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Introduction. During the apprenticeship, students training as secretaries are exposed to a complex of professional and industrial factors that cause functional changes in the body. Materials and methods. Thirty 18-19 years girls were divided according to the Eysenck’s psychological types of personality and to Strelau theory into more adapted and less adapted groups, Heart rhythm variability, mental and physical capabilities, the lability of the visual analyzer, and the psycho-emotional state were evaluated at the beginning and the end of apprenticeship. Results. Trend in heart rate variability in the group of less and more adapted cases differed: the total power of the TR spectrum (ms2) decreased by 50.4% in the group of more adapted, by 54.48% in the group of less adapted. The stress index was 126.9% in the group of more adapted, and 131.9% in the group of the less adapted students. After the apprenticeship work, efficiency decreased by 31.3%, the degree of workability increased by 25.0%, mental stability fell by 16.9%. After the apprenticeship, students’ well-being according to the Scores of Well-being, Activity, Mood (WAM) decreased by 24.5% (p

Introduction. In the changing socio-economic conditions, the problem of advertising for children, using a child’s image, the impact of advertising on children’s food consumption and the consequences for their health, has not been sufficiently studied. The choice of unhealthy foods has public health implications, increasing the risks of developing noncommunicable diseases. The use of children’s images in advertising is of concern to specialists in the field of preserving the health of children, since the peculiarities of development and imperfection of legislation in the field of advertising make adolescents vulnerable to the effects of advertising promotion of food. The aim of the study was a qualitative and quantitative analysis of food and beverages advertising intended for children and adolescents on Russian television, and an assessment of the impact of television advertising with the participation of children on the consumer. Materials and methods. A cross-sectional study of food and beverages advertising for children, broadcast on TNT’s Carousel channel (sample of 513 ads), was conducted. To assess the impact of advertising on the potential ability of the consumer to purchase the advertised product, a random sample of undergraduate students was selected. Results. In 36.7% of the analyzed advertisements appeared products with excessive sugar content, chips, fast food. Conclusion. On children’s television channels, more than half of the commercials promote food products that are not actually products of the daily diet of kid food, which creates distorted ideas about rational nutrition among children’s audiences. In 24.5% of commercials with the participation of children, there is false information about products containing sugar and rich in trans fats.

The health is influenced by many factors including physical, psychological, emotional well-being, both social and economic viability of the child family. In addition, one of the key factors affecting the maintenance and promotion of health is a balanced diet. Adequate dieting is necessary for the normal physiological functioning of the child’s body, because due to the rapid growth and development, children are very prone to the deficiency of its various components. This issue is especially relevant for children studying in specialized schools. If the principles of a balanced diet are not observed, many symptoms of diseases, including psychoneurological ones, are aggravated and often cannot be corrected. According to the results of epidemiological studies conducted in different regions of Russia, significant violations in the nutrition of all school-age children were revealed. These include an irrational ratio of essential nutrients, excessive consumption of fat, added sugar and salt, insufficient content of polyunsaturated fatty acids, vitamins, macro- and microelements, dietary fiber, as well as disturbances in the regimen and management of nutrition. It is important to note that the described violations were found in schoolchildren of general education schools, while studies on the actual nutrition of children in correctional schools were not conducted. Conclusion. Despite a lot of research in the field of nutrition, there remains a need to study the structure of nutrition and nutritional status in children studying in correctional schools to scientifically substantiate and develop measures for the prevention and correction of alimentary-dependent diseases. The main directions of which should be monitoring the nutritional status of children in the following up their development, optimizing nutrition, taking into account the pathology of the child, the use of fortified foods and the appointment of vitamin-mineral complexes, with the aim of additional intake of necessary substances. When searching for literature, the databases Web of Science, CyberLeninka were used.

Introduction. Currently, there are not enough hygienic studies to identify causal relationships between health disorders and behavioural risk factors. The purpose of the study: to assess the influence of behavioural risk factors on students’ health outcomes. Materials and methods. The object of the study were one hundred nine students in grades 3-6. Questionnaires and comprehensive medical examinations were conducted. The research materials were statistically processed using non-parametric analysis methods, descriptive statistics and relative risk calculations. Results. Data were obtained on the leading behavioural risk factors of modern students (physical inactivity, lack of sleep, unhealthy diet, low school satisfaction, high aggressiveness in communication with peers. Functional deviations and chronic diseases of the musculoskeletal system, nervous system and mental sphere, eyes and digestive system were formed among students. There were identified three groups of behavioural risk factors: 1) use of digital devices; 2) social wellbeing in school; 3) regime of the day. Limitations. The study is limited to the study of the influence of only behavioral risk factors on the health of students, the time of observation, the use of self-questionnaires, which can lead to recall bias, affect the accuracy of data, with the possibility of overestimation or underestimation of data. Conclusion. Quantitative dependences of the development of the most common functional deviations and chronic diseases in students on risk behaviors in the children’s population have been established. This indicates the importance of high levels of prevalence of risky forms of behaviour and their underestimation in the formation of pathological conditions and the need for measures to correct behavior dangerous to the health of children and adolescents.

Introduction. The relevance of the study is due to the 100th anniversary of the formation of the sanitary and epidemiological service of Russia and the 130th anniversary of the establishment of the hygienic society by F.F. Erisman. The purpose of the study is to give a historical analysis of the activities of the All-Russian Society of Hygienists and Sanitary Doctors. Materials and methods. Based on the principle of historicism, an expert and analytical study of the activities of the professional community of hygienists and sanitary doctors in 1892-2022 was carried out. The analysis used materials on the activities of prof. F.F. Erisman and the Moscow Hygienic Society under him, as well as the All-Union and All-Russian Congresses of Hygienists and Sanitary Doctors. Results. The main stages of the creation and development of the All-Russian Society of Hygienists, Toxicologists and Sanitary Doctors, the training of personnel for the sanitary service of the country, which celebrates 100 years since its foundation, are presented. The role of F.F. Erisman in the activities of the Moscow Hygienic Society and his students and followers in the work of the All-Union and All-Russian Society of Hygienists and Sanitary Doctors is traced. Limitations. The study is limited to studying the role of the All-Russian Society of Hygienists in ensuring sanitary and epidemiological well-being in the historical interval of 1892-2022. Conclusion. The congresses of the society of hygienists and sanitary doctors summarized, analyzed the results achieved, discussed scientific problems and ways to solve them, mobilized their members to solve them. The positive activity of the society of hygienists and sanitary doctors is due to the active work of its members in ensuring the sanitary and epidemiological well-being of the population of the Russian Federation.

Introduction. Analysis and generalization of the results of scientific research of the institutions of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing (Rospotrebnadzor)institutions of a hygienic profile are extremely important in the scientific substantiation of ensuring sanitary and epidemiological well-being and managing risks to the health of the Russian population. The purpose of the study is to analyze the results, achievements and prospects of the scientific substantiation of ensuring sanitary and epidemiological well-being and managing risks to the health of the population of the Russian Federation. Materials and methods. An expert-analytical study was carried out. The analysis materials are the main results of the activities of scientific institutions of the Rospotrebnadzor of the hygienic profile in the implementation of the industry research program of Rospotrebnadzor for 2021-2025. “Scientific substantiation of the national system for ensuring sanitary and epidemiological well-being, managing health risks and improving the quality of life of the population of Russia”, as well as of the Federal Program (FP) “Clean Air” of the National Project (NP) “Ecology”, FP “Clean Water” NP “Housing and Urban Environment”, FP “Strengthening Public Health” NP “Demography”, the State Program “Provision of chemical and biological safety of the Russian Federation for the period 2021-2024”, the Federal Target Program “Ensuring nuclear and radiation safety for 2016-2020 and for the period up to 2030”. Results. Within the framework of the industry program, in the first year of its implementation, six SanPiNs, 668 hygienic standards were approved, 20 analytical reviews were prepared. 23 patents for inventions, 45 - for industrial designs, 34 - certificates for computer programs, 178 objects of intellectual activity were registered. Based on the materials of scientific research, 95 articles were published in the journals Web of Science, 328 - Scopus, 802 - RSCI. 40 monographs, books and manuals have been published. 11 PhD, 2 doctoral dissertations were defended. Limitations. The research materials are limited to the results of scientific research of the Research Institute of Hygienic Profile of Rospotrebnadzor, obtained in 2021. Conclusion. The results of the activities of the NIO Rospotrebnadzor in 2021 indicate that the set of tasks assigned to them to ensure the sanitary and epidemiological well-being of the population is being successfully implemented. Further development of interagency cooperation is required (with scientific institutions of the Russian Academy of Sciences, the Ministry of Education and Science of Russia, other ministries and departments, with medical universities); interaction with problem committees of the Scientific Council of Rospotrebnadzor, as well as further modernization and renovation of the park of laboratory and medical equipment of scientific organizations.

The article contains an overview of the main bibliographic information about the curriculum vitae and professional activities of Academician of the Russian Academy of Medical Sciences, Doctor of Medical Sciences, Professor, Director of the Research Institute of Hygiene for Children and Adolescents - Galina Nikolaevna Serdyukovskaya. The data of literary sources in authorship/co-authorship with G.N. Serdyukovskaya, was taken from the electronic fund of the Russian State Library. The role of the scientist in creating a scientific and pedagogical basis for studying the problem of the health of children and schoolchildren is shown, the results of the activities of the Research Institute of Hygiene for Children and Adolescents headed by her over the period from 1963 to 1996, its development, issues of establishing scientific and clinical activities are indicated. Improvement of scientific and managing activities in this area, development of international cooperation, great public work carried out by G.N. Serdyukovskaya became an example for many generations of scientists whose activities are related to the study of the health problems of children, adolescents and youth.

Introduction. In a modern school, digital educational materials are widely used, implemented through electronic teaching aids. However, teachers in the learning process are not guided by the appropriate recommendations of hygienists. The purpose of the study is to substantiate hygienically significant parameters of digital educational content presented on devices equipped with a screen. Materials and methods. Hygienic observational, expert-analytical and physiological-hygienic studies were carried out to assess 460 electronic educational materials. Results. A number of indicators have been established that characterize the readability of educational materials of a digital school, four of which are regulated by the current sanitary legislation, and the rest are of a recommendatory nature. The assessment of the textual material made it possible to establish that the educational materials did not comply with the regulated and recommended hygienic requirements in all respects. The expert assessment showed that the hygienically not rationally designed educational material presented on the screens causes discomfort of the visual analyzer after working with it. Working with such material contributes to visual fatigue, at the same time, the use of hygienically rationally designed materials is characterized by positive trends in the state of the visual analyzer. Conclusion. A hygienically not rationally designed educational material presented on screens causes discomfort in the visual analyzer and promotes visual fatigue. Hygienic assessment and examination of used and developed digital educational content should be carried out in terms of text, color, illustrative design and design of electronic educational material.

Introduction. The digitalization of education in the Russian Federation accompanied by the intensive use of digital tools in children and adolescents’ education and leisure activities actualizes the problems of preserving the health of the younger generation. The aim of the study was to assess the current medical and social problems of informatization of education and the formation of approaches to the hygienic regulation of the main risk factors for the health of students, to determine the technologies for ensuring their hygienic safety in the digital environment. Materials and methods. The expert and analytical research were carried out using scientific publications, Internet resources, normative and methodological documents showing the features of the organization of educational activities of students in the digital environment, the technology of ensuring their hygienic safety. Results. It shows the high degree of development of the digital environment in the Russian education system; a diverse arsenal of digital educational resources and services that are most in demand by participants in the educational process; prospects for the modernization and development of education in the course of the introduction of the digital educational environment (DEE). The new digital environment can negatively impact the lifestyle and behavior of children and adolescents and contribute to the formation of additional risk factors for their health. In the context of the increased informatization of the educational process and the active use of electronic learning tools (ESE), there is an increase in the information load and psychoemotional overstrain in children and adolescents, an increase in various forms of information dependence, borderline mental disorders and behavioural disorders, the prevalence of school-related conditions and diseases. Conclusion. Among the measures related to the safety of the use of digital technologies and means of their provision in the educational and leisure activities of children, the implementation of technologies aimed at assessing the main risk factors for children’s health in the developing digital environment and the prospects for the development of hygienic rationing; compliance with hygiene regulations and rules of work when using ESO; training and education of children, parents and teachers; expertise of educational programs and technologies; monitoring the effectiveness of the implementation of DEE. Contribution: Kuchma V.R. — the concept and design of the study, editing; Polenova M.A. — the concept and design of the study, collection of literature data, writing a text, editing; Stepanova M.I. — editing. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version. Conflict of interest. The authors declare no conflict of interest. Acknowledgment. The study had no sponsorship.

Introduction. In the last decade, it has become evident that the school is not ready to provide the material and technical capabilities for the modern educational process. The school design strategy is changing, but these innovations are hardly reflected in the research of hygienists. The purpose of the study is to substantiate the hygienic requirements for modern architectural and planning solutions of school buildings. Materials and methods. Expert-analytical research was carried out. The object of the study: documents regulating the sanitary and epidemiological wellbeing of the population, the development of school education infrastructure, documents and publications that reveal the prospects for designing schools. Results. Most functioning school buildings do not meet the requirements for modern school infrastructure. Fewer and fewer students report that they “really like school”, which negatively affects their academic performance and psychological wellbeing. The need for fundamental changes in the construction of school buildings is recorded in the National Educational Initiative “Our New School” (2010). The design decisions of school buildings should take into account the experience of quarantine measures that had to be faced in the context of the spread of the new coronavirus infection (COVID-19). Hygienic requirements for modern architectural and planning solutions for school buildings are: taking into account climatic and geographical conditions; ensuring the psychological wellbeing of children, primarily due to the optimal number of classes and placement of educational premises for different age groups on separate floors, in blocks, buildings; convenient functional connections with the site; the possibility of transforming beliefs, protection from the effects of physical factors and the penetration of pollution from the environment, safe use of digital learning tools, optimal lighting and air-heat regime; sufficient area of educational premises for one student; optimal conditions for physical activity and physical education, regular healthy nutrition, meeting the needs of students in primary health care. Conclusion. Hygienic requirements for the spatial characteristics of school buildings should take into account the new risks to children’s health. Contribution: Kuchma V.R. — the concept and design of the study; writing a text, editing; Stepanova M.I. — the concept and design of the study, collection of literature data, writing a text. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version Conflict of interest. The authors declare no conflict of interest. Acknowledgement. The study had no sponsorship.

Introduction. Against the background of socio-economic transformations and the digitalization of education, the health indicators of students are changing, which requires in-depth research. Aim of the study: based on the longitudinal observation of the health of schoolchildren, to identify the patterns of its formation for the scientific justification of improving the medical care of students. Material and methods. From the 1 st to the 11 a grade (2005–2015), the same students (199 boys and 227 girls) of 4 Moscow schools were examined annually with the performance of anthropometry, electrocardiography, functional tests, and questionnaire to identify complaints and anamnesis; specialist doctors carried out 25,298 examinations. In addition to the analysis of morbidity, a qualitative analysis of the course of pathological processes in students was carried out to determine positive and negative dynamics. Results. Over 11 years, the prevalence of functional disorders increased by 14.7%, chronic diseases by 52.8%, the frequency of visual disturbances, diseases of the musculoskeletal system, digestive organs, neurotic reactions increased; new forms of risk behaviour and information dependence appeared. An unfavourable period of development of pathological processes in schoolchildren is training in grades 9–11. Compared with the 1990 morbidity rates obtained by similar methods, there was an increase in the prevalence of functional disorders among adolescents by 2–3 times and chronic diseases by 20–70%. When comparing physical development with peers of the second half of the XX century, the observed schoolchildren increased the average values of body length and weight with a decrease in functional indicators. Distance learning during the first wave of COVID-19 in spring 2020 has increased the prevalence of computer vision, carpal tunnel syndromes, and neurotic reactions. Discussion. The main patterns of health formation in school ontogenesis, coinciding with the change of generations and the transition to the digitalization of education, are revealed. Conclusion. The study results allow predicting an increase in the prevalence of neuropsychiatric disorders, myopia, scoliosis, computer-visual and carpal tunnel syndromes. To preserve students’ health, to counteract COVID-19, a modern model of school health care is proposed.

Introduction. Universities start their education in their associated pre-universities using University principles of education and modern technologies. The study of the impact of specialized medical training on senior high school students, and the justification of approaches to the hygienic assessment of modern technologies for their specialized training is relevant. Material and methods. The study based on the pre-University of Sechenov University, attended by 181 students aged 15-17 years. The assessment of the psychophysiological status of students was performed using specialized questionnaires (Klimov, Kettel, Schulte, Munsterberg, Spielberg-Hannin, SAN). Physiological methods included the assessment of indices: CFFF, RBD, tremorometry. Results. Specialized medical training exceeds the weekly training load-38-40 hours. Individual project activities are allocated 20 hours per week. Simulation classes are held once a week for 90 minutes with a 5-minute break in the middle. The schedule of classes corresponds to the physiological performance curve. The duration of homework exceeds hygiene standards in 69.2% of students. Among the students, only one in four has a tendency to work in the “person – to-person” system. Mental performance, indices of CSCM, RDO of students in the dynamics of the school day are stable. Indices of tremorometry in simulation classes are stable and indicate a good state of coordination capabilities of the hands. In simulation activities, 53.5% of students have higher-than-average activity, which is 1.4 times more than in a traditional lesson. All students are characterized by a high level of anxiety in all types of educational activities. Conclusion. Training using design and research, digital, simulation, and phantom technologies is adequate to the physiological capabilities of the body of students and can be recommended for the use in medical profile training. Hygienic examination of technologies of profile training of pupils should be based on a comprehensive approach, including assessment of psychophysiological status of students, and also indices of a psychofunctional state students during the lessons.

The authors consider the possibilities of using the information server “Your Choice” in the nutrition of students as an electronic tool for the formation of the correct choice of school ration dishes, food culture, data on the taste preferences of Moscow schoolchildren, an assessment of the consumption of words from the school menu according to the pre-order system with using an electronic server. The school menu was assessed according to the “Your Choice” pre-order system, which retains the positions of the most consumed, favorite dishes by children, so that the child eats the proposed range at school in full at each meal. Parents may know how to feed the child at home to replenish the daily physiological needs for nutrients and energy. According to preliminary results, a hygienic assessment of the proposed alternative diet options and a hygienic assessment of the existing forms of ordering rations in general educational institutions using the innovative electronic system for choosing an alternative food ration “Your Choice” by Moscow schoolchildren showed a higher eatability of the selected dishes up to 89-90%. The authors recommend using the digital system “Your Choice” to completeness the eatability of the proposed dishes, formation of correct eating habits, and assessment of schoolchildren’s nutrition. A comparative analysis of catering and existing menus with new developments (alternative meals for schoolchildren) showed that equipping a school canteen with gadgets and tablets helps to pass identification much faster when schoolchildren receive lunch in an educational institutions, compared to the usual payment and catering system.

Background: Transition to machine learning, personalized medicine, and high-tech healthcare requires up-todate medical personnel. The higher medical school is transforming the system of training specialists using modern digital technologies and is starting education in the associated pre-universities, thus necessitating research into effects of current technologies on the functional state of high school students. Materials and methods: In April 2019, based on voluntary informed consent, we examined 181 healthy Moscow medical pre-university students (15–17 years of age) and assessed the impact of learning on the central nervous system, musculoskeletal system, and visual analyzer. Results: Traditional lessons in the pre-university are combined with project activities and development of practical skills. Phantom and simulation technologies along with modular construction of the curriculum are used to form practical knowledge and skills. The study load of 38–40 hours a week exceeds hygienic standards. Individual project activities in small groups (up to five students) with teachers last 20 hours a week. Simulation classes are held once a week after the main classes and last 90 minutes with a 5-minute break. Classes using simulation technologies are not always hygienically rational. Study loads, specifics of the timetable and teaching techniques approximated to university ones are adequate to functional capabilities of the body of medical pre-university students. Simulation classes cause no pronounced deviations in the neuromuscular apparatus of students. Most students demonstrate high stress tolerance and a greater motivational readiness for simulation exercises. Emotional tension and high anxiety rates are almost similar during traditional lessons and simulation activities on phantoms. Conclusions: It is advisable to make wider use of modern digital (simulation, phantom, virtual) and design and research teaching technologies including in medical classes of educational institutions.

Introduction. Currently, in connection with the large-scale introduction of the electronic educational resource in the educational process, it is especially relevant to search for optimal characteristics of presenting information on screens, taking into account the specifics of the electronic devices and age-related physiological features of the users’ visual system. The aim of the study was a physiological hygienic assessment of the impact of the font design of e-texts, presented on a laptop, on the psychophysiological state of students in grades 10-11. Material and methods. Psychophysiological testing of 43 schoolchildren in grades 10-11 without pathology of the vision organ was carried out on the NS-Psychotest complex, including the method of critical flicker fusion frequency to assess the state of the central part of the visual analyzer and the response to a moving object to determine the degree of the balance in nervous processes. The influence of reading illogical texts typed by a school headset was studied with a font size of 14, 12 and 10 points and a one-time reading of 200, 400 and 600 characters. Laptop Lenovo IdeaPad 720S-15 was used for the presentation of information. Results. High-grade schoolchildren were established to have the initial fatigue both of the visual analyzer and the nervous system as a whole. Boys showed better indices of the critical flicker fusion frequency than girls. Most schoolchildren had a balanced type of the inhibition and excitement processes. Methods of presenting information in electronic textbooks were shown to affect the psychophysiological state of high schoolchildren and may carry risks to their health. The hygienically rational design of electronic educational texts promotes the optimization of the psycho-functional state of the high schoolchildren’s body. Conclusion. The obtained results allow substantiating hygienic requirements for the font design of e-learning publications at the third stage of education.

Introduction. Modern education of children is one of the most rapidly changing systems, actively using modern capabilities of information and communication technologies and e-learning tools. Information and communication technologies increase the load on the visual, auditory analyzers, the nervous system and contribute to the development of overwork in children. The use of digital media is becoming increasingly widespread, not only in school, before and in preschool education. To substantiate the concept and integrated system of the hygienic safety of electronic educational content and children’s life in conditions of hyper-informatization, physiological and hygienic studies are required. Materials and methods. In order to develop the scientific foundations and technologies for ensuring the hygienic safety of children in the “Digital School”, an expert-analytical study was carried out based on the results of representative hygienic observations and non-randomized controlled studies with Contribution of volunteers. Results. Studies of childhood hygiene allowed justifying the modern system of hygiene and health care of children and adolescents in a hyper-informational society, including criteria of the hygienic safety, including in the editorial, intended for children and adolescents; sanitary rules and norms of ensuring the hygienic safety of the new generation; federal recommendations of medical support of students in the conditions of using information and communication technologies; federal guidelines for students ’mental health and well-being; recommendations to the family in the field of ensuring the safety of children’s life in a digital environment; recommendations to producers and distributors of content in the field of ensuring the medical, psychological and pedagogical safety of children’s life, including the age marking of information products; gaming educational and educational programs on the rules for the safe use of children on the Internet; a system for monitoring the effectiveness of hygienic safety policies and protecting children from negative information in a hyper-information society. Conclusion. The developed system and technologies for ensuring the hygienic safety of the “Digital School” are significant for the medical and preventive basis of the health saving of students in the Decade of Childhood in Russia (2018-2027).

Introduction. At the prenosological level, the impact of vocational training conditions on the indices of health and the quality of life of college students who master groups of occupations that are different in nature and working conditions was assessed. Material and methods. A survey of 1- and 3-year students engaged in vocational secondary education with conditionally “light” (woodworking and restoration) and “difficult” (welders and car mechanics) conditions of work practice was conducted. The questionnaire of quality of life (MOS SF-36) was used, medical and social status was assessed (complaints, the presence of chronic diseases, assessment of well-being, the severity of fatigue, ARVI morbidity rate). The results are processed according to the standard software package using evidence-based medicine. Results. There were obtained marked differences in the nature of the influence of learning conditions on the health and quality of life of students undergoing industrial training in different hygienic conditions. The impact of training and production load during the development of conditionally “light” professions was accompanied by an increase in the health index of graduates, a decrease in the frequency of complaints of headaches and pain associated with ARVI, an increase in undifferentiated complaints. Indices of the quality of life were characterized by an increase in role-based physical functioning (RPF) and a decrease in mental health (MH), which was correlated with increased fatigue. When teaching “hard” occupations in 3-year students, there was an increase in the total number of complaints, complaints of weakness, complaints related to the gastrointestinal tract (GIT), musculoskeletal system and other (undifferentiated) complaints. Indicators of quality of life decreased according to two parameters of physical health (RPF and GIT) and two parameters of mental health (role emotional functioning and MH). conclusion. The significant contribution of occupational training to the deterioration of functional capabilities and the quality of life associated with health is shown for college graduates who learn occupations a profession with “hard” working conditions. Attention is drawn to new forms of the implementation of vocational training in the dual (practice-oriented) training system with an increase in production training time at the workplaces of enterprises, as well as issues of improving the medical support system for students in vocational colleges.

In the article there are presented the results of physiological and hygienic evaluation of studies in kindergarten with the use of educational games on an electronic PC tablet. The study involved 44 foster-children. In one of the groups children in the classroom used the interactive game software on electronic PC tablets «Samsung», the same time while working with the PC tablet did not exceed 10 minutes, in the other - the classes were held traditionally. There were investigated the state of health, psychosomatic and psycho-emotional state of children, determined their functional readiness for systematic training in school, mental performance, the functional state of the central nervous system (CNS) by simple visual-motor reaction (SVMR) and reactions to a moving object (RDO). Developing of game sessions with the use of electronic PC tablets for 10 minutes were established to contribute to the activation of the central nervous system and increase in children resistance to the development of fatigue.

The transition to a new stage of the development - the information society is an objective reality and has an influence on all areas of the activity of the society, including the establishment of a child as an object of the hygienic research. In conditions of the general informatization of the society, the appearance of so-called “clip thinking,” explains the maladjustment of educational technologies to mechanisms of children ’ and teenagers ’perception and is confirmed by the growth of the school pathology and the gain in the morbidity rate. In the investigation on the example of the educational institutions of Irkutsk it was executed the evaluation of the impact of the intensification of informatization of education and personal development. For the investigation there were formed 2 groups ofpreschools with different levels of informatization in the same preschool institution of the central district of the city of Irkutsk but in different periods of time. In total there were observed 211 children aged of 5.5 to 6.5 years. For the study the influence of the intensification (and informatization of training there were formed 2 groups of small schoolchildren with different levels of intensification (and informatization) of education. The total number of cases accountedfor 465 children aged of 7-9 years. There were suggested methodical approaches to the estimation of the health status of the children, with taking into account the inevitable influence offactors of informatization and the intensification of education. The performed investigations have allowed to reveal the following tendencies in the shaping of the psychophysical state of health and development of children: an increase of level of informatization of education and personal and accomplishment; intensification of learning working; reduction of the attention level; imagination and visual divergence; capability to the linear differentiation and construction of inferences; fear to fail to meet the expectations of surrounding people and low resistance to stress; the increase speed of data processing along with fall in quality; the gain in hyperactivity.

60 years of the work of the Scientific and Research Institute of Hygiene and Health Protection of Children and Adolescents of the National Medical Research Center of Children’s Health provide an analysis of research directions, their achievements and their use in health care and education. A series of discoveries, basic and applied research in the field of hygiene of children and adolescents, ensuring the sanitary and epidemiological well-being of the children’s population allowed to substantiate the modern system of hygiene and child and adolescent health, prevention of the most common diseases, school-related diseases and conditions, including population and personalized levels, and effective technologies to ensure them. Effective models of medical care for students in educational institutions, the activities of schools that promote health have been developed. Fundamental guidelines have been prepared for physicians on the hygiene of children and adolescents, school medicine, and medical support for students in educational institutions. Primary in the development and improvement of the hygiene of children and adolescents are the following: modernization, re-equipment of material and technical base for research; attracting young, talented and dedicated researchers; ensuring safe life and adaptation of children and adolescents in the context of global digitalization, including safe goods and services for children and adolescents, as part of the new strategy fir the scientific and technological development of the country; constant monitoring of the development of hygienic science and correction of plans for basic and applied research in the field of hygiene and child and adolescent health.

60 years of the work of the Scientific and Research Institute of Hygiene and Health Protection of Children and Adolescents of the National Medical Research Center of Children’s Health, 2, bld. 1, Lomonosov avenue, Moscow, 119991, Russian Federation of the Ministry of Health of Russia provide an analysis of research directions, their achievements and use in health care and education. A series of discoveries, basic and applied research in the field of hygiene of children and adolescents, ensuring the sanitary and epidemiological well-being of the children’s population allowed to substantiate the modern system of hygiene and child and adolescent health, prevention of the most common diseases, school-related diseases and conditions, including population and personalized levels, and effective technologies to ensure them. Effective models of medical care for students in educational institutions, the activities of schools promoting health have been developed. Fundamental guidelines have been prepared for physicians on the hygiene of children and adolescents, school medicine, and medical support for students in educational institutions. Primary in the development and improvement of the hygiene of children and adolescents are the following: modernization, re-equipment of material and technical base for research; attracting young, talented and dedicated researchers; ensuring safe life and adaptation of children and adolescents in the context of global digitalization, including safe goods and services for children and adolescents, as part of the new scientific and technological development strategy of the country; constant monitoring of the development of hygienic science and correction of plans for basic and applied research in the field of hygiene and child and adolescent health.

Data of the hygienic assessment of the nutritional structure of students in the age periods that are critical for the formation of proper eating behavior is presened. The purpose of the study was to study the structure, nutrition regimen, dietary habits in the family, the nature of the physical activity of students. The questionnaire “Study of medical and social reasons for the formation of deviations in health and diseases in children” was used. 70-80% of students in Moscow schools have been established to be at risk in terms of lifestyle factors, among which a significant factor is a nutrition. The structure of their nutrition is characterized by insufficient consumption of biologically valuable food in 27-70% of children. The diet of 20-40% of respondents is depleted in the content of fermented milk products, vegetables, and fruits. Children exclude first courses (68-70%), breakfast cereals, fish, vegetables (35-40%), oils and eggs (29%) from their meals at an educational institution. Most schoolchildren outside educational institutions consume foods that are not intended for children food: chips, fast food, confectionery, sweet carbonated drinks.

There are presented results of a study of age and sexual development of the neuro-psychiatric sphere in 9-11th grade students of secondary school. An analysis of the peculiarities of the formation of the neuropsychic sphere in students has revealed a significant improvement in cognitive functions and psychomotorics, a reduction in school disadaptation in girls and boys, in groups, continuing and discontinuing their education, among schoolchildren with bad habits and without them, among modern adolescents compared with students of same age 10 years ago. The continuation of the maturation of the neuropsychic sphere of adolescents in a complex with their socio-psychological adaptation has been established. Risk factors of mental development disorders in senior students are revealed. For the first time, there was obtained data of a comparative analysis of the psychophysiological development of adolescents related to their peers 10 years ago. There were developed age-gender standards of psychophysiological features of schoolchildren aged of 15-17 years, which are of practical importance for modern psychohygiene and school psychology when working with senior students.

The article presents research data on the impact of the use of information-communication technologies on the organism of children, including in conditions of the educational process. There were revealed peculiarities of cognitive functions in children, the perception of information from the computer screens and e-readers, and paper. There were established potential risks for the development and health of children due to the use of informational and communication technologies. There was proposed the system of hygiene of the health and safety of children in modern hyper-informational society. The main task of its implementation is to achieve the objectives of the Government of the Concept of information security of children.

Domestic fundamentals of hygiene and healthcare of children, adolescents and young people have been laid at the Imperial Moscow University (IMU) by clinicians andhygienists (N.A. Tolsky, S.G. Zybelin, F.I. BarsukMoiseev, M. Ya. Mudrov, G.A. Zakharin, G.N. Speransky, F.F. Erisman, V.E. Ignatiev). In 1881 in IMU there was introduced associated professor course of hygiene. From 1886 V.E. Ignatiev gave privat-associate professor course of lectures on school hygiene. Hygienic Institute was scientific and educational base for training doctors-hygienists. In 1884 in IMU the was organized the Department of Hygiene (Head of the Department-F.F. Erisman). The department of school hygiene, hygiene of children and adolescents of the 1st Moscow State University-First MGMU named after I.M. Sechenov was headedfrom 1926 to 1947 by prof. A.V. Molkov, throughout 1947-1953 - Associate Professor P.M. Ivanovsky, from 1953 to 1962 - Prof. M.D. Bolshakova, from 1962 to 1974 - Associate professor A.Z. Belousov, from 1974 till 1991 - Profesor V.N. Kardashenko and from 1992 - corresponding member of the Russian Academy of Sciences V.R. Kuchma. Training is carried out on the hygiene, basics of the formation of children’s health, hygiene of children and adolescents, and 7 programs ofpostgraduate education. There are performed studies of the physical development of children. There are substantiated criteria of social and hygienic monitoring of the child population at the local, regional and federal levels. Currently, studies are carried out in hygienic safety of the use of information and communication learning tools and ways to ensure their work (PC of new generations, readers, iPad, interactive whiteboards, electronic textbooks, Internet, mobile communication, Wi-Fi).

Official medical statistics and special studies indicate an increase in the prevalence of mental illness among all age groups, and there are high rates of teenage suicides. The aim of the study is to investigate the mental health of adolescents studying in various educational institutions. The object of the study was 100 girls and 100 young men aged 15-18 years training in general education schools and colleges. The study used sociological, clinical, follow-up and statistical methods. Various forms of mental disorders were detected in 67.5% of the examined. A significant part (36%) of them were made up of pre-illnesses, 16% of them were neurotic responses, 20% were pathological responses. Actually, neuroses were detected in 20% of the subjects. According to the structure of neurotic states, states of dysmorphomanic and depressive type were a significant proportion of them. There were no statistically significant differences in the prevalence of mental pathology between girls and boys. In adolescents training in colleges, the prevalence of mental disorders was found to be of 82% appeared to be more than in teenagers training in schools (53%) due to responses of pathological character. Adolescents without mental disorders are more likely to exercise for 60 minutes less or more than 3 times a week, have a more long night’s sleep, spend less time on gadgets, spend more time less than 3 hours and less often - more than 3 hours. These factors can be considered as risk factors for the development of mental distress. Pathological character and accented personal characteristics are the most important predictors of mental disorders, based of they, there are formed risk groups, which should be in the sphere of attention of medical and pedagogical workers of educational organizations. A retrospective analysis of the prevalence of mental pathology in the historical interval of 15 years shows a decrease in the frequency of the neurotic response due to an increase in the proportion of neuroses in modern adolescents and an increase in the prevalence of pathocharacterological responses in them. It can be considered as risk factors for the development of mental distress. Preventive measures should be carried out by doctors, paramedics, nurses in medical aid departments.

The assessment of the risk for the health is widely used in international and domestic organizations. The aim of the work is the analysis of methods and techniques of risk assessment for children’s health and determination of the approaches to the analysis of risks for children’s health in the course of their life. The material of the study is based on legal and analytical documents in the field of the analysis of risks for public health. The main method of the research is expert-analytical. Federal Service for Consumer Rights Protection and Human Welfare has proved the risk-based approach to sanitary and epidemiological supervision, classified the subjects of supervision according to the criteria of the potential risk of damage to health. The risks for children’s health, calculated only on the frequency of violations of sanitary legislation, do not take into account the impact of all risk factors for the health of students. Methodology of management of occupational risks (risk management) is now implemented by bioinformatics technologies. The methodology of risk management to children’s health can be applied for pupils in various educational institutions. Risk for pupils ’ health is the probability of the injury as a result of exposure to potentially hazardous and dangerous factors of conditions and modes of learning in the educational activity. The management of risks for health of students is an array of interrelated activities, which includes the measures to identify, assess and reduce the risk for health ofpupils. The criteria of safe conditions and the mode of training of children in educational institutions are the preservation of life, health, functional abilities of the body ofpupils, the upcoming life. The most difficult problem in the hygiene of children and adolescents is the establishment of a causal relationship of diseases with conditions and mode of teaching children and teenagers - causation (causality). The starting point of causation is to establish the diagnosis with a code and factor code from the number of external causes of ICD-10. Risk management is carried out by the system of targeted prevention of school-related diseases.

There was implpemented the introduction of the curriculum of the educational cycle “Formation of knowledge in the field of healthy nutrition ...” (36 hours), designed for the continuous development of knowledge of minors in educational organizations, teachers to increase the motivation to eat dishes that meet the physiological needs of the organism, taking into account the household nutrition showed a high degree of efficiency such training. After completing the training cycle, the number of correct answers increased by 46%. Assessment of the quality of training of teachers and educators showed a high percentage of excellent and good answers (65.4% and 27.3% respectively). The formation of motivation for eating dishes that meet the physiological needs of the organism was noted by teachers as a “high degree of conformity of the knowledge” (69%) to the expected learning outcomes. The subject-role feeding of educational information was shown to cause positive emotional responses in 61% of preschool children and 63% of children of the primary school age and is accompanied by a favorable emotional response to food intake in the educational institutions, which contributes to the formation of healthy eating behavior.

Harmonization of European and Russian standards of the quality of the delivery of school health services and competencies for school health professionals allowed to justify the concept of the evaluation of the quality of the delivery of medical help to students in educational institutions. The concept does not prescribe a concrete methodfor the organizing school health services, unified process of the activity of health professionals. The concept consists of 7 groups of indices of quality and competences of health care workers. Quality criteria include the presence of a regulatory framework, indices of benevolence towards children, social equity and access to health care for students, requirements for premises, equipment of medical rooms in schools, cooperation with the administration and teachers of schools, parents and children, the medical community, the requirements for health care workers, a minimum list of services, covering both population and individual needs of students, the secure storage, the management and use ofpersonal medical data of children and adolescents. The competences of the staff of medical units are determined by provided medical services and technologies of the work. Properly medical competences of workers of medical care units for the delivery of medical aid to students are contributed by willingness to ensure the rights of children in the process of health care delivery in the educational organization, skills in the field of communication, sharing of information with children, parents and teachers, cooperation with colleagues, planning and coordination of the organization of medical care, the provision of sanitary epidemiological well-being of students, informational-elucidative activity for shaping of healthy lifestyle, research activity. Concept is the basis of the algorithm of the evaluation of the quality of the delivery of medical aid to students and quality assessment technology as well by medical organizations and institutions, as in the form of an independent audit of the quality of the delivery of medical aid to students in educational institutions.

An important issue is the promotion of the development of neuro-mental sphere of children and adolescents in their teaching in educational institutions. There was performed the analysis of the main regularities of the manifestation of gender differences in cognitive functions and psychomotor of students in the process of their development of age from 1 to 11 classes of learning. Along with reliable gender differences in cognitive functions and psychomotor there were esta psychomotorics blished significant differences of the rate of their age development. Females showed a significantly greater rate of development of cognitive functions, and male students - significantly greater rate of development of fine motor skills. The data obtained indicate to the necessity of the elaboration of modern educational technologies with optional transition from identical education of schoolchildren of the different gender to the education with taking into account age and gender peculiarities of the development ofpsychophysiological functions.

There are goals, tasks and expected results in the sphere of health saving of students which can be implemented in the Decade of Childhood, announced by the Decree of the President of the Russian Federation for the period 2018-2027. The program measures on the development of health care for children, adolescents and young people friendly to children and their healthy life include proposals for the improving legislation and regulatory legal acts in the sphere of the organization of medical care for students in educational organizations, for intersectoral interaction in the sphere of the protection and promotion of children’s health, training employees and payment for their labor, the restoration of medical offices in schools and their equipping with modern equipment and medicines, the quality assessment of medical care in schools, the development of adolescent medicine, the development of strategies for the formation of a healthy lifestyle for children, adolescents and youth, the development of national standards for physical and cognitive development of children, monitoring the quality of life and behavioral risk factors, hazardous to health of students, the formation of databases of health saving pedagogical, health and fitness sports technologies, active recreation technologies, safety of digital education, monitoring healthy nutrition, safety of adolescents’ labor, safety of products for children and learning objects, social advertising for children. Activities held within the framework of the Decade of Childhood should be discussed by professional communities, their effectiveness should be assessed and corrections should be made, if necessary.

In the article there are considered current requirements for the design of the architectural environment of preschool institutions. These requirements provide conditions ofpreservation and promotion of health ofpreschool children. Among them are: the association of rooms according to a functional purpose; division of children collectives according to the age; rational placement of main rooms for the prevention ofpenetration of noise and pollution; ensuring convenientfunctional connections between different premises and group rooms and the parcel ofpreschool institutions; optimal solution of the light mode; rational air and thermal mode. There are made proposals for the expansion of the list of hygienic principles of the design of buildings of kindergartens: provision of conditions for realization of physical activity of children, the safe use of electronic educational equipment, and the creation of the barrier-free environment. There was established the insufficiency of areas of group rooms for the realization of voluntary motor activity of children in modern kindergartens and the need of the revision of the standard of the area of the group room per one child .

Today population-based and secondary preventions do not provide the desired results, the existing forms of these preventions do not work. Children, adolescents, and young people almost do not respond to them. The aims of the study are to substantiate the role and place of hygiene of children and adolescents in modern sanitary and epidemiological welfare of the child population. Expert-analytical, observational study was performed. Results. The strategy of scientific and technological development of individual and population-based hygiene of children and adolescents and school medicine has been presented. The strategy includes the population and personalized levels, which ensure the sanitary and epidemiological well-being of the children's population, the building skills of a healthy lifestyle for children, adolescents and youth. The population level includes: conducting works on hygienic diagnostics; improvement of the organization and control of the activities; implementation of the control, conducting expert control and sanitary-epidemiological audit in educational organizations; analysis of the results of medical examinations and data concerning of infectious diseases; assessment of health risks associated with professional training; development and improvement of criteria for assessing the provision of sanitary and epidemiological well-being of students in educational organizations. It is necessary to calculate individual risks and predict their consequences for the child's health and develop the monitoring system for the prevention. The main investors in the development of hygiene of children and adolescents and school medicine are government and the business community. Conclusion. The current stage of socio-economic, scientific and technological development of Russia requires the use of the achievements and technologies of the population and personalized hygiene of children and adolescents. Further scientific and technological development of population-based and personal hygiene of children and adolescents requires appropriate resources.

Hygiene of children and adolescents makes a significant contribution in solving the problems of health protection and promotion of the younger generation. However, its achievement is not fully used by such sectors as health, sanitary and epidemiological supervision and education. Objective to justify the place for hygiene of children and adolescents in the school health system. The work is expert-analytical. In accordance with the number of students in the country the number of doctors on hygiene of children and adolescents in the health care organization must exceed 8500 persons. The provision of sanitary and epidemiological welfare of the students as medical activity includes: hygienic control of the educational conditions; hygienic control of educational tools; control over the compliance with the sanitary-hygienic requirements to conditions and management of nutrition in school; control over the compliance with the sanitary-hygienic requirements to the conditions and organization of physical training in the educational organization; preventive measures; hygienic training; the formation of stereotypes of a healthy lifestyle. Technologies of the sanitary-epidemiological well-being of students in educational institutions include: the algorithm of visual and laboratory control over the compliance with sanitary-hygienic requirements to conditions of the organization of education and training in educational institutions; the algorithm for the determination of the level of sanitary and epidemiological welfare of the educational organization, hygienic assessment of the load training activities in students; control over the compliance with the sanitary-hygienic requirements to conditions and organization of lessons with the use of e-learning in educational institutions; algorithm of the interaction between physician on hygiene of children and adolescents in medical organization and Federal Service for the Oversight of Consumer Protection and Welfare and other agencies for the protection of health of minors. The practical activity of the doctor on hygiene of children and adolescents is an important component of the medical support in educational institutions and sanitary-epidemiological well-being of children population in the country. Training students should be carried out with taking into account the specifics of the activity of the doctor on hygiene of children and adolescents in medical institutions for children and modern technologies for their practical activities in educational institutions.

Professional standards should meet modern requirements of the labor market, as well as requirements for the accreditation and certification of medical-prophylactic profile specialists. Objective is the justification for the content of the professional standard of specialist in the field of medical and prophylactic business. Expert analysis revealed that the current professional standard fails to take into account completely different economic activities in which specialists of medical-prophylactic profile work or can work. The priority state program “Reform of the control and supervisory activities” determines the priority for the comprehensive prevention violations of mandatory requirements with the wide application of information resources that should be included in the professional standard. The main task of the expert of medical and prophylactic profile is the activity for the provision of sanitary and epidemiological welfare of the population. The implementation of this direction should be provided by informing the subject of control of the mandatory sanitary and epidemiological requirements, their introduction, assessment of the efficiency and effectiveness of their implementation, the widespread introduction of production control over sanitary rules, expert control, including sanitary and epidemiological listening. The analysis revealed the professional activity of doctor of medical and preventive profile to be in demand for organizations of sanitary-epidemiological service, hospital and sanatorium institutions; disinfection and disinsection of buildings; in assessing working conditions; in testing and analysis of the composition and purity of materials and substances; in tests and analysis in the field of food hygiene, including veterinary inspection and control of food production; the examination of project documentation and engineering research; for monitoring environmental pollution. Training of students of the medical-prophylactic faculty should take into account the modern approaches to the formulation of the professional standard. Public professional organizations have prepared a new version of the professional standard of the specialist in the field of medical and prophylactic business, taking into account all economic activities, which is a mandatory preventive measure.

Results of the analytical development of data of the official statistical reporting on morbidity on negotiability of children and teenagers of the city of Moscow during 2005-2013 have shown the preservation of steady negative trends in the rise of the general morbidity, incidences of respiratory and school-related diseases, including diseases of musculoskeletal system, myopia etc. According to the longitudinal study of the state of health and physical development of the Moscow school pupils from 1 to 11 classes (2005-2015) the gain of the prevalence rate of functional disorders and chronic diseases in the course of school ontogenesis has been shown. The leading violations of students’ health with a tendency to increase in the prevalence rate are: functional violations of the musculoskeletal system, blood circulatory system, organ of vision, neuro-psychiatric disorders, as well as chronic diseases of musculoskeletal system, digestive and vision organs. In all age and sex groups of schoolchildren there is a reliable increase in body length and weight, chest circumference, acceleration of biological maturation in comparison with peers of the last decades. Indices of the muscular force of the right hand in modern schoolchildren have decreased in comparison with the supervision of 1960s and 1980s. The necessary condition of health preservation of children and teenagers is the providing safe and optimum conditions of education, training and life activity. The assessment of the efficiency of sanitary and epidemiological surveillance of training conditions of children and teenagers has shown an insufficient informational content of the assessment of a sanitary state of educational organizations on groups of sanitary and epidemiologic wellbeing (SEW). Institutions with the reduced SEW level (2 groups) were proved to have a significantly higher risk of formation of diseases, including school caused diseases. It has been developed a modern classification of the assessment of conditions and modes of training of children at the school characterizing the risk degree to health of students of training conditions (optimum, admissible, potentially dangerous and dangerous). In addition new standard and methodical documents on carrying out sanitary-epidemiological expertise for the provision of sanitary and epidemiological welfare of students in secondary schools have been developed and proved.

The strategic goal of the state policy in the field of information security of children is to ensure the harmonious development of the younger generation, to minimize risks associated with the formation of hyperinformative society. The hygienic safety of the life of children under the use of information technology is a necessary condition for their balanced growth, development and formation of health. Modern information technologies of training provide children easy access to information resources, remoteness, mobility, interactivity, the possibility of the formation of social and educational networks, and educational communities, modeling and animation of various processes and phenomena. The purpose of the study is the substantiation of the system of the sanitary safety of hyperinformation of children’s life activity. The analytical method has allowed justify a system of hygienic and medical-psychological-pedagogical safety of the life of children’s life activity in hyperinformational society. The system includes the criteria of hygienic safety for information and communication technologies (ICT) and their means of support; modern sanitary rules and regulations to ensure hygienic safety for the children of information and communication technologies of training in educational institutions; federal recommendations of care for students in conditions of modern information and communications technology of training and information of children’s life activity; federal guidelines for the preservation of mental and psychological health and well-being of students; recommendations for family in security of children’s life activity in hyperinformational space; recommendations for producers and content distributors of providing medical, psychological and educational safety of children’s life activity; game educational programs on rules of the safe use of the Internet by children; monitoring the effectiveness of hygienic safety and protection of children from negative information. The implementation of hygienic children’s safety system will allow provide the best personal mental and physical development, the preservation of mental and psychological health and well-being of children in hyperinformational society; achieve expected results of the Concept of information security of children approved by the Decree of the Russian Federation dated December 2, 2015 № 2471-r, in terms of creating a new media environment.

In 2017, the Moscow Electronic School project was launched, and in 2018 the Government of the Russian Federation decided to launch a new priority project “Digital school”...

The professional standard is the basis of education and training. It should meet modern requirements to ensure the sanitary and epidemiological wellbeing of the country’s population, the labor market. The current professional standard does not fully take into account the various types of economic activity in which young professionals of the medical and preventive profile will work. The main task of a specialist in the medical and prophylactic profile is to carry out activities aimed ensuring the sanitary and epidemiological wellbeing of the population (informing the control subject concerning mandatory sanitary and epidemiological requirements, implementation, assessing the effectiveness and effectiveness of their implementation, implementing production control, expert control, sanitary-epidemiological audit). The main employers for these young professionals are organizations of the sanitary and epidemiological services; hospitals, sanatorium, spa and resort organizations; organization of disinfection and deratization, organizations of industrial equipment, testing and analysis of the composition and purity of materials and substances; testing and analysis in the field of food hygiene; testing and analysis of physical and mechanical properties of materials and substances; examination of design documentation and engineering survey results; monitoring of environmental pollution. The professional standard of the young professionals in the hygiene profile has a particular set of qualities, skills, and behaviors that ensure the success of the career. There is a set of standards for education and training of professionals in the hygiene profile. There are sanitary and epidemiological diagnostic - activities to establish compliance (inconsistency) with the requirements of the legislation of the Russian Federation in the field of public health. Also, there is the support of the sanitary and epidemiological wellbeing of the population, technical regulation, labor protection, various activities concerning and preventive measures; organization of monitoring and sanitary-epidemiological assessment of the risk of environmental factors affecting health. The education and training of students of medical-prophylactic faculties should be carried out taking into account modern approaches to the professional standard for the specialist of the hygienic profile and the educational standard developed on the basis of it.

The article presents the peculiarities of medical deontology in preventive medicine. The differences between deontological problems in the activity of a Clinician and a Physician in the specialty of medical and preventive medicine are considered. The historical stages of the formation and development of ideas of deontology and medical ethics in Russia are shown. The comparative plan presents an analysis of the main legislative acts in the field of bioethics and deontology of medical and preventive medicine. The world community was noted to show a great interest in topical problems of bioethics: several World Congresses and European Conferences were held, in most countries of Europe and America national bioethics committees were established (in the USA and France they were organized under the Presidents of these States). The main goal of the doctor’s professional activity is to preserve human life, prevent diseases and restore health, as well as reduce suffering from incurable diseases. Much attention is paid to this problem in the Federal law of November 21, 2011. (N 323-FZ) about bases of the protection of the health of citizens in the Russian Federation “which is fundamental in the field of healthcare”. It establishes the obligation of medical and pharmaceutical workers to carry out their activities in accordance with the legislation of the Russian Federation, guided by the principles. The aim of this study was to develop and substantiate the main differences between deontological problems in the activities of clinicians and physicians in the specialty medical and preventive care in the historical aspect. An invaluable role in the development of the principles of deontology was played by outstanding doctors of the past: Hippocrates, Abu-l-Faraj, as well as Russian and Soviet scientists and doctors M.Ya. Mudrov, 8N.I. Pirogov, V.A. Manassein, V.I. Davydovsky, N.Kh. Petrov, B.V. Petrovsky. Separately, it is noted that the role of medicine can be radically changed, if not exclude the importance of the preventive direction, but, on the contrary, through it to strengthen the ideological and controlling.

Background : The understandability and readability of the text are significant indicators of evaluation of textbooks. Objective : The aim of the study — rationale of improving the readability and understandability of textbooks. Methods : 60 modern textbooks for 5–11th classes on History, Physics, Biology and 23 textbooks of 1960–1980’s edition. Flesch index was used to assess the readability, Fogh index — to evaluate understandability. Results : The readability and understandability of texts in textbooks of 1960–1980’s and modern editions have no differences and show the same complexity of old and modern textbooks for students. The indicator of understandability of textbooks for primary classes corresponds to age norm and is 4.4±0.2 points. The indicator of readability for these books is less age norm and is 53.8±2.9 points, which increases the physiological cost of educational activities of children of primary school age. Children’s readability and understandability of school textbooks are a significant factor of intensity of training activities and can be objectively assessed by Flesch and Fogh indices, that it is appropriate for an objective hygienic assessment of the tension of the educational activities for children. Conclusion : The main direction of optimization of the tension of educational activity is to reduce the intellectual and emotional loads in children by increasing the easiness of reading textbooks due to their compliance with the age peculiarities of students.

Background and objectives In accordance with the definition of the WHO ’Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.’ All these components should be considered systematically in their relationship in the process of age-related development. Our task is studying the interaction of the main components of physical and mental development of children and adolescents. Methods We carried out a longitudinal study of school groups (220 students) from 1 to 11 classes with methods for estimating their physical, psycho-physiological and psycho-social development. Results It was revealed a set of students with different disharmony of physical development – deficiency or excess of body mass (BMI). A significant decrease in number of indicators of psychomotor and cognitive functions in these students was found. It was also revealed significantly reduced functional lability of visual analyzer, which is probably due to the fatigue of the nervous system. Analysis of the psychosocial characteristics showed that the index of sociometric status in patients with BMI was 4,28±4,15%, which was significantly lower than in those with normal physical development (8,54±2,07%; p In patients with BMI academic performance (p

In modern social economic and ecologo-hygienic conditions of big cities all age groups of children and adolescents aged 8–15 years present a significant decrease of functional indicators (muscle force of the right hand) in comparison with their peers of 60s and 80s of the XX century. The similar findings occur in other regions and age groups. The analysis of the reasons of this phenomenon is one of key problems for researches.