Articles

Background: Due to the National Strategy for the Development of Artificial Intelligence, large-scale digitalization of healthcare is taking place in the Russian Federation, which leads to huge number of various practical and scientific tasks emergence of, which in turn require convenient tools to solve them. ROC analysis tool is one of them, which was developed and successfully applied within the framework of the project «Experiment on the use of innovative technologies in the field of computer ...

Aim: to develop a model predicting the incidence of newly diagnosed HIV infection in the subjects of the Russian Federation using machine learning methods.
Materials and methods: The initial data were obtained from the Federal statistical observation Form No. 61 and Rosstat data on the average annual population of 85 subjects of the Russian Federation (2016-2022). We made a comparison of machine learning methods and their ensembles in the construction of a regression model for predicting the incidence...

Background. Early axial spondyloarthritis (axSpA) diagnostics is a difficult task requiring clinical decision support (CDS) making. Currently, there is a big unstructured data applicable in CDS systems development. Semantic data analysis is a complex issue to solve, and unified tools for named entity recognition are required. The biggest data source for biomedical text annotation is the Unified Medical Language System (UMLS) Metathesaurus. It includes more than 11 million atomic terms for writing...

Aim: Comparative assessment of the quality of predictive models of in-hospital mortality (IHM) in patients with ST-segment elevation myocardial infarction (STEMI) after percutaneous coronary artery intervention (PCI), developed on the basis of predictors in continuous, dichotomous and multilevel categorical forms.
Materials and methods: This was a single-center retrospective study analyzing data from 4677 medical records of patients with STEMI PCI who were treated at the Regional Vascular Center...

The article covers methods and procedures for developing a neural network decision support system when choosing the tactics of surgical intervention on coronary heart vessels. The system is designed to advise a wide range of practicing cardiologists and cardiac surgeons when deciding on the tactics of surgical intervention in patients with conditions associated with compromised coronary vessels. Based on a mathematical model taking into account a number of factors and the outcomes of previously ...

This article discusses the experience of using data visualization tools in the preparation of territorial planning schemes for regional health systems. The article also covers trends in the development of visualization tools and the competencies necessary for decision makers to use these tools effectively in making managerial decisions.

One of the key tasks of healthcare is to preserve the health of the child population, which is achieved through comprehensive health assessment. Timely identification of negative changes in children health during periodic medical examinations is of great importance. This justifies the development of more accurate methods to extract useful information from the data obtained during a comprehensive examination of children.
Aim: to improve the procedure for preventive examinations of school-age children...

The article contains systematized and summarized data on the possible uses of metaverse technologies in practical healthcare in order to assess the prospects of their widespread use. We searched PubMed and ScienceDirect for publications. The search resulted in 35 relevant articles published during 2021–2022 period.
Metaverses could be used both to create realistic immersive patient interactions and to improve diagnosis, treatment, and rehabilitation processes. The use of metaverses certainly has...

Background. Presently, in diagnostic radiology, it is possible to use clinical decision support systems (CDSS) based on artificial intelligence technologies. These systems are integrated into medical information systems and/or federal health care information systems of the Russian Federation. The availability of a quality control system for diagnostic radiology enables impact evaluation of AI-based CDSS in the medical care. Moreover, the challenge of defect prevention in radiology with such CDSS...

Background. The revolutionary leap in Internet accessibility and the introduction of information technologies in all spheres of modern society have become significant reasons for the growing popularity of web applications providing personalized health information.
Aim. To conduct a comparative analysis of the online means of checking symptoms present in the Russian-speaking segment of the Internet.
Research methods. To achieve this goal on the basis of the information submitted in the review of...

Background. The current level of digitalization of society determines the feasibility of developing effective web tools designed to expand the contingent of people who are motivated and ready to provide first aid. The purpose of the study is to develop a conceptual model of a multifunctional first aid web service based on an analysis of open web resources on first aid.
Materials and methods. In November-December 2022, 30 English-language and 30 Russian-language web resources on first aid were selected...

Successful efforts made to reduce incidence of tuberculosis have not translated into improved cure rates which remain low. This is largely due to long time for diagnosis, formation of drug resistance of Mycobacterium tuberculosis during treatment, a large set of anti-TB drugs and adverse events during their use. Therapy regimens change and replace each other rapidly, clinical guidelines update more and more often.
This along with growing number of comorbidities of a patient, requiring multicomponent...

Aim: study of patients with atrial fibrillation (AF) needs in terms of therapy monitoring using a mobile application (MА) and the development of the required functions of the MА.
Materials and methods: 96 patients, 18 years of age and older (mean age 57,3±11,9) with a diagnosis of AF receiving anticoagulant therapy were included. We developed a questionnaire to assess the needs of patients with AF in terms of the use of MA, which included questions regarding the readiness of patients to use the...

The introduction of information technology is currently the main direction of the healthcare progress. Existing data published by domestic and foreign authors demonstrating the clinical and economic benefits of telemedical and information technologies, doesn’t cover regional practices. This study focused on broadening the knowledge about telemedicine application in the regional health care. The aim is to assess the directions of development and practice of application of telemedicine and informa...

Aim: to evaluate the effectiveness of remote monitoring of patients with spine diseases in the postoperative period using a specialized questionnaire called «Medsenger».
Methods and Materials: 246 patients with spinal disorders were observed at the NMCPF during 2021-2022. Several clinical parameters were assessed and recorded during remote monitoring: severity of pain syndrome, temperature, increase/decrease of muscle strength, sensory disturbances, urinary tract dysfunction and general condition....

Background. Development of medical competences is the aim of medical education. Technology of virtual patients has become the main learning tool for these skills as a safe (for real patient), standard digital model. Remote access allows expanding the use, and learning even in case of face-to-face contact limitations.
Aim. Public presentation of the development dynamics and practical results of knowledge engineering during software creation for the formation and assessment of medical decision-making...

Aim. Healthcare is one of the priority sectors for the introduction of artificial intelligence (AI) technologies. The aim of the survey was to assess the awareness and collect opinions of Russian healthcare managers on AI technologies.
Materials and methods. An online survey was conducted in July-August 2022, using the Yandex.Forms service. The survey questionnaire consisted of 24 questions. An invitation to participate was sent to 1,105 Russian healthcare employees registered in the online community...

A fundamental increase in the effectiveness of measures aimed at overcoming the problem of chronic noncommunicable diseases (CNCDs) can only be achieved through the digital transformation of healthcare. An Integrative Digital Strategy to Combat NCDs has been developed, which not only solves the problems of developing the healthcare system, but also stimulates the development of the national economy in the field of high technologies in full accordance with the Ashgabat Declaration on the Preventi...

The article describes the landscape of innovations in the field of medicine in general and start-ups of digital solutions in particular, presents the experience of the Pirogov National Medical and Surgical Center in organization and performing of acceleration program for medical start-ups, proposals are formulated for creating effective translating mechanisms of innovative technologies and products into clinical practice.

Aim. To optimize the process of receiving and processing federal statistical observation forms.
Materials and methods. The MEDSTAT-WEB software, previously used by the Russian Research Institute of Health, was used as the basis. Innovative elements of third-party software were integrated into the process of providing primary statistical data.
Results. A functional has been developed that provides prompt online interaction between specialists of the Subjects of the Russian Federation and specialized...