on the hemp that we attributed, now i'm here i propose. uh, have a little chat with colleagues in our subjects, where voting is in full swing. this is the sakhalin region, our far eastern borders. there are large ones. i remember, let me remind you that elections to the legislative bodies of the region are underway, and let's start with our esteemed colleague viktoria valerievna cherkasova, who is the head of the electoral system of the sakhalin region. it was a live broadcast from the center of the election commission, where i am watching the voting in vyacheslav volodin, chairman of the state duma, voted in moscow at the elections of deputies of municipal assemblies today he arrived at the polling station 75 of the presnensky district, the capital opened 3.261 polling stations to vote you can vote not only in person, but also online on the website mos.ru until 20:00 moscow time 11 september. and in

the election of the governor of the kaliningrad region , the current head of the region, anton likhanov, made his choice for the polling station. he came in a month with his wife and younger son to a higher post there are six candidates in the region. in addition to the governor, residents of the western region itself elect municipal deputies, organized by 558 permanent and six temporary voting seats. the number of sanctions that were against russia for how long it would be impossible to even read them in a few days the infrastructure inside russia in

the ninety-eighth year. we, as a country, had both a default and a devaluation of the ruble many times against these risks, and a national welfare fund was created. the ministry of finance is our main one, which has been created over the past decades. still. these are very strong macroeconomic systems now and in 100 years there will always be a question of determining what budget money can solve a particular problem. the role of the ministry of finance in this, of course, is the main one.

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to launch in the video bridge mode is given personally by the minister of energy of russia nikolai shulginov, the ceremony is also attended by the head, yakutia, sn nikolaev and the general director. rosseti andrey ryumin pressing two symbolic buttons at once is a big step for development of the energy sector of the largest region like yakutia. each of the substation is responsible for the uninterrupted power supply of the two most important projects of the region, the gas pipeline system of the power of siberia, as well as the processing complex and naglinsky siberia and the second, also under sanctions, 220 kw for power supply of the a-a inoglinsky mining processing plant, in principle , these are two large objects, the total cost, uh, more than 4 billion rubles. and i would like to say that e given objects will provide. e, reliable and high-quality electric power of consumers all new equipment of the supply center is equipped with

an intelligent monitoring system. that is, all control is carried out in real time, and microprocessor protection and modern automation tools allow the implementation of technology and remote control during construction , the most advanced technical solutions were used to protect the distribution plant from harsh weather conditions, placed in enclosed spaces, thereby increasing. danger and reliability for the commissioning of the substation a lot of work has been done, both regional and federal structures, both objects will guarantee the growth of industrial production and energy consumption, both in the region itself and in the entire far east, the far east as a whole is experiencing a rise in consumption. this means that the load on network equipment is growing. uh, today we already, uh, predict an increase in output at thermal power plants, which means they will be more loaded, which means, therefore, they must work more reliably. uh, must be secured fuel. here is the spirit of the substation guarantees sustainable

development by the strength of siberia and the anchor resident. tor south yakutia is the city of the enrichment complex and naglinsky, and this further growth of the economy and an increase in investment potential. one can also say that we have, probably, in general, under the far eastern federal district. now the largest investment program after 70-74 billion rubles among all federal districts, the far east is becoming more and more a priority point for the development of russia and new industrial clusters commissioning of energy facilities , only confirmation of fullton valores vasily solovyov vesti, yakutia next year in moscow, on the basis of six leading hospitals , unique inpatient ambulance complexes will begin to operate . they have no analogues in russia details in an interview with our channel were told by anastasia rakova, mayor of moscow, watch the interview after the advertisement. and i say goodbye to you until monday. see you good news. here is the

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vladimirovna greetings not so long ago, the mayor of moscow, sergei sobyanin, spoke about the development in capital of the new emergency standard. why did the need arise for the emergence of such a standard in general for any metropolis, and even more so for such a large one as moscow, and the quality of emergency medical care is a complex and important task. just imagine more than ten thousand people need emergency medical care every day. many of them are simply in critical condition, and 4,000 ambulances are on duty a year - that's 4 million. calling over a million muscovites receives such emergency assistance during the year. in other words, this is an essential and important direction in the work of moscow medicine. more importantly, this type of assistance requires maximum concentration of competence. speed. here, even

minor delays or oversights can cost a person a life. therefore, 4 years ago, a decision was made to build a network of new emergency centers on the basis of the largest multidisciplinary city clinics. we have worked out the best practices that exist in the world, looked at what projects are being successfully implemented in our country and are completing the construction of these centers of analogues in country. we don't have them. everything here will be focused on helping emergency patients. well, as part of the launch of these e- corps, which we will have next year. we have worked out all the elements of this type of assistance, taking into account the new opportunities. what is the main feature of the new standard of emergency care, and how exactly it will be integrated into the moscow healthcare system? but the most the main thing is, of course, those processes and those

standards of medical care that we implement them directly in these clinics , which are encountered in practice, decomposed in detail into all the elements all administrative manipulations, medical manipulations were realized, each of them determined the time required for its implementation worked out the algorithm and came up with, so to speak, unified programs or algorithms for providing some new help, which will be uniform. in all hospitals , it is important that we not only worked them out in practice. we essentially created a simulation hospital where we are now and where bst underwent all these procedures in order to assess their realism and, uh,

feasibility in practice, of course. in the network, it’s still good to come up with a standard, it’s more difficult to put it into practice, but for this, too, on the basis of the same training ground, and those teams that we will create before the opening of these buildings will work out all these standards to the maximum, in fact, turning them into such a routine standardized practice. as i understand it, the space of future emergency complexes is being recreated at a special training ground. uh, on what principle will they be arranged and will it be the same principle for all, of course, if we are talking about a single standard of care, then, of course, here all the principles will be equally implemented in all institutions initially, when we designed these buildings, we designed one element. they are all about the same size. they have the same functional areas and unified

logistics. when we were just planning, uh, all these innovations of ours were fundamentally important for us to solve two problems, on the one hand, to ensure the correct, efficient, most modern medical logistics, on the other hand, to create comfortable rooms for both patients and their relatives, so the space is a single unified functionality, unified navigation unified convenience for the patient, and a unified standard, equipment equipment. this is more than 10,000 of the most modern equipment that we have already bought within the framework. it seems that the city is getting 60 new state-of-the-art operating rooms. many of them have unique opportunities for russia for emergency neurosurgical, traumatic, vascular and other interventions. it, of course, is significantly increasing in our country and, accordingly, this will all affect the quality of medical care or standard. of course, we did not invent , on the one hand, we took the best what? in the world on the other

on the other hand, those projects that were in any clinics that have successfully proven themselves, we have also already laid the foundation for this standard. well , i can name a few of the first - this is the principle, and the doctor to the patient when the space is organized. so all the manipulations, all the doctors come to the patient's bed, and not the patient runs around the offices, which often happens in our medical institutions, this, uh, the principle was implemented at the sklifosovsky institute and has proven itself, so it is now laid down as the basis of the standard in in all these new buildings, the second mandatory position is the organization of the functional space, based on the patient's condition. the so -called triage systems, when we understand which patient needs what kind of help, and he is delivered without any application to the space where he will be helped most effectively. this is also

outside. in our city institutions and this system will be the basis in all emergency corps, moreover, three will not even be manual will be a system for supporting medical decisions, which will allow all this to be organized at the appropriate level at a high quality. what digital services will be presented in the new ambulance complexes, for example, digital patient assessment. what other moscow healthcare is it highly cephalic, if i may, so to speak, all our achievements in the field of numbers. they will certainly be presented in these emergency complexes, in fact, we can say that we are now quite able to create a full-fledged digital hospital experience. we have one. we have learned the covid period all medical documentation generated exclusively in electronic form. we will provide new buildings with all the necessary digital infrastructure, and stationary computers - these are tablets for doctors and

paramedical personnel, these are dedgeboards that allow us to realistically assess the situation that is currently happening inside the ambulance building or the situation in ambulances that are taking patients, which will be an innovation , which until today, we have not yet had doctors have access to all information about the patient's medical 24 hours to seven. and most importantly, the information system will be integrated online data from the ambulance with disaster medicine. eh, sona-aviation with the polyclinic of hospitals, and even before the patient arrives soon by car, the doctors who will receive him will have all the information in it, moreover, we will provide doctors with a digital assistant system in fact. this is an analogue of the medical decision support system that now exists in polyclinics, as soon as a preliminary diagnosis is made, the patient herself

the system will suggest a list of mandatory examinations and manipulations, and moreover, in the most difficult cases, we will create a system of operational telemedicine consultations of an augmented reality system with our specialized center where the most highly qualified specialist, a resuscitator, will work. it is interesting how the integration of health and social services will be implemented. in the new standard of emergency care, and indeed one of our know-how is our innovation that we already as in the standard we implement. let's say on the more powerful buildings is the collaboration of healthcare with employees of social institutions. this is the first time this idea has come to our minds. kaida e, then to help, and workers of social institutions were sent to temporary hospitals. this collaboration

showed us such prospects that we have not seen before, it turns out that doctors and social workers can very successfully communicate to help each other in their work, thereby improving the quality of services provided for the first time now in a team each emergency hospital will have an integrated social coordinator. these are directly employees of the department of social protection who will accompany the patient and relatives, both in the process of providing medical care during admission to the hospital and while staying in the hospital for most people who will get to the ambulance in the hospital in an emergency. this is an unexpected situation 2. and 4 hours ago they could not even think about it, so every day we are faced with a situation, when the animals are at home, the child must be picked up from the kindergarten in the evening, or the children will come

home from school, and the door is closed. therefore, these and many other issues will be addressed by social workers and will contact relatives. and that means helping to solve these problems. if there are no close relatives, then special family centers arrange for children for a while while their parents are being treated, and animals are in home shelters. but their role is not limited to this in the process of finding a person. in the hospital. they will help him, especially we see now the need for assistance in issuing this collection of documents, calling a taxi. but what is more important , it is very important to build a seamless transition for those people who, after being discharged from a medical institution, alas, cannot return to their usual old self-sufficiency . life. some of them need social assistance at home. honor must initially be transferred to specialized social care institutions, because they will not be able to serve themselves.

some people return home and also require certain care and concern, and it is necessary to educate their relatives. all these questions are still at the stage of finding a person in a medical institution with specialized related services. such as social workers at home at the place of residence , specialized institutions of social round-the-clock accommodation, schools of related care. we will be engaged in our social work, plus psychological support and relatives. and, uh, the sick people themselves, we really hope that this will generally allow the medical staff to be released. instead of focusing on core functions and focusing on the provision of medical care, it will generally increase the comfort of providing services to our medical institutions. we have just talked about new complexes and new technologies. it certainly is. everything is very important, but let's now talk about the people who will work in these new complexes, and what requirements will be imposed on them. of course, people

have always and everywhere, and especially in medicine, been and will be the main element of success. we really want to hope that in our emergency carlos will work, only the best specialists, of course, the requirements are significantly higher than the standards. we want to identify the most qualified most talented most active. i believe that we have a right to this, because we have something to offer these medical professionals. this is a new space and new equipment and modern teams. and, probably, what is important for every doctor who wants to develop. this is a large flow of difficult patients, that is, a profession. we'll have to face every day, eh means to grow. to date, we have announced more than 2,000 vacancies in thirty specialties. now more than one and a half thousand

people have already applied, i want to say right away that the selection will not be easy. it will not be limited to just an interview. this is a complex multi-level, independent assessment of all professional competencies, as well as which are necessary to work in such a body. please tell us more about the recruitment process. well, we have created a site specifically for this, where everyone can apply to fill out a questionnaire within staff will contact him for a month. the frame of his services. and if, according to the formal criteria , he meets the position for which he filed his vacancy , they will conduct a telephone call with him. where you successfully pass, this interview will be invited for a comprehensive assessment in our recruitment center. this is not an easy assessment. it includes three required elements. this is a test of theoretical knowledge on a

computer. then it is a demonstration of professional skills and abilities on simulation equipment. and the third is the solution of situational tasks from the usual routine clinical practice, but not always the simplest, those who successfully pass this assessment are already interviewed by the head, and the ambulance corps joins the team. and where else do you also need to show and ride yourself as a person who can and wants to work in a team, because a multidisciplinary approach is also one of the basic principles of the work of the new ambulance corps. this is the ability to agree to work in a team to resolve conflict situations the desire to develop all the time, so who will successfully go through everything tests and will be an employee of these new excellent centers, it is obvious that specialists

will need to undergo additional training. what exactly is new for them to learn? yes, of course, as a matter of fact, but additional opportunities - this is a training program, which we are also developing with our moscow and federal specialists, the training program will be more than 70 areas. it will include some professional skills that we will learn and theoretical knowledge. all practical skills will be processed today. here in this training there, as we call the hospital, where you can try everything with your hands and show yourself we would try to format it as much as possible. that space is there the way it will be. the zone in the new centers will provide him with the necessary equipment and, uh, modern simulators, which imitate a real life situation, in addition to this , a deep preparation of it will be a prerequisite,

because it is impossible to work in moscow medicine without serious digital knowledge and deep understanding of all the solutions that we have in moscow. of course, we will deal with psychological trainings in the organization of the hills team. and i hope in many many other areas that will increase truly teamwork and take our medicine to a new level. thank you.

three-day elections have started in russia in 82 regions of the country, almost 70,000 candidates are registered residents vote for governors and local deputies. vladimir putin expressed condolences to the new king of great britain in connection with the death of elizabeth ii