Wepresent a clinical case of the association of CCHBand HLHS in a newborn. The etiological relationbetween these two pathologiesis unclear. According to the literature data, 70–90% of isolated  CCHB are caused  by maternal  anti-Ro  and  anti-La  antibodies,  which  cross  the placenta and lead to fibrosis of the AV nodeor occur due to genetic defects, such as mutations in the SCN5A gene.Other theories suggestthat compromised coronary blood flow in late fetal lifecould  be  a  cause  of  CCHB, as  the  AV-node  artery  is  the  first  and  longest  inferior  septal branch of the right (90%) or left (10%) coronary artery, arising from U-or V-shaped segment of the corresponding artery at the level of the crux cordis. In our case, the level of maternal auto-antibody  titers was  unknown.  It  is  possible  that  the  heartblock could  be  linked to  the structural heart defect –HLHS, which could be the cause of hypoperfusion of AV node in fetal life. Only two similar cases of such combination are described in the literature. Keywords:Pediatric cardiology, congenital heart defect, hypoplastic left heart syndrome, complete congenital heart block, neonates.
Представлено клінічний випадок поєднання гіпоплазії лівих камер серця (ГЛКС) та вродженоїповної  атріовентрикулярної  блокади  (ВПАБ)  у  новонародженого. Етіологічний  зв'язок  між  цими  двома  патологіями  не  з'ясований.  Згідно  з літературними даними, 70-90% ізольованих випадків ВПАБ викликані материнськими анти-Ro і анти-La антитілами, які проникають через плаценту і призводять до фіброзу AV-вузла або виникають внаслідок генетичних дефектів, таких як мутації в гені SCN5A. Згідно інших теорій є припущення, що порушення коронарного кровотоку на пізніх стадіях внутрішньоутробного розвитку може бути причиною ВПАБ, оскільки артерія AV-вузла є першою і найдовшоюнижньою перегородковою гілкою правої (90%) або лівої  (10%)  коронарної  артерії,  що  відходить  від  U-або  V-подібного  сегмента відповідної  артерії  на  рівні  серцевого  м'яза.  У  нашому  випадку  рівень  титрів материнських аутоантитіл був невідомий. Не виключено, що блокада серця могла бути пов'язана зі структурною вадою серця –ГЛКС, яка могла бути причиною гіпоперфузії AV-вузла внутрішньоутробно. У літературі описано лише два подібні випадки такого поєднання. Ключові слова: дитяча кардіологія, вроджена вада серця, синдром гіпоплазії лівих камер серця, вроджена повна атріовентрикулярна блокада, новонароджені.

Introduction. Infectious diseases have been a threat during all periods of human existence. Primary measures to protect against extremely dangerous pathogens included quarantine, observation and vaccination. Vaccination was crucial in the fight against smallpox — the only disease, which was eradicated on a global scale. The aim of the work was to identify the main stages of development and application of vaccines for the protection against especially dangerous infection (EDI) and the contribution of Ukrainian scientists in the development of vaccines for EDI. Methods. An analysis using the Search Strategy of narrative reviews of literary sources and Internet resource was conducted to systematize data about the application of immunobiological preparations to create an active immunity against several actual EDI. The participation of scientists with Ukrainian roots in the creation of vaccines against this group of diseases is indicated. Results. Smallpox (variolation in China in the 11th century) is known as the first disease against which specifc protection was created. Until the 20s century, the first five vaccines against EDI were developed: smallpox, rabies, anthrax, cholera, and plague. In the 20s century, the list was supplemented by vaccines against typhus, yellow fever, tick-borne encephalitis,тtularemia, brucellosis, coxiellosis (Q-fever), hemorrhagic fever with renal syndrome (HFRS). The introduction of new technologies in the 21st century allowed improving existing preparations and creating new ones against Ebola viral disease (EVD), COVID-19 as EDIs relevant ones for the pandemic potential. Outstanding scientists with Ukrainian roots contributed to the creation of vaccines against EDI: V. Khavkin, D. Samoilovich, V. Zhdanov. Conclusion. Protection of the population against EDIs is limited by the number of available effective vaccines. The development of vaccines against COVID-19 has improved the prognosis for containment of the COVID-19 pandemic. 

Abstract

Background: Propolis and its major phenolic compound, caffeic acid phenethyl ester (CAPE), have garnered considerable scientific interest due to their anti- inflammatory properties and potential therapeutic applications.

Objectives: This narrative review explores the potential utility of CAPE in cancer treatment.

Methods: We comprehensively reviewed relevant studies from scientific databases (PubMed and Web of Science) from 2000 to 2022. Our search focused on keywords such as cancer, natural drugs, caffeic acid phenethyl ester, CAPE, cancer cell lines, antitumor effects, and propolis.

Results: CAPE exhibits diverse biological benefits, including antimicrobial, antioxidant, antiviral, anti-inflammatory, cytotoxic, and potentially anti-carcinogenic properties. Numerous studies have demonstrated its wide-ranging antitumor effects on various cancer cell lines, including growth inhibition, apoptosis induction, tumor invasiveness prevention, malignancy suppression, and anti-angiogenic activity.

Conclusion: Following comprehensive preclinical toxicity assessments, further evaluation of CAPE's efficacy and safety through clinical trials is highly recommended to elucidate its potential health benefits in diverse forms of human cancer.

Background

On February 24th, 2022, a full-scale armed conflict broke out in Ukraine, resulting in a significant impact on the healthcare system, as well as extensive damage to the country's infrastructure. The aim of this study was to assess the challenges faced by oncologists in providing cancer care to patients.

Methods

Data were collected through a structured self-administered questionnaire administered using the Google survey tool and distributed to all participants.

Results

This was a cross-sectional study that involved 111 oncology specialists. Physicians practising in regions that were partially or temporarily occupied by the Russian army (Chernihiv and Zaporizhzhia) reported a significantly higher decline in patient numbers compared to physicians in unoccupied regions (70.0% vs 20.9%; p < 0.0001). Most physicians from both occupied and unoccupied regions reported an increase in the number of patients with advanced disease (65.0% vs. 65.9%; p = 0.735). The majority of physicians from both occupied and unoccupied regions did not see loss of information, changes in cancer treatment phases, and self-medication as a concern. The majority were satisfied with the availability of medicines and equipment.

Conclusion

This needs-based assessment is crucial for improving the quality of cancer care as it provides valuable information for designing public health interventions.

The average worldwide human life expectancy is 70 years, with a significantly higher value in Western societies. Many modern diseases are not associated with premature mortality but with a decreased quality of life in aged patients and an excessive accumulation of various toxic compounds in the human body during life. Today, scientists are especially interested in finding compounds that can help increase a healthy lifespan by detoxifying the body. Phytotherapy with specific approaches is used in alternative medicine to remove toxins from the body. Worldwide, research is conducted to identify medicinal plant-derived molecules that, with few or no side effects, may protect the liver and other organs. This review provides updated information about the detoxification process, the traditional and modern use of the most effective medicinal plants, their active metabolites as detoxifying agents, and the mechanisms and pathways involved in the detoxification process. Among medicinal plants with substantial detoxifying properties, a major part belongs to the Asteraceae family (Silybum marianum, Cynara scolymus, Arctium lappa, Helichrysum species, Inula helenium, and Taraxacum officinale). The most widely used hepatoprotective phytocomponent is silymarin, a standardized extract from the Silybum marianum seeds containing a mixture of flavonolignans. Many polysaccharides, polyphenols, and terpenoids have a detoxifying effect. Overall, scientific data on medicinal plants used in phytotherapeutic practice worldwide provides an understanding and awareness of their efficacy in detoxification.