Dangerous both in the air and at sea – Accidents – Kommersant

There were two serious incidents at once with the participation of the Russian military. In the Tver region, a Su-35S fighter accidentally shot down a Su-30 fighter with fire from a 30-mm cannon, the crew of which successfully ejected. And in Denmark, the Ice Rose vessel, which was carrying cargo from St. Petersburg, and the small anti-submarine ship Kazanets of the Baltic Fleet almost sank each other. To investigate the incidents, the Ministry of Defense has created commissions, and the military investigating authorities are going to initiate criminal cases.

The Su-30 multipurpose fighter, costing about $ 50 million when sold abroad, was destroyed during a scheduled flight in the Tver region. According to preliminary data, the plane followed in a group of combat vehicles of the same type, after which it suddenly lost control, and its crew of two was successfully ejected. The plane itself crashed 45 km from the Hotilovo airport, where its wreckage was found after about four hours of searching by the military and the rescuers of the Emergencies Ministry who joined them. The fighter was completely destroyed, no one was injured on the ground as a result of its fall.

According to preliminary data, during an administrative investigation into the incident, it turned out that one of the Su-30s, during a training battle, really attacked the next generation Su-35S fighter. Fortunately, there was no rocket armament on it, shots from the GSh-30-1 30-mm aircraft cannon were also not supposed to sound, and the attack itself should only be recorded by photo and video equipment.

However, the cannon, which is usually discharged, put on a safety lock and de-energized, just in case, not only fired, but also hit the target accurately, taking down the plumage of the Su-30, which soon crashed.

Obviously, the Su-35S sniper pilot will have to answer and pay for the hit, against whom, most likely, a criminal case under Art. 347 of the Criminal Code of the Russian Federation (damage or destruction of military property by negligence). Note that the military department usually sues the perpetrators of such incidents to bring them to financial responsibility corresponding to the cost of the destroyed equipment. However, the courts, as a rule, satisfy such statements in part, recovering from the perpetrators only their monthly salary.

Another incident involving the Russian military took place abroad – in the area of ​​the Øresund Bridge in Denmark. There, the cargo ship Ice Rose (equipped with refrigeration units for the transport of perishable goods), which was sailing from St. Petersburg to Gothenburg under the flag of the Marshall Islands, and the small anti-submarine ship Kazanets of the Baltic Fleet collided. According to the press service of the Baltic Fleet, the collision occurred when the ships were sailing through the Danish straits (Baltic straits).

The Baltic Fleet reported that visibility was poor in that area. Kazanets got a hole above the waterline and is returning to Baltiysk, where it is based.

Nobody was hurt in the collision. The cause of the incident has not been established, but it was evidently caused by the actions of the crews of both ships in heavy fog.

The investigation of the incident is being conducted by the fleet commission and the military prosecutor’s office. Then, obviously, a criminal case will be initiated on violation of the rules for driving or operating warships (Article 352 of the Criminal Code of the Russian Federation). If the commander of the Kazanets’ crew is found guilty, he will also have to pay for the ship’s repairs.

Kazanets was built back in 1985 in the GDR by order of the USSR Navy. A year later, it entered the Baltic Fleet. The vessel’s displacement is 935 tons, length – 75.2 meters, width – 9.78 meters, draft – 2.65 meters. Crew – 80 people, including nine officers.

Nikolay Sergeev

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experts explain why obesity “helps” coronavirus

– Has long been known that overweight people have lowered immunity, says head of the Department of endocrinology of the medical faculty Russian national research medical University. N. And. Pirogov Tatiana Demidova. Research and practice show that in these patients increases the risk of atherosclerosis sharply increases the risk of heart attacks, strokes and heart failure. Increased risk of endocrinological, oncological diseases, joint diseases, psychological disorders.

Epidemic COVID has added another item to the list of high threats to people who are overweight. It turned out that when infected with coronavirus patients with obesity more often require hospitalization, fall into the ICU, on the ventilator (artificial lung ventilation). Alas, is growing and the risk of death.

– If the original messages from China on the most severe cases COVID it was mainly about the older people with severe chronic diseases, according to the latest data from Europe and USA the risk group includes people with obesity – says Tatiana Demidova.

FACTS AND FIGURES

In what diseases most often develop complications due to coronavirus

90% of patients admitted with severe COVID-19 US hospitals, were the following comorbidities:

– hypertension — 49.7%,and

– obesity or 48.3%,

– chronic lung disease — 34,6%,

– diabetes type 2 diabetes was 28.3%,

– cardiovascular disease — 27,8%.

Thus, obesity is second among the States in which CouId be severe.

CORONAVIRUS, INFLUENZA, AND HIV, “LIKE” ADIPOSE TISSUE

Visceral adipose tissue, that is, one that is in the abdomen, is, in fact, highly individual body, experts explain. This body affects the immune, endocrine system and metabolism in the body as a whole.

– People who are overweight fat cells are much larger. So, is synthesized in much more of various hormones and inflammatory cells. Among them, including interleukin-6, interleukin-1, tumor necrosis factor, and others, – says Tatiana Demidova. Often in the body, there is a creeping inflammation.

At the same time observed that many viral infections and especially COVID-19 amplify the effects cytokines and lead to the extension of the generalization of inflammation. “It was proved that adipose tissue serves as a reservoir for some viruses, such as influenza, HIV and cytomegalovirus. Also, according to the latest data, it can be activated and coronavirus,” adds Demidov.

INSULATION NEEDS TO BE LONGER?

Studies have shown one more feature of coronavirus. As it turned out, he is able to spread rapidly in adipose tissue surrounding internal organs – lungs, liver, kidneys, heart, etc. because Of this, developing severe damage to these vital organs and people with excess weight, excess amount of adipose tissue increases the risk of death from multiple organ failure.

There is evidence that such patients are also unable to stay longer carriers of the virus, require longer hospital stay and isolation, said Tatyana Demidova.

AFTER INFECTION — DIABETES

There is evidence and that not less than one-third of patients hospitalized with COVID-19 in China, European countries and the United States, the infection resulted in damage of the pancreas. This was confirmed by elevated enzymes amylase and lipase, and glucose levels in the blood plasma.

– This is a very disturbing circumstance. Since we talking about high risk of developing diabetes type 2 diabetes in people with the original obesity after recovery from infection, says Dr. Demidov.

It is not excluded that after the break the pace of the epidemic COVID, we will see a worldwide surge in the incidence of diabetes, experts say.

So now, when the opportunity walks, sports, seasonal ripe fruits and vegetables rich in fiber, doctors suggest the obese individuals to exert their maximum effort for getting rid of really dangerous extra pounds.

By the WAY

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MEANWHILE

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it affects not only the lungs, but the whole body

The first 10 days after the onset of symptoms of the disease, the 38-year-old American was feeling quite well. He was not at risk; he had no chronic diseases.

– The man was examined, the disease was mild. The patient had a slight cough. Therefore, he was sent home for treatment, ”says the head of the Department of Vascular Surgery at Westchester Medical Center Sean Wengerter.

And then the incredible happened.

One morning, a man woke up with icy and numb legs. The body was constrained by terrible weakness; there was not even the strength to get out of bed.

The examination showed that the patient had aortic occlusion – a large blood clot formed in the main artery at the place where the artery diverged in two directions – to the right and left leg. Because of this clot, blood enriched with oxygen did not enter the iliac arteries.

“This is extremely dangerous.” From this can die from 20% to 50% of patients, – notes Vangerter. – But such things are not typical for 38-year-olds.

An emergency operation to remove a blood clot could save the patient’s life. But doctors working with patients with COVID-19 are everywhere faced with rather strange and frightening phenomena in infected patients. For example, the formation of blood clots (actually blood clots) of various sizes throughout the body, renal failure, inflammation of the heart muscle and malfunctions of the immune system.

“Coronavirus occurs in each patient in its own way,” notes Scott Brackenridge, associate professor of emergency surgery at the College of Medicine at the University of Florida. – In some cases, the patient has a problem with breathing, in others, the internal organs begin to fail. In children, the immune system as a whole begins to rebel.

Coronavirus is not just a respiratory diseasePhoto: Ivan MAKEEV

MYSTERIOUS STROKES

A new type of coronavirus is considered to be a respiratory virus, although it is already becoming obvious – the infection affects the entire human body. The most common symptoms are fever, pneumonia, and acute respiratory distress syndrome.

In this case, the virus attacks some organs directly. First of all, the mucous membrane of blood vessels, which entails unnatural coagulation of blood.

– COVID-19 provokes a local inflammatory reaction that leads to the formation of blood clots, – explains Wengerter. – This is due to the direct effect of the virus on the arteries.

A number of doctors recorded strokes in young patients with coronavirus, as well as the formation of blood clots in the lungs. Blood clots were found even in the smallest vessels.

“Since each organ feeds on blood vessels, and the virus attacks them first and foremost, we end up with damage to internal organs,” adds Dr. Scott Brackenridge.

Another serious symptom that is observed in some patients who become ill with the new coronavirus is the “co-fingers.” The infected toes swell, becoming red or purple. It is possible that the reason for this is blockage of blood vessels. But doctors say that usually this does not have serious consequences.

Kawasaki Syndrome

One of the most alarming reactions to COVID-19 is observed in children. It has already been named as a children’s multisystem inflammatory syndrome. In newYork Doctors have identified more than 100 cases.

This syndrome is characterized by a rather long fever, inflammatory process, malfunction of one or more internal organs, as well as the general condition, which is usually observed with shock. Pediatricians also compare these symptoms with the syndrome. Kawasaki.

Kawasaki syndrome is a rare disease that affects children aged 3 to 10 years. It is characterized by damage to the medium and small arteries, thrombosis, the formation of aneurysms and rupture of the vascular wall. Cases of infection are rare. However, recently, doctors have noted an increase in the number of patients with this syndrome.

Both childhood multisystem inflammatory syndrome and Kawasaki syndrome lead to an overly aggressive immune system response to coronavirus. This may be accompanied by inflammation of the blood vessels and heart muscle.

KILLER CELLS

However, scientists note that coronavirus is not able to cause a strong immune response, but, on the contrary, suppress the entire immune system. And this can allow the infection to freely attack the internal organs.

Partly this theory was confirmed by Chinese experts, led by Dr. Zhang Zhang. Scientists analyzed samples of immune cells taken from the lungs of 9 patients infected with coronavirus. The results of the study showed an abnormally high level of leukocytes – macrophages and neutrophils responsible for the destruction of harmful pathogen – in severe patients. At the same time, these patients had a rather low level of CD8 T cells, which are called killer cells. They are responsible for killing virus-infected cells.

But doctors are reassuring, noting that they have drugs that can thin the blood, and also help the work of white blood cells that resist infection.

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Able to complete the “Nord Stream-2” ship moored in Kaliningrad

The Akademik Chersky vessel, owned by Gazprom, which was considered as the completion of the Nord Stream-2 pipeline, reached Kaliningrad, news agencies reported citing ship tracking portals. The pipelayer anchored near the city the night before. Portals localized the ship’s location in the Gulf of Gdansk.

“Academician Chersky” left Nakhodka on February 9. The ship reached the shores of Mozambique, circled Africa and arrived in the Canary Islands. Further, his route was laid to Egyptian Port Said, where it was supposed to arrive on April 30. However, the “Academician Chersky” never crossed the Strait of Gibraltar, but headed to the North Atlantic, heading for Aberdeen in the UK.

At the end of 2019, due to US sanctions, the Swiss Allseas Group SA suspended the construction of Nord Stream-2 and removed its pipe-laying vessels from the Baltic Sea.

About the prospects of the pipeline – in the material of Kommersant, “Nord Stream-2 has been under construction for too long.”

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Why does California have low COVID-19 numbers in the US drama? – Telemundo 52

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.

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New York receives a 1,000-bed hospital ship

The US Navy hospital ship‘USNS Comfot’ arrived in New York this Monday morning to collaborate in the fight against the coronavirus. The state of New York is one of the most affected by the new disease and New York City alone has 776 deaths.

The mammoth ship has passed by the emblematic Statue of Liberty accompanied by severalboats and helicoptersand before the watchful eye of a few dozen witnesses who were in the place respecting the regulations of social distancing.

On Saturday, US President Donald Trump announced the shipment of the Comfort to New York from Virginia. It has1,000 hospital bedsthat will be a relief for the sanitary system of the city.

The governor of the state of New York, Andrew Cuomo, has published a video of the ‘Comfort’ arriving in the city recorded by himself from one of the New York Police patrol boats that have escorted the military ship. “The ‘Comfort’ brings 1,000 beds to New York and1,200 much-needed professionals“Cuomo has posted on Twitter.

The ‘Comfort’ is aconverted tanker who was already sent to New York shortly after the attacks of September 112001. It has 12 operating rooms and a complete team of doctors, nurses and specialists.

The ship predictablywill not treat those infected with Covid-19, but will take care of patients with other types of pathologies and thus free up city resources for those affected by the new disease.

This same Sunday the evangelical Christian organization Caridad Samaritana reported that it has finished building a field hospital in Central Park that will also serve to strengthen the response to the epidemic.

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