nizmu road injury is very similar to combat injury is the same the same. uh, pressure crush cases of fracture propagation and they are all infected, so we have been preparing for quite a long time and all these methods have been. in general, prepared. this is, first of all, we have developed together with rosatom, and with rosatom corporation we have developed a nitric monoxide generator for e -inhalation effects in case of constriction in case of contusion of the heart in case of contusion of the lungs, we use it very interestingly very effectively. uh, sick recover much faster with fewer deaths. if it were developments directly, then there was such a plasma stream that we developed jointly on an initiative basis with the bauman institute - this is a plasma jet, which, uh, means, uh activates the blood circulation of mechanized limbs, as they worked, as in open areas. so it worked razdermal also excellent results. development,

by the way, yes, here and uh, the number of antibiotics has decreased, the number of complications has decreased, and patients are also recovering fast enough. now we use plus more, which means that helium, oxygen and mixtures are also one of the new ones now. we have learned to use them both in the artificial lung ventilation apparatus in a closed circuit and at the same time the oil version, which we used earlier in comedy, that is , uh, somewhere such a combined use, heliox nitrogen monoxide. this device is called gileks and the plasma jet, which is, and the plasma flow is the so-called in the open areas of the heart bruises of the lungs from inhalation respiratory therapy and in gunshot areas and fractures, this axis is opened by exposure to nitrogen monoxide on e, lesions. you mentioned domestic developments, but in general , but you can feel the results of, uh, import substitution over the past year and a half. new proposals, new ideas and

new products from our manufacturers, because, well, i see a lot of proposals. how much they are being introduced into medicine and how much doctors recognize them as effective and safe, you know, really. we live in sanctions for a long time and when covid began already then, uh, the first elements of import substitution began to be implemented in our medicine. these were at first masks, if you remember, yes, and our vaccine preparations against viral, a type of trio of animals and the like, which yes began to be used at the time of the species. there are our hormones glucocorticoids, which are used there, yes timbre. well, there were many different drugs and the whole thing. naturally, it moved forward. now i can say, of course, of course, with dual medicine, we use many of these things 60% - this is how i can say 60% drugs. they are domestic it is 40%, uh, approximately approximately i can be wrong. but this is such 62% against plants. this is so who? friends, countries supply us.

uh, ready-made molds, and medical equipment in recent years. we have domestic devices. ultrasound x-ray installations of ours appeared and most importantly, which is very encouraging. but in this cast a special war. the operation appeared a lot of burns patients. yes. and uh, we ran into a problem. we didn’t have a burn unit , i want to say that it was big enough problem. we quickly deployed, for example, somewhere, probably, two weeks, and the burn center e, consists of surgical departments for burns and resuscitation of the burn, and used beds, special beds for the treatment of burn pain of domestic production. saturn that they have such a special know how to speak such an ordinary language not medically simple. yes , the patient is in a certain state of levitation in this, yes. he lies in the air. yes, plus an appropriate microenvironment is being created there. such warm. yes, no ventilation. charms

no, tissue hypoxia. it all dries up. well, it's all good enough, and we have patients recovering much higher percentages. i know that with burns with complex burns, they are sent first of all to the vishnevsky yes hospital and return again to the domestic producer. here is a st. petersburg company that produces these beds. yes? they serve themselves. i mean, we don't have any problems. they fully maintain the entire protocol of the operation of this bed and supplement, for example, in the process. eh, use appeared. means the need weigh the patient. uh-huh came and made us scales uh-huh so there are children that uh some manufacturers. even now , they are knocked out on their mobile phone specially on the device, so that if anything, it would be possible to build a reputation or an opportunity would open up, to be honest, to enter this market and offer it. and what about your surgery card, because they are legendary, huh? in our cardiac surgeon alexander

leyshchuk. e is also a lot and good, they say, more than 100 operations were carried out to extract bullets from the heart and the fighters are alive and i'm surprised here not only that they were able to survive. there in the early hours. maybe , even on the first day, it's just the mechanics here, it's clear. but the fact that they were able to deliver them to you is that here these stages were established effectively. tell about it. well, from the latter, if we really start, because it means that our military medical department has built a modern model of oral evacuation from the fields, sometimes they get to us on the first day due to the fact that there are aviation components and evacuation. uh, in addition, a patient in a serious condition, under which e, falls into our plane, has the opportunity to stay in the aviation medical module, where monitoring is carried out. uh, the introduction of various solutions, even some operations can

be carried out, that is, he is under medical supervision, he is delivered to our hospital, where a new one is mentioned , this alexander nikolayevich of ours is a great person. i think so, because e greatness is determined not only by his, so to speak, capabilities. and what kind of operator surgeon? and he created his own school, that is, it is a team that works very well, and works successfully. and this is the man who multiplied his talents and multiplied them of his subordinates. really. there we really have more than 100 operations successfully carried out, followed by explosive herbs and bullet wounds to the heart , thanks, again, to this model, which was formed by the evacuation of delivering patients to us and thanks, of course, to the hybrid complex that we have in place. it means hybrid, operating operations operations, where several teams work, and i have already talked about this. here and uh, navigation systems for searching for these regimental extractions with the help of

tape recorders and hearts, yes. uh, methods of prosthetics of the heart, because they do not always work on an open on a working heart, they stop it if the injury, let's say, is serious enough and it is impossible to remove it, then it stops then starts. hey, that's sick. uh, as a matter of fact, he is being discharged. how does the patient feel? and daniil goncharov, in my opinion, yes, his name was a few months ago press conference, and this is a fighter who received shrapnel wounds, but as a result of shrapnel wounds. his larynx, esophagus, trachea, thyroid gland were damaged, and damaged. it was all destroyed and not only did you save him, but he also looks pretty good at singing. the truth so far can not is that he is very good. indeed, in my opinion, if i am mistaken in july 22, he was injured, that is, earlier very serious and, in general, any doctor. you will be told that 99% of these patients die on the battlefield. but daniel was lucky. he came to us in

quite quickly got to us and uh hmm a whole series of operations was carried out. here is the last operation, which was reconstructive, and the recovery was 9 hours in this situation. we are very cool. helped, of course, our civilian colleagues , specifically all of them. i would like to express my gratitude to sergey anatolyevich kravtsov. this is the number one city hospital and the department of health of moscow, professor magnificent man, who took the most active part both in the operation and then nursing, then the patient. well, the most important thing for me in this the situation is important that he really gave the hero of our time, because such fortitude. uh-huh, lust for life this is an active life position. she, in fact, increased it with us, as they say, that we have troit and the disease will turn out to be on someone. and then you win, he turned out to be with us a talented person, he and the elements, sochi and

played musical instruments and now does not leave. as a matter of fact, here's an active position that he came up with an apparatus for swimming with such a strachiostomy in medicine. no, he himself invented. here he is talking. he swallows. that is, in principle, he leads a very active lifestyle. i think that he has a big good future ahead of him and, perhaps, some operations we will return him completely, what is called dirt. it would be nice if everyone was so lucky, and they got to you on time, and alexander vladimirovich's rehabilitation . here are what she has, what you see, what are her needs? what are the needs in the conditions of modern injuries, again, you have treatment options in modern conditions, but nevertheless there is a need for rehabilitation is often long-term. well, you know, indeed, rehabilitation is also in our hospital base, there is a whole uh, gentlemen, branch number two works for us . he has been working for a long time, he has a lot of experience, including from rehabilitation. and now we have a new term abelation. this is socialization. there is no one

root, two words berehabilitation habilitation, but they are aimed at different rehabilitation - this is the restoration of the functions of the lost lost, and elenovych. prosthetics, yes. this is the door of the mogu to tell, and biliation is the acquisition of new capabilities that you did not have before. this socialization is the acquisition of new professions - this is employment. what our ministry of defense is doing is very active, almost all patients have been discharged from there, all are employed well, if they have no desire, of course, everyone has acquired some related professions and into the world. they are already leaving, as it were, as this world needs, because it is not enough to cure. you also need to socialize him so that he feels like a new life, certainly. a new life, yes, a romantic one, a stress disorder, happiness, an occurring phenomenon as you have seen it. of course we do, literally. when a person leaves a state , psychotherapists work for us. with these patients. they work right away. well, there are programs, when it's an individual lesson, when it's a group lesson, it depends. what is

the degree of stress? what disorders does this stress cause, and this year the vishnevsky hospital is now the national medical research center notes fiftieth anniversary, and you are planning to explore new horizons and maybe new areas of medicine. tell us about your plans really this year we are 55 years old and horizon we are very big. this is indeed a national medical research center, so it is scientific and practical here. e, i would like to say with all the strategies for the development of science itself, because if e institutions are not important medical or medical, they are not engaged in science in the practical plane of their activities. it is degrading. so otherwise you can use and need to use, of course achievements. uh, well, let's say peaceful medicine peacetime. yes, but this is stagnation, that is, it must be done . be sure to do so if it happens. strangers uh-huh well

it will be successes. whether it has such potential as we have, we have more than 100 people - this is 80 phds. well , great, the material base of the ministry of defense pays great attention to us from the point of view. ah, upgrades. do not use this potential would be criminal on my part, so we have it now is proactive order of work, and necessarily scientific work , your knowledge of knowledge, scientific knowledge of military medicine will come in handy. in what areas? in what directions, maybe the cosmos can be something else? yes, space aviation space medicine is also one of the directions in the future of our work. yes, because we are faced with a slightly different physiology there. this is also very interesting, in addition to space, there is also just a medical flight examination, which is also whole, let's say, well, a discipline that requires constant perfection. we have now new equipment is new aircraft, and people need to prepare them. uh, you need to teach and

you need to provide medical, uh , certain, but skills to deal with hypoxia, for example, talking under stress there, uh , and here is the so-called barrel. what do you think, here we know from history that there are a lot of scientific discoveries and breakthroughs. it was wartime that happened in medicine and technology. and you have today understanding this is what will be useful to us in a peaceful life. this is it, scientific understanding technological understanding special military operation experience medical experience, special operation. well , of course, but at the very beginning of our conversation i mentioned a road injury. yes, because we did. uh, a syndrome of similar states and peacetime. this is not a demis for an accident after completion. uh, for example, our operation is a military specialty operation in the ukraine and back to this emergency. toxicology man-made disasters. uh, some kind of infection control, yes, and then one of them directions, because the problem, allow microbial resistance. as buttercups

, it is very acute all over the world, and in this connection it should be noted that we have a. uh, already experience with bacteriophages. these are targets, personalized bacteriophage therapy, together with the gabrichevsky institute , we had such a wonderful one, and the head of the medical service during the great patriotic war, ivan on, said that military medicine would not be successful. if all medicine is not involved, then we work without borders. just our department. we work with the person of gabrichevsky from the vishnevsky institute and with the scientific center of neurology of the russian academy of sciences , academician pirates aleksandrovich, so we are open for cooperation in all respects. and i think that our experience will be useful not only in war. and basically, of course, and peacetime too. thank you . thank you for this conversation and i wish you success. thank you. thank you invite.

now footage from the press service of the president, in fact, we have this very long session for the fourth already in this convocation, because from january e to july actually until august. ah, the meeting was held in a permanent format. and speaking of which, we initially identified several priorities, one of which is definitely the rating that is related to the issues

of the participants in the special military operation by their family members, which you have repeatedly spoken about and set tasks for the adoption of laws, uh, that would protect the guys, their families and do everything so that our soldiers, officers , do not need anything, we have created a system based on your instructions, which is based on 70 laws, just such an amount of time was exactly clean. here in this area , in order to really form, uh , holistic legislation, because we have not dealt with these challenges before, kolis well, of course, such problems cannot be solved. and besides that, it’s probably right to say something else. priority. and for us, this was a very responsible issue; it concerns the formation of the legal field, and our new su. russian federation, but here we already had experience, and

when we integrated, crimea sevastopol into a single legal space, and it must be said that we have solved tasks that we used to solve within a period of up to five years. uh, now , uh, almost complete, we only have three laws left to pass. we will do this during the autumn session. and in total , in this part, we adopted 54 laws, that is, 54 laws regulate issues ranging from health protection, and from social protection to pensions , issues related to the operation of business and the creation of conditions in general for the economy. uh, in new territories. uh, in fact, we can say that we completed all this work during the spring session - these are the

tasks that you set before the parliament, together with my government , they completed. but, of course, another topic that we dealt with literally from the beginning of a special military operation is countering sanctions. here, of course, it was not easy, and due to the fact that e more than 16.000. uh, sanctions have been announced to our country. and this period of time depends on 192 laws. uh, in a month the government has taken more than 300 measures to support citizens of the enterprise regions. all this was done in fulfillment of the instructions of the president, and it must be said today that we see how effective it is in general. if we talk about challenges, of course they are unprecedented, but the political system was shaped by the president of the economic model. ah, they showed their resilience. and

today we can already speak with confidence, because during this time, uh, a lot has been passed and uh , we have faced various challenges, but it is quite obvious that the entire deputies corps, regardless of political worldviews. all united around the country and again, regardless of their party programs. everyone understands that the achievement of the goal of a special war operation will ensure the future of our state. russia, i want to thank the deputies of the state duma who understand. we all support you. this was repeatedly said in the most difficult time, when the country was facing challenges. yes, because everyone has the same understanding. there is our motherland, so there is a future for people and, uh, a future for our children

and grandchildren, therefore, we proceed from this and built our work precisely around our agenda countries on their side. i want to damage you the leadership of the state duma and all the deputies of the parliament for their joint work during this session. i would like to express my gratitude for the key support. eh, the moments of the country's development and above all, of course. ah, foreign policy. here i see that, in essence, the concept of all political parties, despite the fact that many colleagues, uh, have different approaches to solving social economic issues. yes, and some domestic political is natural, but at a key fateful moment connected with the vital activity of the existence of the russian state itself. i always

feel the support of the deputy corps and i want to thank you all for this. uh, they're also counting on the fact that this is hard work, joint work, oh, which you just said. in these key areas. including, this also applies to the support of our fighters, e.g., members taking part in a special military operation, regarding the integration of new territories into the russian federation e. we really have experience, sevastopol and crimea, so hmm, there are developments. these, of course, do not need to be used at work. although there is specificity, and it is very significant m-m. people in the donbass, for example, starting in 2014, live in conditions of almost military operations, and that’s all. even now, tragic events are taking place in these territories. associated with the fighting, so uh, everything. it certainly is. we must take into account, mm,

when we build our actions in this direction, but also questions of the social nature of economic development. uh, economics, the basis for solving all problems in general, facing our country. hmm. i hope that in dialogue with the government, as it has been so far, uh, solutions, uh, acceptable solutions will always be found, which are unconditional. eh, they will go, they must go, and they will go for the benefit of russia's development. thank you very much . um, so, of course, we have a lot, especially since new sessions are new opportunities. we have planned to hold large parliamentary hearings on the development of small and medium-sized businesses. i wanted to meet with the maximum. what, in as long as our halls will allow representatives of business and together with the government to judge these

issues, because you have left us the task of creating conditions for our business to develop at a more efficient pace. we'll try, uh, to find the words that will allow us to come up with a solution. well, then i'll present my proposal to you. it was the press service of the president. vladimir putin met with state duma speaker vyacheslav volodin. pentalgin extragel contains the highest dosage of a substance for pain and inflammation pentalgin extragel against more inflammation in muscles and joints. buy osago or other insurance on sravni and win a car to win for 249.99. you can't stomp burger king in the world of hundreds . iota says you can try, maximum. first

month for only 399 rubles. maybe iota? there has never been such a russian cold 150 g, midan rich taste in one glass. try a real ice cream. russian voice great incredible taste. help sip

run, you whirl with the x5 club. multiply profit without you. i am not white light i see where you are. there is a situation when only a large portion of tenderness burger with a large tender chicken breast fillet, crispy breading, tomato salad and special sauce can save you. try the novelty of a very large big chickenburger in a delicious and dot attention, if you have allergies and a hangover, it's time to drink polysorb find out your credit

rating for free on the site no one has taken out a loan in your name. if credit, then site compare dot ru in life is more successful than luck. hope fills you with their rhythm working many tasks your break fills their meat sauce sytin hot in ours with noodles fills warm ball. video has been very popular all his life in russia. listen to music.

sergei shoigu held a conference call with the leadership of the armed forces and here is the statement of the minister of defense of russia good afternoon, dear colleagues, we are starting work at the beginning of the situation. in the area of ​​the special military operation, troops continue to conduct active combat operations in all directions, concentrating the main efforts on weakening the combat capabilities of the enemy, the command of the armed forces of ukraine is desperately throwing new forces. what our positions, thanks to a well-built defense, was able to organize a fire system, professional actions of restraint, and

the enemy’s advance was not allowed near the mail of the russian military personnel. so, in the orekhov direction, a large-scale attempt by ukrainian troops to break through our equipment showed the stamina and dedication of the unit of the 810th brigade marine corps and the 71st rifles, so i'd like to thank all of our guys again. not only from these brigades, but from these , first of all, because we have not yet seen such an onslaught in all this time, but in this case , everyone worked in just 2 days on july 26-27, more than 400 and 31 ukrainian military personnel tanks, of which three are german leopards, two are french, as well as 32 armored fighting vehicles. a total of 63 pieces of armor,

using the manner, counterattacks and counterattacks, the russian formations of the military unit liberated from the nazis the settlements, kovalevka and sergeevka in the krasnaya liman direction, as well as the molchanovka railway station in the kupyan direction, the fifteenth motorized rifle brigade and the 234th airborne assault regiment especially distinguished themselves. they also acted actively, acted maneuverably, and as a result achieved success, they also act bravely, 238 artillery brigade 31 engineers, engineer regiment 23 fighter over the past month as a result of successful actions of our troops, the losses of the enemy amounted to more than 20,000 800 military personnel. to be precise, 20,824 people and 227, and units of various weapons, including 10, as well as leopard tanks , 11 american bradley infantry fighting vehicles, 40 american m-77 artillery systems and 50 self-propelled guns and hoholleri installations from the uk

, usa, germany, france and poland, obviously, that the supplied western weapons do not lead to success on the battlefield, but only prolong the military conflict against the backdrop of the unsuccessful so -called contour offensive kiev regime supported by western sponsors. focused on carrying out terrorist attacks on civilian infrastructure in cities a and settlements of the russian federation , taking into account the current situation, additional measures have been taken to increase protection against attack from air and sea. the intensity of strikes against ukrainian military facilities, including those supporting these attacks, has been increased many times over. thanks to the weight of the personnel participating in the special military operation for the service of courage heroism, if before we talked about isolated exploits, then today uh, we have uh