Medical Information Space Research Articles

ЦИФРОВОЙ ДВОЙНИК РАБОТНИКА ОБЪЕКТА ИСПОЛЬЗОВАНИЯ АТОМНОЙ ЭНЕРГИИ НА ЭТАПЕ ПРЕДСМЕННОГО КОНТРОЛЯ

Introduction. Digital twin. Digital twin in medicine using the example of Philips. Digital twin as an object of medical information space. Digital twin as an abstraction. Digital twin of worker of nuclear facility at the stage of pre-shift control. Conclusion.

TELEMEDICINE AS A TOOL FOR OPTIMIZING AND IMPROVING METHODS OF PROVIDING MEDICAL AID TO THE POPULATION

Today, the population of Ukraine is experiencing significant difficulties in various spheres of life, however, one of the most urgent problems remains to ensure the proper level of health and preserve the life of the nation. Therefore, the quality of medical care needs special attention now, not only as a direct function but also as a kind of criterion of the level of activity of the health care system and state policy as a whole. One of the innovative directions of the provision of medical care to the population in the 21st century is digital, as well as information and telecommunication technologies, the use of which made it possible to create a single medical information space that combines practical and theoretical medicine, ensures the planning of new scientific research and targeted training specialists of various fields of medicine, who later implement knowledge and skills in medical practice. The purpose of our research was to study the directions of using telemedicine technologies in the work of medical institutions and the possibilities of improving the provision of medical care to the population through their use.Research methods. The used methods of the system approach and system analysis made it possible to investigate the possibilities of optimal use of telemedicine technologies and analyze existing problems and propose ways to solve them.The results. Modern sources of professional literature consider telemedicine from different angles: as a set of tools and complexes that provide users with access to current medical resources, including international ones, realize the potential of modern information and telecommunication technologies in health care; as well as a multi-level and multi-component system, which includes both medical organizations with their professional, informational and educational resources, medical diagnostic devices, databases and system users, as well as technical means of access to telecommunication networks, communication channels and network means, transmitters and other converters of medical information into digital electrical signals for further transmission through communication channels. Taking into account the multidisciplinary nature of medicine and a wide range of medical services, the unification of clinical, anamnestic, laboratory, radiation, etc. databases and the possibility of their transmission and reception using equipment from different manufacturers is of particular importance. One of the unified and most widely used standards in the field of medical image transmission today is DICOM (Digital Imaging and Communications in Medicine) - an international standard for processing and transmitting radiological and other medical images from medical devices to a computer, which has found wide application in various industries of medicineConclusions. The analysis of literary sources proves the need for further detailed study of the possibilities of digital and information technologies in medicine to improve the methods of providing medical assistance to the population in wartime conditions. For the most effective targeted application of information systems and obtaining optimal results, a clear understanding of their capabilities and functions is necessary to achieve the ultimate goal - providing timely and high-quality medical care to the patient. Provision of reliable information archiving and recovery systems, communication systems between medical institutions of different levels, optimization of mobile medical programs, and monitoring systems for vital indicators of patients with various severity of diseases guarantee the continuity of the treatment and diagnostic process in modern complex conditions.

ЦИФРОВОЙ ДВОЙНИК КАК ПРОДУКТ ИНФОРМАЦИОННОГО ОБЩЕСТВА. НОВЫЕ ВОЗМОЖНОСТИ ДЛЯ ИССЛЕДОВАНИЙ В ОБЛАСТИ МЕДИЦИНСКОЙ РАДИОЛОГИИ

Introduction. The development of mass communications and Internet access in Russia and the World as a prerequisite for digitalization. Information society. Knowledge society. Digital environment. Information space. The concept of digital twins. Unified system of identification and authentication (ESIA). Digital profile. Some prospects for improving the organization of medical research, including in the field of medical radiology, in the context of the development of medical information space.

Digital twins in medicine and public health careas a result of the developmentof the medical information space

Процесс развития информационного общества оказывает влияние на все сферы жизни. В медицинском информационном пространстве это относится, в первую очередь, к медицинской документации описания пациентов. Подобные информационные ресурсы удобно рассматривать с позиций концепции цифровых двойников.

Letter of Editor

We are pleased to announce a new addition to the international medical information space - the Journal of Internal Medicine: Science & Art (JIMSA). This new online medical journal opened its pages to physicians and scientists around the globe to reflect the essence of their world views and professional views on diverse aspects of internal medicine practice and knowledge.
 
 It is critically important to understand that the meaning of "health" has changed dramatically. Prophylactics and treatments have improved with the focus directed toward quality of life and survival for generations living in the era of co- and multiple morbidity "monsters." In addition, environmental impacts of ongoing pandemics, technical pollution, and disasters have a dramatic impact on the health of the population. At the forefront, internal medicine integrates advanced discoveries of biomedical scientists and physicians from the different subspecialty fields including cardiology, pulmonary, gastroenterology, rheumatology, neurology, dietary science, and other related disciplines. It is important to combine medical knowledge and find a consensus in the global understanding of health problems based on gender and age differences, while focusing on the quality of life and cognitive health of our society. Internists have the qualifications to focus on this high-quality science.
 
 The concept of this new journal is to publish up to date discoveries in the fields of epidemiology, prevention, and treatment of different medical conditions; it will address the results of new medical research and international clinical trials. The scientific platform of JIMSA is international, as the whole of medicine is now without borders. We are inviting all internal medicine physicians and scientists working around the world to contribute to the journal.
 
 The main direction of the publication will be original research including, but not limited to, pharmacotherapy, new diagnostics, results of clinical studies, experts' opinion and consensus, meta-analyses, registers, and innovations. We hope that among the most attractive aspects of the journal will be our invitations to leading experts in the field of internal medicine to discuss new views and opinions, the organization of virtual workshops and round tables, and the exchange of knowledge, clinical reports, reviews, and comments. Practicing physicians will have the opportunity to publish special clinical cases, participate in interdisciplinary discussions, familiarize themselves with international protocols and recommendations, and actively participate in practice-based learning.
 
 We anticipate that JIMSA’s professional platform will open new opportunities to internal medicine specialists from different countries to learn and share their knowledge. The journal will help unite clinicians according to their goals and interests, and facilitate international partnerships that will produce patients' benefits. Please join us in the search for concurring people in the global international information space! Free yourself in time and space to find new professional contacts!
 
 The editorial board of JIMSA is open to a new progressive and convenient form of communication with a professional audience, and international integration of knowledge and skills to the medical community for educational and professional development. That's why our motto is "Superbi progressu aspiramus ad maximum" (the proud aspire to great promise).

Thematic priorities of the Ukrainian medical book

Introduction. The rapid development of medical science and the steady public demand for qualified information on health care, prevention, and treatment of illnesses lead to the expansion of the medical book`s thematic diversity as one of the major channels of information support. Relevance and purpose. Despite the considerable interest of researchers of book publishing and journalism, linguists, literary critics the subject matter of the medical book is considered only tangentially. The purpose of our article is to study the thematic priorities of the medical book of Ukraine. Methodology. We used general and specific methods of empirical and theoretical levels of research. The comparative-historical method gave the opportunity to study the development of a medical book in chronological order for 1991–2017. Content analysis, structural and typological methods were used to divide medical books into specific thematic and typological groups. Results and findings. In order to analyze the thematic priorities of the Ukrainian medical book, the catalogs of the leading libraries of Ukraine and some regional libraries were studied, we also examined the contents of 488 issues of the bibliography of the Chronicle of Books of the State Scientific Institution of the Ivan Fedorov Book Chamber of Ukraine. Medical publications include books of the medical profession reflecting the specifics of the industry; intended for a wide readership, which is usually determined by its interest in a specific type of specialized literature. Chronological boundaries of the study: the second half of 1991-2017 years. It covers the period of state independence of Ukraine. Conclusions. During 1991–2017, 4306 medical books were published. There are 6 major thematic groups identified: «physiotherapy» – 38 %, «pathology and clinical medicine» – 23 %, «health and general hygiene» – 16 %, «medicines and pharmacology» – 9 %, «theoretical medicine» – 8,5 %, «diet and food hygiene» – 5,5. The theme of the book – its problematic aspect and the subject matter of the author’s thinking is often given in the title of the publication, its contents and fully disclosed in the text. The recipient is offered traditional and emerging scientific knowledge to diagnose, treat, and prevent disease in a variety of ways, and to promote health. Keywords: book, topic, problem, medical literature, medical information space.

Linking physicians’ medical practice information needs, resources and barriers to job satisfaction

PurposeMedical doctors seek information in order to satisfy their demanding everyday work practices and professional development endeavours. Information seeking is a continuous goal-related process that has impact on how they perceive and experience their job. The purpose of this paper is to explore the association of doctors’ awareness of medical practice information needs (MPIN), their frequency of using online information resources and the barriers they encountered during information seeking with their overall job satisfaction. More specifically, the research examined the mediating role of these information seeking related variables (information needs, online scholarly resources and information barriers) on doctors’ overall job satisfaction.Design/methodology/approachThe study employed a questionnaire survey of 138 medical doctors working within the context of a University Hospital in Greece. The survey took place between February and March 2014. To test the hypotheses the authors conducted regression analysis, hierarchical moderated analysis and bootstrapping using SPSS macro developed by Preacher and colleagues.FindingsThe statistical analysis found that higher awareness of MPIN had an indirect effect on doctors’ overall job satisfaction when they used online information scholar resources. In addition, this indirect effect was contingent on information-related barriers.Originality/valueThis study provides evidence for supporting the pivotal role of doctors’ information seeking preferences in fostering job satisfaction. This is an understudied research area that deserves a unique focus particularly with the constantly expanding medical information space that has impact on doctors’ medical practices and professional activities.

THE EXPERIENCE OF THE INTRODUCTION OF «DOCTOR ELEKS»

<p>The need for a single medical information space in Vinnitsa there was a long time, however, the actual implementation of the automated medical information system was made possible with<br />the debugging of the program «Doctor Eleks.» The «Doctor Eleks» provides automation and linking all the main processes of the medical institutions. The goal of creating a unified information space of urban health by implementing the program «Doctor Eleks» improve the quality of medical services in Vinnitsya.</p>

КІЛЬКІСНЕ ОЦІНЮВАННЯ ЕФЕКТИВНОСТІ СУМІСНОГО ВИКОРИСТАННЯ РІЗНИХ ІНФОРМАЦІЙНИХ СИСТЕМ ПРИ ЇХ ІНТЕГРАЦІЇ У РАМКАХ ЄДИНОГО КОМПЛЕКСУ ЗАВДАНЬ

It is the deepening of the previously formulated a proposal on the functioning of the author in a single medical information space of two information systems - the integrated health information system and management information system trafficking drugs on the principle of complementarity and congruence. The problems of integration of various information systems for health care are discussed. There is proposed a quantitative evaluation of the effectiveness of the joint use of information systems in the framework of the solution of a problem.

Cybernetics and Biomedicine: The State of the Art and Problems of Development

The cybernetics approach is extended to systems of biological nature. The contribution of biological cybernetics and medical cybernetics to the extension of capabilities of solving theoretical and applied problems of biomedicine is demonstrated by concrete examples. Telemedicine and virtual concilia are considered in the structure of a unified medical information space.

Is the Computer-Based Patient Record an Analog or a Model of the Patient?

Abstract:Response to: Kluge E-HW Advanced patient records: some ethical and legal considerations touching medical information space. Meth Inform Med 1993; 32: 95-103.

The Computerized Medical Record is not the Patient Analog. A Four Partners Scenario in Clinical Encounters

Response to: Kluge E-HW. Advanced patient records: some ethical and legal considerations touching medical information space. Meth Inform Med 1993; 32: 95-103.

Advanced Patient Records: Some Ethical and Legal Considerations Touching Medical Information Space

The application of advanced computer-based information technology to patient records presents an opportunity for expanding the informational resource base that is available to health-care providers at all levels. Consequently, it has the potential for fundamentally restructuring the ethics of the physician/patient relationship and the ethos of contemporary health-care delivery. At the same time, the technology raises several important ethical problems. This paper explores some of these implications. It suggests that the fundamental ethical issue at stake in these developments is the status of the electronic record which functions as the analog of the health-care consumer in health-care decision making. Matters such as control and patient dignity are implicated. Other important ethical issues requiring solution include data ownership, data liability, informed consent to use and retrieval, security and access. The paper suggests that the ethical problems that arise cannot be solved in piecemeal fashion and on a purely national basis. They should be addressed in a coordinated international fashion and receive appropriate legal expression in the relevant countries and be incorporated into appropriate codes of ethics.

Privacy: a Real-World Problem with Fuzzy Boundaries

Response to: Kluge E-H W. Advanced patient records: some ethical and legal considerations touching medical information space. Meth Inform Med 1993; 32: 95-103

Towards a quantitative approach of medical information. Part 1. Measures of a multidimensional medical information space.

Despite the importance of quantitative analysis of medical information, it is a rare subject in informatics literature. To stimulate more interest the authors propose a multidimensional medical information space, in which measures can be defined to compare different medical information objects or knowledge areas. To describe the measures, classical information theory, the general database theory of Sundgren and the Blois model of medical thinking are used. A space model of (at least) three dimensions is offered, where information objects might have a normalized length, a total depth (measuring embedded knowledge levels) and a complexity width.