Abstract: Essential hypertension (HTN) usually clusters with other cardiovascular risk factors such as age, overweight, diabetes, insulin resistance and dyslipidemia. The target organ damage (TOD) such as left ventricular hypertrophy, microalbuminuria (MA), acute coronary syndrome (ACS), stroke and cognitive dysfunction takes place early in course of hypertension. Though the prevalence of hypertension is high in India, the relationship between microalbuminuria and target organ damage in hypertension is not well studied. This study aim at detecting MA in essential hypertension and its relation to severity of HTN, duration of HTN, body mass index (BMI), age and TOD such as HTN retinopathy and acute coronary syndrome The present study was done in 100 patients of essential hypertension non diabetics admitted to B.L.D.E.University-s Sri B.M.Patil Medical College, Bijapur, from October 2008 to April 2011. The patients underwent detailed history and clinical examination. Early morning 5 ml of urine sample was collected & MA was estimated by immunoturbidometry method. The relationship of MA with the duration & severity of HTN, BMI, age, sex and TOD's like hypertensive retinopathy, ACS was assessed by univariate analysis. The prevalence of MA in this study was found to be 63 %. In that 42% were male & 21% were female. In this study a significant association between MA and the duration of hypertension (p = 0.036) & (OR =0.438). Longer the duration of hypertension, more possibility of microalbumin in urine. Also there was a significant association between severity of hypertension and MA (p=0.045) and (OR=0.093). MA was positive in 50 (79.4%) patients out of 63, whose blood pressure was >160/100 mm Hg. In this study a significant association between MA and the grades of hypertensive retinopathy (p =0.011) and acute coronary syndrome (p = 0.041) (OR =2.805). Gender and BMI did not pose high risk for MA in this study.The prevalence of MA in essential hypertension is high in this part of the community and MA will increase the risk of developing target organ damage.Early screening of patients with essential hypertension for MA and aggressive management of positive cases might reduce the burden of chronic kidney diseases and cardiovascular diseases in the community.
Abstract: The ε4 allele of the ε2, ε3 and ε4 protein isoform polymorphism in the gene encoding apolipoprotein E (Apo E) has previously been associated with increased cardiac artery disease (CAD); therefore to investigate the significance of this polymorphism in pathogenesis of CAD in Iranian patients with stenosis and control subjects. To investigate the association between
Apo E polymorphism and coronary artery disease we performed a comparative case control study of the frequency of Apo E
polymorphism in One hundred CAD patients with stenosis who underwent coronary angiography (>50% stenosis) and 100 control subjects (
Abstract: The classical temporal scan statistic is often used to
identify disease clusters. In recent years, this method has become as a
very popular technique and its field of application has been notably
increased. Many bioinformatic problems have been solved with this
technique. In this paper a new scan fuzzy method is proposed. The
behaviors of classic and fuzzy scan techniques are studied with
simulated data. ROC curves are calculated, being demonstrated the
superiority of the fuzzy scan technique.
Abstract: The paper proposes a methodology to process the signals coming from the Transcranial Magnetic Stimulation (TMS) in order to identify the pathology and evaluate the therapy to treat the patients affected by demency diseases. In particular, a fuzzy model is developed to identify the demency of the patients affected by Subcortical Ischemic Vascular Dementia and to measure the positive effect, if any, of a repetitive TMS on their motor performances. A tool is also presented to support the mentioned analysis.
Abstract: In this paper, application of artificial neural networks
in typical disease diagnosis has been investigated. The real procedure
of medical diagnosis which usually is employed by physicians was
analyzed and converted to a machine implementable format. Then
after selecting some symptoms of eight different diseases, a data set
contains the information of a few hundreds cases was configured and
applied to a MLP neural network. The results of the experiments and
also the advantages of using a fuzzy approach were discussed as
well. Outcomes suggest the role of effective symptoms selection and
the advantages of data fuzzificaton on a neural networks-based
automatic medical diagnosis system.
Abstract: The focus in this work is to assess which method
allows a better forecasting of malaria cases in Bujumbura ( Burundi)
when taking into account association between climatic factors and
the disease. For the period 1996-2007, real monthly data on both
malaria epidemiology and climate in Bujumbura are described and
analyzed. We propose a hierarchical approach to achieve our
objective. We first fit a Generalized Additive Model to malaria cases
to obtain an accurate predictor, which is then used to predict future
observations. Various well-known forecasting methods are compared
leading to different results. Based on in-sample mean average
percentage error (MAPE), the multiplicative exponential smoothing
state space model with multiplicative error and seasonality performed
better.
Abstract: The genus Fumaria L. (Papaveraceae) in Iran
comprises 8 species with a vast medicinal use in Asian folk
medicine. These herbs are considered to be useful in the
treatment of gastrointestinal disease and skin disorders.
Antioxidant activities of alkaloids and phenolic extracts of
these species had been studied previously. These species are:
F. officinalis, F. parviflora, F. asepala, F. densiflora, F.
schleicheri, F. vaillantii and F. indica. More than 50
populations of Fumaria species were sampled from nature. In
this study different fatty acids are extracted. Their picks were
recorded by GC technique. This species contain some kind of
fatty acids with antioxidant effects. A part of these lipids are
phospholipids. As these are unsaturated fatty acids they may
have industrial use as natural additive to cosmetics, dermal
and oral medicines. The presences of different materials are
discussed. Our studies for antioxidant effects of these
substances are continued.
Abstract: Human heart valves diseased by congenital heart
defects, rheumatic fever, bacterial infection, cancer may cause stenosis
or insufficiency in the valves. Treatment may be with medication but
often involves valve repair or replacement (insertion of an artificial
heart valve). Bileaflet mechanical heart valves (BMHVs) are widely
implanted to replace the diseased heart valves, but still suffer from
complications such as hemolysis, platelet activation, tissue
overgrowth and device failure. These complications are closely related
to both flow characteristics through the valves and leaflet dynamics. In
this study, the physiological flow interacting with the moving leaflets
in a bileaflet mechanical heart valve (BMHV) is simulated with a
strongly coupled implicit fluid-structure interaction (FSI) method
which is newly organized based on the Arbitrary-Lagrangian-Eulerian
(ALE) approach and the dynamic mesh method (remeshing) of
FLUENT. The simulated results are in good agreement with previous
experimental studies. This study shows the applicability of the present
FSI model to the complicated physics interacting between fluid flow
and moving boundary.
Abstract: Bay leaves have been shown to improve insulin
function in vitro but the effects on people have not been determined.
The objective of this study was to determine if bay leaves may be
important in the prevention and/or alleviation of type 1 diabetes.
Methods: Fifty five people with type 1 diabetes were divided into
two groups, 45 given capsules containing 3 g of bay leaves per day
for 30 days and 10 given a placebo capsules. Results All the patients
consumed bay leaves shows reduced serum glucose with significant
decreases 27% after 30 d. Total cholesterol decreased, 21 %, after 30
days with larger decreases in low density lipoprotein (LDL) 24%.
High density lipoprotein (HDL) increased 20% and Triglycerides
also decreased 26%. There were no significant changes in the
placebo group. Conclusion, this study demonstrates that consumption
of bay leaves, 3 g/d for 30 days, decreases risk factors for diabetes
and cardiovascular diseases and suggests that bay leaves may be
beneficial for people with type 1 diabetes.
Abstract: Breast cancer is one of the most frequent occurring cancers in women throughout the world including U.K. The grading of this cancer plays a vital role in the prognosis of the disease. In this paper we present an overview of the use of advanced computational method of fuzzy inference system as a tool for the automation of breast cancer grading. A new spectral data set obtained from Fourier Transform Infrared Spectroscopy (FTIR) of cancer patients has been used for this study. The future work outlines the potential areas of fuzzy systems that can be used for the automation of breast cancer grading.
Abstract: In a 10-week (May – August, 2008) Phase I trial, 840, 1+ rainbow trout, Oncorhynchus mykiss, received a commercial oral immunomodulator, Fin Immune™, at four different dosages (0, 10, 20 and 30 mg g-1) to evaluate immune response and growth. The overall objective of was to determine an optimal dosage of this product for rainbow trout that provides enhanced immunity with maximal growth and health. Biweekly blood samples were taken from 10 randomly selected fish in each tank (30 samples per treatment) to evaluate the duration of enhanced immunity conferred by Fin-Immune™. The immunological assessment included serum white blood cell (lymphocyte, neutrophil) densities and blood hematocrit (packed cell volume %). Of these three variables, only lymphocyte density increased significantly among trout fed Fin- Immune™ at 20 and 30 mg g-1 which peaked at week 6. At week 7, all trout were switched to regular feed (lacking Fin-Immune™) and by week 10, lymphocyte levels decreased among all levels but were still greater than at week 0. There was growth impairment at the highest dose of Fin-Immune™ tested (30 mg g-1) which can be associated with a physiological compensatory mechanism due to a dose-specific threshold level. Thus, our main objective of this Phase I study was achieved, the 20 mg g-1 dose of Fin-Immune™ should be the most efficacious (of those we tested) to use for a Phase II disease challenge trial.
Abstract: Inflammatory bowel disease (IBD) is a chronic
relapsing-remitting condition that afflicts millions of people
throughout the world and impairs their daily functions and quality of
life. Treatment of IBD depends largely on 5-aminosalicylic acid (5-
ASA) and corticosteroids. The present study aimed to clarify the
effects of 5-aminosalicylic acid, budesonide and currcumin on 90
male albino rats against trinitrobenzene sulfonic acid (TNB) induced
colitis. TNB was injected intrarectally to 50 rats. The other 40 rats
served as control groups. Both 5-ASA (in a dose of 120 mg/kg) and
budesonide (in a dose of 0.1 mg/kg) were administered daily for one
week whereas currcumin was injected intraperitonially (in a dose of
30 mg/kg daily) for 14 days after injection of either TNB in the
colitis rats (group B) or saline in control groups (group A). The study
included estimation of macroscopic score index, histological
examination of H&E stained sections of the colonic tissue,
biochemical estimation of myeloperoxidase (MPO), nitric oxide
(NO), and caspase-3 levels, in addition to studying the effect of tested
drugs on colonic motility. It was found that budesonide and curcumin
improved mucosal healing, reduced both NO production and caspase-
3 level. They had the best impact on the disturbed colonic motility in
TNBS-model of colitis.
Abstract: Leprosy is an infectious disease caused by
Mycobacterium Leprae, this disease, generally, compromises
the neural fibers, leading to the development of disability.
Disabilities are changes that limit daily activities or social life
of a normal individual. When comes to leprosy, the study of
disability considered the functional limitation (physical
disabilities), the limitation of activity and social participation,
which are measured respectively by the scales: EHF, SALSA
and PARTICIPATION SCALE. The objective of this work is
to propose an on-line monitoring of leprosy patients, which is
based on information scales EHF, SALSA and
PARTICIPATION SCALE. It is expected that the proposed
system is applied in monitoring the patient during treatment
and after healing therapy of the disease. The correlations that
the system is between the scales create a variety of
information, presented the state of the patient and full of
changes or reductions in disability. The system provides
reports with information from each of the scales and the
relationships that exist between them. This way, health
professionals, with access to patient information, can
intervene with techniques for the Prevention of Disability.
Through the automated scale, the system shows the level of
the patient and allows the patient, or the responsible, to take a
preventive measure. With an online system, it is possible take
the assessments and monitor patients from anywhere.
Abstract: Chikungunya virus (CHICKV) is an arboviruses belonging to family Tagoviridae and is transmitted to human through by mosquito (Aedes aegypti and Aedes albopictus) bite. A large outbreak of chikungunya has been reported in India between 2006 and 2007, along with several other countries from South-East Asia and for the first time in Europe. It was for the first time that the CHICKV outbreak has been reported with mortality from Reunion Island and increased mortality from Asian countries. CHICKV affects all age groups, and currently there are no specific drugs or vaccine to cure the disease. The need of antiviral agents for the treatment of CHICKV infection and the success of virtual screening against many therapeutically valuable targets led us to carry out the structure based drug design against Chikungunya nSP2 protease (PDB: 3TRK). Highthroughput virtual screening of publicly available databases, ZINC12 and BindingDB, has been carried out using the Openeye tools and Schrodinger LLC software packages. Openeye Filter program has been used to filter the database and the filtered outputs were docked using HTVS protocol implemented in GLIDE package of Schrodinger LLC. The top HITS were further used for enriching the similar molecules from the database through vROCS; a shape based screening protocol implemented in Openeye. The approach adopted has provided different scaffolds as HITS against CHICKV protease. Three scaffolds: Indole, Pyrazole and Sulphone derivatives were selected based on the docking score and synthetic feasibility. Derivatives of Pyrazole were synthesized and submitted for antiviral screening against CHICKV.
Abstract: Until recently, researchers have developed various
tools and methodologies for effective clinical decision-making.
Among those decisions, chest pain diseases have been one of
important diagnostic issues especially in an emergency department. To
improve the ability of physicians in diagnosis, many researchers have
developed diagnosis intelligence by using machine learning and data
mining. However, most of the conventional methodologies have been
generally based on a single classifier for disease classification and
prediction, which shows moderate performance. This study utilizes an
ensemble strategy to combine multiple different classifiers to help
physicians diagnose chest pain diseases more accurately than ever.
Specifically the ensemble strategy is applied by using the integration
of decision trees, neural networks, and support vector machines. The
ensemble models are applied to real-world emergency data. This study
shows that the performance of the ensemble models is superior to each
of single classifiers.
Abstract: Methods of contemporary mathematical physics such
as chaos theory are useful for analyzing and understanding the
behavior of complex biological and physiological systems. The three
dimensional model of HIV/AIDS is the basis of active research since
it provides a complete characterization of disease dynamics and the
interaction of HIV-1 with the immune system. In this work, the
behavior of the HIV system is analyzed using the three dimensional
HIV model and a chaotic measure known as the Hurst exponent.
Results demonstrate that Hurst exponents of CD4, CD8 cells and
viral load vary nonlinearly with respect to variations in system
parameters. Further, it was observed that the three dimensional HIV
model can accommodate both persistent (H>0.5) and anti-persistent
(H
Abstract: Mitochondria are dynamic organelles, capable to
interact with each other. While the number of mitochondria in a cell
varies, their quality and functionality depends on the operation of
fusion, fission, motility and mitophagy. Nowadays, several
researches declare as an important factor in neurogenerative diseases
the disruptions in the regulation of mitochondrial dynamics. In this
paper a stochastic model in BioAmbients calculus is presented,
concerning mitochondrial fusion and its distribution in the renewal of
mitochondrial population in a cell. This model describes the
successive and dependent stages of protein synthesis, protein-s
activation and merging of two independent mitochondria.
Abstract: Vitamin A deficiency is a public health problem in
Zimbabwe. Addressing vitamin A deficiency has the potential of
enhancing resistance to disease and reducing mortality especially in
children less than 5 years. We implemented and adapted vitamin A
outreach supplementation strategy within the National Immunization
Days and Extended Programme of Immunization in a rural district in
Zimbabwe. Despite usual operational challenges faced this approach
enabled the district to increase delivery of supplementation coverage.
This paper describes the outreach strategy that was implemented in
the remote rural district. The strategy covered 63 outreach sites with
2 sites being covered per day and visited once per month for the
whole year. Coverage reached 71% in an area of previous coverage
rates of around less than 50%. We recommend further exploration of
this strategy by others working in similar circumstances. This
strategy can be a potential way for use by Scaling-Up-Nutrition
member states.
Abstract: This paper presents a new strategy of identification
and classification of pathological voices using the hybrid method
based on wavelet transform and neural networks. After speech
acquisition from a patient, the speech signal is analysed in order to
extract the acoustic parameters such as the pitch, the formants, Jitter,
and shimmer. Obtained results will be compared to those normal and
standard values thanks to a programmable database. Sounds are
collected from normal people and patients, and then classified into
two different categories. Speech data base is consists of several
pathological and normal voices collected from the national hospital
“Rabta-Tunis". Speech processing algorithm is conducted in a
supervised mode for discrimination of normal and pathology voices
and then for classification between neural and vocal pathologies
(Parkinson, Alzheimer, laryngeal, dyslexia...). Several simulation
results will be presented in function of the disease and will be
compared with the clinical diagnosis in order to have an objective
evaluation of the developed tool.
Abstract: Heart disease (HD) is a major cause of morbidity and mortality in the modern society. Medical diagnosis is an important but complicated task that should be performed accurately and efficiently and its automation would be very useful. All doctors are unfortunately not equally skilled in every sub specialty and they are in many places a scarce resource. A system for automated medical diagnosis would enhance medical care and reduce costs. In this paper, a new approach based on coactive neuro-fuzzy inference system (CANFIS) was presented for prediction of heart disease. The proposed CANFIS model combined the neural network adaptive capabilities and the fuzzy logic qualitative approach which is then integrated with genetic algorithm to diagnose the presence of the disease. The performances of the CANFIS model were evaluated in terms of training performances and classification accuracies and the results showed that the proposed CANFIS model has great potential in predicting the heart disease.