2019 № 9 Modern approaches to the analysis of emergency medical care for children
112 936 cases of 24-hour emergency medical care in a children’s clinic for 2018 were analyzed. The meth¬ods of multivariate statistical analysis and theory of time series are used. It has been established that about 30% of the challenges occur in children of the first year of life. From January to March and from June to October, there is an increase in the number of calls. The days with the most calls are the 12th, 19th and 26th of the month. Almost a quarter of weekly calls fall on Monday. The resulting model of the call service duration structure allows you to evaluate changes in the work of the emergency service in different periods and proves the need for round-the-clock work.
2020 № 7 Modern approaches to the construction of an effective model of preventive work with children
The approaches to the analysis of the information of the medical information system about the child population
attached to the medical organization (22,950 children) are described to identify homogeneous groups in order to build a
preventive work plan with each. The team of experts of the medical organization has developed an electronic work plan for
4,745 options for monitoring a child, which is implemented as a computer program that allows you to automatically rearrange
the plan. It is considered as a sequence of standard operating procedures. The program automatically “restructures”
the calendar plan of work with the child, allowing you to complete the missed work in an acceptable time for the child
and the performer. The use of such planning is especially necessary for work in the conditions of prevention of COVID‑19.
2020 № 3 Modern approaches to the analysis of the formation of pathology in children
The mathematical method “oriented trees with estimates” is used to study the structure of 411,581 requests from 71,483 children to a medical organization for primary diseases. The data of the medical information system of the hospital for 2015–2018 were used. The regularities of the sequence of pathology formation in 35,288 children under 7 years old and 36,195 children from 7 to 17 years old and the average age of detection of diseases are established. So, the onset of the disease J06.9 (depending on age) is expected to be 1.9–4.6 times more likely if there was one of the diseases G93.8 or G94 before than after one of the diseases J20.9 or J20.8 according to ICD-10. The data obtained can be used for individual preventive work with children.
2020 № 6 Application of the method of analysis of “oriented trees with assessments” to identify regional features of forming the pathology of dairy teeth in children
In order to identify regional features of the sequence of lesions of primary teeth in children, the data of the medical in- formation system of a children’s hospital using the method of “oriented trees with estimates” were used. The data of 3,405 children under the age of 6 years who contacted a dentist about diseases of deciduous teeth during 2015–2018 were analyzed. They had 17,462 appeals. It was found that in 516 children the first diseased milk tooth was 51, with an average age of 2.72 years. The second is either 61 (237 patients, with an average age of 2.91 years), or 52 (224 patients, with an average age of 2.58 years). In 113 patients, a sequence of newly diagnosed affected primary teeth 51–52–61 was observed. Only one tooth was observed in 59.9% of patients, in 13.1% of two and in 27% of three or more teeth. It is calculated that if premolar is the first diseased milk tooth, then with a probability of 0.619 the next will be the same as the premolar. Application of the method made it possible to es- tablish regional features of the sequence of lesions of primary teeth in children and to develop approaches to individual prevention.