TIME PATTERN OF RADIONUCLIDE EMISSIONS AND DISCHARGES INTO THE NATURAL ENVIRONMENT OF THE PIVDENNOUKRAINSKA NPP SURVEILLANCE ZONE. / ДИНАМІКА ВИКИДІВ ТА СКИДІВ РАДІОНУКЛІДІВ У ПРИРОДНЕ СЕРЕДОВИЩЕ ЗОНИ СПОСТЕРЕЖЕННЯ ПІВДЕННОУКРАЇНСЬКОЇ АЕС.

OBJECTIVE: assessment of impact of operation of the Pivdennoukrainska Nuclear Power Plant (PUNPP) on the environment of surveillance zone (SZ) based on parameters of radiation monitoring within 2015-2021 period. METHODS: socio-hygienic (analysis of the radiation monitoring parameters), analytical, statistical. RESULTS: The environmental radiation impact associated with emissions and discharges of radioactive substances originated in the production cycle of the PUNPP in everyday conditions was found as insignificant. The gas-aerosol atmospheric emissions of inert radioactive gases, long-lived nuclides, and 131I did not exceed the established permissible levels (PL) and amounted to a hundredth of a percent of the emission limit (EL) for the inert radioactive gases and long-lived nuclides, and a thousandth of a percent for radioactive iodine. Total atmospheric emissions of the 51Cr, 54Mn, 59Fe, 58Co, 60Co, 90Sr, 95Zr, 95Nb, 134Cs, 137Cs, and 3Н radionuclides by the PUNPP power units (actual and % of EL) did not exceed the established PL. Maximum average values of atmospheric air concentration of 137Cs in SZ forthe 2015-2021 period ranged from 2.858 µBq/m3 (PUNPP industrial site) to 1.986 µBq/m3 (Riabokoneve village, 33.5 km distance), and maximum average values of the 90Sr air concentration were from 1.310 µBq/m3 to 0.566 µBq/m3, respectively. According to radionuclide monitoring no significant change of the quality of surface water occurred upon the PUNPP discharges to the Pivdennyi Bug River. Specific activity of the 137Сs in agricultural products in the PUNPP SZ was insignificant and not exceeding the PL of the content in food products. Content of 137Cs in the samples from the PUNPP SZ did not exceed 1.0 % of the total activity. CONCLUSION: Average concentration of radionuclides in atmospheric air of the settlements in the PUNPP SZ was several orders of magnitude lower than that established by regulatory documents. The PUNPP discharges to the Pivdennyi Bug River, according to radionuclide parameters that are monitored, have not significantly changed the quality of surface water. The content of 90Sr and 137Cs was uniform in all observation radii of distance from the NPP, confirming the very low level of 90Sr and 137Cs environmental emission by the PUNPP. The content of 137Cs in agricultural products within the PUNPP SZ was significantly lower than PL.

PRE-WAR STATE OF INFORMATION PROVISION OF THE POPULATION OF SURVEILLANCE ZONES ON THE SAFETY OF NUCLEAR ENERGY FACILITIES. / DOVOIeNNYI STAN INFORMATsIINOGO ZABEZPEChENNIa NASELENNIa ZON SPOSTEREZhENNIa Z PYTAN' BEZPEKY OB'IeKTIV IaDERNOÏ ENERGETYKY.

OBJECTIVE: to assess the state of information needs of the population and its provision by local governments on the safety of nuclear energy facilities and community preparedness for emergencies at nuclear power plants (NNP). MATERIALS AND METHODS: To determine the information needs of the population, a survey of the working population of the surveillance zone (SZ) of the NPP was conducted using unique probability sampling, where the sample was 322 people and the sampling error was 5.4 % with a confidence interval of 95.0 %. The issues of population behavior in case of emergencies at NPPs were studied. The assessment of the quality of the information content of the official websites of the executive authorities and local governments of various levels on radiation safety issues was carried out. RESULTS: The population of the SZ NPP considers the most effective information at the place of work, through neighbors, friends, from State Emergency Service specialists. Among information channels, the first place in terms of efficiency is occupied by Internet resources and social networks; the press and television occupy the second position, but remain convenient for the majority of the population. The most popular information related to NPP activities are: radiation status, environmental impact, benefits and subventions, such as compensation for the risk of living near NPPs, conditions of storage and disposal of radioactive waste. The preparedness of communities and the behavior of the population, in case of an emergency at the nuclear power plant, has been practiced in the satellite city and partially in the cities, but the rural population understands the sequence of actions much worse. CONCLUSION: Information support in NPP satellite cities is significantly better compared to rural areas of SZ. Bodies of executive power and local selfgovernment of the NPP SZ do not perform their function of informing the population on radiation safety and community readiness for emergencies through their official websites. The problem of information support of territorial communities is one of the most important to prevent the consequences of emergencies.

[Low doses of quetiapine (Seroquel) as an impulsivity corrector in patients with bipolar affective disorder in remission]. / Nizkie dozy kvetiapina (Serokvelya) v kachestve korrektora impul'sivnosti u patsientov s bipolyarnym affektivnym rasstroistvom v remissii.

OBJECTIVE: To evaluate the effectiveness of low doses (25-75 mg/day) of quetiapine (Seroquel) in patients with bipolar affective disorders in a euthymic state with signs of impaired impulse control. MATERIAL AND METHODS: The main criteria for patients' selection were as follows: both sex, diagnoses of bipolar affective disorders, remission (euthymic state), adult age (from 18 to 60 years old), stable basic therapy. The duration of the study was 6 weeks, a dose of quetiapine (Seroquel) varied from 25 to 75 mg. The examinations were carried out with the Barratt scale, computerized Go-No-Go and Balloon tests. RESULTS: The study group included 32 patients (11 men and 21 women), mean age 31.2±9.7 years (minimum 18, maximum 60 years). The changes in Barratt total score (p=0.000014, Wilcoxon test, effect size 0.48) and Balloon total earnings (p=0.03, Wilcoxon test, effect size 0.22) were statistically significant and reflected clinically significant improvement. The changes of the indices of the Go-No-Go test were not significant. The data of fMRI showed an increase in the connectivity of the cortex of the central and parietal tegmentum of the left hemisphere with other areas of the brain, which correlated with the changes in psychometric and test parameters. CONCLUSION: The results of the study showed that add-on of the low doses of quetiapine (Seroquel) significantly decreases impaired impulse control in remitted patients with bipolar affective disorders both in self-evaluation and in risk-taking experimental test. The drop of high level of impulsivity can improve the quality and stability of remission and reduce behavioral risks due to impaired impulse control.

[Study of the efficacy and safety of sequential use of the drugs Mexidol and Mexidol FORTE 250 in the treatment of stroke]. / Issledovanie effektivnosti i bezopasnosti posledovatel'nogo primeneniya preparatov Meksidol i Meksidol Forte 250 pri lechenii bol'nykh s ostrym ishemicheskim insul'tom.

OBJECTIVE: To evaluate the effect of Mexidol on the recovery of cognitive functions in patients after ischemic stroke (IS). MATERIAL AND METHODS: We examined 70 patients with acute IS, who were randomized into 2 groups by random sampling; The 1st group consisted of patients who, against the background of the main standard therapy for 14 days, received Mexidol intravenously, 500 mg 1 time per day, followed by oral administration of Mexidol FORTE 250, 750 mg per day for 60 days (40 patients; 28 men, 12 women). Group 2 consisted of 30 patients (21 men, 9 women) who received only standard therapy. RESULTS: Baseline scores on the MoCA and MMSE scales did not differ between the two groups. Retesting showed that the improvement on these scales was statistically more significant in the 1st group. The analysis of indicators of the evoked potential P300 confirmed a more pronounced positive trend in the 1st group (p<0.01). CONCLUSION: The use of sequential therapy with Mexidol is accompanied by a more complete recovery of cognitive functions in patients who have undergone IS.

HEALTH IN THE SYSTEM OF VALUES OF THE POPULATION OF THE SURVEILLANCE ZONES NUCLEAR POWER PLANTSS. / ZDOROV'Ia V SYSTEMI TsINNOSTEI NASELENNIa ZON SPOSTEREZhENNIa ATOMNYKh ELEKTROSTANTsII.

OBJECTIVE: to determine the place of health in the system of values of the population of the surveillance zone (SZ)of nuclear power plants (NPPs) and its importance in the perception of emergency risks (ER). MATERIALS AND METHODS: To determine the place of health in the value system, a survey of the able-bodied popula-tion of satellite cities of Rivne (RNPP) and South Ukrainian (SUNPP) nuclear power plants was conducted using non-repetitive sampling, where the sampling error does not exceed 7,0 %. The motivational and behavioral componentthat determined health in the individual hierarchy of values of the subject according to the questionnaireBerezovskaya R. A. was studied. Statistical and mathematical methods were used in the research process. RESULTS: The array of respondents was conditionally divided into 4 groups according to their attitude to humanhealth. And the group where a person's life position is focused exclusively on health is the most common - 77,0 %.Group IV, which wants to live without limiting itself, is 8,1 %. The component integrity of values-goals and values-means among the urban population of the SZ of both nuclear power plants is the same: the main goal in life is health,happy family life, and as a means - perseverance, diligence and health. Goal values in groups I and IV have somedifferences: in the first group of respondents the main goal in life is health, and in the fourth, where a person's lifeguidelines exclude any restrictions - a happy family life. Values for these populations have some differences, but inboth groups health appears to be the main means to an end. There is a close correlation between the core of termi-nal values and the average indicators of the state of concern about the risk of emergencies. CONCLUSIONS: Identified hierarchy of values: a group of stable dominant values; average status values; group of leastsignificant values. The values of the highest status among the values-goals are - health, happy family life and inte-resting work. Most respondents plan to achieve them through values such as «health¼, «perseverance and hardwork¼. There is a close correlation between the core of terminal values and the average indicators of the state ofconcern about the risk of emergencies.

[Diabetes mellitus and cancer: a system of insulin-like growth factors].

Diabetes mellitus and malignant tumors are among the most common and complex diseases. Epidemiological studies have shown a strong relationship between these pathologies. The causality of this relationship has not yet been unambiguously established, but a number of probable biological mechanisms have been proposed to explain it through the effects of hyperglycemia, hyperinsulinemia on the process of oncogenesis. An important role in this is played by the axis of insulin-like growth factors, their receptors and binding proteins (IGF / IGFR / IGFBP). The review provides data on the structural elements of the insulin / IGF / IGFR / IGFBP signaling axis and their internal relationships in diabetes mellitus and in the development of malignant tumors. Significant changes in the axis that occur during the formation of the diabetic environment prepare the background, which, under certain conditions, can lead to the stimulation or inhibition of tumor development. The considered signaling system, playing a significant role in the physiology of normal cells, often functions as a decisive factor in the survival of tumor cells, providing fine context-dependent regulation of many cellular processes associated with oncogenesis. However, despite many years of in-depth studies of the pathogenesis of diabetes mellitus and malignant tumors, the molecular mechanisms of the relationship between these pathologies are still largely unclear, and the internal heterogeneity of pathologies complicates research and interpretation of the results, leaving many questions.

[Oxidative stress in schizophrenia as a promising target for psychopharmacotherapy]. / Oksidativnyi stress pri shizofrenii kak perspektivnaya mishen' dlya psikhofarmakoterapii.

Until now, only dopamine receptor blockers are used for psychopharmacotherapy of schizophrenia, despite the active search for alternative pharmacological agents and a lot of research. However, most of these studies concerned molecules that somehow affect various neurotransmitter receptors. In addition, various anti-inflammatory drugs have been studied quite actively. At the same time, attempts to correct oxidative stress are given significantly less attention, although the emergence of the latter is facilitated by completely different pathophysiological processes and environmental factors associated with the development of schizophrenia. NMDA receptor blockage, vitamin D deficiency, social isolation, chronic stress in adolescence, inflammation, perinatal infection etc. - all this can ultimately lead to the occurrence of oxidative stress. However, there is a significant difference in the severity of this process depending on the stage of the course of schizophrenia, which probably partially explains the heterogeneity of results of the studies on the oxidative stress biomarkers in this disorder. In order to overcome these methodological problems, it seems promising to conduct double-blind studies of the effectiveness of antioxidants in schizophrenia with the selection of groups of patients taking into account the stage of the disorder and the level of certain biomarkers of oxidative stress (F2-isoprostanes, 8-oxodG, 8-oxoGuo). The optimal pharmacological agents for such studies are N-acetylcysteine due to the positive results of previous studies, and melatonin as an antioxidant with a unique activity profile.

[Multiple hepatocellular adenomas and renal cell carcinoma associated with anabolic androgenic steroids]. / Mnozhestvennye gepatotsellyulyarnye adenomy i pochechnokletochnyi rak, assotsiirovannye s priemom bodibilderom anabolicheskikh androgennykh steroidov.

The authors report a rare case of combination of chromophobe renal cell carcinoma Grade 2 pT2aN0 with multiple hepatocellular adenomas in a 31-year-old bodybuilder who received anabolic androgenic steroids at high doses for 8 years. According to MRI data, over 15 liver adenomas and tumor in the lower segment of the right kidney were detected. The patients underwent laparascopic resection of the right kidney and liver segments 2, 3 and 4 with large adenomas. Histological study and immunohistochemistry revealed no malignancy signs in hepatocellular adenomas. Nuclear ß-catenin expression was absent. Kidney tumor had a structure of chromophobe renal cell carcinoma. The patient is currently being followed-up due to residual small liver adenomas. In our opinion, liver adenomatosis and renal cancer have the same cause in this case (chronic toxic effect of androgens).

[An effect of cholinesterase blockade on negative symptoms in schizophrenia]. / Vliyanie blokady kholinesterazy na negativnye rasstroistva pri shizofrenii.

Abstruct. OBJECTIVE: To assess the possibilities of influencing the severity of negative disorders in schizophrenic patients with cholinesterase blockade. MATERIAL AND METHODS: The study included stable 26 patients (13 of them women), average age 40.4 (SD 11.7) with paranoid schizophrenia, episodic form according to ICD-10). All patients received antipsychotic therapy, which was not changed at least for 2 months. We used psychometric scales (Positive and Negative Syndrome Assessment Scale (PANSS), Global Functioning Scale (GAF), neurocognitive techniques (Brief Assessment of Cognition in Schizophrenia-BACS), projective psychological techniques (Rorschach test). RESULTS AND CONCLUSION: The results of the study showed that augmentation of maintenance antipsychotic therapy with a cholinesterase blocker (ipidacrine at a dose of 20 mg per day) had positive impact on negative symptoms, decreasing the severity of emotional deficiency. The positive changes of cognitive impairment, measured with BACS, occurred regardless of changes in the severity of negative disorders, measured with PANSS. The Rorschach test showed an improvement in the conventional orientation of the patients' thinking. No exacerbation of psychotic symptoms was registered.

[The efficacy and safety of eculizumab biosimilar in patients with paroxysmal nocturnal hemoglobinuria. Results of a phase III randomized open-label comparative clinical trial].

AIM: To establish the equivalent efficacy and comparable safety profile of biosimilar Acveris and referent eculizumab product Soliris used for the treatment of paroxysmal nocturnal hemoglobinuria (PNH). MATERIALS AND METHODS: Were included in the phase III multicenter 28 PNH patients, open-label clinical trial. Participants were randomized (1:1) into 2 treatment groups: investigational product (Acveris, n=14) and referent product (Soliris, n=14). Patients received eculizumab as the intravenous infusion 600 mg once a week during the first 4 weeks, 900 mg at week 5 and then 900 mg every 14 days (2 days) up to week 27 of the study. The efficacy, pharmacokinetics, pharmacodynamics, safety and immunogenicity of the compared products were analyzed after the end of 27 weeks of the study. The primary efficacy endpoint was the area under the curve LDH concentrationtime (AUCLDH) throughout the study period weeks 527. RESULTS: The difference between the mean AUCLDH values between the Acveris and Soliris groups was 5380.0 [-38 773.87; 49 533.87] U/ldays. The 95% CI limits for the difference in mean AUCLDH values between the groups fit the preset 95% CI [-146 500.9146 500.9] U/ldays and establish the equivalent efficacy of the biosimilar and referent product according to the primary efficacy endpoint. The safety profile of both Acveris and Soliris was expected and comparable according to the proportion of patients with adverse events. The formation of binding antibodies to eculizumab was not detected in both the groups. CONCLUSION: The study established the equivalent efficacy of biosimilar product Acveris and referent eculizumab product with the evidence of effective suppression of intravascular hemolysis in PNH patients along with a comparable favorable safety profile.

ECOLOGICAL DETERMINANTS IN THE FORMATION OF THE POPULATION'S ATTITUDE TO THE DEVELOPMENT OF NUCLEAR ENERGY. / EKOLOGIChNI DETERMINANTY U FORMUVANNI STAVLENNIa NASELENNIa DO ROZVYTKU ATOMNOÏ ENERGETYKY.

OBJECTIVE: Evaluation of the key environmental determinants that shape the response of the social environment tothe activities of nuclear power plants. MATERIALS AND METHODS: The poll was conducted in the observation zone (OZ) of the South-Ukrainian NPP (SUNPP).A repetition-free probabilistic selection was used in the population survey. The sample of respondents from the population of the SUNPP OZ was 322 people with the sampling error of 5.4 % and confidence interval of 95.0%. An ordinal 5-point measurement scale was used to assess the quality of life and anxiety, and nominal measurement scaleswere used for other issues. All the age groups of population from 20 to 65 years were taken into account. The sociohygienic, sociological, statistical and mathematical research methods were applied in the process of work (relativevalues, averages, reliability of paired differences according to Student's t test). RESULTS: The level of perception of radiation risk by the population of the NPP OZ was the lowest among respondentsof satellite cities of Rivne NPP (RNPP) and SUNPP compared to the population of rural settlements and cities of theOZ. Storage and shipment of radioactive waste are the determinant among the factors that form an environmentalthreat to the population of OZ as a result of NPP activities. Social factors that determine the assessment of environmental safety of NPP activities are employment at the NPP, place of residence, gender, age, level of education of thepopulation, etc. The «Ch-image¼ of the ecological catastrophe formed in the population of Ukraine as a result of theChNPP accident , regardless of the place of residence on the territory of Ukraine, influences behavior, formation ofplans and assessments, especially in population living near the ionizing radiation sources. CONCLUSION: The current legislation governing the relationship between functioning NPPs and the communities inwhich they are located needs to be improved, guided by the basic principle of environmental public health - socialjustice, i.e. the human right to a healthy environment. It means that the settlements of the OZ (communities)receive funds to compensate for risk living in compliance with certain safety rules to maintain health. Legal regulation and constant awareness of population are the main directions for the formation of adequate assessments.

[Modern approaches and prospective directions in treatment of acute sensorineural hearing loss following acoustic trauma]. / Sovremennye podkhody i perspektivnye napravleniya v lechenii ostroi sensonevral'noi tugoukhosti akutravmaticheskogo geneza.

The article presents a review of the literature on the treatment of acute sensorineural hearing loss, acoustic trauma in people exposed to impulse noise. Groups of the most used drugs for the pharmacological correction of hearing impairment in this pathology are present, such as glucocorticosteroids, antioxidants, nootropics, antihypoxants, and others, are covered. Particular attention is paid to use of drugs taking into account the main links of pathogenesis.

Decrease in 130 kDa- amyloid protein precursor protein (APP) and APP protein ratio in schizophrenia platelets.

Cognitive dysfunction is common among people with schizophrenia. The molecular substrates underlying this remain poorly understood. To address this, we analyzed changes in amyloid precursor protein (APP) in platelets of people with acute schizophrenia (n=24) and control subjects (n=20) by ECL-immunoblotting. APP bands corresponding to molecular masses of ∼130, ∼110 and ∼100 kDa, and the APP ratio (APPr: highest APP molecular mass vs lowest APP molecular mass bands) were quantified. The intensity of 130 kDa-APP and the APPr were significantly reduced in schizophrenia patients compared to control subjects. The age-associated decreases in the 130 kDa, ∼110 kDa proteins and APPr were present in patients, but not controls. Our results confirm peripheral APP metabolism is altered in people with schizophrenia. Further work is now warranted on a larger sample of diseased subjects with detailed cognitive assessment to determine the APP role in cognitive processing in schizophrenia, how it is related to severity and disease progression, as well as outcomes.

IMPACT OF THE RIVNE NPP ACTIVITY ON NATURAL AND SOCIAL ENVIRONMENT OF THE CONTROL AREA. / VPLYV DIIaL'NOSTI RIVNENS'KOÏ AES NA PRYRODNE TA SOTsIAL'NE SEREDOVYShchE ZONY SPOSTEREZhENNIa.

OBJECTIVE: To assess an impact of the Rivne Nuclear Power Plant (RNPP) activity on the control area (CA) environ- ment according to environmental and radiation monitoring data over time of 2011-2017 as a component of the radiation safety system. MATERIALS AND METHODS: Review of geographical and natural features of the territory of the «Rivne NPP¼ manufac- turing facility was carried out to assess its CA environment. Assessment of environmental and radiation situation of the CA was carried out according to the data of RNPP monitoring systems and a number of state institutions of Rivne oblast over time of 2011-2017. Opinion of the CA population about the RNPP environmental impact was studied. The sampled population of respondents was calculated based on the total population living in CA. The sampling error no more that 7.0%. Data from sociological survey of population were calculated using the statistical programs. RESULTS: The radiation impact of RNPP on environment is related to emissions and discharges of radioactive sub- stances generated in the production cycle. Over time the total index of radionuclide discharge to the Styr River since 2011 is of a marked downward trend from 2.11 % to 0.18 %. The maximum concentrations of 60Co and 137Cs radionuclides at the three sampling points along the Styr River over time of 2011-2016 were about one thousandth of a percent, and of 131I - one hundredth of a permissible value according to the Radiation Safety Standards of Ukraine (RSSU). Emissions of inert radioactive gases and long-lived nuclides into the atmosphere were less than 0.2 % and iodine emissions were 0.01 % to the emission limit. Average radionuclide concentrations in the natural air of the RNPP CA settlements did not exceed the admissible concentration limit (ACL). Concentrations of chem- ical pollutants in discharges of the RNPP to the Styr River over time of 2012-2017 did not exceed the ACL. Integral wastewaters of municipal enterprises of the CA and RNPP result in an increased index of biochemical oxygen uti- lization and ammonium salt content in the Styr River, exceeding the ACL in fishery reservoir water. No exceedance of ACL of repugnant substances in the open air of settlements was observed regarding the pollutants under study. According to population survey the radiation contamination of territories as a result of the ChNPP accident and RNPP activities, which cause anxiety, are the key factors determining an environmental situation at the place of residence. The correlation coefficients between anxiety index and public estimates of environmental situation are established. CONCLUSIONS: Content of radionuclides in emissions and discharges generated in the RNPP production cycle under everyday conditions does not exceed the allowed RSSU-97 values. The combined discharges of collective enterpri- ses and RNPP are the main sources of chemical pollution of surface waters in CA. There is a higher correlation coef- ficient between the anxiety and somatization rates and environmental sphere parameter in rural population com- pared to urban one. The combined effect of environmental, radiation and psychological factors on the RNPP CA population makes the health studies necessary in the latter.

[Growing of murine tooth in situ by homotopic transplantation of embryonic germ]. / Vyrashchivanie zuba myshi in situ metodom gomotopicheskoi transplantatsii émbrional'nogo zachatka.

Tissue engineering offers to restore the lost tooth using a biological analogue grown from the tooth germ. These technologies provide long-term cultivation of the germ in bioreactor in vitro. The subsequent transfer and growth of the in vitro grown tooth in the jaw is hampered by difficulty of integration of the new tooth with the host tissue. We suggested that growing tooth by homotopic transplantation in situ, that is, immediately in the jaw passing the in vitro stage will help to solve these problems. The aim of the work was to test the hypothesis. The principal possibility of transfer of the tooth germ directly into the jaw and cultivation in situ eliminating the stage in vitro is shown. The results showed a good integration of the grown teeth with the jaw without signs of inflammation and with the appearance of blood vessels in the pulp. At the same time, the results also showed the necessity to improve the preparation of tooth germs for transplantation and surgical procedures.

[The activity of erythrocyte and platelet glutathione reductase and glutathione-S-transferase in paranoid schizophrenia]. / Aktivnost' éritrotsitarnykh i trombotsitarnykh glutationreduktazy i glutation-S-transferazy pri paranoidnoi shizofrenii.

AIM: A comparative evaluation of glutathione reductase (GR) and glutathione-S-transferase (GST) activities in erythrocytes and platelets of patients with schizophrenia. MATERIAL AND METHODS: Fifty patients, 47 men and 3 women, aged 25-56 years (medium 34) with acute paranoid schizophrenia (F20.0 ICD-10) with hallucinatory-paranoid or paranoid syndrome were studied. The control group consisted of 48 healthy people, 45 men and 3 women, aged 21-59 years (medium 38). GR activity was determined by the oxidation of NADP-H in the reduction reaction of oxidized glutathione. GST activity was determined by the rate of chromogenic conjugate formation between glutathione and 1-chloro-2.4-dinitrobenzene. RESULTS: No differences in the erythrocyte GR and GST activities between the control group and patients with schizophrenia were found. The platelet activity of GR and GST was significantly lower in patients compared to the control group (Mann-Whitney U test, p<0.01). Spearman rank correlation analysis showed that the erythrocyte GST activity was significantly correlated with PANSSneg scores when measured at the beginning of the study, GST was higher in those patients who had less PANSSneg scores after treatment (R=-0.41, p<0.05). The activity of platelet GST in patients with schizophrenia was correlated with the severity of positive symptoms (PANSSpos score) at the beginning of the study before taking therapy (R=-0.31, p<0.05), i.e. the more prominent psychotic symptoms were expressed in patients with lower GST activity. Upon completion of therapy, this association disappeared. CONCLUSION: The activity of glutathione-dependent enzymes in the blood cells of schizophrenic patients determined before the beginning of antipsychotic pharmacotherapy may be important for objective assessment of this metabolic system status and the degree of its impairment in patients.

MORBIDITY RATES IN THE NPP SURVEILLANCE ZONE AND RADIOLOGICALLY CONTAMINATED AREAS. / ZAKhVORIuVANIST' NASELENNIa ZONY SPOSTEREZhENNIa AES TA RADIOAKTYVNO ZABRUDNENYKh.

OBJECTIVE: Comparative review of integral variables of mortality rates in children aged 0-17 years and adult popu-lation of the surveillance zone (SZ) of the Rivne NPP (RNPP) with the morbidity level in respective populationgroups of the radiologically contaminated areas (RCA). MATERIALS AND METHODS: Morbidity rates were studied in population of the RNPP SZ (Volodymyretskyi andManevytskyi regions, Varash city) and RCT (Bereznivskyi and Kamin-Kashirskyi regions) according to the official sta-tistical data for 2016. The data set included data on the morbidity rates (from all diseases) and by the classes of dis-eases in children and adults in conversion to the 1000 persons of respective population in Rivne and Volyn oblasts.Morbidity review in children and adults was also carried out according to the «percentile-profile¼ methodology, themethod taking into account the age-related factors of morbidity, and the method of the sum of places.Mathematical, statistical, and programmatic capabilities of Microsoft Office Excel 2007 software were used for cal-culations. RESULTS: Morbidity review in children of the RNPP SZ in 2016 indicates the lowest incidence level in children of theVarash city. Incidence rates in children aged 0-17 years living in the RCA are higher compared with the incidencerates of children of the RNPP SZ. Comparative review of the morbidity rates in adult population of the RNPP SZ indi-cates lower incidence rates by the classes of diseases in adults in Manevytskyi region compared with theVolodymyretskyi region and the city of Varash. The adult morbidity indices are higher in RCT than in RNPP SZ. CONCLUSIONS: According to the results of «percentile-profile¼ approach, the studied areas were selected into the twogroups by a level of overall morbidity below and above the average level. Morbidity levels in children and adults inthe place of residence were distributed in different ways. Method of using the age coefficients of morbidity alloweddetermining the proportions that are related to childhood and adult morbidity in the studied areas. Disease inci-dence in children in the Varash city comprised a lowest share (21.0%) in the RNPP SZ general morbidity. The high-est share was made by children in Volodymyretskyi region of the SZ (49.0%). The highest morbidity level (from alldiseases) in adult population was observed in the Kamin-Kashirskyi region (RCT), in children it was the highest onein Bereznovskyi region (RCT). The lowest general morbidity in adult population was observed in the Volodymyretskyiregion, and in children it was the lowest one in the city of Varash (RNPP SZ).

Oxidative Status in Different Areas of the Cerebral Cortex of Wistar Rats during Focal Ischemia and Its Modulation with Carnosine.

Oxidative status was assessed in different areas of the cerebral cortex of male Wistar rats under normal condition and during permanent 24-h focal ischemia. In intact animals, the level of lipid hydroperoxides in the frontal lobes of both hemispheres was by 36% higher than in other cortical areas, while total antioxidant activity was by 25% higher than in other areas. During ischemia, changes in oxidative status were localized only in the ischemic focus and penumbra zone and did not involve other cortical areas. We demonstrated for the first time a neuroprotective effect of therapeutic administration of carnosine in low doses (50 mg/kg) on parameters of the oxidative status under conditions of focal ischemia comparable to its effect of high doses (500 mg/kg) as well as its local effect in the penumbra zone. A dose-dependent effect of carnosine on antioxidant activity in the penumbra zone during ischemia was also demonstrated. These findings confirm effectiveness of not only preventive carnosine administration, but also its application in the postischemic period of the stroke.

The DNA of Bacteria of the World Ocean and the Earth in Cosmic Dust at the International Space Station.

Cosmic dust samples from the surface of the illuminator of the International Space Station (ISS) were collected by a crew member during his spacewalk. The sampler with tampon in a vacuum container was delivered to the Earth. Washouts from the tampon's material and the tampon itself were analyzed for the presence of bacterial DNA by the method of nested PCR with primers specific to DNA of the genus Mycobacteria, DNA of the strains of capsular bacteria Bacillus, and DNA encoding 16S ribosomal RNA. The results of amplification followed by sequencing and phylogenetic analysis indicated the presence of the bacteria of the genus Mycobacteria and the extreme bacterium of the genus Delftia in the samples of cosmic dust. It was shown that the DNA sequence of one of the bacteria of the genus Mycobacteria was genetically similar to that previously observed in superficial micro layer at the Barents and Kara seas' coastal zones. The presence of the wild land and marine bacteria DNA on the ISS suggests their possible transfer from the stratosphere into the ionosphere with the ascending branch of the global electric circuit. Alternatively, the wild land and marine bacteria as well as the ISS bacteria may all have an ultimate space origin.

[Latent dysphoria: an instrument of screening and diagnosis (preliminary results)]. / Latentnaia disforiia: instrument dlia skriningovoi diagnostiki (predvaritel'nye dannye).

AIM: Latent dysphoria is a kind of emotional disorder. Its key features are floating feeling of dissatisfaction and irritability accompanied with suppression of expression of these emotions. The article is devoted to the development of a screening diagnostic tool (checklist) to screen and evaluate patients with this emotional problem. MATERIAL AND METHODS: Three hundred and ninety-four neurologists (outpatient segment) were surveyed to assess the prevalence of an emotional disorder that met criteria of latent dysphoria suggested by the authors. To develop a diagnostic tool, expert judgement method, with the involvement of 19 experts in different medical fields (psychiatry, psychology, gastroenterology, neurology), was used. RESULTS AND CONCLUSION: The final checklist contained the most typical signs of this disorder according to the opinion of the experts. The procedure of evaluation of these signs was developed. However, the results should be considered as preliminary and clinical psychiatric validation of the tool is needed.