Pub Date : 2020-12-30DOI: 10.29188/2542-2413-2020-6-4-19-27
V. Levanov, A. V. Ilyakhinsky, I. Mukhina, P. A. Pakhomov
Health of people involved in sports is an important social problem and requires modern methods of control, including directly during training and competitions. The article discusses the possibilities of a diagnostic method based on the assessment of heart rate variability. Unlike most of the methods used, the analysis is based on the fact that complex multi-level hierarchically organized systems can be described in the framework of non-equilibrium thermodynamics, in particular, the statistical Dirichlet distribution model. The authors propose a system of indicators that allow remote monitoring of the current state of the body, describe hardware and software solutions, and consider the prospects for using the proposed method in sports medicine.
{"title":"Remote screening of athletes' condition dynamics based on the analysis of cardiointervalograms using the Dirichlet distribution","authors":"V. Levanov, A. V. Ilyakhinsky, I. Mukhina, P. A. Pakhomov","doi":"10.29188/2542-2413-2020-6-4-19-27","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-4-19-27","url":null,"abstract":"Health of people involved in sports is an important social problem and requires modern methods of control, including directly during training and competitions. The article discusses the possibilities of a diagnostic method based on the assessment of heart rate variability. Unlike most of the methods used, the analysis is based on the fact that complex multi-level hierarchically organized systems can be described in the framework of non-equilibrium thermodynamics, in particular, the statistical Dirichlet distribution model. The authors propose a system of indicators that allow remote monitoring of the current state of the body, describe hardware and software solutions, and consider the prospects for using the proposed method in sports medicine.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124322503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-30DOI: 10.29188/2542-2413-2020-6-4-3-7
N. Ankudinov, N. Zilber, A. F. Sitnikov
Introduction. In the article we discuss the use of information technology in obstetric care during the COVID-19 pandemic. The aim was reached by continuous monitoring of all cases of upper respiratory infection in pregnant women, women in labor and postpartum women in each specific medical organization and in the whole Sverdlovsk region with subsequent information digiti- zation and automated analysis of different COVID – 19 forms: suspicious, probable and confirmed. Materials and methods. «Regional obstetric monitoring (AIST «ROM») digital system was used for automated COVID-19 diagnosis in pregnant women, women in labor and postpartum women, as well as for detection of suspicious cases. AIST «RAM» allows to analyze patient’s epidemiological data and objective indicators of their physical status and automatically generate signal information. Results. The automatic analysis of the data on the COVID-19 situation in the region is implemented. A register of pregnant patients with COVID-19 is being formed, taking into account the severity of the disease and gestation time. A situational awareness is main- tained using the algorithms of AIST «ROM»: each participant of the process receives information about patient’s condition and his passage through the routing stages. Conclusions. A database, containing information about pregnant and postpartum women, who have COVID-19, is created. This data could be used in further large-scale studies.
{"title":"Automation of COVID-19 detection in pregnant womens","authors":"N. Ankudinov, N. Zilber, A. F. Sitnikov","doi":"10.29188/2542-2413-2020-6-4-3-7","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-4-3-7","url":null,"abstract":"Introduction. In the article we discuss the use of information technology in obstetric care during the COVID-19 pandemic. The aim was reached by continuous monitoring of all cases of upper respiratory infection in pregnant women, women in labor and postpartum women in each specific medical organization and in the whole Sverdlovsk region with subsequent information digiti- zation and automated analysis of different COVID – 19 forms: suspicious, probable and confirmed. Materials and methods. «Regional obstetric monitoring (AIST «ROM») digital system was used for automated COVID-19 diagnosis in pregnant women, women in labor and postpartum women, as well as for detection of suspicious cases. AIST «RAM» allows to analyze patient’s epidemiological data and objective indicators of their physical status and automatically generate signal information. Results. The automatic analysis of the data on the COVID-19 situation in the region is implemented. A register of pregnant patients with COVID-19 is being formed, taking into account the severity of the disease and gestation time. A situational awareness is main- tained using the algorithms of AIST «ROM»: each participant of the process receives information about patient’s condition and his passage through the routing stages. Conclusions. A database, containing information about pregnant and postpartum women, who have COVID-19, is created. This data could be used in further large-scale studies.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126928032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-30DOI: 10.29188/2542-2413-2020-6-4-28-33
N. Ankudinov, N. Zilber
Introduction. Caesarean section is one of the most common surgical procedures in the world and its frequency continues to increase, especially in developing and developed countries. While caesarean section can save lives, it is often performed without medical indications, putting women and their children at risk of high morbidity in the short or long term. Aim. To create a single digital regional database of all caesarean section procedures. To automatize the analysis of medical organizations in online format. To conduct a continuous online monitoring of surgical interventions in obstetrics. Materials and methods. It was decided to develop and introduce the regional register of cesarean sections «CesRegister» in the Sverdlovsk region as a structural and functional module of the automated information system «Regional Obstetric Monitoring» (AIST «RAM»). The goal of the system is to improve the quality of medical care for pregnant women and improve the systems for supporting medical decision-making in the operational obstetrics as well as to automatize the analytics of obstetric care institutions activities, including the Robson classification. Results. AIST «RAM» allowed to collect the data on caesarian sections performed from the electronic medical records. This information, collected before the introduction of the register, provided the possibility of automated analytics and implementation of the systems for supporting medical decision-making in the operational obstetrics. Conclusions. «CesRegister» can help to reduce the percentage of repeated cesarean sections by providing information about previous births online and enabling doctors to quickly make the right and safe decision on the management of pregnancy and childbirth.
{"title":"Regional caesarean section register «C-Register» – experience of digitalization of operative obstetrics on the example of the Sverdlovsk region","authors":"N. Ankudinov, N. Zilber","doi":"10.29188/2542-2413-2020-6-4-28-33","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-4-28-33","url":null,"abstract":"Introduction. Caesarean section is one of the most common surgical procedures in the world and its frequency continues to increase, especially in developing and developed countries. While caesarean section can save lives, it is often performed without medical indications, putting women and their children at risk of high morbidity in the short or long term. Aim. To create a single digital regional database of all caesarean section procedures. To automatize the analysis of medical organizations in online format. To conduct a continuous online monitoring of surgical interventions in obstetrics. Materials and methods. It was decided to develop and introduce the regional register of cesarean sections «CesRegister» in the Sverdlovsk region as a structural and functional module of the automated information system «Regional Obstetric Monitoring» (AIST «RAM»). The goal of the system is to improve the quality of medical care for pregnant women and improve the systems for supporting medical decision-making in the operational obstetrics as well as to automatize the analytics of obstetric care institutions activities, including the Robson classification. Results. AIST «RAM» allowed to collect the data on caesarian sections performed from the electronic medical records. This information, collected before the introduction of the register, provided the possibility of automated analytics and implementation of the systems for supporting medical decision-making in the operational obstetrics. Conclusions. «CesRegister» can help to reduce the percentage of repeated cesarean sections by providing information about previous births online and enabling doctors to quickly make the right and safe decision on the management of pregnancy and childbirth.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126364853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-30DOI: 10.29188/2542-2413-2020-6-4-15-18
V. A. Klyomin, V. I. Korzh, D. K. Kalinovsky, D. V. Korzh, Intana Llc
Introduction. We examined the results of scientific activity of the department of orthopedic denticity of Donetsk National Medical University on invention and digital technologies for 2020, as well as the possibility of their implementation in the educational process and industrial practice. All developments relate to the field of orthopedic dentistry and are intended for dental prosthetics. Aim. To analyze the possibility of using the inventive activity results in the work of the department of orthopedic dentistry in teaching the discipline «Clinical orthopedic dentistry». Materials and methods. We proposed several developments, the main purpose of which was the use of digital technologies in dental prosthetics with removable dentures. Results. Scientific developments were introduced into the educational process of the department in field of teaching the discipline «Clinical orthopedic dentistry». Certain techniques are also tested in dental facilities of various forms of ownership. Conclusion. We noted that the consideration and analysis of new developments in the relevant classes, the comparison of their effectiveness with existing analogues arouses interest among students, and in result, stimulates students to rationalization and inventive activity. The results of such work can be realized both during the educational process and during practical training.
{"title":"The use of inventive activity results in the work of Department of Orthopedic Denticity: digital and additive technologies","authors":"V. A. Klyomin, V. I. Korzh, D. K. Kalinovsky, D. V. Korzh, Intana Llc","doi":"10.29188/2542-2413-2020-6-4-15-18","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-4-15-18","url":null,"abstract":"Introduction. We examined the results of scientific activity of the department of orthopedic denticity of Donetsk National Medical University on invention and digital technologies for 2020, as well as the possibility of their implementation in the educational process and industrial practice. All developments relate to the field of orthopedic dentistry and are intended for dental prosthetics. Aim. To analyze the possibility of using the inventive activity results in the work of the department of orthopedic dentistry in teaching the discipline «Clinical orthopedic dentistry». Materials and methods. We proposed several developments, the main purpose of which was the use of digital technologies in dental prosthetics with removable dentures. Results. Scientific developments were introduced into the educational process of the department in field of teaching the discipline «Clinical orthopedic dentistry». Certain techniques are also tested in dental facilities of various forms of ownership. Conclusion. We noted that the consideration and analysis of new developments in the relevant classes, the comparison of their effectiveness with existing analogues arouses interest among students, and in result, stimulates students to rationalization and inventive activity. The results of such work can be realized both during the educational process and during practical training.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122697448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-30DOI: 10.29188/2542-2413-2020-6-4-34-44
A. Vladzymyrskyy
Introduction. The growing demand for online medical services, the active inclusion of telemedicine consultations in state health insurance programs, and the general intensive development of telemedicine require a methodology for quality assurance and control. Objective is to develop a methodological basis for a comprehensive assessment of the quality and effectiveness of direct-to-consumer telemedicine consultations. Material and methods. There are sources of primary data: systematizing scientific publications (descriptions of models and methodologies for telemedicine quality assessing); own theoretical researches, accumulated practical experience with of directto-consumer telemedicine. Methods of analysis and synthesis have been use. Results and discussion. The matrix for for direct-to-consumer telemedicine quality assessing has formed. It includes four domains «Accessibility», «Efficiency», «Safety» and «Responsibility» from the standpoint of all participants of the distant interaction processes: patient and/or legal representative; medical consultant; operator of a telemedicine information system; medical organization; health care system (society). The matrix takes into account the aspects of goal-setting and the interests of each participant. There are structured metrics in frame of each domain. Conclusions. The matrix can be used as a basis for scientific research and as a methodology for internal and departmental quality control of medical care provided via telemedicine technologies.
{"title":"Matrix for direct-to-consumer telemedicine quality assessing","authors":"A. Vladzymyrskyy","doi":"10.29188/2542-2413-2020-6-4-34-44","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-4-34-44","url":null,"abstract":"Introduction. The growing demand for online medical services, the active inclusion of telemedicine consultations in state health insurance programs, and the general intensive development of telemedicine require a methodology for quality assurance and control. Objective is to develop a methodological basis for a comprehensive assessment of the quality and effectiveness of direct-to-consumer telemedicine consultations. Material and methods. There are sources of primary data: systematizing scientific publications (descriptions of models and methodologies for telemedicine quality assessing); own theoretical researches, accumulated practical experience with of directto-consumer telemedicine. Methods of analysis and synthesis have been use. Results and discussion. The matrix for for direct-to-consumer telemedicine quality assessing has formed. It includes four domains «Accessibility», «Efficiency», «Safety» and «Responsibility» from the standpoint of all participants of the distant interaction processes: patient and/or legal representative; medical consultant; operator of a telemedicine information system; medical organization; health care system (society). The matrix takes into account the aspects of goal-setting and the interests of each participant. There are structured metrics in frame of each domain. Conclusions. The matrix can be used as a basis for scientific research and as a methodology for internal and departmental quality control of medical care provided via telemedicine technologies.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115850366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-30DOI: 10.29188/2542-2413-2020-6-2-3-9
V. Levanov, E. A. Perevezentsev, A. N. Gavrilova
Introduction: Present pandemic situation has determined using methods of distance education at organisations of higher education including medical universities. Aim of this study was to examine medical students’ attitude to transition to distance forms of education for a period of pandemic. Materials and methods. The authors conducted a questionnaire of 129 students about their attitude to distance education, assessment of its positive and negative characteristics and suggestions for improvement of the model implemented during two first weeks. Results: In 2002 at Research University an implementation of distance education technologies started. The website of distance education (WoDE) http://sdo.pimunn.net is essential to students. In March 2020 the University switched to full distance learning model due to COVID-19 pandemic. The questionnaire among students allowed to reveal positive aspects of distance education: reduction of time and cost for moving between university campuses and clinical bases (55,2% of students), comfort of learning in habitual home environment (60,9%), opportunity of daily schedule planning (66,9%), stress level reduction (37,9%), self-discipline, opportunity of copying and reviewing of studying material (59,7%). Among disadvantages was limitation in using Conclusions: Despite significant experience of e-learning and regulatory framework of application of distance education technologies, their using always was considered in a comprehensive manner with traditional intramural education and such transition leads to adaptation of electronic educational environment to new conditions.
{"title":"Distance education in a medical university during a pandemic COVID-19: the first experience through the eyes of students","authors":"V. Levanov, E. A. Perevezentsev, A. N. Gavrilova","doi":"10.29188/2542-2413-2020-6-2-3-9","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-2-3-9","url":null,"abstract":"Introduction: Present pandemic situation has determined using methods of distance education at organisations of higher education including medical universities. Aim of this study was to examine medical students’ attitude to transition to distance forms of education for a period of pandemic. Materials and methods. The authors conducted a questionnaire of 129 students about their attitude to distance education, assessment of its positive and negative characteristics and suggestions for improvement of the model implemented during two first weeks. Results: In 2002 at Research University an implementation of distance education technologies started. The website of distance education (WoDE) http://sdo.pimunn.net is essential to students. In March 2020 the University switched to full distance learning model due to COVID-19 pandemic. The questionnaire among students allowed to reveal positive aspects of distance education: reduction of time and cost for moving between university campuses and clinical bases (55,2% of students), comfort of learning in habitual home environment (60,9%), opportunity of daily schedule planning (66,9%), stress level reduction (37,9%), self-discipline, opportunity of copying and reviewing of studying material (59,7%). Among disadvantages was limitation in using Conclusions: Despite significant experience of e-learning and regulatory framework of application of distance education technologies, their using always was considered in a comprehensive manner with traditional intramural education and such transition leads to adaptation of electronic educational environment to new conditions.","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122338893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-27DOI: 10.29188/2542-2413-2020-6-1-45-50
A. Vladzymyrskyy
{"title":"Antibacterial therapy prescribing during direct-to-consumer telemedicine consultations","authors":"A. Vladzymyrskyy","doi":"10.29188/2542-2413-2020-6-1-45-50","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-1-45-50","url":null,"abstract":"","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127176383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-27DOI: 10.29188/2542-2413-2020-6-1-3-20
G. Lebedev, I. Shaderkin, E. E. Porubaeva, A. Shaderkina
{"title":"Practical application of continuous blood pressure monitoring technologies","authors":"G. Lebedev, I. Shaderkin, E. E. Porubaeva, A. Shaderkina","doi":"10.29188/2542-2413-2020-6-1-3-20","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-1-3-20","url":null,"abstract":"","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"346 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114088007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-27DOI: 10.29188/2542-2413-2020-6-1-26-35
V. Levanov, I. A. Peresleginа, V. K. Bezrukova, I. Zhidkov
{"title":"Experience in using telemedicine technologies at paramedic and midwifery stations in rural areas with low population density","authors":"V. Levanov, I. A. Peresleginа, V. K. Bezrukova, I. Zhidkov","doi":"10.29188/2542-2413-2020-6-1-26-35","DOIUrl":"https://doi.org/10.29188/2542-2413-2020-6-1-26-35","url":null,"abstract":"","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114256312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-09DOI: 10.29188/2542-2413-2019-5-1-17-24
V. Levanov, E. Mamonova, O. V. Perevedentsev
{"title":"Possibilities of application of telemedicine technologies at carrying out exercises on liquidation of medical consequences of emergency situations on remote industrial objects","authors":"V. Levanov, E. Mamonova, O. V. Perevedentsev","doi":"10.29188/2542-2413-2019-5-1-17-24","DOIUrl":"https://doi.org/10.29188/2542-2413-2019-5-1-17-24","url":null,"abstract":"","PeriodicalId":277752,"journal":{"name":"Journal of Telemedicine and E-Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115546313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：