Iatrogenesis in the Intensive Care

The high prevalence of ischemic stroke and high mortality from it with increasing disability of such patients currently makes the problem of vascular diseases of the brain one of the most socially significant and requiring additional research. Conducting physical rehabilitation in post-stroke patients according to the author's scheme had a pronounced positive effect on their hematological parameters, regardless of their initial state. Wellness measures ensured in all patients who had an ischemic stroke a gradual optimization of the number of red blood cells, white blood cells and platelets in the blood. The upcoming changes created conditions for improving trophic tissue of patients, increased their overall reactivity and minimized the risk of repeated ischemic damage to brain tissue. The results suggest that the author's option of rehabilitation of post-stroke patients is highly promising in terms of ensuring adequate activation of the bone marrow regardless of the initial level of erythropoiesis, leukopoiesis and thrombocytopoiesis. This prevents anemia, weakening of resistance and thrombophilia in such patients, optimizing the general condition and significantly improving the prognosis for the disease and for life.

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Physical Rehabilitation of Patients After Ischemic Stroke

Kartashev

Makhov

Karpova

et al. 2020

Biomed. Pharmacol. J.

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The Formation of Social Skills in Children with Down Syndrome Under the Influence of Regular Football

Makhov

Kazakov

Seselkin

et al. 2020

Biomed. Pharmacol. J.

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People with down syndrome, is very difficult to socialize due to significant communication difficulties. It is difficult to give any of the organizational actions in your daily life. To solve these problems so people recommend sports activities, which contribute to the development of many necessary for living in society skills – punctuality, neatness, discipline and diligence. Very suitable in this case the sport is football. This is a team sport that can generate team spirit, sense of camaraderie, mutual support, creating the basis for rapid adaptation in the team. So, in football, people with down syndrome, become healthier, active socializers, develop their talents and become more sociable. The analysis of the views of parents of children with down syndrome showed a high significance of sport in their child's life. This section, such children get valuable experience. Here they take an example and try to be polite. Sports activity socialize a child gives you the opportunity to prove himself as an athlete and help them overcome internal barriers. Sports trigger in children with down syndrome the physical and psychological indicators. According to parents, it is football changing the lives of their child in a better way children adapt to life in the team, reveal their mental capacity, making whiter confident and more disciplined.

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Brain Infarction in Botulism (Clinical Case)

Калинин

Баринов

Сундуков

2020

Obŝaâ reanimatologiâ

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Professional activity of intensivists consistently ranks high among the most «risky» areas of medicine. In 6 out of 89 criminal «iatrogenic» cases initiated by investigative authorities in the Moscow region in 2016–2018 anesthesiological or intensive care in the ICU was the subject of investigation. In 4 of these 6 cases, iatrogenic complications were detected during the forensic examination. Intensivist is considered an attending doctor and therefore holds responsibility for defects in the provision of medical care and its adverse outcome.The purpose of the study is to outline the professional risks in the work of an intensivist and identify ways to reduce them by using a case study with a fatal outcome, which led to criminal proceedings.Materials and methods. We studied and analyzed the criminal case files which included the complaint of the patient’s relatives with the prosecutor’s office, the explanations and interrogation records of the patient’s relatives (4) and healthcare workers (6), the minutes of the Morbidity and Mortality conference, the expert report on patient care quality issued by health insurance company, the final report of sanitary and epidemiological examination, autopsy protocol, emergency call files (3), the inpatient medical records, outpatient records and the final report of Commission of forensic medical examination.Results. Defects in the provision of medical care were not identified. The differential diagnosis was performed correctly. The severity of the patient's condition was due to brain infarction and associated abnormalities. Underdiagnosis of botulism did not affect the outcome of the disease and was not the cause of death of the patient.Conclusion. The reasons for filing a complaint with the Prosecutor's office and initiating a criminal case were organizational shortcomings and ethical and deontological aspects.

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Iatrogenesis in the Intensive Care

Cited by 3 publications

References 2 publications

Physical Rehabilitation of Patients After Ischemic Stroke

Physical Rehabilitation of Patients After Ischemic Stroke

The Formation of Social Skills in Children with Down Syndrome Under the Influence of Regular Football

Brain Infarction in Botulism (Clinical Case)

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