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Objective: To justify the inclusion of input parameters in a neural network designed to predict rehabilitation measures for patients with pulmonary tuberculosis who have lost their permanent work capacity. Material and methods. The study included 335 patients with pulmonary tuberculosis, 212 with a newly diagnosed case and 123 with a chronic form. To predict the effectiveness of rehabilitation measures, a neural network was developed in the Python 3.14 programming language. Its architecture incorporates a multilayer perceptron with direct connections between neurons and backpropagation algorithms. In the context of this study, it was advisable to use a neural network for predicting permanent disability in patients with pulmonary tuberculosis. Results. The following were integrated as input parameters of the neural network: genotype DD of the GSTM1 gene, genotype EE of the GSTT1 gene, genotype ТС of the АВСВ1 gene and polymorphic variants of cytokine genes, including tumor necrosis factor alpha (–308G>A (rs1800629)), interleukin (IL) 1-beta (–31C>T (rs1143627)), IL-4 (–589C>T) (rs2243250)), IL-10 (–592C>A (rs1800872)), and IL-10 (–1082A>G (rs1800896)). Additionally, an adverse recurrent course, multiple and extensive drug resistance, and persistent respiratory and cardiopulmonary failure following a course of rehabilitation were incorporated. Regression analysis showed the statistical significance of all input parameters with respect to the modeling of the dependent variable. As a result of testing the neural network, the prediction accuracy (rehabilitation efficiency) was 88,3%. Conclusion. The use of a neural network provides highly accurate predictions regarding the effectiveness of rehabilitation of patients with pulmonary tuberculosis. This method can be incorporated into clinical pulmonology practice to evaluate persistent disability in such patients. The presented predictive model is expected to form the basis of a comprehensive rehabilitation program that addresses medical, professional and social aspects.ural networks

https://doi.org/10.17749/2949-5873/rehabil.2025.61

Abstract

Objective: To justify the inclusion of input parameters in a neural network designed to predict rehabilitation measures for patients with pulmonary tuberculosis who have lost their permanent work capacity.

Material and methods. The study included 335 patients with pulmonary tuberculosis, 212 with a newly diagnosed case and 123 with a chronic form. To predict the effectiveness of rehabilitation measures, a neural network was developed in the Python 3.14 programming language. Its architecture incorporates a multilayer perceptron with direct connections between neurons and backpropagation algorithms. In the context of this study, it was advisable to use a neural network for predicting permanent disability in patients with pulmonary tuberculosis.

Results. The following were integrated as input parameters of the neural network: genotype DD of the GSTM1 gene, genotype EE of the GSTT1 gene, genotype ТС of the АВСВ1 gene and polymorphic variants of cytokine genes, including tumor necrosis factor alpha (–308G>A (rs1800629)), interleukin (IL) 1-beta (–31C>T (rs1143627)), IL-4 (–589C>T) (rs2243250)), IL-10 (–592C>A (rs1800872)), and IL-10 (–1082A>G (rs1800896)). Additionally, an adverse recurrent course, multiple and extensive drug resistance, and persistent respiratory and cardiopulmonary failure following a course of rehabilitation were incorporated. Regression analysis showed the statistical significance of all input parameters with respect to the modeling of the dependent variable. As a result of testing the neural network, the prediction accuracy (rehabilitation efficiency) was 88,3%.

Conclusion. The use of a neural network provides highly accurate predictions regarding the effectiveness of rehabilitation of patients with pulmonary tuberculosis. This method can be incorporated into clinical pulmonology practice to evaluate persistent disability in such patients. The presented predictive model is expected to form the basis of a comprehensive rehabilitation program that addresses medical, professional and social aspects.

About the Authors

M. A. Alymenko
Kazan State Medical Academy – branch of Russian Medical Academy of Continuing Professional Education
Russian Federation

Maxim A. Alymenko, PhD 

11 Mushtari Str., Kazan 420012

Scopus Author ID: 57189520353

WoS ResearcherID: HGC-7298-2022 



I. E. Garbuzova
Moscow University “Synergy”
Russian Federation

Ilmira E. Garbuzova 

9/14 bldg 1 Meshchanskaya Str., Moscow 129090 

WoS ResearcherID: KHY-0937-2024 



V. A. Lipatov
Kursk State Medical University
Russian Federation

Viacheslav A. Lipatov, Dr. Sci. Med., Prof.  

3 K. Marx Str., Kursk 305041 

WoS ResearcherID: D-8788-2013

Scopus Auhor ID: 6603948707 



I. Yu. Kobelev
Sechenov University
Russian Federation

Ilya Yu. Kobelev 

8 bldg 2 Trubetskaya Str., Moscow 119048 



V. A. Ragulina
Kursk State Medical University
Russian Federation

Vera А. Ragulina, PhD, Assoc Prof.  

3 K. Marx Str., Kursk 305041 

WoS ResearcherlD: G-2153-2016

Scopus Author ID: 7801673012 



R. Sh. Valiev
Kazan State Medical Academy – branch of Russian Medical Academy of Continuing Professional Education
Russian Federation

Ravil Sh. Valiev, Dr. Sci. Med., Prof. 

11 Mushtari Str., Kazan 420012 

Scopus Author ID: 7103235075 



N. V. Tursunova
Novosibirsk Research Institute of Tuberculosis
Russian Federation

Natalya V. Tursunova, PhD 

81А Okhotskaya Str., Novosibirsk 630040 



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For citations:


Alymenko M.A., Garbuzova I.E., Lipatov V.A., Kobelev I.Yu., Ragulina V.A., Valiev R.Sh., Tursunova N.V. Objective: To justify the inclusion of input parameters in a neural network designed to predict rehabilitation measures for patients with pulmonary tuberculosis who have lost their permanent work capacity. Material and methods. The study included 335 patients with pulmonary tuberculosis, 212 with a newly diagnosed case and 123 with a chronic form. To predict the effectiveness of rehabilitation measures, a neural network was developed in the Python 3.14 programming language. Its architecture incorporates a multilayer perceptron with direct connections between neurons and backpropagation algorithms. In the context of this study, it was advisable to use a neural network for predicting permanent disability in patients with pulmonary tuberculosis. Results. The following were integrated as input parameters of the neural network: genotype DD of the GSTM1 gene, genotype EE of the GSTT1 gene, genotype ТС of the АВСВ1 gene and polymorphic variants of cytokine genes, including tumor necrosis factor alpha (–308G>A (rs1800629)), interleukin (IL) 1-beta (–31C>T (rs1143627)), IL-4 (–589C>T) (rs2243250)), IL-10 (–592C>A (rs1800872)), and IL-10 (–1082A>G (rs1800896)). Additionally, an adverse recurrent course, multiple and extensive drug resistance, and persistent respiratory and cardiopulmonary failure following a course of rehabilitation were incorporated. Regression analysis showed the statistical significance of all input parameters with respect to the modeling of the dependent variable. As a result of testing the neural network, the prediction accuracy (rehabilitation efficiency) was 88,3%. Conclusion. The use of a neural network provides highly accurate predictions regarding the effectiveness of rehabilitation of patients with pulmonary tuberculosis. This method can be incorporated into clinical pulmonology practice to evaluate persistent disability in such patients. The presented predictive model is expected to form the basis of a comprehensive rehabilitation program that addresses medical, professional and social aspects.ural networks. Journal of Medical Rehabilitation. 2025;3(3):165-173. (In Russ.) https://doi.org/10.17749/2949-5873/rehabil.2025.61

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