[000:00:00;00] who has to do this, i want to take with me a couple of kilograms of buckwheat, a few souvenirs, and the books that i bought here, i also bought a balalaika here, i want to find something interesting even further, bye bye, i choose the three most important things, valalaika, souvenirs and buckwheat, your order, the composure of belarusians, i will take this with me, i will carry the memories of belarus through time, because i really too... i would like to be like this, your order, your composure in everything, you bring everything to life to the ideal, so that everything is very clean, so that everything is very beautiful, i admire this , i realized here that you think differently, and i taught, well, right, that you need a lot of right, you need something,

you have something interesting, which i i didn’t see it in my restaurant, and this is especially true... i took a lot of memories from here and well , maybe i can say that, well, i will cook potato pancakes in venezuela, i think that when i graduated from university and i need to go back to venezuela, i will always keep to myself, that is , how you respect each other, i feel you here, all people respect you, and this is very important to me important, for me it is big... yes, we just looked at it when we were driving

a taxi. on the cars, there are a lot of interesting things everywhere, but so far we haven’t had time, we are working and when we have the opportunity , we’ll see what there is in minsk, but it’s a very beautiful, clean and quiet city, interesting, yes, while we’re walking around streets, let's look in the city center, very interesting, tomorrow we plan to go and visit the great museum. see interesting places in minsk. belarus is a very beautiful country, very calm, so i really liked it. i'm very proud that i i study here and also live here, well, belarus for me is a beautiful, green country, firstly, and i can also say that

they are very good here. well, i have friends here, very close friends, and i can say that this is very important for me, for me, for my family, i can say that belarus has become a complete, complete change in my life, my life has completely turned upside down, and to summarize to put it in one word, it was a positive change belarus, this is my

second home. a nagram is a sleep phase that is formed from several signals, one of the signals is the activity of the brain, the waveform of certain areas, this is how they change, this wave changes, and then there is the movement of the eyeballs, hence the roar. all this is determined by taking these signals, this is the brain of our system, the polycemographic system itself is attached here, all the sensors of this system

are inserted into these courts. depending on the purpose of the research, there can be many sensors, the main sensors are the sensors that we install on the head, they write we have a hypnogram, it happens at home. a nurse comes to your home, or a doctor sometimes, depending on the purpose of the study, installs a diagnostic system right in those conditions for the patient, so that his home has the most adapted ones, this no less important sensor is a snoring sensor, an incomplete set, but like this this is what the diagnostic system looks like; four more sensors, a pulse oximeter, and a chest movement are installed. cells and electrodes for recording a cardiogram, just like at home, we fall asleep, no need to worry, the system is designed for sleep diagnostics, the electrodes are quite long, they are installed

very firmly, you can turn over to the other side, in principle, all signals will be recorded adequately. this is a rather unique institution for belarus , including why, because it is a multifactorial team, a multidisciplinary approach, we are talking about where samnologists are gathered, of course, specialists who deal with sleep problems and disorders, a team of neurologists, including an epiliptologist, is assembled, and where there is a big one psychotherapeutic block, that is, a lot of... psychotherapists who work specifically with the characteristics of patients who have sleep disorders, where we tried to gather those specialists who patients come to when they experience some problems with sleep, because

true, it’s not known where to go, either to a therapist, or to a neurologist, or well, who to turn to, there are a lot of pathologies, and we tried to make such a unified approach, sleep is a unique process that each of us experiences, which ...many animals, mammals including, this is a genetically determined process , this is our physiology, where we spend 1/3 of our lives, it would seem yes, but at least a person sleeps for 8 hours, and this is what is necessary for existence in daytime, since people are daytime, we will say individuals, when we function, our main life activity is during the day, rest, but i would not say that the brain rests during sleep, no, its activity remains, a lot of physiological things happen processes that unfold as in the slow-wave phase of sleep to restore our biological body, as i say, the second is

a paradoxical dream, where our mental reality is restored and discharge also occurs when we dream, where memory consolidation and many other mental processes occur plastic... processes in terms of neurons , hence somnology: somna is a dream, logos, science, that is, this is the branch of medicine that deals with problems related to sleep, it cannot be said that sleep is more important than breathing, no, a person cannot exist without sleep, yes, that is, three, three nights is enough, sleep deprivation, deprivation, total sleep deprivation, so that irreversible processes in both the psyche and physiology of a person begin, unfortunately, during sleep, everything works, yes, that is, we cannot say that something disappears or dies, many teachings would like to think, yes, there are tribes that believe that a person actually dies, and during sleep, his soul flies away,

they practice short naps of 20 minutes, these are the pirahu tribes, in order to take a little nap, but have time to return, the first half of the night we need to restore our body, so the slow wave sun dominates. then the ramson gradually lengthens towards the morning , so we remember the dream closer to the morning, when the effectiveness and percentage of each phase changes. the west and the united states have taken seriously the cultivation of such a tool as radical nationalism, and of course the incitement of national conflicts. this is what we got for our investment. we are not we lost a single american soldier, we

reduced the russian army's combat power by 50%, and not one of us died in the process, which was the best america could do. all the interethnic conflicts that we had after the collapse of the ussr, years later, analysts, those who deal with this, historians, all proved an external factor. we are exactly in the zone of contact, conventionally the collective west and the collective east. and it’s important to us. we can obtain abaronial dolicts from the right-wing architecture, and all for the getag from time to time, the round vegas are very characteristic, and they float to the farming and economic centers of the country. and many extraordinary people. some

meats, garads, which were previously significant in magdybur, in attacks, like kali chigunka, died a lot, ruined their significance. geta was a spraudnaya revaluation, chagunka changed navakolle, cultural-astronomical project of architecture of belarus. gety kastsel does not finish and ў savetsk period, kali vyalіkaya kolkastsya temple stratsіla its percapachatkovaya meaning. the whole thing remembers the 50s. such a shame stalin's classicism. tell the belarusians that the geta is not falling out, for dastatkova come to our capital, the prices are on the praspektse, if you please, as if with a soul, what

is the geta like. glyadzice, on our tv channel. a medical samnologist is a specialist who works with patients with sleep disorders, those who sleep poorly, who have problems , it was during this period of the unique physiological process of sleep, before that i wanted to become completely different, to engage in a different profession, but this is how it turned out the circumstances that i finally came to medicine, graduated from the university, and my first specialty was not related to amnology, i was engaged in cardiology, as a matter of fact, and then, when i saw that there were vacancies for a samnologist and vacancies for a specialist who deals with the description of studies conducted in sleep, i’m more of this i'm interested in what kind of examination this is? how this happens, since this was new knowledge outside the framework of the

curriculum that was taught at the medical university, and having gone to the company, having come, or rather, to the company that was engaged in sleep examination, uh, equipment for the treatment of sleep disorders, i began to study more and more information, courses, direct practice related to this, and so i ended up in sleep medicine and didn’t want to leave there, now the field has become more popular, more neurologists are coming, more narrow specialists such as cardiologists, therapists, endocrinologists refer patients to somnologists, previously this was something unknown, because exactly, in my time there was no course on simenology at all, there was no concept of apnea syndrome, or rather there was the concept of apnea syndrome, respiratory arrest syndrome - this is the main syndrome, roughly speaking somonology, but no one talked about it, no one talked about methods of treatment, directions in principle, more and more

international communities are appearing, in fact, and collaborations for some then the existing communities, the european society of cardiology, have a working group on self-monology, where narrowly focused specialists discuss this, this problem as well, and now it is planned to create a belarusian society samnologists, yes, that is, some kind of platform of like-minded people. one profession, let's say so, where you can have a training platform, conferences, some discussions, a seminar, such on a more regular basis. if i don’t get enough sleep for 9-10 hours, then my morning will be very bad, the first half of the day i work without patients, i have another specialty where i can drink coffee, turn on music and do my work, not

when patients don’t come for consultations , for me this is a very great benefit, because while i’m rocking in the morning due to lack of sleep, then i'm very angry. person, and well, it’s not always pleasant to make contact during this period, and then you’ve warmed up, you’ve drunk coffee, you’ve gotten into a rhythm, and then it’s kind of easier, if i work a large number of hours a day, then of course this eventually leads to burnout, plus the patient, the patient is different, you give a little energy to one patient, but you solve a fairly simple question, there are patients when you give three, three times more in the same half hour, and this too , as if it is not taken into account anywhere, but it gives a certain workload is already burnout, and i try to take a vacation several times a year, without fail, say three or four times, and by the next vacation i understand that either i need to reduce the amount of work, or

somehow make it easier, because true, it’s not easy, we see how much sound there was, the intensity of snoring, what the oxygen concentration numbers are, we see a detailed pychnogram, then we generate a report that also has a graphic image , including, to illustrate to the patient, what we saw when he was sleeping, where the body positions are displayed, for example, from 10 to 23 people, standing or upright, when the diagnostic system understood what it was finding... upright, then the person turned his back, turned over onto the right block, and so on , i had some kind of interest that was more due to some kind of respect for doctors, so i graduated from minsk medical university, i had a specialization in cardiology, i studied in graduate school in

cardiology, and selfology is, as i always say, a hobby , that's what's crazy. is incredibly fascinating and my choice of this kind is more determined by psychotherapy, but in traditional somonology i deal more with breathing disorders, of course, that is, apnea syndrome, correction, treatment of apnea syndrome, since it is very comorbid with cardiological patients, when you see and can completely close the question, yes, that is , build a diagnostic strategy for the patient, and provide therapeutic support from the outside. it’s really great when specialists of related specialties work with monologues in one team, it’s in demand, very in demand, since there are a lot of patients with neuroses who experience sleep disorders, this is insomnia, that’s all, the entire insomnia

spectrum, including, and this is a very big problem for modern society and modern belarusian society as well, that’s a lot. in fact, with snoring, samnologists have always been, are and will be in demand, in my opinion, in general, the history of the polysamnographic system is extremely interesting, kleitmand and azirinsky, these are neurophysiologists who threw electrodes on the cat’s head and noticed that she had different brain activity in different phases of sleep, and began to be studied on the basis that this is how brain activity was discovered, when we say that slow... wave and fast-wave sleep, yes, that is, it started from - neurophysiologists who studied it was precisely the activity, these very waves, that were already put together, that it was good to see how the muscles were relaxed in order to understand what phase of sleep it was, how the eyeballs moved, in order to understand, again, what phase of sleep a person was in, from this

in fact, startanulagia as a science, as a branch of medicine, sleep has been studied very little, yes, more and more new discoveries are appearing, they will appear. due to the fact that our visualization abilities are improving, that is, we have a functional mri, where we can look at the activity of certain areas of the brain, in the best state during sleep, neurobiology is being studied, genetics, epigenetics are being studied, that is, all that what is being developed is of a very applied nature. because of more and more neurotransmitters are being discovered, that is, those substances in the brain that regulate... the action of certain zones and types of neurons, and the more of these molecules are discovered, the more the functional activity of certain

areas, sleep structures, and certain areas is studied brain, limbic system including, and the more we will learn new things in the theory of the onset of sleep, in the theory, for example, why there is a change in sleep, divinity, recently, but not recently, probably years five, the nobel was received precisely... by those geneticists who discovered a gene that encodes a protein that changes cyclically in the drosophila fly during the day, that is, they looked into the biological clock, as we say, including, in general, the onset of sleep occurs under the influence three factors, three components: the first is the temperature component, the second is the melatonin level and the third is the cortisol level. that is, cortisol is declining, melatonin begins to synthesize, reaches its... offensive occurs, it’s like the end of the waking phase, the onset of the sleep phase and the temperature also drops along with

cortisol, that is, these three curves change cyclically and determine that a person falls asleep, a person should sleep in the cold, this is the most adapted condition when, when the ambient temperature decreases environment, the decrease in our body temperature is aggravated, and this contributes to the fact that the sleep phase will come faster and more fully, let’s say so, that is, temperature is one of these three curves that i spoke about, when falling asleep occurs, this cooling of the frontal roofings helps ensure that sleep comes faster, which is why we recommend a ventilated room, a dark room, shaded by curtains, yes, that is, so that there are no sources of noise, light and heat, respectively, when we talk about problems with somnology, what problems do somnologists solve... then we certainly fall into several headings, one of the most common headings is

breathing disorder during sleep, this is sleep and what follows it, stopping apnea, suas syndrome obstructive apnea, and obstructive is mechanical, when the pharynx collapses for some time, and if this time is more than 10 seconds, this is already recognized as a stop, and if there are more than 5 of these stops. now we say that this is already a syndrome, opnoia sleep apnea syndrome. this is the most common problem that somnologists work with, well, 70 percent of the time , well, again, depending on the specialization of the somnologist, there are very many of these tasks, 40-60 per hour, that is, every minute of a person the breath is held, and the concentration of oxygen drops, well, probably the minimum that i have seen is 42%, that is, when it decreases... by eighty, a person can already turn blue, well , if it’s him during the day and a sudden

condition has arisen, but but when a person lies in his sleep, he does not abruptly begin to snore and, roughly speaking, stop breathing there, because he goes to this through his accumulation of excess body weight, anatomical features in some, so that the respiratory tract has such an anatomy that it is prone to this one excessive collapse, delayed this - variant of collapse, all this happens gradually, but all this is aggravated, plus alcohol at night is aggravated, the muscles are maximally relaxed, positionally, when a person lies on his back, the snout falls over, the muscles are maximally relaxed, the pharynx collapses, this is a very big problem , this is really a problem that increases mortality with the same set of factors, the cardiovascular system, for example, tens of times. back in the last century , studies were carried out, the largest

studies on soaz, on apnea syndrome, which, the results of which demonstrated this - that in fact these patients die, they die not because they forget to breathe, they die because they have a life-threatening rhythm disorder that leads to death, heart attacks impaired cerebral circulation, because each episode of decreased oxygen concentration leads to the fact that the body does not wake up. they don’t jump up with these patients stopping breathing, they are awakened, come out of deep fosnes into superficial, this is enough to open the airways, then the body tries to compensate for the lack of oxygen by increasing the pulse, increasing the pressure, on oxygen-depleted blood, washing the meocardium, worsening ischemia occurs, that is, oxygen starvation of the heart muscle itself, so this problem is extremely the percentage of prevalence in the adult population is more than 12 - this is, for example, more than type 2 diabetes mellitus or more than

bronchial asthma, and this aggravates the course of cardiovascular pathology, neurological pathology, including when we say that if a patient has arterial hypertension, obesity and apnea syndrome, then this already goes from x-syndrome, from metabolic syndrome to z-syndrome, then there is a risk of cardiovascular disease that is much worse and, unfortunately, mortality. just one chance to show your strength, this is a ball of thread, oriadic thread, oriadic thread, absolutely correct answer, as perpettum mobile is translated from latin, i took latin 2 years ago, the last time,

this is an amazing revelation, to demonstrate your intellectual potential to the whole country , what can you do, well, absolutely at the same time our participants click, which english football club plays its home matches at the goodison park stadium, pavel, everton, absolutely right, the smartest gather here and bold, not only the east, it’s a delicate matter, to build a tower from crooked elements, then there’s also the subtle art that gave you this idea, i love ballet, alexander gleb, alexander gleb, absolutely right, this is the correct answer, one one of the best football players in the history of belarus. watch the intellectual and entertainment shows on the tv channel belarus 24. the commonwealth of independent states is an integration that unites over 230 million people. the leaders of the countries discussed how everyone could be stronger together. the red thread in the theses of the belarusian president is one thought in

response to unfair restrictions: the world is big, the light is like a wedge only on... europe and america definitely did not converge. developing cooperation with russian regions is an absolute priority for us. literally every for a week, the head of state holds negotiations with governors, alignment to the right, or who these days inspire the third reich, from the nazis in the canadian parliament to the fascists in the european union. russians are becoming the new jews. belarusians, by the way, also fall into this category: for persecution of infringement of rights , a linguistic criterion is enough. the main topics are on the main broadcast, watch on the belarus 24 tv channel. a little forward, you have a high temperature increase, we’re doing march, i’ll advise you to do something else, check

the temperature, someone else is complaining of pain in the back of the head, uh-huh. more and more, and the temperature is rapidly decreasing, well, relatively caffeine, that is, when coffee naps, yes, that is, how coffee works on these adenosine receptors, inhibitory, it blocks them, they are inhibited, then there are more active receptors when we drink coffee, excessively, trying to compensate for lack of sleep, when we violate our basic sleep hygiene , more and more of these receptors appear, then we need to take... breaks, and a coffee nap is exactly what when a person gives himself 20-25 minutes of rest in complete silence, without bright light, before drinking coffee, so that he knows that in 20 minutes she will begin to actively act, and he is already rested, hop, on this, on this wave, he supposedly wakes up, but in reality the person is not sleeping, well, that’s when

we are talking about napping, he is not sleeping, he is just resting, so it is very important to expose... so as not to fall asleep there for 2-3 hours, and this will aggravate the sleep, well, that is, he will not be able to fall asleep at 11 o’clock, he will fall asleep at 20 again, what are we doing, we are reducing our amount of sleep that we need, we talk about chronotypes in somonology owl and lark, in fact, only 10 percent is determined genetically, this is more of what is passed on to us by inheritance , this is a family tradition, that is , roughly speaking, if the parents are owls, then the child, well... is unlikely to be a lark, rather he will be absorb and integrate that system, ideas, of the universe, this system, such a daily routine and rest, what his parents are like, and he will also be an owl, most likely, yes, this is about the fact that people are actually different, but

people can adapt, if a person is an owl, but he needs to get up early, he adapts, yes, he will not be happy, for example, to go to bed there at 9. but if he organizes his work day and his rest correctly, then he will still sleep enough hours to live a normal, adequate life, well and work, roughly speaking, but when he is on vacation, he will still become himself, for example, i like to work in the evening at 2, at 3:00 in the morning, this is more productive for me than let’s say getting up at 8 and until 10 there write an article, well, no, well, i know this about myself and i’m not trying to restructure this, but samnology in my opinion, it is a very rewarding profession when you can tell a person , especially a person who is in neurosis, that your main problems lie in mental reality and give a start to the person sitting in the psychotherapist’s chair, this brings the maximum

pleasure when you are that figure, a person knows about it, as a rule, 90% of patients understand perfectly well where insomnia comes from, yes, they are looking for some kind of magic pill, i say, well, i don’t have a wand, magic time, and you will sleep well, you have simultaneously lost the ability to fall asleep: quickly or sleep well, this is what you have come to, and you are the one who will confirm this and refer you to this, i mean, to psychotherapeutic correction, since i am one of psychotherapy, in fact, switched to samnology and began to do this, and it really brings its results, a modern doctor, in my opinion, should... have a lot of empathy and desire to help, yes, of course, to his fellow man, here is

a modern doctor who has extremely high scientific potential, he is good, but perhaps not for an applied nature, because when you come to a doctor who is an archium, has literally all modern knowledge, but he cannot enter with you to question and identify a person’s needs, then this is not exactly a practitioner a doctor, in my opinion, yes, but a practicing doctor who should, who knows how to build contact with a patient, if necessary, redirect to a more highly qualified specialist, because a doctor cannot know all areas equally well, but on time to figure out what’s going on, and if it’s... it’s not your narrow specialty, then redirecting it to colleagues, asking colleagues for help , getting a second opinion from colleagues in the same specialty, in my opinion, is extremely important.

a doctor has no right not to develop, if you stop, then you can do more harm than help, since modern trends are extremely intense, approaches and views are changing, even some pathogenetic aspects are being revised, it must always be... well, on the wave , as soon as you stop doing this, that’s it, you roll back and you you can even do harm, since this approach may no longer be applicable , this opportunity to help, it is very important , because to consume something, as if we all consume, but there is still a need to highlight, and when you understand that you can help to this person, then you have to do it, but it is some kind of satisfaction. for me, the dream is probably to work outside of the work schedule, that is, at the time when you receive the amount of work, and well , the period during which you must complete it, without

being tied to this routine schedule there from eight to two or from two to eight you have to be there, whether you want it or not, but your physical body will sit in this office, this is kind of hard for me to cope with, i would like, well, more freedom, dictionaries in my head, yes, until victory, that is, if you understand something, that you want, then please do it, it’s very difficult to decide what you want, in fact, yes, it’s hard for me to do, to understand the authentic this need, you understand what you want, that there is no problem doing it, but finding this need, this is the problem, in my opinion,