MD&IT № 4 2024

The article describes the stages of development of electronic medical document management (EMD) in the Russian Federation healthcare based on structured electronic medical documents (SEMD), as the basis for the «digital transformation» of the industry, including key aspects of technology development, methodology and regulatory frameworks.
The main indicators of digital health performance in terms of volume and types of electronic documents recorded are presented. The main prospects for the development...

The introduction of digital medical services, which has been actively pursued in recent years in the Russian Federation, is aimed at improving accessibility of medical care and the convenience of patient interaction with the health care system. However, age-related barriers to the use of these services by the elderly can partially offset this potential. In this regard, this paper studies the most pressing problems in the use of digital medical services by patients of older working age and search...

The aim of the study was to evaluate the performance of SMOTE, GAN and VAE data synthesis methods in the task of predicting postoperative atrial fibrillation (PoAF) and in-hospital mortality (IHM) in coronary heart disease (CH) patients after coronary artery bypass grafting (CABG).
Materials and methods. A single-center retrospective study was conducted, in which the medical history data of 999 patients with CHD undergoing elective CABG were analyzed. The end points of the study were PoAF and IHM....

This study is aimed at developing a hardware-software system (HSS) for the rehabilitation of patients with mild (subclinical) and severe disorders of cognitive processes and motor functions of the upper extremities based on the application of multimodal biofeedback (BFB) including transcranial magnetic stimulation (TMS).
Materials and Methods: Electroencephalography (EEG) data with additional channels for electromyogram (EMG) recordings data of healthy volunteers were used in the work. The spatial...

Background. The key functionality of the medical information system (MIS) is the maintenance of electronic medical records (EMR), which play an integral role in modern healthcare practice, allowing medical organizations to consistently collect, systematize and provide medical professionals with access to information on the diagnosis and treatment of patients. Despite the existence of a large volume of accumulated EMRs and a long history of their design and development, modern EMRs have a rather ...

Background. The difficulty in diagnosing of hereditary connective tissue diseases (HDCTD) in children lies in the variability of signs of individual nosologic forms and lack of experience of physicians due to the low frequency of occurrence of these pathological conditions. Incorrect and untimely diagnosis often leads to negative consequences for the patient, including disability and death. Many pediatricians need consultative support from more experienced colleagues when diagnosing rare diseases....

Aim: to analyze the results of the implementation and use of a product with artificial intelligence (AI) technology in the practice of radiologists during mammographic examination.
Materials and methods: database of patients who underwent mammographic examination within the framework of medical examination of certain groups of the adult population and preventive medical check-ups, whose images were reviewed by specialists of the Reference Center of the Krasnoyarsk Regional Clinical Oncology Dispensary...