We studied the influence of maternal hypothyroidism on progeny skin morphogenesis by means of histological, histochemical and lectinhistochemical methods. Hypothyroid conditions in rats were achieved by daily food supplementation with antithyroid drug Mercazolil. The experiment was conducted on 10 control and 10 hypothyroid rats, which delivered 70 and 46 offsprings, respectively. We discovered that maternal hypothyroidism induces the accumulation of mast cells (MCs) in the skin of progeny on the 1st, 10th and 20th postnatal days, with decrease of these cell’s count returning to control level on 40th postnatal day. These results indicate that offsprings developing under conditions of maternal hypothyroidism are a risk group for changes in immune status and the occurrence of allergic reactions. The stratum corneum of epidermis, its lipid barrier as well as pilosebaceous units, in both control and experimental group animals, at the early stages of postnatal ontogenesis are enriched with carbohydrate determinants of αDMan, βDGal, βDGal(1–3)DGalNAc, αLFuc, αDGalNAc, αDGlcNAc, Neu5Ac. Galanthus nivalis agglutinin (GNA) is a selective histochemical marker of MCs, while Lactarius torminosus fungus agglutinin (LTFA) is a selective label of Langerhans cells. Maternal hypothyroidism resulted in reduction of lectin binding with the structural components of progeny skin and its derivatives. We speculate that alterations in glycoconjugate processing and degradation sequences have an impact on the cell signaling, formation of adhesive contacts, cellular proliferation and differentiation. The lectin set we used clearly demonstrated specific labeling of cellular subpopulations, monitoring glycoconjugates processing and degradation under physiological and pathological conditions in all skin components.
Keywords: skin, Mercazolil, hypothyroid rats’ progeny, lectin histochemistry.

    The  problem  of  bone  trauma  and  restoration  of  bone  integrity  with defects of various localization, shape and size is particularly relevant today.    Objective:To  determine  the  features  of  post-traumatic  dynamics  of  the  mineral elements content in the bone tissue of the mandible using octacalciumphosphate.Materials and Methods: The study was conducted on 65 sexually mature male rabbits weighing  2.5-3.0  kg,  aged 6-7  months which  were  divided  into  3  groups  (20  rabbits each): Group I -control -the bone tissue defect healed under a blood clot; Group II -the defect was filled with native octacalciumphosphate (OCP-N); Group III -the defect was filled with octacalciumphosphate with chitosan and ampicillin (OCP-N-Chitosan-Ampicillin). Five intact animals were used to study the normal mineral composition of the rabbit mandibular bone tissue (MBT). The content of five mineral elements was determined using atomic absorption and emission spectral analysis. Data was carried out after 7, 14, 21, 28, 35, 56, and 84 days.
   Results:It was established that the calcium and phosphorus content in the MBTwere lower thanin the control, but higher than normal. Magnesium and sodium levels with OCP-N   were   similar   to controls,   while   with   OCP-N-Chitosan-Ampicillin,   they returned  to  normal.  Sodium  levels were higher  than  controls.  Sodium  levels  were higher than the first control group data. Magnesium levels, while using OCP-N were higher than the parameters for intact animals and first control group throughout the entire  experiment.  While  using  the  OCP-N-Chitosan-Ampicillin  material  they were higher than the first control group. The potassium content throughout the experiment in  both  experimental  groups  was  lower  than  data  of first  control  group.  However, when using OCP-N  material on day 84, the studied parameter remains significantly lower  than  in  intact  animals;  with OCP-N-Chitosan-Ampicillin  it  returns  to  normal values.
   Conclusions:The mineral composition of bone tissue undergoes significant changes following a bone-destructive injury, characterized by a substantial increase in calcium, phosphorus, and magnesium levels. The dynamics of sodium and potassium content are less pronounced. When the bone defect is filled with the osteoconductive material OCP-N-Chitosan-Ampicillin, the levels of calcium, phosphorus, magnesium, sodium, and potassium return to normal values by the 84th day after injury.
Keywords: rabbits, bone tissue, lower jaw, mineral elements, reparative osteogenesis, osteoplastic materials, octacalcium phosphate.

UDC 577.615.324-027.2.615.076

   Creation of novel remedies efficient in supporting wound healing remains an actual task in pharmacology. Hydrogels showed high efficiency in wound healing and tissue regeneration due to viscosity, elasticity and fluidity that provide them with functional characteristics similar to that in extracellular matrix. The aim of the study was to create chitosan-based hydrogels functionalized with different components (chondroitin-6-sulfate, hyaluronic acid, N-stearoylethanolamine) and to estimate their biocompatibility and biodegradability in vitro. For the first time, a lipid substance N-stearoylethanolamine (NSE) known as suppressor of pro-inflammatory cytokines expression was used as hydrogel component (1.95 mg/g). FTIR analysis confirmed the complexation of chitosan molecule with hyaluronate, chondroitin-6-sulfate, NSE. MTT-test and Trypan blue exclusion test were used to study hydrogels cytotoxicity towards human cells of different tissue origin. Biodegradability of hydrogels was evaluated using direct hydrogel contact with cells and cellindependent degradation. It was shown that chondroitin-6-sulfate (<2 mg/ml), hyaluronic acid (<2 mg/ml) and NSE (26 μg/ml) did not demonstrate significant toxic effects towards pseudonormal human cells of the MCF10A, HaCat, HEK293 lines and mouse cells of the Balb/3T3 line. The studied hydrogels were stable in saline solution, while in a complete culture medium containing 10% fetal bovine blood serum they underwent degradation in >24 h. The identified biodegradability of the chitosan-based hydrogels is important for the release of noncovalently immobilized NSE into biological medium. Further studies on laboratory animals with experimental wounds are expected to explore the potential of created hydrogels as anti-inflammatory
and wound-healing agents.
K e y w o r d s: chitosan hydrogels, chondroitin-6-sulfate, hyaluronic acid, N-stearoylethanolamine, FTIR analysis, human pseudonormal cells, toxicity, biodegradability


Introduction. The invasion of Ukraine by Russian troops on February 24th, 2022, and
the beginning of the full-scale war had huge humanitarian consequences. The major
challenges facing the Ukrainian health care system included the disruption of medical
infrastructure and logistics, the termination of the supply of expendable materials,
significant migration and a dramatic increase in high-velocity blast and gunshot injuries
among combatants and civilians.
The aim of the present study was to analyze the challenges and solutions in patient
care faced by the Ukrainian system of maxillofacial surgery during the war in different
regions of the country.
Materials and Methods. A cross-sectional study was designed and implemented as an 
online survey to collect national data concerning maxillofacial surgeons’ experiences
and professional activities. The study was initiated and supported by Bogomolets
National Medical University (Kyiv, Ukraine), the Ukrainian representative of AO CMF
(Arbeitsgemeinschaft für Osteosynthesefragen Craniomaxillofacial Surgery) and the
University of Helsinki (Finland).
The questionnaire was developed by specialists in maxillofacial surgery and
sociologists and contained 65 close-ended questions. Surgeons who had not worked in
this specialty in inpatient departments of hospitals since at least the beginning of the
full-scale war were excluded from the study. We received and analyzed 97 responses
that met the abovementioned criteria. The geography of respondents covered all the
regions and the main cities of Ukraine, expect for the occupied territories.
Results. After a year of warfare, the percentage of surgeons who treated patients with
blast and gunshot injuries increased from 43.4% to 86.6%. This percentage was higher
in military hospitals and in regions located in the vicinity of the front line. We found that,
during the war, 78.6% of respondents performed osteosynthesis in cases of high
velocity multifragmented facial bone fractures (in such cases, 58.3% of them strictly
followed AO CMF recommendations, while 41.7% performed the fixation based on
available hardware, existing technical possibilities and their own preferences). We
found that 70.2% of respondents had the opportunity to apply CAD/CAM technology
and patient specific implants (PSI) for the treatment of gunshot injuries, 38.1% reported
that their hospitals were able to perform microsurgical reconstructions for facial
defects, 79.4% of respondents reported that their departments received humanitarian
aid and support from volunteer organizations (either Ukrainian or international), which
significantly facilitated the treatment process.
Conclusions. According to this nationwide survey of Ukrainian maxillofacial surgeons
during a year of the full-scale war, 86.6% of respondents were involved in the
treatment of gunshot and ballistic injuries in civilians and combatants. The main
problems reported by the respondents were 1) a lack of experience and knowledge
related to the treatment of severe wounds, especially by secondary reconstruction, and
2) a deficit of resources (equipment, materials and medications) under conditions of
disrupted logistics and changes in the numbers and nosological distribution of patients.
There were the opportunity to transfer the patients to European clinics (29.9%), online
consultations (45.4%), collaboration with foreign surgeons who come to Ukraine as a
volunteers (32%)


The goal of the study is to explore the changes of vitamin D, hormonal indices, fat, and carbohydrate metabolism in the blood of women with polycystic ovary syndrome (PCOS), as well as to define the appropriateness of prescribing cholecalciferol in the complex treatment of this pathology. To achieve this goal, we have examined 80 women, aged 1835 years, with PCOS and underlying overweight and obesity, who were divided into four phenotype groups, according to the consensus of the PCOS Workshop Group in Amsterdam (2011). All women underwent a general medical examination, having measured their anthropometric parameters, body mass index (BMI) and clinical manifestations of hyperandrogenemia. Their serum was checked for the content of 25-hydroxyvitamin D (25(OH)D) , LH, FSH, progesterone, estradiol, androstenedione, dehydroepiandrosterone sulfate, 17-hydroxyprogesterone, anti-Müllerian hormone, insulin, and leptin. The study results found a decrease in vitamin D in the blood of women with PCOS in all clinical phenotypes, which lowered with the progression of obesity. Cholecalciferol
deficiency was associated with insulin resistance, hyperinsulinemia and hyperleptinemia. The correlation between the vitamin D content and hormonal indices in women with PCOS showed an inverse correlation between 25(OH)D and AMH levels, positive between insulin and 25(OH)D, and negative between vitamin D level and hirsutism score. Prescription of vitamin D in the complex treatment of women with PCOS leads to stabilization of hormones, decrease of HA signs, normalization of the menstrual cycle and restored ovulation.