16 research outputs found
The reciprocal organization of constructive activity in drug addiction
The urgency of the problem stated in the article is caused by the fact that modern scientific studies show that sustainable neuro-associative connections with the object of addiction arise at chemical addiction. The aim of this study is to examine the features of the reciprocal organization of constructive activities in drug addiction. Study of the constructive activity of patients with drug addiction in comparison with the group in norm was carried out by using the experimental method. The study found a decrease of constructive activity in drug addiction by the characteristics of performance pace and accuracy, regulated by reciprocal and auditory-motor coordination, which, in turn, are also significantly reduced. Reciprocal organization in drug addiction is characterized by impaired proprioceptive kinesthetic afferentation of motor act at safety of outer space organization of movements, lack of differentiation and low handling of movements, movement program disorders, as well as the
ТОЛКОВАНИЕ ПОНЯТИЯ, ИМЕНУЕМОГО «ЗАДАЧА ПРЕДСТАВЛЕНИЯ ЗНАНИЙ»
In this article the definition of the term «the problem of representation of knowledge» isformed, which orients towards creation the technology, allowing to transfer practice of the solution of this problem by the developerof each concrete system, based on knowledge, from realization heuristics to realizationof results of theoretical researches. Also the authors point out the directions of improvement of the basic theory for this technology.В статье сформировано толкование понятия «задача представления знаний», ориентированное на создание технологии, позволяющей перевести практику решения этой задачи разработчиком каждой конкретной системы, основанной на знаниях, из реализации эвристик в ракурс реализации результатов теоретических исследований. А так же указаны направлениясовершенствованиябазовой теории для этой технологии
Efficacy and safety of tocilizumab in patients with polyarticular-course juvenile idiopathic arthritis: Results from a phase 3, randomised, double-blind withdrawal trial
INTERPRETATION OF CONCEPT, CALLED AS “THE PROBLEM OF REPRESENTATION OF KNOWLEDGE”
In this article the definition of the term «the problem of representation of knowledge» isformed, which orients towards creation the technology, allowing to transfer practice of the solution of this problem by the developerof each concrete system, based on knowledge, from realization heuristics to realizationof results of theoretical researches. Also the authors point out the directions of improvement of the basic theory for this technology
The reciprocal organization of constructive activity in drug addiction
The urgency of the problem stated in the article is caused by the fact that modern scientific studies show that sustainable neuro-associative connections with the object of addiction arise at chemical addiction. The aim of this study is to examine the features of the reciprocal organization of constructive activities in drug addiction. Study of the constructive activity of patients with drug addiction in comparison with the group in norm was carried out by using the experimental method. The study found a decrease of constructive activity in drug addiction by the characteristics of performance pace and accuracy, regulated by reciprocal and auditory-motor coordination, which, in turn, are also significantly reduced. Reciprocal organization in drug addiction is characterized by impaired proprioceptive kinesthetic afferentation of motor act at safety of outer space organization of movements, lack of differentiation and low handling of movements, movement program disorders, as well as the
Development of the autoinflammatory disease damage index (ADDI)
Autoinflammatory diseases cause systemic inflammation that can result in damage to multiple organs. A validated instrument is essential to quantify damage in individual patients and to compare disease outcomes in clinical studies. Currently, there is no such tool. Our objective was to develop a common autoinflammatory disease damage index (ADDI) for familial Mediterranean fever, cryopyrin-associated periodic syndromes, tumour necrosis factor receptor-associated periodic fever syndrome and mevalonate kinase deficiency
Development of the autoinflammatory disease damage index (ADDI)
Objectives Autoinflammatory diseases cause systemic inflammation that can result in damage to multiple organs. A validated instrument is essential to quantify damage in individual patients and to compare disease outcomes in clinical studies. Currently, there is no such tool. Our objective was to develop a common autoinflammatory disease damage index (ADDI) for familial Mediterranean fever, cryopyrin-associated periodic syndromes, tumour necrosis factor receptor-associated periodic fever syndrome and mevalonate kinase deficiency. Methods We developed the ADDI by consensus building. The top 40 enrollers of patients in the Eurofever Registry and 9 experts from the Americas participated in multiple rounds of online surveys to select items and definitions. Further, 22 (parents of) patients rated damage items and suggested new items. A consensus meeting was held to refine the items and definitions, which were then formally weighted in a scoring system derived using decision-making software, known as 1000minds. Results More than 80% of the experts and patients completed the online surveys. The preliminary ADDI contains 18 items, categorised in the following eight organ systems: Reproductive, renal/amyloidosis, developmental, serosal, neurological, ears, ocular and musculoskeletal damage. The categories renal/amyloidosis and neurological damage were assigned the highest number of points, serosal damage the lowest number of points. The involvement of (parents of) patients resulted in the inclusion of, for example, chronic musculoskeletal pain. Conclusions An instrument to measure damage caused by autoinflammatory diseases is developed based on consensus building. Patients fulfilled a significant role in this process
Development of the autoinflammatory disease damage index (ADDI)
Objectives Autoinflammatory diseases cause systemic inflammation that can result in damage to multiple organs. A validated instrument is essential to quantify damage in individual patients and to compare disease outcomes in clinical studies. Currently, there is no such tool. Our objective was to develop a common autoinflammatory disease damage index (ADDI) for familial Mediterranean fever, cryopyrin-associated periodic syndromes, tumour necrosis factor receptor-associated periodic fever syndrome and mevalonate kinase deficiency. Methods We developed the ADDI by consensus building. The top 40 enrollers of patients in the Eurofever Registry and 9 experts from the Americas participated in multiple rounds of online surveys to select items and definitions. Further, 22 (parents of) patients rated damage items and suggested new items. A consensus meeting was held to refine the items and definitions, which were then formally weighted in a scoring system derived using decision-making software, known as 1000minds. Results More than 80% of the experts and patients completed the online surveys. The preliminary ADDI contains 18 items, categorised in the following eight organ systems: Reproductive, renal/amyloidosis, developmental, serosal, neurological, ears, ocular and musculoskeletal damage. The categories renal/amyloidosis and neurological damage were assigned the highest number of points, serosal damage the lowest number of points. The involvement of (parents of) patients resulted in the inclusion of, for example, chronic musculoskeletal pain. Conclusions An instrument to measure damage caused by autoinflammatory diseases is developed based on consensus building. Patients fulfilled a significant role in this process
In silico validation of the autoinflammatory disease damage index
Introduction Autoinflammatory diseases can cause irreversible tissue damage due to systemic inflammation. Recently, the Autoinflammatory Disease Damage Index (ADDI) was developed. The ADDI is the first instrument to quantify damage in familial Mediterranean fever, cryopyrin-associated periodic syndromes, mevalonate kinase deficiency and tumour necrosis factor receptor-associated periodic syndrome. The aim of this study was to validate this tool for its intended use in a clinical/research setting. Methods The ADDI was scored on paper clinical cases by at least three physicians per case, independently of each other. Face and content validity were assessed by requesting comments on the ADDI. Reliability was tested by calculating the intraclass correlation coefficient (ICC) using an â observer-nested-within-subject' design. Construct validity was determined by correlating the ADDI score to the Physician Global Assessment (PGA) of damage and disease activity. Redundancy of individual items was determined with Cronbach's alpha. Results The ADDI was validated on a total of 110 paper clinical cases by 37 experts in autoinflammatory diseases. This yielded an ICC of 0.84 (95% CI 0.78 to 0.89). The ADDI score correlated strongly with PGA-damage (r=0.92, 95% CI 0.88 to 0.95) and was not strongly influenced by disease activity (r=0.395, 95% CI 0.21 to 0.55). After comments from disease experts, some item definitions were refined. The interitem correlation in all different categories was lower than 0.7, indicating that there was no redundancy between individual damage items. Conclusion The ADDI is a reliable and valid instrument to quantify damage in individual patients and can be used to compare disease outcomes in clinical studies. © 2018 Author(s) (or their employer(s)