A doença de Chagas ainda permanece como um importante problema de saúde em regiões endêmicas na América Latina, onde se estima 8 a 10 milhões de infectados. A isquemia microvascular é frequente na cardiomiopatia chagásica crônica (CCC) e pode estar envolvida nos processos fisiopatogênicos que levam à disfunção sistólica ventricular esquerda (DSVE). Lança-se a hipótese que a redução da isquemia microvascular possa atenuar a progressão da DSVE na CCC. Desta forma, nosso objetivo foi avaliar os efeitos do uso prolongado do dipiridamol (DIPI), um agente vasodilatador da microcirculação coronária, sobre a perfusão miocárdica e sobre a função sistólica do ventrículo esquerdo mediante emprego de métodos de imagem in vivo. Foram utilizados 60 hamsters fêmeas adultas divididas em: animais infectados com T. cruzi e tratados com DIPI (Chagas + DIPI, n=15); infectados tratados com placebo (Chagas + Placebo, n=15); animais não infectados, tratados com DIPI (Controle + DIPI, n=15) e tratados com placebo (Controle + placebo, n=15). Após 6 meses de infecção (condição basal), os animais foram submetidos a ecocardiograma e a cintilografia de perfusão miocárdica por SPECT com Sestamibi-Tc99m. Em seguida, foram tratados com injeções intraperitoneais de DIPI (4mg/Kg) duas vezes ao dia ou igual volume de salina, durante 30 dias. Após o tratamento, os animais foram reavaliados com os mesmos métodos de imagem e a seguir sofreram eutanásia e o tecido cardíaco foi preparado para análise histológica quantitativa para extensão de fibrose (coloração de picrosírius vermelho) e do infiltrado inflamatório (coloração de hematoxilinaeosina). Na condição basal os animais do grupo Chagas + placebo e Chagas + DIPI apresentaram maior área de defeito de perfusão (19,2 ± 5,4% e 20,9 ± 4,2%, respectivamente, quando comparados aos grupos controle + placebo e controle + DIPI (3,8 ± 0,7% e 3,6 ± 0,9%, respectivamente), p=0<0,05, mas valores semelhantes de fração de ejeção do ventrículo esquerdo (FEVE), p=0,3, e de diâmetro diastólico do ventrículo esquerdo (DdVE,), p=0,2. Após o tratamento, observou-se redução significativa dos defeitos de perfusão somente no grupo Chagas + DIPI (p=0,02). Quando comparados os valores basais e após tratamento, os animais dos grupos Chagas + DIPI e Chagas + placebo apresentaram redução da FEVE (65,3 ± 2,5% para 53,6 ± 1,9% e 69,3 ± 1,4% para 54,4 ± 2,5%, respectivamente (p<0,001), e aumento do DdVE de 0,68 ± 0,5 cm para 0,76 ±0,17 cm e 0,64 ± 0,01 cm para 0,71 ± 0,23 cm, respectivamente (p<0,002). Na análise histológica quantitativa, observou-se maior número de núcleos de células inflamatórias mononucleares nos grupos Chagas + DIPI (998,1 ± 116,0 cel/mm²) e Chagas + Placebo (1191,4 ± 133,2 cel/mm²) quando comparados aos grupos Controle + DIPI (396,5 ± 28,3 cel/mm²) e Controle + Placebo (257,1 ± 21,6 cel/mm²), p=0,05. A porcentagem de fibrose foi maior nos grupos Chagas + DIPI (4,7 ± 0,4%) e Chagas + Placebo (5,4 ± 0,2%) quando comparados com o grupo controle + Placebo (3,2 ± 0,3%). Não houve diferença entre os grupos Chagas + DIPI e Chagas + Placebo em ambas as variáveis da histologia. Conclusões: O uso prolongado de DIPI em animais com CCC associou-se à significativa redução dos defeitos de perfusão miocárdica avaliados in vivo. Contudo, a resolução da isquemia microvascular mediante emprego de DIPI não impediu a progressão da disfunção ventricular esquerda. Esses resultados sugerem que a isquemia microvascular não seja um mecanismo lesivo miocárdico central no complexo fisiopatogênico neste modelo de CCC. É plausível supor que a isquemia microvascular seja um marcador da presença de processo lesivo subjacente, provavelmente de natureza inflamatória. / Chagas disease continues to be an important public health problem in endemic regions of Latin America, where 8 to 10 million infected people are estimated to live. Microvascular ischemia is frequent in chronic chagasic cardiomyopathy (CCC) and may be involved in the physiopathogenic processes that lead to left ventricular systolic dysfunction (LVSD). The hypothesis is raised that reduction of microvascular ischemia may attenuate the progression of LVSD in CCC. Thus, our objective was to assess the effects of prolonged use of dipyridamole (DIPY), a coronary microvascular dilator agent, on myocardial perfusion and on left ventricular systolic function using imaging methods in vivo. A total of 60 adult female hamsters were divided into the following groups: T. cruzi-infected animals treated with DIPY (Chagas + DIPY, n=15); infected animals treated with placebo (Chagas + Placebo, n=15); uninfected animals treated with DIPY (Control + DIPY, n=15) and treated with placebo (Control + placebo, n=15). After 6 months of infection (baseline condition), the animals were submitted to an echocardiogram and to rest myocardial perfusion scintigraphy by SPECT with SestamibiTc99m. Next, the animals were treated with intraperitoneal injections of DIPY (4 mg/kg) twice a day or with an equal volume of saline for 30 days. After treatment, the animals were reevaluated by the same imaging methods and euthanized. Cardiac tissue was prepared for quantitative histological analysis of the extent of fibrosis (picrosirius red staining) and of the inflammatory infiltrate (hematoxylin-eosin staining). At baseline, the group Chagas + placebo and Chagas + DIPY showed a larger area of perfusion defect (19.2 ± 5.4% and 20.9 ± 4.2%, respectively) compared to control + placebo and control + DIPY (3.8 ± 0.7% e 3.6 ± 0.9%, respectively), p<0.05, but similar left ventricular ejection fraction (LVEF), p=0.3, and left ventricular diastolic diameter (LVdD), p=0.2. After treatment, a significant reduction of perfusion defects was observed only in the Chagas + DIPY group (p=0.02). When the values after treatment were compared to baseline values, Chagas + DIPY and Chagas + placebo animals showed a reduction of LVEF (from 65.3 ± 2.5% to 53.6 ± 1.9% and from 69.3 ± 1.4% to 54.4 ± 2.%5, respectively), p<0.001, and an increase of LVdD from 0.68 ± 0,15 cm to 0.76 ± 0.17 cm and from 0.64 ± 0.01 cm to 0.70 ± 0,02 cm, respectively, p<0.002. Quantitative histological analysis revealed a larger number of nuclei of mononuclear inflammatory cells in the Chagas + DIPY (998.1 ± 116.0 cel/mm²) and Chagas + Placebo (1191.4 ± 133.2 cells/mm²) groups compared to the Control + DIPY (396.5 ± 28.3 cells/mm²) and Control + Placebo (257.1 ± 21.6 cells/mm²) groups, p=0.05. The percentage of fibrosis was higher in the Chagas + DIPY (4.7 ± 0.4%) and Chagas + Placebo (5.4 ± 0.2%) groups compared to the Control + Placebo group (3.2 ± 0.3%). There was no difference between the Chagas + DIPY and Chagas + Placebo groups regarding the two histological variables. Conclusions: The prolonged use of DIPY in animals with CCC was associated with a significant reduction of myocardial perfusion defects assessed in vivo. However, the resolution of microvascular ischemia with the use of DIPY did not prevent the progression of left ventricular dysfunction. These results suggest that microvascular ischemia may not be a central myocardial injury mechanism in the physiopathogenic complex of this CCC model. It is plausible to assume that microvascular ischemia may be a marker of the presence of an underlying injury process probably of an inflammatory nature.

Orientadores: Gláucia Maria Bovi Ambrosano, Solange Maria de Almeida Bóscolo / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-24T18:33:03Z (GMT). No. of bitstreams: 1 Argento_Rafaela_M.pdf: 2501458 bytes, checksum: 709aab5737ed57d32fb079e1ff7ed405 (MD5) Previous issue date: 2014 / Resumo: A radioterapia é uma modalidade terapêutica de tratamento contra neoplasias malignas, que pode ser usada isoladamente ou em conjunto com a quimioterapia e/ou cirurgia, tendo efeito curativo ou remissivo. Apesar de todos os benefícios, por não ser um tratamento específico, atinge células malignas e células saudáveis, podendo resultar em complicações. Assim, a radiação ionizante possui efeitos danosos, que podem ser agudos ou tardios. Quando o tumor maligno se encontra na região de cabeça e pescoço, os efeitos colaterais incluem mucosite, disfagia, xerostomia, digeusia, trismo, osteorradionecrose, entre outros. A polpa dental também está no campo de irradiação ou em suas imediações e, quando afetada, o dente pode ter resposta negativa ao teste de sensibilidade pulpar, sendo indicado o tratamento endodôntico ou mesmo a exodontia. Este trabalho teve por objetivo avaliar o efeito da radiação ionizante sobre o tecido pulpar de dentes de ratos Albinus Wistar por meio de análise morfológica. A amostra foi constituída por 35 ratos, que foram divididos em 7 grupos: o grupo controle (n=5), 3 grupos irradiados com 15 Gy (n=15) e 3 grupos irradiados com 25 Gy (n=15). Os grupos irradiados foram submetidos à dose única de radiação, e sacrificados 24 horas, 7 dias e 22 dias após a irradiação. Cinco animais do grupo irradiado com 25 Gy não sobreviveram por mais de 10 dias. A análise histológica dos cortes pelo método da hematoxilina e eosina não mostrou alterações como infiltrado inflamatório, edema ou fibrose, mas mostrou degeneração hialina nos vasos sanguíneos pulpares dos dentes irradiados, que foi estatisticamente significante (p<0,05). Concluiu-se que a radiação pode causar alterações vasculares no tecido pulpar / Abstract: Radiotherapy is a therapeutic modality for treatment against malignant neoplasms, which may be prescribed solely or together with chemotherapy and/or surgery; it has healing or remissive effects. Despite all the benefits, for not being a specific treatment it affects both malignant and healthy cells and complications may result; therefore, ionizing radiation has deleterious effects which may be acute or late. When a malignant tumor is found in the head and neck region the side effects include mucositis, dysphagia, xerostomia, dysgeusia, trismus, osteoradionecrosis, among others. The dental pulp also is in the radiation field or in its surroundings and when affected by radiation, the tooth may respond negatively to the pulp sensitivity test, in this case, it may receive the recommendation for endodontic treatment or even extraction. This work has aimed to evaluate the effects of ionizing radiation upon pulp tissue of Albinus Wistar rat teeth, by means of morphological analysis. The sample consisted of 35 rats divided into 7 groups: control group (n=5), 15 Gy irradiated groups (n=15) and 25 Gy irradiated groups (n=15). The irradiated groups were given a single dose of radiation and sacrificed after 24 hours, 7 days and 22 days. Five animals of the 25 Gy irradiated group did not survived for more than 10 days. The histological analysis of the slides, by the Hematoxylin-Eosin (HE) method, showed no changes such as inflammatory infiltrate, edema and fibrosis, though, it showed hyaline degeneration of pulpal blood vessels of irradiated teeth which was statistically significant (p<0,05). Therefore it can be concluded that radiation may cause vascular changes in pulpal tissue / Mestrado / Radiologia Odontologica / Mestra em Radiologia Odontológica

Red blood cells (RBCs) form approximately 40 to 45% of the human blood volume, and their behaviour and characteristics are the main determinant of blood properties, such as viscosity. RBCs are deformable species and stack together under low shear rate to form aggregates or rouleaux. Flowing RBCs migrate away from the wall leaving a cell-depleted layer known as the cell-free layer (CFL). This layer contributes to the blood viscosity and exchange between the RBCs and the target cells: a thinner CFL enhances the exchange process by reducing the diffusion distance. The formation of this CFL, however, is not yet completely understood. The goal of this study is to improve the understanding of the formation of the CFL in the micro-flow. This was accomplished by studying the effects of changing both the flow rate and the microchannel geometry on blood flow in microchannels. In this work, 10% hematocrit human blood suspensions were prepared in native plasma and flowed through poly-dimethylsiloxane (PDMS) microchannels of 100 μm x 34 μm cross-section. Investigation of the flowing cells was performed by using micro particle image velocimetry (μPIV) coupled with a high-speed camera. First, the high-speed camera images were processed with customized Matlab programs to detect and measure the CFL thickness and the RBC aggregates sizes. Second, the blood flow velocity profiles were measured using μPIV in order to determine the actual flow rate, the RBCs’ centerline velocity, and the shear rate. The results showed that the increase in both flow rate and shear rate significantly reduced the CFL thickness and RBC aggregates size. Comparison of the upstream and downstream measurements in the bifurcating microchannel showed that the change in microchannel geometry did not significantly influence CFL thickness and RBC aggregate size, while within the daughter branches, RBCs tended to flow close to the inner wall resulting in an undetectable CFL at the inner wall and in a larger CFL at the outer wall of the branch. These in vitro results quantitatively relate CFL thickness and RBC aggregate size at different shear rates. The findings are of immediate interest regarding the understanding of microcirculation and improved designs of microchips.

Master of Science / Department of Kinesiology / Timothy I. Musch / Advancing age alters the structural and functional determinants of convective and diffusive muscle oxygen (O[subscript]2) flux. However, capillary red blood cell (RBC) hemodynamics have not been investigated during contractions in muscles of old animals. PURPOSE: To test the hypothesis that aging induces significant alterations in capillary hemodynamics during electrically-induced contractions in the spinotrapezius muscle of old Fischer 344 x Brown Norway rats when compared to younger counterparts. METHODS: The spinotrapezius muscle was observed via intravital microscopy in 8 old (O: 26-30 months) and 5 young (Y: 6-8 months) animals. Wire electrodes elicited 1 Hz (6-8 volts) contractions for 3 minutes. RBC flux (FRBC), velocity (VRBC), capillary hematocrit (HCAP), and total microvascular O[subscript]2 delivery (QO[subscript]2m) were measured both at rest and during the steady-state of muscle contractions. RESULTS: At rest F[subscript]RBC and V[subscript]RBC were elevated in O compared to Y rats, while there was no difference in HCAP or QO[subscript]2m between groups. During the contracting steady-state, [Delta]F[subscript]RBC (Y: 28.8 [plus or minus] 7.7, O: -2.9 [plus or minus] 1.4 cells/s), [Delta]V[subscript]RBC (Y: 253 [plus or minus] 68, O: -4 [plus or minus] 15 [Mu]m/s), [Delta]H[subscript]CAP (Y: 0.02 [plus or minus] 0.02, O: -0.03 [plus or minus] 0.01 cells/[Mu]m), and [Delta]QO[subscript]2m (Y: 892 [plus or minus] 255, O: -24 [plus or minus] 30 cells/s/mm) cells/s/mm were all lower (P < 0.05) in O compared to Y rats. CONCLUSION: These results indicate that despite maintained total convective and diffusive O[subscript]2 transport at rest, advancing age results in significant alterations in capillary hemodynamics during electrically-induced contractions. These alterations likely contribute to the mechanisms responsible for the reduced exercise capacity commonly found in elderly populations.

Nous avons cherché à discerner les rôles respectifs de l’âge et de l’hypertension sur l’anatomie et la fonction des grosses et des petites artères en utilisant de nouvelles techniques non invasive. Au niveau macrovasculaire : En utilisant l’IRM aortique nous avons montré le rôle proéminent de l’âge et observé l’influence parallèle et combinée de l’âge et de l’hypertension sur la diminution de la rigidité. En utilisant la tonométrie de l’artère radiale nous avons montré des liens entre anatomie, fonction et athérosclérose dans une large population suggérant de nouvelles hypothèses pour relier fonction artérielle et risque cardiovasculaire Au niveau microvasculaire rétinien: Nous avons validé une nouvelle technologie d’imagerie de haute résolution: l’optique adaptative. Nous avons confirmé dans une large cohorte d’hypertendus la présence d’un remodelage eutrophique. Nous avons observé des variations à court terme de la lumière sans modification de la surface sectionnelle en cas de diminution de pression. Conjugués à la corrélation que nous avons établie entre le remodelage rétinien et les résistances périphériques totales, nos résultats plaident pour une part importante de remodelage fonctionnel. Avec le vieillissement, nous avons décrit un épaississement pariétal avec augmentation de la surface sectionnelle sans modification de la lumière. Nous avons confirmé la présence d’un remodelage hypertrophique chez les patients diabétiques. En conclusion : Nous avons validé et montré l’apport de nouvelles techniques d’imagerie artérielle non invasives sur de larges populations pour étudier le remodelage artériel dû à l’âge et aux facteurs de risque cardiovasculaires. / We’ve tried to decipher the respective roles of age and hypertension on anatomy and function of large and small arteries using new non invasive imaging techniques. Large arteries: Using Aortic MRI, we’ve shown the proeminent role of ageing on arterial stiffening as well as the parallel and combined influence of age and hypertension . Using radial artery tonometry, we’ve shown links between anatomy, function and atherosclerosis in a large population. This generates new hypothesis to link arterial function and cardiovascular risk. Retinal microcirculation: We’ve validated a new high resolution imaging technique : adaptive optics. We’ve confirmed in a large cohort of hypertensives the existence of an inward eutrophic remodeling. We’ve observed Blood pressure drop related short term vasodilatation without changes in wall cross section. Together with the relationship we also established between arteriolar remodeling and total peripheral resistances, our results advocate for an important part of functional remodeling in hypertension. With ageing, we’ve observed a parietal thickening with wall cross section increase without lumen modifications. We’ve also confirmed the presence of an hypertrophic remodeling in diabetic patients. In conclusion: We have validated and confirmed the added value of new arterial non invasive imaging techniques on large populations to study cardiovascular risk factors induced arterial remodeling

Notre laboratoire a récemment développé une méthode d'imagerie bi-photonique de phosphorescence en profondeur, pour mesurer la Po2 in vivo, avec une résolution micrométrique dans le cerveau de rongeurs anesthésiés (Parpaleix et al. 2013). Le laboratoire a également fait l'observation que la valeur de la Po2 à mi-distance entre deux érythrocytes d'un capillaire, rapporte indirectement la Po2 dans le tissu voisin. Mon projet de thèse a été de mettre au point une approche permettant de mesurer la Po2 cérébrale chez l'animal éveillé non-stressé. Pour ce faire, j'ai développé une approche chirurgicale permettant d'observer en microscopie bi-photonique, le bulbe olfactif et le cortex somato-sensoriel de souris éveillées. J'ai ensuite mis au point une technique d'entrainement permettant à ces souris d'être maintenues en contention en l'absence de stress. La première partie de mon travail, menée dans la couche glomérulaire, a permis de déterminer une Po2 érythrocytaire de 60.6 mm Hg et une Po2 tissulaire de 23 mm Hg, un flux érythrocytaire moyen de 30.6 cellules/s et un hématocrite moyen de 34.6 %.Dans un deuxième temps, j'ai reproduit ces mesures dans le cortex somato-sensoriel et observé des différences régionales touchant la Po2 tissulaire moyenne et les paramètres vasculaires, tels l'hématocrite et le flux érythrocytaire. Enfin, j'ai analysé combien l'anesthésie change l'état d'oxygénation cérébrale. Mes données, obtenues dans des conditions vraiment physiologiques, permettront d'améliorer les modèles de diffusion de l'oxygène, ainsi que l'analyse quantitative du métabolisme cérébral et l'interprétation de la nature des signaux mesurés en imagerie cérébrale humaine. / Two-photon phosphorescence lifetime microscopy allows depth-resolved micron-scale measurements of oxygen partial pressure (Po2) in the brain. The spatiotemporal resolution of these measurements has shown that the portion of capillary plasma in the vicinity of red blood cells (RBCs) has a higher Po2(Po2RBC) than that distant from RBCs(Po2InterRBC). Our group has shown that Po2InterRBC equilibrates with neuropil Po2 and can thus be used to non-invasively measure tissue Po2 (Parpaleix et al., 2013). The relevance of reported high-resolution Po2 values remains uncertain as measurements have only been performed during anaesthesia, which affects both neuronal activity and cerebral blood flow, and thus brain Po2.I measured Po2 at rest, in the awake, unstressed mouse in two brain regions, the olfactory bulb glomerular layer (GL) and the somatosensory cortex. The first section of my research, conducted in the GL, produced the first measurements of blood flow and Po2 parameters in the cerebral microvasculature in physiological conditions. I determined mean Po2 levels of values of 60.6 mmHg for Po2RBC, 23 mmHg for tissue Po2. In the cortex Po2 values show differences between the superficial layers. Furthermore the relationships of RBC Po2 and tissue Po2 to the blood flow parameters differed between the cortical layers, and also in comparison to the olfactory bulb GL.I compared both vascular and tissue Po2 between the awake and anaesthetised states, and observed that anaesthetics can dramatically change Po2 at the microvascular scale. This finding emphasises the importance of measuring these values in the physiologically normal brain.

The cerebral microcirculation consists of a complex network of small blood vessels that support nerve cells with oxygen and nutrition. The blood flow and oxygen delivery in the microcirculatory blood vessels are regulated through mechanisms which may be influenced or impaired by disease or brain damage resulting from conditions such as brain tumors, traumatic brain injury or subarachnoid hemorrhage (SAH). Monitoring of parameters relating to the microvascular circulation is therefore needed in the clinical setting. Optical techniques such as diffuse reflectance spectroscopy (DRS) and laser Doppler flowmetry (LDF) are capable of estimating the oxygen saturation (SO2) and tracking the microvascular blood flow (perfusion) using a fiber optic probe. This thesis presents the work carried out to adapt DRS and LDF for monitoring cerebral microcirculation in the human brain. A method for real-time estimation of SO2 in brain tissue was developed based on the P3 approximation of diffuse light transport and quadratic polynomial fit to the measured DRS signal. A custom-made fiberoptic probe was constructed for measurements during tumor surgery and in neurointensive care. Software modules with specific user interface for LDF and DRS were programmed to process, record and present parameters such as perfusion, total backscattered light, heart rate, pulsatility index, blood fraction and SO2 from acquired signals. The systems were evaluated on skin, and experimentally by using optical phantoms with properties mimicking brain tissue. The oxygen pressure (pO2) in the phantoms was regulated to track spectroscopic changes coupled with the level of SO2. Clinical evaluation was performed during intraoperative measurements during tumor surgery (n = 10) and stereotactic deep brain stimulation implantations (n = 20). The LDF and DRS systems were also successfully assessed in the neurointensive care unit for a patient treated for SAH. The cerebral autoregulation was studied by relating the parameters from the optical systems to signals from the standard monitoring equipment in neurointensive care. In summary, the presented work takes DRS and LDF one step further toward clinical use for optical monitoring of cerebral microcirculation.

Blood flow through microcirculation in both simple and complex geometry has been difficult to predict due to the composition and complex behavior of blood at the microscale. Blood is a dense suspension of deformable red blood cells that is comparable in dimensions to the microchannels that it flows through. As a result, rheological properties at the microscale can vastly differ from bulk rheological properties due to non-continuum effects. To further develop our understanding of blood microflow; experimental techniques should be explored. In this work, we explore micro-particle image velocimetry (μPIV) and two-beam fluorescence cross-correlation spectroscopy (2bFCCS) in the application of characterizing blood in microflow conditions. For the development of the μPIV analysis, a polydimethylsiloxane co-flow channel is used to observe blood flow in controlled conditions. Flow conditions (velocity profile and blood layer thickness) are selected based on an analytical model and compared to experimental measurement. The experimental results presented indicate that current flow conditions are inadequate in providing a controlled rate of shear on the blood layer in the co-flow channel and further optimization are required to improve the measurement of the velocity profile. For the development of the 2bFCCS application for blood flow analysis, a wide glass capillary microfluidic device is used to complete the verification of fluorescence fluid admissibility, the effect of laser intensity on inducing photobleaching and the velocity measurement performance. The experimental measurement of the velocity profile is validated against the theoretical profile for a rectangular channel. Results of the velocity profile of high concentration red blood cells show promise in the technique’s ability to measure blood microflows closer to physiological conditions.

Ce travail a été réalisé dans l’I. R. P. H. E. (Institut de Recherche sur les Phénomènes Hors Équilibre), unité de recherche de l’Université d’Aix-Marseille en collaboration avec l’Université de la Sarre, la Faculté de Physique Expérimentale. Cette étude est consacrée à une meilleure compréhension de la microcirculation du sang in vitro, ainsi que des phénomènes collectifs qui prennent place dans la microcirculation. Il se concentre principalement sur la margination en fonction du contrast de rigidité dans une suspension de globules rouges. L’expérience modale a été développée pour étudier la margination, causée exclusivement par le contraste de la déformabilité entre les deux sous-populations de globules rouges: les saines et les rigidifiées / This work was carried out in collaboration between I.R.P.H.E. (Institut de Recherche sur les Phénomènes Hors Équilibre), research unit of Aix-Marseille University and University of Saarland, Faculty of Experimental Physics (Naturwissenschaftlich-Technische Fakultät der Universität des Saarlandes) and aims to investigate microcirculatory hydrodynamics of blood in vitro. The study is dedicated to better understanding of complex collective phenomena that take place in microcirculation of blood through microfluidic in vitro experiments. It mainly focuses rigidity based margination in suspension of RBCs. For this purpose, model experiment was developed to examine margination caused exclusively by contrast of deformability between two sub-populations of RBCs

UNIVERZITA KARLOVA Lékařská fakulta v Plzni Dizertační práce Endothelial glycocalyx - diagnostic approach and intervention assessment MUDr.Jiří Pouska ABSTRACT Endothelial glycocalyx (EG) is fine structure on the surface of endothelium. After extensive research in past years, revisited Starling principle was finally formulated. It describes fluid physiology in capillaries precisely. EG has pivotal role in keeping endothelium semipermeable and thus avoiding extensive filtration of fluids to interstitium. Assessment of EG is clinically difficult. Many pathological conditions lead to damage of EG (sepsis etc.). Intravenous fluid therapy is mainstay of treatment of such conditions. Our aim was to determine the changes of EG integrity depending on the choice of intravenous fluid and its infusion time in physiological and pathological conditions. Key words: Endothelial glycocalyx, infusion therapy, anaesthesia, sepsis, microcirculation.