to take this process, they toughened their position by a provocation in the city of bucha, and which, in the most obvious way, the names of these dead were staged, no one presented to anyone. no one provided information about what kind of injuries these people had that led to their death. this once again shows that the west does not want to present any facts to anyone; for the west, it is important to throw in the right to make a loud noise out of it, and then, when people begin to try to figure out the facts, they put it aside and come up with some new fake news. in kazakhstan, a referendum on amendments to the constitution is being held today, more than 10,000 polling stations are open, including several dozen abroad. the amendments ensure the transition from a super-presidential form of government to a presidential republic with an influential parliament and an accountable

government. there is also a ban on the membership of the head of state in political parties; in order for the amendment to be adopted, several conditions must be met; the change must be supported by more than half of the voters in at least 12 regions of 17 with a total turnout of more than 50% new shooting in the usa this time in a phoenix shopping center where at the time of the incident there were about 100 people , according to preliminary data, the shooting was preceded by a quarrel between visitors as a result of the conflict , a fourteen-year-old girl died, eight more people were hospitalized with bullet wounds police to apprehend the intruders. failed in hot pursuit. a colombian court sent the country's current president, ivan duca , under house arrest for 5 days. cause in failure to comply with the decree, which obliged the country's leadership to develop and implement a plan to protect the loss nevados national park back in the twentieth year. duki called the court ruling unconstitutional and politically motivated, according

to experts. the decision will not be enforced, the president will be protected by immunity to withdrawal. maybe only parliament. in moscow, russian detectives awarded the winners of the award. it was founded only 2 years ago and is supposed to support literary and authors and filmmakers, working in the detective genre, the award ceremony was held at the site of the moscow book fair , the award is awarded in the twelfth nominations. among them are the best author of the opening film of the year and the children's detective story, according to the jury. the main task is to give people a list of what is worth reading or watching. we are just looking for awards, a russian detective, an unforgettable work. we are updating the list of books and films and tv series must -sees. and these are children's detectives. these are detective stories for the general reader. these are foreign detectives. and this force, uh, writers who are just trying themselves in this genre are taking their first steps, so the time is open for those who generally want to become a

debutant and start detective genres. how are russian endoprostheses produced, why is the nizhny novgorod pressure chamber better than the american one, and how does artificial intelligence help fight covid? all answers in a special report by anton borisov on guard of health? from all these hostile sanctions, the head is splitting and, frankly , the heart is aching. now wait here i have a pill, well, under the tongue, thank you i hope will help. well, by the way, it is completely russian , that is, they didn’t just take something stamped there, but the raw materials are also ours, in fact, very relevant people ask a lot what will happen to medicine in general. and most importantly, if medicines, why, by the way, are painful. in the literal sense, i looked, three-quarters of the medical equipment that we use is also foreign, in fact, everything is not so bad, but it is best to check. well, as a matter of fact, we will check and go to different regions. let's see you

we will show you to draw conclusions too, and here is our first story from the penza region. in penza there is a technopark of high technologies ramiev one of its residents invents and manufactures medical products that improve the quality of life of patients, for example, an endoprosthesis that replaces the disk of the neck of the mouth remains mobile throughout the entire period of use doctors have been using it for eight years, preferring imported analogues, developers . let's go further and insert a bone substitute inside the prosthesis, which then

grows in the human body, well, it develops into about 1,000 of our own movements are expected this year, but this is not all from the new joint. the first two operations in the center or anew have already been carried out in the plans of the hip, and here are the micro-screws for squeezing dentistry. strange competitors and completely exclusive clamps for cerebral vessels made of russian titanium on the instructions of our moscow colleagues of neurosurgeons, we developed it because in russia , well, there was no such product at the registration stage at all, while in the end, according to the developers, the demand for products that are on average better than competitors is serious, which is proved by the following story. it is always interesting how it all begins, and it began in the kirov region in the

city of kirovo-chepetsk with production. these are the valves for the heart. they have been serving for more than 40 years, although they look unsightly. but today time is running out, and therefore, as part of the import substitution, they are already making such completely futuristic dads. ball valves of the heart were developed back in the 60s . they wanted long-lasting, but not without flaws, they changed the blood flow and increased the risk according to manufacturers, the life of modern valves is 100 years, and have you ever communicated with a person who has installed a valve. yes, what a feeling, well , firstly, relief, that is, a person. after

valve prosthetics, he becomes a full-fledged person. returns to normal life. many are disabled. well basically a person, subject to certain restrictions , is quite normal production of valves on modern high-precision machines assembly in clean rooms, the sash ring and alloy cobalt chrome and nickel cuffs, with which the prosthesis is sewn, everything is made in russia, deliveries go not only to the domestic market, but also to a dozen countries demand is constantly growing. for our part, we will try to meet the demand. well, for today. in general, we are actively expanding our production. soy products. well, behind me a new line for the production of medical silicone knives, which will be launched in the near future , will be put into operation to produce more. including valves companies

from invest 150 million rubles. the plans are to build a new building, buy more equipment and expand the staff. by the way, the production of valves in russia is being consolidated; a company from the kirov region bought out a penza enterprise several years ago. anton visited there and saw how they produce. only heart valves the most important thing to save a life is a coronary stand medical products that dilate blood vessels and improve blood flow are produced in penza well, of course, not only stents. now you will see everything. tnt through punctures in the body will be using a catheter with a balloon, placing, for example, vessels, these spacers prevent it from closing in penza production. started in repackaging. now everything is produced by themselves and supplied by russian clinics. they plan to

export stents to the eu countries in comparison with foreign counterparts. yours is no worse. and our stand on some parameters. even better this year about 15.000 items. we will release. and maybe more, we can do more at a production capacity that allows us to produce up to 50,000 weeks a year, but there is one caveat, the material itself is an alloy, from which a foreign stent tube is machined. so far, for example, this long tube, but we can already manufacture a flexible one, we have found an erotic supplier, we are purchasing equipment for manufacturing. and for these pipes, both metal and polymer, this program should be implemented by the end of this year. and go into production. production in the new building built with the help of state support, we are shown the latest models that completely imitate the

natural valve, there are also biological tissues of animals. they can be installed through punctures without serious incisions, created all the production facilities, which in fact will allow to increase the volume of production there, at least twice. uh, we can say that the volume of its production. already now, compared to last year, they have grown by 30%. and how can you have a thing? when that is, uh, we plan that this year, uh valves will be produced, and about 10,000, which experts calculated they made 70% of all valves that were implanted in russia, this is more than 100,000 saved lives, that is, in fact, every valve. yes, yes, and even get to him . yes, the car helps us. this two wings one finds according to the characteristics of the second

continues to search and finds it literally. maybe even last year, cardiologists order valves, for example, from the federal center for cardiovascular surgery in penza, where they also conduct clinical trials. the next story is also about an individual approach. there is such a thing as pharmaceutical sovereignty, when everything from an idea to the final implementation of a drug is produced here in moscow at a compact enterprise. this is called targeted medicine, when a course of treatment is individually selected for a specific patient on the territory of the technopolis moscow special economic zone, where there are benefits for residents of the company having invested almost 2 billion rubles. in august last year. opened a rental center laboratory for quality control of products, and this is more than 30 types of drugs

for the treatment of socially significant diseases. for example, what kind of diseases are we talking about? we are talking about a wide range of oncological diseases, there are groups of clogs of neurological and endocrinological diseases and rheumatology , production of non-million copies of small batches. but the most needed drugs, for example, targeted and immune therapy, more than 20 drugs. now the development is not only about import substitution, it is about the production of drugs that were not in russia, in general, the russian company will be able to break stereotypes and do better than western forms. for us, it has always been a certain landmark when she entered here, as if through an open gate in the nineties, when everything was open and available for capture. and we had to spend us. i mean, the industry and the pharmaceutical industry. e by the state regulator, to show that the domestic industry is in solidarity, that it is competitive, and it is capable

of producing medicines. and another important point. there are also plans to release substances raw materials for drugs. at the first stage 100 kg per year with the possibility of increasing, up to a ton. now the lion's share of the substance is imported into our country from india, china and europe, and although there is no shortage of medicines in russia now, all deliveries continue, but where is the guarantee that this will always be the case. can you say that your company has? well, let's say, uh, medical pharmaceutical sovereignty from the west, we can say that this is a good undercoat, we can say yes, because we uh definitely. uh, we generate a bios of knowledge for ourselves team of the right strategy to comply with the regulatory requirements that state regulators impose on us. as a result, high-quality, effective and safe medicines are obtained last year, according to the ministry of industry and trade in russia, drugs were sold for 1.9

trillion rubles, the share of domestic drugs is 61.3% and there is every opportunity to increase production volumes in a full cycle, at least half of life , and in this list there are 404 positions of import drug substitution actively the residents of the technopolis and large factories, for example, moscow endocrine and enterprises in other regions, are also involved in this. one and a half billion tablets a year are ready to produce this plant in tatarstan, they are leaders in the production of such drugs in russia. well, the only question is how much they are all domestic now and we will find out. the release of 120 million packages per year of production goes on,

like tablets, ointments, gels and a drop of it, we will put a sterile list of long-term important drugs is also quite large, and including starting from obraztsov she and. uh. now there is an import substitution of diversified planets, trimetazine produces demand, a large volume of production is also growing. moreover , the full cycle, that is, the substances themselves, are also made by the substances themselves and the preparations are also being produced at our production facility, the meber, the release of ice recently. very large volumes. these antiviral drugs are used, and we also make a lot of russian honey stations ourselves. over the past 2 years, several sites for the production of the substance have been opened in the country in addition to moscow in st. petersburg. in kurgan and bratsk and another painful issue, and not only for

pharmacists, is the issue of imported equipment ; there are many of their own specialists who can service the equipment are not enough and they are preparing in particular. moscow state university of those bauman university in st. petersburg has a task to produce more and, of course, to produce its own equipment. i understand that most of the equipment is foreign, but nevertheless. here is how you solve this problem. now this is a difficult time about spare parts, but about spare parts, and spare parts that are difficult to european. of course, we are waiting for europe to open, but we are trying to produce spare parts. here in russia we shoot, certain chains, some tapes, we take our russian farms for the manufacture of the same chain, we also bought a 3d printer from us and manufacture it, and plastic spare parts themselves are dominated by imports. and in medical equipment, especially high-precision ct

mri, the importance of operating rooms, some companies managed to completely localize production, for example, in dubna near moscow they produce a device for better therapy, and mechanical ventilation in the moscow technopolis in order to produce 100% russian devices in 3 years, the company invests 60 million rubles in development. or here's another example we are talking about an ambulance is important. every minute you need to do everything to save the life of the patient to make the doctor's work as efficient as possible. here in moscow there is a domestic company that manufactures everything necessary for an ambulance doctor started with the release of relatively simple industrial items for suitcases for sko doctors. and now there are already 18 patents for more than 30 products.

here is one of the novelties of the indicator of the effectiveness of cardiopulmonary resuscitation and used as a simulator, this device allows you to control the depth of these compressions so that you do them efficiently , that is, in addition to the fact that it sets the compression frequency to 110 beats per minute with an audible signal. it also sets the depth. that is, you put on the chest. start compression you get a red signal, it means that the compression is excessive for this patient. another completely russian device, a portable medicine dispenser during resuscitation. he himself introduces, for example, to help the brigade with a certain frequency. there are practically no adrenaline dispensers of this kind in the world, that is, there are no analogues to it in terms of weight and size, but it is as simple as possible, maximally e, small-sized e, intuitive device, that is, there is an automatic determination of the volume of the syringe, that is,

by pressing the start button you start infusion into the vein patient or such a device that measures the patient's condition to measure and so all your parameters are shown to you. yes, everything is great. soon manufacturers will present 8 more products and intend to fight for the market. after all, the departure of western manufacturers. this is a window of opportunity, but competitors from asia are on the alert. almost all the equipment that goes in the car. medical help soon. we can substitute, unfortunately, now there are certain difficulties associated with the supply of conflicting ones, but i think that the next term is there for half a year. we can solve these problems. what positions are we talking about, mainly these are electrical microcircuits for medical purposes. since we are talking about computer technology, russian developers are here. do you also have something to offer for the medical field? that

many innovative companies work here in tatarstan, including developers of a program to help doctors , artificial intelligence can recognize various pathologies. yes, medical images are such a third opinion. in fact, this is such a computer vision artificial intelligence examines mammography x-rays for this image and highlights problem areas to help specialists, the program was developed back in the seventeenth year, but the system was able to evolve significantly during the coronavirus pandemic, when thousands of images had to be processed. well, according to the results of last year , we processed more than 700,000 ct scans well, in fact,

our artificial intelligence can determine all the pathological changes that are present today, that is, now we can say that we are working practically the same as a doctor, but with the proviso that we are doing this much faster the program works in moscow kazan in surgut and now the task is to make a complex product so that computer vision can see everything and tell the doctor that, in fact, there are some signs of inflammatory awareness. or maybe they don't. oncological changes yes, maybe there is coronary calcium or some kind of neighboring vascular diseases, there is also a development. in the moscow clinic, artificial intelligence works as a nurse analyzes the video stream of the ceiling cameras and determines the different states of the patient's yes. that is, if, for example, a covid hospital and a covid patient are not allowed. uh, roll over from your stomach to your back. then suddenly it turned over, accordingly , a push notification comes about the nurse that there is an

urgent need to go to this ward. side of clinics is growing, by the way, then there will be a story oh, method equipment, which is not available abroad. children have two main fears - dentists and a pressure chamber, at least one of them with a pressure chamber was helped by scientists from the university of nizhny novgorod. let's get a look. it would seem a pressure chamber, what is unusual in it, for example, in an american chamber, which is filled with oxygen at a rate of 300 liters per minute. it 's only 10 liters. it is theoretically possible to use electrical appliances in the chamber without fear of any fire. it differs significantly from

european counterparts. and and others, but domestic pressure chambers in that it is, but safer, and the patient sits breathing a mask through pure oxygen, and around the patient there is the same air that is now around us, the developers assure that it is more comfortable than analogues chair, as if from an expensive car and it is possible to carry out therapy for children along with mom. please tell the child that this is not scary at all, because there is no enclosed space, the child is not afraid here. and why big windows are enough to see all this with us and hear here we have. two-way communication is possible with the help of a mobile computer, we can show cartoons to a small child - the pressure chamber has been used for several years not only in russian clinics, it has been purchased by various companies to improve health, say neftchilars, but the main

diseases that we treat are inflammatory diseases of the gastrointestinal tract . intestinal tract, non -specific connective tissue disease, a bronchial asthma obstructive bronchitis, a hepatology is good. we have many patients treated hypotology. and so. uh, hmm the last year and a half. we even take patients to treat the consequences, and covid, the nineteenth chamber uses them in sports medicine. oxygen restores after loads of winter. i ran and inhaled, just such a slight dizziness. it really feels like you walked with a sostov forest, and even more so ran through the history with a pressure chamber is also an example of how, with the support of the state at one time, a resident of the ankudinovka technopark received a grant of 8 million rubles. a small company was able to bring to market competitive product our next heroes also started production in a small room.

and now deployed large-scale sweating pupils to the light the doctor reacts. it seems to me that we do not lose patients, such robot simulators help save lives, because the quality of medical education depends on it, to make it possible to say later, well, not everyone can be alive, but in tatarstan they can. and it all started like this 12 years ago, they developed a suspension simulator for trucks that imitates the landscape technologies formed the basis of the laparoscopy simulator. this is when the operation is done through small punctures. and now a modern such simulator is a magnetic connection, for which the company's patent applies the necessary resistance to the tool. right now, here i am pulling the fabric virtually, that's right, and you feel exactly the tension that doctors face when working directly, all this data will not live there.

well, since it's a simulator it's permissible. we can learn from our mistakes so that future doctors learn from their mistakes on simulators and not the company violated the fifth of hippocrates and the only manufacturer in russia works on surgical simulators, but here is a simulator for ultrasound specialists. the programs themselves are also written here. yes, everything is completely right up to the very earth three support programs. everything is written with us in cooperation with specialists practicing rotations. yes, directly our developers. it turns out that before making products, they consult with doctors in russia, no one else does. and when you come and you can make a real injection and anti-vandal silicone - this endures, hundreds of scenarios with the use of real

metabolism are obtained by the patient himself. a tablet knock i immediately arrives. well, it turns out the action that our patient was intrigued. i inflate the cuff. and i connect real vl devices. and now we see that our lungs are rising. try more than a thousand parts and each order, which takes from a month to three , was individually collected last year, for example, 80 leonardo is the name of the robot man, who are your customers? we work somehow the territory of russia and cis countries, so to speak, the domestic market is

exported. and if you list the countries to which we export. in fact, there are more than third country competitors, but western sanctions on the russian market hit foreign simulators like a boomerang. we see for ourselves, and in the future, probably, new horizons in terms of working with customers here in russia. well, for the price, as it turns out, even we do not take these geopolitical circumstances, the difference was one and a half to two times. now maybe it will be more drastically. in general, these are the stories when manufacturers of good things want and, most importantly, they can. actually a lot of things. i would like to talk about the

same, for example, the glonass medical platform or about the production of a vaccine. well, yes, i also read about the fact that, for example, the growth of everyone is going to do a russian mri, which is important. and or, for example, a russian surgeon who finally received funding will cut through. it is currently undergoing clinical trials. in fact, there are a lot of developments and a holy place is never empty niches were freed. and these are new opportunities. i still prefer fresh air to sports, but if necessary, domestic medicines. they will come to help. i know, well, as they say, get up on your skis, and then everyone knows.