Articles

Transition to electronic medical records (EMR) is one of the basic directions of digital transformation of healthcare. One of the urgent modern problems of EMR management is the quality of data that are accumulated in modern medical information systems. Given the growing role of EMRs as a source of information for medical decision support systems, the introduction of management elements based on primary data, and the development of research in the field of real-world clinical practice data (RWD),...

Aim. The purpose of this article is review and analyze methods for measuring cognitive load, as well as approaches to using machine learning techniques to identify EEG data.
Materials and methods. The review systematizes and summarizes the information on the topic under consideration. Scientific articles were searched in bibliographic databases: eLIBRARY, ScienceDirect, Scopus.
Results. This review focused on ways to measure the cognitive load of the brain, modern EEG recording devices, and methods...

Introduction. The introduction of artificial intelligence (AI) technologies in Russian healthcare is an important step to improve the efficiency and quality of medical care. The development of AI technologies helps automate data processing, support physician decision-making and improve predictive analytics.
Aim. Analysis of the results of creation and implementation of software solutions using AI technologies in Russian healthcare.
Materials and Methods: A systematic search for data in the State...

State programs in the field of healthcare informatization implemented in 2011–2021 resulted in over 91% of state and municipal medical organizations implementing various medical information systems. This made it possible to start the transition to electronic medical records (EMR). The extraction of real-world data (RWD) from the accumulated EMRs and subsequent analysis of these data opens new and promising opportunities for the development of domestic healthcare.
Aim: to analyze the RWD extracted...

Objective. The study is devoted to modern forms of case method implementation as a key tool in the development of clinical thinking of doctors. The main factors complicating the creation of situational tasks and limiting the large-scale application of this method in medical education are identified.
Materials and methods. The concept of using large language models (LLM) to reduce the complexity and labor intensity of developing situational tasks in medical education is proposed.
Results. A prototype...

Background. Diagnosis of early-stage chronic kidney disease (CKD) is a global challenge, as late-stage disease is more commonly diagnosed. The development of modeling methods for making management decisions aimed at improving the efficiency of early diagnosis of CKD is an important scientific and practical task, which can be greatly supported by the use of machine learning algorithms (MLA).
Aim. To improve the accuracy of diagnosis of CKD using data from history, clinical-instrumental, genetic ...

This paper considers the problem of simultaneous prescription of a large number of drugs to a patient and consideration of possible risks of polypharmocotherapy. At high risk of polypharmocotherapy it is necessary to revise the prescribed drugs, consider analogs, change the method of administration or reduce the dosage, which requires high qualification and knowledge of the doctor. With automatic risk prediction, it is possible to automate the process of searching for a rational combination of d...

One of the new developments in the field of artificial intelligence (AI) is the Chat-GPT (Generative Pre-trained Transformer) technology, a capacious linguistic model based on the analysis of big data using powerful computing systems through the aggregation of certain algorithms. Such technologies are capable of “understanding” and composing texts close to those created by humans. Their improvement and implementation can lead to better quality and accessibility of medical care for patients, including...

Experts predict global health spending to reach $16.9 trillion by 2050. However, 20% to 40% of all resources invested could be lost due to various forms of project inefficiency. An analysis of the content of three key information resources offering methodological and instrumental support for research aimed at the assessment of the cost-effectiveness of projects implemented in national health care systems was carried out. The resources analyzed were the following: World Health Organization's Choosing...

This paper analyzes Russian-language Android applications for psychological help, defines requirements and recommendations for the development of such apps. Psychological applications have been selected from the Google Play Market according to certain criteria. Therapeutic and engagement functions, goals, tags, number of downloads, and average score of each application have been recorded for the analysis. The aesthetics and usability of each application have also been evaluated on a five-point scale...

Aim: to study digital health technologies presented in dissertation research in the specialty “Public Health and Healthcare” for 2018-2022.
Materials and methods: We found 194 dissertations posted on the official website of the Higher Attestation Commission in the specialty “Public Health and Healthcare” (02/14/03) for 2018-2022. We identified 72 dissertations which studied the use of digital technologies in healthcare.
The analysis of the obtained data was carried out using the interactive computing...

Цифровые технологии с каждым годом играют все большую роль в медицине. Однако цифровые навыки медицинских работников остаются основным ограничивающим фактором для внедрения все более продвинутых технологических решений. В данном исследовании представлены данные опроса, проведенного на портале Непрерывного медицинского и фармацевтического образования, в котором приняли участие более 18 тысяч медицинских работников. Были выделены и проанализированы группы согласно уровню цифровых компетенций. Был...

Background. Primary hyperparathyroidism (PHPT) is an endocrine disease characterized by excessive production of parathyroid hormone (PTH) and elevated or high-normal blood calcium levels caused by primary pathology of the parathyroid glands. The "classic" complication of PHPT is a decrease in the kidneys filtration function. Parathyroidectomy (PTE) reduces the risks of further deterioration in filtration function; however, in some cases, this is not achieved.
Aim. To develop a mathematical model...

The study attempted to test experts' assumptions about the difference in the genetic mechanisms of the formation of emotional and volitional deficits in schizophrenia with predominance of negative disorders. The aim of the study is to create empirical theory of these two phenomena using an approach based on JSM-method for automated research support (JSM-method ARS). Polymorphisms of four genes associated with schizophrenia (BDNF, 5HTR2A, HTTLPR, ZNF804A) and clinical data presented as PANSS score...

Background. The article presents the results of a review study on the origins of systematic healthcare informatization and the formation of digital healthcare in Russia, as it is now commonly called, since the 60s of the last century, and an analysis of how introduction of digital healthcare methods and technologies, and compulsory medical insurance (CMI) progressed over the years. A comprehensive analysis of the formation and development of digital healthcare on a nationwide scale has not been ...

There is increasing interest in using big data of real clinical practice to develop artificial intelligence systems for diagnostic and predictive models of diseases and conditions. At the same time, the quality of this data is usually low due to errors during input, suboptimal architecture of information systems, lack of standardization, etc. The review examines criteria for the reliability of real-world data, the most common problems, and ways to eliminate them: assessing the compliance of the ...

The World Health Organization records an unprecedented increase in global health care spending with a trend of further growth until 2050. Artificial intelligence (AI) technologies are considered one of the key tools for increasing the efficiency of these expenses. One of the information sources that gives an idea of the scale and intensity of extensive research, the solutions found, their concepts and global technology leaders is the world portfolio of patent documents. In this study, a patent a...

Currently, mathematical analysis and three-dimensional modeling represent a new promising way to obtain additional information, which allows the researcher to virtually observe and model complex biomechanical phenomena. Issues of dynamic neck anatomy, as well as the biomechanical characteristics of its individual structures, are of significant practical and theoretical interest regarding many areas of medicine.
Aim: to develop a virtual dynamic model of the human neck and in order to reproduce ...

The purpose of this study was to evaluate the radiologists’ engagement and satisfaction with artificial intelligence software as a means to support medical decision-making.
A survey of radiologists working in public healthcare facilities under the Moscow Healthcare Department was conducted in 2021 and 2022.
The survey was completed by 333 radiologists in 2021, and by 342 – in 2022. The respondents were CT, MRI, X-ray and MMG specialists of various age and clinical experience. The study found that...

Background. Telemedicine is an important tool for ensuring the availability of medical care, contributing to the reduction of morbidity and mortality, primarily from chronic diseases. It is necessary to introduce organizational models into clinical practice for the development of telemedicine in our country.
Aim. To form new approaches for monitoring patients using telemedicine technologies in a federal institution.
Material and methods. The work on conducting telemedicine consultations (TMC) ...