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The question about correlation between organic and functional changes in persons, exposed to radiation is still insufficiently studied. Dynamics of morbidity for different forms and classes of non-tumour diseases periodisation, proposed by epidemiologists, suggests the identification of three main periods: «early» (the first 6 post-Chornobyl accident years); «distant» (12-21 years) and «late» (22-30 years). However, the correspondence this periodisation to the results of epidemiological data, without taking into account the clinical features of the diseases, may contribute to the impression, that in the first period after a radiation disaster functional disorders (or autonomic regulation disorders, etc.) prevail in all cases. Meanwhile, the data from ophthalmological and neurological studies, which we aim to demonstrate in this paper, rather indicate the presence of a significant morphological basis for the development of functional disorders in early period after a radiation disaster. The objective of this work is analyse modern experimental, epidemiological and clinical data on the correlation between organic and functional changes, characteristic of radiation cerebro-ophthalmological effects - radiation cataracts, age-related macular degeneration, cerebral small vessel disease, and neurocognitive deficits. Materials and methods. The criteria for inclusion in the analytical review were peer-reviewed publications in PubMed/MEDLINE, Scopus, Web of Science, and manually selected papers; the results of our own research were also used. An additional analysis of the results of examinations conducted in 1991-2004 was performed, which included a total of 11 123 persons irradiated as the result of catastrophy at the Chornobyl NPP. Results. In the first period of radiation cataract development, which is a specific consequence of radiation exposure, morphological changes (lens opacities) are observed, which lead to a decrease in visual function only later. Analysing the correlation between organic and functional changes in the development of diseases, for which ionising radiation exposure is a significant risk factor, we observe a similar picture. For example, CSVD associated with arterial hypertension may be a manifestation of accelerated aging associated with exposure to ionising radiation.Similarly, the initial signs of age-related macular degeneration in radiation-exposed individuals are usually manifested by changes in the morphology of the retina, choroid, and pigment epithelium in the macular area, while functional disorders in the form of decreased central vision and metamorphopsia, etc., occur later., (P. Fedirko, T. Babenko, K. Kuts, M. Pilmane, A. Yunga, N. Garkava.)

Objective of research is to improve the electronic database of WBC measurements dated 1986 by inputting of newinformation from paper carriers, reconstruction of information gaps, verification and analysis of new entered data,revision of internal exposure doses that are based on results of WBC measurements dated 1986., Materials and Methods: In 2013-2015 during a revision of databases (DB) of WBC measurements results dated1986-2014, it was discovered a great amount of paper carriers with information about WBC measurements, includ-ing the ones dated 1986, that were not inputted to the electronic DB. The paper carriers were systematized andordered by the following indicators: place of residence of a person and place of WBC measurement, institution andoperator that made the measurement, measurement device and date of measurement. For a comfortable inputtingof the information to the electronic DB, it was additionally created a form which exists as an option in existing program complex Silbody (Version 19.0.9). In the revised DB of WBC measurements dated 1986 internal exposure dosesfrom radio-cesium of Chornobyl origin were computed based on an ecological and dosimetric model for radio-cesiummigration in environment and a model for radio-cesium metabolism in human body. In the work, mathematical andstatistical methods of research were used., Results: In 2019-2021 additionally 35,319 notes were inputted to the electronic DB of WBC measurement dated1986, and as a result its volume increased in 2.2 times. Mostly those are data on results concerning residents of Kyiv,Zhytomyr, Donetsk, Cherkasy, Odessa, Ivano-Frankivsk, and Rivne Oblasts. It was established the information onmeasurement devices and respectively on the minimal detected activity (MDA) for 27,119 notes (76.7 % of all newentered). Information is reconstructed about the body mass of all persons under investigation. Evaluation is madefor values of intake of incorporated radionuclides 137Cs and 134Cs for all new entered to DB. Quality of reconstructedinformation was analyzed. To group 1, «qualitative», it was classified 18,598 notes (53 % of all new entered), measurements in 1986 (including new entered). Dose not exceeding 1 mSv was obtained by 80 % of adults (older than20), as well as 73 % of persons younger than 20., Conclusion: To DB of WBC measurements, it was additionally inputted 35,319 notes on results of measurementsdated 1986. New entered information is verified and distributed by the quality groups. Individual exposure dosesevaluated based on those data can be used for further scientific research., (M. S. Kuriata, V. V. Vasylenko, O. M. Ivanova, M. S. Kramarenko, L. O. Lytvynets, V. V. Morozov, L. P. Misсhenko, Z. N. Boiko, V. B. Buderatska, M. I. Chepurny, A. G. Kukush.)

The analysis of long-term researches of the pathological changes arising in soft tissues at patients with a breast cancer as a result of radical surgical treatment and adjuvant radiotherapy is carried out in work. The article shows that the standard approach to postoperative radiation therapy, which is based only on the prevalence of the primary tumor process is not always justified. Very often it leads to excessive radiation load on the patient's body and the development of local acute and chronic radiation reactions of the skin, subcutaneous tissue and other soft tissues.In this regard, the question of differentiated purpose of radiotherapy acquires special value first of all at patients with small primary prevalence of tumor process. The paper presents the results of studies to study changes in the anterior chest wall in patients with breast cancer. In relation to the conduct of adjuvant radiotherapy more often need to use the concept of personalized radiation therapy. Radical operation, post-radiation early and late pathological changes in soft tissues, disturbance of microcirculation of lymph and blood, disturbance of innervation of vessels of an upper extremity, peripheral nerves in system of a cervical and plexus plexus, leads to intensive degen-erative and dystrophic changes in soft tissues of the upper. and causes morphological changes in them and further progression of reflex neurovascular and neurodystrophic disorders. Based on the data of adverse effects of radio-therapy on the skin and surrounding tissues, as well as to reduce excessive radiation exposure to the patient's body, a differentiated approach to the appointment of adjuvant radiation therapy., (D. A. Bazyka, O. O. Litvinenko, S. G. Bugaytsov, G. F. Shakhrai.)

Background: Exposure to ionizing radiation could affect the brain and eyes leading to cognitive and vision impairment, behavior disorders and performance decrement during professional irradiation at medical radiology, includinginterventional radiological procedures, long-term space flights, and radiation accidents., Objective: The objective was to analyze the current experimental, epidemiological, and clinical data on the radiation cerebro-ophthalmic effects., Materials and Methods: In our analytical review peer-reviewed publications via the bibliographic and scientometric bases PubMed / MEDLINE, Scopus, Web of Science, and selected papers from the library catalog of NRCRM - theleading institution in the field of studying the medical effects of ionizing radiation - were used., Results: The probable radiation-induced cerebro-ophthalmic effects in human adults comprise radiation cataracts,radiation glaucoma, radiation-induced optic neuropathy, retinopathies, angiopathies as well as specific neurocognitive deficit in the various neuropsychiatric pathology including cerebrovascular pathology and neurodegenerativediseases. Specific attention is paid to the likely stochastic nature of many of those effects. Those prenatally and inchildhood exposed are a particular target group with a higher risk for possible radiation effects and neurodegenerative diseases., Conclusions: The experimental, clinical, epidemiological, anatomical and pathophysiological rationale for visualsystem and central nervous system (CNS) radiosensitivity is given. The necessity for further international studieswith adequate dosimetric support and the follow-up medical and biophysical monitoring of high radiation riskcohorts is justified. The first part of the study currently being published presents the results of the study of theeffects of irradiation in the participants of emergency works at the Chornobyl Nuclear Power Plant (ChNPP)., (K.N. Loganovsky, P.A. Fedirko, K.V. Kuts, D. Marazziti, K.Yu. Antypchuk, I.V. Perchuk, T.F. Babenko, T.K. Loganovska, O.O. Kolosynska, G.Yu. Kreinis, M.V. Gresko, S.V. Masiuk, L.L. Zdorenko, N.A. Zdanevich, N.A. Garkava, R.Yu. Dorichevska, Z.L. Vasilenko, V.I. Kravchenko, N.V. Drosdova, Yu.V. Yefimova.)

A clinical case of cutaneous T-cell lymphoma is presented in this paper - Mycosis fungoides, a tumorous stage that developed in a patient who suffered as a result of the Chornobyl accident. The most likely development of this di- sease is due to the influence of the radiation factor, which led to the affection of lymphoid cells. This disease has characteristic staging with a typical morphological pattern only in later stages, therefore, the diagnosis usually occurs in evident clinical and histological changes of the mycotic and tumorous stages, when treatment is ineffec- tive. The features of the disease and treatment are described., (L. V. Hrechanska, L. D. Kaliuzhna, P.V. Fedorych, A.V. Petrenko.)

Objective: revision, analysis, and significant improvement of quality of the database of WBC measurements made in1986-2014 at radioactively contaminated territories of Ukraine by the use of renewal of informational gaps andimprovement of the model for assessment of internal exposure doses., Materials and Methods: Inthe periodfrom 1986 to 2014 experts of the Whole Body Counters Laboratory of NRCRMaccumulated about 1.5 million results of WBC measurementsof radio-cesium incorporated in the body of personsresiding at the territories which are radioactively contaminated due to Chornobyl accident. Most of measurements(~64 %) were made during the first 15 years after the accident. The most of measurements were made in Kyiv (~23 %),Zhytomyr (~36 %), Rivne (~20 %) and Chernihiv (~5 %) Oblasts. Works on revision of database of WBC measurementsincluded: transformation of data saved in paper format into electronic form, checking for correctness and correspon-dence of information, renewal of lacking information at the fields of database, improvement of the model for eval-uation of internal exposure doses by the data of WBC measurements. In the model for evaluation of revised doses,it is assumed uniform content of radio-cesium during a year. Reference values are used of metabolism parametersand anthropometric human parameters recommended in publications of ICRP., Results: Revised doses have been reconstructed for 1,386,585 records of data base of WBC measurements that fitspecially elaborated criterions for estimation of quality of results. Among them 604,215 records are WBC measure-ments of children and adolescents younger than 18, and 782,370 records correspond to adult inhabitants of Ukraine,most of which reside in Zhytomyr, Kyiv, Rivne and Chenihiv Oblasts., Conclusions: Obtained results serve as a ground for further works on improvement of models for evaluation of pass-port doses and individualized exposure doses of subjects registered in Ukrainian State Register - of persons thataffected due to Chornobyl accident. Evaluated doses can be used for epidemiological, clinical and other research., (V. V. Vasylenko, S. V. Masiuk, О. М. Ivanova, V. O. Pikta, Z. N. Boiko, М. І. Chepurny, V. B. Buderatska, G. M. Zadorozhna, L. O. Lytvynets, M. S. Kramarenko, G. V. Fedosenko, A. G. Kukush, M. S. Kuriata, N. S. Zhadan, T. F. Babenko.)

In this paper, a clinical case of combination of chronic myeloid leukemia and T-lymphoblastic lymphoma is present-ed, which is currently a rather rare finding for a clinician. The diagnosis of T-lymphoblastic lymphoma is establishedafter 2 years from the verification of chronic myeloid leukemia. The course of diseases and approaches to treatmentare described.The pathogenetic relationship between myeloid and lymphoid diseases remains unclear and is likely to be the resultof several factors - radiation, chemical and, consequently, genetic disorders., (I. S. Dyagil, V. V. Sholoyko, Yu. O. Silayev, Z. V. Martina, I. V. Dmytrenko, A. O. Tovstogan, V. G. Fedorenko, T. Yu. Shlyakhtychenko, Zh. M. Minchenko.)

Nuclear installations may contain a large inventory of radioactive material and an emergency caused by an accident, natural disaster, or malevolent act may cause uncontrolled releases of radionuclides to the environment. The paper presents a brief overview of individual radiological monitoring in case of major releases of radionuclides to the environment and introduces the new Report 92 of the International Commission on Radiation Units and Measurements (ICRU) on Radiation Monitoring for Protection of the Public after Major Releases of Radionuclides to the Environment. The Report was prepared taking into account the results of the research «Development of the program for radiation and hygienic monitoring for the radiological protection of human under radiation accidents and acts of nuclear terrorism» which was carried out in the internal dosimetry laboratory of the NRCRM of NAMS of Ukraine in 2016-2018. The Report Committee was headed by the scientific supervisor of the research, the Committee consisted of leading experts from UK, Italy, China, Germany, Russia, Slovenia, United States, Ukraine, Japan, and experts from the International Atomic Energy Agency. The preparation of the Report was supported by the US Environmental Protection Agency, US Nuclear Regulatory Commission, US Department of Energy, National Academy of Medical Sciences of Ukraine, and Radiation Protection Institute of the ATS of Ukraine., (V. Berkovski, G. Ratia, Yu. Bonchuk.)

Objective: Introduction: At present, syncopal conditions remain an interdisciplinary problem. Most often, syncope is a consequence of organic or functional damage to the central nervous system, the cardiovascular system, the endocrine system. Among the various types of paroxysmal states that are observed in the neurological practice, syncopal conditions rank the first position by frequency. The aim: The aim of the present paper is to study the scientific literature on the issue of the problem of syncopal conditions in the neurological practice., Patients and Methods: Materials and methods: The subject under discussion was considered on the basis of 43 sources on this issue, using the method of content analysis, comparative and contrastive methods, analytical and bibliosemantic methods., Conclusion: Сonclusions: The article presents the analysis of the literature on the problem of syncopal conditions. It has been shown, that the pathology of the nervous system is not always the root cause of syncopes. They often develop from somatic pathology. The awareness of causes of these syncopal conditions enables the doctor to make correct diagnosis and prescribe pathogenetically substantiated treatment.

Objective: Introduction: The acute and chronic inflammatory processes prevail in the structure of the dental surgical diseases in children. Notably, various forms of lymphadenitis, adenophlegmon and odontogenous osteomyelitis dominate in the specialized surgical units; however, it is not possible to resolve a number of organizational problems without clear understanding of the statistical situation. The aim: The paper is aimed at the analysis of the incidence rate of major nosological forms of the acute suppurative inflammations of the maxillofacial area in children for the prospective planning of arrangements to provide them with high-quality specialized care., Patients and Methods: Materials and methods: The paper involves findings of comprehensive examination and treatment of 537children with acute purulent lymphadenitis, adenophlegmon and odontogenous osteomyelitis that was carried out within 6 years., Results: Results: The resulting clinical data have shown that three abovementioned nosological forms of the disease accounted for 42% of the overall number of the inpatient dental patients and 11% of the total number of children with acute surgical pathology. Out of 537 patients, 240 patients (44.8%) with acute purulent lymphadenitis, 150 (27,9%) patients with adenophlegmon and 147 (27.3%) patients with acute odontogenous osteomyelitis have been observed (318 (59,2%) boys and 219 (40,8%) girls aged from 2 months to 15 years). The study of the past history of the disease has established that in the majority of patients burdened premorbid history and occurrence of concomitant chronic general somatic diseases was presented prior to the onset of acute inflammation., Conclusion: Conclusions: The factors, mentioned above, greatly contributed to increase in protective-adaptive properties of child body and create the prerequisites for the formation of pathological symptomocomplex in children, which can be implemented even in the minimal effect of antigen load on the tissues of maxillofacial area. Such situation requires a balanced multidisciplinary approach to the planning of preventive measures in this category of patients at all stages of the observation.

Objective: Introduction: The pathogenesis of gastroesophageal reflux disease (GERD) is a topical issue of modern gastroenterology. There are a number of scientific papers on changes in the qualitative and quantitative composition of saliva, which triggers a cascade of biochemical reactions, the consequence of which is the destruction of the resistance of the mucous membrane of the esophagus. Calcium is a macro element that provides the normal functioning of cells. Parathormone also regulates the metabolism of calcium in the body. The aim: To study the level of calcium of saliva in patients with GERD before and after 6 months after treatment, to investigate the correlation with the concentration of parathyroid hormone., Patients and Methods: Materials and methods: The samples of saliva of patients with GERD before and after treatment are analyzed. The content of calcium in saliva was determined by photometric method. To test the level of parathyroid hormone, the Intact-PTH ELISA test was used. The treatment was carried out with pantoprazole doses of 40 mg per day. Normal values of electrolyte levels in human saliva are set on 10 virtually healthy volunteers. Data processing was carried out using Microsoft Excel. Correlations were calculated using the Pearson method., Results: Results: 25 samples of saliva have been analyzed: 15 patients with GERD and 10 healthy individuals. Concentration of parathormonone in plasma was consistent with normal values. The concentration of calcium saliva for practically healthy individuals was 2.48 ± 0.07 mmol / L, in patients with GERD before treatment 1.92 ± 0.16 mmol / L, after treatment 2.04 ± 0.07 mmol / L. The correlation coefficient between the level of calcium salivation in patients with GERD and the plasma parathyroid hormone concentration before treatment was 0.21, after treatment 0.73., Conclusion: Conclusions: The concentration of calcium is statistically significantly reduced in patients with GERD by 22.5% and increased by 10% after treatment. There is a high correlation between the concentration of calcium after treatment and the level of plasma parathyroid hormone.

Objective: Introduction: Insufficient basic knowledge on the mechanisms of the multifactoral etiology and pathogenesis of various forms of maxillofacial lymphadenitis of odontogenic and non-odontogenic nature in children causes difficulties in making differential diagnosis. The algorithm of their examination involves a large number of methods, each of which has its own advantages and disadvantages with variable informativeness, depending on the particular situation. The aim: The paper is aimed atfamiliarization of broad medical public with informativeness of diagnostic measures in the nonspecific and specific affection of lymph nodes of the maxillofacial area in children., Patients and Methods: Materials and methods: A thorough comprehensive analysis and generalization of scientific achievements elucidated in the fundamental and periodical publications, relating to diseases of the lymphatic system, has been carried out., Results: Results: It has been establishedthat, despite a large variety of diseases accompanied by the reaction of the lymph nodes of different anatomic localization, current diagnostic possibilities are potent to establish a clinical diagnosis in most cases. In this way, the current diagnostic model requires the interaction of clinicians, infectiologists, molecular biologists, geneticists and morphologists. In this regard, the issues of efficient organization of the diagnostic process, detailing all stages of the search for accurate diagnosis, are crucial., Conclusion: Conclusions: The collected material on various forms of lymphadenitis and their secondary affection is fragmentary to date due to the absence of the unified methodological approach to carrying out differential diagnosis, which requires generalization and systematization of scientific groundwork. Unfortunately, the algorithms of examination of this category of patients, especially with lymphadenopathy, are not sufficiently developed to date, indicating the need for further search and optimization of diagnostic criteria taking into account modern realities.

Numerous scientific studies have been carried out since the ChNPP accident indicating that the last one has caused a severe psychosocial stress in survivors. Population of radioactively contaminated territories, people migrated from the areas of strict radiation control, and accident consequences clean up participants in 1986 1987 were covered by the conducted research projects. Nature of the stress herewith is polygenic and includes factors directly related to the Chernobyl catastrophe, and factors being a result of social and economic circumstances. This report is devot ed to the results of research on psychosocial state of population evacuated from the 30 km zone of the ChNPP., Objective: Study and evaluation of psychosocial state of population evacuated from the 30 km ChNPP zone at the age of 18 years and older; identification of potential psychosocial risk factors for the health loss., Materials and Methods: The sampling epidemiological study of psychosocial state of population aged 18-50 years evacuated from the 30 km zone of ChNPP was conducted at the NRCRM Radiation Registry Outpatient Clinic and Radiation Psychoneurology Department. The study subjects (n=258) were mostly (98%) females. Study was con ducted from October 2013 till May 2015. All the sample members were registered since 1992 in the system of life long health monitoring, i.e. the NRCRM Clinical and Epidemiological Registry. Study subjects were interviewed through the method using an original «Questioning Inventory». Mathematical processing of study results was held using the Epi Info 7 software package., Results: According to the study results, a nuclear accident at the Chornobyl NPP has become a powerful psychoso cial stress for evacuated people. Psychosocial state of the evacuees, formed during the post accident period, with full reason can be defined as a state of stable, chronic psychosocial stress. Nature of factors that caused the stress development is polygenic. Block of stressors directly related to the accident was determined, namely there were «change of radiation and ecological situation», «ionizing irradiation», «evacuation», and «radical breaking of dynamic stereotype of behavior and life». In parallel there was selected a block of stress factors generated by that background, i.e. psychological, social, economic, and cultural, on which a nuclear disaster was imposed upon. The effects of stress have manifested as a persistent syndrome of «anxiety» for the personal health and health of fami ly members, primarily the children, and as a stable state of «dissatisfaction» with fullness and quality of life., Conclusions: The nuclear accident at the ChNPP has been the cause of a strong psychosocial stress in adult evacu ated population, especially in women. Further in a remote period the stress was transformed into a stable, chronic form. Nature of stress is polygenic and includes stressors directly related to the accident, and stressors that are not directly related to the accident consequences, but are due to the level of social, economic, medical, and informa tional protection of survivors. Data presented in the paper are rather enough important for the formation of strate gies and measures for social and psychological protection of population in an event of nuclear accidents and incidents., (V. O. Buzunov, K. M. Loganovsky, L. I. Krasnikova, M. O. Bomko, Yu. M. Belyayev, Zh. S. Yaroshenko, T. E. Domashevska.)

Study Objective: To elaborate an ecological dosimetric model of reconstruction individualized exposure doses of subjects from the State Register of Ukraine (SRU) - of persons, affected due to Chornobyl accident and reside at the radioactive contaminated territory of Korosten raion of Zhytomyr Oblast, and to calculate exposure doses for those persons., Materials and Methods: In the paper, an ecological dosimetric model is presented which is elaborated in order to individualize exposure doses of people who reside in Korosten raion of Zhytomyr Oblast and are registered in SRU. The model is based on the results of radio ecological and dosimetric monitoring held in the period of 1986-2013 at the territory of northern oblasts of Ukraine. Annual dose over each post accidental year consists of the two compo nents: (a) annual effective dose of external gamma exposure (due to radioactive fallout on the ground), and (b) internal exposure of the whole body (due to consumption of meal contaminated by radioactive isotopes). For 1986, the dose of internal exposure is evaluated out of all main radionuclides of radioactive accidental fallout, and after 1987 only for radioisotopes of caesium (134Cs and 137Cs). The parameterization of the model is based on the pre vious experience in working out a complex of ecological dosimetric models for estimation of referent exposure doses of Ukrainian population., Results and Conclusions: Individualized doses of external and internal exposure (annual and accumulated) are estimated for the population of various age groups that resides in the settlements of Korosten raion (totally about 100 settlements). Separately the doses are presented for rural settlements of the raion and for the city of Korosten for each year of the post accidental period of 1986-2016. Estimates of doses are given that were accumulated: (a) during 15 years just after the accident, (b) for the period of 2000-2016, and (c) for 30 year period after the acci dent. Mean dose accumulated for 30 years after the Chornobyl accident by residents of rural settlements of Korosten raion is estimated as 19.8 mSv, and for inhabitants of the Korosten city as 20.9 mSv. On condition of permanent res idence in the raion, residents of about 66 % settlements of Korosten raion accumulated the doses in the interval 5 20 mSv during 30 years after the accident. For the residents of about 25 % settlements the accumulated dose is in the interval 20-50 mSv, and for 7 % of settlements it exceeds 50 mSv., (О. М. Ivanova, S. V. Masiuk, Z. N. Boiko, М. І. Chepurny, V. B. Gerasymenko, G. V. Fedosenko, V. V. Vasylenko, L. O. Lytvynets, V. O. Pikta, L. М. Kovgan, N. S. Zhadan, S. О. Tereshchenko, І. G. Kravchenko, G. І. Коrtushin, О. D. Marcenjuk, A. G. Kukush.)

The objective of this paper is to analyze the data from scientific literature and available recommendations for health professionals on healthcare providing to pediatric population in the events associated with risk of radiation exposure. Over the past sixty years there were several large scale radiological events with a large number of chil dren affected, namely the atomic bombing of Hiroshima and Nagasaki, accident at the Chornobyl nuclear power plant, contact to 137Cs radiation source unutilized at the hospital shutdown in Brazil etc. Further research has crys tallized injuries and health disorders in the survived children in all cases being much more significant vs. other pop ulations. Analysis of circumstances and features of a number of emergency situations or incidents in the nuclear industry for several decades has shown a high probability of radioactive materials release into the environment. The danger of terrorism with the use of ionizing radiation sources resulting in a considered inevitable hazard to the chil dren is estimated as serious in recent years and deserves an especial mention here., (D. E. Afanasyev, O. V. Kaminskyi, O. V. Kopylova, I. G. Chikalova, I. M. Muraveva, K. O. Vakoluk, O. V. Pronin, O. O. Samoylov, T. O. Belingio, O. V. Tepla, L. V. Rozhkivska, I. V. Ylyanchenko, K. V. Gryschenko, L. O. Tsvet, N. S. Dombrovska.)

Recently, an increasing interest has been directed towards the investigation of brain effects of ionizing radiation (IR), as it is now evident that, depending on the doses, the damages character and severity, as well as clinical man ifestations are different. They are generally considered to be the result of a blending of atherosclerotic, cardiovas cular, cerebrovascular and neurodegenerative processes. Further, an ongoing debate has been opened on the pos sible brain abnormalities following medical radiation from X ray in interventional radiology and nuclear medicine procedures that would involve both patients and medical workers. The aim of the present paper is to summarize literature data on brain effects of IR exposure, with a special focus on those gathered by some of the authors after the Chornobyl nuclear plant disaster, and how they can be related to the pathophysiology of different neuropsy chiatric disorders., (D. Marazziti, A. Piccinni, F. Mucci, S. Baroni, K. Loganovsky, T. Loganovskaja.)

The article is devoted to the inventive activity of the Department of Metabolism Regulation of the Palladin Institute of Biochemistry of NAS of Ukraine in the context of the history of its inception, development and the research activities of its founder, academician of NAS of Ukraine M. F. Guly as well as his students and followers. It briefly tells about practical achievements of M. F. Guly which were as significant, immense and diverse as his scientific accomplishments. The paper analyses in detail the practical results of scientific research of his students and followers aimed to solve practical problems of medicine, food-processing, agriculture, and which are essentially a continuation of the ideas and projects of M. F. Guly.

Objective: to assess and estimate the peculiarities of genital system morbidity in female participants of the ChNPP accident clean up works in 1986-1987 depending on age at exposure to ionizing radiation and time since exposure., Materials and Methods: Data on the Chernobyl disaster survivors received from the State Registry of Ukraine are out line in the paper. Review of the level and pattern of genital system morbidity was carried out for the 17,237 female participants of the ChNPP accident clean up works in 1986-1987 depending on time under risk upon radiation expo sure and reproductive age at exposure. Survey period lasted since 1988 till 2012. Assessment of morbidity level, con fidential intervals, and statistical significance was carried out using the trial version of ОpenEpiversion 2.3.1. soft ware. Statistical significance was also rated using the z score and t criterion., Results: The results of this cohort epidemiological study showed that there are some peculiarities of natural course of the female genital system disease depending on reproductive age at exposure and time under risk upon radiation impact. Comparative statistical review of the level and pattern of genital system morbidity at different times within a survey period., Conclusion: Exposure to ionizing radiation in the childbearing age (18-45 years old) can be a risk factor of elevated incidence of uterine leiomyoma, benign mammary dysplasia (i.e. benign breast disease), and salpingo oophoritis. It is far to assume that uterine and mammary tissues are more sensitive to impact of ionizing radiation in females of the childbearing age vs. in persons exposed in pre menopause or menopause., (I. O. Mayevska, V. O. Buzunov.)

In this paper, the authors conducted research on the application of a new drug for the treatment of diabetic polyneuropathy in patients with diabetes mellitus type 1 and 2. Established an effective influence on the hemodynamic, metabolic, biochemical parameters, improved sensory-motor conduction in nerve fibers. Recommended for widespread use in patients with diabetes mellitus.

The results of an experimental study of organophosphorus insecticides, including pirimiphosmethyl, diazinon and chlorpyrifos caused a decline of the contraction properties in m. tibialis anterior fiber bundles of Rana temporaria, as well as sarcoplasmic reticulum Ca2+, Mg(2+)-ATPase enzymatic activity reduction are outlined in this paper. Concentration-dependent strengths response diminishing in isolated skeletal muscle fiber bundles as a result of non-cholinergic influence of organophosphorus insecticides were found. A decrease of Ca2+, Mg(2+)-ATPase enzymatic activity in sarcoplasmic reticulum was observed after administration of each insecticide. The most significant inhibition of this enzyme was observed when using chlorpyrifos.

Intrigue progression of hypertensive encephalopathy (HE) in older patients is that the development of cognitive impairment and high blood pressure underestimated, aslo exist without clinical manifestations. In recent decades convincing proved that the basis for the development of various diseases is cerebral dysfunction systems regulating brain blood flow, including--autoregulation system, which largely affects the blood supply to the brain. This explains the fact that patients with chronic brain ischemia cerebral hemodynamic status largely depends on the condition and stability of the regulatory mechanisms of systemic and cerebral hemodynamics, particularly of systemic blood pressure, regional cerebral blood supply, normalization which, in the early stages of development disorders, prevents of serious complications. In this paper the theoretical generalization and new solution of scientific and practical problems of hypertension influence on the formation of chronic cerebral ischemia in elderly patients on a background of hypertension--specified risk factors and especially the formation of a comprehensive study on the basis of clinical and neurological data, tool sand methods for neuroimaging research developed and improved methods of diagnosis. Found that in elderly patients with HE and HBP observed significant (P < 0.05) increase in the thickness of the intima-media complex was significantly higher (dextra--1.12 ± 0.03 and sinistra--1.11 ± 0.03), than middle-aged patients with hypertension at HE, which constitutes a violation of the elastic properties of the vascular wall. Established correlation data radionuclide study ultrasonic duplex scanning of vessels of the head and neck. A negative correlation of intima-media and severity of lesions according to hypoperfusion of computer tomography single photon emission (r = -0.49; P < 0.05); confirming the progression of HE in elderly patients needs improvement and treatment.

The paper discusses the appropriate use of terminology denoting different types and different ways of blood sampling those of its components with the semantic, phonetic and technological point of view.

To investigate the genetical precursors of cataract development the next groups were included: patients suffering from cataract (96) and 96 healthy persons. The determination of γ-crystallin polymorphism (G(-47)-->A) (rs2289917) was provided using PCR method and further analyses of restriction fragment length polymorphism. These allelic variants have the significant different: G/G--35.37%, G/A--53.66%, A/A--10.98%, and G/G--55.06%, G/A--35.96%, A/A--8.99% comparing with the control group (P = 0.03, by χ2-test). While investigating the level of expression of γ-crystallin gene (CRYGB) in platelets, showed that the quantity of mRNA in homozygotes G/G in 3.9 times (P < 0.05) higher than in carriers of A allele (genotype G/A and A/A). This paper shows the significant difference in distribution of CRYGB promoter (G(-47)-->A) genotypes in patients with cataract compared to the control group. Furthermore, here we provide the data concerning its functional meaning: level of mRNA expression of crystallin is different in carriers of various CRYGB promoter (G(-47)-->A) genotypes.

The paper describes the case of a rare hereditary disease--Incontinentia Pigmenti syndrome incontinence of pigment in newborn.

The paper present dynamic of clinical picture, daily blood pressure monitoring results and subjective assessment of functional status in children with combination of chronic gastroduodenal pathology and primary hypertension when L-carnitine used with the standard treatment regimen.

The paper presents the results of research, allowing to establish the need for and feasibility of an integrated method to determine the most effective but at the same time safe modes of load to the body troops. We found that despite the rather promising application of our proposed mode of load of high intensity (Ra = 0.71) to increase the level of physical military training as soon as possible in time of peace (with a minimum set of combat equipment), problematic issue is that in most cases there is a complete-mismatch achieved in the degree of physical development of the body of military requirements and the challenges posed in terms of direct hostilities. Using the integral method developed by us we determine the safest modes of exercise for the military servants to optimize the most appropriate parameters of volume and intensity of the load, and speed up the adaptive changes in their body to enhance maximum performance at this stage of preparation.

The most significant:clinical manifestation of isolated IgE-deficiency is chronic and recurrent sinopulmonary diseases. A few papers about treatment of IgE-deficiency, which shows the effect of intravenous immunoglobulin (IVIG) at a dose of 300-400 mg/kg was found. The results of such studies has level of evidence D. In our study we included IgE-deficient patients with refractory rhinosinusitis, which confirmed the diagnosis on the basis of at least two-fold examination with an interval of 1 month in the absence of obvious causes of secondary immunosuppression. In the study group included 82 patients (49 female, 34 male) aged 18 to 61, with the refractory rhinosinusitis combined with deficient IgE, total--33 (group 1) and partial--4 patients (group 2). In 22 patients (26.8%) immunoglobulin E deficiency combined with decreased serum concentrations of IgG sub-classes and other classes. The control group are 33 patients with refractory rhinosinusitis who refused IVIG. Immunoglobulinl intramuscularly administered at a dose of 0.3-0.4 ml/kg body weight for 3 days in a row 2-3 courses at intervals of 2-3 weeks. In the absence of clinical effect of said treatment for 2-3 months, we used IVIG at a dose of 200-400 mg/kg 1 month 1-3 courses with the consent of the patient. The clinical ohserved in 49 patients (87%), which was to reduce the number, severity and duration of exacerhations course rhinosinusitis. After IVIG were marked with significantly higher serum concentrations of total IgE in patients with total and partial deficiency compared with the results of intramuscular immunoglobulin. During treatment significantly increased serum concentration not only IgE (from 3.05 IU/ml ± 1.21 IU/ml to 12.5/IU/ml ± 1.86 IU/ml in total deficit; P < 0.01; 7.23 IU/ml ± 1.37 IU/ml to 15.66 IU/ml ± 1.66 IU/ml at partial dcficiency), but significantly increased serum concentrations of total IgG and subclasses IgG1, IgG2. So we found clinical and immunological effect of the intramuscularly and ivig in patients with refractory rhinosinusitis deficient IgE. This clinical and immunological effects we regarded as the influence of small doses of immunoglobulin to Fc-receptors on B lymphocytes mediated by regulatory mechanism of antibody production (Bayry J. et al).