2,142 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

    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

    Limbal stem cell deficiency - concept and treatment

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    Π›ΠΈΠΌΠ±Π°Π»Π½Π°Ρ‚Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция стои Π² основата Π½Π° мноТСство заболявания ΠΈ ΠΌΠΎΠΆΠ΅ Π΄Π° бъдС ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π° Π·Π° нСуспСх ΠΎΡ‚ Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΈ ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΈ ΠΈΠ½Ρ‚Π΅Ρ€Π²Π΅Π½Ρ†ΠΈΠΈ Π½Π° ΠΎΡ‡Π½Π°Ρ‚Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚, Π²ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»Π½ΠΎ ΠΏΠ΅Π½Π΅Ρ‚Ρ€ΠΈΡ€Π°Ρ‰Π° кСратопластика. ΠšΠ»Π°ΡΠΈΡ‡Π΅ΡΠΊΠ°Ρ‚Π° ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½Π° ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Π° Π²ΠΊΠ»ΡŽΡ‡Π²Π° Ρ‚Ρ€ΠΈΠ°Π΄Π°Ρ‚Π° ΠΊΠΎΠ½ΡŽΠ½ΠΊΡ‚ΠΈΠ²Π°Π»ΠΈΠ·Π°Ρ†ΠΈΡ, нСоваскуларизация ΠΈ Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½ΠΎ възпалСниС, ΠΊΠΎΠΈΡ‚ΠΎ сС Π΄ΠΎΠΊΠ°Π·Π²Π°Ρ‚ ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π½ΠΎ ΠΈ инструмСнтално Ρ‡Ρ€Π΅Π· импрСсиоина цитология, ΠΊΠΎΠ½Ρ„ΠΎΠΊΠ°Π»Π½Π° микроскопия ΠΈ Π΄Ρ€ΡƒΠ³ΠΈ ΠΎΠ±Ρ€Π°Π·Π½ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ. Π›Π΅Ρ‡Π΅Π½ΠΈΠ΅Ρ‚ΠΎ Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½Π°Ρ‚Π° ΡΡ‚Π²ΠΎΠ»ΠΎΠ²ΠΎΠΊΠ»Π΅Ρ‚ΡŠΡ‡Π½Π° инсуфициСнция изисква комплСксСн ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ ΠΈ създаванС Π½Π° ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»Π½Π° срСда Π·Π° прСТивяванС Π½Π° Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈΡ‚Π΅ Π΅ΠΏΠΈΡ‚Π΅Π»Π½ΠΈ ΠΊΠ»Π΅Ρ‚ΠΊΠΈ Ρ‡Ρ€Π΅Π· ΠΊΠΎΡ€ΠΈΠ³ΠΈΡ€Π°Π½Π΅ Π½Π° всички ΠΏΡ€ΠΈΠ΄Ρ€ΡƒΠΆΠ°Π²Π°Ρ‰ΠΈ ΠΏΠ°Ρ‚ΠΎΡ„ΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡ‡Π½ΠΈ отклонСния. Нова насока Π² ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΡ‚ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π΅ Π΅Ρ… vivo Ρ€Π°Π·ΠΌΠ½ΠΎΠΆΠ°Π²Π°Π½Π΅Ρ‚ΠΎ Π½Π° Π°Π²Ρ‚ΠΎΠ»ΠΎΠΆΠ½ΠΈ Π»ΠΈΠΌΠ±Π°Π»Π½ΠΈ стволови ΠΊΠ»Π΅Ρ‚ΠΊΠΈ, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½ΠΈ ΠΎΡ‚ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»Π½ΠΎ ΠΈΠ½Π²Π°Π·ΠΈΠ²ΠΈΠ° Π»ΠΈΠΌΠ±Π°Π»Π½Π° биопсия. Π‘ нарастващото Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ Π½Π° заболяванСто Π² ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ°Ρ‚Π° постоянно Π½Π°Π²Π»ΠΈΠ·Π°Ρ‚ ΠΈΠ½ΠΎΠ²Π°Ρ‚ΠΈΠ²Π½ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ Π·Π° Π²ΡŠΠ·ΡΡ‚Π°Π½ΠΎΠ²ΡΠ²Π°Π½Π΅ Π½Π° Π½ΠΎΡ€ΠΌΠ°Π»Π½Π° ΠΎΡ‡Π½Π° ΠΏΠΎΠ²ΡŠΡ€Ρ…Π½ΠΎΡΡ‚ ΠΈ осигуряванС Π½Π° висока Π·Ρ€ΠΈΡ‚Π΅Π»Π½Π° острота.Limbal stem cell deficiency is implicated in many diseases and can be a reason for failure of different ocular surface reconstruction interventions, including penetrating keratoplasty. Classic clinical presentation includes the triad conjunctivalization, neovascularization, and chronic inflammation demonstrated by clinical and instrumental methods like impression cytology, confocal microscopy, and other imaging techniques. Management of limbal epithelial stem cell deficiency requires a complex approach and providing optimal conditions for limbal stem cell survival by correcting all coexistent pathophysiologic aberrations. A new direction in operative treatment is ex vivo expansion of autologous limbal epithelial stem cells obtained by minimally invasive limbal biopsy. With growing practical significance of the disease new innovative methods for ocular surface reconstruction continue to arise, aiming at the best visual outcome

    Endogenous transforming growth factor Ξ²1 suppresses inflammation and promotes survival in adult CNS

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    Transforming growth factor β1 (TGFβ1) is a pleiotropic cytokine with potent neurotrophic and immunosuppressive properties that is upregulated after injury, but also expressed in the normal nervous system. In the current study, we examined the regulation of TGFβ1 and the effects of TGFβ1 deletion on cellular response in the uninjured adult brain and in the injured and regenerating facial motor nucleus. To avoid lethal autoimmune inflammation within 3 weeks after birth in TGFβ1-deficient mice, this study was performed on a T- and B-cell-deficient RAG2-/- background. Compared with wild-type siblings, homozygous deletion of TGFβ1 resulted in an extensive inflammatory response in otherwise uninjured brain parenchyma. Astrocytes increased in GFAP and CD44 immunoreactivity; microglia showed proliferative activity, expression of phagocytosis-associated markers [αXβ2, B7.2, and MHC1 (major histocompatibility complex type 1)], and reduced branching. Ultrastructural analysis revealed focal blockade of axonal transport, perinodal damming of axonal organelles, focal demyelination, and myelin debris in granule-rich, phagocytic microglia. After facial axotomy, absence of TGFβ1 led to a fourfold increase in neuronal cell death (52 vs 13%), decreased central axonal sprouting, and significant delay in functional recovery. It also interfered with the microglial response, resulting in a diminished expression of early activation markers [ICAM1 (intercellular adhesion molecule 1), α6β1, and αMβ2] and reduced proliferation. In line with axonal and glial findings in the otherwise uninjured CNS, absence of endogenous TGFβ1 also caused an ∼10% reduction in the number of normal motoneurons, pointing to an ongoing and potent trophic role of this anti-inflammatory cytokine in the normal as well as in the injured brain. Copyright © 2007 Society for Neuroscience

    Cocompact lattices in locally pro-p-complete rank-2 Kac-Moody groups

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    We initiate an investigation of lattices in a new class of locally compact groups: so-called locally pro-p-complete Kac-Moody groups. We discover that in rank 2 their cocompact lattices are particularly well- behaved: under mild assumptions, a cocompact lattice in this completion contains no elements of order p. This statement is still an open question for the Caprace-RΓ©my-Ronan completion. Using this, modulo results of Capdeboscq and Thomas, we classify edge-transitive cocompact lattices and describe a cocompact lattice of minimal covolume. Bibliography: 22 titles

    Annual streamflow of Bulgaria in the beginning of XXI century

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    Estimating the annual streamflow under the climate change is a challenge for hydrology science and an important task for geography as well. There is no analysis about the basic statistical parameters of the annual runoff time-series after 2000 in scientific investigations in the country. This paper describes Bulgaria’s annual streamflow during 2000 – 2016 for the main catchment areas in the country (Danube watershed, Black Sea catchment area and the Aegean Sea watershed). The work is based on publicly available data of annual streamflow. The screening of the hydrological data for homogeneity, randomness, probability distribution and the trend is based on statistical methods. The obtained results show regional differences in scale of fluctuation of hydrological variables around the norm for the referent periods, in the years with maximum and with the minimum volume of the water resources, in the probability distribution of empirical data. All timeseries are homogeneous, randomly and with the absence of the trend. The work draws a conclusion that annual streamflow of main catchment areas of Bulgaria in the beginning of XXI century is in the normal frame and with larger fluctuation than the referent periods and that the time-series statistical models need confirmation using the larger base of hydrological data. This work is the first estimation of the annual streamflow during XXI century in Bulgaria by major watersheds and it gives a new information about hydrological processes in the country

    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

    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

    NGF-ome: its metabotrophic expression. Homage to Rita Levi-Montalcini

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    Nowadays, in the postgenome time, many "-ome" studies have emerged including proteome, transcriptome, interactome, metabolome, adipokinome, connectome. In this vein, the catchall term NGF-ome embodies all the actions of NGF in health and disease. Accordingly, the present Festschrift, also tabula gratulatoria, is to honor and acknowledge the contributions of the distinguished neuroscientist and magistra Rita Levi-Montalcini, the Nobel Prize winner-1986 for the discoverer of NGF. Today, NGF and another neurotrophin, brain-derived neuroptrophic factor (BDNF), are well recognized to mediate multiple biological phenomena, ranging from the neurotrophic through immunotrophic and epitheliotrophic to metabotrophic effects. These latter effects are involved in the maintenance of cardiometabolic homeostasis (glucose and lipid metabolism as well as energy balance, and cardioprotection). Circulating and/or tissue levels of NGF and BDNF are altered in cardiometabolic diseases (atherosclerosis, obesity, type 2 diabetes, metabolic syndrome, and type 3 diabetes/Alzheimer's disease). A hypothesis thus emerged that a metabotrophic deficit due to the reduction of NGF/BDNF availability and/or utilization may be implicated in the pathogenesis of cariometabolic and neurodegenerative diseases. The present challenge is therefore to cultivate a metabotrophic thinking about how we can modulate NGF/BDNF secretion and signaling for the benefit of human cardiometabolic and mood health.Biomedical Reviews 2010; 21: 25-29
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