Principles of formalization of the syndrome diagnosis used in an automated system of management of patients

Conclusion The method of diagnosis of diseases based on the syndrome analysis is generally acknowledged. It should be noted that the methods described in this work formalize such important concepts as symptom, symptom-complex, simple and complicated syndromes, degrees of their manifestation and certainty, and their diagnostic value. The diagnostic algorithms developed on the basis of these concepts save the physician a great deal of routine work (studying results of numerous analyses and examinations) and provide consultative aid. Syndrome diagnosis of renal diseases has been considered as an example. Diagnostic systems using the method of early diagnosis of diseases described in this work will provide improved quality and reliability of diagnosis because monitoring of pathological deviations is performed automatically. The physician is immediately informed about revealed pathological deviations, symptoms, and syndromes; exacerbation of chronic diseases and appearance of new diseases. The automated system makes card catalogs unnecessary, being more expedient. Also, the automated system provides necessary reference information. Sechenov Moscow Medical Academy. Institute for Problems of Management, Russian Academy of Sciences, Moscow. Translated from Meditsinskaya Tekhnika, No. 3, pp. 20–26, May–June, 1998.     

Cellular immunity in peritonitis caused by appendicitis and peptic ulcer perforation

In examination of 26 patients with peritonitis caused by appendicitis and ulcer perforation, the suppression of T-cellular immunity, which grew with the progression of a pathological process, was established. In perforative peritonitis, the more rapid and deep, as compared with appendicular peritonitis, suppression of the T-system of the immunity was noted.