Проблема табакокурения подростков: вчера, сегодня, завтра

Кожевникова Т.Н., Геппе Н.А., Османов И.М., Герасименко Н.Ф., Машукова Н.Г., Ильенкова Н.А., Малахов А.Б., Чепурная М.М., Одинаева Н.Д., Саввина Н.В. Проблема табакокурения подростков: вчера, сегодня, завтра. Педиатрия. Consilium Medicum. 2021; 2: 101–108. DOI: 10.26442/26586630.2021.2.200994

________________________________________________

Kozhevnikova TN, Geppe NA, Osmanov IM, Gerasimenko NF, Mashukova NG, Il'enkova NA, Malakhov AB, Chepurnaia MM, Odinaeva ND, Savvina NV. The problem of teenage tobacco smoking: yesterday, today, tomorrow. Pediatrics. Consilium Medicum. 2021; 2: 101–108. DOI: 10.26442/26586630.2021.2.200994

Читать PDF

Аннотация

Глобальная распространенность потребления табака и никотинсодержащих продуктов в настоящее время достигла масштабов эпидемии, эта проблема особенно актуальна, когда речь идет о подростках. Основные тенденции в распространенности потребления табака среди подростков включают сглаживание гендерных различий, снижение возраста начала курения и появление альтернативных видов употребления никотинсодержащей продукции. В работе представлены основные положения книги, посвященной вопросам профилактики табакокурения у детей и подростков как проблеме современности, под редакцией профессоров Н.А. Геппе, И.М. Османова, Н.Ф. Герасименко при участии большого коллектива авторов, опубликованной в 2021 г. издательством «МедКом-Про». Отражены вопросы отрицательного влияния табака и никотинсодержащей продукции не только на соматическое состояние курящих подростков, но и их психологический статус. Описаны риски для здоровья, связанные с курением подростками электронных сигарет и вейпов, отмечена зависимость между курением подростками электронных сигарет и употреблением других психоактивных веществ. Как пример российского опыта экспресс-профилактики табакокурения у подростков представлена программа, разработанная на кафедре детских болезней ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский Университет) кандидатом медицинских наук Н.Г. Машуковой, – «ПАРУС» (Подростковая Антисмокинговая Российская Универсальная Система обучения), даны рекомендации по профилактике табакокурения у детей и подростков в условиях реальной педиатрической практики, отмечено, что внедрение в практику антисмокинговых программ, направленных на выработку мотивации к отказу от курения, представляется сегодня наиболее перспективной мерой в профилактике табакокурения у подростков.

Ключевые слова: табакокурение, никотинсодержащие продукты, профилактика, дети

________________________________________________

The global prevalence of tobacco and nicotine-containing product use has now reached epidemic proportions, a problem particularly relevant when it comes to adolescents. Major trends in the prevalence of tobacco use among adolescents include the flattening of gender differences, the decreasing age of initiation of smoking, and the emergence of alternative uses of nicotine-containing products. The main provisions of the book devoted to tobacco use prevention among children and teenagers as the problem of the present time, edited by professors N.A. Geppe, I.M. Osmanov, N.F. Gerasimenko with the participation of a large group of authors, published in 2021 by MedCom-Pro Publishing House are presented in this work. The issues of negative influence of tobacco and nicotine-containing products not only on the somatic state of teenage smokers but also on their psychological status are reflected. Health risks associated with smoking electronic cigarettes and vape cigarettes by adolescents are described, and the correlation between smoking electronic cigarettes by adolescents and the use of other psychoactive substances is noted. As an example of Russian experience of express-prevention of smoking among adolescents the program developed at the Department of Children's Diseases of Sechenov First Moscow State Medical University (Sechenov University) by candidate of medical sciences N.G. Mashukova, candidate of medical sciences, "PARUS" (Teenage Anti-Smoking Russian Universal Training System), gave recommendations on prevention of tobacco smoking in children and teenagers in conditions of real pediatric practice, noted that introduction into practice of anti-smoking programs aimed at development of motivation to quit smoking is the most perspective measure in prevention of tobacco smoking in teenagers today.

Keywords: tobacco smoking, nicotine-containing products, prevention, children

Полный текст

Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.

Список литературы

1. Perez-Warnisher MT, Carballosa de Miguel MDP, Seijo LM. Tobacco Use Worldwide: Legislative Efforts to Curb Consumption. Ann Glob Health. 2019;85(1):9. DOI:10.5334/aogh.2417
2. Данные с официального сайта ВОЗ. Режим доступа: https://www.who.int/news-room/fact-sheets/detail/tobacco. Ссылка активна на 14.03.2021 [Data from the official website of WHO. Available at: https://www.who.int/news-room/fact-sheets/detail/tobacco. Accessed: 14.03.2021 (in Russian)].
3. Wang TW, Gentzke AS, Creamer MR, et al. Tobacco Product Use and Associated Factors Among Middle and High School Students – United States, 2019. MMWR Surveill Summ. 2019;68(12):1-22. DOI:10.15585/mmwr.ss6812a1
4. Режим доступа: http://82.rospotrtbnadzor.ru>directions>pravo. Ссылка активна на 12.12.2020 [Available at: http://82.rospotrtbnadzor.ru>directions>pravo. Accessed: 12.12.2020]
5. Российский институт стратегических исследований. Режим доступа: https://riss.ru/demography/demography-research/38818. Ссылка активна на 14.03.2021 [Russian Institute for Strategic Studies. Available at: https://riss.ru/demography/demography-research/38818. Accessed: 14.03.2021 (in Russian)].
6. Профилактика табакокурения у детей и подростков – проблема современности. Под ред. Н.А. Геппе, И.М. Османова, Н.Ф. Герасименко. М.: МедКом-Про, 2021 [The prevention of tobacco smoking in children and adolescents is a problem of our time. Ed. NA Geppe, IM Osmanov, NF Gerasimenko. Moscow: MedKom-Pro, 2021 (in Russian)].
7. Warren CW, Jones NR, Peruga A, еt al. Global youth tobacco surveillance, 2000–2007. Centers for Disease Control and Prevention (CDC) MMWR. Surveill Summ. 2008;25(1):1-28.
8. Надымили: как меняется уровень курения в России. Режим доступа: http://www.strana2020.ru>mediaoffice>nadymili. Ссылка активна на 12.12.2020 [Nadimili: how the level of smoking in Russia is changing. Available at: http://www.strana2020.ru>mediaoffice>nadymili. Accessed: 12.12.2020 (in Russian)].
9. Ильенкова Н.А., Мазур Ю.Е., Петрова М.М., и др. Распространенность табакокурения и его влияние на состояние здоровья детей, подростков и взрослого населения Красноярского края (эпидемиологические данные). Красноярск: КрасГМУ, 2015 [Ilyenkova NA, Mazur YuE, Petrova MM, et al. The prevalence of tobacco smoking and its impact on the health of children, adolescents and adults in the Krasnoyarsk Territory (epidemiological data). Krasnoyarsk: KrasGMU, 2015 (in Russian)].
10. Хабриев Р.У., Ягудина Р.И., Рашид М.А., и др. Факторы риска для здоровья подростков: результаты массового опроса. Рос. вестн. перинатологии и педиатрии. 2020;65(3):91-9 [Khabriev RU, Iagudina RI, Rashid MA, et al. Faktory riska dlia zdorov'ia podrostkov: rezul'taty massovogo oprosa. Ros. vestn. perinatologii i pediatrii. 2020;65(3):91-9 (in Russian)].
11. Рашид М.А., Аринина Е.Е., Угрехелидзе Д.Т., и др. Экономическое бремя табакокурения. Бюл. НИИ общественного здоровья им. НА Семашко. 2016;6:58-77 [Rashid MA, Arinina EE, Ugrekhelidze DT, et al. Ekonomicheskoe bremia tabakokureniia. Biul. NII obshchestvennogo zdorov'ia im. NA Semashko. 2016;6:58-77 (in Russian)].
12. Хабриев Р.У., Ягудин Р.И., Куликов А.Ю., и др. Сравнительная оценка экономических последствий табакокурения в Российской Федерации (с 2009 по 2018 гг). Фармакоэкономика: теория и практика. 2019;7(3):17-21 [Khabriev RU, Iagudin RI, Kulikov AIu, et al. Sravnitel'naia otsenka ekonomicheskikh posledstvii tabakokureniia v Rossiiskoi Federatsii (s 2009 po 2018 gg). Farmakoekonomika: teoriia i praktika. 2019;7(3):17-21 (in Russian)].
13. Кожевникова Т.Н., Гривас И.С., Помогаев И.В., Малышев В.С. Влияние табакокурения на респираторную функцию у подростков. Доктор.РУ. 2017;4:8-13 [Kozhevnikova TN, Grivas IS, Pomogaev IV, Malyshev VS. Vliianie tabakokureniia na respiratornuiu funktsiiu u podrostkov. Doktor.RU. 2017;4:8-13 (in Russian)].
14. Apelberg BJ, Corey CG, Hoffman AC, et al. Symptoms of tobacco dependence among middle and high school tobacco users: results from the 2012 National Youth Tobacco Survey. Am J Prev Med. 2014;47(Suppl.1):S4-14. DOI:10.1016/j.amepre.2014.04.013
15. US Department of Health and Human Services. Preventing tobacco use among youth and young adults. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at: https://www.cdc.gov/tobacco/data_statistics/sgr/2012/index.htm. Accessed: 14.03.2021 (in Russian)].
16. Зайкова Р.Р., Зырянов С.А. Вейперы совершили «эволюцию» курильщика, или О том, как электронные сигареты «парят» мозг. Опыт и инновации. 2017;2:62-4 [Zaikova RR, Zyrianov SA. Veipery sovershili “evoliutsiiu” kuril'shchika, ili O tom kak elektronnye sigarety “pariat” mozg. Opyt i innovatsii. 2017;2:62-4 (in Russian)].
17. Appendix XI, table 11.4 – youth tobacco surveys smokeless tobacco or e-cigarettes. In: WHO report on the global tobacco epidemic 2019 [website]. Geneva: World Health Organization; 2019. Available at: https://www.who.int/tobacco/global_report/en/. Accessed: 14.03.2021 (in Russian)].
18. Гамбарян М.Г. Осторожно, электронные сигареты! Профилактическая медицина. 2014;5:4-8 [Gambarian MG. Ostorozhno, elektronnye sigarety! Profilakticheskaia meditsina. 2014;5:4-8 (in Russian)].
19. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public Health Consequences of E-Cigarettes. Eds. DL Eaton, LY Kwan, K Stratton. Washington, DC: National Academies Press, 2018.
20. Goniewicz ML, Smith DM, Edwards KC, et al. Comparison of nicotine and toxicant exposure in users of electronic cigarettes and combustible cigarettes. JAMA Netw Open. 2018;1(8):e185937
21. US Preventive Services Task Force, Owens DK, Davidson KW, et al. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;323(16):1590-8. DOI:10.1001/jama.2020.4679
22. McConnell R, Barrington-Trimis JL, Wang K, et al. Electronic cigarette use and respiratory symptoms in adolescents. Am J Respir Crit Care Med. 2017;195(8):1043-9.
23. Schweitzer RJ, Wills TA, Tam E, et al. E-cigarette use and asthma in a multiethnic sample of adolescents. Prev Med. 2017;105:226-31.
24. Choi K, Bernat D. E-cigarette use among Florida youth with and without asthma. Am J Prev Med. 2016;51(4):446-53.
25. Beck ER, Taylor RF, Lee L-Y, Frazier DT. Bronchoconstriction and apnea induced by cigarette smoke: Nicotine dose dependence. Lung. 1986;164:293-301.
26. Hamberger ES, Halpern-Felsher B. Vaping in adolescents: epidemiology and respiratory harm. Curr Opin Pediatr. 2020;32(3):378-83. DOI:10.1097/MOP.0000000000000896; PMID: 32332328; PMCID: PMC7285995
27. Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. Centers for Disease Control and Prevention. Updated February 25, 2020. Available at: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html?s_cid=osh-stu-ho.... Accessed: 17.03.2020.
28. Mishra A, Chaturvedi P, Datta S, et al. Harmful effects of nicotine. Indian J Med Pediatr Oncol. 2015;36:24-31.
29. Кишкань А.А. Влияние электронных сигарет и систем нагревания табака на органы и ткани полости рта. Естеств. и технические науки. 2020;11:176-8 [Kishkan' AA. Vliianie elektronnykh sigaret i sistem nagrevaniia tabaka na organy i tkani polosti rta. Estestv. i tekhnicheskie nauki. 2020;11:176-8 (in Russian)].
30. Walley SC, Wilson KM, Winickoff JP, Groner J. A Public Health Crisis: Electronic Cigarettes, Vape, and JUUL. Pediatrics. 2019;143(6):e20182741. DOI:10.1542/peds.2018-2741; PMID: 31122947
31. US Department of Health and Human Services. The Health Consequences of Smoking: Nicotine Addiction: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, 1988.
32. Goniewicz ML, Boykan R, Messina CR, et al. High exposure to nicotine among adolescents who use Juul and other vape pod systems (‘pods’). Tobacco Control. 2019;28:676-77.DOI:10.1136/tobaccocontrol-2018-054565
33. Soneji S, Barrington-Trimis JL, Wills TA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and metaanalysis. JAMA Pediatr. 2017;171(8):788-97.
34. Soneji S. Errors in data input in metaanalysis on association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults. JAMA Pediatr. 2018;172(1):92-3.
35. Demissie Z, Everett Jones S, Clayton HB, King BA. Adolescent risk behaviors and use of electronic vapor products and cigarettes. Pediatrics. 2017;139(2):e20162921.
36. McCabe SE, West BT, Veliz P, Boyd CJ. E-cigarette use, cigarette smoking, dual use, and problem behaviors among U.S. adolescents: results from a national survey. J Adolesc Health. 2017;61(2):155-62.
37. Kristjansson AL, Mann MJ, Sigfusdottir ID. Licit and illicit substance use by adolescent e-cigarette users compared with conventional cigarette smokers, dual users, and nonusers. J Adolesc Health. 2015;57(5):562-4
38. Selph S, Patnode CD, Bailey SR, et al. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force. Rockville (MD): Agency for Healthcare Research and Quality (US), 2020. Report No19-05254-EF-1.

________________________________________________

1. Perez-Warnisher MT, Carballosa de Miguel MDP, Seijo LM. Tobacco Use Worldwide: Legislative Efforts to Curb Consumption. Ann Glob Health. 2019;85(1):9. DOI:10.5334/aogh.2417
2. Data from the official website of WHO. Available at: https://www.who.int/news-room/fact-sheets/detail/tobacco. Accessed: 14.03.2021 (in Russian)
3. Wang TW, Gentzke AS, Creamer MR, et al. Tobacco Product Use and Associated Factors Among Middle and High School Students – United States, 2019. MMWR Surveill Summ. 2019;68(12):1-22. DOI:10.15585/mmwr.ss6812a1
4. Available at: http://82.rospotrtbnadzor.ru>directions>pravo. Accessed: 12.12.2020
5. Russian Institute for Strategic Studies. Available at: https://riss.ru/demography/demography-research/38818. Accessed: 14.03.2021 (in Russian)
6. The prevention of tobacco smoking in children and adolescents is a problem of our time. Ed. NA Geppe, IM Osmanov, NF Gerasimenko. Moscow: MedKom-Pro, 2021 (in Russian)
7. Warren CW, Jones NR, Peruga A, еt al. Global youth tobacco surveillance, 2000–2007. Centers for Disease Control and Prevention (CDC) MMWR. Surveill Summ. 2008;25(1):1-28.
8. Nadimili: how the level of smoking in Russia is changing. Available at: http://www.strana2020.ru>mediaoffice>nadymili. Accessed: 12.12.2020 (in Russian)
9. Ilyenkova NA, Mazur YuE, Petrova MM, et al. The prevalence of tobacco smoking and its impact on the health of children, adolescents and adults in the Krasnoyarsk Territory (epidemiological data). Krasnoyarsk: KrasGMU, 2015 (in Russian)
10. Khabriev RU, Iagudina RI, Rashid MA, et al. Faktory riska dlia zdorov'ia podrostkov: rezul'taty massovogo oprosa. Ros. vestn. perinatologii i pediatrii. 2020;65(3):91-9 (in Russian)
11. Rashid MA, Arinina EE, Ugrekhelidze DT, et al. Ekonomicheskoe bremia tabakokureniia. Biul. NII obshchestvennogo zdorov'ia im. NA Semashko. 2016;6:58-77 (in Russian)
12. Khabriev RU, Iagudin RI, Kulikov AIu, et al. Sravnitel'naia otsenka ekonomicheskikh posledstvii tabakokureniia v Rossiiskoi Federatsii (s 2009 po 2018 gg). Farmakoekonomika: teoriia i praktika. 2019;7(3):17-21 (in Russian)
13. Kozhevnikova TN, Grivas IS, Pomogaev IV, Malyshev VS. Vliianie tabakokureniia na respiratornuiu funktsiiu u podrostkov. Doktor.RU. 2017;4:8-13 (in Russian)
14. Apelberg BJ, Corey CG, Hoffman AC, et al. Symptoms of tobacco dependence among middle and high school tobacco users: results from the 2012 National Youth Tobacco Survey. Am J Prev Med. 2014;47(Suppl.1):S4-14. DOI:10.1016/j.amepre.2014.04.013
15. US Department of Health and Human Services. Preventing tobacco use among youth and young adults. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at: https://www.cdc.gov/tobacco/data_statistics/sgr/2012/index.htm. Accessed: 14.03.2021 (in Russian)].
16. Zaikova RR, Zyrianov SA. Veipery sovershili “evoliutsiiu” kuril'shchika, ili O tom kak elektronnye sigarety “pariat” mozg. Opyt i innovatsii. 2017;2:62-4 (in Russian)
17. Appendix XI, table 11.4 – youth tobacco surveys smokeless tobacco or e-cigarettes. In: WHO report on the global tobacco epidemic 2019 [website]. Geneva: World Health Organization; 2019. Available at: https://www.who.int/tobacco/global_report/en/. Accessed: 14.03.2021 (in Russian)].
18. Gambarian MG. Ostorozhno, elektronnye sigarety! Profilakticheskaia meditsina. 2014;5:4-8 (in Russian)
19. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public Health Consequences of E-Cigarettes. Eds. DL Eaton, LY Kwan, K Stratton. Washington, DC: National Academies Press, 2018.
20. Goniewicz ML, Smith DM, Edwards KC, et al. Comparison of nicotine and toxicant exposure in users of electronic cigarettes and combustible cigarettes. JAMA Netw Open. 2018;1(8):e185937
21. US Preventive Services Task Force, Owens DK, Davidson KW, et al. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;323(16):1590-8. DOI:10.1001/jama.2020.4679
22. McConnell R, Barrington-Trimis JL, Wang K, et al. Electronic cigarette use and respiratory symptoms in adolescents. Am J Respir Crit Care Med. 2017;195(8):1043-9.
23. Schweitzer RJ, Wills TA, Tam E, et al. E-cigarette use and asthma in a multiethnic sample of adolescents. Prev Med. 2017;105:226-31.
24. Choi K, Bernat D. E-cigarette use among Florida youth with and without asthma. Am J Prev Med. 2016;51(4):446-53.
25. Beck ER, Taylor RF, Lee L-Y, Frazier DT. Bronchoconstriction and apnea induced by cigarette smoke: Nicotine dose dependence. Lung. 1986;164:293-301.
26. Hamberger ES, Halpern-Felsher B. Vaping in adolescents: epidemiology and respiratory harm. Curr Opin Pediatr. 2020;32(3):378-83. DOI:10.1097/MOP.0000000000000896; PMID: 32332328; PMCID: PMC7285995
27. Outbreak of lung injury associated with the use of e-cigarette, or vaping, products. Centers for Disease Control and Prevention. Updated February 25, 2020. Available at: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html?s_cid=osh-stu-ho.... Accessed: 17.03.2020.
28. Mishra A, Chaturvedi P, Datta S, et al. Harmful effects of nicotine. Indian J Med Pediatr Oncol. 2015;36:24-31.
29. Kishkan' AA. Vliianie elektronnykh sigaret i sistem nagrevaniia tabaka na organy i tkani polosti rta. Estestv. i tekhnicheskie nauki. 2020;11:176-8 (in Russian)
30. Walley SC, Wilson KM, Winickoff JP, Groner J. A Public Health Crisis: Electronic Cigarettes, Vape, and JUUL. Pediatrics. 2019;143(6):e20182741. DOI:10.1542/peds.2018-2741; PMID: 31122947
31. US Department of Health and Human Services. The Health Consequences of Smoking: Nicotine Addiction: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, 1988.
32. Goniewicz ML, Boykan R, Messina CR, et al. High exposure to nicotine among adolescents who use Juul and other vape pod systems (‘pods’). Tobacco Control. 2019;28:676-77.DOI:10.1136/tobaccocontrol-2018-054565
33. Soneji S, Barrington-Trimis JL, Wills TA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and metaanalysis. JAMA Pediatr. 2017;171(8):788-97.
34. Soneji S. Errors in data input in metaanalysis on association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults. JAMA Pediatr. 2018;172(1):92-3.
35. Demissie Z, Everett Jones S, Clayton HB, King BA. Adolescent risk behaviors and use of electronic vapor products and cigarettes. Pediatrics. 2017;139(2):e20162921.
36. McCabe SE, West BT, Veliz P, Boyd CJ. E-cigarette use, cigarette smoking, dual use, and problem behaviors among U.S. adolescents: results from a national survey. J Adolesc Health. 2017;61(2):155-62.
37. Kristjansson AL, Mann MJ, Sigfusdottir ID. Licit and illicit substance use by adolescent e-cigarette users compared with conventional cigarette smokers, dual users, and nonusers. J Adolesc Health. 2015;57(5):562-4
38. Selph S, Patnode CD, Bailey SR, et al. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force. Rockville (MD): Agency for Healthcare Research and Quality (US), 2020. Report No19-05254-EF-1.

Авторы

Т.Н. Кожевникова*1, Н.А. Геппе2, И.М. Османов3,4, Н.Ф. Герасименко5, Н.Г. Машукова6, Н.А. Ильенкова7, А.Б. Малахов2, М.М. Чепурная8,9, Н.Д. Одинаева4,10, Н.В. Саввина11

1 ФГБОУ ВО «Тульский государственный университет», Тула, Россия;
2 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
3 ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» Департамента здравоохранения г. Москвы, Москва, Россия;
4 ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия;
5 Общероссийская общественная организация «Лига здоровья нации», Москва, Россия;
6 ГБУЗ «Свято-Димитриевское училище сестер милосердия» Департамента здравоохранения г. Москвы, Москва, Россия;
7 ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава России, Красноярск, Россия;
8 ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России, Ростов-на-Дону, Россия;
9 ГБУ Ростовской области «Областная детская клиническая больница», Ростов-на-Дону, Россия;
10 ГБУЗ Московской области «Детский клинический многопрофильный центр Московской области», Москва, Россия;
11 ФГАОУ ВО «Северо-Восточный федеральный университет им. М.К. Аммосова», Якутск, Россия
*pulmo71@yandex.ru

________________________________________________

Tatiana N. Kozhevnikova*1, Natalia A. Geppe2, Ismail M. Osmanov3,4, Nikolai F. Gerasimenko5, Natalia G. Mashukova6, Natalia A. Il'enkova7, Aleksandr B. Malakhov2, Mariia M. Chepurnaia8,9, Niso D. Odinaeva4,10, Nadezhda V. Savvina11

1 Tula State University, Tula, Russia;
2 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
3 Bashlyaeva Children's City Clinical Hospital, Moscow, Russia;
4 Pirogov Russian National Research Medical University, Moscow, Russia;
5 League of the Nation's Health, Moscow, Russia;
6 St. Dimitrievskoe School of Sisters of Mercy, Moscow, Russia;
7 Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia;
8 Rostov State Medical University, Rostov-on-Don, Russia;
9 Regional Children's Clinical Hospital, Rostov-on-Don, Russia;
10 Children's Clinical Multidisciplinary Center of the Moscow Region, Moscow, Russia;
11 Ammosov North-Eastern Federal University, Yakutsk, Russia
*pulmo71@yandex.ru

Назад к списку

Цель портала OmniDoctor – предоставление профессиональной информации врачам, провизорам и фармацевтам.