Implementation Of Diagnostic Methods Research Articles

The Effects of Cognitive-Enhancing Activities in Senior Canine Patients

Aging process in dogs seem to be like aging in people. Human Alzheimer’s is a neurodegenerative condition very similar to the disorder in dogs, Canine Cognitive Dysfunction (CCD). CCD affects several areas of the brain, mainly ones responsible for regulating locomotion, problem-solving, navigation, and long-term memory. The onset of the disease occurs when neurotoxins are released into the brain. The presence of these toxins is manifested through symptoms including restlessness or lack of movement, disorientation, decreased ability to recognize family members, changes in patterns of interaction, sleep pattern alterations, and loss of house training. Treatment for this disorder is multimodal, including behavioral modification intended to stimulate the brain. In the present study, the canine cognition program, Dognition® was tested for its possibility to aid as a behavioral modification treatment plan to ameliorate symptoms of CCD assessed by a validated scale. We found that after the Dognition® activities, over half of the participants in the trial improved their scores for memory and communication. Additionally, before and after treatment, we found that that over half of the participants also improved their cognition scores. Implementation of diagnostic methods and behavioral modification programs is necessary to recognize and treat CCD in dogs.

Phenotype of a modern patient with valvular heart diseases: literature review

In modern conditions, valvular heart diseases (VHD) are one of the most common pathologies among cardiovascular diseases with a dynamic change in the phenotype of patients. An increase in the prevalence of VHD is currently observed due to the active implementation of diagnostic methods in cardiology. Geographical differences in the genesis of the development of valvular heart defects are noted, and the portrait of patients also changes as a result of aging and the addition of comorbid pathology. The purpose of the literature review was to present current trends in changing phenotype of patients with VHD, to study current data on the epidemiology of valve pathology, the contribution of various cardiovascular risk factors and comorbidity of patients on the course of the disease. Current data on the number of surgical interventions performed for VHD based on Russian, European, American, Australian and other studies, data on patient survival and mortality, as well as differences in these indicators in age groups of different countries are presented. The review will be useful for doctors to understand the modern portrait of a patient with VHD, trends in cardiovascular risk factors that influence the course of the disease and prognosis in patients with VHD.

Quest for an Innovative Methodology for Retrofitting Urban Built Heritage: An Assessment of Some Historic Buildings in Kano Metropolis, Nigeria

Historical buildings have inhabited every epoch of history. Some of these built legacies are now in ruins and dying whilst others are somewhat undamaged. Knowledge of conservation techniques available today has allowed us to understand more innovative ways of conserving the built heritage. Such techniques are, however, incompatible with the building materials available in our historical epoch and environment. People seek to reclaim the forgotten cultural heritage in the midst of the heritage conservation era while bearing in mind that previous work seldom takes into account the inventive preservation methods of today. This study aims to explore the innovative built heritage conservation practice in the Kano metropolis, to detect deterioration and incorporate traditional wisdom and contemporary innovation according to modern urban development. The study adopted qualitative research with a descriptive approach. The descriptive research explains, examines, and interprets prevailing practices, existing situations, attitudes, reasons, and on-going processes, while the qualitative research approach uses spatial analysis methods (direct assessment of physical characteristics of the selected buildings) and focus group discussion (FGD) sessions with the custodians, prominent elderly persons, or ward head (Mai Unguwa) from each of the selected buildings. In this work, we found it necessary to survey 29 historical buildings of which three of the historic buildings from pre-colonial, colonial, and post-colonial architecture were purposively sampled for inclusion. This is on the basis of their value formation, processes, phenomena, and typology. The findings reveal that deterioration is due to decaying plaster and paint, moist walls, deformed openings, sagging roofs, wall cracks, roof leakages, exit spouts, stains, and corrosion. Other factors include microbes and termite attacks, inappropriate use and neglect, civilization, and inappropriate funding. Conservation was performed to avert the amount of decay while the techniques in practice are documentation methods and treatment interventions with no implementation of diagnostic methods. It further unveils the potential benefits of local treatment, as evidenced by the intervention at the Dorayi palace segment, the use of “makuba” (milled locust bean pod) to stabilize the geotechnical performance of “tubali” (local mud bricks) to improve its potency. This milled locust bean pod also serves as the water repellent consolidant in “laso” (local) plaster, which has proven to be eco-friendly, non-toxic, and effective in wall rendering. The need for immediate implementation of diagnosis techniques in the conservation of architectural heritage in the municipality and elsewhere in Nigeria and beyond is eminent. Intervention and implementation of policies, appropriate funding, and mobilization, raising awareness and sensitization on the value, significance, and state of affairs of our cultural heritage is also paramount.

Fluorescence Microscopy: Determination of Meropenem Activity against Klebsiella pneumoniae.

The development and implementation of diagnostic methods that allow rapid assessment of antibiotic activity against pathogenic microorganisms is an important step towards antibiotic therapy optimization and increase in the likelihood of successful treatment outcome. To determine whether fluorescence microscopy with acridine orange can be used for rapid assessment (≤8 h) of the meropenem activity against Klebsiella pneumoniae, six isolates including three OXA-48-carbapenemase-producers were exposed to meropenem at different levels of its concentration (0.5 × MIC, 1 × MIC, 8 or 16 µg/mL) and the changes in the viable counts within 24 h were evaluated using fluorescence microscopy and a control culture method. The approach was to capture the regrowth of bacteria as early as possible. Within the first 8 h fluorescence microscopy allowed to categorize 5 out of 6 K. pneumoniae strains by their meropenem susceptibility (based on the MIC breakpoint of 8 mg/L), but meropenem activity against three isolates, two of which were OXA-48-producers, could not be accurately determined at 8 h. The method proposed in our study requires improvement in terms of accelerating the bacterial growth and regrowth for early meropenem MIC determination. Volume-dependent elevation in meropenem MICs against OXA-48-producers was found and this phenomenon should be studied further.

Worldwide Control and Management of Chagas Disease in a New Era of Globalization: a Close Look at Congenital Trypanosoma cruzi Infection.

Population movements have turned Chagas disease (CD) into a global public health problem. Despite the successful implementation of subregional initiatives to control vectorial and transfusional Trypanosoma cruzi transmission in Latin American settings where the disease is endemic, congenital CD (cCD) remains a significant challenge. In countries where the disease is not endemic, vertical transmission plays a key role in CD expansion and is the main focus of its control. Although several health organizations provide general protocols for cCD control, its management in each geopolitical region depends on local authorities, which has resulted in a multitude of approaches. The aims of this review are to (i) describe the current global situation in CD management, with emphasis on congenital infection, and (ii) summarize the spectrum of available strategies, both official and unofficial, for cCD prevention and control in countries of endemicity and nonendemicity. From an economic point of view, the early detection and treatment of cCD are cost-effective. However, in countries where the disease is not endemic, national health policies for cCD control are nonexistent, and official regional protocols are scarce and restricted to Europe. Countries of endemicity have more protocols in place, but the implementation of diagnostic methods is hampered by economic constraints. Moreover, most protocols in both countries where the disease is endemic and those where it is not endemic have yet to incorporate recently developed technologies. The wide methodological diversity in cCD diagnostic algorithms reflects the lack of a consensus. This review may represent a first step toward the development of a common strategy, which will require the collaboration of health organizations, governments, and experts in the field.

PHM Survey : Implementation of Diagnostic Methods for Monitoring Industrial Systems

The modernization of industrial sectors involves the use of complex industrial systems and therefore requires condition based maintenance. This one aims at increasing the operational availability and reducing the life-cycle while increasing the reliability and life expectancy of industrial systems. This maintenance also called predictive maintenance is a part of an emerging philosophy called PHM ‘Prognostics and Health Management’. In this paper, the PHM will be emphasized on the existing diagnostic methods used for fault isolation and identification. This depicts an important part of the PHM as it exploits the data given by the signal-processing step and its output is treated by the prognostic part. The diagnostic is mainly classified in three categories that will be highlighted in this paper.

Total delay in treatment among tuberculous meningitis patients in China: a retrospective cohort study

BackgroundCurrently, there is limited data on the risk factors associated with treatment delay in tuberculous meningitis (TBM). This study aimed to assess the duration of delay in the treatment TBM and to investigate its determinants.MethodsDuring the period from September 2009 to February 2016, a retrospective cohort study of consecutive TBM patients admitted to our hospital was conducted to determine the risk factors associated with treatment delay in TBM. Treatment delay duration was defined as the time interval from onset of symptoms (by patient recall) to initiation of treatment and was stratified into two categories: ≤ 20 days, >20 days (median delay day is 20 days). Data collected included demography, comorbidity, cerebrospinal fluid (CSF) examinations and others. Univariable and multivariable logistic regression analysis was used to evaluate the determinants of treatment delay.ResultsA total of 161 TBM patients were included in our study, all were confirmed by CSF mycobacterial culture. The median treatment delay for all patients included in the study was 20 days [interquartile range, 14–60 days]. Multivariate analysis revealed that age (≤21 years old, OR = 0.202, 95% CI: 0.079, 0.521), fever (OR = 0.414, 95% CI: 0.180, 0.952), and headache (OR = 0.204, 95% CI: 0.095, 0.442) had significantly lower risk for treatment delay, while multiple healthcare contact (>3 times) (OR = 3.938, 95% CI: 1.326, 11.691) as well as CSF chloride (>111 mmol/L) (OR = 2.479, 95% CI: 1.143, 5.377) had significantly higher risk of the delay.ConclusionsOur findings indicate that multiple healthcare contact and high CSF chloride predict the risk of long delay, while young age, fever and headache are associated with short delay. Maintained focus on awareness of TBM in the population and in healthcare systems, and continuous implementation of diagnostic methods for TBM to detect the disease early, may reduce the mortality and morbidity.

Anaplasma and Ehrlichia Infection

Human and animal infections by Anaplasmataceae are increasingly recognized as important and potentially fatal arthropod-transmitted diseases. Since the first recognition and implementation of diagnostic methods for human infection by Ehrlichia chaffeensis and Anaplasma phagocytophilum, the incidence of infections has linearly increased. Moreover, diagnostic and epidemiological testing indicates that "ehrlichia" infections are globally distributed and suggests that additional agents of human and veterinary "ehrlichiosis" will be identified. With increasing disease identification has come recognition that the infections can be severe, with approximately one-half of patients requiring hospitalization for complications including respiratory distress, myocarditis, neurological complications, hepatitis, a septic or toxic shock-like disease, opportunistic infections, and death in 0.5 to 3.0%. An understanding of the diseases, pathophysiology, pathogenesis, control, and management will best be developed through fundamental investigations. Advances in comprehension as to the separate contributions of bacteria and host are crucial since most data now suggest that alterations in host neutrophil function and protection from innate and adaptive immunity also contribute to disease manifestations. It is reasonable to operate from the hypothesis that these host cell functional changes ultimately benefit bacterial survival while inadvertently eliciting clinical disease in poorly adapted hosts. A firmer basis for the scientific understanding of Anaplasmataceae biology will allow logical and rational approaches toward infection control, prevention, and treatment.