2,239 research outputs found
Thermoacoustic tomography with variable sound speed
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
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
ΠΡΠ΅Π΄ΡΡΠ°Π²ΡΠΌΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅Π½ ΡΠ»ΡΡΠ°ΠΉ Π½Π° Π½Π΅Π²ΡΠΎΡΡΠΎΡΠΈΡΠ½Π° ΠΊΠ΅ΡΠ°ΡΠΎΠΏΠ°ΡΠΈΡ, Π°ΡΠΎΡΠΈΠΈΡΠ°Π½Π° Ρ ΡΠ½ΠΈΠ»Π°ΡΠ΅ΡΠ°Π»Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅ΡΡΡΠ½Π° ΠΈΠ½ΡΡΡΠΈΡΠΈΠ΅Π½ΡΠΈΡ. ΠΠ·Π²ΡΡΡΠ΅Π½Π° Π±Π΅ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ Π½Π° Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ. ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈΡΠ΅ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠ½ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ Π²ΠΊΠ»ΡΡΠ²Π°Ρ Π±ΠΈΠΎΠΌΠΈΠΊΡΠΎΡΠΊΠΎΠΏΠΈΡ, ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅ Π½Π° ΡΠ΅ΠΊΡΠ΅Ρ ΠΎΡ ΠΊΠΎΠ½ΡΠ½ΠΊΡΠΈΠ²Π° ΠΈ ΡΠΎΠ³ΠΎΠ²ΠΈΡΠ½Π° Π»Π΅Π·ΠΈΡ, ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ°Π·Π½ΠΎ Π²Π΅ΡΠΈΠΆΠ½Π° ΡΠ΅Π°ΠΊΡΠΈΡ Π½Π° ΠΏΡΠ΅Π΄Π½ΠΎΠΊΠ°ΠΌΠ΅ΡΠ½Π° ΡΠ΅ΡΠ½ΠΎΡΡ Π·Π° Ρ
Π΅ΡΠΏΠ΅Ρ Π²ΠΈΡΡΡΠ½Π° ΠΠΠ, ΠΎΠΏΡΠΈΡΠ½Π° ΠΊΠΎΡ
Π΅ΡΠ΅Π½ΡΠ½Π° ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ Π½Π° ΠΏΡΠ΅Π΄Π΅Π½ ΠΎΡΠ΅Π½ ΡΠ΅Π³ΠΌΠ΅Π½Ρ. ΠΠΎΡΠ°Π΄ΠΈ Π»ΠΈΠΏΡΠ°ΡΠ° Π½Π° ΠΏΠΎΠ΄ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅ ΡΠ»Π΅Π΄ ΠΊΠΎΠ½ΡΠ΅ΡΠ²Π°ΡΠΈΠ²Π½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΡΠ΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²ΠΈΠ° Π»ΠΈΠΌΠ±Π°Π»Π½Π° Π±ΠΈΠΎΠΏΡΠΈΡ ΠΈ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ Π½Π° Π°ΠΌΠ½ΠΈΠΎΡΠΈΡΠ½Π° ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π°. ΠΠΎΠ»ΡΡΠ΅Π½ΠΈΡΠ΅ Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ Π±ΡΡ
Π° ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π΅Ρ
vivo ΠΏΠΎ ΠΈΠ½ΠΎΠ²Π°ΡΠΈΠ²Π΅Π½ ΠΏΡΠΎΡΠΎΠΊΠΎΠ» Π±Π΅Π· ΠΊΡΠ΅Π½ΠΎΠ±ΠΈΠΎΡΠΈΡΠ½ΠΈ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈ Ρ ΠΏΡΠ΅Π½ΠΎΡΠΈΡΠ΅Π» Π½Π°ΡΠΈΠ²Π½Π° Π°ΠΌΠ½ΠΈΠΎΡΠΈΡΠ½Π° ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π°. Π‘Π»Π΅Π΄ ΠΏΠΎΠ»ΡΡΠ°Π²Π°Π½Π΅ Π½Π° Π΄ΠΎΡΡΠ°ΡΡΡΠ½ΠΎ Π΅ΠΏΠΈΡΠ΅Π»Π½ΠΈ ΡΠ»ΠΎΠ΅Π²Π΅ Π΅Ρ
vivo, ΡΠ΅ Π½Π°ΠΏΡΠ°Π²ΠΈ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ ΠΏΠΎΠΊΡΠΈΡΠΈΠ΅ Ρ Π³ΠΎΡΠΎΠ²ΠΈΡ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°Ρ. ΠΠΎΡΡΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎ ΡΠΎΠ³ΠΎΠ²ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠ²ΡΡΡ
Π½ΠΎΡΡ Π±Π΅ Π½Π°ΠΏΡΠ»Π½ΠΎ Π΅ΠΏΠΈΡΠ΅Π»ΠΈΠ·ΠΈΡΠ°Π½Π° ΠΈ Π·ΡΠΈΡΠ΅Π»Π½Π°ΡΠ° ΠΎΡΡΡΠΎΡΠ° ΡΠ΅ ΠΏΠΎΠ΄ΠΎΠ±ΡΠΈ Π·Π½Π°ΡΠΈΡΠ΅Π»Π½ΠΎ. ΠΠ°Π±Π»ΡΠ΄Π°Π²Π° ΡΠ΅ ΡΠ΅Π³ΡΠ΅Ρ Π½Π° Π½Π΅ΠΎΠ²Π°ΡΠΊΡΠ»Π°ΡΠ½ΠΈΡΠ΅ ΡΡΠ΄ΠΎΠ²Π΅ ΠΈ Π²ΡΠΈΡΠΊΠΈ ΡΠΈΠΌΠΏΡΠΎΠΌΠΈ Π½Π° Ρ
ΡΠΎΠ½ΠΈΡΠ½ΠΎ Π²ΡΠ·ΠΏΠ°Π»Π΅Π½ΠΈΠ΅ ΡΠ΅ ΠΎΠ±Π»Π΅ΠΊΡΠΈΡ
Π°. Π’ΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ° Π½Π° Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ Ρ ΠΏΡΠ΅Π½ΠΎΡΡΠΈΡΠ΅Π» Π°ΠΌΠ½ΠΈΠΎΡΠΈΡΠ½Π° ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π° ΠΌΠΎΠΆΠ΅ Π΄Π° Π±ΡΠ΄Π΅ Π΅ΡΠ΅ΠΊΡΠΈΠ²Π΅Π½ ΠΌΠ΅ΡΠΎΠ΄ Π·Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π° Π½Π΅Π²ΡΠΎΡΡΠΎΡΠΈΡΠ½Π° ΠΊΠ΅ΡΠ°ΡΠΎΠΏΠ°ΡΠΈΡ, Π°ΡΠΎΡΠΈΠΈΡΠ°Π½Π° Ρ Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅ΡΡΡΠ½Π° ΠΈΠ½ΡΡΡΠΈΡΠΈΠ΅Π½ΡΠΈΡ.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
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
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
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 < βΌ6. 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
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
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
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
Π¦Π΅Π» : Π¦Π΅Π» Π½Π° Π½Π°ΡΡΠΎΡΡΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ Π΅ Π΄Π° ΡΠ΅ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Ρ Π²ΡΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈΡΠ΅ Π½Π° ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ° Π½Π° Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ Π΅ΠΏΠΈΡΠ΅Π»Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΊΠ°ΡΠΎ ΠΌΠ΅ΡΠΎΠ΄ Π·Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΏΠΎΠ²ΡΡΡ
Π½ΠΎΡΡΠ½ΠΈ ΠΎΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΈ ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: Π’ΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΠΈ Π½Π° Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ Π±ΡΡ
Π° ΠΈΠ·Π²ΡΡΡΠ΅Π½ΠΈ Π½Π° ΡΠ΅ΡΠΈΡΠΈΠΌΠ° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Π½Π° ΡΡΠ΅Π΄Π½Π° Π²ΡΠ·ΡΠ°ΡΡ 56.5 Π³ΠΎΠ΄ΠΈΠ½ΠΈ ΠΏΡΠ΅ΠΌΠΈΠ½Π°Π»ΠΈ ΠΏΡΠ΅Π· ΠΠ»ΠΈΠ½ΠΈΠΊΠ° ΠΏΠΎ ΠΡΠ½ΠΈ Π±ΠΎΠ»Π΅ΡΡΠΈ ΠΊΡΠΌ Π£ΠΠΠΠ "ΠΠ»Π΅ΠΊΡΠ°Π½Π΄ΡΠΎΠ²ΡΠΊΠ°". ΠΡΠΈΡΠΊΠΈ ΡΠ΅ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠ°Ρ
Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½ΠΈ Π±Π΅Π»Π΅Π·ΠΈ Π½Π° ΡΠ½ΠΈΠ»Π°ΡΠ΅ΡΠ°Π»Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅ΡΡΡΠ½Π° ΠΈΠ½ΡΡΡΠΈΡΠΈΠ΅Π½ΡΠΈΡ, Π°ΡΠΎΡΠΈΠΈΡΠ°Π½Π° Ρ ΡΡΠΎΡΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ Π½Π° ΠΎΡΠ½Π°ΡΠ° ΠΏΠΎΠ²ΡΡΡ
Π½ΠΎΡΡ, ΠΊΠΎΡΡΠΎ Π±Π΅ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠ°Π½Π° ΡΡΠ΅Π· ΠΈΠΌΠΏΡΠ΅ΡΠΈΠΎΠ½Π½Π° ΡΠΈΡΠΎΠ»ΠΎΠ³ΠΈΡ. Π‘Π»Π΅Π΄ ΠΏΠΎΠ»ΡΡΠ°Π²Π°Π½Π΅ Π½Π° ΠΈΠ½ΡΠΎΡΠΌΠΈΡΠ°Π½ΠΎ ΡΡΠ³Π»Π°ΡΠΈΠ΅ Π±Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²ΠΈΠ° Π»ΠΈΠΌΠ±Π°Π»Π½Π° Π±ΠΈΠΎΠΏΡΠΈΡ. ΠΠΎΠ»ΡΡΠ΅Π½ΠΈΡΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΈ Π±ΡΡ
Π° ΠΎΠ±ΡΠ°Π±ΠΎΡΠ΅Π½ΠΈ ΠΏΠΎ ΠΈΠ½ΠΎΠ²Π°ΠΏiΠΠ΅Π½ ΠΏΡΠΎΡΠΎΠΊΠΎΠ» Π·Π° ΠΊΠ»Π΅ΡΡΡΠ½ΠΈ ΠΊΡΠ»ΡΡΡΠΈ Π±Π΅Π· ΡΠΏΠΎΡΡΠ΅Π±Π° Π½Π° ΠΊΡΠ΅Π½ΠΎΠ±ΠΈΠΎΡΠΈΡΠ½ΠΈ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈ. Π§Π΅ΡΠΈΡΠΈΠ½Π°Π΄Π΅ΡΠ΅Ρ Π΄Π½ΠΈ ΠΏΠΎ-ΠΊΡΡΠ½ΠΎ Π±Π΅ Π½Π°ΠΏΡΠ°Π²Π΅Π½ΠΎ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ ΠΏΠΎΠΊΡΠΈΡΠΈΠ΅ Ρ Π³ΠΎΡΠΎΠ²ΠΈΡ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°Ρ. ΠΡΠΎΡΠ»Π΅Π΄ΡΠ²Π°Π½Π΅ Π½Π° ΡΡΡΡΠΎΡΠ½ΠΈΠ΅ΡΠΎ ΡΠ΅ ΠΈΠ·Π²ΡΡΡΠΈ ΡΡΠ΅Π· ΠΎΠΏΡΠΈΡΠ½Π° ΠΊΠΎΡ
Π΅ΡΠ΅Π½ΡΠ½Π° ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ Π½Π° ΠΏΡΠ΅Π΄Π΅Π½ ΠΎΡΠ΅Π½ ΡΠ΅Π³ΠΌΠ΅Π½Ρ ΠΏΡΠ΅Π΄ΠΈ ΠΈ ΡΠ»Π΅Π΄ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ°. ΠΡΠΈΡΠ΅ΡΠΈΠΈΡΠ΅ Π· a ΡΡΠΏΠ΅Ρ
ΠΎΡ ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ° Π½Π° Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ Π²ΠΊΠ»ΡΡΠ²Π°Ρ: 1. ΠΏΡΠ»Π½Π° Π΅ΠΏΠΈΡΠ΅Π»ΠΈΠ·Π°ΡΠΈΡ Π½Π° ΡΠΎΠ³ΠΎΠ²ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠ²ΡΡΡ
Π½ΠΎΡΡ; 2. ΡΠ΅Π΄ΡΠΊΡΠΈΡ Π½Π° Π½Π΅ΠΎΠ²Π°ΡΠΊΡΠ»Π°ΡΠΈΠ·Π°ΡΠΈΡΡΠ° ΠΈΠ»ΠΈ ΠΏΡΠ»Π½ΠΎΡΠΎ Ρ ΠΈΠ·ΡΠ΅Π·Π²Π°Π½Π΅; 3. Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° Π½ΠΎΡΠΌΠ°Π»Π½ΠΈ ΠΏΡΠΎΠ·ΡΠ°ΡΠ½ΠΎΡΡ, Π΄Π΅Π±Π΅Π»ΠΈΠ½Π° ΠΈ ΡΠ΅ΡΠ»Π΅ΠΊΡ Π½Π° ΡΠΎΠ³ΠΎΠ²ΠΈΡΠ°ΡΠ°; 4. ΠΏΠΎΠ΄ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅ Π½Π° Π·ΡΠΈΡΠ΅Π»Π½Π°ΡΠ° ΠΎΡΡΡΠΎΡΠ°. Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ : ΠΡΠΈ Π²ΡΠΈΡΠΊΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ ΡΠ΅ Π½Π°Π±Π»ΡΠ΄Π°Π²Π° ΠΏΠΎΠ΄ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π°ΡΠ° ΠΊΠ°ΡΡΠΈΠ½Π° ΠΈ ΡΡΠ±Π΅ΠΊΡΠΈΠ²Π½ΠΈΡΠ΅ ΠΎΠΏΠ»Π°ΠΊΠ²Π°Π½ΠΈΡ. ΠΡΠΈ ΡΡΠ!VΡ ΠΎΡ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½ΠΈΡΠ΅ Π±ΡΡ
Π° ΠΈΠ·ΠΏΡΠ»Π½Π΅Π½ΠΈ ΡΠ΅ΡΠΈΡΠΈΡΠ΅ ΠΊΡΠΈΡΠ΅ΡΠΈΡ Π·Π° ΡΡΠΏΠ΅ΡΠ½Π° ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡ. ΠΡΠΈ Π΅Π΄ΠΈΠ½ ΠΎΡ ΡΠ»ΡΡΠ°ΠΈΡΠ΅ Π½Π΅ Π±Π΅ ΠΎΡΡΠ΅ΡΠ΅Π½ΠΎ ΠΏΠΎΠ΄ΠΎΠ±ΡΠ΅Π½ΠΈΠ΅ Π² Π·ΡΠΈΡΠ΅Π»Π½Π°ΡΠ° ΠΎΡΡΡΠΎΡΠ°, ΠΏΠΎΡΠ°Π΄ΠΈ Π·Π°ΡΡΠ³Π°Π½Π΅ Π½Π° Π·ΡΠΈΡΠ΅Π»Π½ΠΈΡ Π½Π΅ΡΠ² ΠΎΡ ΡΡΠΌΠΎΡΠ΅Π½ ΠΏΡΠΎΡΠ΅Ρ. ΠΠ΅ ΡΠ΅ Π½Π°Π±Π»ΡΠ΄Π°Π²Π°Ρ
Π° ΡΠ΅Π°ΠΊΡΠΈΠΈ Π½Π° ΠΎΡΡ
Π²ΡΡΠ»ΡΠ½Π΅ Π½Π° ΡΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠ°. ΠΠΈΠΌΠ±Π°Π»Π½Π°ΡΠ° Π±ΠΈΠΎΠΏΡΠΈΡ Π½Π΅ ΠΈΠ½Π΄ΡΡΠΈΡΠ° ΠΈΠ½ΡΡΡΠΈΡΠΈΠ΅Π½ΡΠΈΡ Π½Π° Π΄ΠΎΠ½ΠΎΡΠ½ΠΎΡΠΎ ΠΎΠΊΠΎ. ΠΠ·Π²ΠΎΠ΄ΠΈ : Π’ΡΠ°Π½ΡΠΏΠ»Π°Π½ΡΠ°ΡΠΈΡΡΠ° Π½Π° Π΅Ρ
vivo ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈ Π°Π²ΡΠΎΠ»ΠΎΠΆΠ½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ Π΅ Π΅ΡΠ΅ΠΊΡΠΈΠ²Π΅Π½ ΠΈ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ΅Π½ ΠΌΠ΅ΡΠΎΠ΄ Π·Π° Π²ΡΠ·ΡΡΠ°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° ΠΎΡΠ½Π°ΡΠ° ΠΏΠΎΠ²ΡΡΡ
Π½ΠΎΡΡ, ΠΊΠΎΠΉΡΠΎ ΠΌΠΎΠΆΠ΅ Π΄Π° Π±ΡΠ΄Π΅ ΠΏΡΠΈΠ»ΠΎΠΆΠ΅Π½ ΠΏΡΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°Π½ΠΈΡ, Π°ΡΠΎΡΠΈΠΈΡΠ°Π½ΠΈ Ρ Π»ΠΈΠΌΠ±Π°Π»Π½Π° ΡΡΠ²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅ΡΡΡΠ½Π° ΠΈΠ½ΡΡΡΠΈΡΠΈΠ΅Π½ΡΠΈΡ.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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