scholarly journals OPPORTUNITIES AND FUTURE PERSPECTIVES FOR REMOTE MONITORING OF PATIENTS WITH IMPLANTED DEVICES

2019 ◽  
Vol 8 (2) ◽  
pp. 98-106
Author(s):  
N. N. Lomidze ◽  
V. A. Vaskovskiy ◽  
M. V. Yashkov ◽  
E. A. Artukhina ◽  
A. Sh. Revishvili

Today implantable cardiac devices (ICD) are advanced therapeutic and preventive tools ensuring the collection and transmission of statistical and diagnostic patient data. The information obtained from implanted devices allows analyzing patients’ condition, selecting optimal treatment strategy, predicting and preventing possible complications. The number of ICD recipients is rapidly growing. Over 1,000 devices per 1 million population are implanted in Europe and the US annually. In the Russian Federation this number reaches 300 devices per 1 million population. Routine medical checkups of patients with ICD should be performed 2–4 times a year, with an average length of about 20 minutes. It means that only in the Russian Federation physicians will have to work 20–40 thousand extra hours with a tendency towards its increase as this figure will grow simultaneously with growing patients’ number. Remote monitoring (RM) technologies may solve this problem. In 2000 Biotronik AG developed the world's first system for remote monitoring of anti-arrhythmic devices called the “Home Monitoring” system. It is based on the mobile RM of patients who received ICD. The information collected by the devices is transmitted to a special service center via mobile communication networks and after processing, the information is transferred to a physician’s website along with a text message and a fax. The information is instantly delivered from a patient to a physician. A closed information network "patient-service center-physician" was developed for the hospitals and their patients, providing a novel advanced monitoring and timely treatment of the patient.

2010 ◽  
Vol 6 (3) ◽  
pp. 87
Author(s):  
Niraj Varma ◽  

The use of implantable electronic cardiac devices is increasing. Post-implantation follow-up is important for monitoring both device function and patient condition; however, clinical practice is inconsistent. For example, implantable cardioverter–defibrillator follow-up schedules vary from every three months to yearly according to facility and physician preference and the availability of resources. Importantly, no surveillance occurs between follow-up visits. By contrast, implantable devices with automatic remote monitoring capability provide a means for performing constant surveillance, with the ability to identify salient problems rapidly. The Lumos-T Reduces Routine Office Device Follow-up Study (TRUST) demonstrated that remote home monitoring reduced clinic burden and allowed early detection of patient and/or system problems, enabling efficient monitoring and an opportunity to enhance patient safety. The results of the trial have significant implications for the management of patients receiving all forms of implantable electronic cardiac device.


Author(s):  
Н.А. ЧИСТОВА ◽  
А.С. БОРОДИН ◽  
А.Е. КУЧЕРЯВЫЙ

Статья посвящена анализу возможностей сетей связи для сокращения цифрового разрыва между регионами Российской Федерации. Основным результатом статьи является установление взаимосвязи валового регионального продукта и доли занятых в сфере информатизации и связи в общем числе занятых во всех отраслях. Результаты статьи могут быть использованы заинтересованными министерствами и ведомствами при реализации программы цифровой экономики, научными и проектными организациями при планировании и проектировании сетей связи, а также университетами в учебном процессе. The article is devoted to the analysis of the capabilities of telecommunication networks with ultralow latency to reduce the digital divide between the regions of the Russian Federation. The main result of the article is to establish the relationship between the gross regional product and the share of people employed in the field of informatization and communications in the total number of people employed in all industries. The results of the article can be used by interested ministries and departments in the implementation of the digital economy program, scientific and design organizations in the planning and design of communication networks, as well as by universities in the educational process.


Author(s):  
Е.Е. Девяткин ◽  
Д.Н. Федоров ◽  
Я.М. Гасс ◽  
М.В. Иванкович

Рассмотрены и классифицированы существующие узкополосные беспроводные сети связи (УБСС), реализованные с использованием конвергентных решений. Показано, что появление нового объекта регулирования УБСС интернета вещей усиливает необходимость перехода от локальных корректировок законодательства в сфере связи к созданию инфо- коммуникационного кодекса Российской Федерации. Existing narrowband wireless communication networks using convergent solutions are reviewed and classified. It is shown that the emergence of narrowband wireless networks of Internet of things increases the need for transition from local adjustments of legislation in the field of communications to the creation of the Infocommunication Code of the Russian Federation.


2021 ◽  
Vol 39 ◽  
pp. 04009
Author(s):  
N.A. Lopachev ◽  
V.T. Lobkov ◽  
V.P. Naumkin ◽  
A.L. Bykov

An assessment of the efficacy of preparations (Kornevin, SP; Albit, TPS; Epin-extra) in the production of planting material of Northern white cedar by vegetative propagation with wood cuttings under the conditions of the Central Black Earth Region of the Russian Federation is given on the example of the Orel region. All the studied preparations had a significant effect on the rooting process of cuttings. The obtained and analyzed data of phenological observations showed that the greatest effect on the acceleration of the onset of the of root formation phase had preparation “Albit, TPS”, 3-4 weeks earlier than the control. The number of formed cuttings and their length were also mainly influenced by “Albit, TPS”, which increased the average number of roots by 3 pcs., and their average length by 44 mm, in comparison with the control. The effect of the use of the biostimulator “Albit, TPS” had a significant influence on the number of established cuttings, providing 20 rooted cuttings or 28% more than in the control.


2020 ◽  
pp. 12-18
Author(s):  
V. A. Evdakov ◽  
◽  
M. N. Banteva ◽  
E. M. Manoshkina ◽  
Y. Y. Melnikov ◽  
...  

The steady growth trend of oncological diseases in Russia in recent years requires a response from the health care system: development of prevention aimed at early detection of diseases; improvement of methods of diagnostics and treatment of oncopathology; improving the quality and effectiveness of medical care. A i m : to identify trends in changes of the neoplasms incidence and performance indicators of oncological beds for round-the-clock stay of the state health care system in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019. M a t e r i a l s a n d m e t h o d s . Using the data of federal statistical observation (forms NoNo. 12, 30) by the method of descriptive statistics, the main indicators of the neoplasms incidence in the population are analyzed, as well as the work of round-the-clock oncological beds in the Russian Federation, federal districts and regions of the Russian Federation in dynamics for 2010–2019. R e s u l t s . On the background of an increase in the neoplasms incidence in the population (by 24.9%), including malignant (1.5 times), for the period 2010–2019 in the Russian Federation increased: the absolute number of oncology beds of round-the-clock stay from 30,970 to 36,186 (+ 16.8%), the provision with these beds from 2.17 to 2.47 per 10,000 population (+ 13.8%), hospitalization rate from 6.1 to 9.6 per 1000 population (+ 57.4%), and decreased: the average length of stay in an oncological bed (from 12.1 days to 8.4 – by 30.6%), as well as the average bed occupancy per year (from 345 to 330 days – by 4.3%). The extreme values of the indicators of the hospitalization rate for round-the-clock oncological beds in the regions of the Russian Federation in 2019 differ 12.8 times, the provision of these beds – 9.2 times, the average bed occupancy per year – 1.5 times, the average length of stay in a bed – 2.4 times. Mortality in oncological hospital beds increased from 0.76% in 2010 to 0.95% in 2019 (by 25%). C o n c l u s i o n . The 24-hour oncological bed capacity, against the background of the growth of oncological morbidity, has naturally increased, but at the same time it is characterized by an extreme disproportionality of development in the Federal Districts and the regions of the Russian Federation. Optimization of the bed fund should be carried out based on the objective needs of a particular region, taking into account its characteristics and with the simultaneous development of alternative medical services.


2020 ◽  
Vol 5 (4) ◽  
pp. 43-49
Author(s):  
E. Manoshkina ◽  
M. Bant'eva ◽  
V. Kuznecova

. For the period 2010-2018, the number of cardiac macroglobulinov stay in the Russian Federation decreased from 55477 before 49578 (10.6%),polysilazane hospitalizations for cardiac beds (from 9.3 to 10.8 per 1,000 population – 16.1%),decreased provision of cardiological beds (from 3.88 to 3.38 per 1000 population – by 12.9%), the average length of stay for cardiac bed (from 13.1 to 9.1 tnado – by 26.0%) and average employment cardiology bed per year (from 340 to 327 days – 3.8%). Mortality in cardiac beds in the Russian Federation decreased from 1.96% in 2010 to 1.89% in 2018 (by 3.6%).The provision of places for the Russian population in day hospitals of cardiological profile of organizations providing medical care in inpatient conditions increased by 19.6% (from 0.12 per 10,000 population in 2010 to 0.14 in 2018), and in day hospitals of organizations providing medical care in outpatient conditions decreased by 11.5% (from 0.15 per 10,000 population in 2014 up to 0.14 in 2018).In the Russian Federation, during the observation period, the level of hospitalizations in day hospitals of organizations providing medical care in inpatient conditions increased by 43.6%, and the GVA of the cardiological profile of organizations providing medical care in outpatient conditions increased by 5.2%. The dynamics of indicators of the bed Fund of cardiology profile in recent years indicates the process of inpatient replacement, which is undoubtedly one of the ways to improve the efficiency of using health resources.


2020 ◽  
Vol 6 (2) ◽  
pp. 46-49
Author(s):  
Yuriy Mel'nikov ◽  
M. Bant'eva ◽  
A. Smyshlyaev

The process of reducing round-the-clock bed fund with simultaneous development of hospital-replacing technologies, namely daily stay hospitals, has been going on in the Russian Federation, for more than twenty-five years, a similar trend has been observed in recent decades in most developed countries of the world. From 2010 to 2018 provision of the population with beds of daily stay hospitals in the Russian Federation moderately increased from 15.4 per 10,000 to 17.0 (an increase of 10.7%). Hospitalization rate of the population in daily stay hospitals in the country increased from 41.9 per 1,000 population in 2010 to 56.3 in 2018 (an increase of 34.5%). At the same time, the average bed occupancy per year in daily stay hospitals for the study period decreased from 311 days to 301 days (the decrease was 3.1%). The average length of stay in daily hospitals bed decreased from 11.4 to 10.1 days (the decrease was 11.7%). The positive dynamics of most of the studied indicators testifies to the development of the network of daily stay hospitals in the Russian Federation, the negative point is the reduction of average bed occupancy per year, what may indicate a decrease of the intensity of use of the bed fund of daily stay hospitals in the country.


Author(s):  
Irina Zinoveva ◽  
P. Medvedev

This work is devoted to the consideration of the problems of reducing forest resources, which is largely associated with fires that occur in hard-to-reach areas and in areas with increased recreational load. In this regard, the creation of an effective fire detection system using various types of monitoring – ground, aviation, and space – is of particular relevance and importance. An important monitoring task is not only monitoring the fire situation, but also assessing the effects of fires. To determine the location of forest fires on the lands of the forest fund and other categories of lands, as well as to collect and store data, the Avialesohrana Federal State Budgetary Institution uses remote monitoring of the ISDM-Rosleskhoz system, which helps to quickly detect fires using satellites, record them, and compile information on foci and give them an assessment. According to the ISDM-Rosleskhoz data, a comparative analysis of the dynamics of the number of forest fires in the regions of the Russian Federation for 2017-2019 was carried out, as well as an analysis of the area of forest land covered by fires in 2015-2019, the results of which revealed a growing trend in the number of fires and their increase area. As a result, it was concluded that it is necessary to improve the system of remote monitoring of forest fires with the aim of preventing, timely detecting and preventing spread.


2020 ◽  
Vol 6 (2) ◽  
pp. 50-56
Author(s):  
Yuriy Mel'nikov ◽  
M. Bant'eva ◽  
E. Manoshkina

In the Russian Federation the process of reduction of the round-the-clock bed fund with the simultaneous development of hospital-replacing technologies has been going on for more than twenty-five years, as well as, in most developed countries of the world, in recent decades.From 2010 to 2018 the absolute number of neurological round-the-clock hospital beds in the Russian Federation, as well as hospital beds of most other profiles, has significantly decreased: from 73754 to 64116 (by 13.1%), as well decreased the hospitalization rate (from 12.6 to 12.2 per 1000 population —  by 3.2%) and the provision of these beds (from 5.16 to 4.37 per 10,000 population —  by 15.3%), the average length of stay in a neurological bed (from 13.7 to 11.3 days —  by 17.5%) and its average occupancy per year (341 to 328 days —  by 3.8%). In 2018, the extreme values of the indicator of the provision of the population with hospital beds of the neurological profile of round-the-clock stay in the regions of the Russian Federation differed 2.5 times, what indicates the imbalance in the structural transformations of the hospital bed fund in the regions of the Russian Federation. Mortality in neurological hospital beds in the Russian Federation increased from 3.77% in 2010 to 4.17% in 2018 (by 10.6%).Thus, it is possible to conclude that a hospital-replacing function takes place in the country and there has been a redistribution of the volume of neurological care from the round-the-clock hospital beds to daily stay hospital beds, however, the bed fund of both round-the-clock and daily stay hospitals is characterized by extreme disproportionality of development in the regions of the Russian Federation, what may indicate an imbalance in structural-functional transformations, what should be carried out taking into account the characteristics of each particular region.


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