O. O. Kizlik

The purpose was to study the epidemiological situation regarding amoebiasis and giardiasis among the pediatric population of the Russian Federation during 2021–2024. Materials and methods. A retrospective epidemiological analysis was conducted using data from the state reports "On the State of Sanitary and Epidemiological Well-Being of the Population in the Russian Federation" for 2021–2024, alongside a review of scientific literature on the research topic. Results. It was established that giardiasis is the predominant protozoal infection, accounting for 83.52% of all protozoal cases in 2024. The highest incidence rates of giardiasis are recorded in the 3–6 age group (3,286 cases per 100,000 population). In the Russian Federation, amoebiasis occurs sporadically, manifesting primarily as isolated cases, including among young children. Conclusion. An uneven geographical distribution of parasitic disease cases was identified, with persistent foci forming in regions lacking adequate sanitation and municipal utility infrastructure. The findings substantiate the need to strengthen laboratory diagnostics and water quality monitoring, given that water is a key transmission factor for the infection.

The relevance of research into child and adolescent psychosomatics is driven primarily by the significant rise in the prevalence of psychosomatic disorders and complaints among children and adolescents within the general population. In terms of prevalence, these conditions predominate among non-communicable diseases affecting this age group. According to World Health Organization data, one in seven adolescents worldwide aged 10–19 (14.3%) suffers from a mental disorder. Adolescence is characterized by high nervous system lability and represents a critical period for the development of psychosomatic conditions. The increase in stress-inducing factors within educational and social environments has led to a rise in the prevalence of psychosomatic disorders among adolescents. Conventional pharmacotherapy is often limited by side effects and age-related contraindications, necessitating the search for effective non-pharmacological correction methods [1].

The article examines the potential of the WHO Academy platform (OpenWHO) for the continuous professional development of medical personnel. Against the backdrop of the historical evolution of international educational cooperation and the role of intergovernmental organizations in shaping global training standards, the paper analyses the possibilities of using WHO online courses as a tool for updating knowledge. Particular attention is paid to the regulatory and legal barriers to the recognition of documents issued by the WHO Academy within the Russian system of continuing professional education. The conclusion proposes possible ways to integrate international educational resources into the national framework for accreditation and recognition of qualifications.

The article examines modern approaches to the nutritional support of athletes as a key factor in optimizing physical performance, accelerating recovery, and maintaining health. It presents current data on the physiological roles of macronutrients: carbohydrates (as the primary energy source and substrate for glycogen resynthesis), proteins (as building material for muscle tissue and regulators of muscle protein synthesis), and fats (as an energy source during prolonged physical exertion). Hydration strategies, principles of «high-quality» weight loss, and the concept of nutritional periodization aligned with the training cycle are discussed. Various groups of dietary supplements and ergogenic aids, including creatine, beta-alanine, caffeine, omega-3 PUFAs, vitamin D, and probiotics, are analyzed in detail, with an evidence-based assessment of their efficacy. Particular attention is paid to nutritional planning for the pre-, intra-, and post-workout stages (the «energy,» «anabolic,» and «adaptive» phases). A conclusion is drawn regarding the need for a personalized and scientifically grounded approach to sports nutrition, taking into account the specifics of the sport, the athlete’s individual characteristics, and the goals of the training process.

The article presents the experience of developing and implementing a continuing professional education program entitled «Patient-Centeredness in the Practice of Mid-Level Healthcare Professionals.» The relevance of the program is обусловлена the key role of nursing and other mid-level healthcare staff in shaping a positive patient experience, as well as the need to develop appropriate communication and organizational competencies. The paper describes the structure of the course, its modular design, and presents the results of a pilot study assessing participant satisfaction and the practical applicability of the acquired knowledge. The study concludes that the proposed approach is highly востребован and effective.

The article examines the importance of business communication fundamentals in the continuous professional education system for mid-level medical personnel. The need to include this module in advanced training programs is substantiated. An analysis of existing approaches is presented, and key barriers to integration are identified. Pathways for practical implementation are proposed. A conclusion about the systemic role of communicative competence in the professional training of healthcare workers is drawn.

Helminthiases remain a significant global health issue, affecting billions of people. The increase in the introduction of tropical parasitic diseases into non-endemic regions, as well as the potential development of resistance to existing drugs, highlight the need to update knowledge and adapt treatment strategies. Objective : to present a systematized literature review on the effectiveness of anthelmintics. Methods : a review of modern domestic and foreign literature was carried out, the search was carried out using the keywords «treatment of helminthiasis», «treatment of nematodes», «treatment of trematodes», «treatment of cestodes» using the databases PubMed, Scopus, and the scientific library eLibrary.RU. Results : information on the main anthelmintic drugs is presented, the advantages and limitations of combination treatment regimens are considered, modern WHO recommendations for the treatment of various helminthiasis are summarized, and a summary table is presented with an overview of the drugs used to treat helminthiasis, indicating their spectrum of action and effectiveness. Conclusions : current approaches to helminthiasis treatment are characterized by a shift from narrowly focused methods to integrated strategies that include a combination of individual treatment with mass preventive measures. Despite the advances made, it is necessary to continue monitoring the susceptibility of helminths to drugs and adapt treatment regimens in a timely manner to effectively control the spread of parasitic diseases.

In addition to doctors, multidisciplinary rehabilitation teams include mid-level specialists in the specialty of Rehabilitation Nursing. Training programs for professional retraining serve as a mechanism to meet the needs of healthcare organizations for rehabilitation nurses. The conducted scientific research has identified problem areas and assessed the effectiveness of implementing the professional retraining program for specialists with a secondary vocational education in Rehabilitation Nursing for the formation of multidisciplinary rehabilitation teams at the regional level.

Повышение ожидаемой продолжительности жизни граждан Российской Федерации является целью государственной программы «Развитие здравоохранения» [Постановление Правительства Российской Федерации от 26 декабря 2017 года № 1640 «Об утверждении государственной программы Российской Федерации «Развитие здравоохранения»]. Важнейшую роль в достижении ожидаемых результатов является улучшение качества жизни и снижение инвалидизации населения. Одним из инструментов выполнения поставленных задач представляется совершенствование мероприятий по медицинской реабилитации. Для обеспечения непрерывного процесса восстановления применяются принципы мультидисциплинарного подхода. Сформированные мультидисциплинарные реабилитационные команды включают специалистов с высшим и средним профессиональным образованием. Обеспечение структурных подразделений специалистами среднего звена в области медицинской реабилитации осуществляется путём переподготовки медицинских кадров. Кафедра среднего профессионального образования ФГБОУ ДПО РМАНПО Минздрава России в 2024 году приняла участие в реализации мероприятий федерального проекта «Обеспечение медицинских организаций системы здравоохранения квалифицированными кадрами» по профессиональной переподготовке специалистов со средним профессиональны образованием. Increasing the life expectancy of citizens of the Russian Federation is the goal of the state programme «Development of Healthcare» [Resolution of the Government of the Russian Federation No. 1640 of 26 December 2017 On Approval of the State Programme of the Russian Federation ‘Development of Healthcare’]. The most important role in achieving the expected results is to improve the quality of life and reduce the disability of the population. One of the tools to fulfil these objectives is the improvement of medical rehabilitation measures. The principles of a multidisciplinary approach are applied to ensure a continuous recovery process. Formed multidisciplinary rehabilitation teams include specialists with higher and secondary professional education. Provision of structural units with mid-level specialists in the field of medical rehabilitation is carried out through retraining of medical personnel. The Department of Secondary Professional Education of the Federal State Budgetary Educational Institution of Postgraduate Professional Education RMANPO of the Ministry of Health of Russia in 2024 took part in the implementation of measures of the federal project ‘Providing medical organisations of the health care system with qualified personnel’ on professional retraining of mid-level specialists.

Medical organizations deal with large volumes of data every day: patients’ personal data, their health status, employees’ personal data, etc. The introduction of new information technologies for processing such data increases the likelihood of leakage and theft of information. Ensuring information security in the information and telecommunications network «Internet» is one of the tasks of the national development goal of the Russian Federation «Digital Transformation of State and Municipal Administration, Economy, and Social Sphere». Learning the basics of information security is an essential part of training medical workers.