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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...
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...