19 research outputs found

    Saude mental na estrategia saude da familia : revisao da literatura brasileira = Mental health in the Family Health Strategy : a review of Brazilian literature

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    The Family Health Strategy establishes the principles of the Brazilian Primary Health Care and shares important goals with the Psychiatric Reform. The principles of territory-centered care and longitudinal care should enhance innovative actions of mental health promotion, prevention and rehabilitation. The aim of this review was to analyze the main themes approached by the Brazilian scientific literature concerning mental health in the Family Health Strategy. We read the titles of 267 articles published between 1999 and 2009. We followed specific criteria to select 38 articles for thematic analysis. The main themes were the demands in mental health, the perceptions and practices of health personnel and the role of the psychologist in Primary Care. The publications identified several problems: stereotypical views about mental disorders, the dominance of the hospitalization rationale, and the absence of clinical reports, strategies, qualified support to families and integrated health actions. The qualitative meta-analysis indicated questions that may strengthen the debate on the topic, the reflection on further research and on professional practice in the interface between Mental Health and Family Health

    Unraveling White Adipose Tissue Heterogeneity and Obesity by Adipose Stem/Stromal Cell Biology and 3D Culture Models

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    The immune and endocrine dysfunctions of white adipose tissue are a hallmark of metabolic disorders such as obesity and type 2 diabetes. In humans, white adipose tissue comprises distinct depots broadly distributed under the skin (hypodermis) and as internal depots (visceral). Depot-specific ASCs could account for visceral and subcutaneous adipose tissue properties, by regulating adipogenesis and immunomodulation. More importantly, visceral and subcutaneous depots account for distinct contributions to obesity and its metabolic comorbidities. Recently, distinct ASCs subpopulations were also described in subcutaneous adipose tissue. Interestingly, the superficial layer closer to the dermis shows hyperplastic and angiogenic capacities, whereas the deep layer is considered as having inflammatory properties similar to visceral. The aim of this focus review is to bring the light of recent discoveries into white adipose tissue heterogeneity together with the biology of distinct ASCs subpopulations and to explore adipose tissue 3D models revealing their advantages, disadvantages, and contributions to elucidate the role of ASCs in obesity development. Recent advances in adipose tissue organoids opened an avenue of possibilities to recreate the main cellular and molecular events of obesity leading to a deep understanding of this inflammatory disease besides contributing to drug discovery. Furthermore, 3D organ-on-a-chip will add reproducibility to these adipose tissue models contributing to their translation to the pharmaceutical industry

    Design, Fabrication, and Application of Mini-Scaffolds for Cell Components in Tissue Engineering

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    The concept of “lockyballs” or interlockable mini-scaffolds fabricated by two-photon polymerization from biodegradable polymers for the encagement of tissue spheroids and their delivery into the desired location in the human body has been recently introduced. In order to improve control of delivery, positioning, and assembly of mini-scaffolds with tissue spheroids inside, they must be functionalized. This review describes the design, fabrication, and functionalization of mini-scaffolds as well as perspectives on their application in tissue engineering for precisely controlled cell and mini-tissue delivery and patterning. The development of functionalized mini-scaffolds advances the original concept of “lockyballs” and opens exciting new prospectives for mini-scaffolds’ applications in tissue engineering and regenerative medicine and their eventual clinical translation

    Stromal-vascular fraction content and adipose stem cell behavior are altered in morbid obese and post bariatric surgery ex-obese women

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    Made available in DSpace on 2015-08-19T13:49:20Z (GMT). No. of bitstreams: 2 license.txt: 1914 bytes, checksum: 7d48279ffeed55da8dfe2f8e81f3b81f (MD5) sally_liechocki_etal_IOC_2015.pdf: 2915552 bytes, checksum: 8af3b1c114a5e8427115a01866e373f5 (MD5) Previous issue date: 2015Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Xerém em Biologia (Numpex-Bio). Duque de Caxias, RJ, Brasil / Instituto Nacional de Metrologia, Qualidade e Tecnologia (Inmetro). Diretoria de Programas. Programa de Engenharia. Duque de Caxias, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro.Hospital Universitário Clementino Fraga Filho. Departamento de Nutrologia. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro.Hospital Universitário Clementino Fraga Filho. Serviço de Cirurgia Plástica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunofarmacologia. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Metrologia, Qualidade e Tecnologia (Inmetro). Diretoria de Programas. Programa de Bioengenharia. Duque de Caxias, RJ, Brasil.Universidade Federal do Rio de Janeiro. Programa de Pós-Graduação em Clínica Médica. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Xerém em Biologia (Numpex-Bio). Duque de Caxias, RJ, Brasil / Instituto Nacional de Metrologia, Qualidade e Tecnologia (Inmetro). Diretoria de Programas. Programa de Engenharia. Duque de Caxias, RJ, Brasil.Introduction: Subcutaneous adipose tissue is an interesting source of autologous stem cells with a fundamental role in the pathophysiology of obesity, metabolic syndromes and insulin resistance. We hypothesize that obesity could alter the stromal-vascular fraction (SVF) and adipose stem cell (ASCs) functions, which could compromise its regenerative behavior. Furthermore, we aimed to evaluate whether ASCs derived from post bariatric surgery ex-obese women maintain their functions in a similar fashion as do those from individuals who have never been obese. Methods: The SVF of subcutaneous adipose tissue from control (n = 6, body mass index – BMI - 27.5 ± 0.5 kg/m2), obese (n = 12, BMI 46.2 ± 5.1 kg/m2) and post bariatric surgery ex-obese (n = 7, initial BMI 47.8 ± 1.3 kg/m2; final BMI 28.1 ± 1.1 kg/m2) women were isolated and evaluated by flow cytometry. ASCs were tested for lipid accumulation by perilipin, adipose differentiation-related protein (ADRP) and Oil Red O staining after adipogenic stimulus. The cytokines secreted by the ASCs and after lipid accumulation induction were also evaluated. Results: The subcutaneous adipose tissue of obese and post bariatric surgery ex-obese women was enriched in pericytes (p = 0.0345). The number of supra-adventitial cells was not altered in the obese patients, but it was highly enriched in the post bariatric surgery ex-obese women (p = 0.0099). The ASCs of the post bariatric surgery ex-obese patients secreted more MCP-1 (monocyte chemoattractant protein-1; p = 0.0078). After lipid accumulation induction, the ASCs of the patients in all groups secreted less IL-6 than the ASCs with no adipogenic stimulus (p < 0.0001). Obese ASCs with lipid accumulation secreted the highest amount of IL-6 (p < 0.001) whereas the ASCs from the controls secreted the highest amount of adiponectin (p < 0.0001). The ASCs from the post bariatric surgery ex-obese patients showed the highest levels of lipid accumulation whereas those from the obese women had the lowest levels (p < 0.0001). Conclusions: SVF content and ASC behavior are altered in the subcutaneous adipose tissue of morbid obese women; these changes are not completely restored after bariatric surgery-induced weight loss. The cellular alterations described in this study could affect the regenerative effects of adipose stem cells. Further investigations are required to avoid jeopardizing the development of autologous stem cell-based therapies

    Successful Low-Cost Scaffold-Free Cartilage Tissue Engineering Using Human Cartilage Progenitor Cell Spheroids Formed by Micromolded Nonadhesive Hydrogel

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    The scaffold-free tissue engineering using spheroids is pointed out as an approach for optimizing the delivery system of cartilage construct. In this study, we aimed to evaluate the micromolded nonadhesive hydrogel (MicroTissues®) for spheroid compaction (2-day culture) and spontaneous chondrogenesis (21-day culture) using cartilage progenitors cells (CPCs) from human nasal septum without chondrogenic stimulus. CPC spheroids showed diameter stability (486 μm ± 65), high percentage of viable cells (88.1 ± 2.1), and low percentage of apoptotic cells (2.3%). After spheroid compaction, the synthesis of TGF-β1, TGF-β2, and TGF-β3 was significantly higher compared to monolayer (p<0.005). Biomechanical assay revealed that the maximum forces applied to spheroids after chondrogenesis were 2.6 times higher than for those cultured for 2 days. After spontaneous chondrogenesis, CPC spheroids were entirely positive for N-cadherin, collagen type II and type VI, and aggrecan and chondroitin sulfate. Comparing to monolayer, the expression of SOX5 and SOX6 genes analyzed by qPCR was significantly upregulated (p<0.01). Finally, we observed the capacity of CPC spheroids starting to fuse. To the best of our knowledge, this is the first time in the scientific literature that human CPC spheroids were formed by micromolded nonadhesive hydrogel, achieving a successful scaffold-free cartilage engineering without chondrogenic stimulus (low cost)

    Third Strategy in Tissue Engineering: Tissue Spheroids Encaged into Microscaffolds

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    Tissue engineering is a biomedical technology of artificial development of living three-dimensional human tissues and organs. Tissue engineering is based on two distinct premises. First more conventional approach uses solid biodegradable porous scaffolds as a temporal supporting framework for living cells attachment and sequential formation of three-dimensional tissue whereas second emerging approach is a solid scaffold-free directed tissue self-assembly with using tissue spheroids or microtissues as building blocks. In this paper novel hybrid approach or so-called third strategy in tissue engineering which combines advantages of first and second approaches is presented. The novel concept of lockyballs or tissue spheroids encaged into interlockable synthetic microscaffolds is described.Published versio

    Biofabrication of human ASCs spheroid into lockyballs.

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    <p>Micro-molded resections showing (A, B, C) one, (D, E, F) two or (G, H, I) three lockyballs. Note that all spheroids are inside lockyballs. (D-I) Resections showing interlocking. (A, D, G) Light microscopy, (B, E, H) Green: autofluorescent lockyballs due to autofluorescence of photo-polymerized biomaterial (C, F, I) Merge of pictures: light microscopy, DAPI staining (blue), green. Bar size: 100 micrometers.</p
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