Возможности телемедицины в неонатологической медицинской помощи: зарубежный и российский опыт
Continua Health Alliance is a non-profit, open industry organization of healthcare and technology companies joining together in collaboration to improve the quality of personal healthcare. With more than 200members companies around the world, Continua is dedicated to establishing a system of interoperable personal connected health solutions with the knowledge that extending those solutions into the home fosters independence, empowers individuals and provides the opportunity for truly personalized health and wellness management. When you look at complete list of Continua Certified TM http://www.continuaalliance.org/node/77, you cannot find any ECG device (at the time of writing), but need ECG asa useful screening tool for a variety of cardiac abnormalities. We decided to build the prototype of 3-5-lead ECG with Bluetooth LE and USB interface. The firmware of the device was developed according the ISO/EEE 11073-10406:2011 and this device as a agent can communicate with any manager device on Personal Area Network. The filters of the device (50/60 Hz , low and high pass) are programmable and can be remotely configured. The signals from electrodes can be routed to doctor computer's screen for online diagnostic, can be save in EHR system or sent to special computer with LabView for ECG signal processing with different algorithms. This prototype could be used as a X73 agent for other consumer medical applications.
Summary Objective of the Paper: To find ways to meet the need for specifying terminology and developing a format to describe knowledge in specific subject areas (SA) that will be effective, easily-accessible and clear for both people and programs. This is related to terms, their relationships, models of ECG devices, filters, etc. Key Points: The use of ontology facilitates the following: - a repeated use of knowledge in SA; - a differentiation of the knowledge related to SA from operational knowledge; - a shared general understanding of the information structure among people and programs. An ontology carefully developed for one SA can then be used in other SAs. Moreover, several existent ontologies describing some subdomains of a large SA can be integrated when it is required to create a big ontology. Conclusion: Any SA can have countless ontologies, as each new ontology is just another way to structure concepts and their relationships. Modern doctors must be able to use medical information technologies in their everyday practices, which help them to not waste time on routine calculations and save time and energy for solving current problems. Keywords: electrocardiogram (ECG), telemedicine, ontology, SCP-ECG, OWL.
This conference is the 9th of its kind on the Mediterranean region. This edition will provide a forum to discuss achievements and current experiences in specific areas in medical informatics and telemedicine, focusing on innovation methods and approaches. Its overall goal is to increase interaction and collaboration among professionals from both health and information technology sectors within and between the Mediterranean countries for scientific and social development in the region. The Euromediterranean Medical Informatics and TeleMedicine conference series have provided a forum for discussions and an environment that fosters creation of new collaboration in an interdisciplinary environment. They led to the emergence of the Euro-Mediterranean Medical Informatics and Telemedicine Association and number of regional cooperation. We hope that this year conference will accomplish the expectations announced in the previous ones, and will enhance collaboration between all participants coming from Europe, Africa and the Middle East. The organization of the EMMIT 2013 Conference in Morocco has come together through the hard work of the local organizing committee, together with the International Institute of Tele-Medicine personnel and members of Euro-Mediterranean Medical Informatics and Tele-Medicine Association. The overall plans were overseen by a steering committee and the program was put together through the work of the scientific committee chaired by Prof. Francesco Sircurello. We are very grateful to all our sponsors, particularly to the Moroccan Ministry of Health that accepted to offer its patronage to the event, The University Mohammed First, The Faculty of Medicine of Oujda, The Faculty of Sciences of Oujda, The School of Engineering, The Faculty of Medicine of Fes and The MarchicaMed agency. We are also excited about the list of participants who are coming in from the Mediterranean and around the world. Finally, we would like to add our welcome to all of you to the beautiful Mediterranean city of Nador, Morocco, the Kingdom of solidarity, peace and hospitality.
Relevance. Rapid development of telemedicine and e-health requires free, legitimate and secure health information exchange. Besides technical solutions an important role in providing health information exchange played by legal and organizational measures. Adoption of the new legislation on the application of information technologies in healthcare increases the relevance of legal issues in this sphere.
Objective. The article addresses the legal aspects of building health information systems, taking into account the rights and legitimate interests of all stakeholders (patients, physicians, healthcare providers, insurance companies, research organizations, etc.).
The main results. In the paper it is reasoned that the architecture of health information systems should be based on principles of centralized storage of data, integration of data from the wide range of sources, increasing usability of the systems, ensuring data dynamism and mobility as well as enhancing the role of patients in management of personal health records.
Also particular attention is paid to security issues of health information systems. The information security measures for such systems include reliable procedures for identification and authorization of subjects, differentiation of access rights to health records, encryption of health data and depersonalization of health data of individual patients. These and other measures will help to ensure the legitimacy of electronic document exchange, as well as to increase the level of patients trust to information technologies used in healthcare.
Applicability and scientific significance. The principles and ideas reflected in the article can be used in law-making process in the area of telemedicine and serve as a basis for the subsequent academic research on the electronic document exchange in the new technological conditions.
Smoking is a problem, bringing signifi cant social and economic costs to Russiansociety. However, ratifi cation of the World health organization Framework conventionon tobacco control makes it possible to improve Russian legislation accordingto the international standards. So, I describe some measures that should be taken bythe Russian authorities in the nearest future, and I examine their effi ciency. By studyingthe international evidence I analyze the impact of the smoke-free areas, advertisementand sponsorship bans, tax increases, etc. on the prevalence of smoking, cigaretteconsumption and some other indicators. I also investigate the obstacles confrontingthe Russian authorities when they introduce new policy measures and the public attitudetowards these measures. I conclude that there is a number of easy-to-implementanti-smoking activities that need no fi nancial resources but only a political will.
One of the most important indicators of company's success is the increase of its value. The article investigates traditional methods of company's value assessment and the evidence that the application of these methods is incorrect in the new stage of economy. So it is necessary to create a new method of valuation based on the new main sources of company's success that is its intellectual capital.
The article is devoted to the study of the authoritarianism prevalent in the mass consciousness of Russians. The article describes a new approach to the consideration of the authoritarian syndrome as the effects of the cultural trauma as a result of political and socio-cultural transformation of society. The article shows the dynamics of the symptoms of the authoritarianism, which appear in the mass consciousness of Russians from 1993 to 2011. This paper proposes a package of measures aimed at reducing the level of the authoritarianism in Russian society.
This work looks at a model of spatial election competition with two candidates who can spend effort in order to increase their popularity through advertisement. It is shown that under certain condition the political programs of the candidates will be different. The work derives the comparative statics of equilibrium policy platform and campaign spending with respect the distribution of voter policy preferences and the proportionality of the electoral system. In particular, it is whown that the equilibrium does not exist if the policy preferences are distributed over too narrow an interval.
The article examines "regulatory requirements" as a subject of state control over business in Russia. The author deliberately does not use the term "the rule of law". The article states that a set of requirements for business is wider than the legislative regulation.
First, the article analyzes the regulatory nature of the requirements, especially in the technical field. The requirements are considered in relation to the rule of law. The article explores approaches to the definition of regulatory requirements in Russian legal science. The author analyzes legislation definitions for a set of requirements for business. The author concludes that regulatory requirements are not always identical to the rule of law. Regulatory requirements are a set of obligatory requirements for entrepreneurs’ economic activity. Validation failure leads to negative consequences.
Second, the article analyzes the problems of the regulatory requirements in practice. Lack of information about the requirements, their irrelevance and inconsistency are problems of the regulatory requirements in Russia.
Many requirements regulating economic activity are not compatible with the current development level of science and technology. The problems are analyzed on the basis of the Russian judicial practice and annual monitoring reports by Higher School of Economics.
Finally, the author provides an approach to the possible solution of the regulatory requirements’ problem. The author proposes to create a nationwide Internet portal about regulatory requirements. The portal should contain full information about all regulatory requirements. The author recommends extending moratorium on the use of the requirements adopted by the bodies and organizations of the former USSR government.