Scientific Conference

On June 11, 2021, as part of the development of bilateral relations between Ukraine and Slovenia in the field of science and medicine, a meeting between the Consul of the Embassy of Ukraine in Slovenia, Romana Tershovchyn, was held in Rome Terme, Slovenia, with the director of Rome Terme Valery Arakelov and the procurator of the S.P.E.K.T. International Academy. R. Julia Pate. During the meeting, Valery Arakelov and Yulia Pate were awarded Certificates and Acknowledgments for their participation in scientific and practical online conferences held on 18-1903.21 (“Metabolic disorders of the population of Ukraine: the influence of environmental and stress factors”) and 07-08.04.21. (“Ecological and hygienic aspects of health and biosafety of the population”), which were organized by the International Academy of Ecology and Medicine (Kyiv) and the S.P.E.K.T.R. (Slovenia).

Presentation of the Certificate and Thanks for participation in scientific and practical online conferences to the Director of the Institute of Materials and Technologies, Matjaž Godec (Ljubljana, Slovenia).

 

 

“METABOLIC DISORDERS OF THE POPULATION OF UKRAINE: INFLUENCE OF ENVIRONMENTAL AND STRESS FACTORS”

“METABOLIC DISORDERS OF THE POPULATION OF UKRAINE: INFLUENCE OF ENVIRONMENTAL AND STRESS FACTORS”

“ENVIRONMENTAL AND HYGIENIC ASPECTS OF POPULATION HEALTH AND BIOSAFETY”

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• in Ukrainian
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Vytsyuk Alla Anatoliivna PhD, Associate Professor, Associate Professor of the Department of Social and Humanitarian Disciplines of the “International Academy of Ecology and Medicine” PVNZ took part in the work at the International Scientific and Practical Conference in Lublin, Poland on the topic: “New challenges of the 21st century: COVID-19”, which took place on September 25-26, 2020Читати

Hypothyroidism, diabetes, metabolic syndrome.

“Three endocrine companions of women” Читати

Candidate of Pedagogical Sciences, associate professor, and director of the Medical and Pharmaceutical College of the National Academy of Sciences “International Academy of Ecology and Medicine” Alla Vytsyuk took part in the work of the international and all-Ukrainian scientific and practical conference II International Summer Scientific Symposium “Innovation in modern education and science: theory, methodology, practice “, which took place on July 26-27, 2019, at the Scientific and Educational Center of Applied Informatics at the Institute of Innovative Education.

On May 23-25, an international scientific-practical conference was held with international participation in the treatment of parietal disorders.

Venue: Kyiv

The organization responsible for the event is the International Academy of Ecology and Medicine.

Address: 02091 Kyiv, Kharkivske Shosse 121.

Resume. The 45th Congress of the Neurootological and Equilibriometric Society (Neurootological and Equilibriometric Society) was held in conjunction with the scientific and practical conference with international participation in “Treatment of perineal disorders”. Scientific-practical conference with the international participation of the Neurootological and Equilibriometric Society (Neutrootological and Equilibriometric Society) with the participation of the International Vertigo Academy. The congress is also organized by the International Academy of Ecology and Medicine. Among the guests of honor at the comprehensive scientific event were, in particular, the Consul of Hungary in Kyiv, Peter Charkozy (who conducted the oscillation of the meeting of members of the Society, since the Congress was held in Ukraine unscheduled), and the Governor of the Rotary District Ukraine-Belarus Serhiy Zavadskyi. On behalf of the Ukrainian scientists, the participants were greeted by Professor Vadym Biloshitskyi (SU “Institute of Neurosurgery named after A.P. Romodanov, National Academy of Sciences of Ukraine), Professor Nataliya Sviridova (Association of Neurologists of Ukraine, National Academy of Postgraduate Education named after P.L. Shupyk) and Doctor of Medical Sciences, Prof. Abdullaev Farkhad, Department of Internal Medicine, IAEM, teacher of the Department of Physiology O.I. Brantova. as well as a 2nd-year student of the Faculty of Medicine, an Indian citizen, Nalini Krishnan Prakash, and a 3rd-year student, a citizen of Nigeria, Tweneboa Kodua Kwaku, president of the Congress, vice-president of NET, Doctor of Medical Sciences Konstantin Trinus, who hospitably received foreign colleagues and moderated the work of the event.

The Congress began with the awarding of Claussen-Tato (nominee — Konstantin Trinus, Ukraine) and Frenzel-Sakata (nominee — Professor Anirban Biswas, India). A characteristic feature of this Congress was that the scientist (K. Trinus) received the award for outstanding achievements not in the country where the award was issued, but in the country of his stay, which is connected with the extraordinary contribution of Ukrainian scientists to world science. In his inaugural speech, Professor of the International Academy of Ecology and Medicine Kostyantyn Trinus vividly and convincingly spoke about the contribution to science made by Ukrainians, starting from the most ancient times (28 thousand years ago the open cultivation of grain, which changed the entire history of human life, is a description on the scripts of Kam of his Tomb) to the present day. He also highlighted a number of topical issues of vestibulology in a broad context: from anatomic-physiological foundations — through pathogenetic mechanisms and terminological features — to diagnostic aspects, treatment strategies, and pharmacotherapeutic subtleties.

The importance of the correct use of terminology, which serves as a direct bridge to the correct choice of treatment strategy, was emphasized separately. Thus, according to the International Classification of Diseases of the 10th revision (1992):

• R42 Dizziness and giddiness (dizziness and pseudo-vertigo) – belong to cognitive disorders, disorders of the sense of space and movement;
• H81 Vertigo (dizziness) — belongs to disorders of the ear, manifested by the illusion of non-existent movement, often rotational.

A critical differential diagnostic question is whether the patient can determine the speed and direction of movement. Hence two different therapeutic strategies:

• with symptoms of dizziness, nootropic drugs are clearly indicated,
• instead, vestibule blockers are more effective for vertigo.

Among the medicines that have a significant impact on people’s quality of life, the speaker paid special attention to nootropics. There are seven groups of such drugs:

• synthetic derivatives of vitamins B and D;
• natural nootropics;
• peptide nootropics;
• “pleasant medicine”;
• racemates;;
• glutamatergic drugs;
• choline and intermediate products of the formation of acetylcholine (ACH).

Derivatives of vitamins B and D include the vitamin B1 derivative sulbutamine and the B6 derivative pyrinitrol. Excess homocysteine ​​has been shown to be associated with cognitive impairment, and B vitamins reduce homocysteine ​​levels. Cochrane systematic reports demonstrate that these substances increase the body’s overall energy, mood, and memory. Vitamin D is involved in brain development and adult brain activity. The maximum activity of vitamin D is detected in the hippocampus and cerebellum. The drugs are used both alone and in combination.

Peptide nootropics are quite different from each other, their unique feature is a high affinity to peptides. They also differ in ways of administration: phenylacetyl prolylglycine ethyl ether — orally, heptapeptide Met-Glu-His-Phe-Pro-Gly-Pro (isolated from the stress hormone corticotropin) — intranasally, cerebrolysin — intravenously.

“Pleasant drugs,” or stimulants, increase the body’s vitality, performance, and intelligence, but are addictive and not recommended for daily or long-term use. Moreover, the excitation phase is followed by the inhibition phase. The receptor associated with trace amines (trace amine-associated receptor 1 — TAAR1) is so named for its ability to bind endogenous amines in low concentrations. Among its agonists, the most popular are amphetamine derivatives that cause effects similar to endogenous phenylethylamine, dextroamphetamine, methylphenidate, and dextroamphetamine. Eugeroics (armodafinil, modafinil) provide work activity, especially in people who have not been able to sleep for a long time. A meta-analysis of 41 placebo-controlled, double-blind studies showed that smoking has a significant positive effect on fine motor anticipatory accuracy and response time, orienting response, and short-term episodic and working memory. Xanthines (caffeine, theophylline, theobromine) have been shown to increase activity, performance, and memory.

Glutamatergic drugs: ampakines (AMPAR or quisqualate agonists) and NMDA receptor antagonists. Ampakines are a class of substances that increase attention, facilitate learning, and improve memory, they do not cause insomnia. To date, five classes of ampakine drugs have been developed:

• pyrrolidine derivatives, racetams (piracetam and aniracetam);
• a group of drugs with benzoyl piperidine structures;
• benzothiazide derivatives (cyclothiazide, IDRA-21);
• biarl propyl sulfonamides (LY-392,098, LY-404,187, LY-451, 646, LY-503, 430 and Unifiram);
• benzylpiperazine derivatives (sunifiram).

Glutaminergic activity is considered an important component of cognitive function. Racemata has low glutaminergic activity. The highest glutaminergic activity is demonstrated by sunifiram and unifiram. Ampakins are currently being evaluated for a number of disorders that include cognitive decline, such as Alzheimer’s and Parkinson’s diseases, schizophrenia, and treatment-resistant depression.

The NMDA receptor is another glutamate receptor that controls cognitive function. These include D-serine, ACPL, amino cyclopropane carboxylic acid, D-cycloserine, cis-2,3-piperidine carboxylic acid, L-aspartate, quinoline, homocysteine, L-alanine. They show an anti-hallucinogenic effect and are also proposed for the treatment of amyotrophic lateral sclerosis. In contrast, NMDA receptor antagonists improve cognitive function. In addition, they are anesthetics, which have a dangerous side effect – they have hallucinogenic properties, so they are classified as recreational drugs. The latter include amantadine, ketamine, memantine, methoxetamine, phencyclidine, nitrous oxide (laughing gas), dextromethorphan and dextrorphan, riluzole, xenon, cannabinoids, conanthokines, huperzine A, ethanol, lead (Pb2+), atomoxetine.

Cholinomimetics are of particular importance in maintaining the functions of an aging body. In nature, living organisms get phosphatidylcholine, which is later converted to AC, from food products, in particular from soy lecithin. Phosphatidylcholine is a phospholipid that, together with omega-3 fatty acids, improves brain function and intellectual development in children. Choline Bitartrate and Choline Citrate have the highest levels of absorption in the digestive system. Acetyl-L-carnitine (acetyl-L-carnitine — ALCAR) upon dissociation forms acetyl-coenzyme A, which upon aggregation with choline forms AH. For greater effectiveness, ALCAR should be combined with choline salts. Centrophenoxine is a precursor of AX, partly a derivative of dimethylaminoethanol (DMAE). Unlike phosphatidylcholine and choline salts, centrophenoxine has a pronounced nootropic effect in monotherapy. DMAE is considered a biochemical precursor of AH, it connects with phospholipids of neuron membranes and, being an antioxidant, increases their fluidity and permeability. Studies have shown that DMAE has a positive effect on alertness and mood in patients with severe emotional imbalance, especially in combination with vitamins and minerals, as well as on attention deficit in children with hyperkinesis. Alpha-GPC (alpha-GPC) is the most active product among all choline resources, it has a significant nootropic effect and the absence of headaches among side effects. Among the most effective drugs that increase the level of AH, citicoline is. It penetrates well through the blood-brain barrier and releases free choline in the brain, which makes it possible to increase the concentration of AH. Citicoline has a pronounced nootropic effect, even with monotherapy, and fewer side effects than other sources of choline. Citicoline is used for cognitive disorders, after a stroke and head injury, Alzheimer’s disease, and age-related memory loss. It restores the structure of cellular lipids and the functions of many neurotransmitters. Cholinesterase inhibitors reduce the breakdown of AH, which has a positive effect on patients with a deficiency of this mediator. The most popular are: galantamine, donepezil, neostigmine, pyridostigmine and rivastigmine. They have been shown to be effective in postural tachycardia syndrome, apathy, Alzheimer’s disease, dementia with Lewy bodies, parkinsonism and Parkinson’s disease, and memory and learning disorders.

Racetams are among the most popular nootropics that improve cognitive functions. This class includes: piracetam, aniracetam, oxiracetam, pramiracetam, phenylpiracetam, levetiracetam, nefiracetam, nebracetam and coluracetam. Among them, pramiracetam is considered the most powerful. It improves mood, in a placebo-controlled, double-blind study, it was found to facilitate learning and memorization of words, phrases, and descriptions, improve attention and spatial orientation, as well as the ability to protect neurons from toxic products, slow aging by increasing levels of nitric oxide synthetase in the cerebral cortex and inhibiting propylene endopeptidase. The drug reduces amnesia caused by scopolamine and accelerates the elimination of side effects of physostigmine and oxotremorine.

Conducted research on the US market showed that the combination of pramiracetam with alpha-GPC or citicoline is most often used. What is important for Ukraine is that these are cheaper sources of choline, such as bitartrates, which also potentiate the action of racetams, but by themselves do not have a nootropic effect. The combination of choline donors with racetams enhances the action of racetams and reduces side effects. Another popular PAOC complex provides a range of effects: nootropic (piracetam), mood-enhancing (aniracetam), and general stimulation (oxiracetam).

Natural nootropics. Vinpocetine is a semi-synthetic alkaloid isolated from periwinkle. In some countries, it is prescribed for the treatment of dementia, Alzheimer’s, and Parkinson’s diseases. Studies of its effect on memory showed good results, but the Cochrane reports did not find them sufficient, which is why vinpocetine is not used in Western medicine. Huperzine A is isolated from certain types of moss that grow in Southeast Asia. It is used as a food supplement with nootropic properties due to its ability to inhibit acetylcholinesterase. Bacopa Moniera is a flowering herbaceous plant that grows in humid places in South Asia and North America. Improves memory and is a powerful antioxidant. In double-blind clinical studies, its components, bacopa saponins, have been shown to have “natural tonic” properties and improve memory. Ginseng Root – Multiple clinical studies in healthy volunteers have shown increased memory accuracy, speed of attention tasks, improved arithmetic performance, and reduced fatigue, and improved mood. Lion’s mane mushroom improves cognitive performance in double-blind, placebo-controlled, parallel-group studies. Soy isoflavones have been shown to improve spatial memory in double-blind, placebo-controlled studies. Another of the same studies found improvements in cognitive tasks, including visuospatial memory and construction, and speech speed, but impairment in test performance. Other drugs with nootropic effects: lemon balm, clary sage, valerian, turmeric, epigallocatechin gallate, and St. John’s wort contain anti-inflammatory, antibiotic, neuroprotective, and antidepressant substances with extremely low sensitivity.

In view of the above-described problems, the scientist drew special attention to ginkgo two-lobed (EGB 761). A meta-analysis of 29 clinical trials stated, “Its use has been clearly shown to improve selective attention, some executive processes, and long-term memory on verbal and nonverbal tasks.” According to Barrett’s literature review, EGB has been shown to be effective in the following cases: cochleovestibular syndrome (vertigo), incoordination, endogenous tinnitus, sudden hearing loss (SHL), macular dystrophy; improves information processing, has a positive effect on cognitive (including age-related) disorders and intermittent lameness and even sexual dysfunction caused by antidepressants. EGB 761 has a complex mechanism of action at the molecular and cellular levels: neutralization of free radicals, influence on gene expression, inhibition of β-amyloid aggregation, protection against β-amyloid toxicity, increase in γ-secretase activity, induction of apolipoprotein E, stimulation of cytochrome C oxidase, protection of mitochondria, protection against apoptosis, effect on neurotransmitter receptors. Its action is associated with the disaggregation of erythrocytes, the expansion of capillaries, arterioles, and venules, and the improvement of the metabolism of nerve cells. It also has an antioxidant effect, moreover, it has almost all the properties of the above-described drugs. The reason for this phenomenon can be seen in a large set of active substances in the composition of EGB 761, which potentiate the effect of each other. “The whole is greater than the sum of its parts” (Aristotle, “Metaphysics”). An important role in the mechanism of action is played by diterpene lactones structured on a ginkgolide or bilobalide basis. The base, skeleton, of ginkgolide, is a rather rigid structure consisting of hexacyclic C20-trilactone. Ginkgolide B facilitates glutamate exocytosis.

Peripheral blockers include H1-histamine receptor blockers (in particular, dimenhydrinate and meclizine), calcium channel blockers (cinnarizine, flunarizine), muscarinic receptors (atropine, scopolamine), dopamine receptors, serotonin reuptake blockers, substance P blockers, and benzodiazepine receptor blockers (picrotoxin). (the list of literature used in the report is at the disposal of the editors. — Editor’s Note).

In his lecture, Professor Vadym Biloshitsky considered the diagnostic and therapeutic aspects of factors that can cause headaches in combination with dizziness. Headache and dizziness are among the most common complaints encountered in neurological practice. At the same time, both symptoms can have a significant number of etiological factors. Accordingly, the combination of headache and dizziness can significantly complicate the diagnostic process and sometimes make it extremely difficult. The most common conditions in which vertigo and headache overlap include vestibular migraine, migraine with orthostatic intolerance, cervicogenic headache with cervical-mediated vertigo, etc. When patients with headaches are treated in accordance with headache treatment guidelines and protocols, the severity of vertigo symptoms can sometimes be significantly reduced. Other patients may require special additional studies and diagnostic tests. In any case, as part of the differential diagnosis, peripheral vestibular syndromes should be carefully excluded.

Dr. Hideaki Sakata (Tokyo, Japan) touched on topical issues of dizziness and vertigo in early childhood. In his opinion, in pediatric practice, dizziness and balance disorders are not given enough attention, since children rarely complain about them. Symptoms and the course of pathological conditions differ in newborns, infants, and schoolchildren. Diagnostic procedures are not similar to those for adults. In clinical practice, many children are brought to the Department of Pediatrics (Neurology) or the Department of Orthopedics with delayed onset of walking, muscle hypotonia, or frequent falls.

The scientist noted that at this Congress, the symptomatology and pathogenesis of dizziness and balance disorders in early childhood are considered with a focus on rare diseases such as benign paroxysmal torticollis. Dizziness in children is classified into two types: dizziness against the background of sensory disorders and balance disorders associated with balance abnormalities (movement load disorders). Children aged 4–5 years often complain of rotational vertigo, younger children rarely do. In children aged 2–3 years, mothers more often note gait disorders, frequent falls, or muscle hypotonia.

In view of the limited information obtained when taking an anamnesis from children, it is also necessary to conduct an interview with the mothers and assess the motor development process. With regard to balance disorders, since the central nervous system is in the stage of development, the state of the peripheral static-sensory system, the degree of myelination/maturation of the central nervous system, the process of functional integration and the learning/acquisition of gross and fine motor skills at each age should be taken into account.

In early childhood, one should take into account the possibility of a brain tumor, especially a tumor of cerebellar and trunk localization, or acute cerebellar ataxia. In addition, the presence of congenital nystagmus should always be anticipated.

As a type of vertigo characteristic of this period, children’s benign paroxysmal vertigo is often rotational; first occurs at the age of 1–4 years; attacks appear repeatedly and last from a few seconds to a minute. There is a downward trend. A migraine mechanism may be involved. This type of dizziness reflects ischemia of the vestibular nuclei involving the pons of the medulla oblongata. In most cases, spontaneous recovery occurs within several months to a year. For diagnosis, a detailed examination is carried out, and parents and children are invited to record their condition during acute attacks using a home video camera.

Benign paroxysmal torticollis is recognized as a type of vertigo resembling a migraine. This disease is rare, and many children are initially referred to the Department of Orthopedics because of the symptoms of torticollis. Recurrent paroxysmal torticollis occurs between the ages of 1 and 5 years: it may have a tendency to fall and visual disturbances (suggesting mesencephalic ischemia), but these symptoms diminish and usually disappear with age.

According to some data, 50–70% of the structure of the incidence of vertigo is vertigo of migrainous origin. In particular, basilar arterial migraine may be noted in children aged 1–10 years. This causes astatic disorders and gait disturbances, nausea, visual disturbances, occipital pain, and other neurological symptoms.

To diagnose an upright/unbalanced condition in a child, it is important to carefully monitor motor development, differentiate between diseases that should be considered by age, and understand their characteristics. Despite the fact that complex examinations are required in many cases, different studies should be combined (integrated diagnosis), and the features of the course of dizziness and balance disorders should be analyzed on the basis of the results of parent interviews and video recordings of attacks.

* * *

The results of a study by a group of Hungarian scientists (A. Molnár, L. Tamás, Á. Szirmai) conducted at the Department of Otolaryngology, Head and Neck Surgery of the Faculty of Medicine of the Semmelweis University, Budapest, Hungary (Semmelweis University, Faculty of Medicine,) were announced from the podium of the Congress. Department of Otolaryngology and Head and Neck Surgery), regarding the conservative treatment of patients with Ménière’s disease — a pathology of the inner ear characterized by periodic episodes of rotational vertigo, sensorineural deafness/deafness, tinnitus, increased intracranial pressure, headache, and autonomic symptoms, such as nausea and vomiting. The classic triad of Ménière’s disease occurs in only 20% of patients. This pathology is characterized by significant variability in the parameters of the frequency of attacks, severity of hearing loss, and intensity of tinnitus. The severity of the course and the effectiveness of therapy also vary widely. Since the reduction of these symptoms significantly affects the quality of life of patients, and the pathology itself seems radically incurable, symptomatic conservative treatment is considered a very important clinical issue.

Accordingly, the purpose of the study was to evaluate how complaint-free periods can be achieved through the efforts of a university clinic otoneurology consultative center. According to the assumption of scientists, the use of various pharmacotherapeutic methods of conservative treatment is too insignificantly reflected in the reduction of symptoms in patients with Ménière’s disease. To confirm the truth of this assumption, this retrospective study included 105 respondents (31 men and 74 women, average age 57.4±11.05 years) — patients with Meniere’s disease according to the diagnostic scale of the American Academy of Otolaryngology, Head and Neck Surgery. In addition to the analysis of medical history data, subjective complaints of patients and diaries filled by them after dizziness attacks were also taken into account.

According to the diaries, patients reported 1,552 episodes of dizziness. 52.7% of these episodes were described as rotational vertigo, with an average frequency of 2.35±1.4 attacks per month. Intermittent attacks of dizziness lasted 6.16 hours, its power reached 5.46±1.7 on a scale from one to ten. The average value of tinnitus intensity was 4.46±2.3 on a ten-point scale, and 82% of episodes were associated with headache. Betahistine, a drug widely used in Europe as the first line of therapy for Ménière’s disease, has been found to be effective in the conservative treatment of the disease’s symptoms, according to researchers. The average dose during symptomatic treatment was 87.5±27.2 mg/day, however, no obvious relationship was found between drug dose and symptom control. To improve the vestibular status, nootropics were used: in 84 cases orally, and in 50 cases – by a course of infusions. Intratympanic administration of corticosteroid (dexamethasone) was necessary in 22 cases, while intratympanic administration of gentamicin was necessary in only 8 patients.

The authors conclude that, despite the lack of a gold standard for the treatment of Meniere’s disease, the possibilities of improving the quality of life of patients with this disease are still far from being exhausted. It was emphasized separately that dizziness diaries are an effective tool for choosing the optimal scheme of symptomatic therapy for Ménière’s disease.

* * *

The powerful scientific program of the Congress was supplemented by an in-depth cultural and historiographical block. Thus, maestro Konstantin Chechenya performed a Sumerian melody deciphered from cuneiform tablets, written 6 thousand years ago; master Yurii Hlavatsky demonstrated a collection of reproduced antique jewelry in the Scythian style; craftswoman Lyudmila Smolyakova exhibited reproduced artifacts of Trypil culture and presented sculptures to honored guests; video registration of the event was carried out by Candidate of Arts, Associate Professor of I.K. Kyiv National University of Theatre, Cinema and Television. Karpenko-Karyo Serhii Marchenko.

In total, 135 people from Ukraine, the USA, Japan, India, Hungary, and Cyprus took part in the work of the Congress (the number is small, but they were really interested specialists – the “buffet audience” was not present, which gave the presentations and discussions a strictly scientific business character). The program of the Congress changed dynamically, according to the needs of the day and the wishes of the guests. In particular, on May 25, the guests expressed their desire to pay more attention to the newly created International Vertigo Center, new Ukrainian developments in instrument construction, and modern communication and standardization technologies. And the fact of the catastrophically increasing number of patients of this profile as a result of hostilities in the East of Ukraine was reflected in the Congress Resolution in the form of a recommendation to establish in Kyiv on the basis of the International Academy of Ecology and Medicine with specialization in post-stress and post-traumatic syndromes and regular holding of specialized scientific conferences.

Scientific conference at the Ostroh Academy National University with the participation of students and teachers of the International Academy of Ecology and Medicine in a scientific and practical conference with international participation

“PROTECTION OF PUBLIC HEALTH: DEVELOPMENT PROBLEMS AND PRIORITIES”

On November 29, 2018, the Ostroh Academy National University held a scientific and practical conference with international participation. It was organized by: the Ministry of Education and Science, Ostroh Academy National University, Human Ecology and Public Health Research Center, O.M. Marzeev Institute of Public Health of the National Academy of Sciences of Ukraine, Ukrainian Association of Public Health, World Federation of Ukrainian Medical Societies, All-Ukrainian Medical Society, All-Ukrainian Environmental League, Rivne Regional State Administration, Rivne Regional Laboratory Center of the Ministry of Health of Ukraine, Rivne Center for the Development of Local Self-Government. Akademia named after Jakuba z Paradyża w Gorzowie Wielkopolskim, Państwowa Wyższa Szkoła Wschodnioeuropejska w Przemyśl, Brest State University named after A.S. Pushkin, Gomel State University named after Francis Skoryna.

The participants of the conference were welcomed by the rector of the Ostroh Academy National University, professor I.D. Beekeeper. He spoke about the history of the Ostroh Academy and the opening of the Department of Public Health at the university. ID. Pasichnyk noted that scientists and practitioners present at the conference make an invaluable contribution to the development of healthcare in Ukraine.

Ostroh Mayor O. Shiker was invited to the conference. He spoke about the historical city of Ostrog and what an important place the Ostrog Academy occupies in the city and in the country, and also wished the participants of the conference fruitful work and success.

The head of the organizing committee I.V. Hushchuk National University “Ostroh Academy”. The health of the population is one of the greatest values ​​of society and the main criterion for the quality of life of the population. At the international level, this is indicated in the European strategic plan “Health-2020: The Foundations of European Policy to Support the Actions of the State and Society in the Interests of Health and Well-being.” These provisions are also declared by the Constitution of Ukraine, Article 3 of which states: “A person, his life and health, honor and dignity, inviolability and security are recognized as the highest social value in Ukraine.” Compared to European countries, the mortality rate in Ukraine is almost twice as high. The problems that exist today in the field of public health pose a threat to the national security of the state and require an immediate solution. The development of the public health system in Ukraine is possible only through the development and approval of the relevant Concept, Strategy, Action Plan, and Law and the implementation of the basic principle of “Health care in all state policies”. To do this, it is necessary to organize and carry out a preliminary assessment of the presence of strengths and weaknesses in relation to the basic tasks of health care, a self-assessment of the performance of the main 10 operational functions in the field of health care (according to the methodological toolkit of the WHO/Europe). It is necessary to urgently take measures to introduce the specialty and specialization “Public Health” and to implement the corresponding training programs for basic and postgraduate education.

N.S. Polka is a corresponding member of the National Academy of Sciences of Ukraine, State University “Institute of Hygiene and Medical Ecology named after OHM. Marzeeva National Academy of Sciences of Ukraine”, Kyiv. Today, a public policy aimed at preserving the health of the people has been announced and is being implemented in Ukraine. It requires certain efforts on the part of hygienists, because according to the criteria of effectiveness and efficiency, the preventive direction in health care is a priority, and modern prevention strategies must take into account the realities and problems of today, new challenges and threats, combine previous experience of preventive work and the latest scientific achievements. The set tasks are solved through close interaction and cooperation between practice and medical science with the support of the state. This approach will make it possible to outline strategic steps for the future and to implement rational and economically effective actions in the interests of the people’s health. The order of the day is the creation of new legislative bases for the activity of the sanitary-epidemiological service of Ukraine, a national regulatory framework oriented towards the future. According to the requirements of the times, scientists are moving to complex and regional regulation, taking into account the contribution to the total chemical burden on the population of pollution of drinking water, water of open bodies of water, atmospheric air, soil, and many environmental factors. The main direction of scientific activity and the plan of scientific research in the field of hygiene and medical ecology is the study and assessment of the state of the environment in Ukraine, the influence of environmental factors on the health of the population, and the justification of preventive measures.

V. Verteletskyi, USA (Mobile, Alabama). In his speech, he noted that the purpose of the visit was to establish international relations with Ukrainian specialists and collect information about the effects of radiation after the Chornobyl disaster and its impact on Ukraine’s GDP. He also offered the experience of reforming the health care system in Ukraine, approaches to work organization, the basics of training models for health care specialists, and the peculiarities of regulatory regulation of the health care sector in our country.

Ukrainian doctor, head of the Ukrainian Medical Society in Lviv, Doctor of Medicine, Professor A.Ya. Bazilevich told the audience about the development of healthcare and education in Ukraine. The quality of education is the basis of ensuring and improving the quality of life of the population as the main goal of the existence of any state of the XXI century. Ensuring the quality of education is the main basis of the educational activity of the university, one of the most important conditions for trust, mobility, motivation of students, compatibility, and attractiveness of studying at the university. The concept of education quality is broader than the concept of specialist training. It is revealed in the need to prepare the Personality.

Deputy head of the Ministry of Health O.V. Sivak notes, “We want to build a system that will change not only state approaches but also the consciousness of every person. To do this, we will spread knowledge and truthful information, for example, about the products they consume, the air they breathe, the bodies of water where they rest, and the medical services they need to stay healthy.” Create a unified system of public health. This means that every head of central and local executive authority will consider the consequences of their decisions for public health and prioritize measures that will help people avoid illness and injury. This is not a quick process with a lot of ingredients. Adoption of the document introduces the process of strategic planning of the development of the system with the involvement of interested parties, planning the event at the national, regional, and local levels. The concept lays the foundations for reorienting the focus of the health care system from the treatment policy to the policy of strengthening and preserving health and preventing diseases, which will be felt by every citizen of Ukraine. To reduce the impact of non-communicable diseases, an approach is being implemented that will give people the opportunity to make a choice of measures aimed at strengthening their health. This will also make it possible to expect and demand, from local self-government bodies in particular, to make appropriate decisions. The approval of the Concept will bring closer the practical realization of the tasks of preserving health and a full life of people, as one of the most important goals of the world community, reflected in the foundations of the European policy “Health-2020: the foundations of the European policy in support of the actions of the state and society in the interests of health and well-being” and in the Association Agreement between Ukraine and the EU. The implementation of the Concept will give impetus to the development of the public health system in Ukraine, including the comprehensive reform of the health care system.

M.S. Kuzio Deputy Minister of Ecology and Natural Resources of Ukraine for European Integration. The Law of Ukraine “On Protection of the Natural Environment” (Articles 20, 22) provides for the creation of a state environmental monitoring system (hereinafter referred to as the Environmental Monitoring System) and monitoring of the state of the natural environment and the level of its pollution. The performance of these functions is entrusted to the Ministry of Natural Resources and other central executive bodies, which are subjects of the state environmental monitoring system, as well as enterprises, institutions, and organizations whose activities lead or may lead to the deterioration of the environment. The main principles of the operation of the DSMD are determined by the Cabinet of Ministers of Ukraine Resolution No. 391 dated 30.03.1998 “On approval of the Regulations on the State Environmental Monitoring System”. At present, in the state system of environmental monitoring (hereinafter referred to as “DSMD”), the functions and tasks of observation and information support are performed by 8 entities of the monitoring system: the Ministry of Natural Resources, the Ministry of Emergencies, the Ministry of Health, the Ministry of Agriculture, the Ministry of Housing, Commune and Agriculture, the State Water and Agriculture Organization, the State Committee for Forestry, and the State Committee for Land Management. Each of the subjects of the DSMD monitors those environmental objects defined by the Regulation on the state system of environmental monitoring and the rules and regulations on state monitoring of individual components of the environment.

Dr. Antonio Olak University of Rzeszów. Our university is the largest modern higher education institution in south-eastern Poland, where great attention is paid to the professional development of students and their future. The university is designed to provide universal knowledge. The concept of education, based on scientific research carried out by outstanding specialists and aimed at students’ acquisition of practical skills, takes into account the world trends in the development of science and various needs of the labor market. Thanks to the constant development of international cooperation with Ukrainian scientific centers in the field of scientific research and education, university students can participate in international exchange programs, the event was attended by doctors and candidates of sciences, professors, senior lecturers, postgraduate students, master’s students of institutions of higher education: State University “Institute of Public Health” I am O. M. Marzeev National Medical University of Ukraine”, National Medical University named after O.O. Bogomolets, PVNZ “International Academy of Ecology and Medicine”, National University “Kyiv-Mohyla Academy”, Lviv National Medical University named after Danyla Halytskyi, KNU named after Taras Shevchenko, Kyiv National University of Economics named after Vadym Hetman, National Medical Academy of Postgraduate Education named after P. L. Shupyk, Military Academy, directors of medical schools and colleges, state institutions, doctors of private enterprises, etc. The geography of the conference participants covered Kyiv, Zhytomyr, Lviv, Rivne, Lutsk, Ternopil, Dnipro, Kremenets, Kharkiv, Odesa, Zaporizhzhia, Kherson, Chernivtsi, Poltava, Dubno, Ostrog.

During the plenary and sectional meetings, the participants gave reports on fundamental and applied research in the field of public health, disease prevention and health promotion, environmental hygiene and medical ecology, social and hygienic monitoring, assessment of medical and environmental risks, management in public health protection, biosafety, mental health, regulatory and legal support of the public health protection system, personnel policy in the field of public health, problematic issues on the way to the development of the public health protection system. They discussed the dynamic nature of threats of anthropogenic and natural origin, becoming global in nature, actualizing the issues of research related to the protection of public health at the scientific-theoretical and practical level, as one of the basic components of Ukraine’s national security.

According to the results of the conference, the participants who made the best reports and took an active part in the work and organization of the conference were awarded certificates of the conference organizing committee.

Representatives from the “International Academy of Ecology and Medicine” PVNZ were associate professor of the department of fundamental disciplines with a course in pharmacology, PhD. Vergolyas M.R. and 3rd year student Rathore Devendra Singh. They gave a report on the topic “Ecotoxicological assessment of natural water safety”. They talked about the problem of water pollution in most countries of the world, including Ukraine. Changes in environmental factors caused by growing anthropogenic influence lead to a threatening situation regarding the survival of living organisms and human health. Therefore, in the complex of measures aimed at preventing negative health effects related to the factors of the water environment, an important place should be the assessment of water quality, in particular its safety for humans. In his works, he obtained data on the detection of changes in hematological indicators and the manifestation of abnormal nuclei in the cells of hydrobionts under the influence of fresh water pollutants, as a result, they can be extrapolated, to a certain extent, to human health, taking into account the fact that river water is one of the main drinking water supply sources for the population of Ukraine and other European countries.

After a successful report, they received certificates from the conference organizing committee and their work was published in the conference proceedings.