D180C), which showed 2.5% of wild type activity with DHF. The binary complexes of PTR1(D180A) and PTR1(D180S) with NADPH showed a decrease in affinity for folate. Based on the kinetic properties of the PTR1 variants, roles for Y193, K197, and D180 are proposed. In conjunction with D180, Y193 acts as a proton donor to N8 of folate. K197 forms hydrogen bonds with NADPH in the active site and lowers the pKaof Y193. D180 participates in the protonation of N8 of folate and N5 of DHF.
Crystallization of PTR1 and PTR1-ligand complexes
The crystallization of PTR1 from L. major and L. tarentolea as unliganded and as binary and ternary complexes was attempted. Several crystal forms were obtained including L. major PTR1-NADPH-MTX crystals that diffracted to ~ 3.2 Å resolution. It was not possible to collect a full data set of any of the crystals. At their current stage, none of the crystal forms is suitable for structural work.
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The Effect of Age on Amino Acid Delivery to TendonSamantha C Couture (8714826) 17 April 2020 (has links)
<div>As the soft tissue that transmits muscular forces to the bony skeleton, tendons play a key role in the human musculoskeletal system and must adapt over time to repeated mechanical loads to maintain functionality. Resistance exercise is one of the primary stimuli for increases in tendon size and strength in healthy, young individuals, but similar benefits are not observed in healthy, aged tendon. This failure in the elderly to adapt, along with the fact that tendons inevitably decline in morphology and function with age, puts older individuals at an increased risk of poor tendon health, subsequent injury, and a compromised quality of life. Alternative strategies to preserve and strengthen aged tendon has gone largely unexplored, highlighting a critical need to determine an effective stimulus for tendon adaptations in aging populations</div><div>The purpose of this study was to determine if age impacts the delivery of orally-consumed amino acids (AA) to the peritendinous Achilles space. If so, this investigation could serve as the foundation for future studies to evaluate the efficacy of supplemental amino acids for inducing positive adaptations in tendon during exercise. Furthermore, an enzyme-linked immunosorbent assay (ELISA) was performed to quantitively measure procollagen, a precursor of collagen, in the samples to evaluate the impact on supplemental amino acids on collagen synthesis. </div><div>To assess amino acid delivery, a microdialysis fiber was inserted into the peritendinous space anterior to the Achilles tendon in healthy young (n = 7, 21-30 years) and elderly (n = 6, 60-75 years) men and women after a twelve-hour fast. After baseline collection, subjects consumed a non-caloric, noncaffeinated AA beverage (16.65 g). Microdialysis samples were collected every fifteen minutes for four hours and analyzed using reverse-phase high-performance liquid chromatography. </div><div>Amino acid delivery to the peritendinous space was not compromised with age, and the administration of amino acids upregulated procollagen synthesis significantly more in healthy, elderly subjects than in those that are healthy and young. Though preliminary, these findings provide a strong foundation for future studies assessing the impact of amino acid supplementation as novel impetus for tendon adaptations in the elderly. </div><div><br></div>
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Understanding regulatory factors in the skin during vitiligoEssien, Kingsley I. 08 December 2018 (has links)
Vitiligo is an autoimmune disease of the skin characterized by epidermal depigmentation that results from CD8+ T cell-mediated destruction of pigment producing melanocytes. Vitiligo affects up to 1% of the population and current treatments are moderately effective at facilitating repigmentation by suppressing cutaneous autoimmune inflammation to promote melanocyte regeneration. In order to cause disease, CD8+ T cells must overwhelm the mechanisms of peripheral tolerance in the skin and if we understand the suppressive mechanisms that are compromised during vitiligo, we can potentially use this information to improve existing treatments or engineer novel interventions. Therefore, my goal is to characterize the regulatory factors in the skin that suppress depigmentation during vitiligo. Our lab has developed a mouse model of vitiligo that accurately reflects human disease and I used this model to demonstrate that regulatory T cells suppress CD8+ T cell-mediated depigmentation and interact with CD8+ T cells in the skin during vitiligo. In this model of disease, I investigated the molecules involved in regulatory T cell function and observed that the chemokine receptors CCR5 and CCR6 play different roles in regulatory T cell suppression. While CCR6 facilitates regulatory T cell migration to the skin, CCR5 is dispensable for migration but required for optimal regulatory T cell function. Additionally, I used our mouse model to demonstrate that Langerhans cells suppress the incidence of disease during vitiligo. Taken together the results from these studies provide novel insights into the mechanisms of suppression during vitiligo.
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Investigating the effects of altered blood flow, force, wrist posture, finger movement speed, and population on motion and blood flow in the carpal tunnel / Motion and blood flow in the carpal tunnelWong, Andrew January 2021 (has links)
Data from the McMaster Occupational Biomechanics Laboratory were consolidated to evaluate overall trends relating to tissue motion and blood flow in the carpal tunnel. Regarding tissue motion, displacements of the flexor digitorum superficialis (FDS) tendon and its subsynovial connective tissue (SSCT) were found to decrease with greater movement speed and a flexed wrist posture. Notably, changes to shear outcomes including relative tendon-SSCT displacement, the shear strain index (SSI), and maximum velocity ratio (MVR) demonstrate that greater movement speed contributes to SSCT damage according to the shear strain mechanism of injury theorised to promote carpal tunnel syndrome (CTS). Median nerve blood flow was also found to be implicated by wrist flexion, and appeared to decrease with greater CTS severity status. Finally, induced blood flow alteration of the carpal tunnel was found to elicit a median nerve blood flow response similar to the level found in CTS subjects, confirming its effectiveness as an intervention to study tissue motion in a CTS-like state. The influence of altered blood flow on tissue motion was differential, where the higher supradiastolic condition altered FDS displacement, and the lower subdiastolic condition affected SSCT displacement and SSI. These findings provide valuable evidence for changes in median nerve blood flow—and by extension, the local fluid environment within the carpal tunnel—not only being a consequence of SSCT fibrosis characteristic of CTS, but potentially also acting as a cause for said changes in carpal tunnel tissue motion. / Thesis / Master of Science in Kinesiology / This thesis aimed to evaluate and summarize key findings from the McMaster Occupational Biomechanics Laboratory relating to tissue motion and blood flow in the carpal tunnel. Performing repetitive finger movements faster and with a flexed wrist posture were found to decrease the distance travelled of the underlying finger tendon. Blood flow of the median nerve, which is implicated in carpal tunnel syndrome (CTS), is higher with forceful exertion and flexed wrist posture, and lower with greater severity of CTS. Finally, altering blood flow to the carpal tunnel was found to create a CTS-like environment, affected tissue motion in the carpal tunnel, and promoted movement disparity between these tissues that is associated with injury. This suggests that fluid/blood flow changes affecting the carpal tunnel is a plausible mechanism for increasing the likelihood of developing CTS.
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Connective Tissue Growth Factor in PancreatitisCharrier, Alyssa 09 August 2013 (has links)
No description available.
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