the parameters will be determined, the government is now dealing with this issue, so those 5,000 rubles. eh, about which the story was now discussed - this is still a preliminary calculation for this here and we are talking so that the government also hears the news and increases these tariffs not in such colossal times. well, here it is necessary, firstly, to immediately note that the government, in the draft that has now been submitted to the government, assumes that, firstly, the category of beneficiaries is being implemented at the federal level. these are large families disabled veterans, and by the way, they make up about 20% of all applicants. now the statistics will remain. they will have preferential treatment. this is about 1,000 rubles. per kilowatt. that is, it is five times cheaper than everyone else due to the new rules. connection rate. here we see that people will not be ready to pay not 5 not 50,000 rubles. not for 1 kw, not for 15, which not everyone really needs. well, we estimate that there will definitely not be a slowdown, because already now

, uh, here we must add, as they say, there are no specifics. yes, first of all, now these 550 rubles. - it within e-e 500 m for the village 300 300 m for the city. and everything that is higher is now paid at other rates. it's about, well, 38-40.000 rubles. if you look, therefore, of course, we take a very wide range and begin to compare them. true, the rules of the conditions will change or e. this will be the base and if certain distances from the cost are not observed, the distances will be even more accurately determined. well, the same, most likely, we are in this regard. well, at least we start from this, that is, 300-500. m is here what is now being discussed in the government. this has not yet been decided, and benefits remain for certain categories of applicants. here we must also remember that we have e, citizens can. now , according to the current standards, not only 15 kw to 150 kw

, a preferential procedure for technological connection, that is, for these periods, and there, well, if we take roughly 8 years, but the shortfall in income of grid companies is 200 billion rubles. this whole program was spent, so the government is moving towards a more targeted approach, that is, giving benefits to those who need them. you talk about targeting and when in the story we heard that people, and for 550 i can connect 15 kw, i will connect 15. although i need two or three, well , well, but you can’t do it. so, if you calculate the average, that for a summer residence you need to leave 2-3 kw at a discount, these 2-3 kw are now set by the regulatory authorities of the constituent entities of the russian federation that is, each region sets these tariffs on one's own. this is what is supposed to be preserved from the point of view of the one who does it. by what

amount will the subject determine in the same way, that is, the subject determines, well, conditionally, according to your proposal to make 3 kw 5 kw 10 kw there, or categories of applicants, whom he wants to legit support to subsidize, and so on. this all allows somehow federal law to warn there. this is already in the federal law that has come out, that is, either the regions, uh, subsidize and people can connect their conditional kilowatt for 500 rub. or a certain category of citizens will be able to connect this kw. and if he wants 15, then at the full cost in this regard, that is, the value within which is defined in the federal law 150 kw is the maximum subsidy for which you can, well, as it were , establish at the regional level, and specific categories of applicants or kilowatts are established by the regions independently . let's see what will come of this. thank you

andrey maksimov, director of the electricity development department of the ministry of energy of russia, was in the studio. have a nice day. thanks and oil premiere at 21:20 on the russia channel, a hungry crocodile landed right in the boat happened. it was in the quiet smell in the north-west of australia that the crocodile chased the fishing lure of the hunt, he intensively rowed his paws with his tail, cutting through the water, as if a torpedo, even from afar, it was clear that this beast was not going to stop before anything, and in a second the guess was confirmed when the tackle was pulled out out of the water, the crocodile made an incredible jump to the fishermen. it was very lucky that the sides and boats were enough. high, well although there are no such monsters in our rivers,

there is a threat no less terrible in them. it's true, where do antibiotics come from in the water and how they negate the treatment of many diseases and we find out right now that it's somehow cool today. what thoughts they don’t have mishina has been poisoning any walk picnic or going out in the winter during a banal bronchitis, the woman found that the usual magic wand antibiotics no longer work on him. apparently, there were so many of them in my life that they stopped to act antibacterial drugs in our lives. and it's true. more and more experts confirm and problems today, alas, not only in the fact that we are used to treating every sneeze without looking at training pathogenic microflora to repel attacks of resistance mechanisms , many antibiotics can be in the food that we use antibiotics get into water into the soil water is of particular concern according to a worldwide study virtually all major rivers in the world

medicines, including antibiotics , the record holders flow in pakistan, bolivia, ethiopia , armenia and china, the situation in austria and israel raises concerns from russia, and the moscow river got into the rating of medicinal rivers, though in a consoling eightieth place. well, domestic scientists after conducting their experiments. we strained, we found a total of about 50 a names of active medicinal substances, including antibiotics and this is erythromycin a. tetracycline ampicillin, a, that is, a fairly wide range, a medicines the very ones that are not completely processed in the body and, together with sewage sewage, can go straight into water bodies. last year approved, and the standards for five, and antibiotics and three hormonal drugs, a constantly necessary process of harmonization, the development of new clarifications. the closest attention to data about tap water, thanks to the existing preparation input system

, is definitely impossible to get poisoned or recover from a sore throat by taking a sip from the tap. however, experts do not deny at the current level of technology the risk of microscopic particles of medicines entering the water supply remains. these substances must be determined in water, and in very low concentrations, some antibiotics are normalized, and a tenth of a nanogram per liter. and this is a big problem of the analytical plan of the problem of the practical plan of boiling. in this case, according to some data, activated carbon filters or a reverse osmosis system will not help the most productive. well, they are not a panacea question. we must decide from the creation of new methods and cleaning methods to closer control of the use of antibiotics. in all spheres the latter is a matter of life and death. in the literal sense, already now about 700 people die in the world from antibiotic resistance per year. and we will continue talking about antibiotics with professor call

of the department of drug supply organization of pharmacology of the sechensk university, prose by yagudin roza smailovna. good morning. so if we talk about the use of antibiotics by us people. during the pandemic, studies showed that bacterial infections developed in seven percent with covid, and almost everyone prescribed antibiotics in 98%, and they prescribed three at once and official recommendations. the doctors did not comply. eh, what does that have to do with it? how to avoid repetition the data you are referring to does not quite reflect the whole picture. this is just one method of analysis, where you selected those patients who underwent bacteriological studies of all patients. such studies were carried out later, if you look at the development of methodological recommendations. you will see that approaches to prescribing antibiotics have changed and it is written there that it is absolutely not necessary to prescribe them in every case. and now doctors are already giving antibiotics like at the beginning of the code. our colleague literally had a suspicion of covid in the last few months, and he was immediately

given antibiotics this doctor should read the guidelines issued by the ministry of health, which clearly states when antibiotics should be prescribed. come antibiotics. as a rule, prescription drugs are correct, so from july 1, as far as we know this year, a law on the online sale of prescription drugs should be drafted, and, then, an array of information will probably accumulate if such drugs are bought through these electronic prescriptions. who appointed? why did e appoint how much did he appoint? what antibiotics did he prescribe? if, uh, to collect and analyze this array , some information can change the situation, of course, information on electronic prescriptions on those drugs that are prescribed in electronic prescriptions. it will be very useful, but, unfortunately, this requires that electronic prescriptions be linked to an electronic medical record, or an outpatient card now. those recipes are not tied to cards, and in some

regions there are such information systems, but not everywhere. and as far as we know, informatization is developing very much. this is one of the goals of informatization, but it is still quite difficult to get a complete picture, and you already mentioned bacteriological research. here if to speak, in general, to me, being attached to the coronavirus, which we talked about, and now the pediatrician on the third day of the temperature prescribes antibiotics to the child, or e, they analyze the increased leukocytes, they also prescribe antibiotics at the same time, and bacteriological studies are not really carried out problems of the unprofitable prescription of antibiotics. pediators. yes, it means that the world health organization once said that doctors who are very conservative are easier to teach than to wean them later, but to say that it is necessary for everyone to carry out such research would also be wrong, because it is an excess burden on the health care system again. uh, not far, not always arvi is followed by the development of a bacterial complication for a certain group of pediatric patients. which is what problems. yes, it is necessary to conduct such

studies, while keeping in mind that in order to get e, the results of a sensitivity study, it takes time, and sometimes you can’t wait for it, so sometimes treatment with a certain group of antibiotics is prescribed and the attending physician a competent attending physician who leads the patient and knows the history of his illness. he can always see when to prescribe an antibiotic. and when it is not necessary to prescribe an antibiotic, here, of course, a lot of work under the continuous training of doctors. including pediatricians. should carry antibiotic resistance. after all, different can be even in different medical institutions. there are different territories depending on which antibiotics were used now, an interesting phenomenon has appeared such that sensitivity to the old one returns antibiotics of those that we used to use, then did not use for a long time, now there is sensitivity to them. so this is a difficult problem. and so it's impossible to solve it. uh, lab tests alone won't solve this problem. only rational application by doctors is only the position of doctors. it will help solve the problem of antibiotic resistance in the patient population,

and in general, the development of antibiotic resistance is affected not only by healthcare, but also by other industries. i understand rosa see thank you we spoke with professor of the organization of drug supply and pharmacology at sechensk rose university. thank you well, our time has come for us to say goodbye, it remains only to wish you a good busy big may weekend, which we are starting right now, have a good day and an excellent end to a short working week will still be with you in the morning. bye. walk

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sudden cardiac death today, who is at risk? what popular drugs can provoke it? because of what, very young people die instantly. and what to do to

protect yourself from cardiac arrest, would you dream to die, so i'm talking to her, and suddenly she's just a second and dies. i'm wondering how to delay this by 40 years. microbiome bacteria within us, how do they control us? why the microbiome causes heart disease and cancer how to improve the functioning of the microbiome? and do you like dumplings? we have mixed everything there now for us, as if taking revenge in a person. the most important thing is lupus. because of what it occurs in people more and more often, who is in a particular risk group, what symptoms can be used to suspect it at an early stage and why to put even doctors find it difficult to diagnose lupus it is not a single disease. you probably don't, such a

lupus disease, they start eating our own cells. everything falls out of your hands and you can disperse. sudden cardiac arrest kills 250,000 people every year in our country at home on the street in the subway while driving. just imagine there was a man and no man. why does the heart stop so suddenly? because of what sudden cardiac death comes, to whom it threatens, how to prevent it and how to save a person if he the heart stopped beating about it right now, dr. myasnikov will tell. well, how to save? i won't tell you. there are, of course, methods of basic, advanced resuscitation. you all know this, indirect massage breathing defibrillation, when rhythmic death,

but this is done by professionals before we tried not we all over the world. we made cardio fibrelators in department stores. ah, grocery stores. as a result, people in a faint with convulsions received discharges, and so on and so on, you need to have basic skills, but this is a separate program, we once had this story, so what to do when i won't tell. let's talk about how to avoid this. if only it is necessary at dawn, we have medical activities. i was a sphere. a doctor came to us, who actually invented this defibrillator, a well-known person. by the way, he was then a rather young man, but there was a symposium dedicated to arrhythmia. use them every fibrillator and sudden death. he began his report. from the next he said, i think the problem of sudden death will never be solved. why? well, because all of you, sitting here, depend on the speedy solution of this

problem. would dream of dying, so is really sudden death. it was not for nothing that it was called the kiss of god, and if i repeat once again that on the planet of death 100%. then i will repeat for the high. it’s good if it’s good right away it’s good if your back is stabbed, it’s perfect, the lung didn’t wake up, it fell, a whole woman and it died to you. ideally and dially and correctly said, each of us dreams of dying as well, in fact. is it really enough common death 15% of all deaths. this is sudden death. it is not necessarily heart disease, there are many reasons for this, but 15% and half a million people a year die suddenly half a million. well, again, when a young guy. this is one person 45 years old, another person, 780 and so

on. i don’t know, i would definitely like to say the same way, my grandfather died so suddenly. but my father was dying from a truck, he was suffering hard. god forbid anyone at all, therefore such a question, semi-philosophical and so, of course, these are mostly heart reasons. this advanced age. and this is the presence of a heart disease , a heart attack, a stroke, and i will tell you, if you open a book describing clinical angina pectoris , an american edition of the fiftieth year, there are symptoms in angina pectoris, there will be only two words. pain is death, sharp pain and the check is dying today. we, too, are now bringing people to us soon. here, with a painful shock with an extensive luck , a person dies. this is not exactly sudden death, because sudden death, when here it is a sudden check show and fell. well, let's list causes heart. this is understandable about the arrhythmia of the individual. now let's talk about arime. it could

be strokes it could be ruptures they're in rome who has congenital brain neurosm so andrey mironov died, at a distance yes burst instant death it could be a shot uh, hmm a blood clot. uh, deep shin thrombosis, shooting disease when a massive branch plugs up the check really dies. it's real in front of your eyes. sometimes it's embarrassing. i had such an interesting woman in america, a patient. i already had thrombosis. she was on blood -thinning anticoagulants and they put an umbrella, that is, a filter and that's it. i'm talking to her and suddenly she's just a second and dies. here is a large blood clot. everything seemed to be done. but once again you emphasize that you decide and the lord approves or does not approve it, you know how i, too, in america there are very fond of all sorts of sermons on tv,

there are baptists and so on and jewish revs, or he repeated this story. i came up with the same. i don't remember, it was 20 years ago. and her to him the audience asked the question what, but how is it? i so asked god and he, and what did he say? well, does that mean he turned you down? yes, he refused you, he can refuse you like that. eh, all the reasons come here for you, as i already said, these are pulmonary and there you need a heart to eat this is a rupture. there are a lot of reasons and we don't care, we care how to prevent it? well, again, let's do it, i said it wrong. let's not prevent it. i'm not interested in how to prevent this. god forbid that it interests me so much how to postpone it for 40 years in my age, well, at 50. well, okay, i won’t be rude at 40. let's think about how to delay it, as i said 60% of people with sudden death. these are patients with risk factors for coronary

heart disease. smoking sugar, elevated cholesterol, high blood pressure, increased weight increased heredity. well, the gentleman's set weighs, which we know well, you have it , but in the fight against it, you lose weight. you are taking statins. move. stop eating what you don't get, especially smoking. this is about the main masses, we do nothing. a very revealing study of the genome. let's now make you genotypes. we will know the predisposition to a particular disease. we do it in one experiment. they did genetic analysis for a certain number of people on many hundreds of men and selected, in my opinion, 2,000 people. they said you have a very high, genetically determined risk of heart disease. you need to quit smoking. lose weight, exercise, and so on. after

2 years, the men were again collected and asked the blame. raise your hands, who wants to do something tired said. 46% under it, and 56% scored on this matter and lived the same way as they lived. that's just to the question that who is warned is armed, we still have a different psychology, who does not smoke and does not drink, then a healthy one will die. uh-huh so rhythmically. here are the young people. it's basically an arrhythmia. well, in general , cardiac death, if a person fell for an autopsy, nothing was found. it was an arrhythmia, it's a tachycardia. it can be said and be from drugs. it could be the antibiotics. why did we say that flickering lithuania may be best left untreated. if you tolerate it well, so to speak, only like this you can feel it, because many drugs for the treatment of arrhythmia and atrial fibrillation, including themselves, provoke the need for deadly and there is a certain percentage of mortality. simply from the fact that we are treating rhythmia, because we

now want to treat it. although, it still does not threaten you in many cases, and now it ends with this, either you are taking antibiotics. derivative there azithromycin corzithromycin industrial erythromycin, which has the potential of the so -called torsade depot, is such a pirouette, you know, when tachycardia goes first down the directed program, then up the so-called puree mass of drugs. it can end with the death of arrhythmia - it just needs to be remembered. this is very important. and of course, this violation. here are the boys and girls. they are more or less anorexic. they cause vomiting, lose potassium, low potassium - this is also instant death, as well as elevated potassium. that is the loss of electrolytes. vomit. good would be some kind, otherwise artificial. still young there is sudden death. this is either hypertrophic cardiopathy when from the heart. and here the septum thickens like this, what, when it

contracts, right? here it is reduced. this septum blocks the entrance from the left ventricle to the aorta; this can cause. both the son of cordia and sudden death, i wrote a lot about arrhythmia about young people for years. quite a lot of about 50,000 departures a year cleans up in the ring on the field 50,000 is a lot personality. but the boys are just shocked. there are a lot of them 50.000 is a lot. well, the truth is, for 7 billion people, this is electrical death. this is the mentioned syndrome under the influence of qt. this is a congenital pathology that may not manifest itself in any way in ordinary life, but with a very intense load it can, well, a very interesting situation is the emotion of cordi. the so-called who remembers the famous film.

suma thurman where is she? uh ends up killing her ex-husband, her child's father's lover, in just a few light strokes, hitting him in the chest wall. there is a wonderful scene, he gets up and adjusts the gas. and he says, my father nevertheless showed this kick, how i look, because it ’s great, he says, well, he turns around dying. but it's still invented about the conversation, but in fact it is the mechanism of emotion. order, what's going on ? it doesn't have to be a karateka or a ball boxer. you are just a ball. you play tennis. you just play tennis. you play golf. something else when an even round object hits you in the heart area. here it seemed would be nonsense, by the way, now all golfers in manual softer, and so on in the west play in vests, so that this was not a question, when to get

in. you know, they say, people do not know their time. yes, just as a bird is caught in cracks, so a person hatches. eh, in his troubled time. here is the cardiogram. there is one moment of the brush, well, let's say, if you have 60 beats per second, you have a second from undersaturation. that's for it, let's say 1 second. you and i have one second before the trial. and here there is a place, when this cog, when it goes up. this is the vulnerable period. but this is how much 1/10 yes tenth of a second is a few seconds. if you hit, here in this place with a ball with a fist, a stick, which is not strong, not strong. so no more in this, or milliseconds, the heart develops the deadly danger of these roots. it's just that she's starting to work as a booster. dies in a second. and this is written for the first time how early i am