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Treating dyspnea in patients with idiopathic pulmonary fibrosis is a challenge. The foreign experience of using low doses of opioids to relieve dyspnea in patients with progressing diseases is controversial among Russian specialists. The presented clinical case is an 83-year-old patient with idiopathic pulmonary fibrosis in the terminal stage and refractory dyspnea, progressive respiratory failure of II - III degrees, and concomitant exertional angina II FC and organic anxiety disorder. The patient was offered low-dose morphine injections (2 mg 5 times a day subcutaneously) to relieve the shortness of breath. The patient, who had not previously received opioids, and his relatives gave prior consent to the use of morphine. Within a week from the moment of hospitalization, the general and psycho-emotional state of the patient improved, dyspnea decreased, and night sleep was partially normalized. However, а week later, being in a severe but relatively stable condition, the patient died from a massive nosebleed. Shown, that the traditional approach to reducing dyspnea and the associated agitation in patients with interstitial lung disease is the use of corticosteroids and psychotropic therapeutics in increasing doses. The use of low doses of opioids to relieve dyspnea in patients with non-cancer disease meets many organizational, medical, and psychological barriers. At the same time, this therapy is recognized as successful and safe in the foreign palliative practice. Overcoming the existing barriers based on the evidence from clinical trials, as well as the domestic and foreign clinical practice of the safe use of low doses of opioids would expand the arsenal of effective treatments for refractory dyspnea.

The article discusses the most popular type of Olympic movement — athletics. All stages of athletics formation and development are highlighted and described.A connection from ancient athleticism to modern Olympism is described, including the problem of globalization of sports and medical supervision.From the very beginning, athletics has established itself as an international sport in which men and women from all over the world participate.New trends of the late XX — early XXI century have a serious impact on various areas of modern life, including the sports industry and the Olympic movement.The communication revolution has brought not only benefits, but also created new problems. Based on the study of athletics development, it has been established that the Olympic movement remains an important international institution working to strengthen mutual understanding and cooperation between peoples.Further, the International Olympic Committee notes the expansion of educational work to spread the Olympic values and ideals of sport.The article is devoted to topical issues of the Olympic movement, which have a significant impact on social processes.

This article provides an overview of data on the development of physical education and sports in the Republic of Mordovia and the impact of the COVID-19 pandemic on the physical activity of residents. Possible approaches to the restoration of body resources after COVID-19 and the organization of physical education and sports are considered.