Idágene Aparecida Cestari

Prof. Idágene Aparecida Cestari


Research Focus & Metrics

Academic Career Length

9Years (2018-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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21 August 2020 in PLOS ONE
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Journal Article
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GMGustavo S. Marchini
Gustavo S. Marchini
ICIsmar N. Cestari
Ismar N. Cestari
VSVera M. C. Salemi
Vera M. C. Salemi
MIMaria Claudia Irigoyen
Maria Claudia Irigoyen
AAAlexandre Arnold
Alexandre Arnold
ICIdágene Aparecida Cestari
Idágene Aparecida Cestari
Diabetes can elicit direct deleterious effects on the myocardium, independent of coronary artery disease or hypertension. These cardiac disturbances are termed diabetic cardiomyopathy showing increased risk of heart failure with or without reduced ejection fraction. Presently, there is no specific treatment for this type of cardiomyopathy and in the case of type I diabetes, it may start in early childhood independent of glycemic control. We hypothesized that alterations in isolated myocyte contractility and cardiac function are present in the early stages of experimental diabetes in rats before overt changes in myocardium structure occur. Diabetes was induced by single-dose injection of streptozotocin (STZ) in rats with data collected from control and diabetic animals 3 weeks after injection. Left ventricle myocyte contractility was measured by single-cell length variation under electrical stimulation. Cardiac function and morphology were studied by high-resolution echocardiography with pulsed-wave tissue Doppler imaging (TDI) measurements and three-lead surface electrocardiogram. Triglycerides, cholesterol and liver enzyme levels were measured from plasma samples obtained from both groups. Myocardial collagen content and perivascular fibrosis of atria and ventricle were studied by histological analysis after picrosirius red staining. Diabetes resulted in altered contractility of isolated cardiac myocytes with increased contraction and relaxation time intervals. Echocardiography showed left atrium dilation, increased end-diastolic LV and posterior wall thickness, with reduced longitudinal systolic peak velocity (S’) of the septum mitral annulus at the apical four-chamber view obtained by TDI. Triglycerides, aspartate aminotransferase and alkaline phosphatase were elevated in diabetic animals. Intertitial collagen content was higher in atria of both groups and did not differ among control and diabetic animals. Perivascular intramyocardial arterioles collagen did not differ between groups. These results suggest that alterations in cardiac function are present in the early phase in this model of diabetes type 1 and occur before overt changes in myocardium structure appear as evaluated by intersticial collagen deposition and perivascular fibrosis of intramyocardial arterioles.

7 August 2024 in 3D Printing in Medicine
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Journal Article
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ASArthur K. F. Sakai
Arthur K. F. Sakai
ICIsmar N. Cestari
Ismar N. Cestari
ESEraldo de Sales
Eraldo de Sales
MMMarcelo Mazzetto
Marcelo Mazzetto
ICIdágene Aparecida Cestari
Idágene Aparecida Cestari
Introduction: The use of three-dimensional (3D) printed anatomic models is steadily increasing in research and as a tool for clinical decision-making. The mechanical properties of polymers and metamaterials were investigated to evaluate their application in mimicking the biomechanics of the aortic vessel wall. Methodology: Uniaxial tensile tests were performed to determine the elastic modulus, mechanical stress, and strain of 3D printed samples. We used a combination of materials, designed to mimic biological tissues’ properties, the rigid VeroTM family, and the flexible Agilus30™. Metamaterials were designed by tessellating unit cells that were used as lattice-reinforcement to tune their mechanical properties. The lattice-reinforcements were based on two groups of patterns, mainly responding to the movement between links/threads (chain and knitted) or to deformation (origami and diamond crystal). The mechanical properties of the printed materials were compared with the characteristics of healthy and aneurysmal aortas. Results: Uniaxial tensile tests showed that the use of a lattice-reinforcement increased rigidity and may increase the maximum stress generated. The pattern and material of the lattice-reinforcement may increase or reduce the strain at maximum stress, which is also affected by the base material used. Printed samples showed max stress ranging from 0.39 ± 0.01 MPa to 0.88 ± 0.02 MPa, and strain at max stress ranging from 70.44 ± 0.86% to 158.21 ± 8.99%. An example of an application was created by inserting a metamaterial designed as a lattice-reinforcement on a model of the aorta to simulate an abdominal aortic aneurysm. Conclusion: The maximum stresses obtained with the printed models were similar to those of aortic tissue reported in the literature, despite the fact that the models did not perfectly reproduce the biological tissue behavior.

10 December 2024 in Research on Biomedical Engineering
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Journal Article
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BSBruno Santos
Bruno Santos
ICIdágene Aparecida Cestari
Idágene Aparecida Cestari

18 June 2018 in Journal of Physics: Conference Series
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Conference Paper
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DSD.L. Sousa
D.L. Sousa
TCT.D. Cordeiro
T.D. Cordeiro
TMThamiles Melo
Thamiles Melo
JNJ.S. da Rocha Neto
J.S. da Rocha Neto
ICIdágene Aparecida Cestari
Idágene Aparecida Cestari
ALAntonio Lima
Antonio Lima
This paper presents a 0D model for the pulsatile pediatric Ventricular Assist Device (pVAD), as well as its characterization and test results obtained by using an experimental hydraulic system that provides operational conditions close to the physiological conditions observed in pediatric patients. The measurements of the physical quantities used in characterization of the pVAD have been obtained by using the LabVIEW platform. The air chamber pressure signal is used to model the pneumatic actuation system behaviour, whereas the pressure-volume relationship inside the blood chamber is applied to model the pVAD compliance. The set of test and validation results demonstrated the correctness of the proposed model.

2 June 2026 in bioRxiv
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Preprint
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RLRicardo Doll Lahuerta
Ricardo Doll Lahuerta
AMAyumi A. Miyakawa
Ayumi A. Miyakawa
MMMarina J. S. Maizato
Marina J. S. Maizato
RCRenato Crajoinas
Renato Crajoinas
BSBruno Durante da Silva
Bruno Durante da Silva
ICIdágene Aparecida Cestari
Idágene Aparecida Cestari
The aorta shows significant regional variation in geometry and composition. This complexity makes numerical modeling challenging, as it requires identifying material parameters. Typically, the Holzapfel-Gasser-Ogden model is used. However, it suffers from nonuniqueness and sensitivity to outliers, which can obscure biological variation. In addition, standard compressible formulations with a volumetric-isochoric split fail to couple volumetric and anisotropic responses. To address these issues, a regularized dual-estimation framework was introduced. This framework combines a global baseline estimator with local refinement while maintaining structural material continuity. Furthermore, it uses a Modified Anisotropic model to improve the representation of compressibility physics. For validation, the approach included uniaxial extension and protein quantification from Wistar rats. The results show that the proximal ascending/aortic-arch segment is most compliant at low stretch, whereas the abdominal aorta stiffens earlier and becomes fiber-dominated at lower stretch levels. Notably, these trends align directionally with regional composition. However, the fitted stress components are model-based descriptors rather than direct measurements of individual constituents.