RU48651U1 - AUTOMATED SYSTEM OF SOCIO-ECOLOGICAL MONITORING - Google Patents

Abstract

The technical solution relates to the field of collection and processing of information and can be used in the implementation of dynamic monitoring of the health status of the population, as well as the collection and analysis of data on the state of the environment to justify management decisions on the implementation of targeted medical and preventive programs.

Description

The technical solution relates to the field of collection and processing of information and can be used in the implementation of dynamic monitoring of the health status of the population, as well as the collection and analysis of data on the state of the environment to justify management decisions on the implementation of targeted medical and preventive programs.

The proposed automated system of social and hygienic monitoring is intended for implementation in the practice of sanitary services with a systematic approach to studying the dynamics of the state of health, in the preferred version of the child and adolescent population, using modern control methods, preferably instrumental, as well as studying the environment with identification of risk factors for development diseases.

The automated system is designed to provide data collection, input, storage and processing of information about the health status of the population, as well as the living environment of the population, preferably children and adolescents, with the identification of the main patterns of changes in health status depending on the environment.

The proposed automated system is designed for independent work in the centers of the State Sanitary and Epidemiological Supervision for conducting social and hygienic monitoring (SGM) of children and adolescents in organized groups and can be used for:

- providing the sanitary service with information on the health status of both individual children and adolescents, as well as groups, as well as on the state of the environment;

- predicting possible deviations in the state of health, even before they reach a critical level;

- allocation of risk groups for the timely conduct of medical and preventive, socio-economic measures;

- making management decisions in accordance with the Law

RF “On Sanitary and Epidemiological Well-Being

population. "

Known (RU, patent 2108743) is a system for determining the type of metabolic response of an organism by recording indicators of myocardial contractility with a continuously increasing step load, containing a patient’s load and at least one cardiological sensor, the output of which is connected to the input of a personal computer.

A disadvantage of the known system should be recognized as unsuitable for the implementation of socio-hygienic monitoring of the state of the population due to the lack of information about the state of the environment, as well as the ability to predict the health status of the diagnosed population.

Also known is a system (RU, patent 2153843) for diagnosing coronary heart disease, comprising a patient loading device and at least one cardiological sensor, the output of which is connected to the input of a personal computer, the software of which provides the ability to predict the development of coronary disease.

A disadvantage of the known system should also be recognized as unsuitability for the implementation of socio-hygienic

monitoring the state of the population due to the lack of information about the state of the environment, as well as the ability to predict the health status of the diagnosed population.

Also known is a system (RU, patent 2210306), a system for assessing the functional state of the cardiovascular system by the rhythmic interaction of oscillations of various elements of an electrocardiogram, containing a patient’s load device and at least one cardiological sensor, the output of which is connected to the input of a personal computer, the software of which provides the ability to periodically measure the information signal, as well as predicting changes in the state of the cardiovascular system.

A disadvantage of the known system should also be recognized as unsuitability for the implementation of socio-hygienic monitoring of the state of the population due to the lack of information about the state of the environment, as well as the ability to predict the health status of the diagnosed population.

The technical problem, which the developed system is aimed at, is to provide the possibility of making informed management decisions on the organization of medical, preventive and socio-economic measures to protect and promote public health.

The technical result obtained by the implementation of the proposed system is to accurately diagnose the health status of the population of the studied area with predicting the direction of change of this parameter.

To achieve the specified technical result, it is proposed to use an automated system of social and hygienic monitoring containing a personal computer

with software that provides analysis of the incoming information, the inputs of which are connected to many sensors characterizing the parameters of a person’s state (including sensors measuring anthropological indicators of a person), many sensors that characterize the state of the environment (temperature, humidity, harmful substances in atmosphere and drinking water, radiation of technogenic origin and due to the structure of the earth), as well as a database of medical institutions and, possibly, a database of educators nary and preschool institutions.

The software of the proposed automated system of socio-hygienic monitoring provides statistical processing of the following data:

1. Data on the incidence of the population coming from medical institutions, the source of which is the database of these institutions.

2. Data on the habitat of the population, including information on the state of the environment. These data, in turn, should be divided into: a) data from a comprehensive assessment of the conditions for the upbringing and education of children and adolescents in an educational institution, b) data from the state of the environment. The data source should be the relevant databases of the centers of sanitary and epidemiological surveillance on the state of the environment (acts, protocols, etc.), as well as data from sensors of environmental parameters.

3. Data on social factors affecting the health status of the population. The data source should be databases, educational, preschool and industrial institutions.

4. Data on the state of public health obtained with the help of sensors (medical equipment) located in medical institutions, in particular, the Vita-2004-D hardware-software complex. These sensors can be connected to a database of medical equipment, which, in turn, is connected to a personal computer.

The VITA-2004-D health measurement and assessment system is intended for a clinical examination of the population, preferably children and adolescents, in order to determine the level of health, identify risk factors for the development of diseases and determine the likely pathology profiles for subsequent in-depth specialized research. The VITA-2004-D system is preferably designed for use in school health rooms, clinics and other children's institutions, for example, in youth sports schools or in orphanages and boarding schools. The system is focused on servicing by trained nurses with the subsequent evaluation of the results of the examination by a doctor.

The VITA-2004-D system consists of three subsystems:

- measuring subsystem;

- subsystems of analysis and evaluation of measurement results;

- subsystems for the formation of expert opinions. The measuring subsystem is a computer-controlled electronic unit with sensors. The measuring system provides registration of certain physiological parameters of the examined patient.

The subsystem for analysis and evaluation of measurement results is a computer program and provides:

a) input passport data of the subject;

b) input of the results of anthropometric measurements;

c) recognition and measurement of given elements, comparison of the obtained results with the norm, construction of tables and graphs.

The subsystem of forming expert opinions is a computer program that allows to form primary expert conclusions based on the measurement results.

The output document of the VITA-2004-D system is an expert opinion in a form that is clear and understandable.

The VITA-2004-D system is also designed to operate in the sanitary-hygienic and psychological-pedagogical monitoring mode, when the results of primary or dynamic examinations are compared with the corresponding sanitary-hygienic or psychological-pedagogical information in order to correct environmental conditions or control the educational process .

"VITA-2004-D" is a stand-alone device that works in conjunction with a personal computer such as IBM PC. The information signal input unit is powered from an alternating current network with a voltage of 220 volts or from a DC network with a voltage of 12 V (with appropriate protection at 4 KV) and is connected to a computer via a standard RS-232 port.

The software of the VITA-2004-D complex allows using all modern analysis methods: statistical, autocorrelation, spectral. The software package implements both HRV analysis techniques recommended by European-American standards and traditional

Russian methods. In addition, a special set of programs allows you to assess the degree of tension of regulatory systems and objectively judge the adaptive capabilities and functional reserves of the body. The algorithm used in the research for recognition and assessment of the state of regulatory systems was developed on the basis of the analysis of the results of many thousands of studies, both practically healthy people - workers of various enterprises, and patients with various diseases at various stages of the development of the disease and during treatment.

A specialized database allows you to create current patient cards and view the results of previous studies. In addition to patient data, the map contains the values of the basic mathematical indicators, and for comparison, the corresponding norms are taken taking into account gender and age. There are special “buttons” for viewing the source signal, histogram, autocorrelation function, scattergram or spectrum. You can view a series of studies of this patient and, if desired, get dynamics graphs of any of the selected indicators. Data can be edited. The output form contains a set of tables and graphs.

The proposed automated system provides the following functions:

- collection of information about the physiological state of the subjects;

- input information from existing databases;

- information editing;

- data storage;

- analysis and output of information on requests in the form of tables and graphs;

- output to the printer output data;

- data output to a file in .html format

The software of the proposed automated system should consist of two main software modules - "Health" and "Environment" 1. Module "Health (individual data)." The module “Health (individual data)” should store and process individual data for each person. The module should include:

1.1 General individual data for each person;

1.2 Data on the physical development of a person:

1.3 Functional Change Index (IFI):

1.4 the results of a study of the functional state of a person and his adaptive capabilities,

1.5 Data on incidence:

1.6 Data on risk factors in the family and their severity. 2. The module "Environment".

In the module "Environment" should be stored data on the state of the environment, as well as their processing. The module, as applied to children and adolescents, should include:

2.1 Data from a comprehensive assessment of the conditions of education and training of children and adolescents in an educational institution.

2.2 Environmental health data. 3. The software of the automatic system should perform statistical calculations based on the methodological materials provided by the Center for State Sanitary and Epidemiological Supervision, and should also analyze and output data on requests in the form of tables or graphs.

The list of reports contains, in particular, reports on:

- indicators of heart rate variability;

- absolute and relative indicators of acute, chronic morbidity and morphofunctional deviations according to the classes of diseases;

- distribution of children according to the level of physical development, health groups;

- the number of selected contingent;

- risk factors in the family;

- a comprehensive assessment of the conditions of education and training of children and

teenagers

in educational institutions;

- the state of the environment (atmospheric air, water, snow cover, indoor air environment, soil, food products).

The above list is not exhaustive.

The personal computer used in the proposed automated system must meet the following requirements:

- processor - Intel Pentium 233 Mhz and higher

- random access memory (RAM) - 64 MB

- CD-ROM drive

- SVGA adapter, monitor with SVGA resolution (800x600) and more

- standard keyboard

- mouse type manipulator

- printer compatible with OS

- the presence of the RS-232 interface

The proposed automated system should run under the operating systems of the Windows family (starting from Windows 98) of Microsoft Corporation on the X86 platform. The software part of the hardware-software complex "VITA-2004-

D "should work under control of Windows 98 of Microsoft Corporation.

The proposed automated system in the basic version works as follows. Initially, medical facilities are equipped, at least in part, with equipment configured to computer-read the information received. A system of sensors characterizing the state of the environment is placed within the village, and they also provide input of the received information into a computer database. The outputs of the corresponding databases are connected to the inputs of a personal computer with loaded software. As you measure the above parameters, enter the received information into a personal computer. As necessary, receive reports of various purposes.

Using the proposed system makes it possible to make informed management decisions on the organization of medical, preventive and socio-economic measures to protect and strengthen public health.

Claims (2)

1. An automated system of socio-hygienic monitoring containing a personal computer with software that provides analysis of incoming information, the inputs of which are connected with a cardiological sensor, characterized in that the sensors of temperature, humidity, harmful substances in the atmosphere and drinking are additionally connected to the inputs of the personal computer water, radiation of anthropogenic origin and due to the structure of the earth, as well as sensors of anthropological parameters of man and the database s health facilities. 2. The automated system according to claim 1, characterized in that the databases of educational and preschool institutions are additionally connected to the inputs of the personal computer.