The aim of the study was to clarify the influence of smoking and other risk factors (RFs) on the occurrence of complications in patients with normal body weight, overweight (OW) and obesity.
Materials and Methods: Patients (n=158) with acute ST-segment elevation myocardial infarction (STEMI) were divided into 3 groups depending on body mass index (BMI): Group I included 52 patients with normal body weight (mean age - 60.83±11.94 years); Group II - 51 patients with OW (mean age - 62.04±8.55
years); Group III - 55 patients with obesity of I-III degree (mean age - (0.96±11.31 years) (p>0.05).
Results: The most common RFs were hypertension (88.46-94.55%), dyslipidemia (DLP) (50.00-76.36%), smoking (69.23-69.09%). The relative risk of acute left ventricular aneurysm in Group I with DLP is 2.08 times higher (RR=2.08 [0.37; 11.62], p=0.029), and among smokers, this risk increases by 25% (RR=1.25
[0.22; 7.18], p=0.049). The relative risk of major complications in Group II in the presence of 5-6 RFs is 1,5 times higher (RR=1.58 [0.61; 10.94], p=0.016). The relative risk of all complications in Group III in the presence of DLP is 1.23 times higher (RR=1.23, with 95% CI from 0.91 to 1.65, p=0.017), and in the presence of smoking is 8.37 times higher RR=8.37 [2.11; 33.16], p<0.001).
Conclusions: Complications are observed three times more often in obese patients and about twice as often in overweight patients. Significant predictors of complications are smoking, dyslipidemia, simultaneous exposure to 5-6 risk factors. Smoking increases the risk of complications by 8 times in obese patients.
KEY WORDS: acute myocardial infarction, overweight, obesity, risk factors, smoking
16 жовтня відбувся 9-й Міжнародний науковий симпозіум SMART LION 2025 – один із наймасштабніших щорічних наукових форумів для молодих науковців. Його організаторами стали Лікарська комісія НТШ (ЛК НТШ) та ДНП «Львівський національний медичний університет імені Данила Галицького» (ЛНМУ). Наукова частина Симпозіуму охоплювала одне пленарне і 5 секційних засідань, тематикою яких були: «Медична освіта в Україні в час війни», «Наукові дослідження в Україні в час війни», «Медичні виклики, пов’язані з війною в Україні», «Біоетика під час війни» та «Виклики війни в Україні»
Цьогорічний SMART LION зібрав понад 400 учасників. Команду спікерів Симпозіуму склали провідні науковці українських та американських університетів, студенти і молоді науковці, військові та цивільні медики, очільники клінік та громадських організацій, фахівці в галузях громадського здоров’я, протезування, медичної реабілітації, судово-медичної експертизи та біоетики.
SMART LION вже традиційно є унікальною можливістю для спілкування студентів-медиків, молодих лікарів та науковців зі знаними європейськими та світовими експертами. І цього року захід знову поєднав цікаві лекції, дискусії, обговорення клінічних випадків та актуальних проблем медичної освіти і науки в умовах сучасних викликів. Міжнародний статус і широка географія Симпозіуму засвідчили високий рівень академічної інтеграції, адже учасники представили дослідження, виконані у тісній співпраці з іншими університетами та клінічними установами України. За результатами роботи наукового заходу видано збірник матеріалів SMART LION 2025.
Musculoskeletal (MSK) anatomy education is a critical foundation for developing competency among radiologists, physiatrists, rheumatologists, and orthopedic surgeons. However, current undergraduate medical curricula often exhibit significant deficiencies in instructional hours, integration of diverse teaching modalities, and clinical relevance. This narrative review synthesizes recent evidence (March 2021–March 2026) identified through a targeted search of Medline, Embase, and Scopus, with an emphasis on consensus guidelines, validation studies, and clinically focused publications related to MSK anatomy, imaging modalities (ultrasound, magnetic resonance imaging, computed tomography), and curriculum design for medical students in relevant specialties. Multimodal interventions, including cadaveric dissection, radiological anatomy, case-based rheumatologic and rehabilitation modules, and technology-enhanced platforms such as 3D virtual models and AI-driven adaptive learning, have been associated with improvements in knowledge retention, spatial reasoning, diagnostic accuracy, and procedural confidence compared with didactic instruction alone. Persistent knowledge gaps undermine interpretive proficiency in MSK imaging, including the identification of synovitis and enthesopathy, and are linked to reduced clinical preparedness. Objective assessments reveal suboptimal performance despite completion of conventional preclinical training. Cadaveric dissection fosters practical skills and ethical professionalism, while early integration of imaging connects theoretical morphology with three-dimensional relational understanding and pathological
correlations in MSK and rheumatic diseases. Implementation frameworks recommend phased rollouts that incorporate stakeholder needs assessments, faculty development through train-the-trainer models, resource reallocation for pointof-care ultrasound and virtual reality, and strategies to address barriers, such as grants for low-resource settings and modularization to reduce curricular congestion. These evidence-based approaches support scalable reforms that produce MSK-literate clinicians prepared for precision diagnostics and interventional practice
The events of this year’s Medical Shevchenkiana, organised by the Medical Commission of the Shevchenko Scientific Society and Danylo Halytsky Lviv National Medical University, brought together the scientific conference “Our Soul Does Not Die, Our Will Does Not Die. Shevchenko as a Phenomenon” and the formal Academic Ceremony “The Influence of the Kobzar’s Literary Heritage on the Work of Contemporaries and Descendants.”
On March 4, in the reading hall of the Scientific Library of Danylo Halytsky Lviv National Medical University, participants discussed the significance and contemporary relevance of Taras Shevchenko’s prophetic words in today’s world. The speakers included Marta Nadraga, Director of the Library, Candidate of Historical Sciences and Senior Researcher; Professor Zoryana Masna, Head of the Medical Commission of the Shevchenko Scientific
Society; Zoryana Ivankiv, Head of the Ivan and Yurii Lypa Club of the Ukrainian Medical Society; Professor Lidiia Boichyshyn, Deputy Head of the Shevchenko Scientific Society; Nataliia Hirna, Candidate of Historical Sciences and Associate Professor; and Taras Kobza, military physician, veteran of the Russian-Ukrainian War, and Associate Professor. The key event of the meeting was the presentation of the bibliographic index “Medical Professionals
and Medicine in the Life of Taras Shevchenko” (authors: Svitlana Vasilieva and Olena Kril; edited by Marta Nadraga).
Sophia Loda, a student of the Andrei Krupynsky Lviv Medical Academy, and Oksana Savitska, bandura player, laureate of international and all-Ukrainian competitions, member of the National Kobzar Union of Ukraine, and soloist of the Myroslav Skoryk Lviv National Philharmonic – delighted participants and guests with performances of the Great Kobzar’s finest poetic and musical works. On March 12, a large audience gathered in the conference hall of the Dental Medical Centre of Danylo Halytsky Lviv National Medical University for the formal Academic Ceremony “The Influence of the Kobzar’s Legacy on the Work of Contemporaries and Descendants.”
Guests were welcomed by Head of the Medical Commission of the Shevchenko Scientific Society, Professor Zoryana Masna, and its President, Academician Roman Kushnir. Art historian Roksoliana Kozak, Director of the Ivan Trush Art Memorial Museum, spoke about visions of Shevchenko in Trush’s work, while an unconventional perspective on the legacy of the Great Kobzar was offered by the amateur arts ensembles of Danylo Halytsky
Lviv National Medical University: the People’s Choral Ensemble “Musy Hippocrata,” the Ukrainian Jazz Orchestra “Medicus,” and the People’s Dance Ensemble “Horytsvit” named after Zenon Kolobych. The visual highlight of the Ceremony was a live painting performance by Associate Professor of the Department of Infectious Diseases Olena Zubach, who, drawing inspiration from Shevchenko’s verse, painted “Mallows” – a symbol of home and
Ukrainian identity – in real time.