[Management solutions using digital technologies in the Healthy Moscow pavilions].

The digital transformation of healthcare is an integral part of the priorities in modern healthcare. A striking example of the practical implementation of compliance with the basic principles of digital healthcare is the Healthy Moscow project, which has been implemented since 2021, which has become a real breakthrough in Russia in ensuring accessibility and convenience in providing medical care to the population. The aim of the project is the early prevention of chronic non-communicable diseases, the formation of a healthy lifestyle and the improvement of the well-being of Moscow residents, as well as the development of a conscious attitude to taking care of their health. Pavilions in the park areas of Moscow are an integral part of the modern medical infrastructure, providing convenient conditions for obtaining medical advice and information. The article provides information on the types of digital technologies and basic equipment that the pavilions (large and small) are equipped with as part of the Healthy Moscow project, it is shown that the introduction of digital healthcare technologies is one of the key tasks of the national strategy of Russia, which contributes significantly contribution to the successful implementation of the Healthy Moscow project.

[Main anthropometric indicators of children and adolescents living in the Chuvash Republic in the dynamics of 137 years].

Anthropometric studies conducted in 1884, 1928, 1946, 1965 and 1999 to study the characteristics of growth and weight indicators of children living in the territory of modern Chuvashia, partly reflected the influence of the living conditions of children in certain historical periods of the country's development: revolutions, civil and domestic wars, post-war stabilization, «perestroika¼. Over the last 22-year period, from 1999 to 2021, there has been the largest increase in the growth rate of indicators of the physical development of children and adolescents, which is considered as a positive trend, a manifestation of ongoing acceleration processes. It was revealed that in modern children, physiological growth jumps in comparison with their peers in 1884, 1930, and 1999 occur earlier - in the prepubertal period.

[Comparative aspect of normative (reference) values of indicators of length and weight of children living in the region of the Far North (part 1 - body length indicators)].

PURPOSE OF THE STUDY: to analyze the differences in the normative (reference) values of the body length indicators of children and adolescents living in four ecological and geographical zones of the Republic of Sakha (Yakutia). MATERIALS AND METHODS: Statistical data processing was carried out on 24,123 schoolchildren who do not have chronic diseases belonging to health groups I and II. Statistical, analytical, mathematical and sociological methods were used. RESULTS: Among boys, the highest level of statistically significant differences in body length was observed in the age groups of 12, 13 and 15-17 years, among girls - in the age groups of 13, 14 and 16 years. Higher reference values of body length indicators for boys and girls living in the industrial regions of the Republic of Sakha (Yakutia), lower - for those living in the Arctic zone of the Far North and rural areas of the Republic of Sakha (Yakutia), where the population is represented mainly by the indigenous peoples of the Far North.

[Comparative aspect of normative (reference) values of indicators of length and weight of children living in the region of the Far North. Part 2. Body weight indicators].

PURPOSE OF THE STUDY: to analyze the differences in the normative (reference) values of the body weight indicators of children and adolescents living in four ecological and geographical zones of the Republic of Sakha (Yakutia). MATERIALS AND METHODS: Statistical data processing was carried out on 24,123 schoolchildren who do not have chronic diseases belonging to health groups I and II. Statistical, analytical, mathematical and sociological methods were used. RESULTS: The analysis showed that the greatest differences in this indicator were recorded in groups of children of primary school age, both among boys and girls. The highest values of reference indicators for body weight were determined in the younger age groups of boys and girls living in Yakutsk, and in older age groups - in those living in the industrial regions of the Republic of Sakha (Yakutia). The lowest values of these indicators were determined in children in rural areas of the region.

[THE AGE-RELATED FEATURES OF THE MORBIDITY OF THE POPULATION IN THE CONTEXT OF THE COVID-19 PANDEMIC].

The COVID-19 pandemic has led to changes in all medical and demographic indicators, including changes in the incidence of the population. The article provides an analysis of the age characteristics of the primary morbidity of the population in the conditions of the COVID-19 pandemic. A pattern has been determined: the highest rates of primary morbidity in the conditions of the COVID-19 pandemic (for 2020) were determined in the age group older than working age. It was in this group that the highest incidence rates of COVID-19 were established. On the contrary, a comparative analysis of the primary morbidity of children (0-14 years old) in Russia as a whole in the «pre-pandemic¼ year (2019) and in the conditions of the COVID-19 pandemic (2020) showed a decrease in the level of this indicator by 13.9% (from 172455.1 to 148537.7 per 100 thousand population, р < 0.05). Among the child population, 1208.3‱ cases of COVID-19 were registered. Thus, in the Central Federal District, the indicators of primary morbidity of children were lower than the general.

[Global risks of obesity in adolescent and teenage populations].

Symptoms of chronic cardiometabolic disease such as hypertension, hyperglycemia, dyslipidemia and inflammation, as well as type 2 diabetes, are becoming more common in obese adolescents. Physical inactivity, lack of sufficient physical activity among young students, the availability of sugar-containing products, sugary drinks and fast food, the high cost of healthy eating, aggressive advertising of unhealthy foods, economic difficulties, the influence of the social environment are factors in the growth of BMI and obesity among students. University students are characterized by the lack of a balanced diet, with habits such as snacking as the main meal, consumption of drinks with artificial sugar, fruit juices, and rare breakfast. Students have high consumption of unhealthy foods that contribute to weight gain and obesity: jerky, smoked sausages, hot dogs, white bread and baked goods, butter, fried foods and energy drinks, alcohol, especially by male vocational school students. Vending machines installed on student campuses provide quick access to unhealthy, sugary foods and drinks, contributing to poor nutritional status and obesity in students.

[FEATURES OF NUTRITION OF ADOLESCENTS IN THE TWENTIES OF THE XXI CENTURY AS A HEALTH RISK FACTOR].

Adolescence is considered a vulnerable period of life due to the influence of factors that potentially contribute to the formation of unhealthy eating behavior. At the same time, the role and importance of healthy nutrition, as well as the process of forming habits and skills of good nutrition, are especially important for adolescence and adolescence, taking into account their fertility potential.Significant factors influencing the formation and changes in the eating behavior of adolescents and youth are indicators of the economic and social development of the country, place of residence, the level of income of the population, including family income, the level of education of parents, the opportunity to engage in physical education and sports, advertising pressure, including including television and on the Internet, the state of society and industry, the degree of psychological well-being in the family and school environment, the level of complexity of personal and communication problems of young people. In order to improve eating behavior and health, reduce the consumption of unhealthy foods among adolescents and young people, systemic actions are needed that target various eating habits. It is important that the activities take into account the emotional, socio-economic and cultural aspects of the life of young people in different countries.

[ADULTS NEUROGENESIS AS A RESERVE FOR HEALTH PRESERVATION].

The article presents scientific evidence that new neurons from progenitor cells throughout life in almost all animals with a nervous system are an integral component of neuronal ontogenesis and plasticity.It has been shown that there are neural stem cells in the brain that give rise to adult neurogenesis, occurring primarily in the dentate gyrus, a subregion of the hippocampus important for learning, memory, and emotion. With age, there is a decrease in adult neurogenesis, which is associated with a decrease in cognitive functions. Newly formed neurons and «immature¼ neurons together constitute a potential reservoir of young cells («brain reserve¼) that can be used to prevent aging and/or delay the onset/reduce the impact of neurological disorders.The possibility of using neurogenic processes for therapeutic purposes to reduce pain and improve the quality of life of patients is implied.

[THE ISSUE OF THE IMPACT OF RADIOACTIVE SUBSTANCES ON PUBLIC HEALTH AND COUNTERMEASURES FOR RADIATION EXPOSURE AS A GLOBAL PROBLEM].

The widespread use in today's world of radioactive sources d in energy, medicine, engineering and construction, for contaminant tracking and food sterilization increases the likelihood of accidental exposure. The use of ionizing radiation and radioactive elements can directly or indirectly cause life-threatening complications, such as oncopathology, radiation burns, and impaired immunity. Pollution of the environment with radioactive elements and depletion of the ozone layer also contribute to an increase in the level of radiation exposure. To protect the health of the population living in contaminated areas and consuming locally produced products, it is necessary to organize a system for monitoring radioactive damage, as well as special anti-radiation protective measures in the field of agriculture and forestry, hunting and fishing, and providing the population with food. The purpose of the study is to analyze modern scientific data on the effect of ionizing radiation on reproductive function and modern approaches aimed at correcting its violations. Bibliographic, information-analytical methods and methods of comparative analysis were used.

[Health risks of school-age children with distance learning in the first months of the spread of COVID-19].

According to the results of a sociological survey of 10,237 parents of schoolchildren during the period of emergency transfer of students to distance learning in the initial period of the spread of coronavirus infection, a low provision of children with technical teaching aids was revealed: only 18% of children had a stationary computer at home, 42% of children had a basic gadget available. available for training, there was a smartphone. At the same time, it was determined that children also use gadgets for a considerable time for personal purposes (entertainment, games): according to 17% of parents, 3-4 hours, and 8% of parents answered - more than 5 hours a day. However, most parents are not aware of the amount of time a child spends with a gadget due to their busy schedule. A significant number of parents-respondents (16.5%) pointed to difficulties that arose during distance learning in the relationship between the child and the teacher. Only 60% of the parents surveyed indicated that the child sits at the table while working with the gadget, 24% - the child is more likely to sit in an armchair or on the sofa, 16% - more often the child is in the «reclining¼ position on the sofa or bed. All this determines the health risks of students and indicates the need to develop skills and ways to level them. Taking into account the fact that all participants in the educational process have to face the problems that have arisen during distance learning: students, their parents and teachers, recommendations for the implementation of the general education system of medical, socio-psychological support of students and their families, operational collection data to ensure a quick response, which is possible only by means of technologically modern information systems for medical, social and psychological purposes.