scholarly journals A Medical Hardware-Software System for Remote Monitoring of Heart Diseases

Author(s):  
T. M. Magrupov ◽  
Z. M. Yuldashev ◽  
S. P. Abdihalikov

Introduction.  Wireless diagnostics of patients’  functional state is important  for ensuring timely detection and treatment of diseases. In this article, the development of a medical hardware-software system for remote monitoring of the state of biological objects is considered on the example of cardiovascular diseases.Aim. To develop a medical hardware-software system for remote monitoring of the main cardiovascular parameters and to expand the scope of medical remote telemetry equipment, which can eventually lead to improved medical services.Materials and methods.  On the example of cardiovascular diseases, an analysis of the existing medical hardwaresoftware system for remote monitoring of the state of biological objects was carried out, taking into account the cardiac monitoring of the electrocardiogram. This method is widely used for in the diagnostics and treatment of cardiovascular diseases.Results.  A  method  was proposed for creating  a  hardware-software  system  for  remote monitoring of the main cardiovascular parameters to ensure timely detection and treatment of diseases. The general structure of such a system, including its advantages and disadvantages and the routing of information, is described.  The proposed technology of  prolonged  remote monitoring of the patient's health state makes it possible to increase  the efficiency of detecting dangerous heartbeat arrhythmia by about 30%.Conclusions.  The  proposed system  solves  the  problem of registering biological parameters without significant interference in the patient’s vital  activity, which allows typical conditions to be traced. Remote data collection also facilitates the load on medical personnel, reduces the number of contacts with patients and improves their psychological state.

2017 ◽  
Vol 1 (4) ◽  
pp. 136-136 ◽  
Author(s):  
Parinaz Tabari ◽  
Najme Montaseri

Introduction: Managing and monitoring some diseases and disorders are costly and complicated for patients, their families and healthcare systems. Furthermore, many of the pharmaceutical facilities, equipment and disease management programs are not available to all people in the community. Therefore the use of wireless technologies along with the telephone-based transmission systems, can collect the patients’ health status data and share with related providers. Remote monitoring defines a management approach using communication technology to track patients’ health. Methods: In this study, we searched recent articles indexed in PubMed, Science Direct, Ovid, Web of Science and Google Scholar to investigate articles which aimed to explore the use of remote patient monitoring systems in different clinical status and to review the advantages and disadvantages of these systems. Results: People with chronic diseases such as heart disease have complicated care needs. If these people would not be exposed to proper interventions, this situation may lead to multiple referral to the emergency departments and even rehospitalization. Home care by using clear communication protocols, can have a significant impact on improving the quality of care and safety of patients after discharging from the hospital. In such chronic diseases, remote monitoring fascilities and interventions along with education can reduce the use of healthcare resources and the need for early re-admission. Remote monitoring can also support people with disturbances of consciousness. In the field of drug prescription, this technology can also offer recommendations for regulation and alteration of last prescribed drugs in addition to suggestions on patient behavioural changes by care providers and predefined algorithms. This technological method can also be used to monitor side effects of some medications such as antihypertensive drugs. Conclusion: Monitoring patients remotely, is most commonly used in heart diseases, pulmonary diseases, diabetes and blood pressure diseases. Studies have also been conducted in areas such as serving the elderly and drug counseling. Although there are contradictions about the impact and effectiveness of this approach on some diseases, for patients who are hospitalized frequently, a daily program for monitoring them remotely can have an impact on optimizing health care resource utilization and reduce the number of admissions and length of stay in the hospital and ultimately improve the quality of life of the individual.


2021 ◽  
Vol 17 (4) ◽  
pp. 612-618
Author(s):  
Z. M. Abdurakhmanov ◽  
B. Y. Umarov ◽  
M. M. Abdurakhmanov

The review analyzes the role of assessing the state of the endothelium in the onset and progression of cardiovascular diseases, stratification of their risks, since endothelial dysfunction (ED) is a crucial predictor of this pathologies. In this regard, this paper presents the modern understanding of the methods for assessing ED, presents the advantages and disadvantages of various techniques. Despite the fact that flow-mediated dilation is widely used as a classical method for studying endothelial function, this technique depends on the physiological state of sensory nerves and calcium-activated potassium channels, cardiac output. This review focuses on new biomarkers for ED such as endothelial microparticles, endoglin and endocan, and discusses the relevance of the criteria for their use in clinical practice. Based on current scientific advances, the authors concluded that among these three newest biomarkers, today, endocan can be considered a more informative and reliable cellular marker of ED. Moreover, the authors have shown that when measured separately, many of the studied classical circulating biomarkers do not provide reliable information about the state of the endothelium, since the endothelial function has a complex physiological nature which therefore raises the question of the advisability of considering a combination of classical and new biomarkers for improving the assessment of the endothelial state.


2018 ◽  
Vol 77 (12) ◽  
pp. 1103-1112
Author(s):  
Ch. Liu ◽  
I. N. Bondarenko ◽  
A. Yu. Panchenko ◽  
N. I. Slipchenko

2019 ◽  
Vol 78 (9) ◽  
pp. 801-811
Author(s):  
Ch. Liu ◽  
I. N. Bondarenko ◽  
A. Yu. Panchenko ◽  
N. I. Slipchenko

Author(s):  
Алексей Дмитриевич Акишин ◽  
Иван Павлович Семчук ◽  
Александр Петрович Николаев

Постоянно растущий интерес к разработке новых неинвазивных и безманжетных методов измерения параметров сердечной деятельности, использование которых давало бы возможность непрерывного и удаленного контроля сердечно-сосудистой системы, обуславливает актуальность данной работы. В многочисленных публикациях продолжаются обсуждения преимуществ и недостатков различных методов ранней диагностики сердечно-сосудистых заболеваний. Однако артефакты движения являются сильной помехой, мешающей точной оценке показателей функционирования сердечно-сосудистой системы. Одним из перспективных методов контроля является метод оценки физиологических параметров с использованием фотоплетизмографии. Данная статья посвящена разработке устройства для фотоплетизмографических исследований и алгоритмических методов обработки регистрируемых сигналов для обеспечения мониторинга сердечного ритма с заданной точностью. В работе используются технологии цифровой адаптивной фильтрации полученных сигналов для мониторинга сердечного ритма в условиях внешних механических и электрических помеховых воздействий, ухудшающих точностные характеристики системы, а также разработана архитектура системы и изготовлен макет устройства, который позволил провести измерения для определения оптимального алгоритма цифровой обработки сигналов. При использовании устройства применялись методы адаптивной фильтрации на основе фильтров Винера, фильтров на основе метода наименьших квадратов и Калмановской фильтрации. Разработанное устройство для фотоплетизмографических исследований обеспечило возможность мониторинга сердечного ритма с заданной точностью, контроля текущего состояния организма и может быть использовано в качестве средства диагностики заболеваний сердца The constantly growing interest in the development of new non-invasive and cuff-free methods for measuring the parameters of cardiac activity, the use of which would give the possibility of continuous and remote monitoring of the cardiovascular system, determines the relevance of this work. Numerous publications continue to discuss the advantages and disadvantages of various methods of early diagnosis of cardiovascular disease. However, motion artifacts are a strong hindrance to the accurate assessment of the performance of the cardiovascular system. One of the promising control methods is the method for assessing physiological parameters using photoplethysmography. This article is devoted to the development of a device for photoplethysmographic studies and algorithmic methods for processing recorded signals to ensure monitoring of the heart rate with a given accuracy. The work uses technologies of digital adaptive filtering of the received signals to monitor the heart rate in conditions of external mechanical and electrical interference, which worsen the accuracy characteristics of the system, as well as the architecture of the system and a prototype of the device, which made it possible to carry out measurements to determine the optimal algorithm for digital signal processing. When using the device, the methods of adaptive filtering based on Wiener filters, filters based on the least squares method and Kalman filtering were used. The developed device for photoplethysmographic studies provided the ability to monitor the heart rate with a given accuracy, control the current state of the body and can be used as a means of diagnosing heart diseases


Author(s):  
Zenoviy Siryk

Ukraine is a unitary state, yet historically various regions, oblasts, districts, and local areas have different levels of economic development. To secure sustainable economic and social development and provide social services guaranteed by the state for each citizen according to the Constitution, the mechanism of redistribution between revenues and expenditures of oblasts, regions, and territories through the budgets of a higher level is used. The paper aims to research the peculiarities of improving interbudgetary relations in conditions of authorities’ decentralization. The paper defines the nature of interbudgetary relations. The basic and reverse subsidies to Ukraine and Lvivska oblast are analyzed. The advantages and disadvantages the communities face at changing approaches to balancing local budgets are determined. Regulative documents that cover the interbudgetary relations in Ukraine are analyzed. Special attention is paid to the problem of local finances reforming, including the development of interbudgetary relations. The scheme of the economic interbudgetary relations system in Ukraine is developed. The ways to improve the system of interbudgetary relations in Ukraine are suggested. The negative and positive aspects, advantages, and disadvantages of the system of interbudgetary relations in Ukraine require the following improvements. 1. It is necessary to avoid the complete budget alignment in the process of budgets balancing by interbudgetary transfers as the major objective. 2. The interbudgetary transfers should be distributed based on a formal approach. 3. The changes have to be introduced to the calculation of medical and educational subsidies in terms of financial standard of budget provision to avoid the money deficit for coverage of necessary expenditures. 4. There is a need to improve interbudgetary relations at the levels of districts, villages, towns, and cities of district subordination. 5. Improvement of the mechanism of targeted benefits provision, their real evaluation, and control for the use of funds.


2020 ◽  
pp. 124-131
Author(s):  
Olena P. Slavkova ◽  
Oksana I Zhilinska ◽  
Maksym Palienko

The article deals with the peculiarities of the formation and implementation of tax policy in the country. The analysis of change of tax receipts to the state and local budgets is carried out. The role of tax payments in the economic development of the country is determined. The efficiency of the state tax policy in Ukraine is analyzed, its advantages and disadvantages are determined. The important role of tax payments in stimulating economic and social development is substantiated. The analysis of the elasticity of change of indicators of economic development of the country from the change of volume of tax receipts to the budget is carried out. The necessity of improving the existing policy of establishing, accrual, payment, and distribution of tax revenues as one of the most promising areas to stimulate economic growth is concluded. Keywords: tax policy, revenues, tax evasion, state budget, elasticity, economic development


Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5248
Author(s):  
Aleksandra Pawlicka ◽  
Marek Pawlicki ◽  
Rafał Kozik ◽  
Ryszard S. Choraś

This paper discusses the valuable role recommender systems may play in cybersecurity. First, a comprehensive presentation of recommender system types is presented, as well as their advantages and disadvantages, possible applications and security concerns. Then, the paper collects and presents the state of the art concerning the use of recommender systems in cybersecurity; both the existing solutions and future ideas are presented. The contribution of this paper is two-fold: to date, to the best of our knowledge, there has been no work collecting the applications of recommenders for cybersecurity. Moreover, this paper attempts to complete a comprehensive survey of recommender types, after noticing that other works usually mention two–three types at once and neglect the others.


Diseases ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 48
Author(s):  
Syed Ameer Hamza ◽  
Saba Asif ◽  
Zohaib Khurshid ◽  
Muhammad Sohail Zafar ◽  
Syed Akhtar Hussain Bokhari

Cardiovascular diseases such as ischemic heart diseases or stroke are among the leading cause of deaths globally, and evidence suggests that these diseases are modulated by a multifactorial and complex interplay of genetic, environmental, and lifestyle factors. Genetic predisposition and chronic exposure to modifiable risk factors have been explored to be involved in the pathophysiology of CVD. Environmental factors contribute to an individual’s propensity to develop major cardiovascular risk factors through epigenetic modifications of DNA and histones via miRNA regulation of protein translation that are types of epigenetic mechanisms and participate in disease development. Periodontal disease (PD) is one of the most common oral diseases in humans that is characterized by low-grade inflammation and has been shown to increase the risk of CVDs. Risk factors involved in PD and CVD are determined both genetically and behaviorally. Periodontal diseases such as chronic inflammation promote DNA methylation. Epigenetic modifications involved in the initiation and progression of atherosclerosis play an essential role in plaque development and vulnerability. Epigenetics has opened a new world to understand and manage human diseases, including CVDs and periodontal diseases. Genetic medicine has started a new era of epigenetics to overcome human diseases with various new methodology. Epigenetic profiling may aid in better diagnosis and stratification of patients showing potential predisposed states for disease. A better understanding of the exact regulatory mechanisms of epigenetic pathways driving inflammation is slowly emerging and will aid in developing novel tools for the treatment of disease.


Sign in / Sign up

Export Citation Format

Share Document