Vol 19, No 6 (2017)


Features of investigation of crimes related to the low-quality of medical care at obstetrics

Petrova T.N.


The article presents a criminal characteristic of crimes related to the low-quality delivery of medical care during obstetrics, the specifics of conducting inspections of reports on crimes and the investigation of this group of crimes are examined. In addition, issues related to the conditions for the incurrence of criminal liability of medical workers in maternity hospitals, the use of medical documents in satisfying, are discussed; the crime components which are possible in detecting defects in the provision of medical care for obstetric care are analyzed. The article is provided with a large quantity of examples from the investigative practice.
Consilium Medicum. 2017;19(6):9-31
pages 9-31 views

Modern principles of venous thromboembolic events prevention in obstetrics

Shmakov R.G., Karimova G.N., Polushkina E.S.


Venous thromboembolic events (VTE) are one of the leading causes of maternal morbidity and mortality all over the world. The main methods of thromboprophylaxis include early mobilization of patients, dehydration treating, applying elastic and pneumocompression and using anticoagulant therapy. It is preferable to use low molecular heparins (LMH) due to their safety. Considering the amount of studies conducted, bemiparin and enoxaparin are the better studied LMH to be used in VTE prophylaxis. It is known that all current treatment protocols recommend using VTE after childbirth to lower the frequency of thromboembolic events in postpartum period.
Consilium Medicum. 2017;19(6):32-36
pages 32-36 views

Features of gravidary homeokinesis disease in pregnant women with a deficiency of body weight

Rudaeva E.V., Zakharov I.S., Mozes V.G.


Despite the fact that in recent years significant progress has been made in reducing obstetric and perinatal complications in various pathological conditions during pregnancy and childbirth, many theoretical and practical issues in modern obstetrics remain unresolved. One of the reasons for the growth of the unfavorable outcome of labor for the mother and fetus is the untimely, poorly informative diagnosis of threatened and critical fetal conditions during pregnancy and childbirth. Investigation of gravidary homeokinesis in pregnant women with a deficiency of body weight opens up fundamentally new ways to reduce obstetric and perinatal complications.
Consilium Medicum. 2017;19(6):37-42
pages 37-42 views

Immunotherapy in combination treatment of bacterial genitourinary tract infections

Solovev A.M.


The article summarizes the published literature and personal experience on using immunotherapy intreatment of relapsing genitourinary tract infections and associated diseases. The article presents data on incidence, social significance, frequency and causes of relapses. Chemical and immunopharmocological characteristics and dosing regimen of Polyoxidoniumare also discussed.The results of personal investigations and of other authors’ studies of using Polyoxidonium in combination therapy for genitourinary tract infectionsare presented and recommendations on using immunotherapy are given. The author concludes that Polyoxidonium® is effective in genitourinary tract infections treatment.
Consilium Medicum. 2017;19(6):43-52
pages 43-52 views

The prolonged regime: contraceptive and non-contraceptive benefits

Karakhalis L.Y.


The article concerns the prolonged use of contraception which has a lot of benefits compared to traditional use of oral contraception as it lowers the menstruation frequency, the risk of menstruation symptoms development, endometriosis and severe dysmenorrhea frequency by ceasing the endogenous estradiol production and providing highly effective, safe and reversal contraception. The article focuses on prolonged use of levonorgestrelcontaining hormonal contraceptive. Levonorgestrel increases the safety and tolerability of hormonal contraception.
Consilium Medicum. 2017;19(6):54-56
pages 54-56 views

Zika virus: a new factor of intrauterine infection

Dobrokhotova Y.E., Borovkova E.I.


Infection caused by Zika virus is wide-spread in Africa, South-East Asia and on the Pacific Islands; breakouts are noticed on the American continent. Zika virus is transmissible due to Aedes mosquitoes bites; vertical (diaplacental) and sexually transmitted infection is proved. Clinical implications of Zika virus are developed at 20-25% of patients and include hives, joint pain and conjunctivitis. Zika virus is associated with genuine microcephaly, intracranial calcification, antenatal fetal death and Guillain-Barré syndrome progression. Since mosquito′s bite and before clinical implications occurrence, incubation stage lasts 2-14 days; length of disease is about 7 days. Zika virus infection is diagnosed by means of polymerase chain reaction and blood serological test. To detect intrauterine infection series of ultrasound investigation and diagnostic amniocentesis are carried out. There is no specific treatment for Zika virus infection, as well as preventive vaccine.
Consilium Medicum. 2017;19(6):57-61
pages 57-61 views

Effectiveness of phytotherapy in the treatment of benign mammary tumors in gynecological practice

Ovsyannikova T.V., Kulikov I.A.


The article deals with the issues of the development of Benign breast diseases with hormonal imbalance in the body of a woman and the clinical manifestations of mastopathy and mastodynia. Pharmacological and clinical aspects of application of the preparation containing Vitex agnus castus are presented. A special feature of the Mastodynone is the possibility of using in the complex therapy of gynecological diseases (PMS and Luteal insufficiency), diffuse mastopathy and mastodynia
Consilium Medicum. 2017;19(6):62-65
pages 62-65 views

Primary and secondary prevention of cervical cancer (based on the recommendations of the American Society of Clinical Oncology, march 2017)

Dubrovina S.O.


The article outlines the main provisions of the recommendations of the American Society of Clinical Oncology for primary and secondary prevention of cervical cancer by vaccination and screening programs.
Consilium Medicum. 2017;19(6):66-71
pages 66-71 views

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