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DIAGNOSIS AND TREATMENT PEDIATRIC INFLAMMATORY MULTISYSTEM SYNDROME ASSOCIATED WITH COVID-19: CLINICAL OBSERVATION
L.N. Mazankova, I.M. Osmanov, E.R. Samitova,S.R. Rodionovskaya, V.G. Akimkin, A.A. Ploskireva, M.A. Antsupova, N.P Kotlukova, V.V. Popova, A.Yu. Kunitsyna, L.O. Taranov

Summary. The article presents the data of observation of the peculiarities of the course of pediatric inflammatory multisystem syndrome, describes a clinical case of this syndrome with comorbid pathology, which requires an extension of the diagnostic algorithm and an interdisciplinary approach to solving the problem.
Keywords: COVID-19, children, PIMS, MIS-C, PIMS-TS, pediatric inflammatory multisystem syndrome, associated with SARS-CoV-2, multisystem inflammatory syndrome in children

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SYMPTOMATIC TREATMENT OF ACUTE RESPIRATORY DISEASES IN CHILDREN, INCLUDING NEW CORONAVIRUS INFECTION (COVID-19)
L. N. Mazankova, E. R. Samitova, N. V. Loban, A. A. Popov, N. F. Dubovets

Summary. Symptomatic therapy in children with a diagnosis of acute respiratory tract infections, including COVID-19, is of great importance. In pediatrics, the drug of choice for hyperthermic syndrome is ibuprofen, which has a pronounced longterm antipyretic, analgesic and anti-inflammatory effect.
Keywords: kids, COVID-19, antipyretic drugs, Nurofen®

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THE NUTRITIONAL STATUS IN CHILDREN WITH ALLERGIES TO COW’S MILK PROTEINS
I. N. Zakharova, M. A. Simakova

Summary. Gow's milk allergy (CMA) is a significant problem among children in the first year of life due to its high prevalence in this age group. In addition to the existing problems associated with the diagnosis and management of this condition, in recent years, great attention has been paid to the particular qualities of the nutritional status of children with CMA. Cow's milk remains a key staple in the diet of a lactating woman; in formula-fed infants, cow's milk-based formulas are the first product introduced into the diet. Eliminating food allergens, which make up the main diet and are the main source of nutrients, can lead to the development of malnutrition. The most common eating disorders include growth failure and poor weight gain, micronutrient deficits and eating disorders. This article provides an overview of the risk factors that can lead to malnutrition in children with CMA.
Keywords: cow's milk allergy, children, nutritional status, malnutrition

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BREAST MILK BANKS AS A PERSPECTIVE DIRECTION IN THE CARE OF PREMATURE BABIES BORN WITH EXTREMELY LOW AND VERY LOW BODY WEIGHT
A. K. Mironova, T. M. Yudina, I. M. Osmanov

Summary. The article presents data on the relevance of the problem of necrotizing enterocolitis in preterm infants. The preventive role of breast milk in the development of necrotizing enterocolitis is emphasized, and a promising direction in the care of preterm infants - the creation of breast milk banks - is considered.
Keywords: premature babies, very low and extremely low body weight, gastrointestinal tract, necrotizing enterocolitis, necrotizing enterocolitis, breast milk, donor milk, donor milk bank

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HOW TO GET THE STATUS OF "MOSCOW DOCTOR" FOR A PEDIATRICIAN
I.M. Osmanov, S.N. Borzakova, A.V. Vinokurov, A.V. Miroshina

Summary. Creating effective mechanisms for continuous professional development of medical workers is a key task of the Moscow healthcare reform. One of these tools was the procedure for assessing qualifications in the framework of the project for awarding the honorary status of "Moscow Doctor". In this article, the authors analyze the participation of pediatricians in this project over the past 4 years based on the materials of the expert commission for conducting voluntary evaluation procedures at the N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia. The result of this work was the development of recommendations for preparing for voluntary evaluation procedures for pediatricians.
Keywords: status "Moscow doctor", professional development, pediatricians, qualification assessment

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VEGETARIANISM: HEALTH RISK FOR CHILDREN
T. M. Yudina

Summary. Vegetarian diets are associated with a low intake of energy, saturated fatty acids and animal protein. Vegetarian children are at a higher risk of developing nutritional deficiencies than adults due to their higher requirements per kilogram of body weight. The average intake of omega-3 fatty acids is lower than that of omnivores with a vegetarian diet. The prevalence of iron deficiency in vegetarians is also high, despite the consumption of large amounts of vitamin C. In addition, vitamin B12 is found only in animal products. Supplements of vitamin B12, iron, omega-3, and vitamin D should be taken by children of all age groups who adhere to a vegetarian diet. It is necessary to monitor the health of vegetarian children by a pediatrician and a dietitian.
Keywords: vegetarian diets, child, adolescent, malnutrition, iron, vitamin B12, omega-3

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INFORMED CONSENT: DEFINITION OF THE CONCEPT, REVIEW OF JUDICIAL PRACTICE, THE POSSIBILITY OF MEDICAL INTERVENTION WITHOUT THE CONSENT OF AN INDIVIDUAL OR HIS LEGAL REPRESENTATIVE
M. I. Sirotkina

Summary. The article provides a definition of the voluntary informed consent, describes its principles and regulation in international and Russian law, provides examples from current judicial practice on obtaining voluntary informed consent, touches on the possibility of medical intervention without the consent of a patient.
Keywords: voluntary informed consent, medical intervention, patient rights, involuntary hospitalization, health protection law

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LEGISLATION AND CHILD HEALTH
The material was prepared based on the results of the meeting of the Academic Council of the Research Clinical Institute of Pediatrics named after academician Yu. E. Veltischev

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DIAGNOSIS OF REFLUX NEPHROPATHY IN YOUNG CHILDREN
N. M. Zaikova, V. V. Dlin

Summary. The review of publications of domestic and foreign literature on the diagnosis of vesicoureteral reflux, the features of the course and formation of reflux nephropathy in children of early age, up to 36 months with recurrent urinary system infection is presented. The problem when examining children under 36 months of age with vesicoureteral reflux and recurrent urinary system infection is that reflux nephropathy is a complication of vesicoureteral reflux and urinary system infection, and does not have its own clinical picture. Today according to leading experts in Pediatrics and pediatric Nephrology there is no consensus on a reliable objective screening test to determine the development and progression of reflux nephropathy in young children. If it is impossible to perform nephroscintigraphy with DMSA and a high frequency of reflux nephropathy, so the definition of diagnostic markers in children, especially early age, remains relevant.
Keywords: diagnosis, babies, vesicoureteral reflux, reflux nephropathy

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COMPLEX ANTI-RELAPSE THERAPY OF URINARY TRACT INFECTION IN CHILDREN
I. M. Osmanov, I. N. Zakharova, E. V. Tambieva, G. B. Bekmurzayeva, N. V. Shesterikov, I. V. Ivanina

Summary. A review of diagnostic methods for recurrent urinary tract infection is proposed. Clinical examples of patients receiving complex anti-relapse therapy are considered.
Keywords: urinary tract infection, cystitis, pyelonephritis, children, antibacterial therapy, alternative therapy, herbal medicine, anti-relapse therapy, bacteriuria, vesicoureteral reflux, leukocyturia, bladder dysfunction, Canephron® N