tv RIK Rossiya 24 RUSSIA24 March 14, 2023 1:30am-2:01am MSK
1:30 am
1:31 am
they drag everything that lies badly and even that which lies well, you can’t say otherwise about ukrainian variety, for example, the humanitarian aid that the west sends simply does not reach those who need it. here is a video from one of the warehouses in the ukrainian city of zaporizhia, a man behind the scenes sorts out medicines that are intended for people with endocrine diseases, as well as banks with baby food and promise to sell all this attention for money, both in retail and in
1:32 am
patient experience. such am i. here are some more that you caught a cold, friend. here, say them. here he is. agreed on the price. if you pick up, wholesale, write. call only, as with peas, by the way, the inscription in english is visible manufacturer ukraine that is, under the guise of humanitarian aid , western countries are transferring its own products, it turns out to be cynically indisputable. well, how then to call what the ukrainians, in fact, steal foreign humanitarian aid
1:33 am
rob their own citizens steal. everything, moreover, according to themselves, e, ukrainian. e experts. uh, wagon trains and ships. eh, that is, this is some kind of hanalia of theft. and e. generally. i think that there is nothing surprising in this, because the current ukrainian, uh, state is based on corruption. they understand that, uh, the ukrainian state is collapsing and collapsing, and uh, that's why now is their last chance to steal something. and here is where it turns out later, stolen on the shelves of ukrainian stores, and they resell at the best prices. well, at least they would be ashamed of such signs, however, speculators have no shame or conscience. how many cases have there already been when they traded both nato military ammunition and western weapons, which as a result simply did not reach the front line, millions of hryvnias were earned
1:34 am
by those who raised funds for infertility in order to collect everything ukrainians could afford, but put it in their own pocket . this is the actor sergei pritula and the radical and banned right sector sergeysternenko, instead of the promised byraktars. they purchased homemade drones. counterfeiters. they don't even come up with steel and where the lion's share of the money went, they say military secret. and even earlier, they lied, as if 600 million hryvnias were spent on satellite photographs. although the west provided these pictures to the kiev regime absolutely free of charge, the scammers got away with all the lies . corruption is what both ukrainian and ukrainian officials live by. a businessman, starting from the plundering of the aid boom, ending with the actual corruption of vladimir zelensky himself, the president of ukraine, and a man who had an apartment in moscow, a house. e in the crimea and a house near kiev, he suddenly became a dollar billionaire with villas.
1:35 am
in italy with assets in london and with huge money in the accounts. uh, how could it be for a poor country, but how to remember, at least the recent scandal with the purchase of food for the ukrainian ministry of defense financial documents cost three times more than even the resellers on the market. why did they put someone in kiev for this? at least there is no pigeon, the department is superfluous, they got off with only a couple of personnel changes, for example, they fired the deputy minister of defense of ukraine vyacheslav shapovalov at the same time, the head of the defense department, aleksey reznikov, sat in his post, despite the fact that his resignation was announced even in the verkhovna rada of the country, but the head of the kiev tax service olga gave and after both with her office a month ago she still decided to quit, but no one did not delay, although the entire docks seized more than enough expensive watches and chic bags. what is worth only affirmations, for example, about a beloved man or a trip to london a million
1:36 am
dollars, part of the desires came true, judging by wheelbarrows of currency found in her office, luxon cars, she has 15 billion hryvnias in her luxury apartments. that's how much for the ukrainian budget assessed the damage from the illegal actions of corrupt officials. however, now this amount has conditionally dissolved any details. the state bureau of investigation refuses to disclose the case, writes the kiev press. in fact. all these high-profile scandals are pursuing only two things. the first to show the west, when the situation becomes too bright, that they are with her they fight, and the second one re-define again these financial flows , but in the same way that the same people remain in the system in ukraine from top to bottom, that is, they change who they conditionally change the carrier of the briefcase to the very top, but the system continues to work exactly the same as it worked, in general, in ukraine , a hand washes a hand, and a thief hides a thief. as they say , against the backdrop of constant scandals, even the patience of the west is beginning to expire germany has, for example, refused to carry
1:37 am
humanitarian aid for free by rail . now requires up to 6.000 euros. for one container only. this threatens to seriously undermine the shadow business established by kiev, which brought solid dividends. although if you remember the russian proverb. a thief, steals not for profit, but for death in the case of ukraine , you will agree that it sounds extremely relevant, it’s always interesting, where does it all begin? now you will see everything. manufacturers of good things want and , most importantly, they can check. what to do with the collapsed banks all weekend the us treasury and the fed conferred the statement was quite contradictory at first the treasury said that it would not save valley silicone,
1:38 am
then the regulators conferred again and promised that all clients would have access to their funds in their speech. us president joe biden said that the banking system works. well, just in case, to protect small businesses and jobs in america, regulators are tightening control, americans will not suffer any losses, and these are important points of no losses on the part of taxpayers, the second management of this bank will be fired, the third investors will not be protected. they deliberately took the risk. and if he doesn't make excuses, they lose money, so capitalism works and the fourth question remains how the banks got into these circumstances. we must not let this situation happen again. svb , which went bankrupt catered mainly to workers in the technology sector, it was popular among players in the venture industry, in other words, start-ups, more than half of the investors
1:39 am
in the it sector were 12% of healthcare and 18 were foreign capital. this is one of the biggest financial disasters in the us financial sector since 2008. then, in a matter of hours, they closed lehman brothers, which provoked a large-scale panic in the markets, and on march 10, the collapse of the largest bank in silicon valley, silicon valley, on march 12 , the closure of a new york bank signaling these bankruptcies. immediately entered the top of the largest financial crashes in us history federal backup system. us interest rate hike
1:40 am
was the factor that caused the bank's problem. in addition, this was influenced by the pandemic and the management strategy. what happened at the end of the twentieth year, the bank began to grow rapidly, and then withdrew deposits invested their us treasury bonds at the time of investment, the interest rates on them were very low, but at the same time the fed began to aggressively raise rates and then people wanted to send their money somewhere something else, and the bank was forced to keep high rates, well, some experts associate the crisis of 2008. still , what is happening is more attractive lending. now i recall the situation with the crisis in the eighties, when the growth of interest rates also caused an imbalance in credit institutions, what is happening now is more like this situation. e, s. e crisis e sne, the so-called. yes savings and organizations. this crisis took place in
1:41 am
the eighties and had, in principle, a similar nature to e, an increase in interest rates also causes an imbalance in these credit organizations, meanwhile, the european commission does not see serious risks for the financial system of the eu after the bankruptcy of us banks, said the european commissioner. according to the economy and the suit of this crisis and russia, experts are sure that the sanctions and retaliatory measures of the russian monetary authorities have completely severed ties in the movement of international speculative capital, so the problem is more of a local nature.
1:42 am
1:43 am
care. it was introduced in 2019. today we will tell you what the essence of this approach is. and how is oncology treated in the capital now. let's start with structural changes, the system has become more centralized, now all city assistance is concentrated in five medical institutions. these are oncological hospitals number one and 62 hospital botkin center. loginova and kommunarka each hospital is assigned a population from one to three administrative districts of the capital the whole world is moving towards centralization high-tech specialized care doctors who treat one patient 10 or there 100. yes, it is clear that those who have 100 have more experience. well, the same operation in the provision of any type of medical care. well, the second concentration of material resources, that is, the equipment is very expensive, so its full load and maximum use, of course, is ultimately more efficient. that
1:44 am
is, now if the therapist suspected a tumor , he sends the patient, not to the oncology office, a in one of the five indicated institutions. each of them has outpatient cancer care centers or caop for short. this is the botkin hospital , which accepts residents of the western administrative district. our center is open 7 days a week. and we don't have days off. we don't have holidays. we work every day, and the center sees about 1,000 outpatients per day and about 120, and of them undergo chemistry courses. e therapy of the conditions of the flax hospital, in the center you can get a consultation from a doctor of any oncological profile and do all the necessary research. even a biopsy. this greatly speeds up the diagnosis. well, for example, uh, a patient with a suspected breast mass. she comes to see
1:45 am
a mammologist mammologist. assesses e, the probability e of a malignant formation, after that the patient goes up one floor to the operating room and there she is performed corbeil everything, that is, already on the day of the initial appointment and after 7 days we get a morphological diagnosis. outpatient cancer care centers are not only diagnostics, they accept patients who have already undergone treatment and are observed for life , citizens can also receive therapy in the votkinsk hospital, 18 chairs are equipped for such treatment. they are comfortable enough. they can be adjusted to patients independently from the remote control, as the patient can be on chemotherapy for quite a long time. this can take from half an hour to five to six hours .
1:46 am
medical feelings are transferred here for chemotherapy, respectively, this speeds up the work of the departments. for 3 years in moscow clinics, the number of chemotherapy courses has increased by 4 1/2 times . targeted and immune therapies are available to muscovites. such innovations make it possible to cope with tumors that were previously considered difficult to treat, they always said that melanomas are the most terrible tumor, and in general and the discovery of immune therapy and targeted therapy for the treatment of melanoma. and you can say that at the root the situation has changed and now we have the opportunity to treat these patients well and life expectancy has been significantly increased. over 40,000 muscovites received the drug in outpatient clinics and in hospitals for free last year, only for the ten most common types of cancer , more than 40,000 muscovites received medicine, a tenfold increase in support
1:47 am
of drug provision for cancer patients. this is an extremely difficult topic in any country in the world. and as an indicator, can we always give this figure here more than 30% of patients, for example, 76 of america declare themselves bankrupt. uh, cancer patients. yes, that is, they are forced to take out some kind of loans for treatment, and so on, research is needed to determine the appropriate treatment. modern laboratories operate in each of the anchor hospitals less than a year ago, in the sixty-second hospital , this building was opened on the ground floor of the pathologist's anatomical department, contrary to erroneous ideas. here they deal with vital diagnostics in this office there are anatomist pathologists who examine tissue samples taken from people suspected of being malignant, detect whether there are tumors or not, determine its histological type , determine the degree of invasion, if available
1:48 am
, and make a conclusion in our laboratory information system. before the material turns out to be under a microscope, it is carefully prepared, cut into the thinnest plates and stained to make it easier to see. it is almost a pipeline process automated by more than 70%. after 3 months the laboratory will be even more perfect all these colors that we get here in this room. they will be immediately scanned on digital scanners, right there, well, 10-20 minutes after they are received physically and via the internet or via secure communication channels , go to the doctor. and here are those workstations with two huge monitors, and there will already be an analysis of digital images. this will speed up the diagnostic process and give doctors more opportunities doctors at their workplace will be able to compare the resulting scam with previous ones. now the laboratory is working
1:49 am
on creating artificial intelligence that will process digital images and save doctors from monotonous work, for example, when determining metastases, all these glasses need to be examined by a doctor. it's just like a machine one by one in order to understand whether they have metastases or not, and we took on such a project as artificial intelligence so that it tries to find before the pathologist sits down to view this case. lymphatic element or not? on the second floor of the laboratory building, genetic studies are carried out with complex devices that allow you to read each letter in the desired dna fragment last year. more than 9,000 citizens were examined here. these are healthy people. if a mutation is detected, they will be offered prophylaxis and monitoring, but the main flow is patients with an already established diagnosis. such studies help to choose treatment taking into account the identified genetic damage. this
1:50 am
method is used, for example, for patients with lung cancer, and in order to find those the most genetic targets for which we now have effective drugs. this allows you to increase the life of patients many times over and provide them with a good quality of life, because it is one thing, of course, to take pills. yes, it's another matter, but receiving fairly harsh chemotherapy. if the patient requires surgery, he is referred to the surgical department of hospitals. basically, they are located quite close, as tambulatory centers. now we are in the surgical building of the city oncological hospital number one of the year, more than 10,000 high-tech operations are performed here. expert-class equipment allows you to avoid large incisions so that the manipulations are as accurate as possible for the surgeon. it is possible to make a ct scan or ultrasound for the patient right on the operating table at the disposal of doctors with ultra-precise navigation systems. they help to find safe and
1:51 am
least traumatic ways to hard-to-reach tumors. such a system is often used in neurosurgery, but in order to mark tumors of the brain or spinal cord, but in recently they are moving into e. the field of treatment of tumors of other localizations of the thorax of the abdominal cavity, the accuracy of which was previously necessary only in neurosurgery. today it is already needed in other areas of oncology. this is the department of head and neck tumor surgery of the city oncology hospital number one job, here i will do my best. after all, the appearance of a person is at stake, his ability to speak, breathe, technologies allow for one operation not only to remove the tumor, but also to make plastic surgery , autotransplantation methods are often used when the patient's own tissue is transplanted. in the case of restoration of the pharynx, when the larynx is completely removed, and the larynx of the pharynx, and the soft tissues of the neck by transplanting segments of the small intestine
1:52 am
together with a fragment of the mesentery, we completely restore such an esophageal tube and within 10 to 14 days it is possible to restore nutrition through the mouth for such patients who in general, they had no prospects. a few years ago , elena fate underwent a similar intervention. now she feels healthy, she even managed to regain the ability speak. although the doctors themselves did not believe in such success and suggested that the patient learn sign language, but in the bathroom. in a sense, it turns out that it took the chicks to hurt there, and this one doesn’t, that is. but no, but the letters that i get are somewhere mama papa. all treatment from diagnosis to observation is based on strict routing principles; the developed
1:53 am
algorithms regulate the timing of the study and the sequence of appointments with doctors. this is how, for example, the diagram looks graphically for suspected liver cancer, a complex path, including the diagnosis of oncoconsilium and surgical intervention can take from 30 to 48 days, depending on the stage and size of the tumor, they are all present in the electronic system of our unified medical. informational and we see very well where we have what. and there may be flaws failures, where we need to strengthen. maybe increase the number of doctors at the reception, maybe create some other parameters to change. here are the indications and diagnostic features of the service, which absolutely quickly began specialized treatment. to ensure that patients do not get lost in complex schemes, they are assisted by personal assistants. more than 100,000 muscovites have already received such support, moreover , special
1:54 am
posts have been opened in each of the outpatient centers. the patient refers to the record post and the administrator forms it for him, and the appointment is structured in such a way that the patient passes all types of research in a minimum number of visits. that is , the patient already on the day of the initial appointment leaves us with the dates of the appointment for each type of study. he knows when and what he will pass the study. oncology care takes care not only of the physical, but also of the mental health of citizens . psychologists work in every outpatient center of anchor hospitals, for example, in the slop of the botkin hospital, more than 150 consultations with patients and their relatives take place every month last week literally. yes, a woman patient came with a very anxious preoperative condition. yes, that is, there was a fear of anxiety before the upcoming operation. we helped to reduce anxiety, yes further techniques for self-regulation of emotions and
1:55 am
the introduction of a diary in order to restore this stream of thoughts yes , negative, disturbing. for 3 years, the moscow standard of oncological care has shown its effectiveness. it is thousands of lives saved to complete the renewal of the oncological service in the capital that are going to be opened next year in a communal apartment in the loginov center and additional medical centers and radiation therapy departments will appear in the sixty-second hospital. but the transformation will not end there. they are going to make continuous improvements.
2:00 am
61 Views
IN COLLECTIONS
Russia-24Uploaded by TV Archive on
![](http://athena.archive.org/0.gif?kind=track_js&track_js_case=control&cache_bust=1086736988)