Facts and myths about antibiotic therapy

2020 ◽  
Vol 13 (3) ◽  
pp. 289-293
Author(s):  
Bartosz J. Sapilak

Resistance to antibiotics is becoming a serious clinical problem. It increases the cost of treatment and is the reason for the failure of therapy. It cannot be eliminated, but the principles of prevention must be respected. First, do not prescribe chemotherapeutics in the therapy of viral infections and symptomatic treatment, after the second care to the selection of a sufficiently high dose, recommend regular intake of the drug and do not shorten the time of therapy. It is also important to choose the right active substance, which should be conditioned by the expected sensitivity of bacteria, the localization of inflammation and the age of the patient. Do not forget about the accompanying therapy, including the ordination of the probiotic and antifungal protection.

2015 ◽  
Vol 818 ◽  
pp. 268-271
Author(s):  
Peter Ižol ◽  
Jozef Beňo

Forming dies are often costly for producers and the cost amount is influenced by production process too. If the die is manufactured by machining, proper strategies would necessary to consider as well. The right selection of adequate strategy helps production times shortening, tool wear reducing and those affect production effectiveness. Used strategies and its parameters are often compromise between acceptable surface quality and variations in shape aside, and production time on the other side. The paper presents the way of evaluation of milling strategy based on selected elements of forming die. This allows choosing the adequate strategy for particular shapes of die and also to evaluate them by the reached surface quality. Presented approach is verified by machining forging die cavity for production of connecting rod.


Author(s):  
Arkadiusz Januszewski

The selection of the right cost calculation method is of critical importance when it comes to determining the real product profitability (as well as clients and other calculation objects). Traditional cost calculation methods often provide false information. The literature offers many examples of big companies that have given up traditional methods and applied a new method: activity-based costing (ABC). They discovered that many products that are manufactured generate losses and not profits. Managers, based on incorrect calculations, mistakenly believed in the profitability of each product. Turney (1991) reports on an example of an American manufacturer of over 4,000 different integrated circuits. The cost calculation with the allocation of direct production costs as machinery-hour markup demonstrated a profit margin of over 26% for each product. Implementing ABC showed that the production of more than half of the products was not profitable, and having factored in additional sales and management costs (which accounted for about 40% of the total costs), it was as much as over 75%.


2016 ◽  
Vol 820 ◽  
pp. 96-101 ◽  
Author(s):  
Lucia Paulovičová

Earthwork processes are the most costly and time consuming component of construction these days and they are characterized by a powerful heavy mechanization which participate on the earthwork process. Current pressure for minimize the cost and maximize the productivity highlights the need to optimize earthworks. In this paper, the optimization process in the area of earthwork processes is described. The selection of the right types of machines for earthwork and its implements has become very difficult these days because of availability of variety of machines models and therefore a multicriteria method is presented to tackle the problem. This paper describes methodology for optimizing the earthwork process according to the selected optimal criteria. The methodology is focused on the proposal phase of optimization where the decision maker has to make a decision and choose the right type of excavators. To overcome the problem of comparing the chosen machines a mathematical modeling approach leading to multicriteria optimization was adopted to make the step wise decision. The methodology gives an mathematical models by which we can solve this problem.


2018 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Aleksandra Paź ◽  
Magdalena Arimowicz

An estimated 50% of antibiotic prescriptions may be unjustified in the outpatient setting. Viruses are responsible for most acute respiratory tract infections. The viral infections are often self-limiting and only symptomatic treatment remains effective. Bacteria are involved in a small percentage of infections etiology in this area. In the case of a justified or documented suspicion of a bacterial infection, antibiotic therapy may be indicated. Based on the Polish „Recommendations for the management of non-hospital respiratory infections 2016”, the indications, the rules of choice, the appropriate dosing schedules and the therapy duration, in the most frequent upper respiratory tract infections in adults, have been presented. Implementation of the presented recommendations regarding our Polish epidemiological situation, will significantly reduce the tendency to abuse antibiotics, and thus will limit the spread of drug-resistant microorganisms.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Arooj Fatima ◽  
Muhammad Usman Ali Khan ◽  
Mehkaar Najeeb ◽  
Muhammad Yasoob Ali Khan ◽  
Faiz Ul Haq

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome- related coronavirus 2 (SARS-CoV- 2), is now considered as an ongoing global pandemic. Common symptoms include pyrexia, cough, dyspnea, fatigue, sore throat, and loss of sense of taste and smell. Complications that can result from more severe insult on lung tissue is pneumonia and acute respiratory distress syndrome (ARDS), which can further lead to septic shock. It is also not uncommon to find neurological symptoms in patients suffering from COVID-19. The primary treatment for COVID-19 is symptomatic treatment and supportive care. As there is no known vaccination and antiviral therapy for this disease, there is a desperate need to find an alternative to control and stop the spread of disease. Maintaining adequate micronutrient balance might enhance the immunity and protect from viral infections as well. Vitamin C and zinc helps in improving symptoms and shortening the duration of the common cold. Vitamin C (L-ascorbic acid) possesses pleiotropic physiological activity. High dose Vitamin C has shown to be effective against the common flu, rhinovirus, avian virus, chikungunya, Zika, ARDS, and influenza, and there is evidence that supports the protective effect of high dose IV vitamin C during sepsis-induced ARDS due to COVID-19. Zinc has a profound impact on the replication of viruses. Increasing intracellular zinc concentration along with pyrithione (zinc ionophore) has been shown to impair the replication of several RNA viruses efficiently, including poliovirus, influenza virus and several picornaviruses. A combination of zinc and can also inhibit the replication of SARS-coronavirus in cell culture.


2020 ◽  
Vol 29 (1) ◽  
pp. 14-18
Author(s):  
Bryan Rene F. Toledano ◽  
Catherine V. Sta Monica ◽  
Gertie May B. Plameras

PURPOSE This is a local study conducted that describes the clinical profile and cost incurred of patients with lymphedema among Filipinos seen in our institution. METHODS A descriptive study using the data from the Philippine Heart Center Lymphedema clinic from 2018-2020. It consists of the patient’s name, age, sex, lymphedema onset, classification, type, stage, affected site, treatment modality, and the number of sessions. The cost incurred was based on the clinic’s costing list, treatment modality, and the number of sessions rendered. RESULTS The analysis included a total of 97 patients. The mean age was 60.3 (± 14.3) years old, with female predominance (74.2% versus 25.8%). The majority is classified as secondary (91.8%) versus primary (8.2%). The classification of primary lymphedema are praecox (62.5%), congenital (25%) and tarda (12.5%) while for secondary it is cancer related (53.9%), phlebolymphedema (34.8%), lipolymphedema (3.4%), obesity induced 3.4%, trauma related, infection (3.4%) and iatrogenic (1.1). The stage of severity is stage IIA (60.8%), III (17.6%), IIB (13.4%), and I (8.2%). The most affected site is bilateral lower extremities (30%), followed by left (18.5%) and right (17.5%) lower extremities. The right and left upper extremities showed equal (16.5%) with no bilateral upper extremities affectation. The majority of treatment is unilateral (68.8%) versus bilateral (31.2%) decompressive lymphatic therapy. The total cost incurred was an average of P17,753 per patient and mostly came from the private section (89.7%) versus (10.3%). CONCLUSION Lymphedema is a chronic and recurrent disease that carries a substantial cost to patients. Its exact incidence, treatment outcomes, and quality of life among Filipinos are yet to be explored. A clinical profile will be the first step to raise awareness and to identify the different subset of populations for prevention, support, and treatment. Keywords Clinical profile, Cost of treatment, Lymphedema


2021 ◽  
Author(s):  
Roberto Company ◽  
Sabrina Hocine ◽  
Baptiste Pousset ◽  
Mikel Morvan

Abstract Brine composition is one of the key parameters in the design of a surfactant based oil recovery process and is a condition imposed by the reservoir nature. This brine can contain a large variety of ions including monovalent and divalent cations (hardness), which impacts the surfactants solubility. Moreover, hardness evolution during the injection process can also impair surfactant formulations’ performances. Water treatment processes are useful ways to mitigate such risks, but they imply higher CAPEX for the process. As a consequence, the selection of the right surfactant will have a large impact on the cost and on crude oil production. This paper describes solution properties of the most common surfactants used in surfactant flooding i.e. Alkyl Benzene Sulfonates (ABS) and Internal Olefin Sulfonates (IOS) as a function of the brine hardness and will be compared with Internal Ketone Sulfonates (IKS), a new bio-based surfactant family.


Author(s):  
Aniruddha Guha Biswas ◽  
Raveesh Tandon ◽  
Anurika Vaish

CASE Tools have been considered as the most advanced technique to derive quality products. The cost associated with CASE tools is generally high due to their steep learning curves and is a matter of concern for software engineering houses. This makes it imperative that the right set of CASE tools are evaluated and selected for a particular set of tasks. This research paper proposes a methodology for the purpose of comparison and selection of various CASE tools available in the market. The proposed methodology allows its users to easily identify and select the best CASE tool suited to their purpose. The paper proposes a matrix based model, mapped across parameters and their attributes that produces an optimised score card that supports the decision making process.


2019 ◽  
Vol 3 ◽  
pp. 63-68
Author(s):  
M Fakhruddin Alfaris M Fakhruddin Alfaris ◽  
M Qurtubi

Companies must choose suppliers properly, because the selection of the right supplier can reduce raw material costs and increase the competitiveness of the company, while improper supplier selection can cause financial and operating problems. The purpose of this study is to determine the optimal supplier and order quantity of raw materials. As for the object of the research is a multipurpose technology machinery company. Data collection methods used in this study were observation, interviews, and questionnaires. Supplier data is processed using the AHP method to determine the right supplier, while the linear programming method is used to determine the order quantity of the raw material. Based on the calculation, the DS supplier gets a weight of 0.65 and the LG supplier gets a weight of 0.35. The optimal order quantity from each supplier is 7.5 tons for DS and 7.5 tons suppliers for LG suppliers. From the results of the optimization, the cost reduction figure is Rp. 3,750,000 or 3% of the total cost of purchase.


Author(s):  
Lyudmila Yurievna Kulagina ◽  
Albina Ayratovna Zvegintseva ◽  
Alina Garafutdinovna Zamalutdinova ◽  
Maksim Leonidovich Maksimov

At present, the use of antibacterial drugs is one of the most frequently recommended methods of treating a large number of infectious diseases. However, in clinical practice, excessive use of antibiotics, unreasonable antibiotic therapy, and inappropriate combinations are quite common, which creates the risk of unwanted side effects, increases the cost of treatment and leads to an increase in microorganism resistance. That is why, in modern medicine, the problem of rational antibiotic therapy, i.e. the adequate use of antibacterial drugs, compliance with strict indications for their use, certain schemes and principles of use, and the creation of protocols for antibiotic therapy in pediatric practice, remains relevant. Antibacterial drugs should be prescribed for inflammatory diseases of bacterial etiology and for perioperative prophylaxis. Antibiotics should not be used in the treatment of uncomplicated acute viral respiratory diseases, since they do not have an antiviral effect, do not reduce fever, and do not prevent the development of bacterial complications. The purpose of this work is to form a methodological approach to the use of antibacterial drugs in pediatrics based on existing Russian recommendations.


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