Introduction. 2020 has sparked explosive growth in telemedicine, especially remote patient consultation and remote patient monitoring techniques. Materials and methods. The authors analyzed data from 169 articles from Pubmed and 47 articles from Elibrary.ru, 117 analytical reviews of Internet resources, Federal Laws on the keywords «remote patient consultation», «mobile applications for patients», «telemedicine», «pandemic». For this publication, 49 publications were selected, as well as the authors' own opinions and experiences. Results. Today remote consulting in Russia is used in the case of an initial consultation – a preventive appointment, referral to clinics, obtaining a second medical opinion with the possibility of prescribing additional examinations. Over the past 20 years, there has been an active growth in the development of remote consultations, long-term monitoring of patients' health, the introduction of mobile applications for monitoring vital signs of the body. An important point is the legal regulation of the provisions on the use of telemedicine technologies, however, it remains imperfect and requires improvement. The COVID pandemic has become a driver for the development of TM technologies in the state healthcare system. Conclusions. TM has transformed from conventional consultations to long-term (continuous) monitoring of health status using medical devices, which can be considered one of the most promising new areas with clinical efficacy. TM technologies are gradually becoming a familiar tool in clinical practice and may become routine for doctors and patients even after the end of the pandemic.
Objective-This report presents national estimates of the fertility of men and women aged 15-44 years in the United States in 2006-2010 based on the National Survey of Family Growth (NSFG). Data are compared with similar measures for 2002. Methods-Descriptive tables of numbers, percentages, and means are presented and discussed. Data were collected through in-person interviews of a nationally representative sample of the household population aged 15-44 years in the United States between July 2006 and June 2010. The 2006-2010 NSFG sample is comprised of 22,682 respondents including 10,403 men and 12,279 women. The overall response rate for the 2006-2010 NSFG was 77%, 75% for men and 78% for women. Results-Many of the fertility measures among men and women aged 15-44 based on the 2006-2010 NSFG were generally similar to those reported based on the 2002 NSFG. The mean age at first child's birth for women was 23 and the mean age at first child's birth for men was 25. One-half of first births to women were in their 20s and two-thirds of first births were fathered by men who were in their 20s. On average, women aged 15-44 have 1.3 children as of the time of the interview. By age 40, 85% of women had had a birth, and 76% of men had fathered a child. In 2006-2010, 22% of first births to women occurred within cohabiting unions, up from 12% in 2002. These measures differed by Hispanic origin and race and other demographic characteristics.
Introduction. There is currently a great number of mobile apps and devices for remote monitoring of biometric indicators used by patents and healthy people. Aim. The purpose of the paper is to review principles and methods of patient motivation for active using of mobile apps and devices for health state estimation. Matireals and methods. We conducted the analysis of 66 scientific sources for the last 5 years, 32 sources related to this theme were selected. We also used our experience of 250 000 remote consultations of urological patients. Results. Physicians should actively involve patients in care of their health – explain advantages of using mobile apps which allow to monitor health state and its changings in real time. Thus it will allow to react to emerging disfunctions, to correct them and to prevent complications or fatal outcome. In spite of evident prospectivity of remote health monitoring we can highlight several difficulties and risks, connected with it, such as low physicians’ motivation, increasing of their labor costs, safe personal and medical data storage, inaccurate and excessive data, difficulties of systematization, slow decrease of patients adherence to using mobile apps. Conclusions. The application of devices and apps for remote monitoring of health indicators is greatly promising as a source of secondary diagnostic information. Further research for clarification of remote technologies influence on clinical outcome is required. Long work for enlightenment and promoting patients’ and physicians’ interest is to be done before telemonitoring devices will occupy a niche in the healthcare system.
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