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MD&IT №4 2021
Informatization of healthcare, the creation of new services and applications, as well as the development of applied medical information technologies are difficult to imagine in isolation from the key trends in healthcare itself. In the current reality, one of the necessary requirements in healthcare is the organization of a system of internal quality control and safety of medical activities. GBUZ “Regional Clinical Hospital No. 2”, one of the largest multidisciplinary medical organizations in Pr...
MD&IT №4 2021
The article presents a methodology for evaluating the effectiveness of the use of lean manufacturing technologies (BP) in the work of medical organizations based on evidence-based medicine. This allows the use of a system of “indicators”, alongside weighing coefficients and procedures for assessing the costs and effects of the introduction of BP technologies in a medical organization. Traditional indicators (medical effect, innovative result, economic effect, prevented economic damag...
MD&IT №4 2021
In this paper we describe our experience in the development and testing of a medical decision support system based on open R/Shiny tools at the Center for the Treatment of New Coronavirus Infection (First Pavlov State Medical University). The first version of the software was created and deployed in less than two weeks, and contained basic functionality for the visualization of significant clinical and laboratory parameters for each patient, as well as a summary table for all patients in...
MD&IT №4 2021
The study presents the results regarding the retrospective analysis of the tactics of differential diagnosis in 49 patients with acute mesenteric ischaemia , using the original model of the expert diagnostic decision support system. The data obtained indicates the relevance and validity of the clinical application of a similar system in the diagnostic program for patients with acute abdomen as a diagnostic assistant. The role of the proposed system for early diagnosis, improvement of the quality...
MD&IT №2 2021
Treatment of tuberculosis currently requires the consideration of many factors. Timeliness of initiation, comprehensive treatment, and its correction during long-term chemotherapy are fundamental in achieving a positive result in a patient’s recovery. The purpose of the work is to create a doctor’s assistant in the form of an intelligent service for managing the treatment process in order to improve the quality of treatment. To achieve this goal, a platform for implementing intelligent services ...
MD&IT №1 2021
Diagnosing diseases with inaccurate signs and symptoms is the basis for designing a fuzzy logic medical system. Fuzzy inference is a method of processing information based on expert rules set in a fuzzy form. The article discusses the possibility of applying a fuzzy expert system for diagnosing gastrointestinal parasitic diseases. The authors consider a fuzzy logic system for diagnosing enterobiasis , one of the most common paediatric gastrointestinal parasitic diseases. For this purpose, the au...
MD&IT №6 2020
The article discusses the representation of information on lysosomal storage diseases to support the process of diagnostic decisions in childhood. This hereditary pathology refers to rare (orphan) diseases that are difficult to recognize and without timely appropriate therapy has a negative effect on the quality and expectancy of life. The article analyzes information sources for 16 nosological units from this group. Using the methods of knowledge engineering, information about the ident...
MD&IT №4 2020
The course of the COVID 19 pandemic imposes a significant burden on healthcare systems, including on primary care, when it is necessary to correctly suspect and determine further management. The symptoms non-specificity and the manifestations versatility of the COVID 19 impose difficulties in identifying suspicions. To improve the definition of COVID 19 symptom checkers and medical decision support systems (MDSS) can potentially be useful. They can give recommendations for determining th...
MD&IT №4 2020
The article describes a conceptual approach to automating the algorithm for pre-hospital assessment of risk factors for non-communicable diseases in order to detect diseases early and monitor them later. The presented information system will allow calculating risk factors for non-communicable diseases, providing dynamic monitoring, and creating a unified register of pre-medical examinations. The information system is developed on the basis of a previously developed algorithm for pre-medical asse...
MD&IT №3 2020
Introduction. A special feature of the adult population’s dispensary medical examination (DME) is the wide range of new tasks for the primary health care system. DME leads to an increase in the number of patients subject to dispensary follow up (DFU), an increase in the load on specialists of outpatient hospitals. Thus, it is necessary to search for and implement new tools in the practice of outpatient hospitals that improve the quality of preventive medicine and ensure that doct...
MD&IT №3 2020
The possibilities of using the processing and analysis method in medical research using an artificial neural network to improve the accuracy of diagnosing diseases of the gastrointestinal tract due to the influence of various parasites are considered. Symptoms and diseases associated with the influence of the main parasites in the gastrointestinal tract are highlighted. Based on this information, the implementation on the NeuroPro network emulator is carried out. The results of disease progressi...
MD&IT №2 2020
According to the updated requirements of the Ministry of Health of Russia, the main document regulating the treatment and diagnostic process are clinical recommendations. The guidelines for clinical recommendations, based on the results of randomized trials, determine the doctor’s actions when making a diagnosis, and choosing a rational treatment. However, the rudimentary format for the placement of information on paper significantly limits their operation. The capabilities of IT technologies al...
MD&IT №2 2020
Artificial intelligence technologies based physicians decision support systems is an important step of healthcare digital transformation. Despite of neuronet algorithms implementation into analytical systems benefits there are questions that have to be solved for digital healthcare successful launch. In addition to knowledge expert level for systems development and privacy warranties work with professional medical society and general public is essential for psychological and social barriers over...
MD&IT №1 2020
Decision support systems (DSS) in medicine can be classified into reference and intellectual, and the latter, in turn, into modeling and imitating human reasoning. Modeling systems are based on formalized expert knowledge, and imitating ones are based on models built by various multidimensional data analysis methods. DSS should be considered as medical technologies, therefore, after their development, assessing of analytical (technical) and clinical validity should follow, regard...
MD&IT №1 2020
The article discusses the possibilities of forming a rehabilitation diagnosis using the categories of the directory codes of the International Classification of Functioning, Disability and Health (ICF) using the ICF WIZARD information system. The possibilities of using the ICF WIZARD information system and its scope are also considered.
MD&IT №1 2020
The article clarifies the concept of DSS, shows the trend of development of new services in medicine. The article describes the developed DSS-service for issuing recommendations for the treatment and diagnostic process on the example of complications in patients on permanent hemodialysis, in particular, correction of anemia. The information and logical architecture of the service, the rating and trigger models used, the underlying knowledge base, and their relationship are described. Based on th...