The latest Russian laser

The latest Russian combat laser complex “Peresvet” presented by President Vladimir Putin in March, they began to modernize. Yuri Borisov in an interview with TV channel “Star”.

Answering the question about when “Peresvet” can be seen at the Victory parade, he says that it will happen after work on the modernization of the complex. “If today it requires a lot of security vehicles,” he said.

The Deputy Minister believes that the complex will be ready for the demonstration “in the next two to three years.”

Also in the interview he has the 10 fighter-interceptor MiG-31K with the latest hypersonic missiles “Dagger”, they are on duty and ready to use.

Russian President Vladimir Putin announced the development of a laser complex in March 2018 in the message to the Federal Assembly. He was then shown footage, which was captured the weapon. The installation is called “Relight”.

Source: Tape.ru

On the Petrograd side again burned resettled tenement building

Fire in the Petrogradsky district occurred on the night of may 6 – fired up settled the apartment house of Bacevich.

Information about the fire in building 7 Bolshaya Pushkarskaya street came at 02:40, the press service of EMERCOM in St. Petersburg. Petersburg. The building caught fire overlap between the second and third floors. The total area of ​​fire made 150 square meters.

    On the Petrograd side again burned resettled tenement building

Eliminate the fire was at 04:28. It is noted that no one was hurt. The fire was fought by the forces, 8 fire brigades (32 firefighters).

We will add that building 7 Bolshaya Pushkarskaya street was settled in 2011. Now the building is called repaired. Fires occur there regularly.

The apartment house of Bacevich was built in 1912 by architect Alexei Zazersky. The building belongs to the architectural style of art Nouveau.

“If you have not seen, do not understand the patient”

"If you have not seen, do not understand the patient"

Photo: Elena Martyanova

Head nurse and coordinator of the three branches of the medical center “Bytes BA Lev”, a specialist in palliative care Gaya, Vachan Hayat told “” in Israel are staff working with those who need palliative care.

ELENA MARTYANOVA

In the medical center “Bytes BA Lev” three offices: 80 people connected to the apparatus of artificial lung ventilation (ALV). This is not the ICU, and not the palliative ward and some patients, after the respiratory rehabilitation out of here and back to normal life. But the majority of palliative patients.

“People can live at home, he from the Ministry of Health, for two nurses, and necessary equipment”

– You have a degree in nursing. You have received some additional information in the field of palliative care?

– Yes, of course. I was trained on the course “Specialization in cancer”, and then another separate course in palliative care. And for 10 years I have been helping patients on artificial lung ventilation.

– In Israel, many patients with IVL, much more than officially in Moscow. We think that these patients die in intensive care units or at home, not receiving palliative care. When and how do you come to understand that these patients are many and they should not be in an intensive care and in a specialist unit?

We went to this for a very long time. The first centers offices IVL appeared 14 years ago, and there were also a few people. But our population has increased and aged, and we saw that the demand is growing. Then began to open such centers as ours.

80 patients on the ventilator. What diagnosis are these people doing?

– Very many cases have BASS, with diffuse lung injuries, many PTSD patients after accidents for example. There are patients after surgery who have developed complications. There are those who tried to commit suicide, as a rule, young people, and it’s very sad.

– Who decides on the transfer of the patient on a ventilator?

– While the person is in the hospital, according to the Protocol, the doctors are doing all that he was breathing on his own. If the patient can not breathe, the head of the department must have a tracheostomy. Some time the patient tracheostomy is still in the hospital, and the doctor keeps trying to get him back to normal life. And only in the case of exhausted efforts, the patient is admitted with a tracheostomy in our Department. We have all patients with tracheostomy. At the same time, we are not all patients palliative.

There are patients who are we respiratory rehabilitation, after which the tracheostomy was removed and they breathe on their own.

– Is it possible to transfer the patient with the ventilator home from the hospital?

– It does not happen often, but Israeli law gives such an opportunity. A person can live at home, he from the Ministry of Health, for two nurses, and necessary equipment: bed, chair, ventilator and consumables to him.

– All this for free?

Yes. Everything about the ventilator, and its maintenance and purchase of consumables. In addition, we are in our offices. And if conditions allow the patient to live at home, tested and meet all the requirements of health and safety, only in this case, we can let go of the patient’s home.

– What conditions have to be home?

– First, the electricity must be uninterrupted. Secondly, the apartment should be provided with transport wheelchairs in the bathroom and the bathroom. It all checked. And relatives to be prepared.

You have not a lot of patients going home with a ventilator. Why?

– We are sick were they wanted to live at home and their families. Of course, we support people in their desire to live at home, if the opportunity they have at home, as they say, and walls are treated, and yet. But not always, these components are the same – sometimes people want to go home, but at home, absolutely no conditions. And not all families can take on this responsibility. I have a patient who does not want to go home because he is afraid.

“The man who has no empathy, can not work with such patients”

– How much time a patient on a ventilator may lie in your Department?

– A very long lie here, sometimes for five or six years. That is, for them it’s basically house. If it is not possible to define them in any other home environment, then they remain with us until the end of life.

If the person is unconscious, there is needed more work with his family. Because the family is in a very difficult position, until they get used to the idea that their loved ones will not return to consciousness. We try to surround the house. It’s a TV, a radio player with your favorite music. Or it could be photographs, paintings that people.

To surround the person’s maximum attention and care is something that we can and should do.

Even if he is not conscious?

Yes.

– How often such a patient can come related?

Very often. There are those who come several times a day, alternating. If the family lives far away, to the extent possible, but most patients come home every day. So, one of our patients every day comes the son, brings a fresh newspaper, prays together with the Pope, talks to him, talks about the latest political news. Another patient is very attached to our team and sometimes prefers about some household service. A man chooses what he prefers.

– And how do you teach the staff to communicate with patients unconscious? After all, many novice employees will not perceive the person in such a state as a complete person – I’m sorry for such words, we get that a lot. Do you have any standards or protocols?

"If you have not seen, do not understand the patient"

Dimkinoy happiness

It is very heavy, of course. Every time and at a staff meeting, and when you crawl, I tell my employees: “Treat patients the way you have approached yourself.” So you should always see the person. Unfortunately, in everyday, routine work is forgotten. When this happens, I, as a leader, always react to it. Sometimes having a conversation with you privately, sometimes publicly in the meeting, apart from the specific names, and then people are not offended, but understand their situation and begin to understand what needs to change. In addition, we have conducted various courses for the senior, the Junior and nursing staff: how to treat patients, which they have rights, morally, ethically to approach a range of issues. We had this course. Someone was lying on the bed blindfolded, and he made manipulations – people felt, how hard it is, what is it? In General, this experience is instilled in this way: if you have not seen, do not understand the patient. There are a course of empathy, which teaches our employees, and it is very important.

– That is, empathy should be taught?

– Yes, it is necessary to develop and need to know how to do it. I believe that the man who has no empathy, can not work with such patients.

– And how do you deal with the emotional burnout? How do you keep employees?

– Emotionally burn out. But again, you need to understand that this is your job, and if you used your resources. It gives us strength. But if from the Department is issued a man-we just had a holiday coming, it’s tears of joy in the eyes of employees.

In such offices, like ours, not all patients on mechanical ventilation are palliative. There are patients who are undergo some rehabilitation in this period are with us, and then we transfer them to other departments. One patient recently was a respiratory disease, then we have disconnected from the machine, took out a tracheostomy, and is now an independent person. Sometimes comes to us through the office, greeting the staff, of course, happiness.

Often we go on the office on trips, spend some small parties, and this fellowship gives me strength.

“We go not only to palliative patients, but to anyone at our hospital who need pain relief”

– I know you pay much attention to anesthesia.

– We believe that people should not suffer and that we can make sure that he did not suffer. I can not promise that I will not be able to promise a patient that has come to me in the office. This is very important. We have patients who are unable to talk about their pain, but there are scales on which we determine their pain. Our entire team knows how to use these scales: and nurses and doctors can identify the pain and find patient pain medications. At this point.

– How often do you assess the level of pain the patient?

– If the person only did we. Then, as a rule, evaluate his condition in the morning and evening, but if necessary, the change can be assessed several times – for example, if the patient is unstable, and we picked up the pain is optimally suited for him.

– I heard that you have inside the hospital there is a palliative care committee, which decides on the use of narcotic analgesics?

– Yes, it’s palliative care forum: the physician, the nurse, the director of pharmacy, social worker, physiotherapist, nutritionist and psychologist need. We develop different protocols that are all of our hospital. Call us as required in an office. For example, recently I was asked to help the team, who could not explain to the family. The nurse brought the patient the pills, he took them, but continued to experience pain. It turned out that he did not drink, the drugs, and his wife. Health workers talked to my wife, but she was unable to convince her that these drugs were necessary. I had a long time to talk with her and explain that she would not be able to stand up. And it was necessary.

But it was not a palliative patient?

– No. After all, we go not only to palliative patients, but to anyone at our hospital who need pain relief.

– How are decisions about palliative sedation?

"If you have not seen, do not understand the patient"“Intramuscular injection we do not use because it hurts”

It is a very difficult decision, and not all doctors, especially at the beginning, was for this method. But little by little, everyone understands that it is a necessity. We have developed a Protocol that is suitable palliative patient and which is determined in addition to morphine with the task of sedatives suppress the patient cope benzodiazepines. In addition, can be used symptomatic medication, such as vomiting and nausea. But the main drug is midazolam. We have a protocol under which we operate, and the doctors know how much to give and at what point, it uses a special scale that determines the consciousness of the patient. This is very important.

There are patients who say: “I want in certain hours, when I come, my family, to be awake, the rest of the time to sleep.”

They are those who are very hard, they suffer, they do not want to see yourself, see others, relatives and ask to make sure that they have not seen anything and not heard.

This happens in the last weeks of life, and here the individual approach is important to the person. Of course, in such a situation we are working with the patient and family to come to a common denominator.

“It is important to explain to friends that a palliative is not some kind of euthanasia”

– And how do you cook for difficult decisions?

– The family is cooperating with us. By law, we have the right to palliative care for the patient. We should tell the family what the palliative care is and why it is needed. There are families who understand the need for it, and there are others who believe that palliative is the road to death, and it is difficult for them to accept such a situation. And from our side, it is important to explain to relatives that it is important to understand that it does not affect the quality of life. No matter what stage the patient is located.

"If you have not seen, do not understand the patient"“If we call at night, it means we did a bad job day”

Recently we had a patient in the last stages of the disease, and despite this, we’ve talked a long time with the family and explained what was happening to her. Son was that the mother continued to treat, and to the last was sure that she needed a drastic medical intervention, but then realized that nothing can be done. There are families, who still need to be treated, the problem is, it is necessary to treat all the nuances.

– That is, from a religious point of view, need to last to treat?

– Yes, because everything from God and God decides when a person comes to die.

– But you have a palliative patient.

– Yes, it is. It all depends on what stage of the disease. He may be hemodialysis or a blood transfusion, can be done by a course of antibiotics.

– I have heard that you have a service that performs a small and essential desires of patients.

– Yes, we have emergency desires. Recently it came to me the son of one of the patients.

It is in Israel, on the sea. When I heard that, I thought that we can help him. Now we are dealing with the ambulance of the wishes on this issue. This is not always possible, of course, because the patient must be in such a condition.

– After death you support a family?

– Of course. Many people hospitalized here for years, and their families perceive this. People get used to each other, and caring man. I, as head nurse, talking to the family, and helping them in obtaining some documents in the state, we have a mashgiah, a religious man who deals directly with the question of the funeral. Our social worker must call the family. If a family has long-standing relations, we will visit her. Religious customs the family is the seven days at home. We send a letter to the family from our center of love.

Is it a random letter or some harvested?

– There is a prepared Protocol, but it is also very important to obtain such a letter from the center, where the closest person.

Comment

In Chelyabinsk began to disperse participants of the action “He is not our king.” One of the protesters was detained by the head of the interior Ministry

In Chelyabinsk began to disperse participants of the action "He is not our king." One of the protesters was detained by the head of the interior Ministry

In Chelyabinsk police “He is not our king.” On the message Sign.com, the police “are very hard” and “twist all in a row”.

In Chelyabinsk began to disperse participants of the action "He is not our king." One of the protesters was detained by the head of the interior Ministry

The detentions started at the monument to Kurchatov, where he was appointed the protesters from the gathering, and continued from the Scarlet field. At the monument to Kurchatov, a young man was detained by Sergey Mironov, says Znak.com.

Before the action in Chelyabinsk under various pretexts, was detained 16 people, most of whom are volunteers of Navalny’s campaign staff. Some of them said they were detained on the suspicion of theft.

In Chelyabinsk began to disperse participants of the action "He is not our king." One of the protesters was detained by the head of the interior Ministry

According to the Sign.com, the action was attended by two thousand people.

Poltavchenko took part in the action “Clean beach”

Poltavchenko took part in the action "Clean beach"Una photos the Governor of St. Petersburg Petersburg Georgy Poltavchenko. Photo: Instagram / Andrew Kibito

Today, may 5th, the Governor of St. Petersburg Petersburg took a rake across the Gulf of Finland. This was reported by his press Secretary Andrei Kibito by placing the appropriate photo in the social network "Instagram".

Environmental cleanup, with the participation of the Governor, was held at the Gulf of Finland. The protesters cleared the area from the yacht club "Baltiets" until the Duderhof canal. Poltavchenko personal example supported the campaign, and also took up the rake.

Action "Clean beach" annually held in Russia for 4 years. The venue was turned up by the exhibition of firefighting and rescue equipment and tents. In the subbotnik was attended by the townspeople and officials and volunteers.

The courier was the victim of a robber with a knife on the North of St. Petersburg. Petersburg

The courier was the victim of a robber with a knife on the North of St. Petersburg. Petersburg

Photo: Baltphoto / Valentin Egorshin

In St. Petersburg police are looking for the attackers, who with a knife attacked the courier online-store in Vyborg district of St. Petersburg. Petersburg.

According to GU MVD of Russia for Saint-Petersburg and Leningrad region, a robbery occurred on 5 may.

The courier the online store was supposed to deliver the parcel to the North of St. Petersburg. Petersburg, on the Moika river embankment. Together with the 23-year-old boy in the Elevator and two unknown. The courier they had a knife and demanded to give the parcel. Inside, as it turned out.

The amount of damage estimated at 100 thousand rubles.

Article "Robbery" criminal case is brought. Presently police establishes the identity of the attackers.

Champ de Mars was closed before the action Bulk

Champ de Mars was closed before the action Bulk

In the pictures the ad that appeared at the field of Mars. Photo:"Moika78"

The Deputy of the Assembly of Petersburg Boris Vishnevsky said that an hour before the start of the uncoordinated action of the Bulk, the field of Mars.

In social networks, the MP said that covered the field of Mars and Millionnaya street, and around the field of Mars. About the field of Mars hangs an announcement that on may 5, the entrance of the Park Champs de Mars is temporarily restricted to the fact that the landscape gardening enterprise "Central" carrying out of a complex of works. Entry restrictions will continue until completion of the works.

Earlier, the Palace square, where they planned to conduct uncoordinated action Navalny, took the bikers, and then the column of soldiers, who parade rehearse before may 9th. At the same time, unlike stocks "bulk" these shares agreed with the administration.

Champ de Mars was closed before the action Bulk

Batons, whips, blocked by Nevsky. How was the action “He is not our king”

Batons, whips, blocked by Nevsky. How was the action "He is not our king"

Police detain young people in the area of ​​Pushkinskaya square, where the event took place "He’s not the king"

Alexei Navalny "He’s not the king" on the eve of Vladimir Putin’s inauguration with detentions across the country.

The "OVD-info" 21:00 Saturdays, we are talking about nearly 1,600 detainees. Most of them are in Moscow and St. Petersburg. Petersburg.

Correspondent of Russian service bi-Bi-si watched for attempts to protest Moscow and Saint-Petersburg.

Russian service Bi-bi-si also led an online broadcast of what is happening in Russian cities.

By 14 o’clock the space at the Pushkin monument in Moscow was filled with people. Supporters of Alexei Navalny, left on the action "He’s not the king" shared area with supporters of the President.

In the crowd, groups of people were walking, dressed in the Cossack uniform, and men tied on clothes. George ribbons – a sign that are usually representatives of the Pro-Kremlin movement of NOD.

A few people with orange-and-black flag and the inscription "The national liberation movement" took place at the pedestal of the monument "Putin! Putin! Putin!".

From around them the crowd of oppositionists was added "Thief! Thief! Thief!". Many of them came to Pushkin square with the drawn on sheets of paper posters – "We are against here that that’s all!", "Open your eyes, you are a slave of the king.", "Do not hinder us to live!".

The mayor’s office earlier than the Garden ring. The politician refused and urged supporters to get out on Tverskaya street. In response, the Moscow authorities forbade him to carry out the action.

Already 10 minutes after the beginning of the action policemen in the loudspeaker began to warn sites: "Dear citizens, your actions are illegal. Request to disperse. If you will use physical force and special means".

After a few minutes, the police began to actively use both.

Truncheons, whips and arrest

Police teams were wedged into the crowd, grabbed people and dragged them to a parked on Tverskaya buses. Some of the detainees were hit on the body of the car and the kicks the legs were forced to stand in a convenient for the search position. Someone got into the police buses dragged on the asphalt.

In another part of the Pushkin Square, the police broke into the crowd with the Passion of the Boulevard, on the road driving people with batons and pushing them into fences and curbs. The protesters shouted the policeman: "Shame!".

Batons, whips, blocked by Nevsky. How was the action "He is not our king"The police firmly pushed the most people in the square, and then divided the crowd and circuits of the staff

People in Cossack uniform, who slowly strolled in the background. In those moments when the police pushed back the crowd, dressed Cossacks, the men were moving behind the path of the security forces and from there attacked the protesters.

The initiator of the action Alexey Navalny was detained a few minutes later. Several police officers grabbed his arms and legs.

Many of those who are involved in the same way, on the road, on the road.

Attempts to explain to dragging detainees by the police for anything do not lead. "I’m campaigning for Putin, are you ?!"- surprised man in shirt, red coat and the crown.

Batons, whips, blocked by Nevsky. How was the action "He is not our king"

"He’s not the king": in Russia protested against Putin

The Strastnoy Boulevard, where the chain of police officers was first in the dense groups, and then quickly and firmly pushed away from the square. Find themselves locked people chanted "Russia without Putin" and asked whether they have time for a barbecue.

On cleared from cars Strastnoy Boulevard and then dragged the protesters. Pushkin square and adjacent streets.

"Competent and calm" police

Among those who got into office, was a teenager who, according to his family, not even going to participate in the promotion.

14-year-old Alex (name changed at the request of the family of a young man in. Bi-bi-si) day on 5 may, along with his friend was walking along Tverskaya street to visit him.

"A friend managed to escape, and he’s not"- said the Russian service Bi-bi-si his sister. The boy was released around 21:00, he spent several hours in the Department.

Batons, whips, blocked by Nevsky. How was the action "He is not our king"

Four Riot police detain 14-year-old boy on Pushkin square

One of the participants in the Moscow police was in the hospital. Dmitry Karasev was beaten with batons during the arrest, then he started to gasp and to complain of pain and nausea, – said the publication "OVD-info".

Correspondent of Russian service bi-Bi-si has become a witness of the process of being arrested in the neighborhood of Malaya Dmitrovka. When she was dragged into the bus, she was screaming that she really hurts and she can not move.

The correspondent of the publication "MBH Media" hit with a trumpet by a policeman, a doctor diagnosed him with a rupture of the lung tissues, reported in his telegram in the head of the international human rights group "Agora" Pavel Chikov.

Moscow authorities, however, praised the police for their work on Pushkin square. "Police and Asgardia today clearly acted in compliance with the law, competently and safely"- said the Interfax the head of the regional security department Vladimir Chernikov.

The "OVD-info" at 21:00 on may 5, in total in Moscow was detained 702 of prospective participant "He’s not the king". A greater number of arrests at an opposition rally in recent years was only on the anti-corruption campaign that followed the film-investigation of the Fund of corruption "You do not Dimon" in March 2017. Then, by mixing "OVD-info" in the Moscow police department got more than one thousand people.

Blocked Nevsky Prospekt

Batons, whips, blocked by Nevsky. How was the action "He is not our king"The protesters in St. Petersburg were protesting against a new term of Vladimir Putin

The authorities of St. Petersburg Petersburg in these days of repairing The Nevsky Prospect, therefore, several thousand protesters are easily able to block the main highway. They were actually pushed to the Nevsky Palace, where the bikers opened the season, rehearsed military parade, and the workers designed the stage may 9.

Once on Nevsky prospect, St. Petersburg supporters of Alexei Navalny acted spontaneously. While some designed barricades of communal utensils, others made them over the police barriers and stormed.

The police at this moment dormant, motorists on nearby streets have lost hope to go on Nevsky and unfolded.

Nevsky passed the second hour of action in the area of ​​Vosstaniya square.

Batons, whips, blocked by Nevsky. How was the action "He is not our king"

Police"astronauts" in a combat uniform, his appearance was interrupted by protesters, wanted to move on, although the barricades have been sporadic clashes with the police.

The participants were distributed in the same streets. Mass detentions took place on St. Isaac’s square and the Hermitage. The police do not pay attention to the chants "Salary is higher honor" in their address.

At the time of publication, according "OVD-info" in Petersburg, there were 229 detainees. Most have to pay fines of 500 rubles for the exit at the roadway, but, as the experience of the previous opposition rallies, often pinpoint arrests of the most active participants.

According to unofficial information, at least one of the detainees on uncoordinated action "He’s not the king" in St. Petersburg may open a criminal case under article about the use of violence against a police officer.

Detained on Tverskaya Navalny was detained of police

Detained on Tverskaya Navalny was detained of police

Oppositionist Alexei Navalny, detained during an unsanctioned rally at Pushkin square on 5 may, is charged with disobedience to police officers. This was told to the journalists of the head of the municipality “Krasnoselskoe” Ilya Yashin.

According to Yashin, in the near future the police station, where the Bulk will arrive by the opposition lawyer.

In respect of the detainee together with the Bulk of Nicholas Laskin drew up the report of the administrative code “Repeated violation of the rules of the organization of public events”. The police will hold it until Monday. On 7 may, the Laskin case will be considered in the Tver court of Moscow, Interfax reports.

The field of Mars in St. Petersburg was closed because of sudden “complex works”

Unexpected and previously unseen works have Mars in St. Petersburg. Petersburg on may 5. It is impossible to pass on to Million street the embankment of the Moika river.

Have covered the gray walls of the field of Mars, there is a plate from which it follows: Park and garden enterprise “Central” carries out a complex of works on maintenance of cultural heritage. The passage is prohibited until the end of these works. Date and time are not specified.

    The field of Mars in St. Petersburg was closed because of sudden "complex works"

We will remind you that the day may 5 in St. Petersburg is completely blocked. Around 2:00 pm there with mileage going to start a biker, they open the season. At three o’clock in the square, the Victory Parade. Security benchmarks so massive that almost no passage for bikers and travelers – the courtyard of the Hermitage unusually empty.

It is on the may 5 protest, including in St. Petersburg. Petersburg, planned by the supporters of Alexei Navalny. Uncoordinated actions and, hence, detention, were held in several Russian cities.

We add that Champ de Mars, in contrast to the majority of the Petersburg parks, are not closed even on drying.