2,239 research outputs found

    Thermoacoustic tomography with variable sound speed

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    We study the mathematical model of thermoacoustic tomography in media with a variable speed for a fixed time interval, greater than the diameter of the domain. In case of measurements on the whole boundary, we give an explicit solution in terms of a Neumann series expansion. We give necessary and sufficient conditions for uniqueness and stability when the measurements are taken on a part of the boundary

    Time reversal in thermoacoustic tomography - an error estimate

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    The time reversal method in thermoacoustic tomography is used for approximating the initial pressure inside a biological object using measurements of the pressure wave made on a surface surrounding the object. This article presents error estimates for the time reversal method in the cases of variable, non-trapping sound speeds.Comment: 16 pages, 6 figures, expanded "Remarks and Conclusions" section, added one figure, added reference

    Transplantation of ex vivo expanded limbal stem cells in neurotrophic keratopathy - a case report

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    ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²ΡΠΌΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅Π½ случай Π½Π° Π½Π΅Π²Ρ€ΠΎΡ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½Π° кСратопатия, асоциирана с ΡƒΠ½ΠΈΠ»Π°Ρ‚Π΅Ρ€Π°Π»Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция. Π˜Π·Π²ΡŠΡ€ΡˆΠ΅Π½Π° Π±Π΅ трансплантация Π½Π° Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ. Π˜Π·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡ‚Π΅ диагностични ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ Π²ΠΊΠ»ΡŽΡ‡Π²Π°Ρ‚ биомикроскопия, ΠΌΠΈΠΊΡ€ΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΠΎ изслСдванС Π½Π° сСкрСт ΠΎΡ‚ ΠΊΠΎΠ½ΡŽΠ½ΠΊΡ‚ΠΈΠ²Π° ΠΈ Ρ€ΠΎΠ³ΠΎΠ²ΠΈΡ‡Π½Π° лСзия, ΠΏΠΎΠ»ΠΈΠΌΠ΅Ρ€Π°Π·Π½ΠΎ Π²Π΅Ρ€ΠΈΠΆΠ½Π° рСакция Π½Π° ΠΏΡ€Π΅Π΄Π½ΠΎΠΊΠ°ΠΌΠ΅Ρ€Π½Π° тСчност Π·Π° хСрпСс вирусна Π”ΠΠš, ΠΎΠΏΡ‚ΠΈΡ‡Π½Π° ΠΊΠΎΡ…Π΅Ρ€Π΅Π½Ρ‚Π½Π° томография Π½Π° ΠΏΡ€Π΅Π΄Π΅Π½ ΠΎΡ‡Π΅Π½ сСгмСнт. ΠŸΠΎΡ€Π°Π΄ΠΈ липсата Π½Π° ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π΅Π½ΠΈΠ΅ слСд консСрвативно Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ сС ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²ΠΈΠ° Π»ΠΈΠΌΠ±Π°Π»Π½Π° биопсия ΠΈ трансплантация Π½Π° Π°ΠΌΠ½ΠΈΠΎΡ‚ΠΈΡ‡Π½Π° ΠΌΠ΅ΠΌΠ±Ρ€Π°Π½Π°. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈΡ‚Π΅ Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ бяха Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π΅Ρ… vivo ΠΏΠΎ ΠΈΠ½ΠΎΠ²Π°Ρ‚ΠΈΠ²Π΅Π½ ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ» Π±Π΅Π· ксСнобиотични ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈ с прСноситСл Π½Π°Ρ‚ΠΈΠ²Π½Π° Π°ΠΌΠ½ΠΈΠΎΡ‚ΠΈΡ‡Π½Π° ΠΌΠ΅ΠΌΠ±Ρ€Π°Π½Π°. Π‘Π»Π΅Π΄ ΠΏΠΎΠ»ΡƒΡ‡Π°Π²Π°Π½Π΅ Π½Π° Π΄ΠΎΡΡ‚Π°Ρ‚ΡŠΡ‡Π½ΠΎ Π΅ΠΏΠΈΡ‚Π΅Π»Π½ΠΈ слоСвС Π΅Ρ… vivo, сС Π½Π°ΠΏΡ€Π°Π²ΠΈ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΠΎ ΠΏΠΎΠΊΡ€ΠΈΡ‚ΠΈΠ΅ с готовия трансплантат. ΠŸΠΎΡΡ‚ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎ Ρ€ΠΎΠ³ΠΎΠ²ΠΈΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚ Π±Π΅ напълно Π΅ΠΏΠΈΡ‚Π΅Π»ΠΈΠ·ΠΈΡ€Π°Π½Π° ΠΈ Π·Ρ€ΠΈΡ‚Π΅Π»Π½Π°Ρ‚Π° острота сС ΠΏΠΎΠ΄ΠΎΠ±Ρ€ΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»Π½ΠΎ. Наблюдава сС рСгрСс Π½Π° нСоваскуларнитС съдовС ΠΈ всички симптоми Π½Π° Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΎ възпалСниС сС ΠΎΠ±Π»Π΅ΠΊΡ‡ΠΈΡ…Π°. Врансплантацията Π½Π° Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ с прСноститСл Π°ΠΌΠ½ΠΈΠΎΡ‚ΠΈΡ‡Π½Π° ΠΌΠ΅ΠΌΠ±Ρ€Π°Π½Π° ΠΌΠΎΠΆΠ΅ Π΄Π° бъдС Π΅Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π΅Π½ ΠΌΠ΅Ρ‚ΠΎΠ΄ Π·Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° Π½Π΅Π²Ρ€ΠΎΡ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½Π° кСратопатия, асоциирана с Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция.We present a case of neurotrophic keratopathy associated with limbal stem cell deficiency, treated by transplantation of autologous ex vivo expanded limbal stem cells. The applied diagnostic methods include slit-lamp examination, microbiological samples from conjunctiva and corneal lesion, polymerase chain reaction of aqueous humor for herpes virus DNA, anterior segment optical coherence tomography. Since no improvement was observed with conservative treatment, a minimally invasive limbal biopsy and transplantation of amniotic membrane were performed. The collected autologous limbal stem cells were expanded ex vivo using an innovative protocol without xenobiotic products on intact amniotic membrane. After sufficient epithelial layers were obtained ex vivo the graft was transplanted on the ocular surface of the patient. Postoperatively the corneal surface was completely covered by epithelium, visual acuity improved significantly. Regression of neovascular vessels was observed and all symptoms of chronic inflammation were alleviated. Transplantation of ex vivo expanded limbal stem cells on amniotic membrane can be an effective treatment method for neurotrophic keratopathy, associated with limbal stem cell deficiency

    Quantitative Photo-acoustic Tomography with Partial Data

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    Photo-acoustic tomography is a newly developed hybrid imaging modality that combines a high-resolution modality with a high-contrast modality. We analyze the reconstruction of diffusion and absorption parameters in an elliptic equation and improve an earlier result of Bal and Uhlmann to the partial date case. We show that the reconstruction can be uniquely determined by the knowledge of 4 internal data based on well-chosen partial boundary conditions. Stability of this reconstruction is ensured if a convexity condition is satisfied. Similar stability result is obtained without this geometric constraint if 4n well-chosen partial boundary conditions are available, where nn is the spatial dimension. The set of well-chosen boundary measurements is characterized by some complex geometric optics (CGO) solutions vanishing on a part of the boundary.Comment: arXiv admin note: text overlap with arXiv:0910.250

    pH-triggered pore-forming peptides with strong composition-dependent membrane selectivity

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    Peptides that self-assemble into nanometer-sized pores in lipid bilayers could have utility in a variety of biotechnological and clinical applications if we can understand their physical chemical properties and learn to control their membrane selectivity. To empower such control, we have used synthetic molecular evolution to identify the pH-dependent delivery peptides, a family of peptides that assemble into macromolecule-sized pores in membranes at low peptide concentration but only at pH < ∼6. Further advancements will also require better selectivity for specific membranes. Here, we determine the effect of anionic headgroups and bilayer thickness on the mechanism of action of the pH-dependent delivery peptides by measuring binding, secondary structure, and macromolecular poration. The peptide pHD15 partitions and folds equally well into zwitterionic and anionic membranes but is less potent at pore formation in phosphatidylserine-containing membranes. The peptide also binds and folds similarly in membranes of various thicknesses, but its ability to release macromolecules changes dramatically. It causes potent macromolecular poration in vesicles made from phosphatidylcholine with 14 carbon acyl chains, but macromolecular poration decreases sharply with increasing bilayer thickness and does not occur at any peptide concentration in fluid bilayers made from phosphatidylcholine lipids with 20-carbon acyl chains. The effects of headgroup and bilayer thickness on macromolecular poration cannot be accounted for by the amount of peptide bound but instead reflect an inherent selectivity of the peptide for inserting into the membrane-spanning pore state. Molecular dynamics simulations suggest that the effect of thickness is due to hydrophobic match/mismatch between the membrane-spanning peptide and the bilayer hydrocarbon. This remarkable degree of selectivity based on headgroup and especially bilayer thickness is unusual and suggests ways that pore-forming peptides with exquisite selectivity for specific membranes can be designed or evolved

    Thermoacoustic tomography arising in brain imaging

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    We study the mathematical model of thermoacoustic and photoacoustic tomography when the sound speed has a jump across a smooth surface. This models the change of the sound speed in the skull when trying to image the human brain. We derive an explicit inversion formula in the form of a convergent Neumann series under the assumptions that all singularities from the support of the source reach the boundary

    Hidden Markov Models and their Application for Predicting Failure Events

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    We show how Markov mixed membership models (MMMM) can be used to predict the degradation of assets. We model the degradation path of individual assets, to predict overall failure rates. Instead of a separate distribution for each hidden state, we use hierarchical mixtures of distributions in the exponential family. In our approach the observation distribution of the states is a finite mixture distribution of a small set of (simpler) distributions shared across all states. Using tied-mixture observation distributions offers several advantages. The mixtures act as a regularization for typically very sparse problems, and they reduce the computational effort for the learning algorithm since there are fewer distributions to be found. Using shared mixtures enables sharing of statistical strength between the Markov states and thus transfer learning. We determine for individual assets the trade-off between the risk of failure and extended operating hours by combining a MMMM with a partially observable Markov decision process (POMDP) to dynamically optimize the policy for when and how to maintain the asset.Comment: Will be published in the proceedings of ICCS 2020; @Booklet{EasyChair:3183, author = {Paul Hofmann and Zaid Tashman}, title = {Hidden Markov Models and their Application for Predicting Failure Events}, howpublished = {EasyChair Preprint no. 3183}, year = {EasyChair, 2020}

    How MOOC Reality Informs Distance Education, Online Learning, and Connectivism

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    In this paper, we draw from our experience as designers, instructors, and researchers in the second edition of a Massive Open Online Course (MOOCs) called Creativity, Innovation, and Change (CIC) 2.0 to discuss MOOC interactions. Since the CIC 2.0 MOOC was inspired by the tenets of connectivism, we employed connectivism and its four main conceptual components (autonomy, diversity, openness, and connectedness) to discuss these empirical findings from a theoretical perspective. We build our argument on the four levels of interactions (interactions with instructors, learners, course materials, and the interface) traditionally used in the field of distance education and online learning and look at the clashes between the original concepts of connectivism and cMOOCs on one hand and traditional educational concepts, particularly interactions and group work, on the other. This study discusses how MOOC interactions reveal that the four components of connectivism are more complex than originally conceptualized. This complexity can be summarized as follows: a) learner autonomy is more complex in MOOC reality; students are relatively more autonomous but not as originally conceptualized since the role of teachers remains unchanged when student interactions with course content and assessment are considered; b) diversity and openness are also more complex since peer interaction and open networks do not exhibit dynamics and importance as predicted, especially in certain participation behaviors and in MOOC pathways; and c) also, the four connectivism components are not mutually inclusive, and their interaction is not as predicted

    Transplantation of ex vivo expanded limbal stem cells

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    Π¦Π΅Π» : Π¦Π΅Π» Π½Π° настоящото ΠΏΡ€ΠΎΡƒΡ‡Π²Π°Π½Π΅ Π΅ Π΄Π° сС изслСдват Π²ΡŠΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΠΈΡ‚Π΅ Π½Π° трансплантацията Π½Π° Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ Π΅ΠΏΠΈΡ‚Π΅Π»Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ ΠΊΠ°Ρ‚ΠΎ ΠΌΠ΅Ρ‚ΠΎΠ΄ Π·Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚Π½ΠΈ ΠΎΡ‡Π½ΠΈ заболявания. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΈ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ: Врансплантации Π½Π° Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ бяха ΠΈΠ·Π²ΡŠΡ€ΡˆΠ΅Π½ΠΈ Π½Π° Ρ‡Π΅Ρ‚ΠΈΡ€ΠΈΠΌΠ° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ Π½Π° срСдна Π²ΡŠΠ·Ρ€Π°ΡΡ‚ 56.5 Π³ΠΎΠ΄ΠΈΠ½ΠΈ ΠΏΡ€Π΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΏΡ€Π΅Π· Клиника ΠΏΠΎ ΠžΡ‡Π½ΠΈ болСсти към Π£ΠœΠ‘ΠΠ› "АлСксандровска". Всички Ρ‚Π΅ дСмонстрираха ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½ΠΈ Π±Π΅Π»Π΅Π·ΠΈ Π½Π° ΡƒΠ½ΠΈΠ»Π°Ρ‚Π΅Ρ€Π°Π»Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция, асоциирана с Ρ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½ΠΈ заболявания Π½Π° ΠΎΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚, която Π±Π΅ дСмонстрирана Ρ‡Ρ€Π΅Π· импрСсионна цитология. Π‘Π»Π΅Π΄ ΠΏΠΎΠ»ΡƒΡ‡Π°Π²Π°Π½Π΅ Π½Π° ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠΈΡ€Π°Π½ΠΎ съгласиС Π±Π΅ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²ΠΈΠ° Π»ΠΈΠΌΠ±Π°Π»Π½Π° биопсия. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈΡ‚Π΅ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΈ бяха ΠΎΠ±Ρ€Π°Π±ΠΎΡ‚Π΅Π½ΠΈ ΠΏΠΎ ΠΈΠ½ΠΎΠ²Π°ΠΏiΠ’Π΅Π½ ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ» Π·Π° ΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½ΠΈ ΠΊΡƒΠ»Ρ‚ΡƒΡ€ΠΈ Π±Π΅Π· ΡƒΠΏΠΎΡ‚Ρ€Π΅Π±Π° Π½Π° ксСнобиотични ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈ. ЧСтиринадСсСт Π΄Π½ΠΈ ΠΏΠΎ-късно Π±Π΅ Π½Π°ΠΏΡ€Π°Π²Π΅Π½ΠΎ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΠΎ ΠΏΠΎΠΊΡ€ΠΈΡ‚ΠΈΠ΅ с готовия трансплантат. ΠŸΡ€ΠΎΡΠ»Π΅Π΄ΡΠ²Π°Π½Π΅ Π½Π° ΡΡŠΡΡ‚ΠΎΡΠ½ΠΈΠ΅Ρ‚ΠΎ сС ΠΈΠ·Π²ΡŠΡ€ΡˆΠΈ Ρ‡Ρ€Π΅Π· ΠΎΠΏΡ‚ΠΈΡ‡Π½Π° ΠΊΠΎΡ…Π΅Ρ€Π΅Π½Ρ‚Π½Π° томография Π½Π° ΠΏΡ€Π΅Π΄Π΅Π½ ΠΎΡ‡Π΅Π½ сСгмСнт ΠΏΡ€Π΅Π΄ΠΈ ΠΈ слСд трансплантацията. ΠšΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΈΡ‚Π΅ Π· a успСх ΠΎΡ‚ трансплантацията Π½Π° Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ Π²ΠΊΠ»ΡŽΡ‡Π²Π°Ρ‚: 1. пълна СпитСлизация Π½Π° Ρ€ΠΎΠ³ΠΎΠ²ΠΈΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚; 2. рСдукция Π½Π° нСоваскуларизацията ΠΈΠ»ΠΈ ΠΏΡŠΠ»Π½ΠΎΡ‚ΠΎ ѝ ΠΈΠ·Ρ‡Π΅Π·Π²Π°Π½Π΅; 3. Π²ΡŠΠ·ΡΡ‚Π°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° Π½ΠΎΡ€ΠΌΠ°Π»Π½ΠΈ прозрачност, Π΄Π΅Π±Π΅Π»ΠΈΠ½Π° ΠΈ рСфлСкс Π½Π° Ρ€ΠΎΠ³ΠΎΠ²ΠΈΡ†Π°Ρ‚Π°; 4. ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π΅Π½ΠΈΠ΅ Π½Π° Π·Ρ€ΠΈΡ‚Π΅Π»Π½Π°Ρ‚Π° острота. Π Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ : ΠŸΡ€ΠΈ всички ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ сС наблюдава ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π΅Π½ΠΈΠ΅ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½Π°Ρ‚Π° ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Π° ΠΈ субСктивнитС оплаквания. ΠŸΡ€ΠΈ Ρ‚Ρ€Π˜!Vш ΠΎΡ‚ изслСдванитС бяха изпълнСни Ρ‡Π΅Ρ‚ΠΈΡ€ΠΈΡ‚Π΅ критСрия Π·Π° ΡƒΡΠΏΠ΅ΡˆΠ½Π° трансплантация. ΠŸΡ€ΠΈ Π΅Π΄ΠΈΠ½ ΠΎΡ‚ случаитС Π½Π΅ Π±Π΅ ΠΎΡ‚Ρ‡Π΅Ρ‚Π΅Π½ΠΎ ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π΅Π½ΠΈΠ΅ Π² Π·Ρ€ΠΈΡ‚Π΅Π»Π½Π°Ρ‚Π° острота, ΠΏΠΎΡ€Π°Π΄ΠΈ засяганС Π½Π° зритСлния Π½Π΅Ρ€Π² ΠΎΡ‚ Ρ‚ΡƒΠΌΠΎΡ€Π΅Π½ процСс. НС сС Π½Π°Π±Π»ΡŽΠ΄Π°Π²Π°Ρ…Π° Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ Π½Π° ΠΎΡ‚Ρ…Π²ΡŠΡ€Π»ΡΠ½Π΅ Π½Π° трансплантата. Π›ΠΈΠΌΠ±Π°Π»Π½Π°Ρ‚Π° биопсия Π½Π΅ ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€Π° инсуфициСнция Π½Π° Π΄ΠΎΠ½ΠΎΡ€Π½ΠΎΡ‚ΠΎ ΠΎΠΊΠΎ. Изводи : Врансплантацията Π½Π° Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ Π΅ Π΅Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π΅Π½ ΠΈ бСзопасСн ΠΌΠ΅Ρ‚ΠΎΠ΄ Π·Π° Π²ΡŠΠ·ΡΡ‚Π°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° ΠΎΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚, ΠΊΠΎΠΉΡ‚ΠΎ ΠΌΠΎΠΆΠ΅ Π΄Π° бъдС ΠΏΡ€ΠΈΠ»ΠΎΠΆΠ΅Π½ ΠΏΡ€ΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΈ заболявания, асоциирани с Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция.Purpose: To investigate the application of autologous ex vivo expanded limbal stem cell transplantation in the management of ocular surface disease. Materials and methods: Autologous ex vivo expanded stem cells were transplanted to four patients with mean age 56.5 years from the Depmtment of Ophthalmology, University Hospital Alexandrovska. All patients presented signs of unilateral limbal stem cell deficiency, associated with trophic disease of the ocular surface, which was demonstrated on impression cytology. After informed consent was obtained a minimally invasive limbal biopsy was performed. The limbal materials were cultured using a novel protocol without additional xenobiotic products. The grafts were transplanted after fourteen days. Anterior segment optical coherence tomography before and after the intervention was used for assessment of the condition. Success of the procedure was defined as 1. Complete epithelialization of the corneal surface, 2. partial or complete reduction of neovascularization, 3. achieving normal corneal transparency, thickness and reflex, 4. visual acuity improvement. Results: Clinical recovery was observed in all patients, as well as improvement of subjective ocular comfort. In three of the cases all four success criteria were met. Visual acuity of one patient did not change, due to neoplastic process, pervading the optic nerve. No graft rejection reactions were observed. Limbal biopsy did not induce limbal stem cell deficiency in the donor eye. Conclusion: Transplantation of autologous ex vivo expanded limbal stem cells is an effective and safe method for ocular surface reconstruction, which can be applied in different conditions, associated with limbal stem cell deficiency
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