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Annotation. Exacerbation and aggravation of psoriasis increases the chances of neurosis, depression, can significantly impair mental health through social stigma and leads to social isolation and maladaptation, a significant reduction in quality of life. Studying this problem from the standpoint of comparative assessment of the distribution of character accentuations in patients with different dermatoses can provide insight into how a certain level of adequacy of psychological adaptive response is associated with organic pathological process or genetically existing expression of certain traits. The aim of the study was to found the features of indicators of expression and features of accentuated personality traits in men with psoriasis without taking into account somatotype and in representatives of meso- and endo-mesomorphic somatotypes. Men aged 22 to 35 years, patients with psoriasis (n=100, including 32 with mild and 68 with severe course) at the Department of Skin and Venereal Diseases with a course of postgraduate education National Pirogov Memorial Medical University, Vinnytsya and Military Medical Clinical Center of the Central Region, conducted an anthropometric survey by V. V. Bunak Estimation of the expression and features of accentuated personality traits made according to G. Shmishek The reliability of the difference between the values between the independent quantitative values was determined using the U-Mann-Whitney test. In healthy subjects, taking into account and without taking into account the somatotype, it is seen that the type of physique did not significantly affect the severity of individual traits and their combinations in this group of people. With the increase in the course of psoriasis among subjects without somatotype, there is a decrease in the percentage of persons with hyperthymic and demonstrative and an increase – with emotional, pedantic, anxious, cyclothymic, excitable, dysthymic and exalted type of character accentuation; among patients of mesomorphic somatotype there is a decrease in the percentage of people with stuck and demonstrative and an increase – with emotional, pedantic, anxious, cyclothymic, excitable, dysthymic and exalted type of character accentuation; among patients of endo-mesomorphic somatotype there is a decrease in the percentage of people with hypertension and an increase – with stuck, demonstrative and excitable type of character accentuation. All this maintains a pathologically high level of affective tension, which disrupts the autonomic balance in the body, can be a pathogenic factor in the development of psychosomatic illness and leads to ineffective treatment of psoriasis.

The aim of the work is to determine and evaluate the antioxidant activity of dietary supplements with green tea extract, as well as to introduce conditional terms of the level of AOA. Materials and methods. The object of the study was dietary supplements of different manufactures: “Green Tea Extract” of Natural Sources, USA (DS1), “Extract of green tea” of Elit-Pharm, Ukraine (DS2) and “Green tea” of Pharmakom, Ukraine (DS3). Potentiometric measurements were conducted by pH meter Hanna 2550 (Germany) with a combined platinum electrode EZDO 5010. Epigallocatechin-3-O-gallate ˃98.0 % (Sigma Aldrich), K3[Fe(CN)6], K4[Fe(CN)6], NaHPO4, KH2PO4 were analytical grade. Results. It was established that a value of the antioxidant activity of DS1 was 36.51 mmol/tab, DS2 – 29.78 mmol/tab, and DS3 – 16.67 mmol/tab. DS1 had the highest value of the antioxidant activity, which correlated with the content of catechins (r2 = 0.9314). According to the proposed conditional terms of antioxidant activity dietary supplements, DS1 and DS2 possessed a low level of antioxidant activity, whereas DS3 corresponded to very low level of antioxidant activity. Conclusions. It was found that the studied dietary supplements with green tea extract have antioxidant activity, which correlates with the content of catechins.

Актуальність. Наведені дані аналітичного огляду токсикологічних наслідків застосування прохлороперазину. Прохлороперазин є досить часто вживаним лікарським препаратом з нейролептичною та антиеметичною активністю, який виробляється як генеричний засіб у багатьох країнах світу у вигляді таблеток, супозиторіїв та ін’єкційних форм.Мета роботи. Проведення аналітичного огляду побічних дій та гострих отруєнь прохлороперазином при контрольованому та неконтрольованому застосуванні.Результати та їх обговорення. Відповідно до даних інформаційних джерел у період з 2010 по 2016 рр. у світі зареєстровано 258 випадків гострого отруєння прохлороперазином. Серед головних причин отруєнь визначені побічні дії препарату під час лікування у терапевтичних дозах. Прохлороперазин несумісний з препаратами,що пригнічують ЦНС, підвищує ризик неонатальних ускладнень при вживанні вагітними. До 10 % від загальної кількості гострих отруєнь прохлороперазином – це летальні випадки через передозування з суїцидальною метою. Визначені лікарські препарати, що застосовувались одночасно з прохлороперазином при суїцидах: клоназепам, лоразепам, апразолам, ібупрофен, напроксен, діазепам, сероквель, депакот тощо.Висновки. Показано, що за умов наявності в установах проведення судово-медичної експертизи методів хімікотоксикологічного аналізу на прохлороперазин кількість зареєстрованих випадків отруєнь препаратом, зокрема в Україні, може бути значно більшою., Topicality. The article presents the analytical review data of the toxicological effects of prochlorperazine usage. Prochlorperazine is a sufficiently used drug with neuroleptic and antiemetic activity. It’s produced as a generic drug in many countries in the world in the form of tablets, suppositories and injection.Aim. To conduct an analytical review of prochlorperazine side effects and acute poisonings of controlled and uncontrolled usage.Results and discussion. According to information sources, in the period from 2010 till 2016 year were registered 258 cases of prochlorperazine acute poisoning in the world. The main causes of acute prochlorperazine poisoning noted with side effects of the treatment of it in therapeutic doses. Prochlorperazine is incompatible with drugs that suppress the central nervous system and increases the risk of neonatal complications if pregnant women use. Approximately 10 % of prochlorperazine numbers of acute poisonings are lethal cases of overdose. They are often due to suicide drug overdose. The drugs that were used simultaneously with prochlorperazine for suicide were defined: clonazepam, lorazepam, aprazolam, ibuprofen, naproxen, diazepam, seroquel, depacote, etc.Conclusions. It is shown that if the methods of chemical-toxicological analysis of prochlorperazine will be presented in corresponding institutions of forensic medical expertise the number of registered cases of poisoning significantly increase, particularly in Ukraine., Актуальность. Приведены данные аналитического обзора токсикологических последствий применения прохлорперазина. Прохлорперазин достаточно часто применяемый лекарственный препарат с нейролептической и антиэметической активностью, который производится как генерическое средство во многих странах мира в виде таблеток, суппозиториев и инъекционных форм.Цель работы. Проведение аналитического обзора побочных эффектов и острых отравлений прохлорперазином при контролируемом и неконтролируемом применении.Результаты и их обсуждение. Согласно данным информационных источников в период с 2010 по 2016 гг. в мире зарегистрировано 258 случаев острого отравления прохлорперазином. Среди главных причин отравлений определены побочные действия препарата при лечении в терапевтических дозах. Прохлорперазин несовместим с препаратами, угнетающими ЦНС, повышает риск неонатальных осложнений при применении беременными. До 10 % от общего количества острых отравлений прохлорперазином – это летальные случаи вследствие передозировки с суицидальной целью. Определены лекарственные препараты, которые применялись одновременно с прохлорперазином при суицидах: клоназепам, лоразепам, апразолам, ибупрофен, напроксен, диазепам, сероквель, депакот и др.Выводы. Показано, что при наличии в учреждениях проведения судебно-медицинской экспертизы методов химико-токсикологического анализа на прохлорперазин количество зарегистрированных случаев отравлений препаратом, в том числе в Украине, может быть значительно выше.

Мета. Дослідити імуногістохімічні зміни в шкірі хворих із псоріазом для прогнозування можливого загострення шкір- ного псоріатичного процесу після виконання оперативного втручання. Матеріали і методи. Проведено імуногістохімічне дослідження біопсійного матеріалу, взятого з ділянок шкірної псо- ріатичної висипки та інтактної шкіри у хворих із псоріазом до виконання оперативного втручання. Крім того, для по- рівняння результатів імуногістохімічних досліджень вивчено біопсійний матеріал шкіри передньої черевної стінки, взятий у 5 практично здорових осіб відповідного віку після герніопластики. Для оцінки характеру та поширеності міс- цевих клітинних імунних і запальних реакцій у шкірі хворих із псоріазом застосовували імуногістохімічні методики з визначенням експресії маркерів імунного запалення. Результати. Представлені результати дослідження змін імуногістохімічної експресії прозапальних біологічних мар- керів у шкірі хворих із псоріазом до виконання оперативного втручання з подальшим аналізом впливу такого стресо- вого фактора, як оперативне втручання, на перебіг шкірного псоріатичного процесу. Висновки. Доведено, що одним із механізмів загострення запальних реакцій у хворих із псоріазом є активація імуно- компетентних клітин, зокрема через Toll–рецептори, що дає можливість скоригувати тактику лікування пацієнтів у піс- ляопераційному періоді.

Цель работы — оценить энергетические возможности лейкоцитов и тромбоцитов периферической крови по содержанию внутриклеточного гликогена и терапевтическую эффективность аутоплазмы, обогащенной тромбоцитами, у больных угревой болезнью. Материалы и методы. Под нашим наблюдением находился 31 пациент (18 женщин и 13 мужчин в возрасте от 16 до 39 лет) со средней степенью тяжести течения угревой болезни. Длительность патологического процесса составляла от 6 мес до 18 лет. Группу сравнения образовали 15 здоровых лиц. Группы были сопоставимы по соотношению полов и возрасту. Все больные ранее лечились традиционными средствами как самостоятельно, так и в специа­лизированных медицинских учреждениях, однако эффект был временным либо отсутствовал. Проводили исследование содержания гликогена в нейтрофилах, моноцитах и тромбоцитах периферической крови с помо­щью PAS­реакции, результаты которой оценивали путем определения среднего цитохимического коэффициента (СЦК). Результаты и обсуждение. Установлено, что у больных угревой болезнью после лечения снижалось содержание гликогена в нейтрофилах (СЦК — 1,72 ± 0,12, в контрольной группе — 2,31 ± 0,08; р 0,05), но происходило перераспределение клеток с разным содержанием гликогена. Доказано повышение эффективности лечения таких пациентов за счет применения в качестве адъювантного средства аутоплазмы, обогащенной тромбоцитами. Выводы. При угревой болезни выявлено перераспределение энергетических возможностей нейтрофилов и моноцитов периферической крови. Содержание гликогена в нейтрофилах и моноцитах может быть одним из критериев эффективности терапии. Применение при угревой болезни аутоплазмы, обогащенной тромбоцитами, позволяет повысить эффективность лечения благодаря ее модулирующему влиянию на метаболическую активность лейкоцитов и тромбоцитов периферической крови.

Investigation of the distribution of basalts, dolerites, and tuffs in the Kanin–Timan–Pechora large igneous province was completed by generalization of data of geological surveys and analysis of the data of deep drilling. The province appears like a nonisometric ellipse and extends northwestward for a distance of nearly 850 km at the width of 250–500 km. Its area is nearly 285 000 km2. The area of the volcanic rocks is about 85 500 km2. The volume of eruptive material alone could be equal to 1000–1200 km3. The age of formation of the traps corresponds to the late period of activity of the process and was less than 7 mln. y. The formation of the province was result of the action of short-lived and low intensity plumes. But it was one of the episodes of the Late Devonian superplume event in the East European platform. The province is separated by an amagmatic area from neighboring magmatic provinces of the same age. The distance between borders of the provinces is 200–400 km.

The health care system, its modernization and optimization are among the most important functions of the modern Ukrainian state. The main goal of the reforms in the field of healthcare is to improve the health of the population, equal and fair access for all to health services of adequate quality. Important place in the health sector reform belongs to optimizing the structure and function of dermatovenereological service. The aim of this work is to address the issue of human resources management of dermatovenereological services during health sector reform in Ukraine, taking into account the real possibility of disengagement dermatovenereological providing care between providers of primary medical care level (general practitioners) and providers of secondary (specialized) and tertiary (high-specialized) medical care (dermatovenerologists and pediatrician dermatovenerologists), and coordinating interaction between these levels. During research has been found, that the major problems of human resources of dermatovenereological service are insufficient staffing and provision of health-care providers;,growth in the number of health workers of retirement age; sectoral and regional disparity of staffing; the problem of improving the skills of medical personnel; regulatory support personnel policy areas and create incentives for staff motivation; problems of rational use of human resources for health care; problems of personnel training for dermatovenereological service. Currently reforming health sector should primarily serve the needs of the population in a fairly effective medical care at all levels, to ensure that there must be sufficient qualitatively trained and motivated health workers. To achieve this goal directed overall work of the Ministry of Health of Uktaine, the National Academy of Medical Sciences of Ukraine, medical universities, regional health authorities, professional medical associations. Therefore Ukrainian dermatovenereological care, in particular fixed, needs a deep and objective medical and social audit. A necessary condition for the harmonious development of dermatovenereological service is adequate staffing to ensure it to reflect changes in the structure of the provision of the assistance at various levels, as well as their effective coordination throughout the natient's medical route.

A method is presented for the synthesis of 3-(2-oxo-1,2-dihydro-3H-indol-3-ylidene)-1,4-dihydroquinoxalin-2-one and 2-(2-oxo-1,2-dihydro-3H-indol-3-ylidene)-2H-1,4-benzoxazin-3(4H)-one by the reaction of ethyl 2-oxoindoline-2-glyoxylate with o-aminophenol and o-phenylenediamine. Proposed reaction mechanisms are presented.

Acid-base and redox properties of TiO2/SiO2 surface go through a minimum as a function of temperature. Practical applications of this phenomenon are discussed.

It has been established that CO oxidation with excess O2 on Ni/Al2O3 forms an inhomogeneous NiO contact surface that smoothes critical effects in the sharp reactivity change.

The data submitted point to the importance of the enteroviral infection, in particular, Coxsackie' B vira in the pathogenesis of many non-infectious diseases. Our studies explore the possibility for the Coxsackie B virus involvement in the etiopathogenesis of psoriasis. 25 examined patients with psoriasis revealed in 100% of cases antibodies to the Coxsackie B virus in diagnostic titres, with a number of patients having displayed a progressive increase in the titres of the above antibodies, which fact suggest to us that there may be an association between psoriasis and Coxsackie' B vira. The major proportion of seropositive psoriatic patients (88%) have been found to have antibodies to association of two, three or four Coxsackie' B vira, which fact can be taken as further evidence for their etiopathogenic part in the development of dermatosis. Antibodies to Coxsackie B1 and B5 virus have been shown to occur more frequently among seropositive patients, this underlying their particular importance in the development of psoriasis.

A comprehensive clinical-and-laboratory evaluation was carried out in 132 patients with chronic prostatitis, the major proportion of these presenting with concomitant urethritis. It has been ascertained that infectious agents (chlamidia, gonococci, myco- and ureaplasms, trichomonads) play an important part in the origination and development of chronic prostatitis. In the examined patients spermograms were studied, with normospermia having been recorded in 45 (34%) patients, grade I oligospermia in 41 (31%), grade II oligospermia in 29 (22%), grade III oligospermia in 13 (10%), azospermia in 4 (3%) patients. There was no relatedness of changes revealed in qualitative characteristics of the ejaculate to etiology of chronic prostatitis. A comparative study was done on those parameters characterizing local (cell-mediated, humoral) immunity of the reproductive tract in patients with chronic prostatitis of different etiological (infectious) origin. Disturbances in local immunologic vigor in varying etiology chronic prostatitis have been shown to be of unidirectional character with no statistically significant difference in place.

Preparation Contractubex (gel for external application in tubes of 20 g each), manufactured by pharmaceutical company Merz GmbH (Frankfurt-on-Main, Germany), was used during the treatment of 30 patients with hypertrophic cicatrix and contracture.

Urethral strictures were treated by ultrasonic exposure by means of a Barvinok MT apparatus, developed by the KVANT Research and Production Amalgamation in Kiev, and special ultrasonic wave-guides. The developed method essentially reduced the time of treatment, was conducive to a complete recovery of the urethral urine-excretory function and of its anatomic and histologic structure; it ruled out the necessity of repeated examinations with a bougie, catheterization, or surgical intervention.

The authors suggest a combined method for the treatment of new torpid and chronic gonorrheal urethritis, involving preliminary studies of the agent's cellular respiration activity, and offer the technique for predicting the efficacy of such treatment. If gonococcal cellular respiration activity is low, aerobic processes in these agents are stimulated with daily subcutaneous injections of plasmol (a biostimulant), starting from 1 ml and building up the dose by 1 ml daily, and local irrigations of the urethra with oxygen cocktails via specially designed irrigators (Authors' Certificate No. 827071 USSR); such stimulation is carried out for 4 days prior to specific therapy. This treatment modality is maintained by an Authors Certificate No. 1107867 USSR. To check up the efficacy of the antibiotic chosen for therapy, a rapid method has been developed, consisting in measurement of the patient's blood serum antibacterial activity carried out in special chambers for cell microcultivation.

Titanium stearate has been found to be photocatalytically active in the oxidation of hexene-1 by oxygen. Active sites are supposed to be Ti3+ ions formed in the photocatalytic activation of the Ti−O bond of titanium stearate.

Y. pseudotuberculosis cells grown at biologically low temperature have been shown capable of chemotaxis with respect to carbohydrates and amino acids. During cultivation at 36-37 degrees C Y. pseudotuberculosis cells retain this property for 10-15 hours and then lose it. The mechanism of chemotaxis makes it possible for Y. pseudotuberculosis to "find" human and animal tissues and can facilitate the realization of the pathogenicity potential of these bacteria. When administered orally to mice motile bacteria, i. e. those grown at 6-8 degrees C, have been more virulent for the animals than nonmotile ones cultivated at 36-37 degrees C.

This device (Authors Certificate of the USSR No. 980726) helps rapidly diagnose the disease in torpid and chronic inflammatory processes in the urethra.

A complex method is suggested to prognosticate the efficiency of treating gonorrheal urethritis in men with allowance for a preliminary determination of the cell respiration activity in agents. In the case of low indices of these processes, it is possible to stimulate aerobic processes in gonococci if applying for 4 days before the specific treatment daily subcutaneous injections of plasmol (a biostimulator) by the ascending scheme and local irrigation of the urethra by oxygen cocktails through irrigators of special design. The developed method has the author certificate (A. c. 1107867 USSR). Application of the method shortens significantly the terms of treatment, the number of the infection recurrences being considerably decreased. To accelerate the determination of the sensitivity to antibiotics the procedure of genococcus microcultivation in special chambers is applied which permits observing the growth and reproduction of microorganisms in the phase-contrast microscope.