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jumping when buying or selling a car. check its fair price with auto.ru evaluation. don't get burned. free vtb credit supercard is 200 days without interest. switch to vtb and everything will work out. the first day of the g20 summit in the capital of india was a complete disappointment for the west. the participants of the session released a final communique , in which they outlined, among other things, their position on the ukrainian conflict, and in this document they used completely different language than they had hoped for; kiev and its partners from new delhi report by boris ivanin. the g20 summit in india began before dawn.

in any case, there are unprecedented security measures for journalists in new delhi, the city is patrolled by 130,000 security forces , the local press writes. even about female snipers, the center is designated into several red zones, where the summit site has the most stringent restrictions ; journalists themselves have to ask for several cards to get in protection from inspection. it's more thorough here than even at any airport. for example, i’m watching it now we his operator, those who don’t speak about the technique, are forced to go through this special scanner for him, an entire van answered. almost 4,000 reporters are credited in this way. the press center also has increased control by dog ​​handlers. however, the golden retriever turned out to be very friendly. and even before the g20 paw from the owner , the prime minister themselves, in rendering fashion, received the traditional indian greeting on the bridges, however, with the head of russian diplomacy , sergei lavrov. they exchanged a firm handshake and even had time to briefly to talk before the plenary session, where seats at the round table were added;

the african union became a full member of the g20. and these are 55 states of the continent at once, the voice of the global south, the african union has strengthened . the g20 now has the same rights as the european g20 - this is already something more. perhaps even the name will have to be changed; only the rhetoric of brussels is the head of the european commission. ursula vonderlein, out of habit, dictated her terms, at least in an interview with german media. the main thing is that we adhered to the fundamental principles and did not include, for example, the need for a just and lasting peace in ukraine , the inviolability of borders, and the non-recognition of annexed territories at the international level, these basic principles. must be included in the com. what will be the final declaration of the new delhi summit? and what will they write about the ukrainian conflict on these topics ? the western press began to openly speculate on the american agency bloomberg , citing anonymous sources. she reported that the wording would supposedly be a compromise not to give in to provocations

, the official representative of the russian foreign ministry , maria zakharova, urged in an exclusive comment. to the tv channel, it seems to me that since yesterday such open dirty fuss of the westerners has already begun. well, i can’t even tell the media, or better yet, the media of mass disinformation, what they tried to do . they tried to impose the idea that there is no consensus . so on and so forth had no no relationship, let me emphasize. this is to reality and the reality of the parties working. this work was carried out behind closed doors, and for some western politicians there are still half-closed eyes , the german chancellor, lavshois, came to the summit in india like a pirate after his unsuccessful adventures and it seems he overlooked that the world has become truly multipolar, and the roman

hard-thirs are praying . thanks to the hard work done by our team and the cooperation of all of you, we were able to reach consensus on the declaration of the g20 leaders' summit in new delhi. and i now propose to accept this declaration. i declare the declaration adopted, the final declaration of the g20 summit has already been published on the website of the indian foreign ministry , a voluminous, verified document that was agreed upon by all g20 participants, although it was given. this easily relates to the difficulties in achieving consensus on the ukrainian issue. we emphasized that the 83 -point declaration touches on a lot of topics, but it is obvious that against the backdrop of the ongoing conflict and categorical statements regarding it for a significant time, especially in

the last few days have been devoted to geopolitical issues, which were mainly concentrated around ukraine; the declaration of the g20 summit was a blow to western countries . the british war was bitterly acknowledged by the show times, which had previously tried to cast doubt on the prospects of the g20. ukraine and now she has sharply changed her rhetoric and writes that there is no global consensus regarding support for the kiev regime. half twenty. uh, refused uh, and interpret events. e in the interests. uh, the way the west presents them, and what we’ve been hearing all year, uh, some accusations towards russia, but about what exactly this is provoking. uh, that means that the ukrainian conflict is provoking a deterioration in the situation with food security. and now you have reflected in a balanced form this is a consensus language, and the intention to act

is important at the same time, that not only, for example, developing economies, have come to a unified position. but also signed by uh, the countries of the seven and uh, a little wider the entire collective west to celebrate the adoption of the final declaration, the leaders of the g20 countries were invited to a gala dinner on behalf of the indian prime minister , by the way, next weekend, unrenderi fashion birthday, the successful conclusion of the g20 summit in new delhi became a kind of gift for him boris ivanin. pavel kostrikov. evgeny zemtsova and nadezhda nefedova news, india, new delhi. deputy prime minister marat usnullin inspected the progress of metro construction in nizhny novgorod; now work is underway there to extend the avtozavodskaya line. she will improve transport accessibility of the nagorny part of the city, where only one metro station is currently operating, the gorkovskaya line will be extended by almost 3.5 km and two new stations will be built

; work has already been carried out to prepare the starting pit and relay communications at adjacent stations; in plans to extend the second metro line, this entire project has been allocated infrastructure budget loan of almost 59 billion rubles. it is planned that with the advent of new metro stations , a transport hub will appear in the historical part of the city according to the plan city ​​authorities. this will not only improve transport accessibility. well, it will attract tourists. the metro construction project is very important for the city, the extension of existing ones after the construction of new ones, i see that some work has been done and has begun , installation of accounts is underway, preparations are underway for the removal of communications. today i held a meeting in detail. heard the customer, after hearing the designer, the contractor believes that in order to ensure, accordingly, the stated deadlines. the volume of input needs to strengthen the work of everyone. after the advertisement we watch

a special report by varvara nevskaya and from our series urban technologies leaking 100 years of saving lives about the history of modern times and the prospects of the largest multidisciplinary emergency hospital in russia. hello, i can't talk. i'm in the tape on the tape. i downloaded the app from bp, linked my account and paid for food with one touch for cashback. yes, i know that i will call myself. download the sbp app, pay with one touch and get 3% cashback in the feed vasilisa’s name is evaz and your home. choose your ideal set at wildberries. everything here is free for three months.

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reliable mobile internet with beeline on your side anywhere. listen to the cashboy's advice and buy even more profitably at megamarket , for example, a tcl tablet for 8990 rubles. and 30% cashback megamarket magnet price, what do you need box 59 99 anyone musician restaurateur leading producer? and it became because there was always a free alpha bank for the smart and free. one small incision

on the neck no more than two and a half centimeters of jewelry work and very dangerous surgeons joke during such operations they walk as if on the minefield outside. we are left with the carotid artery, the jugular artery and the thyroid artery. here they go there is a wandering world, a recurrent laryngeal, which is responsible for the voice. that is, inside the esophagus, trachea, thyroid gland. here's any damage. all these structures can be fatal for the patient. well, they are no stranger to looking fate in the eye almost every day. at the sklifosovsky institute of emergency medicine, a whole generation of surgeons has been fearlessly saving lives for exactly 100 years.

doctors gain access to the spinal column the destroyed disc must be removed and replaced with an implant to aid the surgeon's skill. the latest equipment. x-ray apparation arc helps with millimeter accuracy in here and now mode to establish not only the location of the future incision, but also the time required for removing a vertebra; time is a key factor, however , neurosurgeons from sklifa have more than once saved the lives of those whom other doctors no longer gave a chance in the first year. uh, the nineteenth of august, well, as usual, she was digging on her favorite lawn. eh, there or there for 2 hours and i was fighting weeds in the heat and got very sick i had a very bad headache. eh, while

the ambulance was moving on. i already remember, only a week later. only the fifth ambulance that arrived still agreed to hospitalize laura, upon arrival at the hospital the diagnosis was disappointing - a massive stroke and rupture, and the local doctors did not begin to undertake the operation of neurosm, considering that time had been lost since the moment of the stroke, more than a day had passed and only in the sklif they were not afraid to take on a serious as of today, the routing service for such patients is established in such a way that we are able to identify within 24 hours hemorrhage in some other hospital , transfer the patient for surgical treatment to us and carry out this surgical treatment on the first day. here's a hemorrhage. but sometimes in the fight for a patient, it’s not even hours, literally minutes, that counts. that’s why in the new flagship center of the research institute, absolutely everything from

the elevators that are always on duty on the ground floor with open doors to high-tech operating rooms is thought out in such a way as not to lose a single precious moment. digital patient routing starts with from the moment the ambulance team leaves, doctors know in advance what is wrong with the patient and what his vital signs are. before this , we didn’t understand who they were bringing us only when the ambulance arrived and the doors opened. we understood this or appendicitis. this is either a serious injury. now we can already know to prepare in advance. this is very important, especially for red flow patients. these are the most difficult patients who require help as quickly as possible. an ambulance in every sense should be an emergency, which means immediate digital triage even before upon arrival, cliff helps to prepare the operating intensive care unit or anti-shock ward in advance. there is a whole zone on the second floor of the regional

vascular center, that is, bypassing patients. uh, all registrations do not immediately go to the intensive care unit, respectively, they are very quickly uh, they are asked to be examined there within literally a few minutes, if we are talking about myocardial infarction. that is , patients are immediately admitted to the angelographic operating room. it is located a few meters away . here, uh, resuscitation center consulate. the new flagship building of the sklifosovsky ambulance theater even houses six state-of-the-art operating rooms. four of them are general-purpose. behind these doors. the surgeons are here. every day they save lives by performing necessary operations, but two operating rooms are hybrid, which allows surgeons to simultaneously perform several complex medical procedures at once. one of these operations is taking place right now behind this door. the first hybrid operating room

is designed for neurosurgical care, the second cardiovascular hybrid surgery - this is a combination of two methods of surgical treatment of patients, including open surgery, the so-called classic operation, which the surgeon performs directly in the operating room earlier and combined with endovascular treatment and intravascular treatment. - these are five functional floors for patients; soup vestibule for ambulances ; helipad; observation area; area for 30 beds; for stable patients, where there is no office system; doctors themselves come to the beds and conduct necessary on-site examination, the building is also equipped with a spacious diagnostic department, where in less than 24 hours you can undergo a complete examination. when creating the center, first of all, the institute relied on its hundred years of experience. after all, a huge part of what has long been successfully used

in medicine originated within these walls. the father of transplantology, who was involved in transplanting various parts of the body into dogs , professor vladimir demikhov, operated on the basis of the institute. later, his student christian barnard, who flew to moscow to watch the work of a brilliant surgeon performed the world's first heart transplant , professor sergei bryukhanenko is behind the creation of the first artificial blood circulation machine, an unimaginable history of modern medicine and without another name in an often remembered story. this is professor yudin, who for a long time was the chief surgeon of the institute and, uh, was noted for a very large number of discoveries. he was a member of many international academies abroad and operated on completely different organs of the abdominal cavity, but uh, one of the most such important discoveries that he made for the first time, he transfused tubal blood before the great patriotic war and uh, after that

this technique became so routine. this saved a very, very large number of lives. the laboratory of cadaveric blood, formed in the thirties of the last century, has not been transformed into a scientific department of biotechnology and transfusiology today using original methods. tissue and cell transplants are made here, for example, a patient is admitted with some kind of multi- scarred fracture with tissue deficiency, this piece also emerged. uh, you need a piece of destroyed fabric. it needs to be restored somehow. uh, recovery can be extremely long. or you can simply install a graft to replace what was destroyed with such transports. historically, cliff has become one of the leading institutions in the field of transplantation and today is one of the few in the entire country that performs the most complex operation and simultaneously transplants a kidney and a pancreas in

the case. eh, let’s say these operations are successful, and patients are relieved immediately for two reasons. he forgets about insulin therapy for patients. and that is , the need for insulin administration disappears and the patient forgets about it. what is dialysis? the institute often takes the palm, both in the number of operations performed and in the development of unique methods for treating various serious diseases. one of them is pancreatic necrosis, destruction of the pancreas in the absence of treatment, leading to the rapid death of the patient, radiation diagnostic methods. they are now not so much a diagnostic method. how much help does the surgeon really have, and under ultrasound navigation or computed tomography, a whole range of surgical interventions are performed that previously required large abdominal access. this is drainage of the biliary tract, and drainage of various types of abscesses - drainage for such a serious disease

as pancreatic cancer. modern technologies make it possible to carry out the most complex operations only through one small puncture, and sometimes they operate without a scalpel or incisions at all using the latest radiosurgical equipment equipment. gamma knife, ionizing radiation from a large number of cobalt 60 sources allows you to effectively influence malignant and benign brain tumors and due to this high accuracy. we irradiate an exclusively pathological target, launching a cascade of biochemical reactions. b. as a result , the ability to divide tumor cells stops, the process of apoptosis of tumor cells is started and the process of proliferation of the vascular endothelium is started , with which further we get the obliteration of these vessels and tumor, most often patients still have tumors, and the tumor remains without nutrition. this simply results in the surrounding tissue. in turn, they do not receive a high

dose of radiation. it has a pleasant effect on the general condition of patients, most often treatment is limited to one such procedure ; another unique development, created with the participation of specialists from the research institute, is an artificial left ventricle of the heart for patients with chronic heart failure. this pump itself is part of the pump. it's implanted to the patient's heart inside the chest, located towards the pump. if you look at the diagram, to make it clear, it looks something like this, this left ventricle. this is the left ventricle, respectively. we need to replace its function with a screw device, the second part is sewn into the apex of the left ventricle, that is, in this way the second part is a vascular prosthesis, it is specially braided so that it does not bend, so that the blood flow enters the aorta, the cable is brought out through the skin , where two special batteries are connected to the control unit,

should always be there. the patient’s belt, as surgeons say, life with a bag on the shoulder, but still, in some cases of an incomparable operation, the patient may not live even a year ; at the moment, in russia, a total of 75 implantations of these devices have already been carried out with the participation of sklifosovsky doctors. the institute of emergency medicine has always developed together with the country successfully, coping with the challenges and tasks of rapidly changing eras, while maintaining its main function of saving those whose lives are under threat, this is not the person who dedicated 58 years of his life to the sklif knows from hearsay, professor mikhail bakumov celebrated his 83rd birthday on june 25, he celebrated his 27th century and the institute itself has such a popular phrase. it doesn’t work at the sklifosovsky institute. it's a lifestyle. because the people who

come here either don’t stay long, or are already so attached to this way of life, because it’s really day and night, no days off, no holidays. uh, work is going on, they are accepting all the time. uh, that means there were casualties patients, and in the past, that means decades , it was much more difficult, because the actual institute and not sklifosovsky was, but among the few hospitals such large ones to live. hundreds of thousands of people to this day, remaining a place in which all forces will be thrown into saving the patient. after all, plum is not only one of the best surgical schools in the world , innovative development ideas, methods , modern equipment and buildings , first of all, plum is people, born doctors, just like 100 years ago, ready to help.

economics through specific stories we can reach people. we often talk about money, we are all serious in russia, there is a clear clear signal at such a moment. you will say that i did everything in this project that the industry could replace foreign suppliers and mobilize all resources.

in russia, on the second day of elections , we’ll check the box to vote the old fashioned way. on paper. i can smell it. it seems that people are now voting more actively online, as this president did. let’s talk about how the elections are going and are there any violations? moscow celebrates city day, and on this holiday the capital authorities made

important gifts to the townspeople new diameters and highways the opening ceremony was attended by vladimir putin and sergei sobyanin how will the lives of muscovites change? meanwhile, in the special operation zone, the russian military is occupying advantageous positions; details of repelling attacks and strikes on militant militants of the ukrainian regime; more than a thousand people are victims of the earthquake in morocco; underground shocks have become the strongest in 120 years; how the country will cope with the tragedy and restore everything that was destroyed. the second day of voting has ended the day before, polling stations were opened in 54 regions. today, at 65 tomorrow , another 20 subjects will join. 25 territories and

regions this year for residents