2020
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 №2 2020
This article is devoted to the introduction of one of the most promising areas of telemedicine – personal telemedicine. A number of definitions are given, and some aspects of implementation are briefly considered. Based on the analysis of foreign experience and the current situation in Russian healthcare, the necessary steps are considered for the implementation of this direction.
MD&IT №2 2020
The purpose of the research is to analyze the legal problems of using telemedicine technologies, taking into account the experience of other countries; to assess the limitations of using telemedicine technologies in preventing the spread of COVID 19 coronavirus; to develop approaches to overcome existing restrictions in this area. The authors consider the system of legal relations that arise between various participants in the provision of telemedicine services, focusing on international experie...
MD&IT №2 2020
There is a global increase in demand for direct-to-patient telemedicine consultations due to COVID 19 pandemic. We made a quality assessment of the patient-initiated consultations in case of acute respiratory viral infection symptoms (COVID 19). There are 20 teleconsultations of 2 simulated patients in 10 the most popular telehealth services. An incomplete history of the disease was recorded in 50.0% of cases, incomplete allergy anamnesis – in 60.0%, and epidemiology anamnesis – ...
MD&IT №2 2020
Most important task of healthcare is medical service continuous improving through implementation of new technologies. Modern technologies development is largely based on big biological data analysis. Ability to fully utilize modern technologies requires as new level of training for medical personnel, so reconsidering of professional standards with paying more attention to scientific and technical development.
MD&IT №2 2020
Introduction. Rational planning of use of the operating room and the high-tech equipment used at treatment of urolithiasis requires knowledge of time spent for ablation of uric concrements which in turn consists of time interval actually of stone breaking and time spent for additional actions: survey of the place of fragmentation, movement of laser fiber to the displaced stone, changes of caliber of an ureteroscop and so forth. Now there are no methods of calculation or prediction of these inter...
MD&IT №2 2020
An overview of public policy measures aimed at the development of artificial intelligence (AI) technologies in the world and in Russia is presented. In order to evaluate the competitiveness of domestic developments created for the use of AI technologies in medicine and healthcare, a scientometric and patent analysis of the direction for the period 2010–2019 was performed. Based on the analysis of research fronts using the Essential science indicators methodology, the most promising resea...
MD&IT №1 2020
Data management is a key process in modern clinical researches, which aims to ensure the unambiguity, completeness, security, and reliability of the collection and storage of information. Since 2017, in the Federal State Autonomous Institution Scientific Research Center of Neurosurgery named after ac. N. N. Burdenko of the Ministry of Health of Russia (NMRC of Neurosurgery) the clinical data management process was modified and a special management information system was introduced into t...
MD&IT №1 2020
Prolonged monitoring of the patients health is the important issue in the treatment of patients after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and is extremely important for the transplant team. The basis of this awareness is the aggregation, systematization and analysis of data about what happens to the patient outside the hospital, namely those parameters that are clinically important for physicians. The basis of the future system of patients’ monitoring is a self...
MD&IT №1 2020
The article is a review of Russian and foreign scientific publications related to the use of methods of analysis and forecasting of time series in medicine. 112 major publications over the past 5 years, located on the Internet resources e-library and PubMed, are considered. Examples of the application of such methods as exponential smoothing, regression analysis, the ARIMA method and their variants for time series analysis are shown. Various approaches to mathematical modeling of the time series...
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...
MD&IT №1 2020
The adoption of a number of special regulatory documents has significantly expanded the possibilities of using telemedicine technologies in the Russian Federation. A significant number of services have appeared on the market, offering direct-to-consumer and patient initiated telemedicine consultations. The explosive growth in the number of such services requires a careful study of the telemedicine interaction quality. The research objective is to assess the quality of remote interaction of parti...
MD&IT №1 2020
Based on the analysis of foreign publications, a comparative characteristic of methods and models of prediction of surgical operations duration was carried out. The importance of estimating the accuracy of prediction the duration of operations for effective planning of the use of operating rooms and high-tech equipment is shown. Analyzed statistical and regression methods to predict the duration of operations, and the use of artificial neural networks to estimate the duration of an operation. Ma...