Шадеркин И.А.

Telemedicine consultation is an effective instrument of modern urology, providing evidence-based support of clinical decision making, optimal resource management, equality in the availability and timeliness of specialized medical care. 

Objective: to prove the feasibility of using video conferencing (as an additional web-based platform) by analyzing the methods of application of this instrument in urology and nephrology. 

Urinalysis is the most commonly used method of assessing and monitoring of the patient in urological practice. 

Objective: to estimate the diagnostic value of the portable urine analyzer "ETTA AMP-01" for subsequent use as a tool for patient-centered urology (mHealth) with proven efficacy. 

We conducted a study to justify a rationale for the choice of optimum solutions for telemedical consultation in urology the instrument of choice is a web-based platform and mobile application NetHealth.ru. The solution was developed in 2012 for the Institute of Urology; its distinguishing feature is the presence of two options medical distant consilia and patient-centered distant consultations.

We review the mobile health platforms in this article (mHealth), clarify this term and describe some practical examples of use.

The aim of the study was to evaluate the knowledge of the physicians from different specialties (urologists, gynecologists, internists, phthisiatricians) in the urogenital tuberculosis. The testing was carried out among the specialists attending the professional education courses in the tuberculosis clinic of NGMU (261 physician) and also among the specialists distantly at the uroweb.ru portal using a specially developed software (14 physicians).

Distance education is rapidly captures the enormous audience. Massive online open courses are offered by best universities in the world such as Stanford, Harvard, Berkley and the Massachusetts Institute of Technology. In the next 10 years, the audience of some educational platforms will exceed one billion people. Digitalization and the use of modern communication technologies could lead to radical changes in the most conservative area of education – medical education. There are several objective reasons for this.

Over the past 20 years a large number of prostate cancer (PCa) markers have been proposed. A combination of PCA3 and TMPRSS2-ERG is among them. The real-time RT-PCRbased method for РСА3 and TMPRSS2-ERG determination in urine and prostate tissue is being developed at Russian Scientific-research Institute of Urology. Purposely to assessment of its diagnostic value, two independent samples of prostate tissue (n=78) and urine (n=56) specimens were investigated. The blood level of PSA, pathomorphological findings, PCA3 and TMPRSS2-ERG urinary and tissue expression were assessed.

Economical efficacy of the prostate cancer screening in the Russian Federation was estimated using the modeling of three healthcare systems based on the official statistical data and the modern evidence from the major publications.

The analysis of the new format of the urological service in Voronezh region is presented in this article. The problems in the realization of the regional target program “Urology” (part of the program “Healthcare development in the Voronezh district 2011-2015”) are referred. The possible ways of further optimization of urological service are listed, given the revealed shortages.

Introduction. Distance medical education is a today’s reality. Medical specialists should use nowadays the newest and the most actual knowledge in their work. This article outlines the development and application of the Distance Education Program for primary care physicians.