Introduction. The article discusses the results of studies and meta-analyses that have studied the risks of coronary heart disease (CHD), myocardial infarction (MI) and stroke in patients with urinary stone disease (USD). The purpose of this review is to critically analyze the available studies on the association of USD with CHD and stroke, as well as to evaluate USD among other cardiovascular disease (CVD) risk factors and to assess the role of USD metaphylaxis in reducing this risk. Materials and methods. The authors conducted a search in international and domestic specialized databases of scientific publications, 657 publications were found. For this review, 75 articles were selected that were published no later than April 1, 2021. Results. Despite conflicting research results and high statistical heterogeneity, all meta-analyses have shown that patients with USD have an increased risk of coronary artery disease, MI, and stroke by about 20-40%. In comparison with other risk factors for CVD, USD represents a moderate risk, which dictates not only the need to identify and correct «high» risk factors in patients with USD, but also the need for effective metaphylaxis. There are no studies to support the efficacy of USD metaphylaxis in reducing the risk of CVD. However, it can be assumed that effective metaphylaxis, especially in young patients, using remote technologies, will not only reduce the risk of urolithiasis recurrence, but also help correct metabolic disorders that trigger pathophysiological processes common with CVD. The possibility that simple and inexpensive interventions that reduce the risk of recurrent urolithiasis may also reduce the risk of MI and stroke, the most common cause of death and disability, warrants further study. Conclusions. To increase the effectiveness of USD metaphylaxis, it is possible to use remote monitoring with automatic data processing and regular feedback.
Introduction. Pathology plays an essential and important role in diagnostic and choosing patients’ management strategies. The aim of our analytical article is to review opportunities of digital technologies applying to pathology with a focus on converges with clinical disciplines. Materials and methods. The search was conducted on Medline and Pubmed database and websites of laboratory equipment developers. Results. The emergence of a new direction – ‘digital pathology’, underlines a high interest of professional society in this theme. Nowadays there are enough solutions for each part of pathological workflow which provides development of fully digitalized pathological laboratories. In this article we present opportunities and perspectives of business-process organization from statements of objectives for pathologist, tissue collection, laboratory study to multidisciplinary analysis for further patients’ management based on opportunities of information technologies. Conclusion. Digital pathology is a transfer of all pathological routine workflow on digital platform which allows to unite efforts of clinicians, pathologists, public health organizers and patients. Separated blocks, which should constitute a united digital pathological platform, already exist and effort and time are required for full consolidation of all stages of pathological research.
Introduction. Ultrasonography (US) is one of the most wide-spread methods of diagnostic because this examination is simple and non-invasive. But it has several limitations such as non-reproducibility, operator-dependance and mixing of data obtaining (manual US examination) and data analyzing. Use of robotic systems for sonography is a perspective technological method which can potentially solve these limitations. Automated ultrasound breast scanning is one of the prime examples of robotic systems’ application. The aim of our article is to review solutions for ultrasonography robotization. Materials and methods. The research was conducted on Pubmed database. Results. In this article we present examples of different types of robots and robotic systems for ultrasound examination with description of their features and applications. Here we present our analysis of results that were obtained during research, robots’ classifications, fields of use and perspectives of application. Conclusion. Use of robots for ultrasound examination is perspective for decrease of sonographers’ burden, separation of data obtaining and data analyzing. It also provides changing of the workflow of ultrasound examinations making them more effective and less operator-dependent.
Introduction. Ultrasound (US) is one of the most applied diagnostic methods in the medicine due to its accessibility and non-inva- siveness. Twice more ultrasound examinations are conducted in Russia then in economically developed countries. It is necessary to increase the efficiency of ultrasound and optimization of data management because of its significant impact on diagnostics and high load on the US method. In this paper we provide the ways digital technologies have influence on the ultrasound. Materials and methods. The search was conducted via Pubmed database and the Internet open sources. Results. Based on the conducted research, we can separate apply of tele-ultrasound into several directions: using in the remote and resource-limited towns and areas; in the emergency care; in the situations with limited time or access to the medical care, for instance, in space; in obstetrics; for home monitoring by patients or their relatives; and for medical staff training. Routine two-steps algorithm of ultrasound examination can be divided to discrete stages with new technological solutions and participants, including artificial intelligence: data obtaining, saving, transfer and analysis, cloud storage and patient’s access to it at any time. Conclusion. Ultrasound is an actively developing sphere of instrumental diagnostics and on the current stage there are enough instruments for its digital transformation. The appearance of portable and handheld US devices, development of standardized pro- tocols and POCUS implementation in routine clinical practice, and use of ultrasound robots allows to minimize such disadvantages of US as its operator-dependance and subjectivity of examinations. The development of systems for data transfer and storage leads to broadening of ultrasound data management possibilities, for example, datasets creation, data sharing with other specialists and tele ultrasound implementation which widens access to medicine in resource-limited areas.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.