2020
MD&IT №4 2020
Currently, Internet resources are widely used in medical education, becoming one of the key tools of e-learning. We have developed a web application for congenital malformations and anomalies for medical students as an additional tool for self-learning. The web application contains two components: multimedia descriptions of congenital malformations, including images, animations, videos and interactive graphical tests; and the knowledge control module. It is important to evaluate effectiveness of...
MD&IT №4 2020
Backgroun d. In 2019, the Moscow Government decided to conduct a large-scale scientific research – the Experiment on the use of innovative computer vision technologies for medical image analysis and subsequent applicability in the healthcare system of Moscow (www.mosmed.ai). Objective – analyze engagement, attitudes and feedback from doctors-radiologists in frame of the Experiment. Materials and methods. The Experiment is a prospective research approved by the Independent Ethics Committe...
MD&IT №4 2020
Recently, a new coronavirus infection, or COVID 19, caused by the pathogen SARS-CoV 2, has been continuing to spread around the world rapidly. According to the World Health Organization (WHO), which declared this outbreak a pandemic, COVID 19 is a serious public health problem of international concern. Due to the lack of proven effective treatment and vaccination against COVID 19, precautions are considered by WHO to be strategic goals and a primary response to the pandemic. It is recomm...
MD&IT №4 2020
The regression models for prediction of contact holmium lithotripsy duration are given. Models are obtained on the basis of calculated and experimental data on duration of different stages of laser lithotripsy. They allow, based on the volume and radiological density of urinary stones and taking into account the anatomical characteristics of the patient, to calculate the expected time of complete fragmentation of the stones with a higher accuracy than on the factor of additional costs the known ...
MD&IT №4 2020
So far, the concept of image row or tuples in the development of intelligent systems has been discussed in relation to the role of phenotypic (external) manifestations of diseases in diagnostics. This study introduces the idea of neuroimaging tuples as a tool to make a prognosis of the course of chronic cerebral ischemia. The phenomenon of leukoaraiosis is analyzed as a radiological feature of chronic brain ischemia and a predictor of stroke. Image tuples are formed from the results of c...
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 №4 2020
Significant expansion of telemedicine technologies was made possible by the adoption of the necessary legal regulation and initiation of the national program “Healthcare”. National research centers were assigned a mission to provide advisory and methodological support to the regional hospitals. The manuscript describes the experience of the National Research Center for Hematology in application of telemedicine technologies in order to improve the quality of specialized medical care. Progressive ...
MD&IT №4 2020
The actual task of supplementing intelligent systems of evidence-based medicine with technically implemented mental models is set. Using these models, the user understands the results of digital models in Big Data systems. Clarified concepts related to this issue. The electronic components of neural networks for the implementation of mental models is defined. A variant of continuous logic of mental models is proposed. Functional expressions of convolutions of input signals of artificial neurons ...
MD&IT №3 2020
The main task is to develop a mechanism in Regional medical information system (RMIS), which allows to promptly notify the district doctor about the receipt of a new electronic medical document in RMIS from outside medical organizations. As s result, the development and implementation of district doctor’s notifying service significantly optimizes and simplifies the work of medical personnel with electronic medical documents.
MD&IT №3 2020
The paper reviews current scientific evidence on the impact of different health information technologies (HIT) on patient safety, as well as the potential negative consequences of HIT introduction, including systems of computerized physician order entry (CPOE), clinical decision support (CDSS), medication administration technologies, telemedicine and telemonitioring, electronic incident reporting and electronic medical records (EMR). It was concluded that the most...
MD&IT №3 2020
Data set of annotated histology images on breast pathology is provided, containing more than 40 thousand images from 104 microscopic slides and 92 patients and additional clinical data (age, TNM, grade, WHO type). The data set is prepared in compliance with relevant procedures for clinical research at Burnasyan Federal Medical Biophysical Center Of Federal Medical Biological Agency. The data set is accessible at GitHub for research and educational purposes.
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 №3 2020
In the article, the authors analyze trends in the development of telemedicine in the subjects of the Russian Federation, and also conclude that the formation of the system is carried out at different rates. Determine that one of the main stages of development is the formation of a legal framework dedicated to this area. Based on the analysis of legal acts of the subjects of the Russian Federation on the implementation of telemedicine consultations, the authors present a General algorithm for con...
MD&IT №3 2020
The aim of the research is to study the economic aspects of telemedicine technologies application, taking into account the experience of other countries; to develop methodological approaches to evaluating the effectiveness of telemedicine technologies; to analyze the features of evaluating the effectiveness of telemedicine technologies in the conditions of COVID 19 coronavirus spread. Methodological approaches to evaluating the effectiveness of telemedicine technologies are proposed. The additio...
MD&IT №3 2020
The aim of this work was studying the opinions of students of a medical institute about the use of simulators and simulators in practical classes. Methods: a questionnaire consisting of 24 points was compiled. The survey was conducted among 150 students from 2 to 6 courses of 30 people from each course at the Medical Institute of the Belgorod State National Research University. Statistical analysis was carried out using the program Statistica 6.0. Results: The respondents believed that simulator...
MD&IT №3 2020
“Digitalization of society” is a completely new way to describe the modern state of affairs within the global trend of creating a digital world. “Issues, concerning digitalization are to be considered strategically important for the country” – pointed out in the messages of the President Vladimir Putin to the Federal Assembly. In November 2016 President of the Russian Federation proposed “to launch a large-scale system for the developing new kind of the economy for a new technological generation...
MD&IT №2 2020
Actuality: evaluation system for healthsaving technologies innovation level development is defined by need of innovative healthcare development strategy implementation and insufficient definition of innovative healthcare technologies criteria. Implementation of new healthcare technologies into systemic healthsaving requires managerial decision making support for innovations integration. Goal: healthsaving technologies innovation level multicriteria evaluation scientific approval and development....
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...