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Despite the increasing incidence of autoimmune encephalitis and the incomplete recovery observed in patients post-affliction, the issue of timely diagnosis remains unresolved. The primary objective of this study is identification the distinctive clinical presentation features evaluation the management strategies, and assess the outcomes of the disease in patients with various forms of autoimmune encephalitis. The research aims to contribute in a better understanding of the disease progression and facilitate the selection of optimal therapeutic interventions. A retrospective observational study enrolled 68 patients aged 18 years and older with verified autoimmune encephalitis who underwent treatment in state hospitals in Sofia, Bulgaria, from the beginning of 2014 to the end of 2022. The number of patients with pathology linked to antibodies against glycine receptors (Gly-R) was half as much, with 32 and 17 patients, respectively. The primary manifestations of autoimmune encephalitis included cognitive impairments observed in 51 patients, seizures occurring in 44 patients, and mood disorders observed in 22 patients. While the findings of imaging studies were nonspecific, hospitalizations for patients with this pathology, especially those with antibodies to CASPR2 and DPPX, were prolonged (114 and 232 days, respectively). In the vast majority of cases, incomplete recovery with residual symptoms was noted. Among the diverse forms of autoimmune encephalitis, the most prevalent is NMDA-R. Cognitive impairments predominate in the autoimmune encephalitis clinical presentation. Prolonged hospitalization periods and incomplete recovery of patients are characteristic features of autoimmune encephalitis, despite combined therapy involving intravenous administration of methylprednisolone and immunoglobulins.
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There are available data on in vivo studies of monotherapy of zoonotic cutaneous leishmaniasis with some antibacterial drugs (doxycycline) and their comparison with meglumine antimoniate (glucantime). We used golden Syrian hamsters as a laboratory model. Experimental groups were formed, each of which was treated with one of the tested drugs. Infection of animals was carried out with Leishmania major promastigotes. We selected highly virulent strains of L. major culture isolated from human ulcers or rodents. Meglumine antimoniate monotherapy and doxycycline monotherapy are quite effective and do not differ by the 30th day of their use in such indicators as the average degree of local damage and the average number of Leishmania in the lesions. The main differences were recorded in terms of average body weight gain and average clinical recovery in favour of doxycycline. Leishmania in the lesion on the 60th day were completely absent in treatment with doxycycline. The experiment proved the effectiveness of doxycycline monotherapy: Leishmania in the lesions were absolutely absent by the end of the treatment.
Assuntos
Antiprotozoários/farmacologia , Doxiciclina/farmacologia , Leishmaniose Cutânea/tratamento farmacológico , Zoonoses/tratamento farmacológico , Animais , Modelos Animais de Doenças , MesocricetusRESUMO
Background: In recent years, researchers have focused on developing precise models for the progression of Alzheimer's disease (AD) using deep neural networks. Forecasting the progression of AD through the analysis of time series data represents a promising approach. Objective: The primary objective of this research is to formulate an effective methodology for forecasting the progression of AD through the integration of multi-task learning techniques and the analysis of pertinent medical data. Methods: This study primarily utilized volumetric measurements obtained through magnetic resonance imaging (MRI), trajectories of cognitive assessments, and clinical status indicators. The research encompassed 150 patients diagnosed with AD who underwent examination between 2020 and 2022 in Beijing, China. A multi-task learning approach was employed to train forecasting models using MRI data, trajectories of cognitive assessments, and clinical status. Correlation analysis was conducted at various time points. Results: At the baseline, a robust correlation was observed among the forecasting tasks: 0.75 for volumetric MRI measurements, 0.62 for trajectories of cognitive assessment, and 0.48 for clinical status. The implementation of a multi-task learning framework enhanced performance by 12.7% for imputing missing values and 14.8% for prediction accuracy. Conclusions: The findings of our study, indicate that multi-task learning can effectively predict the progression of AD. However, it is important to note that the study's generalizability may be limited due to the restricted dataset and the specific population under examination. These conclusions represent a significant stride toward more precise diagnosis and treatment of this neurological disorder.
Assuntos
Doença de Alzheimer , Progressão da Doença , Imageamento por Ressonância Magnética , Redes Neurais de Computação , Humanos , Doença de Alzheimer/diagnóstico por imagem , Feminino , Masculino , Idoso , Aprendizado Profundo , Idoso de 80 Anos ou mais , Testes Neuropsicológicos , Pessoa de Meia-Idade , Encéfalo/diagnóstico por imagem , Encéfalo/patologiaRESUMO
The present study aims to examine PAB culture, synthesizing a significant number of iron-containing enzymes and capable of adhesion. Results show that increased iron concentration increased enzymes activity in all strains studied. An increase of iron ions level increasing up to 0.50-0.60 mg/ml leads to a 1.3-fold and 2-dold increase of catalase and SOD activity respectively, peroxidase activity was virtually unchanged. Optimal iron ions Fe2+ doses to ensure active PAB growth were determined. Of all the cultures studied P. fredenreichii subsp. shermanii AC-2503 has high adhesion: AAI = 5.1; MAI = 5.60; erythrocyte involvement rate = 87%. It was shown that certain iron ion concentrations increased the specific growth rate of PAB (P. freudenrichii subsp. freudenrichii AC-2500 (0.3 mg/ml) and other strains (0.4 mg/ml). A further increase in the iron ions concentration slows bacterial growth, while excessive content inhibits metabolism, including defense mechanisms that offset the negative effects of the metal. Our subsequent studies will focus on the effect of other metal ions on the metabolism of bacteria, mainly lactic acid bacteria, which are important biotechnological objects of the industry similar to propionic acid bacteria.