Telemedicine: effective diagnosis or high risk of medical error?
About the possibilities of telemedicine
The consultant talks not only to the patient, but also to his attending physician. This is a professional conversation, during which the doctor clearly explains all the symptoms of the patient and correctly interprets the recommendations for treatment.
Telemedicine is not the case when the patient independently communicates with the doctor via video broadcast or via messenger. One of the directions of telemedicine is a remote consultation of doctors among themselves with the participation of the patient. Legal and ethical nuances determine the stage at which you can invite a patient to a consultation.
Doctor-doctor consultation is one of the most important sections of telemedicine when working with serious patients in the presence of the patient and his attending physician.
Telemedicine is designed for all patients who receive high-tech medical care. For example, for those patients who come to Moscow, St. Petersburg, Novosibirsk for surgery, a remote consultation is held before the trip, which allows you to determine whether a person is operable, what studies need to be carried out before the operation.
Doctor-patient consultation is an important section, for example, in situations of transferring serious patients from doctors from the capital to doctors in the region. Thanks to telemedicine, doctors have a chance to transfer a serious patient from hand to hand in a special way and convey the necessary information not only by paper discharge from the hospital.
Also, as an example, Valery Stolyar cites the situation of a patient after a stroke. The doctor can not visit the patient every day and monitor the dynamics of his treatment — how to restore swallowing movements, speech, motor skills. In such a situation, a doctor-patient consultation allows the doctor to advise relatives or staff who care for the patient.
“Telemedicine is in demand because any of us can now get the help of the best doctors. However, there are a number of restrictions that are based on the main medical rule — do no harm. Remote consultation between doctors and patients is a huge burden on the doctor. The patient often does not know how to clearly talk about the symptoms of the disease, can brag or panic, be aggressive, he is always subjective,” Valery Stolyar.
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Biologists from RUDN University working together with their colleagues from the Institute of Molecular Biology of the Russian Academy of Sciences and the Institute of Flax studied the genes that determine the fatty acid composition in flaxseed oil and identified polymorphisms in six of them. The team also found out what gene variations could extend the shelf life of flaxseed oil. This data can be used to improve the genetic selection of new flax breeds. The results were published in the BMC Plant Biology journal.
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The soils of urban gardens and vegetable patches contain a lot of toxicants (including lead and arsenic) in high concentrations which can be harmful to the health of children and people with chronic diseases. A team of soil scientists from RUDN University suggested a remediation method developed based on data collected in a garden of Brooklyn (NY, U.S.).