Medical Informatics and Engineering
https://ojs.tdmu.edu.ua/index.php/here
<p><em>Scientific-practical journal “Medical Informatics and Engineering” dedicated to the problems of implementing of IT-technology in medical science and practice. The main aim of the journal is to inform the porfessionals of health care industry of Ukraine, scientists, teachers of medical higher educational institutions, employees of medical and biological research institutes and the public about the results of fundamental and applied studies on Medical Informatics and Engineering, </em><em>about current trends and informatization processes occurring in the medical field.</em><br /><em><strong><span lang="EN-GB">ISSN 1997-7468 (Online), ISSN 1996-1960 (Print)</span></strong></em></p>I. Horbachevsky Ternopil National Medical Universityen-USMedical Informatics and Engineering1996-1960<h3>Journal Medical Informatics and Engineering allows the author(s) to hold the copyright without registration</h3> <p> </p> <p>The majority of Medical Informatics and Engineering Open Access journals publish open access articles under the terms of the <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank" rel="noopener">Creative Commons Attribution</a> (CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited. The remaining journals offer a choice of licenses.</p> <p> <img src="https://www.eff.org/sites/all/themes/frontier/images/cc-by-logo.png" alt="Результат пошуку зображень за запитом "CC-BY logo"" /></p> <p><a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" rel="noopener">This journal is available through Creative Commons (CC) License CC-BY 4.0</a></p>TRENDS IN INFORMATIZATION PROCESSES AT BIOMEDICAL UNIVERSITIES
https://ojs.tdmu.edu.ua/index.php/here/article/view/14464
<p>Background. Recent world and national developments and trends in direct informatization of universities are reviewed. The idea is reinforced that with the rapid advancement of information technologies, the information reform of university management systems has become an important issue in the world today. The role of informatization in the created daily system of university management is considered. As universities continue to expand, traditional management methods are no longer sufficient to meet the needs of modern institutions. The study aims to summarize the trends and tasks of informatization in biomedical universities in recent years.</p> <p>Materials and methods. Results. The informatization of biomedical universities is consistent with the concept that it can dynamically determine the main directions, set goals, outline actions and expected outcomes for each direction, and anticipate further developments in the form of technical tasks, techno-work projects, subprograms, action plans, work schedules, and other documents. Informatization of the university management system will ensure adaptation to the needs of contemporary education management, increased management efficiency, and improved service delivery.</p> <p>Conclusions. The consistency of information technologies should align with the principles of information security, ensuring the university's sustainable development and maintaining a high level of parallelism. These principles are key to ensuring uninterrupted operation of the university management system. Informatization should be based on knowledge management systems and decision-making processes, ensuring not only modern and scientific platform but also the relevance of the organizational structure.</p>O.P. Mintser
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-442410.11603/mie.1996-1960.2023.3-4.14464INFORMATIONAL ASPECTS OF THE SOCIAL AND BIOLOGICAL HEALTH OF THE INDIVIDUAL: THE CONCEPT OF «ONE HEALTH»
https://ojs.tdmu.edu.ua/index.php/here/article/view/14466
<p>Background. Issues of quantitative assessment of social and biological health of individuals are considered. It highlights that social health issues have received significantly less research attention. At the same time, the search for patterns and trends in population health formation, considering socio-economic conditions and the complex impact of environmental factors on population health, remains one of the most crucial tasks of public health care. The research aimed to conceptually assess the possibility of obtaining quantitative characteristics of an individual's social and biological health, as well as the paradigm of One Health.</p> <p>Materials and methods. A theoretical analysis and generalization of information on the evaluation of informational aspects of the social and biological health of an individual, as well as the possibilities of implementing the concept of "One Health" was carried out. The research results were systematized using scientific periodical databases such as Web of Science, PubMed, Scopus, ScienceDirect etc. Classical methods of information search were applied at various stages of the research.</p> <p>Results. Obtaining a quantitative characteristic of an individual's social health is still in the area of intensive research. Health indicators fully characterize the social sphere of people's stay. Formed through a long period of research, they have defined global health as a field of research, policy, and practice. A closer look at the development of metrics, such as DALYs, revealed an interactive relationship between health measurement and health policy. However, this relationship is characterized by uncertainty and ongoing debate among epidemiologists and other health experts about the implications of the measurement for health decision-making. Collective decisions regarding the health of an individual, a contingent, or a population must be based on the principles of equality and the social minimum and must include social health indicators.</p> <p>Conclusions. Utility models, psychometric scaling, and empirical evaluation of social decisions have been used to measure individual components of health, but further research should focus on creating integrated health indicators that are prospective, context-independent, relevant, encompassing the entire community, sensitive, empirically validated, and applicable for program evaluation.</p> <p>The significance of the One Health paradigm as a multisectoral and transdisciplinary approach, working at the local, regional, national, and global levels to achieve optimal health outcomes for individuals, is emphasized. This approach recognizes the interconnection between humans, animals, plants and their shared environment.</p>O.P. MintserA. M. Novyk
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-4253910.11603/mie.1996-1960.2023.3-4.14466STATE OF THE PROBLEMS OF TELEREHABILITATION OF BREAST CANCER PATIENTS AND THE FORMATION OF REQUIREMENTS FOR MODERN TELEREHABILITATION SYSTEMS
https://ojs.tdmu.edu.ua/index.php/here/article/view/14468
<p>Background. Cancer is one of the most pressing medical issues and a leading cause of morbidity and mortality worldwide. Developing cancer rehabilitation services is a crucial direction for the adaptation and integration of cancer patients into society. Currently, providing rehabilitation care using telerehabilitation is a promising area.</p> <p>Materials and methods. Detailed in the National Research Foundation of Ukraine Project 2021.01/0136 "Development of a cloud-based platform for patient-centered telerehabilitation of cancer patients based on mathematical modeling". The key research methodology was to study the state-of-the-art telerehabilitation of breast cancer patients based on the evaluation of existing methodological approaches to rehabilitation and telerehabilitation of cancer patients worldwide.</p> <p>Results. In recent years, various telerehabilitation systems for breast cancer patients undergoing cancer treatment have been implemented worldwide. The main advantage of telerehabilitation is the inclusion of more patients in outpatient rehabilitation, especially those with limited mobility and those living far from rehabilitation centers, by providing remote rehabilitation services. Modern telemedicine technologies allow real-time monitoring of the patient's exercises and loading, as well as correction of the rehabilitation program based on subjective feedback and the dynamics of the patient's state and condition.</p> <p>Conclusions. International experience demonstrates that an effective complex of telerehabilitation technologies can be developed for breast cancer patients at the outpatient rehabilitation stage.</p>T. V. SemikopnaO. V. SyvakO. Y. SaykoV. S. SolovyovaO. V. KashyrinaO. A. Vladymyrov
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-4404910.11603/mie.1996-1960.2023.3-4.14468APPLICATION OF NEURAL NETWORK IN MONITORING THE THERMAL STATE OF BIOLOGICAL TISSUE IN THE WELDING ZONE
https://ojs.tdmu.edu.ua/index.php/here/article/view/14469
<p>Background. The article discusses modern methods of regulating the welding process of soft biological tissues, based on the measurement of electrical parameters of high-frequency current and control of welding time. However, these methods do not consider input parameters such as the degree of compression of SBT and the temperature of SBT in the welding zone, which are constantly changing and can lead to problems during actual surgical welding. The use of thermocouples has its difficulties.</p> <p>Materials and methods. In this study, a neural network (NN) was proposed and investigated, developed using the Neural Network Toolbox program in MatLab. For training this neural network, data obtained as a result of modelling the welding process of biological tissue of a pig's heart in the COMSOL environment were used. The modelling took into account thermal processes and the compression force of the biological tissue.</p> <p>Results. It is crucial to have information about the thermal level of microbiological thermo compensation at given points to optimize the biological tissue welding process. This task can be effectively solved using artificial neural networks, which offer higher speed and accuracy compared to traditional methods. In this case, the neural network should be trained on an adequate model obtained by the finite element method or based on data from a physical experiment. The application of such a trained neural network allows taking into account the temperature and degree of compression of microbiological tissue by electrodes in the welding zone. In addition, the neural network can be used in a feedback system to control the technological process in order to ensure the necessary quality of welding.</p> <p>Conclusions. The article describes examples of approaches to creating a «virtual temperature sensor» between the electrodes in the biological tissue welding zone.</p>V. G. SolovyovYu. M. LankinI. Yu. Romanova
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-4505810.11603/mie.1996-1960.2023.3-4.14469TRENDS IN ENSURING THE QUALITY OF MEDICAL EDUCATION: CREATION OF STANDARDS AND CERTIFICATION MECHANISMS
https://ojs.tdmu.edu.ua/index.php/here/article/view/14470
<p>Background. The issues of creating international medical education standards and accreditation of educational institutions were investigated. It emphasizes the view that despite the proposed benefits of global harmonization of health education programs, including doctor mobility and improved quality of medical care through the introduction of cutting-edge information technologies (IT), issues and unforeseen consequences require</p> <p>more careful examination. This is particularly true for the implementation of global educational programs and their connection with the local context of governance and culture. The study aimed to examine the current state and dynamics of medical education quality, identify national priorities for continuous medical education, which is influenced by modern global trends, considering the global standards of the World Federation of Medical Education (WFME) and European standards for higher education quality assurance, as well as medical education accreditation.</p> <p>Materials and methods. The research results were systematized using scientific periodical databases such as: Web of Science, PubMed, Scopus, ScienceDirect, etc. Classical methods of information search were applied at various stages of the research.</p> <p>Results. The rapid development of information technologies and globalization processes have significantly impacted the development of medical education both in Ukraine and worldwide, leading to a paradigm shift in the value orientations of doctors' continuous professional development. Standardization of medical education is crucial for ensuring academic mobility, applicants for higher education and professional mobility of doctors and other health care specialists, improving the quality of medical education, and contributing to the transparency of external evaluation of medical education institutions' activities. Global WFME standards for improving medical education quality and European standards and recommendations for quality assurance in higher education have been identified as accreditation tools in medical education. Ukraine has defined national priorities for medical education development for the next decade: continuity of the content of undergraduate and postgraduate education in institutions of higher education, continuous professional development of doctors, competency-oriented educational programs at the levels of higher education, introduction of residency, introduction of European standards and recommendations for quality assurance, certification according to international standards of medical education. Glocalization of medical accreditation standards should be conducted in such a way as to align accreditation practices with global standards, while ensuring adequate consideration of local values and social needs.</p> <p>Conclusions. Technologies for applying accreditation mechanisms and medical education standards, although increasing, are not universal. Although most countries have some sort of accreditation system for medical education, many do not use standards specific to medical education. A modular principle of implementing standards and accreditation mechanisms is proposed, including a basic global level of standards, local methodologies, and a module of new information technologies. The prospects for further research lie in determining the conditions for introducing internal standards and forming a quality culture in medical universities.</p>O. P. MintserP. P. GanynetsO. V. SarkanychV. A. ZhovnirYe. V. Vember
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-4596710.11603/mie.1996-1960.2023.3-4.14470DEVELOPMENT OF A MACHINE LEARNING MODEL FOR DIFFERENTIAL DIAGNOSIS OF SYNCOPAL AND NON-SYNCOPAL TRANSIENT LOSS OF CONSCIOUSNESS IN CHILDREN
https://ojs.tdmu.edu.ua/index.php/here/article/view/14471
<p>Background. The occurrence of a transient loss of consciousness (TLOC) episode in childhood presents a complex diagnostic challenge for clinicians. This study aimed to develop an effective machine learning model for the differential diagnosis of syncopal and non-syncopal TLOC, providing pediatricians, pediatric cardiologists, rheumatologists, and neurologists with high diagnostic accuracy.</p> <p>Materials and methods. A cohort of 140 patients aged 8-17 years with syncope and 58 with non-syncopal TLOC were examined. The XGBoost algorithm was employed to construct the machine learning model.</p> <p>Results. The proposed machine learning model demonstrated high effectiveness, evidenced by metrics with 95 % confidence interval: accuracy (0.90; CI 0.80-0.99), precision (syncope: 0.92, CI 0.85-1.0; non-syncope: 0.83, CI 0.72-0.95), recall (syncope: 0.92, CI 0.85-1.0; non-syncope: 0.83, CI 0.72-0.95), f1-score (syncope: 0.92, CI 0.85-1.0; non-syncope: 0.83, CI 0.72-0.95), specificity (syncope: 0.83, CI 0.72-0.95; non-syncope:</p> <p>0.92, CI 0.85-1.0), ROC AUC (0.96, CI 0.90-1.00) and PR AUC (0.86, CI 0.75-0.96). The most informative indicators of the model are the Modified Calgary Syncope Seizure Score, the rate of morning systolic blood pressure increase, cardiac index, rate of morning diastolic blood pressure increase, frequency of tachycardia episodes during 24-hour Holter monitoring, nocturnal diastolic blood pressure decrease, total peripheral vascular resistance, child's age, diastolic blood pressure variability, pNN50, LF/HF ratio, and percentile distribution relative to height, diastolic blood pressure, and body mass index.</p> <p>Conclusions. The application of this machine learning model enables the differentiation between syncopal and non-syncopal TLOC in children. It can serve as an additional diagnostic tool for pediatricians, pediat-ric cardiologists, rheumatologists, and neurologists, complementing traditional diagnostic criteria for syncope (vasovagal syncope, syncope due to orthostatic hypotension and cardiac syncope) and non-syncopal TLOC (epilepsy, first unprovoked epileptic seizures, psychogenic pseudo-syncope, and psychogenic nonepileptic seizure) in the initial diagnostic phase.</p>T. A. KovalchukO. R. BoyarchukS. Ye. Bogai
Copyright (c) 2024 Medical Informatics and Engineering
2024-03-212024-03-213-4688110.11603/mie.1996-1960.2023.3-4.14471