scholarly journals 320Applying novel multi-disciplinary methodologies to accelerate malaria elimination

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Paul Agius ◽  
Julie Simpson ◽  
Saber Dini ◽  
Peter Gething ◽  
Angela Devine ◽  
...  

Abstract Focus and outcomes for participants Presented by researchers from the Australian Centre of Research Excellence in Malaria Elimination (ACREME, www.acreme.org.au), the focus of the symposium will be the application of multi-disciplinary epidemiological and statistical approaches to inform the control and elimination of malaria in the Asia-Pacific region. The epidemiology of malaria is complex as it involves multiple mosquito vectors, different malarial species (that require species-specific treatments) and emerging insecticide and antimalarial drug resistance. The symposium will provide an overview of the significance of the changing epidemiological landscape of malaria globally, and how modern epidemiological methods, such as stepped-wedge designs, multi-state modelling, within-host mechanistic mathematical models, geospatial methods and cost-effectiveness modelling applied to clinical effectiveness trials, prospective cohort studies, volunteer infection studies and national and regional data have contributed to answering the key challenges in malaria research. Specifically we will discuss evidence for effective interventions to reduce the risk of malaria transmission, the effect of recurrent episodes of malaria on risk of hospitalisation and mortality, the selection of antimalarial drug combination therapies to fast track new drugs, understanding geospatial heterogeneity of malaria transmission, and the cost-effectiveness of scenarios using different treatment regimens. Discussion of the importance of these methodologies and their findings will be contextualised in the current global malaria elimination goals. As similar transformations in epidemiological environment have occurred in other disease elimination settings, we believe this symposium will have broad appeal and that the challenges faced and the methodological solutions proposed to accelerate progress in malaria elimination will have a high degree of relevance and be useful to researchers working in global health or infectious diseases. Rationale for the symposium, including for its inclusion in the Congress Following a two-decade period of declining malaria burden due to intensified control efforts, global progress against the disease has stalled, and in some countries, malaria has resurged. Emerging parasite resistance to insecticides and antimalarial drugs has reduced the effectiveness of cornerstone malaria control interventions. Malaria endemic areas of the Greater Mekong Sub region (GMS) have set the target to eliminate malaria by 2030, however, the failure of these established interventions and transition to low-transmission endemic environments has necessitated fundamental re-evaluation of the epidemiological landscape of the disease and emphasised timely development of robust evidence for novel interventions. In order to provide evidence, a wide range of advanced multi-disciplinary methodologies have been developed and applied in many malaria epidemiology areas and we believe discussion of these in the symposium will be highly relevant given the principal theme of the 2020 WCE (Methodological Innovations in Epidemiology). Additionally, the symposium will feature research where findings have been effectively translated to national and regional policy and practice, an important theme of the 2020 WCE. Presentation program Names of presenters

2020 ◽  
Vol 6 (3) ◽  
pp. 51-57
Author(s):  
Roman A. Khmel’nitskij ◽  
Аndrej V. Vislobokov

Introduction: Given a wide range of pathogenesis of the inflammatory process in pyoderma, which involves a variety of links in the immune response, work is underway to find ways to optimize immunocorrection in this pathology. The aim of the study was to evaluate the clinical and economic effectiveness of immunocorrection in severe and chronic forms of pyoderma with drugs from different pharmacological groups. Materials and methods: The data sources were prospective randomized comparative studies of therapy of 107 pyoderma patients aged 18 to 60 years, divided into groups. The patients of the first group additionally used a biologically active additive containing immunoactive molecules and transfer factors (TF) as an immunomodulator; the patients of the second group used glucosaminylmuramildipeptide (GMDP). The clinical effectiveness of regression of inflammatory symptoms on day 10 of treatment was analyzed. Based on the obtained data, the following types of pharmacoeconomical analysis were performed: calculation of the course price, the cost/effectiveness ratio, and the availability coefficient. Results and discussion: The results of the study showed that the number of cured patients was 91.4% in the first group and 97.2% in the second group of patients. The treatment cost when using the drug is by 970 rubles smaller; the cost/effectiveness ratio (CER) per patient was 1.8 higher for a drug containing transfer factors and amounted to 25.9. The calculation of the availability coefficient (AC) revealed a difference in glucosaminylmuramyldipeptide which was 2.1 times smaller. Conclusion: It was found that a drug based on glucosaminylmuramildipeptide is a more effective and cost-effective means of immunocorrection in severe forms of pyoderma. This confirms a faster regression of clinical manifestations of the disease and lower cost/effectiveness ratio and availability coefficient.


2020 ◽  
Author(s):  
N. Metchanun ◽  
C. Borgemeister ◽  
J. von Braun ◽  
M. Nikolov ◽  
P. Selvaraj ◽  
...  

AbstractThe tremendous burden of malaria has led to renewed efforts on malaria elimination and the development of novel tools for application where existing tools fall short. Gene drive mosquitoes, where transgenes and their associated phenotypes are efficiently propagated to future generations, are under development to suppress vector populations or render vectors incapable of malaria transmission. However, the role of gene drives in an integrated elimination strategy is underexplored. Using a spatially explicit agent-based model of malaria transmission in the Democratic Republic of the Congo, we describe the impact of integrating a population suppression driving-Y gene drive into malaria elimination strategies. We find that as long as the driving-Y construct is extremely effective, releases of gene drive mosquitoes can eliminate malaria, and we identify a cost ceiling for gene drive to be cost-effective relative to existing tools. Vector control via gene drive is worth considering as a supplemental intervention when the construct parameters and costs are suitable.One-sentence summaryWe estimate the impact and cost-effectiveness of gene drive mosquitoes, relative to existing interventions, in malaria elimination strategies


2011 ◽  
Vol 7 (3) ◽  
Author(s):  
Ramsey Baker ◽  
Philip Barker ◽  
Chris R. Jones ◽  
Kate Morss ◽  
Elaine Pearson

This book is written from the viewpoint that learning technology, although perceived of immense value, is not being exploited to its full potential, nor are its effects on student learning fully understood. Obtaining as accurate a picture as possible in order to correctly to influence policy and practice is an activity that is rightly receiving increased attention. No one could expect a 'how to do it' book for this subject area.as outcomes (be they of learning, cost-effectiveness or of more abstract influence) are dictated by a wide range of factors. Martin Oliver (from the LaTTD group at the University of North London) has gathered a wide range of interesting papers (derived from the Evaluation of Learning Technologies conference, 1998) to demonstrate the diversity of approaches in this field. The book comprises some 242 pages that are arranged into 14 chapters, written by those involved in related projects.DOI: 10.1080/0968776990070310 


2019 ◽  
Vol 16 (2) ◽  
pp. 244-257 ◽  
Author(s):  
Marcus Vinicius Nora de Souza ◽  
Cristiane França da Costa ◽  
Victor Facchinetti ◽  
Claudia Regina Brandão Gomes ◽  
Paula Mázala Pacheco

Background: 1,2,3-triazoles are an important class of organic compounds and because of their aromatic stability, they are not easily reduced, oxidized or hydrolyzed in acidic and basic environments. Moreover, 1,2,3-triazole derivatives are known by their important biological activities and have drawn considerable attention due to their variety of properties. The synthesis of this nucleus, based on the click chemistry concept, through the 1,3-dipolar addition reaction between azides and alkynes is a well-known procedure. This reaction has a wide range of applications, especially on the development of new drugs. Methods: The most prominent eco-friendly methods for the synthesis of triazoles under microwave irradiation published in articles from 2012-2018 were reviewed. Results: In this review, we cover some of the recent eco-friendly CuAAC procedures for the click synthesis of 1,2,3-triazoles with remarks to new and easily recoverable catalysts, such as rhizobial cyclic β-1,2 glucan; WEB (water extract of banana); biosourced cyclosophoraose (CyS); egg shell powder (ESP); cyclodextrin (β- CD); fish bone powder; nanoparticle-based catalyst, among others. Conclusion: These eco-friendly procedures are a useful tool for the synthesis of 1,2,3-triazoles, providing many advantages on the synthesis of this class, such as shorter reaction times, easier work-up and higher yields when compared to classical procedures. Moreover, these methodologies can be applied to the industrial synthesis of drugs and to other areas.


2019 ◽  
Vol 19 (12) ◽  
pp. 1438-1453 ◽  
Author(s):  
Rafat M. Mohareb ◽  
Amr S. Abouzied ◽  
Nermeen S. Abbas

Background: Dimedone and thiazole moieties are privileged scaffolds (acting as primary pharmacophores) in many compounds that are useful to treat several diseases, mainly tropical infectious diseases. Thiazole derivatives are a very important class of compounds due to their wide range of pharmaceutical and therapeutic activities. On the other hand, dimedone is used to synthesize many therapeutically active compounds. Therefore, the combination of both moieties through a single molecule to produce heterocyclic compounds will produce excellent anticancer agents. Objective: The present work reports the synthesis of 47 new substances belonging to two classes of compounds: Dimedone and thiazoles, with the purpose of developing new drugs that present high specificity for tumor cells and low toxicity to the organism. To achieve this goal, our strategy was to synthesize a series of 4,5,6,7-tetrahydrobenzo[d]-thiazol-2-yl derivatives using the reaction of the 2-bromodimedone with cyanothioacetamide. Methods: The reaction of 2-bromodimedone with cyanothioacetamide gave the 4,5,6,7-tetrahydrobenzo[d]- thiazol-2-yl derivative 4. The reactivity of compound 4 towards some chemical reagents was observed to produce different heterocyclic derivatives. Results: A cytotoxic screening was performed to evaluate the performance of the new derivatives in six tumor cell lines. Thirteen compounds were shown to be promising toward the tumor cell lines which were further evaluated toward five tyrosine kinases. Conclusion: The results of antitumor screening showed that many of the tested compounds were of high inhibition towards the tested cell lines. Compounds 6c, 8c, 11b, 11d, 13b, 14b, 15c, 15g, 21b, 21c, 20d and 21d were the most potent compounds toward c-Met kinase and PC-3 cell line. The most promising compounds 6c, 8c, 11b, 11d, 13b, 14b, 15c, 15g, 20c, 20d, 21b, 21c and 21d were further investigated against tyrosine kinase (c-Kit, Flt-3, VEGFR-2, EGFR, and PDGFR). Compounds 6c, 11b, 11d, 14b, 15c, and 20d were selected to examine their Pim-1 kinase inhibition activity the results revealed that compounds 11b, 11d and 15c had high activities.


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