73 research outputs found

    SAFETY AND EFFECTIVENESS OF INTRAARTICULAR ADMINISTRATION OF ADIPOSE-DERIVED STROMAL VASCULAR FRACTION FOR TREATMENT OF KNEE ARTICULAR CARTILAGE DEGENERATIVE DAMAGE: PRELIMINARY RESULTS OF A CLINICAL TRIAL

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    The incidence of knee osteoarthritis tends to increase every year and constitutes more than 83% of overall OA morbidity. Moreover, the OA morbidity among younger patients is also increasing. However, currently available treatment methods do not provide quite satisfactory outcomes.Purpose of the study – to evaluate safety and efficacy of intraarticular introduction of autologous adipose-derived stromal vascular fraction for treatment of knee osteoarthritis.Material and methods. By the moment of writing the present report, 28 patients were included into the study. All patients underwent tumescent liposuction under local anesthesia. The stromal vascular fraction was isolated from lipoaspirate within 1,5 hours after harvesting and subsequently injected into the articular cavity. Follow-up period was 6 months after injections. The authors report on efficacy data of 10 patients who completed the study according to protocol and safety data of all 28 patients. Efficacy was evaluated basing on laboratory assessments and patient’s subjective assessment by validated questionnaires.Results. Neither adverse reactions no adverse events were observed. Significant decrease of pain severity by VAS was noted in one week after injection and pain score continued decreasing during the whole follow up period. The increase of KOOS score was noted starting on the fifth week after injection. KSS part 1 score increased in 8 weeks, KSS part 2 score — in 6 months after injection. Physical health, assessed with SF-36 questionnaire significantly improved in 2 and 6 months after the procedure. There was a clear trend towards improvement of mental health.Conclusion. Preliminary results of clinical study suggest intraarticular injection of autologous adipose-derived stromal vascular fraction to be a safe and efficient method of the treatment of knee osteoarthritis

    Atomistic model of diopside–K-jadeite (CaMgSi2O6–KAlSi2O6) solid solution

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    Atomistic model was proposed to describe the thermodynamics of mixing in the diopside–K-jadeite solid solution (CaMgSi2O6–KAlSi2O6). The simulations were based on minimization of the latticeenergies of 800 structures within a 2 × 2 × 4 supercell of C2/c diopside with the compositions betweenCaMgSi2O6 and KAlSi2O6 and with variable degrees of order/disorder in the arrangement of Ca/K cations in M2 site and Mg/Al in Ml site. The energy minimization was performed with the help of a force-field model. The results of the calculations were used to define a generalized Ising model, which included 37 pair interaction parameters. Isotherms of the enthalpy of mixing within the range of 273–2023 K were calculated with a Monte Carlo algorithm, while the Gibbs free energies of mixing were obtained by thermodynamic integration of the enthalpies of mixing. The calculated T–X diagram for the system CaMgSi2O6–KAlSi2O6 at temperatures below 1000 K shows several miscibility gaps, which are separated by intervals of stability of intermediate ordered compounds. At temperatures above 1000 K a homogeneous solid solution is formed. The standard thermodynamic properties of K-adeite (KAlSi2O6) evaluated from quantum mechanical calculations were used to determine location of several mineral reactions with the participation of the diopside–K-jadeite solid solution. The results of the simulations suggest that the low content of KalSi2O6 in natural clinopyroxenes is not related to crystal chemical factors preventing isomorphism, but is determined by relatively high standard enthalpy of this end member

    Fundamentals of Manufacturing Engineering

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    Redox state determination of eclogite xenoliths from Udachnaya kimberlite pipe (Siberian craton), with some implications for the graphite/diamond formation

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    The formation of diamonds within eclogitic rocks has been widely linked to the fate of carbon during subduction and, therefore, referred to conditions of pressure, temperature, and oxygen fugacity (fo2). Mantle-derived eclogite xenoliths from Udachnaya kimberlite pipes represent a unique window to investigate the formation of carbon-free, graphite–diamond-bearing and diamond-bearing rocks from the Siberian craton. With this aim, we exploited oxy-thermobarometers to retrieve information on the P–T–fo2 at which mantle eclogites from the Siberian craton equilibrated along with elemental carbon. The chemical analyses of coupled garnet and omphacitic clinopyroxene were integrated with data on their iron oxidation state, determined both by conventional and synchrotron 57Fe Mössbauer spectroscopy. The calculated fo2s largely vary for each suite of eclogite samples from 0.10 to − 2.43 log units (ΔFMQ) for C-free eclogites, from − 0.01 to − 2.91 (ΔFMQ) for graphite–diamond-bearing eclogites, and from − 2.08 to − 3.58 log units (ΔFMQ) for diamond-bearing eclogites. All eclogite samples mostly fall in the fo2 range typical of diamond coexisting with CO2-rich water-bearing melts and gaseous fluids, with diamondiferous eclogites being more reduced at fo2 conditions where circulating fluids can include some methane. When uncertainties on the calculated fo2 are taken into account, all samples essentially fall within the stability field of diamonds coexisting with CO2-bearing melts. Therefore, our results provide evidence of the potential role of CO2-bearing melts as growth medium on the formation of coexisting diamond and graphite in mantle eclogites during subduction of the oceanic crust

    Crystal structures of K-cymrite and kokchetavite from single-crystal X-ray diffraction

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    Recent research on superconductivity of high-pressure hydrides generated many phase stability calculations with a lack of their experimental verification; a typical example is Pt–H system. The stability of eight PtH structures was predicted, while the experiments revealed the existence of only hexagonal close-packed (hcp) and trigonal PtH. Face-centered cubic (fcc) PtH was predicted to be nearly isoentalpic to the hcp PtH and stable near 100 GPa, but never observed experimentally. Here we report the first synthesis of the fcc PtH using laser-heated diamond anvil cell. It was found to occupy a high-temperature area of the phase diagram in a wide pressure range of 20–100 GPa, being metastable at room temperature. Our results look promising for uncovering weak approximations in current high-pressure hydrides stability ab initio calculations
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