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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">natszdrav</journal-id><journal-title-group><journal-title xml:lang="ru">Национальное здравоохранение</journal-title><trans-title-group xml:lang="en"><trans-title>National Health Care (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2713-069X</issn><issn pub-type="epub">2713-0703</issn><publisher><publisher-name>Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47093/2713-069X.2021.2.1.21-31</article-id><article-id custom-type="elpub" pub-id-type="custom">natszdrav-107</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕДИЦИНСКОЕ ОБРАЗОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>МEDICAL EDUCATION</subject></subj-group></article-categories><title-group><article-title>Пандемия COVID-19 в России: медико-социальные проблемы цифровой образовательной среды</article-title><trans-title-group xml:lang="en"><trans-title>COVID-19 pandemic in Russia: medical and social problems of the digital educational environment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1410-5546</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кучма</surname><given-names>В. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuchma</surname><given-names>V. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кучма Владислав Ремирович – доктор медицинских наук, профессор, чл.-кор. РАН, научный руководитель Института комплексных проблем гигиены ФБУН «Федеральный научный центр гигиены им. Ф.Ф. Эрисмана» Роспотребнадзора; заведующий кафедрой гигиены детей и подростков ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» </p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014; ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991</p></bio><bio xml:lang="en"><p>Vladislav R. Kuchma – Dr. of Sci. (Medicine), Professor, Corresponding member of the Russian Academy of Sciences (RAS), Supervisor Institute for Complex Hygiene Problems of F.F. Erisman of the Federal Service for supervision in Protection of the Rights of Consumer and Man Wellbing; Head of Hygiene of Children and Adolescents Department, Sechenov First Moscow State Medical University </p><p>Semashko str., 2, Mytischi, Moscow region, 141014; Trubetskaya str., 8/2, Moscow, 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0079-240X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Седова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sedova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Седова Анна Сергеевна – кандидат медицинских наук, заведующая отделом гигиены детей, подростков и молодежи Института комплексных проблем гигиены </p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Anna S. Sedova – Cand. of Sci. (Medicine), Head of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems</p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><email xlink:type="simple">sedovaas@fferisman.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5895-4577</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соколова</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolova</surname><given-names>S. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Соколова Светлана Борисовна – кандидат медицинских наук, ведущий научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены</p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Svetlana B. Sokolova – Cand. of Sci. (Medicine), Leading Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems </p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9989-4491</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рапопорт</surname><given-names>И. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Rapoport</surname><given-names>I. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рапопорт Ирина Калмановна – доктор медицинских наук, профессор, главный научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены </p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Irina K. Rapoport – Dr. of Sci. (Medicine), Professor, Chief Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems </p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6155-9436</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Степанова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Stepanova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Степанова Марина Исааковна – доктор медицинских наук, профессор, главный научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены </p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Marina I. Stepanova – Dr. of Sci. (Medicine), Professor, Chief Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems</p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8503-2989</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лапонова</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Laponova</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лапонова Евгения Дмитриевна – доктор медицинских наук, профессор кафедры гигиены детей и подростков </p><p>ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991</p></bio><bio xml:lang="en"><p>Evgeniya D. Laponova – Dr. of Sci. (Medicine), Professor of Hygiene of Children and Adolescents Department</p><p>Trubetskaya str., 8/2, Moscow, 119991</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7568-3342</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Поленова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Polenova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Поленова Марина Альбертовна – доктор медицинских наук, главный научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены</p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Marina A. Polenova – Dr. of Sci. (Medicine), Chief Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems</p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4108-6969</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чубаровский</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chubarovsky</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чубаровский Владимир Владимирович – доктор медицинских наук, главный научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены ФБУН «Федеральный научный центр гигиены им. Ф.Ф. Эрисмана» Роспотребнадзора; профессор кафедры гигиены детей и подростков ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России</p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014; ул. Трубецкая, д. 8, стр. 2, г. Москва, 119991</p></bio><bio xml:lang="en"><p>Vladimir V. Chubarovsky – Dr. of Sci. (Medicine), Chief Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems of F.F. Erisman of the Federal Service for supervision in Protection of the Rights of Consumer and Man Wellbing; Professor of Hygiene of Children and Adolescents Department, Sechenov First Moscow State Medical University</p><p>Semashko str., 2, Mytischi, Moscow region, 141014; Trubetskaya str., 8/2, Moscow, 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0635-075X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тикашкина</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikashkina</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тикашкина Ольга Владимировна – младший научный сотрудник отдела гигиены детей, подростков и молодежи Института комплексных проблем гигиены</p><p>ул. Семашко, 2, г. Мытищи, Московская обл., 141014</p></bio><bio xml:lang="en"><p>Olga V. Tikashkina – Junior Researcher of Hygiene of Children, Adolescents and Youth Department of Institute for Complex Hygiene Problems </p><p>Semashko str., 2, Mytischi, Moscow region, 141014</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБУН «Федеральный научный центр гигиены им. Ф.Ф. Эрисмана» Роспотребнадзора; &#13;
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Scientific Center Of Hygiene named after F.F. Erisman; &#13;
Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФБУН «Федеральный научный центр гигиены им. Ф.Ф. Эрисмана» Роспотребнадзора</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Scientific Center Of Hygiene named after F.F. Erisman</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>14</day><month>09</month><year>2021</year></pub-date><volume>2</volume><issue>1</issue><fpage>21</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кучма В.Р., Седова А.С., Соколова С.Б., Рапопорт И.К., Степанова М.И., Лапонова Е.Д., Поленова М.А., Чубаровский В.В., Тикашкина О.В., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Кучма В.Р., Седова А.С., Соколова С.Б., Рапопорт И.К., Степанова М.И., Лапонова Е.Д., Поленова М.А., Чубаровский В.В., Тикашкина О.В.</copyright-holder><copyright-holder xml:lang="en">Kuchma V.R., Sedova A.S., Sokolova S.B., Rapoport I.K., Stepanova M.I., Laponova E.D., Polenova M.A., Chubarovsky V.V., Tikashkina O.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.natszdrav.ru/jour/article/view/107">https://www.natszdrav.ru/jour/article/view/107</self-uri><abstract><p>В связи с эпидемией новой коронавирусной инфекции все школы Российской Федерации весной 2020 г. были вынуждены перейти на дистанционную форму работы.</p><sec><title>Цель</title><p>Цель. Провести анализ ключевых публикаций, посвященных: организации образовательного процесса в условиях дистанционного обучения; жизнедеятельности и самочувствию участников образовательного процесса в условиях самоизоляции; медико-социальным подходам к снижению негативных последствий самоизоляции детей и подростков и дистанционного обучения.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведен анализ отечественных и международных научных публикаций и рекомендаций, найденных с помощью поисковых систем Scopus, Pubmed, Российского индекса научного цитирования и в режиме «ручного поиска» на ресурсах ВОЗ, ЮНИСЕФ, ЮНЕСКО и CDC (Centers for Disease Control and Prevention).</p></sec><sec><title>Результаты</title><p>Результаты. Закрытие образовательных организаций влечет за собой риск снижения качества образования. В 2020 г. при закрытии российских школ образовательный процесс не был остановлен благодаря дистанционному обучению с использованием цифровых технологий. В статье рассматриваются вопросы истории возникновения дистанционного онлайн-обучения, представлены результаты исследований, проведенных научными организациями и вузами, с целью изучения особенностей организации образовательного процесса в условиях дистанционного обучения, жизнедеятельности участников образовательного процесса в школах, их самочувствия в условиях самоизоляции. Для снижения негативных последствий самоизоляции детей и подростков и дистанционного обучения проанализированы и обоснованы медико-социальные подходы.</p></sec><sec><title>Заключение</title><p>Заключение. Решение проблем, связанных с дистанционным образованием, может быть реализовано в ходе научно-методического сопровождения и экспертизы проекта по внедрению в 14 субъектах Российской Федерации целевой модели цифровой образовательной среды в сфере общего и среднего профессионального образования, планируемого в России в 2020–2022 гг. Для этого Российская академия наук в лице Отделения медицинских наук и Секции профилактической медицины, Минздрав России, Роспотребнадзор должны быть участниками проекта.</p></sec></abstract><trans-abstract xml:lang="en"><p>In connection with the epidemic of a novel coronavirus infection, all schools in the Russian Federation in the spring of 2020 were forced to switch to remote work.</p><sec><title>Aim</title><p>Aim. To analyze key publications on: the organization of the educational process in the context of distance learning; life and well-being of participants in the educational process in conditions of lockdown; medical and social approaches to reduce the negative consequences of lockdown for children and adolescents during distance learning.</p></sec><sec><title> Materials and methods</title><p> Materials and methods. The analysis of domestic and international scientific publications and recommendations found using the search engines Scopus, Pubmed, the Russian Science Citation Index and by manual search on the resources of WHO, UNICEF, UNESCO and CDC (Centers for Disease Control and Prevention).</p></sec><sec><title>Results</title><p>Results. The closure of educational institutions is a risk of reducing the quality of education. In 2020, with the closure of Russian schools, the educational process was not stopped due to distance learning using digital technologies. The article examines the history of the emergence of online distance learning, presents the results of research carried out by scientific organizations and universities in order to study the features of the organization of the educational process in conditions of distance learning, the life of participants in the educational process in schools, and their well-being in lockdown. To reduce the negative consequences of lockdown on children and adolescents and distance learning, medical and social approaches have been analyzed and substantiated.</p></sec><sec><title>Conclusion</title><p>Conclusion. The solution of problems related to distance education can be realized in the course of scientific and methodological support and examination of the experiment on the implementation in 14 constituent entities of the Russian Federation of the target model of the digital educational environment in the field of general and secondary vocational education, planned in Russia in 2020–2022. For this, the Russian Academy of Sciences, represented by the Department of Medical Sciences and the Section of Preventive Medicine, the Ministry of Health of Russia, and Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor) have to be participants.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19 и школа</kwd><kwd>снижение рисков распространения COVID-19</kwd><kwd>дистанционное обучение</kwd><kwd>самоизоляция</kwd><kwd>цифровая образовательная среда</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19 and school</kwd><kwd>reducing the risk of spreading COVID-19</kwd><kwd>distance learning</kwd><kwd>lockdown</kwd><kwd>digital educational environment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Viner R.M., Russell S.J., Croker H., et al. 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