scholarly journals Analysis of conjugacy between treatment systems and the efficiency of combined treatment of patients with chronic cholecystitis in combination with chronic opisthorchosis

2009 ◽  
Vol 8 (4(2)) ◽  
pp. 154-160
Author(s):  
O. A. Poddubnaya ◽  
A. M. Kozhemyakin
Keyword(s):  
Logistic Regression ◽  
Combined Treatment ◽  
Chronic Cholecystitis ◽  
Practical Significance ◽  
Reliability Of Results ◽  
Treatment Technologies ◽  
Ultimate Result ◽  
New Treatment ◽  
Selection Of ◽  
Optimal Treatment Strategy

In development of new treatment technologies, the reliability of results obtained should be beyond any doubts. The study of conjugacy of the obtained therapeutic effect with peculiarities of the combined treatment of patients with chronic cholecystitis in combination with chronic opistorhcosis and the revealing of predictors of the ultimate result are of great practical significance. The analysis of conjugacy tables and results of logistic regression, which allows one to determine prognostically significant signs (predictors) guaranteeing some or other result, favors the selection of the optimal treatment strategy for this category of patients.

U.S. Regulatory Approaches: A Critical Appraisal

1992 ◽  
Vol 25 (3) ◽  
pp. 13-21
Author(s):  
R. L. Williamson
Keyword(s):  
Decision Making ◽  
Command And Control ◽  
Regulatory System ◽  
Federal Agencies ◽  
Toxic Substances ◽  
Use Of Technology ◽  
Treatment Technologies ◽  
New Treatment ◽  
And Control ◽  
The Impact

The American approach to environmental regulation is characterized by fragmentation of responsibilities, primary reliance on command and control regulations, extraordinary complexity, a preference for identifiable standards, and heavy resort to litigation. This system has provided important benefits, including significant reduction of environmental contamination, substantial use of science in decision-making, broad participatory rights, and the stimulation of new treatment technologies. However, these gains have been achieved at excessive cost. Too much reliance is placed on command and control methods and especially on technology-based standards. There is too much resort to litigation, and inadequate input from science. Participatory rights are being undermined, and there is a poor allocation of decision-making among the federal agencies and the states. Over-regulation sometimes leads to under-regulation, and insufficient attention is given to the impact on small entities. The responsibility for these difficulties rests with everyone, including the federal agencies, the Congress, the general public and the courts. Changes in the regulatory system are needed. We should abandon the use of technology-based standards to control toxic substances under the Clean Water Act in favor of strong health- and environmentally based standards, coupled with taxes on toxic substances in wastewater.

Excessive Belching: a Separate Syndrome or Another Symptom of Functional Dyspepsia?

2020 ◽  
Vol 30 (3) ◽  
pp. 55-60 ◽  
Author(s):  
A. A. Sheptulin ◽  
O. A. Storonova
Keyword(s):  
Functional Dyspepsia ◽  
Functional Gastrointestinal Disorders ◽  
High Resolution Manometry ◽  
Published Evidence ◽  
Key Points ◽  
Dyspeptic Symptoms ◽  
The Relationship ◽  
Rome Iv ◽  
Selection Of ◽  
Optimal Treatment Strategy

Aim of review. Interpretation of published evidence on the relationship between the excessive belching syndrome and functional dyspepsia (FD) and their management in patient care.Key points. According to the Rome IV criteria of functional gastrointestinal disorders (FGID), excessive belching in the absence of other dyspeptic symptoms is to be considered a manifestation of the excessive belching syndrome, which can be of gastric or supragastric nature. Combination of high-resolution manometry and impedancemetry allows an accurate diagnosis of belching and selection of optimal treatment strategy. Belching complicated by other symptoms of dyspepsia is to be considered yet another FD symptom according to the Rome IV criteria of FGID. Prokinetics are recommended to relieve belching in such cases.Conclusion. Understanding the relationship between the excessive belching syndrome and FD requires further research.

scholarly journals Creating Price Indexes for Measuring Productivity in Mental Health Care

2001 ◽  
Vol 4 (1) ◽  
Author(s):  
Susan H. Busch ◽  
Ernst R. Berndt ◽  
Richard G. Frank
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Major Depression ◽  
Price Index ◽  
Time Varying ◽  
Measurement Issues ◽  
The Past ◽  
Price Indexes ◽  
Treatment Technologies ◽  
New Treatment

Economists have long suggested that to be reliable, a preferred medical care price index should employ time-varying weights to measure outcomes-adjusted changes in the price of treating an episode of illness. In this article, we report on several years of research developing alternative indexes for the treatment of the acute phase of major depression, for the period 1991–1996. The introduction of new treatment technologies in the past two decades suggests well-known measurement issues may be prominent in constructing such a price index.We report on the results of four successively re

scholarly journals Photodynamic Therapy Combined with Antibiotics or Antifungals against Microorganisms That Cause Skin and Soft Tissue Infections: A Planktonic and Biofilm Approach to Overcome Resistances

2021 ◽  
Vol 14 (7) ◽  
pp. 603
Author(s):  
Vanesa Pérez-Laguna ◽  
Isabel García-Luque ◽  
Sofía Ballesta ◽  
Antonio Rezusta ◽  
Yolanda Gilaberte
Keyword(s):  
Photodynamic Therapy ◽  
Soft Tissues ◽  
Combined Treatment ◽  
Resistance Pattern ◽  
Antimicrobial Photodynamic Therapy ◽  
Antimicrobial Drugs ◽  
Bacteria And Fungi ◽  
High Level ◽  
Selection Of

The present review covers combination approaches of antimicrobial photodynamic therapy (aPDT) plus antibiotics or antifungals to attack bacteria and fungi in vitro (both planktonic and biofilm forms) focused on those microorganisms that cause infections in skin and soft tissues. The combination can prevent failure in the fight against these microorganisms: antimicrobial drugs can increase the susceptibility of microorganisms to aPDT and prevent the possibility of regrowth of those that were not inactivated during the irradiation; meanwhile, aPDT is effective regardless of the resistance pattern of the strain and their use does not contribute to the selection of antimicrobial resistance. Additive or synergistic antimicrobial effects in vitro are evaluated and the best combinations are presented. The use of combined treatment of aPDT with antimicrobials could help overcome the difficulty of fighting high level of resistance microorganisms and, as it is a multi-target approach, it could make the selection of resistant microorganisms more difficult.

Rumen degradation of straw 4. Selection and degradation of morphological components of barley straw by sheep

1988 ◽  
Vol 47 (1) ◽  
pp. 105-110 ◽  
Author(s):  
P. K. Bhargava ◽  
E. R. Ørskov ◽  
T. K. Walli
Keyword(s):  
Leaf Blade ◽  
Dry Matter ◽  
Leaf Sheath ◽  
Practical Significance ◽  
Barley Straw ◽  
Rumen Degradation ◽  
Whole Plant ◽  
Ad Libitum ◽  
The Mathematical Model ◽  
Selection Of

AbstractExperiments were made to study the proportion, chemical composition, and rumen degradability of the morphological components of barley straw (Corgi variety) and to study the selection of these components by sheep. The proportions in the harvested straw dry matter (DM) as leaf blade, leaf sheath, stem and chaff were 128, 314, 500 and 58 g/kg DM, respectively. The different components of straw on analysis proved to have very different concentrations of nitrogen and neutral-detergent cellulase digestibility. The leaf blades had the highest and the stems the lowest values. The degradabilities of DM in the components and in the whole straw were determined by measuring DM loss from samples incubated in nylon bags for various periods in the rumen of sheep. Responses were measured using the mathematical model p = a+b (1–e−ct) where p is DM loss, (a+b) potential degradability, c the rate constant of DM loss and t is the time of incubation. DM losses decreased in the order leaf blades > leaf sheath > whole plant > chaff > stems. Leaf blades also had the highest potential degradability and rate of degradation.In another trial, five sheep were offered unchopped barley straw ad libitum. There were five treatment periods in which sheep were allowed to leave uneaten proportionately 0·2, 0·3, 0·4, 0·5 and 0·7 of the straw on offer for assessing the animal's selection of the morphological components of that straw. The amount of leaf blade in the material consumed increased in largely a linear (P < 0·01) fashion with the amount of excess allowance. The proportion of stem eaten varied conversely. The selection of leaf sheath was less apparent. Little stem was consumed until the proportion of leaf blade in the food available decreased below proportionately 0·4. The practical significance of the study is discussed.

scholarly journals Certain historical, practical and scientific aspects of prenatal diagnostics in st. Petersburg

2004 ◽  
Vol 53 (1) ◽  
pp. 82-88
Author(s):  
V. S. Baranov
Keyword(s):  
Prenatal Diagnosis ◽  
High Risk ◽  
Research Methods ◽  
Rapid Growth ◽  
Medical Genetics ◽  
Practical Significance ◽  
Non Invasive ◽  
Methodological Problems ◽  
Biochemical Research ◽  
Selection Of

Prenatal diagnosis (PD), as a relatively new area of ​​medical genetics, is experiencing a period of rapid growth. Methodological problems of PD associated with the selection of women at high risk of congenital and hereditary pathology, complex examination of the fetus using non-invasive (ultrasound) and invasive (cytogenetic, molecular, biochemical) research methods have already been resolved. Further increase in the effectiveness of PD, its scientific and practical significance depends entirely on the level of organization of this service in the field and its funding. An important role in the development of modern PD in Russia was played by the PD laboratory of the N.I. BEFORE. Otta RAMS.

scholarly journals DEVELOPMENT OF TOURIST ORIENTED FARMS OF LVIV REGION

2020 ◽  
pp. 36-42
Author(s):  
Olga Tsymbala ◽  
Julia Dorosh
Keyword(s):  
Dairy Products ◽  
Raw Materials ◽  
Relevant Information ◽  
Educational Process ◽  
Practical Significance ◽  
Dominant Group ◽  
Current State ◽  
Tourism Sector ◽  
Scientific Results ◽  
Selection Of

Purpose. Characterize the development trends of the network of tourist-oriented farms which operate within the Lviv region. Systematize information about their specialization and key areas of work, identify and describe the main groups of farms in Lviv region in view of the priority of their activities, as well as reveal the features of the tourist offers for visitors and tourist groups. Methods. The research used the method of analysis to study the literature and information sources on the research topic; the method of scientific systematization is applied to the selection of tourist oriented farms of Lviv region and the characteristic of key areas of their activities; the cartographic method allowed to visualize the location of the studied farms within the region by forming a map of Lviv region with the indication of settlements where the tourist-oriented farms operate. Results. The role, place and significance of tourist-oriented farms for the development of rural tourism are outlined. The farms of Lviv region that are involved in the tourism sector, focused on the reception of tourists and presented in the information space are highlighted. The dominant group of tourist-oriented farms in Lviv region is formed by those farms that are engaged in the cultivation of cows, goats, sheep, specializing in the manufacture and sale of dairy products, especially various types of cheese. At the same time, a number of cheese factories have been formed within the region, operating on the basis of purchased raw materials. A separate group includes honey eco-farms, berry farms, snail farms, ostriches, etc. Systematized data on the specifics, features of the development of the studied farms are presented in the table, the main products and tourist services they offer on the market of tourist services are highlighted. A map of Lviv region with a presentation of the geography of location of tourist-oriented farms within the region are developed. The scientific novelty of the obtained results lies in the generalization of information about the existing tourist-oriented farms of Lviv region and the analysis of their offer on the tourist market. The practical significance lies in the systematization of relevant information about the current state of development of tourist oriented farms in Lviv region. The obtained scientific results can be used in the process of forming tours in Lviv region as well as in the educational process in the training of future specialists in the specialty «Tourism».

ECONOMIC EFFICIENCY OF NEW TECHNOLOGIES IN TREATMENT OF PARTIAL DEGENERATIVE DAMAGES OF THE ROTARYBICEPITAL COMPLEX

2021 ◽  
pp. 126-130
Author(s):  
А.V. Savchuk ◽  
◽  
О.A. Danilenko ◽  
Е.R. Makarevich ◽  
Е.V. Zhuk ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Economic Efficiency ◽  
New Technologies ◽  
Economic Effect ◽  
Economic Losses ◽  
Medical Technologies ◽  
Treatment Technologies ◽  
New Treatment ◽  
The Cost ◽  
The City

The authors studied the economic efficiency of conservative treatment of 196 patients with injuries of the rotator-bicepital complex on the basis of the City Clinical Hospital № 6 in Minsk for the period from 2013 to 2020 using the developed approaches and the introduction of new technologies. As a result of shortening the length of stay of patients in a hospital with the use of new treatment technologies, it can reduce the cost of money. The total economic effect was 30726 BYN. The study of the parameters of economic efficiency indicates the feasibility of using the introduced medical technologies. As a result, the total amount of savins from reducing economic losses amounted to 24 006 BYN.

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