Opinion research among Russian Physicians on the application of technologies using artificial intelligence in the field of medicine and health care.

BACKGROUND: To date, no opinion surveys has been conducted among Russian physicians to study their awareness about artificial intelligence. With a survey, we aimed to evaluate the attitudes of stakeholders to the usage of technologies employing AI in the field of medicine and healthcare and identify challenges and perspectives to introducing AI. METHODS: We conducted a 12-question online survey using Google Forms. The survey consisted of questions related to the recognition of AI and attitudes towards it, the direction of development of AI in medicine and the possible risks of using AI in medicine. RESULTS: 301 doctors took part in the survey. 107 (35.6%) responded that they are familiar with AI. The vast majority of participants considered AI useful in the medical field (85%). The advantage of AI was associated with the ability to analyze huge volumes of clinically relevant data in real time (79%). Respondents highlighted areas where AI would be most useful-organizational optimization (74%), biopharmaceutical research (67%), and disease diagnosis (52%). Among the possible problems when using AI, they noted the lack of flexibility and limited application on controversial issues (64% and 60% of respondents). 56% believe that AI decision making will be difficult if inadequate information is presented for analysis. A third of doctors fear that specialists with little experience took part in the development of AI, and 89% of respondents believe that doctors should participate in the development of AI for medicine and healthcare. Only 20 participants (6.6%) responded that they agree that AI can replace them at work. At the same time, 76% of respondents believe that in the future, doctors using AI will replace those who do not. CONCLUSIONS: Russian doctors are for AI in medicine. Most of the respondents believe that AI will not replace them in the future and will become a useful tool. First of all, for optimizing organizational processes, research and diagnostics of diseases. TRIAL REGISTRATION: This study was approved by the Local Ethics Committee of the Lomonosov Moscow State University Medical Research and Education Center (IRB00010587).

[The agreed experts' position of the Eurasian Association of Therapists on tactics of management of patients with comorbid pathology infected with SARS-Cov-2].

The agreement of experts of the Eurasian Association of Therapists (EAT) discusses pathogenesis and treatment of COVID-19. Modern data on the characteristics of cardiovascular, kidney, respiratory damage in SARS-infected CoV-2 are presented. The tactics of managing patients initially having cardiovascular diseases, diabetes mellitus, chronic obstructive pulmonary disease, bronchial asthma, chronic kidney disease are discussed in detail. The article presents data on drug interaction of drugs.

[Hygienic aspects of human sensitization under the influence of biological factors of the dwelling environment].

The paper deals with the risk of occurrence and development of allergic diseases under the influence of biological housing factors, such as molds, staphylococci, ticks, and insects. It shows that biological domestic allergens are of high importance in human sensitization. There is evidence that supports the allergic hazard of the above factors to children and adults.

[Insulin-like growth factors in lung precancer]. / Sistema insulinpodobnykh faktorov rosta pri predrake legkogo.

Investigation of IGF-system resulted in distinguishing two groups of processes depending on the size of the bronchi. Goblet cell metaplasia, basal cell hyperplasia with or without atypical features, squamous cell metaplasia, dysplasia 1-3, neuroendocrine cell hyperplasia, epithelial atrophy were found in the large bronchi. The same changes occurred in the bronchioli and alveoli plus adenomatous hyperplasia with or without atypia, oval and narrow structures with epithelial atrophy, atypia and proliferation. Common property was accumulation in the cells of various members of IGF system: high accumulation of IGF II, IGFBP 1,2,3,4 in dysplasia; the same plus IGFBP 11,2,3,4,5 in squamous metaplasia. Tuberculous granuloma cells are an important source of IGF II, IGFBP 2,3,4,5,6 playing a role in proliferation and apoptosis of the pulmonary epithelium.

Left ventricular remodelling: common process in patients with different primary myocardial disorders.

Currently the problem of left ventricular remodelling in the early and late stages after myocardial infarction are under intense study. Studies of the role of remodelling of the left ventricle in patients with long-term arterial hypertension have been recently initiated. The purpose of this investigation was to study whether left ventricular remodelling is common for different primary myocardial disorders. The study population consisted of 212 patients with primary myocardial lesions (121 with dilated cardiomyopathy, 45 with chronic myocarditis and 46 with prolonged damage of the myocardium with alcohol; 196 male and 16 female, mean age 42.6+/-11.3 years) and 32 age matched normal subjects (24 male and eight female). Cardiac catheterization for ventriculography and coronary angiography was performed in all subjects for detection of left ventricular haemodynamics, including chamber volume and shape at end-systole and end-diastole. Worsening of heart failure was associated with a progressive enlargement of the left ventricle, with increases in end-systolic left ventricular wall stress, that lead to increases in left ventricular muscle mass, alteration of left ventricular geometry from a more ellipsoid to a more spherical shape and a progressive decrease of relative wall thickness index that reflects inadequate enlargement of the ventricular chamber in comparison with the increase in muscle mass. This process of left ventricular remodelling was common to all the primary myocardial disorders studied. Thus, regardless of the different etiological nature, most primary myocardial disorders show a similar left ventricular remodelling process suggesting common mechanisms for the development of chronic heart failure.

[Action of levorin on amino acid transport in the rat small intestine]. / Deistvie levorina na transport aminokislot v tonkoi kishke krysy.

Levorin, a polyenic antibiotic, in concentration of 2.10(-6) M markedly inhibited the active transport of amino acids in the cells of rat thin intestine, thus decreasing the oxygen dependent transfer of 14C-glycine and 14C-leucine and antigradient accumulation of glycine in the enterocytes. The effect increases with an increase in the period of the intestine mucosa contact with the antibiotic. Introduction of levorin from th serous side had no effect on the glycine transport. Inhibition of the transmembrane transport of glycine by levorin is due to its effect on transfer and accumulation of amino acids in the cells.