2021
MD&IT №3 2021
Knowing the parameters of the infectious and epidemic process allows us to make a forecast and calculate the amount of exposure to infectious morbidity. On the basis of real data of registered cases of the disease, mathematical modelling of serial morbidity increases was carried out. The parameters and initial conditions of five viral infections (mumps, chickenpox, rubella, measles and viral hepatitis A) were determined. The reproductive number ranged at 2.4–5.3, while the oscillation am...
MD&IT №2 2021
A method of documenting some formal medical procedures is proposed in order to consolidate experience, bring clarity, exclude risk areas, as well as reduce the likelihood of falling into “loops” and making erroneous management decisions. For the purpose of unification, the proposed method is described in terms of the formal notation of GOST standards, the SIPOC method (Supplier, Input, Process, Output, Customer) and is additionally synchronized with the PDCA cycle, which is well known to...
MD&IT №2 2021
Artificial intelligence (AI) technologies are considered to be one of the most promising areas of development in various fields of human activity. AI-based systems are used not only in scientific research, but are also actively used in practice. However, the practical implementation of AI technologies has revealed a number of problems associated with the imperfection of the current legislative framework. For this purpose, in July 2019, by order of The Federal Agency for Technical Regulat...
MD&IT №2 2021
Electrocardiography (ECG) is one of the most common types of instrumental diagnostics, so the creation of specialized cardiographic information systems is an important step towards a fully digital clinic. The article presents the results of conducted research in the «National Medical and Surgical Center named after N.I. Pirogov» investigation to study the readiness of ECG equipment and software suppliers to be included in the complex information and technological landscape of a large mul...
MD&IT №2 2021
Background (relevance, subject and purpose of the work): Specialized cancer care questionnaires developed for specific types of malignant neoplasms and antitumor treatments facilitate the collection of the results of patients’ self-assessment of various health related issues, including therapy outcomes. Electronic Patient Reported Outcome Measures (ePROMs) are nowadays considered as powerful tools for enforcing the introduction of remote monitoring to control acute and late radia...
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 №2 2021
The purpose of the article is to identify the main trends, prospects, limitations, and factors affecting the usage of virtual and augmented reality technologies in healthcare. The article is based on the author’s qualitative sociological study, with the usage of in-depth, expert interview methods, and a review of foreign and Russian publications.
MD&IT №2 2021
The article describes the main aspects of machine learning and artificial intelligence technologies, and the possibilities of their application within anaesthesiology departments and intensive care units. The modern experience of using digital systems for the analysis, forecasting and management of patient data from the point of view of clinical and economic efficiency is presented. The authors present the main functionality of the information system for the support of IntelliSpace Critical Care...
MD&IT №2 2021
The article analyses modern methods of psychological and pedagogical training of undergraduates in the field of health care using the sample of a large student group studying module 38.00 “Economics and management” under the conditions of distance learning at a medical university. New information technologies for conducting the educational process have both positive and negative features. Further improvement of distance professional training is possible through the use of self-study learning sys...
MD&IT №1 2021
Objective. To systematize data on the clinical applications of tele-ultrasound. Material and methods. Data was collected using PubMed (including MEDLINE), Embase, Google Scholar, CYBERLENINKA, and eLIBRARY. There were 1,036 articles which were subjected to text analysis using the Rayyan QCRI software package. Overall, the review included 74 articles related to the clinical applications of tele-ultrasound. The main points were summarized for these modalities. Results. The history of the c...
MD&IT №1 2021
Different data formats are challenging for the standardization and exchange of medical data. In addition, most medical data in medical information systems (MIS) or databases is stored in an unstructured way, causing difficulties in processing the data. The article proposes an approach for categorizing unstructured medical records of patients with allergies into the categories provided in the FHIR exchange standard. We developed a two-stage classification model based on manually labelled ...
MD&IT №1 2021
The aim of the study was to assess the position of Russia on the global landscape, created by publications devoted to blockchain technology applied in healthcare. The authors determined the place of the Russian Federation by its share in the total number of articles indexed in the international database «Web of Science». The international database «Web of Science Collection» (WOS CC) includes 957 relevant publications in the period from 2014 (the year of the first article) to the...
MD&IT №1 2021
Electrocardiography (ECG) is one of the most common types of instrumental diagnostics, so the creation of specialized cardiographic information systems is an important step towards a digital clinic. The article presents the results of the study conducted at “N.I. Pirogov National Medical and Surgical Center” on the commitment of ECG equipment and software suppliers to be included in the complex information and technological landscape of a large multidisciplinary clinic. The article begin...
MD&IT №1 2021
The aim of the study was to develop models of a cloud-based information system for laboratory services (CISLS) implemented at medical facilities. The study results showed wide opportunities and prospects for the design of laboratory information systems (LIS) at a regional level. A clinical diagnostic laboratory will not depend on the functioning specifics of a particular LIS, but configure flexible interaction with CISLS, creating another model considering various factors both wi...
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 №1 2021
Medical data exchange and integration within different care providers is highly important to ensure continuous and high-quality care service. Evaluating potential data losses during migration from one medical database to another is significant for decision-making. The presented article describes a method for preliminary overlap estimation when mapping proprietary formats with international standards, as well as local terminologies with international terminological systems.
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