fragrant there were no treatments here. it is environmentally friendly. well, there is such, as it were, a feature of dry tails with a dry tail. this is a long-harvested watermelon, which is stored for a long time and our watermelon needs to dry out, you see the green tail pretty mature and is not further processed for storage, since it immediately goes to our networks and for sale. cultivation in general of all methods of culture is not only what we see directly on the table of flour there, but it is for food for our livestock. and this is just a continuation of what we actually work for, because leo is bread, bread is the head of everything, but bread is also needed so that there is butter and a piece of salo and somewhere in the parks of some kind. that's it,

this is the desire to improve the result of their work in the form of grains of milk, meat of vegetables, because this is, after all, the security of our country. not only do we feed. uh, take care of our country, but how much do we earn. on this, exporters of our products are what we do. this provides precisely the basic needs of our people, and then you can move. then you can become an artist, an artist, sing, or do some other creative work to treat people, and so on. therefore, uh, this is the base, this is what our bakers are. as a matter of fact, they do. well, we don't notice. we are just working on the ground. we love this profession, we love the earth. it all starts with the origins

and traditions of the memory of our ancestors. preservation of the culture of belarusian rituals and crafts but the world is changing. changes generations views and creativity does not stand still. when people realize the value of traditions and understand where move on? art takes on new bright colors.

over the past 100 years, medicine has taken a huge step forward, but we don’t get sick anymore, smallpox forgot, what is the plague, we know how to transplant a heart on we transplant everything that can be transplanted, this led to the fact that during the twentieth century, the average life expectancy on the planet increased from 35 to 60 years old, medicine has advanced very far in solving a variety of problems related to human health, but, alas, has not solved them all; today it faces challenges no less than a century ago until now. still unconquered once previously unknown viruses arise synovial regularity antibiotics lose their strength new habits and lifestyles bring new diseases. at the same time, we are at the epicenter of the genetic revolution, intensively

studying the structure of the brain. we rely on big data and robots. we are waiting for breakthroughs in the fight against aging and that's it. this is impossible without information figures. technology at the moment we have done 3d modeling of myoseptectomy. as you can see, the model of the myocardial section is a real-time model in real size. yes yes this maximum section is, uh, an objective section, which we are trying to achieve along with abnormal chords, and this myocardium prevented the exit of blood from the left ventricle into the mouth, respectively, the patient had syncopal dizziness, that is, loss of consciousness. and it could end in sudden death. now it was out of control. now we are correcting the situation, in addition to this

disease of hypertrophic cardiopathy. the patient also has ischemic heart disease, multiple lesions of the coronary arteries , two shunts. we kind of already did. now we we will make the third noise. most often, people learn about this disease by accident. it’s good if at the doctor’s appointment it is often she who is behind sudden cardiac death. today we know about hypertrophic cardiomyopathy, more we know how to treat it innovatively. i have in my hands a model of a patient that the surgical team is currently operating on . ah, in my hand i get a model of the septum pouch and in my hand a fragment that is needed right now, the time has already e for this operation. that is, i know that this model is being prepared for surgery. yes but yes, that is it sterilized. she was absolutely sterile.

eh, before that. she, as it were, was modeled on a computer and printed on a 3d printer. farther. here it was processed. if here you pay attention. here, there are needles, this is, uh, the ideas of these little corners are such that you can already control the depth for sure. uh, let's say myocardial excision. well. is it possible to do without it at all, well, it means that the main function of this model is that surgeons already know exactly where and how much to excise during the operation. uh, let's say i recombine the card. yes yes hypertrophic myocardium, the main treatment for this disease in obstruction of blood flow. in the left ventricle, more understandably, this is the expiration of excess tissue. hypertrophied, interventricular septum. the operation increases the useful filling volume of the left ventricle. if

we did not have this method, which, of course, still has the last word. an analysis was carried out regarding the fact that before such operations until 2017 were performed without computed tomography without e, already building 3d models. uh, there are about 40% of all operations, and the operation ended with mitral valve replacement. that is, uh, there were, uh, pathologies, well, as it were, the operation itself is technical very difficult that you need to feel already such a line, uh, which is acquired with experience, how deep you need to dry out, if you cut too much, yes, then there will be defective ventricular septa i.e. a hole in the heart. here are those too. if it’s not enough, then it will be, 39. yes, that is, the hypertrophic picture is still a genetic disease, yes, which, as it were, progresses with age, that is for people who are not completely carried out with the

course of the output tract or are already better, then there is no guarantee that it will not grow, as it were, five. moreover, a quarter of such patients after valve replacement are said to have prosthetic dependent complications, and 10% die from such complications. in addition, the quality of life is worse, because patients are forced to take blood-thinning drugs all their lives so that thrombo does not occur, gentlemen. we continue to operate a circle on cardiac surgery. vladimir came to the jump vladimirovich proposed such an idea that there is such a pathology, hypertrophic cardiopathy, there is 3d modeling. so we need to somehow combine this and use it already in our map of russia. well, you can say yes, because, well, in the west

there are such technologies. uh, but specifically for hypertrophic cardiomyopathy, there is no such thing, that is, uh, no other clinic. there is no such specific modification of this operation , but they use silicone imprints as training. that is, like a rehearsal, but to unfortunately, these are very expensive models, they are there, well, they cost a lot of money to train on them, that is, we can not afford it. therefore, here is the developed method of virtual terrain vladimir vladimirovich in which dr. inspirer and implementer. i wanted to say how this idea got infected 3 years ago, the head of the x-ray department or inata tatyana valerievna sent me a photo from the international symposium small, and 3d printed hearts we had a

big problem then, a real problem, with patients we operated on for hypertrophic cordiopathy. we changed the neutral valve in half of these patients. that's how it would be offered in germany, uh, hmm, to our young man, yes, to a mechanical prosthesis, and we understand that this is not optimal at all. yes at this at this disease it is possible to operate successfully. eh, i know for sure. how much to remove the desired tissue, while the neutral valve becomes normal or close to normal in its function you understand and you don’t need to change it, you understand, and then, in order to understand how much you need to cut off, no more no less without doing bad, without making, in general, fatal outcomes from well, any too excessive amount or and inexhaustible less i had the idea that

such an imprinted heart in each patient can be somehow imprinted and cut off on it. that piece you need to explore is no longer by touch. yes, you can no longer feel the touch with a scalpel, and we made the first heart out of e, latex. we were printed her sponsors helped us in germany, uh, who did it for the center for free, yes, and uh, absolutely repeated, well, we really saw all the structures, it’s real hmm to see the whole structure of the heart in your hands with such rapture and fire in eyes. doctor. androshchuk talks about his brainchild, he created it, but he is proud. i think each of you we have further improved. by reducing the cost of printing, making it not e. let's say not from a rubber-like material, but already from

cheap plastic and printing, not all the heart, but only our area of ​​interest, and then we began to conduct without sawing this area. uh, with a crowbar or uh, say, with a saw, but did they begin to carry out virtual operations? operate already? uh, a virtual 3d model is also operating virtually, having the result of an ideal inter-beam partition and here the fragment that they need to excise all this went through certain stages so that we now do not see what you saw. today we are preparing a very tasty hearty and high- calorie dish. whom did you intrigue me

here, like here at a mud volcano, maybe such a bulk is one that can harm your entire kitchen. i used to be a cook making meatballs. now i'm all at home. i give advice to make lightly salted grandmother's cucumbers. moreover, with lightly salted celery stalk , the culinary show belarusian cuisine on our tv channel. about the life and work of the iconic representatives of the musical art of our country, the music of eight vasilyevich kondrasyuk. she always evoked an internal response. this is a sign of very talented serious composers, he felt the characters of the characters very vividly and embodied

their feelings a specific sound. all information is first hand. if he hadn't been the way she was, then i think that he would hardly have written anything to introduce them to their activities and dispel myths - this is pure honey. you are such a soaring angel above our half-black forces, when he became the director of the opera house, it really bothered him, because any theater. this is a very complex organism. see in the program the composers of belarus on belarus 24 3d model used by belarusian cards in surgeons, a copy of the heart for each

the patient is created individually, a three-dimensional model helps not only to determine the plan for the upcoming operation, but also to control the volume of the surgical intervention performed. as an information model for its printing, computed tomography data is used in order to obtain the 3d model itself. can we get the source material, that is, the source we have is the daikon format, what is it? this is a lot of pictures of the human body. yes, for example, from chin to ass on a ct scan or on an mri scanner and the same, in principle, yes, the story when it is done as a slider. yes , several cuts in sequence. well, yes, there is approximately a difference between slices from one and a half to 0.2.05 mm. this is pretty accurate. uh, slices of human scans. then all these sets of scans, their number can

actually reach several thousand. here it is loading. you are already a program for specifically 3d modeling to generalize, as it were, the information that diagnostics gives us. yes, yes it is. that is. uh, having, that's it already the database itself is all uh, ct mri pictures. e, we load it into the program and already create a 3d model directly, before transferring images, a virtual 3d model, which is necessary for printing, actually took up to 20 hours, dr. artyom did not optimize the process. this allows you to prepare the model in just an hour. then e is carried out a virtual operation for e excision. uh, let's say the output tract of the left ventricle is already planned for this operation. and uh, next is already created 3. partition model that we want get after the real operation and the 3d model fragments that need to be removed during the

real operation again. there is a printing process, that is, it can be seen. here you can open to see, that is, the blue table itself is, well, the surface on which it begins. here is the fixation of the model from above. here and yes and you see, here is the device. uh, let 's just say, it melts the plastic guides and leads along the table. that is, the information is transmitted by a formula simulated on a computer, but i really want to see it, but i’m not you, you can here it is from above see also this brown color. i see, first they create a contour, that is, support layers, the so-called, because well, the model cools down for quite a long time. another 23:30 minutes. well, in order for it

not to fall apart during the printing process, special ones are created, such as support layers. here. well, they are also temporary, and then the partition of the bag itself is printed layer by layer. and then you already know everything about the fragment that the miracle will print, the printer will go straight to the operating room, so that it is no longer virtual. and really help the surgeon to perform the operation the next step. after printing, the heads are already being implanted. and uh and the formation of the formation here it turns out at the output already let's say. here is such a model, and it turns out that further this model is sterilized and is already sterile fed to the operating surgeon. from the heart dries up fragments are obtained and prick them. e. here , here, on the model. and that's it, it turns out

that these needles serve us precisely those landmarks already 100% yes, but how much of it? well, let's say you need a network to completely fill it. that is, if it is not filled, yes, the space that the blood expels, yes, that is, as if in this case the heart reduces the full-fledged let's say pumping blood. here is this piece, yes, that is, our task is it, but in order not to run out of too much or too little, this is here. can modern medicine make homo sapiens long-lived? yes, because the future is already here, the future is today?

live news now in the studio pavel lazovik, good afternoon belarus and china now have a new level of cooperation signed a corresponding declaration, as the foreign ministry clarifies china now this all-weather, comprehensive strategic partnership wording means friendship between countries stably and invariably, regardless of how the international situation changes, let me remind you of the intention to raise the level of bilateral cooperation, our president and the chinese leader agreed on the sidelines of the summit of the shanghai cooperation organization in uzbekistan, the head of state assured sitin pina