Our preliminary findings support the application of autologous PRP as an effective and safe method in the treatment of the initial stages of knee osteoarthritis. Further studies are needed to confirm these results and to investigate the persistence of the beneficial effects observed.

Spaková T, Rosocha J, Lacko M, Harvanová D, Gharaibeh A: Treatment of knee joint osteoarthritis with autologous platelet-rich plasma in comparison with hyaluronic acid. Am J Phys Med Rehabil 2012;91:00Y00.Objective: This study aimed to find a simple, cost-effective, and time-efficient method for the preparation of platelet-rich plasma (PRP), so the acquired benefits will be readily available for multiple procedures in smaller outpatient clinics and to explore the safety and efficacy of the application of PRP in the treatment of degenerative lesions of articular cartilage of the knee.Design: The study was designed as a prospective, cohort study with a control group. A total of 120 patients with Grade 1, 2, or 3 osteoarthritis according to the Kellgren and Lawrence grading scale were enrolled in the study. One group of patients was treated using three intra-articular applications of PRP, and the second group of patients was given three injections of hyaluronic acid. Outcome measures included the Western Ontario and McMaster Universities Osteoarthritis Index and the 11-point pain intensity Numeric Rating Scale.Results: On average, a 4.5-fold increase in platelet concentration was obtained in the PRP group. No severe adverse events were observed. Statistically significantly better results in the Western Ontario and McMaster Universities Osteoarthritis Index and Numeric Rating Scale scores were recorded in a group of patients who received PRP injections after a 3-and 6-mo follow-up.Conclusions: Our preliminary findings support the application of autologous PRP as an effective and safe method in the treatment of the initial stages of knee osteoarthritis. Further studies are needed to confirm these results and to investigate the persistence of the beneficial effects observed.

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A simple, rapid, reliable, and low cost one-step extraction method is developed and validated for the determination of nicotine and cotinine in human plasma and urine in smokers using reversed-phase high-performance liquid chromatography (RP-HPLC) and gas chromatography-mass spectrometry (GC-MS). The run times are 16 and 10 min for HPLC and GC-MS, respectively. The method is validated over a wide linear range of 1-5000 ng/mL with correlation coefficients being consistently greater than 0.9985. The criteria considered for validation are: limit of quantitation, linearity, accuracy, precision, recovery, specificity, and selectivity. This study is aimed to estimate the nicotine and cotinine in Jordanian smokers' blood and urine samples; to study the relationship between the concentration of nicotine in urine and plasma samples; and to investigate the effect of pH on the extraction of nicotine and cotinine in urine samples. In the presented study, one hundred blood and urine samples are collected from eighty smokers and twenty nonsmokers. Samples are taken from the same volunteer at the same time after each volunteer fills in a questionnaire. Results of nicotine concentrations in smokers' plasma are in the range of 181-3702 ng/mL with an average of 1263.1 ng/mL, whereas nicotine in urine samples is in the range of 1364-1972 ng/mL, with an average of 1618 ng/mL. Cotinine concentrations in smokers' plasma are in the range of 21-4420 ng/mL with an average of 379.4 ng/mL, whereas cotinine in urine is in the range of 6-3946 ng/mL with an average of 865 ng/mL. Statistical analysis indicates highly significant differences in nicotine and cotinine concentrations in smoker samples compared with nonsmoker samples (p<0.05).

We studied upper Albian to Turonian shallowmarine shelf deposits (Ajlun Group) of west central Jordan along a NNE-SSW running transect. The carbonate-dominated succession includes few siliciclastic intercalations, claystones and shales, and can be subdivided into five formations. The Naur, Fuheis and Hummar Formations of upper Albian to upper Cenomanian age represent shallow subtidal to supratidal platform environments. The uppermost Cenomanian to middle Turonian Shueib Formation includes deeper water deposits of the inner/mid-shelf and locally TOC-rich black shales. Shallow-marine platform environments once again dominate the Wadi As Sir Formation (middle-upper Turonian). A new multibiostratigraphic framework is based on ammonites (mainly of the middle Cenomanian rhotomagense Zone to the middle Turonian woollgari Zone) and calcareous nannofossils (biozones CC 9-CC 11), supplemented by benthic and planktonic foraminifers and ostracods. It forms the base of a sequence stratigraphic subdivision, containing eight sedimentary sequences (S1-S8), which are separated by four Cenomanian sequence boundaries (CeJo1-CeJo4) and three Turonian sequence boundaries (TuJo1-TuJo3). This scheme allows the correlation of the platform succession from distal to proximal shelf areas in contrast to previous correlations using lithologic units. Furthermore, comparisons between the platform successions and sequence patterns of west central Jordan and those from neighbouring areas allow to differentiate local, regional, and global controlling factors of platform development within the study area.