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No treatment or vaccine has yet been developed for SARS-CoV-2, responsible for the Covid-19 disease, while the milestone of 740,000 deaths has been crossed worldwide, including more than 30,000 in France. We Demain takes stock of the latest advances.
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Bochum.
Commercially available mouthwashes make the virus in the mouth and throat disappear completely after 30 seconds. This reduces the risk of infection.
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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.
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“No need to hide from the virus in a cocoon!” – Perm epidemiologist about the current situation
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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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According to the data on the morning of June 28, in the Perm region recorded 3529 cases of coronavirus infection. Of these, 799 patients are treated in hospitals, another 180 people are isolated at home under the daily supervision of doctors.
According to the resource “Stop coronavirus. Perm ”, from the beginning of the pandemic 2430 residents of the region have already recovered from COVID-19, 74 patients have died. In addition, another 46 cases of non-coronavirus-infected deaths were recorded.
Moreover, another 363 people with ARVI and pneumonia are being treated in the region. They are expected confirmation on COVID-19.
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Payout of 10,000 children to 16 years: Putin signed a decree
The Russian President announced new measures to support families with children; today, Putin signed a decree on the payment of 10 thousand rubles.
Putin signed a decree on new payments in the amount of 10 thousand rubles to families with children from 3 to 16 years. The relevant document June 23, was published on the official Kremlin website.
Earlier Sib.FM reported that during the next address to the nation, Vladimir Putin announced new measures to support the population. Children’s lump sum payment will be repeated in July. Also, extended benefits in the amount of 3 thousand rubles to the families where both parents lost their jobs.
Putin also spoke about other measures of assistance to citizens of Russia. More statements of the President can be found in the material Sib.FM.
Recall that the full text of Putin’s treatment can be found here.
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The national institutes of health (NIH) stopped its clinical trials of anti-malarial drug hydroxychloroquine after found that treatment does not benefit patients with COVID-19. The decision to terminate the test was made after the Department of supervision of food and drug administration has revoked the emergency use of the drug, and the world health organization expelled him from their global study.
Hydroxychloroquine is a medicine against malaria, in some countries, used for the treatment of patients with coronavirus. The Ministry of healthcare shall also consider hydroxychloroquine as a means to prevent COVID-19. The drug trial was previously suspended due to reports of increased mortality among patients taking the drug.
“The monitoring Committee data and safety gathered late on Friday evening and determined that, although there was no harm, the study drug is unlikely to be useful for hospitalized patients with COVID-19″— said in the statement said the NIH (quoted by CNBC).
The President of the United States Donald trump earlier said that regularly taking hydroxychloroquine for prevention. He said that his doctor didn’t recommend him the drug, but he asked it the White house doctor.
Read more about the use of the drug President of the United States — in the material “Kommersant” “the Drug of his Excellency”.
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The Ministry has published the schedule of export of flights from 20 June to 1 July. It is housed in the Ministry of Telegram channel for the removal of the Russians from abroad in connection with the pandemic coronavirus.
The date of the 32 planned flight. On 20 June the Russians evacuated from Osh (Kyrgyzstan), Ho Chi Minh city (Vietnam) and Tashkent. The next day scheduled flight to Moscow from Bishkek, Chisinau and Belgrade and from Tashkent to Ekaterinburg.
June 22 will be five flights on route Phuket — Novosibirsk — Moscow — Saint-Petersburg, Bangkok — Novosibirsk — Moscow — Petersburg, Larnaca, Moscow, Dushanbe — Novosibirsk — Ekaterinburg and tel Aviv — Moscow.
The Russian Embassy reported cases of foreigners for export from USA
On June 23, scheduled flights from Tehran to Moscow from Tashkent to St. Petersburg with transfer in Moscow, and also two flights from Yerevan to Kaluga and Voronezh. On June 24 scheduled flights Hong Kong — Vladivostok and Yerevan — Rostov-on-don.
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What they say affected customers
RBC has communicated with clients, said about the thefts. Withdrawals from accounts without their knowledge occurred from late March to early June. Most accounts tied to credit cards, there are also cases of withdrawal from debit cards and savings accounts. RBC said 11 clients in total, with their words, they stole more than 1.8 million rubles.
How to tell clients MTS-Bank, the most thefts occurred on the same scheme: the scammers have blocked the mobile number of the customer (mobile operator most affected is the MTS, there are also cases of blocked customers of MegaFon, Beeline and Tele2), then changed to Bank customer number in your received account access and online banking and transferred money. “Watching their stories in the personal accounts of MTS and MTS Bank, I learned that the service “Voluntary lock room” I was hooked 4.06.2020 at 22:55. And all fraudulent transactions were carried out with 5.06.2020 02:20 and 02:50″, — says one of the victims, Yuri, who asked not to mention his name.
The representative of MTS said that complaints about the service in the last month from clients have been received (affected customers in conversation with RBC said that addressed to MTS). Representatives of “VimpelCom” (brand “Beeline”) and “MegaFon” reported that the company did not record complaints from clients in a similar situation. Tele2 did not respond to a request RBC.
The CPS reported types of fraud during a pandemic
How the crooks could steal the money
VTB warned about fraud via the job advertisement
In some cases, the Bank must return the money
The victims were applied in MTS-Bank, addressed to law enforcement and CPS. At the Bank they said that the review of the incident will take 60 days, said several interlocutors RBC. One of the victims, Mr Zonov, discovered the theft on March 31, a statement the Bank filed the next day, however, despite the fact that the period of examination of the appeal already happened, received no response. The term for consideration of such appeals established by the law “About national payment system” and is 30 days to verify the transactions made inside the country and 60 days for cross-border transactions: if the Bank has designated a period of 60 days, then the surgery could be performed abroad, explains partner of the bar Association Pen & Paper Anatoly Loginov.
The other victim, Valery Kokorin, applied to the Bank in early April. The answer from the credit institution (RBC got acquainted with him) came in early June, it says that the card was translated to the map individuals of another Bank through a third-party acquiring network using a Protocol processing online transactions 3D Secure (the SMS code to the phone number specified in the Bank). The Bank refused to return the money, as the operation was confirmed by the introduction of a one-time verification code sent to your Bank the phone number (client says that the number of scams).
This answer Bank looks questionable, said Loginov: “the Bank refers to the norm of the Federal law “On PS”, under which he is obliged to return the money or to prove to himself that the customer has violated the procedure for the use of electronic means of payment and that this violation led to the Commission of the disputed transaction. That is, the Bank in this case should return the money, but all the same writes that the reason for this is not.”
According to the lawyer, in this case, fraudsters gained access to the means of payment and monetary funds of the clients without their participation and, if the Bank can prove the contrary, the refusal to return funds to the customer is illegal.
“Analysis of incoming requests shows that users themselves often convey information about the card fraud, which in turn excludes the liability of the Bank”, — noted in Rospotrebnadzor. At the same time, the office believed that “the Bank is obliged to prove that on his part, in the provision of services had taken appropriate measures to ensure its security and prevent access to, for example, the one-time password by unauthorized persons, and controversial operation carried out solely because of the violation of consumer safety regulations when using the card”.
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Since the death of Jeanne Friske five years. The singer died from brain cancer June 15, 2015. Three months before his departure, the actress last seen with his close friend and stylist Vlad Lisova. A dying star came to him to do last in my life the hair.
Vlad Lisovets openly talked about his last meeting with Zhanna Friske. They were friends for many years, and met when the singer came to the “Brilliant”. The stylist worked with the girls, responsible for their images.
When Jeanne was engaged in solo career, she continued to chat with Vlad. Of course, he knew about her illness. Three months before death, the artist had realized what was happening to her. It was the hardest treatment, just returned from America. “Then she came to herself, for a short period, we all cheered… and That’s when Jeanne decided to come to the salon to get a haircut,” said the stylist.
While Vlad gently suggested to her friend: “Maybe home? Maybe in a closed space?”. But he sharply said, “No, don’t.”
According to him, she came to herself. Administrators, clients were all in some kind of shock at the sight of Pink. “By the time Joan lost weight, but still was great, had a limp, walked with a cane. I ran out to her car, wanted a hand, but she replied: “No, I myself.” I was dumbfounded,” continues his confession Lisovets.
Jeanne was in the salon, everyone smiled and said Hello as if nothing had happened. Then asked, where her to sit down. “I gathered strength and asked: “Jeanne, what can I cut?” And she answered: “Yes, without a difference. I still don’t see anything”“- quoted by stylist website mk.ru.
This situation, as admitted Vlad, he divided his life into before and after. When she left the salon, had a terrible tantrum.
“It was awful. I cut his girlfriend, who sees only a silhouette, which has virtually no hair… can You imagine? What force will it was. I’ve seen other people with tears looked at us, because everybody understood the situation, and everyone could see horror on their faces. In the head spun this phrase: “anyway I don’t see anything”. It was not said with self-pity, it was in our style, so cynical, ridiculous, stupid”, he concluded.
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