A MATHEMATICAL MODEL FOR PREDICTING THE OUTCOME OF TREATMENT OF MULTIDRUD-RESISTANT TUBERCULOSIS

2021 ◽  
Vol 74 (7) ◽  
pp. 1649-1654
Author(s):  
Olha S. Shevchenko ◽  
Liliia D. Todoriko ◽  
Iryna A. Ovcharenko ◽  
Olga O. Pogorelova ◽  
Ihor O. Semianiv
Keyword(s):  
Mathematical Model ◽  
Discriminant Analysis ◽  
Treatment Effectiveness ◽  
Linear Equations ◽  
Blood Analysis ◽  
Tissue Destruction ◽  
Additional Criterion ◽  
Resistant Tuberculosis ◽  
Phase Group ◽  
Group 2

The aim: Predicting the effectiveness of treatment for MRI of the lungs by developing a mathematical model to predict treatment outcomes. Materials and methods: 84 patients with MRI of the lungs: group 1 (n = 56) – with signs of effective TB treatment at the end of the intensive phase; group 2 (n = 28) – patients with signs of ineffective treatment. We used the multivariate discriminant analysis method using the statistical environment STATISTICA 13. Results: During the discriminant analysis, the parameters of the clinical blood analysis (monocytes, stab leukocytes, erythrocytes) were selected, which were associated with high (r> 0.5) statistically significant correlations with the levels of MMP-9, TIMP-1, oxyproline and its fractions and aldosterone in the formation of the prognosis. The mathematical model allows, in the form of comparing the results of solving two linear equations and comparing their results, to predict the outcome of treatment: “1” effective treatment, “2” – ineffective treatment. Early prediction of treatment effectiveness is promising, as it allows the use of the developed mathematical model as an additional criterion for the selection of patients for whom surgical treatment is recommended, in order to increase the effectiveness of treatment. Conclusions: An additional criterion for predicting ineffective MRI treatment, along with the criteria provided for by WHO recommendations, is a mathematical model that takes into account probably strong correlation (r = 0.5, p <0.05) between the factors of connective tissue destruction, collagen destruction, aldosterone , and indicators of a clinical blood test (between levels of OBZ and monocytes (r = 0.82, p = 0.00001), OB and monocytes (r = 0.92, p = 0.000001) OB and stab leukocytes (r = – 0.87, p = 0.0003) OBZ and stab leukocytes (r = – 0.53, p = 0.017), aldosterone and ESR.

Curcumin-containing Silver Nanoparticles prevent carbon tetrachlorideinduced hepatotoxicity in mice

2020 ◽  
Vol 23 ◽  
Author(s):  
Hossam Ebaid ◽  
Mohamed Habila ◽  
Iftekhar Hassan ◽  
Jameel Al-Tamimi ◽  
Mohamed S. Omar ◽  
...  
Keyword(s):  
Dna Damage ◽  
Silver Nanoparticles ◽  
Nuclear Dna ◽  
Liquid Paraffin ◽  
Tail Length ◽  
Hepatic Tissue ◽  
Tissue Destruction ◽  
Group 2 ◽  
The Impact

Background: Hepatotoxicity remains an important clinical challenge. Hepatotoxicity observed in response to toxins and hazardous chemicals may be alleviated by delivery of the curcumin in silver nanoparticles (AgNPs-curcumin). In this study, we examined the impact of AgNPs-curcumin in a mouse model of carbon tetrachloride (CCl4)-induced hepatic injury. Methods: Male C57BL/6 mice were divided into three groups (n=8 per group). Mice in group 1 were treated with vehicle control alone, while mice in Group 2 received a single intraperitoneal injection of 1 ml/kg CCl4 in liquid paraffin (1:1 v/v). Mice in group 3 were treated with 2.5 mg/kg AgNPs-curcumin twice per week for three weeks after the CCl4 challenge. Results: Administration of CCL4 resulted in oxidative dysregulation, including significant reductions in reduced glutathione and concomitant elevations in the level of malondialdehyde (MDA). CCL4 challenge also resulted in elevated levels of serum aspartate transaminase (AST) and alanine transaminase (ALT); these findings were associated with the destruction of hepatic tissues. Treatment with AgNPs-curcumin prevented oxidative imbalance, hepatic dysfunction, and tissue destruction. A comet assay revealed that CCl4 challenge resulted in significant DNA damage as documented by a 70% increase in nuclear DNA tail-length; treatment with AgNPs-curcumin inhibited the CCL4-mediated increase in nuclear DNA tail-length by 34%. Conclusion: Administration of AgNPs-curcumin resulted in significant antioxidant activity in vivo. This agent has the potential to prevent the hepatic tissue destruction and DNA damage that results from direct exposure to CCL4.

Epicuticular waxes of the genus Hordeum: a survey of their chemical composition and ultrastructure

1989 ◽  
Vol 67 (11) ◽  
pp. 3219-3226 ◽  
Author(s):  
Bernard R. Baum ◽  
A. Pat Tulloch ◽  
L. Grant Bailey
Keyword(s):  
Chemical Composition ◽  
Discriminant Analysis ◽  
Alcohol Content ◽  
Total Absence ◽  
Average Alcohol ◽  
The Common ◽  
Group 2 ◽  
Whole Plants ◽  
Almost All ◽  
Group 1

This study was based on 148 accessions representing 39 species of Hordeum. SEM ultrastructural morphology of waxes was based on individual spikelets, whereas waxes' chemical composition was assessed from whole plants. When all the data, in the form of individual accessions, were subjected to various cluster analyses methods, no groupings were revealed. But when the data were first summarized by species and then subjected to clustering, two polythetic groups of species were detected. Group 1 is characterized by species with 40–60% average alcohol content and by the common presence of diketones, whereas group 2 is characterized by species with 61 – 80% average alcohol content, by the total absence of hydroxy-β-diketone, and almost all species without β-diketone. The chemical data were then subjected to classificatory discriminant analysis to assess if a single previously unclassified accession could be identified into one of the two groupings. The nature of the differences between the two groupings was described by means of a canonical discriminant analysis. Mostly only plates and filaments were detected, and in many accessions the filaments were widened, appeared platelike, and were characteristic for one group. Presence of β-diketone varied within species. Hordeum violaceum was found to be unique in chemical composition.

scholarly journals Evaluation of An Interactive Music Awareness Program for Cochlear Implant Recipients

2016 ◽  
Vol 33 (4) ◽  
pp. 493-508 ◽  
Author(s):  
Rachel M. van Besouw ◽  
Benjamin R. Oliver ◽  
Mary L. Grasmeder ◽  
Sarah M. Hodkinson ◽  
Heidi Solheim
Keyword(s):  
Cochlear Implant ◽  
Music Perception ◽  
Positive Impact ◽  
Music Listening ◽  
Interactive Music ◽  
Awareness Program ◽  
Instrument Recognition ◽  
Phase Group ◽  
Group 2

The objective of this study was to evaluate the efficacy of a prototype interactive music awareness program (IMAP) for adult cochlear implant (CI) users. An unblinded, randomized crossover design was used. Twenty-one CI users were recruited and allocated to two groups. Group 1 received the IMAP first, followed by a retention of learning phase. Group 2 were given the IMAP after 12 weeks. Participants were instructed to undertake two half-hour sessions per week at home over 12 weeks. Both groups attended appointments at the start, halfway through, and at the end of the trial. At each appointment participants completed tests of speech perception, melodic contour identification, and instrument recognition, rated the sound quality of music, and indicated their music listening habits. Sixteen participants completed the study. Following training both groups showed improved instrument recognition abilities and feedback suggests further positive impact on participants’ lives. The findings suggest that the IMAP is beneficial for music perception and in particular, improved instrument recognition.

scholarly journals Introducing a Conditional Ghost Correction Into the Vector Method

1984 ◽  
Vol 6 (2) ◽  
pp. 117-123 ◽  
Author(s):  
H. Schaeben
Keyword(s):  
Mathematical Model ◽  
Quadratic Programming ◽  
Optimization Problem ◽  
Linear Equations ◽  
Singular System ◽  
Orientation Distribution ◽  
Mathematical Approach ◽  
System Of Linear Equations ◽  
Vector Method ◽  
The Mathematical Model

The concept of conditional ghost correction is introduced into the vector method of quantitative texture analysis. The mathematical model actually chosen here reduces the texture problem to one of quadratic programming. Thus, a well defined optimization problem has to be solved, the singular system of linear equations governing the correspondence between pole and orientation distribution being reduced to a set of equality constraints of the restated texture problem. This new mathematical approach in terms of the vector method reveals the modeling character of the solution of the texture problem provided by the vector method completely.

scholarly journals Assessing efficacy and safety of rectally vs. intravenously administered Sibazon in treatment of generalized epileptic seizures in children

2021 ◽  
Vol 13 (3) ◽  
pp. 200-210
Author(s):  
A. G. Prityko ◽  
K. V. Osipova ◽  
P. L. Sokolov ◽  
E. A. Ezhova ◽  
I. G. Kotel’nikova ◽  
...  
Keyword(s):  
Drug Administration ◽  
Epileptic Seizures ◽  
Blood Analysis ◽  
Intramuscular Administration ◽  
Final Visit ◽  
Fisher Exact Test ◽  
Efficacy And Safety ◽  
Clonic Seizures ◽  
Group 2 ◽  
Group 1

Objective: to prove the therapeutic equivalence and similar safety profile of “Sibazon, rectal solution” (international nonproprietary name: diazepam) and “Sibazon, solution for intravenous and intramuscular administration” in children with primary generalized and bilateral tonic, clonic and tonic-clonic seizures.Material and methods. An open-label, randomized clinical trial on efficacy and safety was conducted in 20 patients suffering from epilepsy with generalized seizures aged 1 to 17 years. Clinical blood and urine tests, biochemical blood analysis were used for diagnostics (glucose, total protein, albumin, total bilirubin, cholesterol, aspartate aminotransferase, alanine aminotransferase, creatine phosphokinase, alkaline phosphatase, creatinine, urea, creatinine clearance), as well as data on electrocardiographic (ECG) and electroencephalographic (EEG) studies. The patients were divided into two groups: in Group 1 (n=8), a rectal solution was used, in Group 2 (n=12) – a solution for intravenous and intramuscular administration.Results. The number of cases in which seizures were completed within 10 minutes after using the drug without resuming within subsequent 60 minutes, in Group 1 was 7 (87.5%), and in Group 2 – 9 (75.0%) (Fisher exact test (FET): p=0.617). Repeated primary generalized or bilateral tonic/clonic/tonic-clonic seizures within 24 hours after drug administration, in Group 1 were absent in 5 (62.5%) patients, in Group 2 – in 6 (50%) (FET: p=0.670); within 48 hours after drug administration – in 5 (62.5%) and 7 (58.3%) children, respectively (FET: p=1.00). Physical examination revealed no pathology in all patients at the final visit. While comparing ECG and EEG data at the final visit, no inter-group differences were found by the number of children with deviations from the norm. The results of laboratory studies confirmed that using the studied drugs had no negative effect on the main indicators of clinical and biochemical blood tests as well as clinical urine analysis.Conclusion. The effectiveness of the rectal form of Sibazon in relieving pediatric generalized epileptic seizures is comparable to that of Sibazon for intramuscular administration. The drug rectal form, due to easy-to-use administration, is preferable for outpatient practice. “Sibazon, rectal solution” is safe and has good tolerability.

scholarly journals Dynamics of intraocular temperature during local hypothermia (experimental study and mathematical modeling)

2019 ◽  
pp. 383-388
Author(s):  
Lukyan Anatychuk ◽  
Roman Kobyliansky ◽  
Nataliya Pasyechnikova ◽  
Volodymyr Naumenko ◽  
Oleg Zadorozhnyy ◽  
...  
Keyword(s):  
Mathematical Modeling ◽  
Mathematical Model ◽  
Biological Tissues ◽  
Comsol Multiphysics ◽  
Rabbit Eye ◽  
Local Contact ◽  
Group 2 ◽  
Local Hypothermia ◽  
Group 1

Therapeutic hypothermia currently is successfully in various fields of medicine to protect biological tissues from ischemia. However the issue of changes in intraocular temperature under hypothermia remains poorly understood. Purpose. To study the dynamics of intraocular temperature in conditions of local hypothermia and on the basis of the obtained data to develop a mathematical model of thermophysical processes in the rabbit eye. Materials and methods. An in vivo experiment was performed on 10 rabbits (20 eyes). In group 1 (5 rabbits, 10 eyes), epibulbar and intraocular temperature was measured after local contact hypothermia through closed eyelids, in group 2 (5 rabbits, 10 eyes) after local contact hypothermia directly through the cornea. ока безпосередньо через рогівку. Для гіпотермії застосовувався гелевий акумулятор холоду температурою -10 °С. Для вимірювання температури в різних відділах ока застосовувався термоелектричний пристрій, розроблений Інститутом термоелектрики НАН і МОН України та ДУ «Інститут очних хвороб і тканинної терапії ім. В. П.Філатова НАМН України». Для розробки математичної моделі теплофізичних процесів в оці кролика використано пакет прикладних програм COMSOL Multiphysics. Результати. Температура склоподібного тіла в 1-й і 2-й групі тварин знизилася в порівнянні з вихідними даними відповідно на 2,8 °С і 5,4 °С. Температурний градієнт між зовнішньою поверхнею рогівки і середньою частиною склоподібного тіла ока кролика в 1-й групі становив 7,1 °С, у 2-й групі – 9,2 °С. На підставі отриманих експериментальних даних було розроблено схематичну, математичну та комп’ютерну моделі ока кролика з урахуванням його теплофізичних особливостей, кровообігу, процесів метаболізму і теплообміну. Висновки. У разі локальної контактної гіпотермії очей кролика відбувається зниження епібульбарної температури і температури внутрішньоочних середовищ, як під час охолодження безпосередньо зовнішньої поверхні рогівки, так і під час впливу холоду через закриті повіки. Ключові слова: внутрішньоочна температура, локальна гіпотермія, око кролика, математична модель ока. Для цитування: Анатичук ЛІ, Пасєчнікова НВ, Науменко ВО, Задорожний ОС, Назаретян РЕ, Кобилянський РР, Верешко ЄЮ. Динаміка внутрішньоочної температури в умовах локальної гіпотермії (експериментальне дослідження та математичне моделювання). Журнал Національної академії медичних наук України. 2019;25(4):383–8

scholarly journals Characteristic features of maxillofacial phlegmon morbidity with assessment of efficiency of detoxication therapy

2019 ◽  
Vol 36 (2) ◽  
pp. 29-35
Author(s):  
I. A. Boev ◽  
A. P. Godovalov ◽  
G. I. Shtraube ◽  
G. I. Antakov
Keyword(s):  
Standard Therapy ◽  
Infusion Therapy ◽  
Tissue Destruction ◽  
Endogenous Intoxication ◽  
Sickness Rate ◽  
Perm Krai ◽  
Characteristic Features ◽  
Group 2 ◽  
Opportunistic Pathogenic

Aim. To study the characteristic features of long-term facial phlegmon morbidity in Perm Krai with assessment of the efficiency of infusion therapy using indices of endogenous intoxication expression. Materials and methods. Manifestations of epidemic process of facial phlegmons were studied on the basis of a detailed retrospective analysis of sickness rate among the inhabitants of Perm Krai for the period of 2011–2016. In group 1, all patients besides standard therapy, underwent infusion therapy, and in group 2 – standard therapy alone. Prior to and after the therapy, peripheral blood cellular composition was assessed, and leukocytic indices of intoxication were calculated. Results. A long-term dynamics of facial phlegmon morbidity was established to show the irregularity of process expression according to years. Growth of the quantity of patients is provided by increase in the number of cases with complicated forms. Besides, males play a significant role in formation of sickness rate: the chances for the development of phlegmon among them are 1.49 times higher than in females. In the age structure of morbidity, prevail persons aged 21–30 and 31–50. A half of patients have endogenous intoxication. The course of infusion therapy essentially reduces the expression of endogenous intoxication. Conclusions. There is observed a tendency to growth of facial phlegmon morbidity that is probably connected with changes in etiological structure of pathogenic agents as well as with formation of pathosymbiosis of some opportunistic pathogenic microorganisms. As a rule, phlegmon is being developed against the background of endogenous intoxication, conditioned by both microbial metabolites and tissue destruction products. The efficiency of correction of endogenous intoxication using infusion therapy is shown.

scholarly journals New opportunities to improve the treatment effectiveness of patients with stable angina

Kardiologiia ◽  
2020 ◽  
Vol 60 (6) ◽  
pp. 47-52
Author(s):  
N. Yu. Grigoryeva ◽  
O. E. Vilkova ◽  
M. O. Samolyuk ◽  
K. S. Kolosova
Keyword(s):  
Heart Rate ◽  
Beta Blocker ◽  
Stable Angina ◽  
Treatment Effectiveness ◽  
Functional Class ◽  
Metoprolol Tartrate ◽  
St Segment ◽  
Group 2 ◽  
Heart Rate Slowing

Aim To study the antianginal and heart rate slowing effects in patients with stable angina (SA) who failed to achieve the heart rate (HR) goal and were switched from the beta-blocker (BB) metoprolol tartrate to a combination of metoprolol tartrate and ivabradine.Materials and methods The study included 54 patients with SA not higher than functional class (FC) III (35 (64.8 %) men and 19 (35.2 %) women) aged 59 [48; 77] years. Prior to the study start and at 4 and 8 weeks of follow-up, electrocardiography (ECG) and 24-h ECG monitoring (24h-ECGM) were performed for all patients. The follow-up period duration was 8 weeks. The antianginal and heart rate slowing effects of therapy were clinically evaluated by a decrease in frequency of anginal attacks and patients’ requirement for nitrates, a decrease in HR, and the effect on 24h-ECGM indexes characterizing myocardial ischemia. At the first stage, all patients were prescribed metoprolol tartrate (Egilok®, Egis, Hungary) 25 mg twice a day. Patients with resting HR still higher than 70 bpm after 4 weeks of treatment were switched from metoprolol tartrate to a fixed ivabradine/metoprolol combination (Implicor®, Servier, France) 5 / 25 mg twice a day. Thus, based on achieving/ non-achieving the HR goal, two groups of patients were formed. Statistical analysis was performed with a STATISTICA 10,0 software package.Results After 4 weeks of therapy with metoprolol tartrate 25 mg twice a day, 18 (33.3%) patients of group 1 achieved the HR goal of 70 bpm, while  36 (66.7%) patients of group 2 did not achieve the goal. For further correction of HR, patients of group 2 were switched from metoprolol tartrate to ivabradine/metoprolol 5 / 25 mg twice a day. After 4 weeks of the ivabradine/metoprolol treatment, 31 (86.1 %) patients achieved the HR goal with median resting HR of 62 [56; 70] bpm. The number of angina attacks decreased from 6 [3; 8] to 2 [1; 3] per week (р<0.001). 24hECGM showed that the mean diurnal HR decreased from 81 [76; 96] to 66 [56; 76] bpm (р<0.001); mean night HR decreased from 69 [73; 80] to 52 [43; 60] bpm (р=0.012); and the ischemic ST segment depression was absent.Conclusion Only 33.3% of patients with stable angina achieved the HR goal on metoprolol tartrate 25 mg twice a day. Supplementing the beta-blocker metoprolol tartrate at the same dose with ivabradine allowed 86.1% of patients to achieve the HR goal and exerted a pronounced anti-anginal effect.

The effectiveness of immunoglobulin G application in patients with drug­-resistant tuberculosis/HIV with CD4+ lymphocytes from 200 to 50 cells/µl according to biochemical data

2021 ◽  
pp. 43-50
Author(s):  
N.А. Matsegora ◽  
A.V. Kaprosh
Keyword(s):  
Immunoglobulin G ◽  
Biochemical Parameters ◽  
Immunoglobulin Therapy ◽  
Treatment Method ◽  
Control Group ◽  
Second Line ◽  
Resistant Tuberculosis ◽  
Complex Therapy ◽  
Group 2 ◽  
Cd4 Lymphocytes

Objective — to study the effectiveness of immunoglobulin therapy in patients with co-infection of drug-resistant tuberculosis (DR-TB)/HIV at the level of CD4+ lymphocytes from 200 to 50 cells/μl, based on a study of the dynamics of biochemical parameters. Materials and methods. The study involved 52 patients aged 20 to 55 years, with a mean age of (37.2 ± 7.8) years. All patients were HIV-positive with laboratory-confirmed DR-TB with mycobacterial resistance to first- and second-line drugs. Patients with DR-TB/HIV were distributed as follows: 1 group (control) — 26 patients with DR-TB/HIV, receiving standard treatment of second-line AMBP and ARVT; group 2 (main) — 26 patients with DR-TB/HIV, who also received standard treat­ment of second-line AMBP and ARVT, with the addition of complex therapy with intravenous immunoglobulin G (IgG). Results and discussion. Against the background of treatment, the dynamics of changes in biochemical parameters was as follows: patients in the control group, after the first 2 weeks of AMBP, there was an increase in intoxication load on the hepatobiliary and urinary systems, which led, on the one hand, to dysfunction liver with hyperbilirubinemia, increased transaminase activity, thymol turbidity, and on the other — to the development of renal failure with hypercreatininemia, hyperuricemia, azotemia and oliguria. As a result, timely appointment of ARVT (2 weeks after AMBP) in 19 (73.1 %) patients was impossible and was carried out much later than desired (after 2—3 months).Treatment of patients with comorbid pathology of DR-TB/HIV, which included complex intravenous IgG on the background of complex therapy, was accompanied by positive clinical and laboratory dynamics, which created conditions for ARVT involvement after the second week of complex therapy according to the developed treatment method. Conclusions. The use of immunologically targeted treatment with intravenous IgG made it possible to successfully prescribe ARVT to patients of the main group in 2 weeks from the start of AMBT, which is very useful to prevent adverse reactions, increase treatment efficacy and reduce mortality in patients with comorbid DR-TB/HIV in a state of deep immunosuppression.

Treatment of patients with multidrug­resistant and extensively drug resistant tuberculosis depending on the composition of individualized regimens: immediate and long­term results

2021 ◽  
pp. 7-15
Author(s):  
Yu.I. Feshchenko ◽  
N.A. Litvinenko ◽  
N.V. Grankina ◽  
M.V. Pogrebna ◽  
Yu.O. Senko ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Treatment Effectiveness ◽  
Individualized Treatment ◽  
Fluoroquinolone Resistance ◽  
Drug Resistant ◽  
Drug Resistant Tuberculosis ◽  
Treatment Regimens ◽  
Resistant Tuberculosis ◽  
Extensively Drug Resistant

Objective — to study the effectiveness of treatment of MDR-TB (multidrug-resistant tuberculosis) and preXDR-TB/XDR-TB (pre-extensively and extensively drug resistant tuberculosis), depending on the composition of ITRs (individualized treatment regimens). Materials and methods. Тhe prospective observational study included 566 patients with MDR/preXDR-TB and XDR-TB during 2016—2020 on the scientific clinical bases of the SI «National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine» and ME «Kryvyi Rih Anti-tuberculosis Dispensary» Dnipropetrovsk Regional Council Department. Patients were prescribed individualized treatment regimens in cases where short (standard or modified) regimens could not be prescribed. Patients were divided into comparison groups: 469 of them were treated with antimycobacterial therapy including bedaquiline and other effective antimycobacterial drugs groups A—C (without delamanid) — group 1. And 97 patients who were treated with the inclusion of both new antimycobacterial drugs (bedaquiline and delamanid) — group 2. Results and discussion. Regardless of whether the delamanid, in addition to bedaquiline and other drugs selected for the scheme according to WHO recommendations, «effective treatment» was found in 91.3 against 88.6 % of patients. In the remote period (6-month — 4-year follow-up period) there was no recurrence of the disease, regardless of the composition of the regime. The loss of treatment effectiveness was due to deaths from non-tuberculosis reasons and those lost for follow-up. Conclusions. For highly effective treatment, individualized regimens should include bedaquidine and linezolid from group A, and for previously ineffectively treated patients, clofazimine and carbapenems must be included (possibility to include 4 or more effective AMDs in ITR). For patients with fluoroquinolone resistance, treatment should include delamanid.

Sign in / Sign up

Export Citation Format

Share Document