scholarly journals Remote medical consultations for patients: what has changed in Russia in 20 years

2021 ◽  
Vol 7 (2) ◽  
pp. 7-17
Author(s):  
I.A. Shaderkin ◽  
◽  
V.A. Shaderkina ◽  
◽  
Keyword(s):  
Mobile Applications ◽  
Vital Signs ◽  
Legal Regulation ◽  
The Body ◽  
Active Growth ◽  
Medical Opinion ◽  
Internet Resources ◽  
Patient Consultation ◽  
Remote Patient

Introduction. 2020 has sparked explosive growth in telemedicine, especially remote patient consultation and remote patient monitoring techniques. Materials and methods. The authors analyzed data from 169 articles from Pubmed and 47 articles from Elibrary.ru, 117 analytical reviews of Internet resources, Federal Laws on the keywords «remote patient consultation», «mobile applications for patients», «telemedicine», «pandemic». For this publication, 49 publications were selected, as well as the authors' own opinions and experiences. Results. Today remote consulting in Russia is used in the case of an initial consultation – a preventive appointment, referral to clinics, obtaining a second medical opinion with the possibility of prescribing additional examinations. Over the past 20 years, there has been an active growth in the development of remote consultations, long-term monitoring of patients' health, the introduction of mobile applications for monitoring vital signs of the body. An important point is the legal regulation of the provisions on the use of telemedicine technologies, however, it remains imperfect and requires improvement. The COVID pandemic has become a driver for the development of TM technologies in the state healthcare system. Conclusions. TM has transformed from conventional consultations to long-term (continuous) monitoring of health status using medical devices, which can be considered one of the most promising new areas with clinical efficacy. TM technologies are gradually becoming a familiar tool in clinical practice and may become routine for doctors and patients even after the end of the pandemic.

scholarly journals Digital Tokens in the Tools of Modern Foreign Trade Activities by Economic Entities of the BRICS Jurisdictions

Legal Concept ◽  
2019 ◽  
pp. 31-42 ◽  
Author(s):  
Alexander Goncharov ◽  
Marina Goncharova
Keyword(s):  
Foreign Trade ◽  
Historical Materialism ◽  
Scientific Paper ◽  
Legal Regulation ◽  
The Internet ◽  
Internet Resources ◽  
Great Hope ◽  
Legal Structures ◽  
General Scientific

Introduction: computer algorithmization of production, transport, communication and other processes, which is actively distributed across the countries of all the continents, has received a special name – digitalization of the economy. The speed and independence from distance, in particular, the interworking algorithms for attracting investments are perceived by entrepreneurs with great hope for success. According to the authors of the paper, by 2022 the financial digital technologies can replace up to 28 % of traditional banking and payment transactions, up to 22 % of insurance and foreign trade financing transactions. In the short term, the relevance of introducing the legal regulation of digital investment tokens will be duly evaluated, so long-term foreign trade projects for long-term supply of goods, in particular, by the economic entities of the BRICS jurisdictions, will receive increasing financial support. In the scientific paper, the authors studied the activities of the Russian legislators on forming the legal regulation of the digital economy for the purpose of identifying their mistakes and shortcomings, as well as substantiating recommendations for the consolidation in the legislation of the viable legal structures which can be used by the economic entities of the BRICS jurisdictions in long-term foreign trade transactions that require large financial resources for a period of 1 year or more. Relying entirely on the materialistic worldview and the general method of historical materialism the authors used the general scientific and specific scientific (comparative law, normative-dogmatic, statistical, hermeneutic) methods for the study. As a result, the authors proved that the development of ICO investments would continue rapidly. The growing popularity of ICO will promote the technical “base” of the token market and strengthen the crypto protection of smart contracts and transactions within their performance. Tokens, as digital crypto records on the Internet resources, used by the participants of foreign trade transactions of the BRICS jurisdictions – the organizers of investments, by 2022 will become the usual investment instruments, such as bonds or shares. The conclusions and recommendations on the correction of the Russian bills are formulated; the proposals for improving the infrastructure of remote investments in the Internet space of modern Russia are given. On the basis of a critical analysis of the scientific works of the economists and lawyers, the authors formulate the definitions of the studied tools of remote digital interaction of investors and organizers of investment of long-term foreign trade transactions, which can be carried out including the economic entities of the BRICS jurisdictions.

scholarly journals A remote patient monitoring based on WBAN implementation with internet of thing and cloud server

2021 ◽  
Vol 10 (3) ◽  
pp. 1640-1647
Author(s):  
Jaber H. Majeed ◽  
Qais Aish
Keyword(s):  
Low Cost ◽  
Vital Signs ◽  
Delivery Ratio ◽  
Specialist Care ◽  
Average Delay ◽  
Hospital Capacity ◽  
Number Of Patients ◽  
Cloud Server ◽  
Remote Patient

A healthcare employment is the mainly domain in emergent technology of WBAN, and an e-health system created of cloud computing in addition to a WSN considers an important part of this field. An implementation of remotely system for monitoring the patient's vital signs require continuous observation to form low-cost networks with the ability of portability and flexibility and may be applied with separate position and long-term intensive care of peoples in the absence of disturbance of their everyday activities. The patient carries body sensor's patches to get transmitted vital signs continuously to the cloud environment, and a website is designed for presenting and analyzing the data based on designed algorithm. A comparison is made every received measurement with a that stored in the algorithm. In remote specialist care, the execution of confidence and confidentiality conservation is critical, as essential restrictions were being communicating with remote locations. To ensure reliability, the implemented system offers real time monitoring and certification to the patient's condition by means of a medical record, with rapid medical data delivery to the medical staff and can also increase the service delivery ratio of hospital capacity and monitoring of large number of patients with concentrated average delay.

Defining the Competence of Psychologists with a View to Public Accountability *

1997 ◽  
Vol 2 (4) ◽  
pp. 293-300 ◽  
Author(s):  
Ype H. Poortinga ◽  
Ingrid Lunt
Keyword(s):  
Scientific Knowledge ◽  
Professional Training ◽  
Professional Competence ◽  
Codes Of Ethics ◽  
The Body ◽  
The European Union ◽  
Rigorous Evaluation ◽  
Judicial Proceedings ◽  
Psychological Knowledge

In national codes of ethics the practice of psychology is presented as rooted in scientific knowledge, professional skills, and experience. However, it is not self-evident that the body of scientific knowledge in psychology provides an adequate basis for current professional practice. Professional training and experience are seen as necessary for the application of psychological knowledge, but they appear insufficient to defend the soundness of one's practices when challenged in judicial proceedings of a kind that may be faced by psychologists in the European Union in the not too distant future. In seeking to define the basis for the professional competence of psychologists, this article recommends taking a position of modesty concerning the scope and effectiveness of psychological interventions. In many circumstances, psychologists can only provide partial advice, narrowing down the range of possible courses of action more by eliminating unpromising ones than by pointing out the most correct or most favorable one. By emphasizing rigorous evaluation, the profession should gain in accountability and, in the long term, in respectability.

STUDIES IN THE SUPPOSED GOITROGENOUS EFFECT OF TAP WATER IN HELSINKI

1960 ◽  
Vol XXXIII (IV) ◽  
pp. 630-636
Author(s):  
F.-E. Krusius ◽  
P. Peltola
Keyword(s):  
Tap Water ◽  
Physiological Saline ◽  
Normal Weight ◽  
The Body ◽  
Iodine Uptake ◽  
Redistilled Water ◽  
Detectable Difference ◽  
Term Administration ◽  
Long Term Experiment

ABSTRACT The study reported here was performed in order to examine the tap water of Helsinki for its alleged goitrogenous effect. In a short-term, 24-hour experiment with rats, kept on an iodine-poor diet, we noticed no inhibition of the 4-hour 131I uptake, as compared with that of animals receiving physiological saline instead of tap water. Two similar groups of rats receiving 1 and 2 mg of mercazole in redistilled water showed a distinct blockage of the 4-hour uptake, which proved the effect of this substance. In a long-term experiment of 5 weeks' duration there was no detectable difference in the body weight, thyroid weight and the 4-hour 131I uptake when the rats receiving tap water or distilled water to which 0.45 per cent of sodium chloride was added were compared with each other. Replacement of tap water by a 10 mg per cent solution of mercazole in redistilled water enlarged the thyroid to double its normal weight and increased the 131I uptake to approximately five times that of the controls. Thus our experiments failed to demonstrate any goitrogenous effect in the tap water of Helsinki. Changes similar to those produced by a long-term administration of mercazole, i. e. an enlargement of the thyroid and an increased thyroidal iodine uptake, have been shown to be due to milk collected from goitrous areas. The observations here reported confirm the importance of milk in the genesis of the goitre endemia of Helsinki. Attention is further called to the fact that a thyroidal enlargement combined with an increased thyroidal iodine uptake cannot always be taken as a sign of iodine deficiency because similar changes may be produced by the administration of goitrogens.

IoT based e-Healthcare System to Enable Remote Patient Care based on Cloud Server

2017 ◽  
Vol 7 (7) ◽  
pp. 36
Author(s):  
P.Venu Gopala Rao ◽  
Eslavath Raja ◽  
Ramakrishna Gandi ◽  
G. Ravi Kumar
Keyword(s):  
Low Cost ◽  
Vital Signs ◽  
Smart Phone ◽  
Medical Professional ◽  
Design Parameters ◽  
Cloud Server ◽  
Significant Area ◽  
Efficient Data ◽  
System Data ◽  
Remote Patient

IoT (Internet of Things) has become most significant area of research to design an efficient data enabled services with the help of sensors. In this paper, a low-cost system design for e-healthcare service to process the sensitive health data is presented. Vital signs of the human body are measured from the patient location and shared with a registered medical professional for consultation. Temperature and heart rate are the major signals obtained from a patient for the initial build of the system. Data is sent to a cloud server where processing and analysis is provided for the medical professional to analyze. Secure transmission and dissemination of data through the cloud server is provided with an authentication system and the patient could be able to track his data through a smart phone on connecting to the cloud server. A prototype of the system along with its design parameters has been discussed.

Implementing Internet of Things in a Remote Patient Medical Monitoring System

2018 ◽  
Vol 6 (8) ◽  
pp. 159 ◽  
Author(s):  
Ifeoma V. Ngonadi
Keyword(s):  
Internet Of Things ◽  
Monitoring System ◽  
Medical Records ◽  
Research Work ◽  
Healthcare Delivery ◽  
Vital Signs ◽  
Personal Digital Assistant ◽  
Computer Applications ◽  
Medical Monitoring ◽  
Remote Patient

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Remote patient monitoring enables the monitoring of patients’ vital signs outside the conventional clinical settings which may increase access to care and decrease healthcare delivery costs. This paper focuses on implementing internet of things in a remote patient medical monitoring system. This was achieved by writing two computer applications in java in which one simulates a mobile phone called the Intelligent Personal Digital Assistant (IPDA) which uses a data structure that includes age, smoking habits and alcohol intake to simulate readings for blood pressure, pulse rate and mean arterial pressure continuously every twenty five which it sends to the server. The second java application protects the patients’ medical records as they travel through the networks by employing a symmetric key encryption algorithm which encrypts the patients’ medical records as they are generated and can only be decrypted in the server only by authorized personnel. The result of this research work is the implementation of internet of things in a remote patient medical monitoring system where patients’ vital signs are generated and transferred to the server continuously without human intervention.

ANALYSIS OF ABDOMINAL TYPHOID INCIDENCE IN THE SOUTH REGION OF THE KYRGYZ REPUBLIC

2020 ◽  
pp. 43-48
Author(s):  
Zakirova J.S. ◽  
Nadirbekova R.A. ◽  
Zholdoshev S.T.
Keyword(s):  
Drinking Water ◽  
Typhoid Fever ◽  
Risk Groups ◽  
The Body ◽  
Kyrgyz Republic ◽  
Radiation Factor ◽  
High Quality ◽  
Two Generations ◽  
Immunological Deficiency

The article analyze the long-term morbidity, spread of typhoid fever in the southern regions of the Kyrgyz republic, and remains a permanent epidemic focus in the Jalal-Abad region, where against the low availability of the population to high-quality drinking water, an additional factor on the body for more than two generations and radiation factor, which we confirmed by the spread among the inhabitants of Mailuu-Suu of nosological forms of the syndrome of immunological deficiency, as a predictor of risk groups for infectious diseases, including typhoid fever.

Comparative assessment of morphological mechanisms of maintaining structural liver homeostasis in the dynamics of exposure to coal-rock dust and sodium fluoride on the body

2020 ◽  
pp. 189-194
Author(s):  
M. S. Bugaeva ◽  
O. I. Bondarev ◽  
N. N. Mikhailova ◽  
L. G. Gorokhova
Keyword(s):  
Sodium Fluoride ◽  
Morphological Changes ◽  
The Body ◽  
System Level ◽  
Production Factor ◽  
Coal Rock ◽  
The Impact ◽  
Structural Homeostasis ◽  
Rock Dust

Introduction. The impact on the body of such factors of the production environment as coal-rock dust and fluorine compounds leads to certain shift s in strict indicators of homeostasis at the system level. Maintaining the relative constancy of the internal environment of the body is provided by the functional consistency of all organs and systems, the leading of which is the liver. Organ repair plays a crucial role in restoring the structure of genetic material and maintaining normal cell viability. When this mechanism is damaged, the compensatory capabilities of the organ are disrupted, homeostasis is disrupted at the cellular and organizational levels, and the development of the main pathological processes is noted.The aim of the study is to compare the morphological mechanisms of maintaining structural homeostasis of the liver in the dynamics of the impact on the body of coal-rock dust and sodium fluoride.Materials and methods. Experimental studies were conducted on adult white male laboratory rats. Features of morphological mechanisms for maintaining structural homeostasis of the liver in the dynamics of exposure to coal-rock dust and sodium fluoride were studied on experimental models of pneumoconiosis and fluoride intoxication. For histological examination in experimental animals, liver sampling was performed after 1, 3, 6, 9, 12 weeks of the experiment.Results. The specificity of morphological changes in the liver depending on the harmful production factor was revealed. It is shown that chronic exposure to coal-rock dust and sodium fluoride is characterized by the development of similar morphological changes in the liver and its vessels from the predominance of the initial compensatory-adaptive to pronounced violations of the stromal and parenchymal components. Long-term inhalation of coal-rock dust at 1–3 weeks of seeding triggers adaptive mechanisms in the liver in the form of increased functional activity of cells, formation of double-core hepatocytes, activation of immunocompetent cells and endotheliocytes, ensuring the preservation of the parenchyma and the general morphostructure of the organ until the 12th week of the experiment. Exposure to sodium fluoride leads to early disruption of liver compensatory mechanisms and the development of dystrophic changes in the parenchyma with the formation of necrosis foci as early as the 6th week of the experiment.Conclusions. The study of mechanisms for compensating the liver structure in conditions of long-term exposure to coal-rock dust and sodium fluoride, as well as processes that indicate their failure, and the timing of their occurrence, is of theoretical and practical importance for developing recommendations for the timely prevention and correction of pathological conditions developing in employees of the aluminum and coal industry.The authors declare no conflict of interests.

Immunological mechanisms of chronic liver lesions under the influence of chemicals

2020 ◽  
pp. 536-537
Author(s):  
G. S. Agzamova ◽  
M. M. Abdullaeva
Keyword(s):  
The Body ◽  
Chronic Liver ◽  
Toxic Substances ◽  
Liver Lesions ◽  
Industrial Chemicals ◽  
Toxic Agent ◽  
Chronic Poisoning ◽  
Immunological Mechanisms ◽  
T System

The immunological profile of chronic liver lesions depending on the toxic agent was studied. It was revealed that chronic poisoning by industrial toxic substances causes changes in the functional state of the T-system of immunity, long-term contact with industrial chemicals leads to increased sensitization to autoantigens of the body.

Neurophysiological and morphological effects in the post-exposure vibration period during experimental modeling

2019 ◽  
pp. 284-290
Author(s):  
Natalya L. Yakimova ◽  
Vladimir A. Pankov ◽  
Aleksandr V. Lizarev ◽  
Viktor S. Rukavishnikov ◽  
Marina V. Kuleshova ◽  
...  
Keyword(s):  
Nervous System ◽  
Evoked Potentials ◽  
Experimental Model ◽  
Visual Evoked Potentials ◽  
The Body ◽  
Behavioral Activity ◽  
Contact Period ◽  
Vibration Exposure ◽  
Visual Evoked

Introduction. Vibration disease continues to occupy one of the leading places in the structure of professional pathology. In workers after the termination of contact with vibration generalization and progression of violations in an organism is noted. The pathogenetic mechanisms of the progredient course of disturbances in the nervous system in the post-contact period of vibration exposure remain insufficiently studied.The aim of the study was to test an experimental model of vibration exposure to assess the neurophysiological and morphological effects of vibration in rats in the dynamics of the post-contact period.Materials and methods. The work was performed on 168 white male outbred rats aged 3 months weighing 180–260 g. The vibration effect was carried out on a 40 Hz vibrating table for 60 days 5 times a week for 4 hours a day. Examination of animals was performed after the end of the physical factor, on the 30th, 60th and 120th day of the post-contact period. To assess the long-term neurophysiological and morphofunctional effects of vibration in rats, we used indicators of behavioral reactions, bioelectric activity of the somatosensory zone of the cerebral cortex, somatosensory and visual evoked potentials, parameters of muscle response, morphological parameters of nervous tissue.Results. In the dynamics of the post-contact period observed the preservation of violations of tentatively research, motor and emotional components of behavior. In the Central nervous system instability of activity of rhythms of an electroencephalogram, decrease in amplitude of visual evoked potentials, lengthening of latency of somatosensory evoked potentials, decrease in total number of normal neurons and astroglia is established. In the peripheral nervous system remained changes in indicators: increasing duration and latency, reducing the amplitude of the neuromuscular response.Conclusions: The experimental model allows us to study the long-term neurophysiological and morphological effects of vibration on the body. The formation and preservation of changes in behavioral activity, neurophysiological and morphological effects of vibration from the 30th to the 120th day of the post-contact period were confirmed.

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