On June 30, a meeting of the operational headquarters should be held in the Perm Territory, at which the possibility of removing a number of restrictions will be discussed. Two consecutive days – June 28 and 29 – the distribution coefficient of coronavirus in Prikamye is 0.79. This is one of the important indicators of the phased lifting of restrictions – for the second stage, it should be less than 0.8.
In addition, over the past three days, 510 beds were additionally re-profiled for COVID-19 treatment in the province. The indicator “availability of free bed fund” amounted to 67.7 percent.
– Over the past two days, key indicators have been kept in the Kama region at the level of standards for moving to the second stage of lifting restrictive measures, – said Sergey Nikiforov, Deputy Prime Minister of the Perm Territory, in charge of healthcare. – This allows us to discuss the draft plan for the transition to the second stage.
At the second stage, street cafes, museums and exhibition halls, shopping centers up to 800 square meters, children’s clubs, public organizations, research institutes, playgrounds and kindergartens, including private ones, will be opened.
As a source in the operational headquarters told Komsomolskaya Pravda, the chances are high that the second stage in the Perm Territory will begin on July 1.
.
“No need to hide from the virus in a cocoon!” – Perm epidemiologist about the current situation
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 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.
Physicians are the heroes of our time.“If you think that you are special and that a pandemic will not affect you, you are deeply mistaken,” listen to what the doctors who are fighting with coronavirus say
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Anastasia Volochkova and Dana Borisova long-standing conflict. Two blondes had a fight after the former TV presenter has accused the dancer of alcoholism and amoralke. In response to the dancer urged her opponent to answer.
Dana Borisova came face-to-face Anastasia Volochkova, which was accused of drunkenness. The ballerina denies that suffers from alcoholism. “What she’s accusing me? What I like to drink wine. What do you not drink wine? Sorry, what do you care what I do, I sleep with somebody that I realize. If the main task is to come every day to be on stage,” he said, as snapped, the actress in the new issue of the program “New Russian sensations”.
Dana just does not intend to retreat. “By the way, at this stage the legs were growing. It is explained to us in rehab. Female alcoholism, the third stageread the literature , specifically the woman begins to crawl” – not appeased with the scandalous attacks on television.
Volochkova also not born shita. “I’d love to see Dana Borisov after his cocaine, so she went out and did something physically feet, hands. Without cocaine, I think, will not. If she says this, that they used to lose weight,” he recalled ballerina revelation sworn friend.
Borisov admits that struggling with their addictions. “Yes, I’m an addict, Yes, I’m an addict, Yes, I’m an addict! But I’m honest, I speak about it openly. But I’ve dealt with a long time all these initial stages, and her daughter is not even in the beginning, it is in active use! That is her denial even saw but saw. Nastya, I have a lot in common. We share the same disease – alcoholism“- she said.
Anastasia most resent injustice. “I do not understand why people take the liberty to judge me, to appreciate and evaluate? Climb into my soul, into my glass, my plate, in my bed, in my house. I have a feeling that in my house lives the whole country. Everyone drink: one wine who – vodka is what everyone wants – it is the right of every human being. But after drinking you can’t come to the gym and doing cartwheels, pirouettes and to do what you love”, – is angry with the artist.
Volochkova believes that Borisov must answer for his slander. “When you’re talking shit, you have to answer! I can tell you my cat: chatter and … – no bags to roll”.
Dana retorted: “Away: Mat-peremat. Habalki included. You go drunk, beg, fall.”
However, the proposal Nastya took. “Anastasia, breathe!”, – demanded Dana. Volochkova complied with the request, and Borisov withdrew, driving away the smell. “Are you sober?”, – asked the presenter.
In response Volochkova assured that just worked eight hours on Pointe and offered the opponent the experiment. She sent Borisov through all the circles of hell ballet to the on your own Pointe shoes see how hard hangover “to be in the pack.”
The job – to do the splits – Dana failed miserably. And this is understandable. In this field Volochkova has no equal.
“Drove Dan twine “alcoholic” in the air. Spinning, spinning. String “alcoholic”, and revolves a ball of gold” – Anastasia twirled in the dance, doing his trademark splits.
She said that for the year from it there were 40 performances of “the Dancer in the mirror of the circus.” “I do every day love. Wake up in bed with a loved one… to Blame I have nothing. Has no right! For the charges that she made, calling me, pouring dirt, she will answer in court”, – said the dancer.
A fragment of the Chinese Long March 5B rocket launched last May 5 is returning to Earth in an uncontrolled way. According to Cnr space debris expert Luciano Anselmo, the wreck should fall shortly in a slice of the globe between Australia, Africa and the United States, while Europe and Italy would be safe. “The debris is very likely to end up in the ocean, while the chance of causing casualties is millions of times less than that of the coronavirus.”
The time window in which the fragment was expected to fall closed at 5:55 pm (Italian time). In the absence of eyewitnesses, it will be necessary to wait for the response of the satellites to understand exactly where and when the return occurred. According to Cnr’s Luciano Anselmo, “it will perhaps take a few hours to get a confirmation from the United States: their space forces are in fact equipped with an infrared satellite network that serves to detect the launch of missiles and which could also see the trail fiery created by the fall of the object “.
There is still much uncertainty about its real size, also because there is little documentation concerning the rocket, designed to bring the heavy modules of the future Chinese space station into orbit. “The fallen one could be the first stage, which is estimated to be 32 meters long, over 5 meters in diameter and weighing more than 17 tons,” explains the expert.
“US space forces, however, said they observed an object that covers 20 square meters with radar, a figure incompatible with the first stage: it could therefore be another piece of the rocket, perhaps a smaller stage designed to give a little push to enter orbit “. In any case, his return to Earth could have given a great show, especially if it happened in a region of the world where it is still night.
“The stage of a rocket is made up of a few but voluminous pieces, so it cannot be excluded that some fragments that go from a few tens of centimeters to over a meter can reach the ground: I am thinking above all of titanium or steel tanks containing pressurized gas or engine parts that resist high temperatures. “
Alexandra Abdulova He died when his daughter Eugenia was only a year old: the 54-year-old actor burned out from cancer. The girl from childhood grew up in an artistic environment, the second wife of the artist Julia gave her to study at a theater studio. Recently, 13-year-old Zhenya has grown a lot and is slowly turning into a charming girl. Looking at her pictures on social networks, fans discuss how she matured.
“She’s quite grown up, and so looks like a father”, “A real beauty grows like a dad”, “His eyes, nose, lips are spilled Abdulov”, “I became so beautiful and sweet”, “Genes are immediately visible in you great Abdulova, ”they write on the Web.
13-year-old Zhenya Abdulova became quite an adult. Photo: Instagram.
Many believe that Eugene has a great future in the cinema. The girl already has experience on the set. He played his debut role in the film by Alla Surikova “Love and Sax”. The director was satisfied with the work of the young actress: she is sure that Zhenya not only looks like her father, but also inherited his acting talent.
The role in the play was offered to the girl by the late artistic director “Lenkoma»Mark Zakharov. The head of the theater, where Alexander Abdulov served for many years, wanted the artist’s daughter to take the stage in the final of the Royal Games performance. The girl was preparing for the premiere, but then refused to participate in the play, saying that she did not like to rehearse.
“She never went on stage.” Sasha’s character! She was always the most important at children’s parties, she built all, commanded. Recently, however, she starred in a small role in the film with Maxim Averin, but so far, school is in priority, ”a close friend of the Abdulov family told reporters then.
The girl is very similar to her star father. Photo: Instagram.
Alexander Abdulov met his wife Zhenya’s lawyer two years before his death. The spectacular brunette immediately liked the famous actor, behind whom there were many novels with the most beautiful women of the country. Couple she got married in 2006, and in March 2007 they had baby Eugene.
Alexander Gavrilovich died of cancer in January 2008. He struggled with oncology for a long time – he was diagnosed with lung cancer of the fourth stage. Doctors did everything possible to cure the artist, but the disease was stronger. Probably, oncology could be provoked by long-term smoking: Abdulov was a heavy smoker and did not part with cigarettes for several decades in a row.
The lead singer of the “Time Machine” group, a Russian musician Andrei Makarevich, married journalist and professional traveler Einat Klein.
“I spend most of my time traveling between countries and sometimes continents. I give lectures in different cities, I drive groups of travelers to the countries of the Middle East and Africa, ”the girl says.
“I write and shoot a lot for travel magazines, including National Geographic and My Planet,” Einat Klein writes about himself on his personal page in the Snob publication.
In the column “love” the girl indicated “meat, wine and take pictures.”
Einat Klein was born in Kiev, where she graduated from the Faculty of Journalism, then the Faculty of History in Israel.
According to journalists, Andrei Makarevich met his future wife in one of the trips, where she was a guide.
Now, due to the collapse of the tourism market, Einat Klein has opened a company to promote Israeli wines. Due to the closure of the borders, the couple was divided – the girl remained in Israel, Andrei Makarevich – in Russia. After the removal of quarantine, the couple plan to live in two countries, writes TVcenter ..
The last marriage of Andrei Makarevich – with Natalia Dove – broke up in 2010. The musician has a son and two illegitimate daughters.
Abashkin had plenty of connections, and the actress herself “disappeared”: the conclusion suggests itself.
Not so long ago, a rumor appeared about the next disagreement between Ekaterina Guseva and her husband Vladimir Abashkin. Previously, a pair of quarrels were already noticed, after which the couple talked about reconciliation. Now the suspicious “lull” has dragged on for almost 2 months. According to information from the media in the family, a divorce is being prepared, even the name of the alleged actress lover was named. Given Abashkin’s previous statements and his capabilities, we can safely assume that he is going to destroy his wife’s career after a divorce.
The last public event in which Guseva was noted was her first solo concert in the Kremlin. Such strong emotions overwhelmed the woman, as if her dream had come true. That momentous event was shared with her by a son and a friend who behaved like the head of the family. After that, Catherine disappeared “from the radar.”
The confessions of Vladimir immediately come to mind that his wife brought him to an early gray hair. Given the numerous rumors about her novels, it is easy to guess that we are talking about jealousy. Meanwhile, Abashkin has a solid business that is directly related to all areas of show business: theater, cinema, and pop music. The businessman collaborated with such stars as Alla Pugacheva, Sofia Rotaru, Joseph Kobzon, Valery Leontyev, Philip Kirkorov and other celebrities of the “first magnitude”. Of course, Guseva is a popular person, but in secular circles, as a rule, they think in terms of benefits, rather than loyal friendship. Therefore, a reliable partner in the person of her husband may be a priority, which means that ignore will begin in the direction of Catherine. It is possible that the corresponding ultimatums and the clarification of relations in a pair are happening right now.
LOS ANGELES – Early confinement and other prevention measures promoted by the state government have allowed California, with more than 40 million inhabitants and some 300 deaths from COVID-19, to become an example of how to deal with the coronavirus pandemic in United States.
So far, the nation’s largest metropolis, Los Angeles, with more than 10 million citizens, has recorded fewer than 6,000 cases and 132 deaths, far from New York City, which has 8 and a half million inhabitants. and it has confirmed some 130,000 infections and more than 4,000 deaths.
“California has been doing quite well in the COVID-19 pandemic, with a relatively low number of infected per 100,000 people and a low death rate,” said Professor Karin Michels, head of the Department of Epidemiology at the School of Public Health, University of California Los Angeles (UCLA).
PRECAUTIONARY MEASURES
California Governor Gavin Newsom was one of the first in the country to enact relatively strict confinement, allowing only “essential” activities such as going to the grocery store and pharmacy, and exercising respect for safety distances between people.
In contrast, eight states – Arkansas, Iowa, Nebraska, North Dakota, South Dakota, South Carolina, Utah, and Wyoming – have not mandated their residents to stay home.
“The governor issued ‘home security’ and ‘shelter’ orders relatively quickly. Universities like UCLA and other large employers closed even earlier and sent people to work, teach and study from home,” said Michels, who has extensive experience in disease prevention, public health and statistical methods.
Due to the COVID-19 crisis, California schools may continue to be closed until the end of August.
Newsom also took the initiative to decree the closure of schools, which will remain closed until next year, as a preventive measure; in asking President Donald Trump to send a hospital ship to Los Angeles to support local hospitals before it reached a hypothetical peak in the number of cases, which has not yet occurred; and in closing the state’s beaches and parks.
Another point that seems to have helped so far in the exceptional case of California against COVID-19, according to experts, is the low population density of the state, which reduces the possibility of contagion and allows better compliance with the rules of social distancing.
“TO
Despite having a large population, Californians do not live in
as dense as New Yorkers. Cities spread with
Few skyscrapers: Relative to other states, many more people in
California lives in houses, not in apartment buildings or buildings
high, “summarizes Michels, who is based on data from a study of his
college.
YOUNG PEOPLE, LESS DEATHS PER CAPITA
California has had a much lower per capita death rate than most of the nation’s largest states, with the exception of Texas.
“The state has a low average age and a high
density of healthcare facilities, which may have contributed to
the low mortality rate, “explained Michels.
According to a recent study published in The Lancet, the mortality rate among those infected with 20 years of age is 0.03%, while for those 70 years of age it is 8.6%.
Cautious tone
The
Californian authorities have projected alarming numbers in the
recent weeks, although so far those estimates have not been
compliment.
Newsom himself foresaw two weeks ago that more than half the state’s population, or about 25 million people, would become infected, so he begged its residents to follow the guidelines to the letter.
For his part, the mayor of Los Angeles, Eric Garcetti, did not hesitate to forecast that the city “would follow in the footsteps of New York” in number of cases, a catastrophic scenario that is still far away.
COVID-19 affects children differently than adults. This is what the doctors say in the following video.
The United States on Monday exceeded 10,000 deaths from coronavirus, with 10,335 and almost 350,000 infected, making it the third country with the most deaths after Italy and Spain, according to the count of the Center for Systems, Science and Engineering (CSSE) from Johns Hopkins University (Maryland).
The new data is known after this Sunday
President Donald Trump, during his usual daily press conference,
make sure “this will probably be the hardest week, between this
week and next, and there will be a lot of death. ”
The state of New York, the great epicenter of the pandemic in the United States, accumulates with these latest figures a total of 4,758 deaths and 130,689 confirmed cases of COVID-19, compared to just over 122,000 that it had a day earlier.
The Jaén musician Joaquín Sabina has spoken for the first time about the brutal fall he suffered on stage on February 17 when he was giving a concert at the Wizink Center and that forced him to be hospitalized at the Rúber Internacional hospital. “The hostility was stronger than you think,” confesses the journalist of La Sexta Jordi Évole, in his first interview after what happened.
Sabina acknowledges that the spectacular accident he suffered was “an error” of his. “Serrat says no, that it was a very strange thing, but I have been in this for almost 40 years and always before going on stage I think that can happen and I am always vigilant and should have made a mistake,” he explains.
“Since I left the hospital I haven’t really talked to anyone, except in some occasion that my daughters came, but once alone, I am really incommunicado », he says, when asked about how he is managing his recovery at home, in full confinement due to the coronavirus pandemic.
Now that he is unable to leave the house due to the state of alarm, especially regrets that he can’t play the guitar, something that he admits would have “comforted him greatly in confinement.” “I can’t touch it, because an arm still doesn’t give much of itself,” he explains.
An 8% drop in GDP in Spain and the deepest global crisis since the Great Depression a century ago. It looks like an economic catastrophe. And yet, that is rather the optimistic scenario drawn by the International Monetary Fund for the coronavirus pandemic. The agency warns that it contemplates three alternative scenarios in which the economic crisis would be even more serious, with devastating effects.
Those scenarios are three. The first, a delay in containing the pandemic. The second, a regrowth in 2021. And the third, both, the delay and the regrowth.
In its central scenario, the IMF expects the pandemic to die down in the second half of 2020 and that containment measures will be gradually withdrawn. This scenario contemplates that the confinements be concentrated in the second quarter, with a gradual recovery or subsequent de-escalation.
However, if the containment of the pandemic lasted 50% longer than expected by the IMF in its baseline scenario, the impact on the global economy would be three additional points. The drop in world activity would not be 3% this year, but 6% and the rebound in 2021 would also be less. This scenario would imply an increase in risk premiums and a tightening of financial conditions.
In the second alternative scenario, the pandemic is contained within the planned calendar this year, but there is a re-emergence in 2021. This year the forecast fall will not vary, but in 2021 the effect would be very damaging. The relapse would cost an additional five points of GDP in that year and another three in 2022, so that the rebound in the economy next year would lose almost all its strength.
The worst alternative scenario is the third, which combines the previous two: a delay in containing the current outbreak in 2020 and a relapse in 2021. In this case, GDP would fall twice this year (around 6%). ) and next year it would worsen another eight points with respect to the base scenario. From 2022 to 2024 they would lose around another 10-12 points of GDP in total compared to the baseline scenario.
In all three scenarios, but especially in the third, there would be strong increases in public spending, deficits, and debt. And everything could be complicated by the increase in risk premiums or by the lack of stimuli in view of the risk that risk premiums will rise.
One consolation remains: there is also an optimistic scenario. If an effective vaccine or therapy were obtained earlier than expected, social distancing measures could be eliminated and recovery would be faster.
