the chances that Perm Region will be lifted are high

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

.

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.

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

READ ALSO

“They used a cure for gout against COVID”: How patients were treated in a hospital that showed the best results in Moscow

The results of treatment at the university clinic of Moscow State University were the best in the capital. “Komsomolskaya Pravda” learned the details of how doctors and scientists saved severe patients [Часть 1]

Virologist told whether it is possible to disinfect masks from coronavirus in sunlight

And also why the epidemic is gaining strength in southern countries and whether the sun affects the incidence – all this in an interview with George Vikulova (details)

.

Anastasia Volochkova showed a string of “alcoholic” and publicly put in place Dan Borisov

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.

.

The fragment of a Chinese rocket falling on Earth – Earth & Poles

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. “

RESERVED REPRODUCTION © Copyright ANSA