To generate value for the customer, you have to take care of the employee ‘| Business

Former minister and lecturer, expert in customer service, Gabriel Vallejo López, today presents his new book “The two faces of service”, under the Conecta seal.
For the past three years, Vallejo has dedicated himself to looking for everyday situations that illustrate a catastrophic experience or an example of memorable service.

Lea: (Service: much to go, strengths left over)

Among his conclusions, he says, “the important thing is to generate value for customers and take care of those who work for them: the employees.”

Lea: (‘Employees should be more important than customers’)

What is the purpose of the book?

The starting point of the book has to do with a concept and that is that the problem of service is not one of companies, but of life, because our life revolves around service. Everything we all do revolves around someone serving someone or someone serving someone.

Three years ago, I started a process in conferences and on trips of building stories and asking people good and bad stories of service. So the book reflects 34 real life experiences, real companies, real people where names have been changed. What they show is the daily life in good and bad.

What can be concluded from these experiences?

The first thing is that I am convinced that in the country we continue to be mediocre in the provision of customer service, in the public and private sectors.

The second thing is that it is not true that one or the other is better or worse. I think they are different experiences.

The third is that there is no culture of service in the country in most organizations.

Finally, I think that what our bosses have always transmitted to us is false and that the important thing is the clients. This book makes me conclude, once again, that the most important thing is not the customers but the employees.

As long as companies don’t have happy and satisfied employees, there is no chance that customers will be happy and satisfied.

And, finally, I am also convinced that, in general, very few public and private companies care about the client or the citizen. Something unfortunate, sad and deeply painful.

And what is the solution?

We need higher levels of awareness in terms of the care and treatment of employees. We have to return to the culture of companies to the principles and values ​​with which they were founded.

You have to give an important value to employees and you have to understand that the only sustainable competitive advantage for companies is to have memorable experiences with customers, and when you achieve that, an important change is achieved.

The last survey we did with César Caballero, from Cifras & Conceptos, in the 12 most important sectors, in the four main cities of the country, shows us that only three out of 10 Colombians are satisfied with the level of service received.
This, more than showing that we are very bad, what shows is a huge opportunity.

How to see this now with the pandemic?

One of the themes that I address in the book, in the introduction, is that people have talked a lot about how the customer is going to change after the pandemic. But I think it will be the same, it may change some specific habits.

Customers are not going to change, organizations are the ones that have to adapt because the value of each customer after the pandemic is going to be infinite. Building loyalty is going to be very complex.

Like never before, taking care of customers, worrying about them and taking care of them is what is going to make the difference in the future.

This pandemic is going to happen and there will be customers who will remember companies that in this crisis have remembered them. So part of the message of the book is to invite companies to ask themselves “what are they doing to keep their customers”.

What should happen now that we are talking about attention and digital sales?

Thinking that the country is going to go digital and that everything will be through electronic commerce, you have to take it with nuances, because 50% of work in Colombia is informal. Furthermore, only 60% of homes have a computer.

And the other thing, which is the underlying issue, is that I believe a lot in technology and artificial intelligence, but you have to understand that no matter how many developments we ever have, human interaction is going to be completely replaced.

On Mother’s Day, in frustration because the lunch that she reserved for her mother did not arrive on time, because of the platforms, people had to pick up the phone and call a person in a call center to resolve the situation.

What is the preparation that employees must have to better serve?

Normally, in companies the areas of human talent are operational areas that are dedicated to training, liquidation, the end of the year parties. These departments, when they are strategic, are dedicated to thinking about how they support the service, taking into account that this service is supported by the collaborators.

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a 73-year-old retiree raped in the middle of the street, the suspect is a municipal employee

It was nearly 1:30 p.m. Thursday, when witnesses saw a 73-year-old pensioner being raped in a small residential street in Sainte-Catherine, north of Arras, as the Voix du Nord wrote. Fifty yards from her home. The victim said she was assaulted by a man on her way home. According to the Béthune prosecutor’s office, the individual allegedly “threw her to the ground, seized by the throat, threatened with death” and then forced her to have sex.

The attacker and his vehicle photographed

Also according to the Béthune prosecutor’s office, the attacker was put to flight by a couple of walkers, who had the presence of mind to photograph the attacker and his vehicle. These photographs made it possible to quickly identify the suspect, arrested in flagrante delicto rue Camille-Corot shortly before 2 p.m. It must be said that the man could not go unnoticed. Employed in the technical services of Sainte-Catherine for several years, according to the mayor Alain Van Ghelder, he had fled in a vehicle of the municipality.

Investigations are currently underway to find out more about the profile of the individual, almost unknown to the justice system until then. Computer requisitions must take place and a search was planned at his home. The Arras urban security brigade is in charge of the investigation.

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“I went up behind and touched my bra.” Details of the story about a Perm teacher who was given 9 years for harassing a student

– It is difficult to build forecasts, but I believe in the best. I feel sorry for mom, she is very worried, it has been going on for more than a year, – said “KP» 49-year-old math teacher Valery Syropyatov and, with a sigh, he entered the courtroom.

On Monday in the Ordzhonikidze court Perm the teacher was sentenced under the article “Violent acts of a sexual nature”. The sentence is 9 years and 6 months in a maximum security colony.

“The girl begged the three”

This ugly story happened in March last year in a Perm school. According to the teacher, she looked like this:

– In the seventh grade, where the girl studied, I taught mathematics for the first year. In the first quarter, she deceived me, I believed and put the “troika”. But there must be an educational moment. I told her that now she will hand over all the work in the sequence in which they are studied. And until we get to the control for the third quarter, the final mark at her will not be!

On that day, March 27, several students came to the mathematician to take the “tails”.

“Everyone sat at their desks and did the work, and once again she decided to slip away,” the teacher continues. – I began to ask myself, said that her stomach ached, her head … I insisted: “Decide the control, get your” threefold “and you can step on all four sides. If it’s inconvenient for you to study in the classroom – the children are noisy – let’s go to another office. ” We left, she stood at the table and again began to whine. I sit at the table and tell her: “Go, decide!” The man does not leave, I waved. I am sitting, she is standing – where will i get? Here in the belt on the side with the back of the hand and hit. It turned out cotton. I admitted this, and was removed by the director from teaching in this class. I apologized and believed that the incident had been exhausted.

Soon, the information got into law enforcement. First, criminal proceedings were instituted for Art. Art. 135 of the Criminal Code RF “Depraved actions”, and after six months the investigations were re-qualified as more serious, Art. 132 “Violent acts of a sexual nature.”

At each meeting, teachers supported

To the court – at each hearing in the Valery case Syropyatova – a support group gathered: former graduates, colleagues, parents of students … 17 of them acted as witnesses from the defense. They all said that they could not believe the guilt of their beloved teacher. He does not smoke, does sports, organizes excursions around the Perm Territory and cities for children Of Russiaorganizes competitions in rogain, tourist trips, alloys, fees …

Despite all the kind words spoken to the defendant, the state prosecution requested 13 years of imprisonment for him.

Valery Syropyatov on the day the sentence was announced, we met near the courthouse. He was light, without things. As the teacher himself explained, he believed that the court would figure it out and justify it.

“I’ve already checked in, now I’ll take a little walk, breathe in fresh air, mentally tune in and go,” he explained before entering the courtroom.

Despite the fact that the process was closed, the journalists and the support group were allowed to announce the verdict.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask. And the former graduates and colleagues who were present at the announcement somehow immediately went down. Someone could not hold back tears.

– Do you understand the verdict and the procedure for appealing against it?

“Yes, your honor,” the convict answered calmly.

At that moment, three escorts entered the courtroom. Knowing the rules of staying in places of deprivation of liberty — the teacher spent three days in a pre-trial detention center while the investigation was under way — the teacher began to unfasten his belt in order to remove it, took money from his pockets, a cell phone and gave it to a relative. The guards locked handcuffs on his hands, and asked all those present to leave the courtroom.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask.Photo: Vasily Vakhrin

I closed and he pushed my hands away

– The criminal case was considered in closed court, so we can’t explain the details, you heard the verdict, the evidence that the prosecution presented to the court was enough to plead guilty to a particularly serious crime against the sexual integrity of a minor, therefore the sentence so big – said assistant to the prosecutor of the Ordzhonikidze district of Perm, Dmitry Shishkin. – And that slap, and the version that the defendant himself told everyone about, including in the media, is a way of protection.

As it became known to “Komsomolskaya Pravda” from a source familiar with the materials of the criminal case, one of the evidence presented in court was the correspondence of the seventh grader with his girlfriend in social networks. Late in the evening on the day of math retaking, the schoolgirl wrote to her close friend that she was at school, and the teacher took her to a separate office, put her at her desk, walked up behind and began to touch her bra.

“I sat at the table, he was at the back and was pawing me,” she wrote. – I tried to close my hands, and he pushed his hands and touched me by the chest.

Experts examined the girl for bruises and the only thing found on her body was a small scratch on her finger.

The accusation was also based on the words of the girl, her mother and friend. Investigators also found a video from school surveillance cameras, which shows how one of the schoolgirls told Valery Nikolaevich that she had passed the debt, and he leaned over and began to say in her ear that she was good. This was interpreted later as a kiss.

During the investigation, a forensic medical examination was carried out, the biological traces of the teacher on the things of the victim were not found. The teacher was also tested for a tendency to pedophilia, but the result was negative.

READ ALSO:

“Sex scandal” in Perm: a math teacher shines 13 years for a slap on the priest of the seventh grader

In an interview with Komsomolka, the teacher told his version of events [видео] (More …)

In Perm, 17 graduates spoke at the trial in defense of a mathematics teacher who faces 13 years for a slap on the priest of a seventh grader

Among them were police officers and lawyers [видео] (More …)

“Having heard the verdict, he took off his belt.” In Perm, the teacher received 9 and a half years for a slap on the student’s priest

Valery Syropyatov was handcuffed in the courtroom (More …)

.

“I went up behind and touched my bra.” Details of the story about a Perm teacher who was given 9 years for harassing a student

– It is difficult to build forecasts, but I believe in the best. I feel sorry for mom, she is very worried, it has been going on for more than a year, – said “KP» 49-year-old math teacher Valery Syropyatov and, with a sigh, he entered the courtroom.

On Monday in the Ordzhonikidze court Perm the teacher was sentenced under the article “Violent acts of a sexual nature”. The sentence is 9 years and 6 months in a maximum security colony.

“The girl begged the three”

This ugly story happened in March last year in a Perm school. According to the teacher, she looked like this:

– In the seventh grade, where the girl studied, I taught mathematics for the first year. In the first quarter, she deceived me, I believed and put the “troika”. But there must be an educational moment. I told her that now she will hand over all the work in the sequence in which they are studied. And until we get to the control for the third quarter, the final mark at her will not be!

On that day, March 27, several students came to the mathematician to take the “tails”.

“Everyone sat at their desks and did the work, and once again she decided to slip away,” the teacher continues. – I began to ask myself, said that her stomach ached, her head … I insisted: “Decide the control, get your” threefold “and you can step on all four sides. If it’s inconvenient for you to study in the classroom – the children are noisy – let’s go to another office. ” We left, she stood at the table and again began to whine. I sit at the table and tell her: “Go, decide!” The man does not leave, I waved. I am sitting, she is standing – where will i get? Here in the belt on the side with the back of the hand and hit. It turned out cotton. I admitted this, and was removed by the director from teaching in this class. I apologized and believed that the incident had been exhausted.

Soon, the information got into law enforcement. First, criminal proceedings were instituted for Art. Art. 135 of the Criminal Code RF “Depraved actions”, and after six months the investigations were re-qualified as more serious, Art. 132 “Violent acts of a sexual nature.”

At each meeting, teachers supported

To the court – at each hearing in the Valery case Syropyatova – a support group gathered: former graduates, colleagues, parents of students … 17 of them acted as witnesses from the defense. They all said that they could not believe the guilt of their beloved teacher. He does not smoke, does sports, organizes excursions around the Perm Territory and cities for children Of Russiaorganizes competitions in rogain, tourist trips, alloys, fees …

Despite all the kind words spoken to the defendant, the state prosecution requested 13 years of imprisonment for him.

Valery Syropyatov on the day the sentence was announced, we met near the courthouse. He was light, without things. As the teacher himself explained, he believed that the court would figure it out and justify it.

“I’ve already checked in, now I’ll take a little walk, breathe in fresh air, mentally tune in and go,” he explained before entering the courtroom.

Despite the fact that the process was closed, the journalists and the support group were allowed to announce the verdict.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask. And the former graduates and colleagues who were present at the announcement somehow immediately went down. Someone could not hold back tears.

– Do you understand the verdict and the procedure for appealing against it?

“Yes, your honor,” the convict answered calmly.

At that moment, three escorts entered the courtroom. Knowing the rules of staying in places of deprivation of liberty — the teacher spent three days in a pre-trial detention center while the investigation was under way — the teacher began to unfasten his belt in order to remove it, took money from his pockets, a cell phone and gave it to a relative. The guards locked handcuffs on his hands, and asked all those present to leave the courtroom.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask.Photo: Vasily Vakhrin

I closed and he pushed my hands away

– The criminal case was considered in closed court, so we can’t explain the details, you heard the verdict, the evidence that the prosecution presented to the court was enough to plead guilty to a particularly serious crime against the sexual integrity of a minor, therefore the sentence so big – said assistant to the prosecutor of the Ordzhonikidze district of Perm, Dmitry Shishkin. – And that slap, and the version that the defendant himself told everyone about, including in the media, is a way of protection.

As it became known to “Komsomolskaya Pravda” from a source familiar with the materials of the criminal case, one of the evidence presented in court was the correspondence of the seventh grader with his girlfriend in social networks. Late in the evening on the day of math retaking, the schoolgirl wrote to her close friend that she was at school, and the teacher took her to a separate office, put her at her desk, walked up behind and began to touch her bra.

“I sat at the table, he was at the back and was pawing me,” she wrote. – I tried to close my hands, and he pushed his hands and touched me by the chest.

Experts examined the girl for bruises and the only thing found on her body was a small scratch on her finger.

The accusation was also based on the words of the girl, her mother and friend. Investigators also found a video from school surveillance cameras, which shows how one of the schoolgirls told Valery Nikolaevich that she had passed the debt, and he leaned over and began to say in her ear that she was good. This was interpreted later as a kiss.

During the investigation, a forensic medical examination was carried out, the biological traces of the teacher on the things of the victim were not found. The teacher was also tested for a tendency to pedophilia, but the result was negative.

READ ALSO:

“Sex scandal” in Perm: a math teacher shines 13 years for a slap on the priest of the seventh grader

In an interview with Komsomolka, the teacher told his version of events [видео] (More …)

In Perm, 17 graduates spoke at the trial in defense of a mathematics teacher who faces 13 years for a slap on the priest of a seventh grader

Among them were police officers and lawyers [видео] (More …)

“Having heard the verdict, he took off his belt.” In Perm, the teacher received 9 and a half years for a slap on the student’s priest

Valery Syropyatov was handcuffed in the courtroom (More …)

.

“I went up behind and touched my bra.” Details of the story about a Perm teacher who was given 9 years for harassing a student

– It is difficult to build forecasts, but I believe in the best. I feel sorry for mom, she is very worried, it has been going on for more than a year, – said “KP» 49-year-old math teacher Valery Syropyatov and, with a sigh, he entered the courtroom.

On Monday in the Ordzhonikidze court Perm the teacher was sentenced under the article “Violent acts of a sexual nature”. The sentence is 9 years and 6 months in a maximum security colony.

“The girl begged the three”

This ugly story happened in March last year in a Perm school. According to the teacher, she looked like this:

– In the seventh grade, where the girl studied, I taught mathematics for the first year. In the first quarter, she deceived me, I believed and put the “troika”. But there must be an educational moment. I told her that now she will hand over all the work in the sequence in which they are studied. And until we get to the control for the third quarter, the final mark at her will not be!

On that day, March 27, several students came to the mathematician to take the “tails”.

“Everyone sat at their desks and did the work, and once again she decided to slip away,” the teacher continues. – I began to ask myself, said that her stomach ached, her head … I insisted: “Decide the control, get your” threefold “and you can step on all four sides. If it’s inconvenient for you to study in the classroom – the children are noisy – let’s go to another office. ” We left, she stood at the table and again began to whine. I sit at the table and tell her: “Go, decide!” The man does not leave, I waved. I am sitting, she is standing – where will i get? Here in the belt on the side with the back of the hand and hit. It turned out cotton. I admitted this, and was removed by the director from teaching in this class. I apologized and believed that the incident had been exhausted.

Soon, the information got into law enforcement. First, criminal proceedings were instituted for Art. Art. 135 of the Criminal Code RF “Depraved actions”, and after six months the investigations were re-qualified as more serious, Art. 132 “Violent acts of a sexual nature.”

At each meeting, teachers supported

To the court – at each hearing in the Valery case Syropyatova – a support group gathered: former graduates, colleagues, parents of students … 17 of them acted as witnesses from the defense. They all said that they could not believe the guilt of their beloved teacher. He does not smoke, does sports, organizes excursions around the Perm Territory and cities for children Of Russiaorganizes competitions in rogain, tourist trips, alloys, fees …

Despite all the kind words spoken to the defendant, the state prosecution requested 13 years of imprisonment for him.

Valery Syropyatov on the day the sentence was announced, we met near the courthouse. He was light, without things. As the teacher himself explained, he believed that the court would figure it out and justify it.

“I’ve already checked in, now I’ll take a little walk, breathe in fresh air, mentally tune in and go,” he explained before entering the courtroom.

Despite the fact that the process was closed, the journalists and the support group were allowed to announce the verdict.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask. And the former graduates and colleagues who were present at the announcement somehow immediately went down. Someone could not hold back tears.

– Do you understand the verdict and the procedure for appealing against it?

“Yes, your honor,” the convict answered calmly.

At that moment, three escorts entered the courtroom. Knowing the rules of staying in places of deprivation of liberty — the teacher spent three days in a pre-trial detention center while the investigation was under way — the teacher began to unfasten his belt in order to remove it, took money from his pockets, a cell phone and gave it to a relative. The guards locked handcuffs on his hands, and asked all those present to leave the courtroom.

It was impossible to understand what the teacher experienced at that moment when the judge said “nine and a half years in a maximum security colony”, the teacher’s face was hidden under a mask.Photo: Vasily Vakhrin

I closed and he pushed my hands away

– The criminal case was considered in closed court, so we can’t explain the details, you heard the verdict, the evidence that the prosecution presented to the court was enough to plead guilty to a particularly serious crime against the sexual integrity of a minor, therefore the sentence so big – said assistant to the prosecutor of the Ordzhonikidze district of Perm, Dmitry Shishkin. – And that slap, and the version that the defendant himself told everyone about, including in the media, is a way of protection.

As it became known to “Komsomolskaya Pravda” from a source familiar with the materials of the criminal case, one of the evidence presented in court was the correspondence of the seventh grader with his girlfriend in social networks. Late in the evening on the day of math retaking, the schoolgirl wrote to her close friend that she was at school, and the teacher took her to a separate office, put her at her desk, walked up behind and began to touch her bra.

“I sat at the table, he was at the back and was pawing me,” she wrote. – I tried to close my hands, and he pushed his hands and touched me by the chest.

Experts examined the girl for bruises and the only thing found on her body was a small scratch on her finger.

The accusation was also based on the words of the girl, her mother and friend. Investigators also found a video from school surveillance cameras, which shows how one of the schoolgirls told Valery Nikolaevich that she had passed the debt, and he leaned over and began to say in her ear that she was good. This was interpreted later as a kiss.

During the investigation, a forensic medical examination was carried out, the biological traces of the teacher on the things of the victim were not found. The teacher was also tested for a tendency to pedophilia, but the result was negative.

READ ALSO:

“Sex scandal” in Perm: a math teacher shines 13 years for a slap on the priest of the seventh grader

In an interview with Komsomolka, the teacher told his version of events [видео] (More …)

In Perm, 17 graduates spoke at the trial in defense of a mathematics teacher who faces 13 years for a slap on the priest of a seventh grader

Among them were police officers and lawyers [видео] (More …)

“Having heard the verdict, he took off his belt.” In Perm, the teacher received 9 and a half years for a slap on the student’s priest

Valery Syropyatov was handcuffed in the courtroom (More …)

.

Mishustin reported an increase in the number of employees on a remote site by almost 30 times :: Society :: RBC

Photo: Sergey Pivovarov / RIA Novosti

The number of Russians working remotely exceeded 2 million people; since April 1, it has grown by almost 30 times. This was announced by Russian Prime Minister Mikhail Mishustin at a meeting on the situation on the labor market. The transcript is published on the government website.

Speaking about how to “really improve the situation with employment,” the head of government proposed “to actively apply new methods in the field of employment”, including a remote format of work. “Now the number of those who work remotely exceeds 2 million people. That is, from April 1, it grew by almost 30 times, ”Mishustin said.

The prime minister also noted the convenience of such a form of employment “for many categories of workers,” including for people with disabilities or families with children. In the future, the distance format can be used in such areas as information technology and a number of secondary and higher education programs, he said. Moreover, the rights of workers on a remote site should be protected in accordance with the law, Mishustin emphasized.

Putin called the test for himself the need to work remotely

Vladimir Putin

After President Vladimir Putin announced a non-working day due to coronavirus, many companies began to massively transfer employees to a remote location. In mid-May, the head of state announced the end of the non-working week period.

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Russian Railways withdrew the order of the head of the Ryazan branch to vote :: Politics :: RBC

Russian Railways called the order “take measures to vote” a personal initiative of a top manager. Earlier, Golos announced the order of the head of the Ryazan branch of the Moscow Railway to mobilize employees for an all-Russian vote

Photo: Sofya Sandurskaya / AGN “Moscow”

Russian Railways responded to observers about an attempt to mobilize employees of the Ryazan branch of the Moscow Railway in order to convince them to vote on constitutional amendments.

“There is an agreement between Russian Railways and the Central Election Commission, according to which the company informs voters on the way about the upcoming voting,” the company’s press service told RBC. Under this agreement, Russian Railways broadcasts information messages provided by the CEC, and the company also informs employees about voting options through corporate media, emphasized in Russian Railways.

“With regard to this particular telegram, it is the initiative of the regional leader. The telegram has now been recalled. The necessary explanatory work was carried out with the manager, ”the representative of the railway company said.

How is the vote on amendments to the Constitution. the main thing

Photo: Dmitry Lovetsky / AP

Earlier, the Golos movement announced the order of the head of the Ryazan branch of the Moscow Railway to mobilize employees for an all-Russian vote. The document is entitled as an operational order, dated June 26 and signed by Sergei Dmitrov, head of the Ryazan region of the Moscow Railway. It says that “the results of the first day of the all-Russian vote on amendments to the Constitution showed unsatisfactory explanatory work with employees of structural divisions” of the regional branch of the company.

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Police obliged to inform relatives of detainees about their hospitalization :: Society :: RBC

During the day, the police must inform the detainee’s relatives that he was given first aid or hospitalized. For medical reasons, relatives were informed of injuries or death of the detainee.

Photo: Vladimir Astapkovich / RIA Novosti

The government ordered police officers to inform relatives or loved ones of the detainees about their hospitalization or first aid. This is stated in the resolution of the Cabinet, published on the official portal of legal information.

The amendments will supplement the government decree of April 16, 2012 “On approval of the provision on the conditions of detention, food standards and the procedure for medical care of detainees in the territorial bodies of the Ministry of Internal Affairs of the Russian Federation”. It says that upon the conclusion of an ambulance doctor, detainees can use medicines that are stored on the territory of the Ministry of Internal Affairs and issued by the police in the manner prescribed by doctors.

Media found out about police empowerment project

Photo: Sergey Vedyashkin / AGN “Moscow”

The new decree supplements this paragraph (No. 27) with a requirement for police officers to inform the relatives or close person of the detainee “as soon as possible” that he was given first aid or about his hospitalization. At the same time, police officers must transmit information to relatives no later than 24 hours from the moment when the person was given first aid or when he was hospitalized. The exception in this case is a serious illness, injury, injury or death of the detainee. In such situations, police officers must transmit information to relatives and the prosecutor “immediately, but no later than 3 hours” (paragraph 28 of the 2012 government decree).

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In St. Petersburg, detainees made obscene inscriptions on a police car :: Society :: RBC



Video: 78.mvd / Facebook


Video

In St. Petersburg, two couriers were detained who wrote obscene words on a police car marker, told RBC the press service of the Main Directorate of the Ministry of Internal Affairs of Russia for St. Petersburg and the Leningrad Region.

Employees of the Center “E” of the Main Directorate of the Ministry of Internal Affairs brought two courier officers aged 20 and 21 to the police who rent an apartment on Rubinstein Street. One of them is a native of the Tomsk region, the second – the city of Irkutsk.

“It was established that it was they who, out of hooligan motives, put an obscene inscription on the car,” the message said. Upon the fact of the incident, they started a case under part 1 of art. 214 of the Criminal Code (vandalism). The headquarters added that the detainees could face several months of arrest.

Earlier, a video appeared on the Internet that shows how an unknown person inscribes on a police official car. According to Glaucus, the incident occurred on June 27 on Rubinstein Street.

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very cheap and long-known drugs help save the lungs with coronavirus

Cloving hospital on the basis of the Medical Scientific and Educational Center (ISSC) Moscow State University named after M.V.Lomonosov took the first patients on April 21 and completed his work on June 13. It turned out that it was possible to achieve the best treatment results for COVID-19 in Moscow. Over the entire period, 4 patients died, and among severe patients who got mechanical ventilation, the mortality rate was less than 14% (for comparison, the average for the city and the world was up to 70 – 80%). Eighteen doctors out of 220 employees of the hospital were infected with coronavirus, there were no deaths among the medical staff.

What approaches were used at the University Hospital of Moscow State University to achieve such results? We continue the conversation with the head. Department of Therapy, Faculty of Fundamental Medicine, Moscow State University, Head of the Department of Age-Associated Diseases, Medical Scientific and Educational Center, Doctor of Medical Sciences, Cardiologist Yana Orlova.

MEDICINE FOR COUGH FOR 80 RUBLES

– Most of those who are ill or are afraid to get sick are worried about fibrotic changes in their lungs. They say that you have developed special therapy that can reduce the risk of developing fibrosis. Is it possible?!

– Yes, we launched an appropriate clinical study. There are no final results yet, but we have developed clinical practice.

“What did you do to save the lungs?”

– We used a combination of bromhexine and spironolactone (both are long-known very cheap drugs. – Ed.). Bromhexine is an expectorant that has been prescribed to patients with pneumonia and cough for many years. At the same time, experimental data showed that this drug can block a specific enzyme and impede the penetration of coronavirus into cells. True, it was on this effect that we counted to a lesser extent in inpatients, since such an effect is important mainly in the early stages of the disease. But the expectorant effect of bromhexine really helps patients with COVID. I heard that our colleagues in Peter launched a study of bromhexine for prophylactic purposes. We will wait for the results.

Coronavirus infected 18 doctors from 220 employees of the hospital, there were no deaths among the medical staffPhoto: Ivan MAKEEV

FIBROSIS OBSTACLE

– The second drug – spironolactone – is traditionally widely used in cardiology for the treatment of heart failure, severe hypertension. It has a small diuretic, magnesium and potassium-preserving effect, continues Yana. Orlova. – It has several mechanisms through which it can be useful in coronavirus infection.

Firstly, a mechanism that prevents the development of fibrosis in general in the body. There are works that, in particular, show that spironolactone reduces fibrosis in the heart. At the same time, it is known that the tendency to fibrosis is not local, but systemic – where there is more inflammation, there will certainly be fibrosis. And we see, of course, fibrotic changes in the “covide” in our patients. Therefore, we prescribed spironolactone as a drug for the prevention of this process.

Secondly, this drug blocks sex hormone receptors, in particular testosterone. Some published studies suggest that “high-testosterone” men suffer from “covid” more often and develop more severe fibrotic changes. Therefore, blocking these receptors for several weeks during COVID treatment may be useful in reducing the severity of complications. We are not talking about a longer intake, since male patients are unlikely to agree with a decrease in testosterone levels in the long term.

And perhaps the most important point. In almost all of our patients, we observed hypokalemia (a decrease in potassium levels. – Ed.). With coronavirus infection, potassium is intensely excreted from the body, and scientific articles even suggest that hypokalemia serves as the trigger for a cytokine storm. So spironolactone has a real chance to reduce the risk of this dangerous complication. But the main thing, in my opinion, is that lowering the level of potassium in the body is extremely harmful to the heart and triggers life-threatening rhythm disturbances, increasing the risk of sudden death. We, like all others, replenished potassium with droppers, but it was more effective to retain it in the body with the help of spironolactone.


Men certainly get worse than women;  the elderly are heavier than the young;  overweight people are heavier than patients without excess weight Photo: Ivan MAKEEV

Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patientsPhoto: Ivan MAKEEV

WHEN PRESCRIBED PATIENTS

– Yana Arturovna, how many patients did you have on average?

– About 10 – 14 days. But someone and 50 days.

– Have you noticed signs by which it can be assumed that the disease in the person brought is likely to go the hard way?

– Such studies were carried out in the world, our clinical practice confirmed them. Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patients. Men with a classic male type of baldness, a lot of facial hair, we can say brutal men get sick harder.

– Under what conditions did you discharge patients?

– We acted as close as possible to the recommendations Ministry of Health: so that the temperature for three days was not higher than 37.5 degrees; so that C-reactive protein (an indicator of inflammation) is lower than 10 mg / l, and saturation, that is, the level of oxygen in the blood, is higher than 96%.

“HEAD OF EPIDEMIOLOGY DEPARTMENT OF ITSELF WORKED AT SANPROPUSNIK”

– How often do you get sick doctors and nurses?

– In the first month no one got sick at all. We have a very powerful epidemiological service. The head of the sanitary-epidemiological department, a senior researcher, correctly organized the whole process, and for the first two weeks she personally worked in the sanitary inspection room at the exit from the “red zone” and helped doctors and nurses who were exhausted after the shift safely remove protective clothing.

Then both people’s fatigue and viral load accumulated. By the middle of the second month, sick people began to appear. There were no seriously ill patients. We treated part of the staff in our observation, part of it was treated at home. In total, 18 people were infected from the medical staff (less than 10%).

– Doctors take something for prevention? Vitamins C, D, Zinc?

– I saw the recommendations of American nutritionists, they speak out positively about taking zinc, melatonin and vitamin C. There were somewhat conflicting data on vitamin D. But we did not give any such recommendations to our employees. We have all the prevention was associated with minimizing contacts and other measures of epidemiological safety.

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