The research substantiates Japanese experience of media literacy and oral communication skills development by digital storytelling (DST); reveals theoretical background and current practical application of DST in higher education of Japan. DST has significant advantages as an individual- and situation-oriented tool of oral communication as well as the instrument of psychological and learning influence on society. It is continuously
implemented into Japanese educational and social practice. Famous universities of Japan initiate and
realize scientific and academic projects, extending communication connections of Japanese
population, improving their skills of critical thinking and argumentation, developing desires and
abilities to communicate freely, fluently, confidently and persuasively.
At present DST shows a positive growing tendency as a teaching and learning tool in higher
education of both Japan and Ukraine. This is primarily linked with the global processes of social
digitalization, computerization of education and urgent transferring to distance learning due to the
COVID-19 pandemic. Evidence-based studies prove the efficacy of DST as the learning and
evaluation instrument of oral communication skills, i. e. in English. Moreover, the technology can
be applied in different specialties, i. e. medical one. The healthcare branch was drastically influenced
by quarantine restrictions, having resulted in fundamental transformations of teaching and learning
approaches, implementation of e-learning and telemedicine. DST has a confirmed positive influence
on public health and medical knowledge development. In higher medical education it can be used
as a new type of virtual patients. DST can improve physician-patient communication skills,
professional qualities, tolerance and empathy. 

Persistent left superior vena cava (PLSVC) is not uncommonvenous return anomaly (0,3-0,5% of the general population). It is usually asymptomatic but can complicate transvenous cardiac interventions, particularly implantations of cardiac pacemakers. An 84-year-old woman was referred tohospitalwith frequent syncopal episodes, dizziness, and fatigue. ECG showed atrial fibrillation with bradycardia (35-40 bpm). The patient was fully investigated and was qualified for permanent single-chamber pacemaker implantation.The patient had an isolated persistent left superior vena cava (PLSVC). Additionally, she had right breast cancer, therefore we performed left axillary access for pacemaker implantation. The pacing lead was inserted via left axillary vein through the PLSVC to the coronary sinus. Afterwards, we looped lead in the right atrium which helped us to put it through the tricuspid valve and implant the lead in apex of right ventricle (RV). All lead measurements (sensing, threshold, impedance, slew rate)at implantation were acceptable. The patient was discharged three days post-implantation without any complications. In a 1-year follow-up we have noticed good lead parameters at interrogation and stable lead position on the X-ray. Certainly, clinicians must be aware of this anomaly and the challenges it presents during pacemaker implantation in affected patients, as well as potential solutions to address these challenges.

Метою цієї статті є аналіз клінічного випадку пацієнта із пейсмейкерною тахікардією. Пейсмейкерна тахікардія може розвиватись лише у пацієнтів із двокамерним або трикамерним кардіостимулятором та збереженим вентрикулоатріальним проведенням. Механізмом пейсмейкерної тахікардії є штучне ріентрі за участю кардіостимулятора. Ретельне дообстеження пацієнта, холтерівське моніторування ЕКГ та перевірка кардіостимулятора є основними стратегічними підходами для коректного встановлення діагнозу пейсмейкерної тахікардії та диференціації її із іншими видами аритмій. Для запобігання виникнення пейсмейкерної тахікардії необхідно бути добре ознайомленим із антитахікардитичними алгоритмами роботи кардіостимуляторів різних моделей. Першочергово рекомендовано завжди вмикати алгоритми автоматичної детекції та усунення пейсмейкерної тахікардії, чого переважно вже достатньо для коректної роботи пристрою. У випадку необіхдності варто додатково розглянути такі варіанти, як пепепрограмування післяшлуночкового передсердного рефрактерного періоду (PVARP) та А-В затримки. При адекватному програмуванні кардіостимулятора, повторних рецидивів пейсмейкерної тахікардії переважно вдається уникнути. Довготривалий прогноз у пацієнтів із пейсмейкерними тахікардіями є сприятливим.

UDC 619:616.98:578.833.1/.2:595.771:578.822.1:636:592.8/599

The active ingredient of the preparation Viroden, developed in Ukraine, is the mosquito densovirus. This virus has a wide tissue tropism and affects all phases of ontogenesis. It reproduces itself in the mosquitos salivary gland cells, but unlike arboviruses, it is harmless for humans and vertebrates. It is well established that simultaneous infection of an insect with different viruses is often accompanied by the phenomenon of interference, whereby the reproduction of one or both viruses is suppressed in the insects body. Consequently, it was reasonable to investigate the results of concurrent infection with an arbovirus and a mosquito densovirus. Laboratory experiments demonstrated that mosquito densovirus suppressed the reproduction of West Nile, Sindbis, and Batai viruses in the mosquitos body, resulting in a significant decrease in their infective titers as well as a reduction in the transmission factor during blood-feeding. The relevance of this research is determined by the increasing levels of biological threats posed by zoonotic transmissible viral infections common to humans and animals. According to the predictions of experts, in light of the processes of globalization and climate change, this may result in the emergence of new pandemics and panzootics

Rabies is an especially dangerous anthropozoonosis caused by viruses of the Rabdoviridae family, genus Lyssavirus, known for over 4,000 years. There is no effective antiviral treatment for rabies, although immunobiological drugs have been developed, the timely application of which can prevent a fatal outcome in humans. Protection of the population from rabies includes control of zoonotic reservoirs and sources of the pathogen infection. The aim of the study was to assess the epizootic-epidemiological situation of rabies in Ukraine and Poland, considering risks caused by the active phase of the Russian-Ukrainian war. A comprehensive epidemiological method was used to analyze state official data regarding indicators of the epizootic process of rabies, the number and nature of human injuries due to animal attacks, and to determine trends during 2021–2023. A comparative-descriptive technique was applied to compare the effectiveness of vaccination against rabies in domestic, pet, and wild animals and to assess the risks of changes in the epizootic situation. Since the 1940s, a natural focal ecotype of rabies has formed in the Eastern European region, where wild carnivores are reservoirs and pathogen sources. In Ukraine, combined foci are registered with the natural focal ecotype of rabies, involving dogs, cats, and large and small ruminants in the epizootic process. The epizootic rabies situation in Ukraine worsened during the war due to the disruption of animal vaccination, increased feral domestic and farm animals, especially in the combat zone, and the cessation of regulating the normative number of red foxes. The epizootological well-being in Poland could be compromised if the rabies disaster area spreads from the border territories of Ukraine. There are real risks of worsening the epizootic-epidemiological situation of rabies in Ukraine, posing a threat of transboundary spread to other countries.