CLASSIFICATION AND ANALYSIS OF BLOOD PRESSURE CHARACTERISTICS USING FUZZY LOGIC APPROACH

The idea of Fuzzy Expert System (FES) used in this research work is proposed to assist the medical experts to make right diagnosis for patients that are suffering from hypertension. The only sure way to monitor high blood pressure is through regular checkups. Majority of the researchers that have worked in this field only focused on using fuzzy expert system for classification of hypertension data, while few of them dealt with data analysis. This research work further checked for the efficacy of medication on the patients and the exact time the effect began to have impact on the patients using secondary data collected from questionnaire. It was gathered from the sampled respondents that the antihypertensive medication (Dieuretic) has been reliable in the treatment of hypertension.

Association between Exercise and Blood Pressure in Hypertensive Residents: A Meta-Analysis

Background. Exercise is recommended as an effective lifestyle behaviour for adults to prevent and treat hypertension. In this study, a randomized-effect meta-analysis was used to analyse the influence of exercise interventions on blood pressure in patients with hypertension. Methods. Candidate papers were retrieved from PubMed, Web of Science, Embase, and Cochrane Library electronic databases, and 46 studies were finally included and analysed. Results. It was shown that preplanned walking (systolic blood pressure (SBP): WMD (weighted mean difference) = −5.94, 95% CI: −8.57, −3.30; diastolic blood pressure (DBP): WMD = −2.66, 95% CI: −3.66, −1.67), yoga (SBP: WMD = −5.09, 95% CI: −9.28, −0.89; DBP: WMD = −3.06, 95% CI: −5.16, −0.96), aquatic sports (SBP WMD = −7.53, 95% CI: −11.40, −3.65; DBP: WMD = −5.35, 95% CI: −9.00, −1.69), and football (SBP: WMD = −6.06, 95% CI: −9.30, −2.82; DBP: WMD = −5.55, 95% CI: −8.98, −2.13) had significant effects on blood pressure reduction. However, Tai Chi (SBP: WMD = −8.31, 95% CI: −20.39, 3.77; DBP: WMD = −3.05, 95% CI: −6.96, 0.87) and Qigong (SBP: WMD = −4.34, 95% CI: −13.5, 4.82; DBP: WMD = −3.44, 95% CI: −7.89, 1.01) did not significantly reduce blood pressure. The heterogeneity of the meta-analysis was high. Conclusion. Walking, yoga, aquatic sports, and football were feasible and independent lifestyle interventions, and they were effective options for treating hypertension. More scientifically designed randomized controlled trials are needed in the future to further compare different forms of exercise for the treatment of hypertension.

Place of imidazoline receptor agonists in the treatment of hypertension

The review is devoted to selective I1-imidazoline-receptor agonists. An analysis of Russian and foreign studies is presented, the results of which indicate that this drug class not only provides adequate and long-term control of blood pressure, but also has a number of favorable metabolic effects. Therefore, it contributes to reducing insulin resistance (weight loss) and has organ protective properties (endothelial function improvement, left ventricular hypertrophy regression, microalbuminuria reduction). At the same time, selective I1-imidazoline-receptor agonists are much less likely to cause side effects characteristic of old-generation sympatholytic agents. This class of drugs is invariably included in Russian guidelines for the diagnosis and treatment of hypertension.

ANTIOXIDANT PROPERTIES OF METHANOLIC EXTRACT OF BRYPHYLLUM PINNATUM ON ALBINO WISTAR RATS

Bryophyllumpinnatum, which belong to the family Crassulceae, is a succulent plant native to Madagascar, which is a popular houseplant and has become naturalized in tropical and subtropical areas. It has been in traditional medicine for the treatment of hypertension and kidney stones. Despite these acclaimed efficacies of its use in trado-medical practices, the effects on body organs are not well understood. The aim of this study was to evaluate antioxidant properties of Bryophyllumpinnatum. Fifteen adult Sprague dowley rats were use in this study split into three groups (group 1, 2 and 3). Group 1 animals served as the control, while group 2 and 3 served as the experimental groups. Acute toxicity, and antioxidants. The result of this study found LD50 to be above 5000mg/kg. In vitro antioxidant test found the presence of alkaloids, saponins, thiamin, riboflavin etc. Antioxidant activity test result found an increase in GSH, GPx, a decrease in MDA and a stable CAT. In conclusion, we recommend its uses in human, but at a regulated doses because of its efficacy as stated in this study.

SURGICAL TREATMENT OF HYPERTENSION-DUCTAL TYPE OF CHRONIC PANCREATITIS, IN COMBINATION WITH BILIARY OBSTRUCTION SYNDROME

Background. The frequency of chronic pancreatitis and its complications is steadily increasing, which makes the problem of treating this pathology one of the most urgent and significant. Objective. Improvement of the results of surgical treatment of patients with hypertension-ductal type of chronic pancreatitis with extended stricture of the intrapancreatic part of the common bile duct. Material and methods. During the period 2006–2021, 328 operations were performed in the Grodno University Clinic due to chronic pancreatitis with pathology of the ductal system in combination with pancreatic cysts. The total number of complications was 5,1%. 18 patients with chronic recurrent pancreatitis, ductal hypertension in combination with a cyst of the head pancreas, also with extended stricture of the terminal part common bile duct and mechanical jaundice were operated on according to the methods developed in the clinic: 12 patients underwent choledochopancreatoejunostomy, 5 patients underwent choledochocystopancreatoejunostomy, choledochocystoduodenostomy was performed in 1 case. Results. The developed methods make it possible to perform adequate internal drainage of the ductal system of the pancreas and bile ducts, as well as cystic formations. Conclusions. The application of the developed methods improves the results of surgical treatment complicated chronic pancreatitis.