component, such as sanctions, which increased the cost of energy resources, primarily gas for europe, when everyone around, so to speak, pursues their own strategy, then this focus on the global market no longer works. according to the european central bank, of the five global auto industry hubs, the united states, the european union, china, japan and south korea, so far only american manufacturers have been able to fully recover from the pandemic. increase production volumes. products of russian defense enterprises were presented in egypt. the state corporation rosoboronexport organized its exposition at the egypt international air show. in addition, the air show showcased developments by eight enterprises that are part of roscosmos. details in the report by alexander belibov. the debut international aerospace show for egypt, which is currently taking place in the northern arab

republic in the city of el alamein, has brought together more than 200 companies from 30 countries, and russia also has something to offer its partners in this region. rosoboronexport presented a wide range of military products at the exhibition, including the latest air -launched cruise missiles, as well as reconnaissance drones of the orlan family, which have proven themselves well during a special military operation. russia and egypt are long-standing partners in the defense industry. our aircraft and helicopters are well known and loved here, because military pilots from the arab republic are flying russian aircraft right now. the russian mig-29m has been in service with the egyptian air force for more than 10 years, and here is a new generation k-52 alligator reconnaissance and attack helicopter in an unusual sand camouflage. this coloring is not accidental, because this rotary-wing machine is also in the ranks of the egyptian air force. interest in the products of the russian military-industrial complex.

contracts being executed, mainly, of course, this is the equipment of the air force, air defense, helicopters. missile weapons, electronic warfare, well, and what kind of aerospace salon would it be without our roscosmos, the exhibition presents products from eight enterprises included in the state corporation, the roscosmos stand attracted the attention of the delegation of the egyptian ministry of defense, and it is not surprising, because the arab republic has already appreciated the advantages of russian space technologies in practice. here, for example, is a model of an optical satellite developed by rsc energia specifically for egypt, and this device has already... 5 years successfully operated in

near-earth orbit, here is also a model of the promising national space station ros, which will replace the iss, and although the station will be completely domestic, the place the project will also find opportunities for foreign partners. we are open to international cooperation, we invite everyone to join this program either when conducting some experiments or even up to creating an entire module for a country or group. the egyptian international aerospace show is the largest such event on the continent, russian companies have already received an invitation to take part in the next exhibition, which will be held in the arab republic in 2025. aleksandrov, dmitry cherbakov and denis sokolov. vestilyay. the head of the ministry of emergency situations alexander kurenkov arrived in almaty on wednesday on a working visit. the annual joint board of emergency departments of russia, belarus and kazakhstan was held there. the agenda includes

cooperation between the three countries in preventing and eliminating emergency situations. relations between russia and belarus kazakhstan are of an exceptional nature as a strategic partnership. consolidation of international efforts to combat natural and man-made disasters is the key to a safe future. joint board of rescue departments russia, belarus and kazakhstan has long been effective. interaction format that allows openly discussing problematic issues, sharing best practices, successfully developing and strengthening the capabilities of our countries in the field of emergency prevention and response. about a thousand doctors gathered in the moscow region at a congress of pediatricians, another 800 doctors from different regions of the country and more than twenty foreign countries joined them remotely.

diseases, our president implements is given assistance to children with rare a very large-scale program, which assumed a radical reduction in infant mortality decades ago, then the construction of perinatal centers was announced throughout the country, 80-90 thousand children are born here depending on... the year, and for us it was extremely important not only to build third-level perinatal centers, it was extremely important to see the results of reducing mortality and providing first aid at birth. educational activities

of russia in the 21st century. a round table was held in moscow expert institute of social research. participants noted that in the conditions of the modern media space , the demand for high-quality and useful information. did not begin to describe those rules in relations that are already emerging in practice, we are faced with the need to analyze the current state of practice, already practice,

we do not even need to make theoretical models on this matter, but practice is enough to identify, in fact, both a set of needs, and the definition of rules. for achieving, for implementing these needs that arise. autumn in the capital traditionally begins with the moscow international book fair. on wednesday, it started at the expocentre on krasnaya presnya. it is already the thirty-seventh in a row. free admission, sofia sergieva was one of the first to study new literature. the moscow international book fair is a long-awaited event for all book lovers of the capital. the main innovation of this year is free, complimentary admission. all you need is a good mood, and of course, time to have time to go around all the pavilions, not only outside, but inside. 5 days, 10 venues and more than 300 events, the autumn book review launched the new literary year, presenting the most relevant new releases . traditionally, books about history, finance and self-analysis are at the top of interest. for readers

who are confused about themselves, the alpino publishing house presented the work of a professional psychologist. this book can rightfully be called a support book, because a person can find answers to... some very deep life questions here, how to live when everything is difficult, when everything is crumbling, collapsing around, what to cling to, where to find this support. this year, more than 300 publishers came to the fair, not only from different regions of russia, but from azerbaijan, belarus, germany, iran and china, as if proving that book pages have no boundaries. romance, fantasy, history of ancient china. our novels are popular in russia, for us it is very important. we have built a comfortable and friendly cooperation, we hope.

plots, creating happy relationships, finding yourself, an educational manual for small adults, this is perceived as a focus, on in fact, what do we have, this is a demonstration of two laws of physics in one bottle, perilmania and perilmagia are educational... a project that shows that the best wizards are engineers and scientists, if we are friends with physics, we, uh, we ourselves become great wizards. a special place is given to the extensive program of patriotic events. since 2014, the publishing house vechi has released more than 200 books in defense of the russian world, including

collections of front-line poetry dedicated to the special military operation. how many in total at the genre fair no one can say for sure: fiction, non-fiction yangedal thousands of books on... a variety of topics, which is important for publishing prices, every year we definitely come to the exhibition on the first day, we buy a lot, because we buy not only for ourselves, but... sofia, yuri gonchar, valery glushakov, news. for headaches, there is ascafen p at an affordable

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medical research center of surgery named after vishnetsky. as for cardiac surgery, then the center of its very foundation in the vanguard, here operates on patients with the most complex pathologies, with comorbid, as doctors say, that is, with several chronic diseases. we are now in the first operating room, the patient is 67 years old, he has ischemic. heart disease and atrial fibrillation, otherwise atrial fibrillation, the operation that is currently underway is absolutely unique, exclusively, because all the patient's organs are located in a mirror image, that is ...

how many guys have already done 350, 350, you see, this is a good figure, because the catheter that we most often work with does not work here, here is such a technology, this is the central part of the operation, the surgeon removed the atrial appendage, here it is, there are blood clots in it, which cause strokes, at the end of the operation you can see on the screen,

the patient no longer has arrhythmia, in 3 days the person will go home. in this footage, in 1951, the opening of a monument to the great surgeon alexander vasilyevich vishnevsky next to the center he founded. here is rare footage of the chronicle of vishnevsky preparing for surgery. he was born on september 4 1874, a graduate and then a professor at kazan university. he worked as a prosector for a long time, improving his knowledge abroad. he worked together with the physiologist mechnikov. the first world revolution, the civil war. hundreds of people who died from wound infection, all this set new tasks to transfer to talented surgeons scientists. navacaine was invented in 1905, but the existing methods of anesthesia had shortcomings. novocaine was injected into the tissue and they waited for the anesthesia to occur. long, not technologically advanced. vishnevsky made a brilliant a breakthrough in surgery, he knew anatomy perfectly, followed the theory of the great surgeon

pirogov, according to which each muscle , each bundle of nerves is enclosed. along the tissue, and he himself, as he said, crawled along the tissue, so he called the method a tightly creeping infiltrate, when he injected navocaine under pressure, he himself reached the nerve endings. he himself reached the nerve trunks, anesthesia occurred practically at the tips of the needle, as he said, that is, it was possible to immediately dissect the tissue, and his emblem, the emblem of his method was a crossed syringe scalpel, as he said, i alternately act with a syringe scalpels,

vishnevsky's monograph local anesthesia by the method of creeping infiltrate was published in 1932, the surgeon understood on... bkm also has a positive effect on the nervous system. the nerve, closely adjacent to the site of the operation, vishnevsky proposed to continuously wash with navokaim, on the wound or abscess, apply dressings with linement, known as vishnevsky's ointment, which prevents the formation of pus. this ointment, consisting of tar, xeroform castor oil, vishnevsky invented in 1927, for half a century it was in every home medicine cabinet, in every rural medical center. how many lives did vishnevsky's method save? how many soldiers did it put back on their feet during the great patriotic war, and even more surgery became available to doctors in the villages, and this was especially important for such a huge country as the ussr. thanks to vishnevsky's method, surgeons in small rural hospitals, where there were only five beds, 10 beds, they did not put patients, because they operated mainly on

the surface of the human body, began to operate in the abdomen, began to do gastric resection, began to do intestinal resection. thank you alexander vasilyevich for your method, we felt like surgeons, real surgeons, and i think the main significance of vishnevsky's method is in the spread of surgery throughout the soviet union. in these shots of the chronicle, the son of the great vishnevsky and also an outstanding surgeon. after his death , his son became the director of the institute, he began to operate on the heart, using his father's method, created the first laboratory of anesthesiology and artificial

blood circulation here. today, they celebrate here not not only the 150th anniversary of alexander vasilyevich vishnevsky, but also the eightieth anniversary of his brainchild, the institute, now the center he created. today, 8,500 operations are performed here per year and 40,000 patients receive treatment. a new building has been built and the historical one has been restored. vishnevsky's great-granddaughter galina, a surgeon and professor, works here. alexander alexandrovich vishnevsky sr., her grandfather, alexander alexandrovich vishnevsky jr., her father. a dynasty of surgeons. the fact is that it was necessary to withstand a serious battle with the existing professorship in moscow, because, in general, it was a question not only of the existence of this institute, but also of the existence of.

diseases, when this was worked out in leper patients, this community, their family, it allowed to create preserve that, the case went to implement it in the treatment of chronic what was done by the father and pass on to the son, grandson and further. in november 1957, here for the first time in the ussr, alexander alexandrovich vishnevsky, sr., operated on an eight-year-old girl suffering from tetralogy of fallot, this is a severe threshold. combining four anomalies. her heart stopped completely. the artificial blood circulation apparatus worked for 2 hours. the surgeon operated on the so-called dry heart.

children with congenital heart defects were operated on before, but these were not complex interventions without artificial blood circulation. the traditions established by the vishnevskys have been preserved here, but the methods are being improved. today , robotic operations are also performed here, when the surgeon controls the instruments remotely via joysticks. now , 10 operations are performed in this operating room per day with local anesthesia, patients with vascular pathology, heart disease. well, in general, a new direction of development, such a cardiological component is endovascular surgery, which is what i do. this is a relatively new specialty, it only took place in our country 15 years ago, it. 2009 was introduced as a specialty reendovascular surgery, when it is possible to perform operations without a scalpel, without anesthesia. the burn center here was founded in 1947 by father and son

vishnevsky. the experience of the great patriotic war showed that there is a need for burn specialists, that is, those who treat burn disease. previously , there was no such specialization. the center became the first and leading in the country. patients are brought here from all over russia. the doctors of this center saved the unfortunate burning people. this man has deep burns, they apply original dressings to him, developed specifically in the vishnevsky center. this pigskin dressing is a temporary biological coating, it helps to reduce, significantly reduce losses through the wound, protein loss, water loss and ... prevents microbial contamination and allows us to prepare this patient for surgery faster, creating the necessary conditions for further treatment

in terms of restoring the integrity of the skin. andrey alekseev has been heading the burn center for a long time, after rounds he tries to talk to patients, because everyone needs attention. maxim is far from discharge, his family is waiting for him in blagoveshchensk. well done, well done, but we will cure you, you will go on vacation, then. maxim lies on an anti-burn bed, it resembles a bathtub under a sheet, glass microbeads through which the air flow passes, the patient feels as if he is floating, and of course, from the point of view of comfort this is of great importance, but it is of no small importance from the point of view of the fact that these wounds, which are on the back of the body, primarily on the lower limb, heal under optimal conditions, without excessive pressure on them, and therefore, accordingly , regeneration. comes faster under these optimal conditions. in addition to treating severe patients, here at the center, combustiologists have responsibilities transfer experience, establish work in burn

centers throughout the country.

our country per year we conduct more than 300 special telemedicine consultations, we consult the most severe patients associated with some surgical diseases, primarily of the gastrointestinal tract, chest, heart, and every year our employees travel at least about thirty times to various regions of our country, 89 regions, dedicated to the eightieth anniversary of the center with vishnevsky scientific and practical conference vishnevsky readings, the program includes reports on radiation diagnostics, treatment of the wounded, modern technologies in combusteology, and of course, on the contribution of alexander vasilyevich vishnevsky to domestic surgery. are you used to watching

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international negotiations, meeting with moderators of key sessions launching new enterprises. vladimir putin has a very busy program within the eastern economic forum. among other things, the president held a meeting on the development of the far east. dmitry moroka will tell us about the important issues that were discussed.