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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2122</article-id><article-id pub-id-type="doi">10.15690/vramn2122</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>EPIDEMIOLOGY: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ ЭПИДЕМИОЛОГИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">COVID-19 in Russia: Evolution of Views on the Pandemic. Report II</article-title><trans-title-group xml:lang="ru"><trans-title>COVID-19 в России: эволюция взглядов на пандемию. Сообщение 2</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3625-4278</contrib-id><contrib-id contrib-id-type="spin">7223-9834</contrib-id><name-alternatives><name xml:lang="en"><surname>Starodubov</surname><given-names>Vladimir I.</given-names></name><name xml:lang="ru"><surname>Стародубов</surname><given-names>Владимир Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Academician of the RAS</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, академик РАН</p></bio><email>starodubov@mednet.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0210-4570</contrib-id><contrib-id contrib-id-type="spin">5940-7554</contrib-id><name-alternatives><name xml:lang="en"><surname>Beregovykh</surname><given-names>Valery V.</given-names></name><name xml:lang="ru"><surname>Береговых</surname><given-names>Валерий Васильевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD in Technical Sciences, Professor, Academician of the RAS</p></bio><bio xml:lang="ru"><p>д.т.н., профессор, академик РАН</p></bio><email>beregovykh@ramn.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4228-9044</contrib-id><contrib-id contrib-id-type="spin">4038-7455</contrib-id><name-alternatives><name xml:lang="en"><surname>Akimkin</surname><given-names>Vasily G.</given-names></name><name xml:lang="ru"><surname>Акимкин</surname><given-names>Василий Геннадьевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio 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Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Central Research Institute of Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing</institution></aff><aff><institution xml:lang="ru">Центральный НИИ эпидемиологии</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">National Research Center of Epidemiology and Microbiology named after Honorary Academician N.F. Gamaleya</institution></aff><aff><institution xml:lang="ru">Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н.Ф. Гамалеи</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Pulmonology Scientific Research Institute under Federal Medical and Biological Agency of Russian Federation</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт пульмонологии Федерального медико-биологического агентства России</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">А.I. Yevdokimov Moscow State University of Medicine and Dentistry</institution></aff><aff><institution xml:lang="ru">Московский государственный медико-стоматологический университет им. А.И. Евдокимова</institution></aff></aff-alternatives><aff-alternatives id="aff7"><aff><institution xml:lang="en">Pavlov First St. Petersburg State Medical University</institution></aff><aff><institution xml:lang="ru">Первый Санкт-Петербургский государственный медицинский университет имени И.П. Павлова</institution></aff></aff-alternatives><aff-alternatives id="aff8"><aff><institution xml:lang="en">National Medical Research Center of Cardiology named after Academician E.I. Chazov</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр кардиологии имени академика Е.И. Чазова</institution></aff></aff-alternatives><aff-alternatives id="aff9"><aff><institution xml:lang="en">Professor G.A. Zakharyin Tuberculosis Clinical Hospital No. 3</institution></aff><aff><institution xml:lang="ru">Туберкулезная клиническая больница № 3 имени профессора Г.А. Захарьина</institution></aff></aff-alternatives><aff-alternatives id="aff10"><aff><institution xml:lang="en">City Clinical Hospital named after V.P. Demihov</institution></aff><aff><institution xml:lang="ru">Городская клиническая больница имени В.П. Демихова</institution></aff></aff-alternatives><aff-alternatives id="aff11"><aff><institution xml:lang="en">Pirogov Russian National Research Medical University (Pirogov Medical University)</institution></aff><aff><institution xml:lang="ru">Российский научно-исследовательский институт имени Н.И. Пирогова</institution></aff></aff-alternatives><aff-alternatives id="aff12"><aff><institution xml:lang="en">Russian Medical Academy of Continuous Professional Education</institution></aff><aff><institution xml:lang="ru">Российская медицинская академия непрерывного профессионального образования</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2022-11-14" publication-format="electronic"><day>14</day><month>11</month><year>2022</year></pub-date><volume>77</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>291</fpage><lpage>306</lpage><history><date date-type="received" iso-8601-date="2022-06-21"><day>21</day><month>06</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-09-17"><day>17</day><month>09</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2022, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2022, Издательство "Педиатръ"</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2023-11-14"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://vestnikramn.spr-journal.ru/jour/about/submissions</ali:license_ref></license></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/2122">https://vestnikramn.spr-journal.ru/jour/article/view/2122</self-uri><abstract xml:lang="en"><p>Over the two years of the novel coronavirus infection (COVID-19) pandemic, there has been an evolution of views in various fields of medicine, which has led to a powerful development of scientific research in the field of epidemiology, clinic, diagnosis and therapy of COVID-19. This article discusses the evolution of views and approaches to the study of the clinic and therapy of COVID-19. The symptoms and aggravation of the course of cardiovascular diseases with COVID-19 have been established. The main strategy for organizing surgical care for patients with COVID-19 is indicated. The main criteria for the treatment of COVID-19, the need to prescribe SGCS on an individual basis, and the need to search for new methods of anti-inflammatory therapy for COVID-19, one of which may be the use of alkylating drugs in ultra-low doses, are described.</p></abstract><trans-abstract xml:lang="ru"><p>За два года пандемии новой коронавирусной инфекции (COVID-19) произошла эволюция взглядов в различных областях медицины, что привело к мощному развитию научных исследований в области эпидемиологии, клиники, диагностики и терапии COVID-19. В данной статье освещены вопросы эволюции взглядов и подходов к изучению клиники и терапии COVID-19. Установлены симптомы и утяжеление течения сердечно-сосудистых заболеваний при COVID-19. Указана основная стратегия организации хирургической помощи пациентам с COVID-19. Описаны основные критерии терапии COVID-19, необходимости назначения CГКС на индивидуальной основе и необходимости поиска новых методов противовоспалительной терапии COVID-19, одним из которых может стать применение алкилирующих препаратов в ультранизких дозах.</p></trans-abstract><kwd-group xml:lang="en"><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>therapy</kwd><kwd>cardiology</kwd><kwd>surgery</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>терапия</kwd><kwd>кардиология</kwd><kwd>хирургическая помощь</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Wuhan Municipal Health Commission. Report of clustering pneumonia of unknown etiology in Wuhan City. Wuhan, China: Wuhan Municipal Health Commission. 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