Estimation of Reserves for Improving the Results of Patients with Multipresistant Pulmonary Tuberculosis in the Application of Surgical Methods Based on Analysis of the Efficiency of Conservative Treatment of a Specified Cohort

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done.In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention.Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start.According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients.Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment

ESTIMATION OF RESERVES FOR IMPROVING THE RESULTS OF PATIENTS WITH MULTIPRESISTANT PULMONARY TUBERCULOSIS IN THE APPLICATION OF SURGICAL METHODS BASED ON ANALYSIS OF THE EFFICIENCY OF CONSERVATIVE TREATMENT OF A SPECIFIED COHORT

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done. In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention. Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start. According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients. Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment

Characteristics of Intronic and Intergenic Human miRNAs and Features of their Interaction with mRNA

International audienceRegulatory relationships of 686 intronic miRNA and 784 intergenic miRNAs with mRNAs of 51 intronic miRNA coding genes were established. Interaction features of studied miRNAs with 5'UTR, CDS and 3'UTR of mRNA of each gene were revealed. Functional regions of mRNA were shown to be significantly heterogenous according to the number of binding sites of miRNA and to the location density of these sites.On a etabli une relation de regulation entre les miARN -intronique 686 et intergénique 784 et des ARNm de 51 genes. Des propriétés d'interaction des miARN avec les zones 5'UTR, CDS et 3'UTR des RNAm ont été mises en évidence. On a montré une hétérogénéité des régions fonctionnelles des ARNm par rapport au nombre de sites de fixation des miARM et à leur densité

Инновационное предпринимательство: российские и международные особенности развития

The article analyzes the importance of innovative entrepreneurship in the economic development of advanced countries, and studies the reasons causing innovative entrepreneurship emergence and formation. Special attention is paid to the support of innovative entrepreneurship by the state. The authors consider various organizational models of innovative entrepreneurship and give the characteristic of diverse forms of innovative business, which differ by sources of financing, the range of innovative activity, as well as the level and degree of interaction with large business. The article establishes the modern value and place of innovative entrepreneurship in the economies of different countries.El artículo analiza la importancia del emprendimiento innovador en el desarrollo económico de los países avanzados, y estudia las razones que causan el surgimiento y la formación del emprendimiento innovador. Se presta especial atención al apoyo del emprendimiento innovador por parte del estado. Los autores consideran varios modelos organizacionales de emprendimiento innovador y dan la característica de diversas formas de negocios innovadores, que difieren según las fuentes de financiamiento, el rango de actividad innovadora, así como el nivel y grado de interacción con las grandes empresas. El artículo establece el valor moderno y el lugar del emprendimiento innovador en las economías de diferentes países.В статье рассматривается роль инновационной деятельности предпринимательства в экономике высокоразвитых стран. Исследуются причины возникновения и развития инновационного предпринимательства. Особое внимание обращается на государственную поддержку инновационного бизнеса. Проанализированы модели организации инновационного бизнеса. Рассмотрены различные организационно-экономические и институционально-правовые формы, которые приобретает инновационное предпринимательство в зависимости от масштабов научно-технической деятельности, источников ее финансирования, характера взаимодействия с бизнес-структурами крупного бизнеса. Определены современная роль и место инновационных компаний в национальных экономиках стран

Non-Standard Errors

In statistics, samples are drawn from a population in a data-generating process (DGP). Standard errors measure the uncertainty in estimates of population parameters. In science, evidence is generated to test hypotheses in an evidence-generating process (EGP). We claim that EGP variation across researchers adds uncertainty: Non-standard errors (NSEs). We study NSEs by letting 164 teams test the same hypotheses on the same data. NSEs turn out to be sizable, but smaller for better reproducible or higher rated research. Adding peer-review stages reduces NSEs. We further find that this type of uncertainty is underestimated by participants

Protecting groups and glycosylation stereoselectivity control in 2-azido-2-deoxy-D-glucose series

Les héparanes sulfates (HS) sont des polysaccharides linéaires et sulfatés exprimés sur la surface cellulaire où ils interagissent et régulent l’activité de nombreuses proteines, en particulier les cytokines et chimiokines. Ils sont à ce titre de bons candidats médicaments dans des pathologies inflammatoires, autoimmunes ou en oncologie. L’unité répétitive de ce biopolymère est constituée d’un résidu de D-glucosamine lié à un acide uronique par une liaison 1,2-cis. Malheureusement, la formation d’un glycoside 1,2-cis dans la série 2-azido-2-déoxy-D-glucose avec une haute stéréosélectivité reste un des plus grands défis de la glycochimie. Parmi les nombreuses méthodologies permettant d’accéder à la synthèse des fragments d’HS avec de bons rendements et une bonne stéréosélectivité, nous avons été particulièrement intéressés par l’assistance anchimérique d’un groupement protecteur en position 6 du donneur. L’objectif de ce travail était de trouver des groupements protecteurs qui favoriseront la stéréosélectivité 1,2-cis. Nous avons préparés plusieurs donneurs thioglycosides modifiés en position 6 par des différents groupements protecteurs. L’activation des thioglycosides passe par une étape de formation des triflates anomériques. Nous avons élaboré un protocole de suivi de l’activation sur un donneur modèle afin de suivre la formation du triflate anomérique, sa plage de stabilité, ses produits de dégradation ainsi que les produits secondaires d’activation par RMN à basse température. Ensuite, ce protocole d’activation a été utilisé avec tous les donneurs synthétisés afin d’ajuster les conditions de glycosylation. Les tests de glycosylation nous ont permis de décéler plusieurs groupes capables de favoriser la stéréosélectivité 1,2-cis. Certains groupements protecteurs ont manifesté une incompatibilité avec les conditions d’activation des thioglycosides. Pour contourner ce problème, nous avons remplacé les thioglycosides par les donneurs N-phényltrifluoroacétimidates. Après avoir effectué des études d’activation sur ces donneurs toujours par RMN à basse température, les glycosylations ont été effectuées. Finalement, les groupements protecteurs favorisant la stéréosélectivité 1,2-cis ont été testés dans différentes conditions de déprotection afin d’établir la compatibilité de ces groupements protecteurs avec les conditions de synthèse des oligosaccharides d’HS.Heparin sulfate (HS) are linear and sulfated polysaccharides present at the cell surface. HS interact and regulate activity of numerous proteins, especially cytokines and chemokines. Therefore, HS oligosaccharides are targeted as potential drugs in inflammation, autoimmune disease or tumor treatment. The basic disaccharide unit of HS consists in D-glucosamine residue linked to an uronic acid by 1,2-cis glycosidic linkage. Unfortunately, the formation of highly stereoselective 1,2-cis glycosidic bond in 2-azido-2-deoxy-D-glucose series is still a major concern in glycochemistry. Amongst the numerous methodologies favoring the stereoselective 1,2-cis linkage formation, we were particularly interested in 6-O-anchimeric assistance. Several thioglycoside donors with different protecting groups in position 6 were prepared to find some 1,2-cis stereodirecting protecting groups. Some thioglycoside activation related in literature yields a reactive anomeric triflate intermediate. In order to observe its formation and to determine the limits of its stability and by-product formation, a new low temperature NMR experiment protocol was elaborated. All synthesized donors were tested using this protocol in order to adjust their glycosylation conditions. The glycosylation tests revealed several 1,2-cis stereodirecting protecting groups. Since certain protecting groups were incompatible with thioglycoside activation conditions, corresponding NPTFA donors were used as an alternative. Their activations were monitored by low temperature NMR techniques and followed by their glycosylations. Finally, all 1,2-cis stereodirecting protecting groups were tested in different deprotection conditions to determine the compatibility of chosen protecting groups with our HS oligosaccharide design synthesis

ESTIMATION OF RESERVES FOR IMPROVING THE RESULTS OF PATIENTS WITH MULTIPRESISTANT PULMONARY TUBERCULOSIS IN THE APPLICATION OF SURGICAL METHODS BASED ON ANALYSIS OF THE EFFICIENCY OF CONSERVATIVE TREATMENT OF A SPECIFIED COHORT

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done.In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention.Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start.According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients.Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment

Trihedral Lattice Towers Optimization with a Limitation on the Resonant Vortex Excitation Occurrence

Trihedral lattice towers are widely used as transmission line supports, wind turbine supports, cell towers, and floodlight towers. The aim of this work is to develop a technique for optimizing trihedral lattice supports to reduce their weight, taking into account the limitation on resonant vortex excitation. At the same time, restrictions are also introduced on the maximum stress, as well as the ultimate slenderness of the elements. Thus, with a minimum weight, the tower must meet all the requirements of the design codes. A lattice tower used as a floodlight mast is considered. The tower consists of two sections, the upper of which is of constant width, and the width of the lower section varies according to a linear law. The elements of the tower are made from pipes with an annular cross section. The sections’ widths and heights, the dimensions of elements’ cross-sections, and the number of panels are the variable parameters. The solution of the nonlinear optimization problem is implemented in MATLAB software. Internal forces in the tower and natural frequencies are calculated by the finite element method. The tower is subjected to the action of ice and wind loads, dead weight and the weight of the equipment. The wind load is considered as the sum of the average and pulsation components. To solve the problem of nonlinear optimization, the surrogate optimization method and the genetic algorithm are used. One of the serially used designs was chosen as the initial approximation. The design obtained as a result of optimization compared to the initial approximation has a mass more than two times less and at the same time satisfies all design requirements

Predicting Associations of miRNAs and Candidate Gastric Cancer Genes for Nanomedicine

Nanoscale miRNAs regulate the synthesis of most human proteins involved in differentiation, proliferation, cell cycle, apoptosis, and other processes associated with the growth and the development of an organism. miRNAs also play a number of important roles in the development of gastric cancer. In this work, we studied the quantitative characteristics of miRNA interactions with 69 candidate gastric cancer genes using bioinformatics approaches. To this end, the MirTarget program was used, which determines the characteristics of miRNA binding to mRNA in the 5′UTR, CDS, and 3′UTR. Associations of miRNAs with alternative target genes and associations of genes with alternative miRNAs were established. The cluster organization of miRNA binding sites (BSs) in mRNA was revealed, leading to the emergence of miRNA competition for binding to the mRNA of a target gene. Groups of target genes with clusters of overlapping BSs include miR-5095, miR-619-5p, miR-1273 family, miR-466, ID01030.3p-miR, ID00436.3p-miR, miR-574-5p, and ID00470.5p-miR. In the defined associations of target genes and miRNAs, miRNA BSs are organized into clusters of multiple BSs, which facilitate the design and the development of a system of chips that can be used to control the state of miRNA and target genes associations in gastric cancer

Spectral-element simulations of variable-density turbulent flow in a plane channel

We perform Large-eddy simulations (LES) of the turbulent flow in a channel with isothermal heated walls with the temperature ratio equal to 2. The variable properties of the fluid are accounted for by using the low Mach number approximation. The Reynolds number based on the bulk velocity, half-width of the channel, density and dynamic viscosity near the cold wall is 6800. We study the effect of spatial resolution on the accuracy of Large-eddy simulations with dynamic Smagorinsky model. The very good agreement of LES results is shown even for the coarse meshes which is attributed to the high accuracy of the spectral method