A utilização do tubo de ácido poliglicólico e FK506 na regeneração de nervos periféricos Use of polyglicolic acid tube associated with FK506 in regeneration of peripheral nerves

Grandes perdas de tecido neural não permitem a reparação através de anastomose primária. Nesses casos, a auto-enxertia de nervo é considerada tratamento de escolha. O tubo sintético à base de ácido poliglicólico é uma opção para enxertia de nervo. O FK506 é um imunossupressor que aumenta a taxa de regeneração neural "in vivo" e "in vitro". O objetivo deste trabalho foi comparar, em ratos, o grau de regeneração neural, utilizando análise histológica, contagem do número de axônios mielinizados regenerados e análise funcional, obtida com a interposição de enxerto autógeno (grupo A), tubo de ácido poliglicólico (grupo B) e da associação do tubo de ácido poliglicólico à administração de FK506 (grupo C) em defeitos de 5 mm no nervo ciático. Foi observado a formação de neuroma apenas no grupo A. Os grupos B e C apresentaram padrões histológicos semelhantes. A avaliação quantitativa do número de axônios mielinizados regenerados determinou que: 1) o grupo B apresentou em média um menor número em ralação aos demais grupos; 2) não houve diferença significativa entre o grupo controle A e o grupo C. Na recuperação funcional, não houve diferença estatisticamente significativa entre os três grupos, a despeito das diferenças histológicas qualitativas e quantitativas verificadas.<br>Extensive losses of neural tissue preclude the repair performed by means of primary anastomosis. In those cases, nerve autograft is considered as the treatment of choice. The synthetic tube constituted by polyglycoic acid is an option for nerve graft. The FK506 is an immunosuppressive agent, which increases the neural regeneration rates in vivo and in vitro. The purpose of this study was to compare, in rats, the degree of neural regeneration, by using histological analysis, a count of the number of regenerated myelinated axons, and a functional analysis, obtained by interposing the autogenous graft (group A), polyglycoic acid tube (group B) and a combination of polyglycoic acid tube with FK506 (group C) in 5-cm defects of the sciatic nerve. Neuroma formation was observed only in group A. Groups B and C presented similar histological patterns. The quantitative analysis of the number of regenerated myelinated axons has determined that: 1) group B presented, in average, a lower number when compared to the other groups; 2) there was no significant difference between control group A and group C. For functional recovery, there was no statistically significant change between the three groups, despite the qualitative and quantitative histological differences seen

Multiscale Modeling of Complex Dynamic Problems: An Overview and Recent Developments

Multiscale modeling aims to solve problems at the engineering (macro) scale while considering the complexity of the microstructure with minimum cost. Generally, two scales are considered in multiscale modeling: small scale, which is designed to capture the mechanical phenomena at the atomistic, molecular or molecular cluster level, and large scale which is connected to continuous description. For each scale, well-established numerical methods have been developed over the years to handle the relevant phenomena. As a first part of this paper, the most popular numerical methods, used at different scales, as well as the coupling approaches between them are classified, according to their features and applications, so that the place of those used in multiscale modeling can be distinguished. Subsequently, the class of concurrent discrete–continuum coupling approaches, which is well adapted for dynamic studies of complex multiscale problems, is reviewed. Several techniques used in this class are also detailed. Among them, the bridging domain (BD) technique is used to develop a discrete–continuum coupling approach, adapted for dynamic simulations, between the Discrete Element Method and the Constrained Natural Element Method (CNEM). This approach is applied to study the BD coupling parameters in dynamics. Several results giving more light on the setting of these parameters in practice are obtained