Introduction
War is a relentless force that leaves no aspect of life untouched, weaving itself into the fabric of
daily existence and reshaping even the most intimate connections. This story, written from the
perspective of a mother, a wife, and a professional, seeks to capture the enduring effects of war
on relationships, identity, and resilience.
2021: Prelude
“Froggy, I’m thinking of getting an AR-15. I want to learn how to shoot.”
“I thought hunters knew how to shoot.”
“That’s different. I need to learn how to shoot in warfare.”
“Come on. They won’t dare.”
February 24th, 2022: The first day
The day began with a summons. My husband, part of the territorial defense forces, became a
company commander. I was left with our three children, glued to the news, unable to leave the
house.
The weight of resentment
During those first weeks, my emotions spiraled between resentment, anger and despair. The
injustice felt suffocating. My husband, a father of three, was not supposed to be sent to war. Why
him?The days were a blur of rage and survival. The uncertainty of his safety permeated every
waking thought.
A constant state of waiting
Every day began with checking his messages: “Good morning, everyone, everything’s fine.”
A short, reassuring phrase that became a lifeline. But the thoughts came anyway. What if he’s
injured? What if he loses a limb? His eyesight? His mind?
The first death
In autumn, the war claimed its first victim from his company. Standing at the military burial
field during the funeral, I couldn’t help but think: “I don’t want my husband to lie here. I want
my grave to be next to his.”
The burden of survival
In the winter his battalion was moved to Kreminna. The place used to be a nature reserve with
lush pines now all turned into charred stumps. My husband, always protective, shared little.
Desperation drove me to check his messages one day. What I found was a video of one of his
soldiers captured by the Russians, naming my husband among his commanding officers.
Eventually, he was demobilized after the remnants of his company were withdrawn from the
frontline. He returned home, miraculously with only two concussions.
Life after the frontline
Though physically unscathed, nothing is truly the same. He resumed the rhythms of family life,
attending school functions and teaching our son to ride a bike. I watched for signs of trauma, but
he remained the man I married–resilient and kind.
Yet, the shadow of war lingers. The awareness of how close we came to losing each other has
deepened our connection. Petty disagreements seem absurd now. But the memories of loss–of
others’ losses–are never far away.
Every time there’s a POW exchange I scan the list for that young soldier’s name, and it’s never
there.It’s been two years.
A fragile hope
On the morning of my son’s seventh birthday, drones and missiles attacked our city. As we
rushed to the basement, my husband, unbelievably, counted the explosions.
“Is it like this on the frontline?”
“No, Froggy. It’s much worse.”
Conclusion
This story has no ending. It is one of countless others–stories of bravery, grief, resilience, and
loss. Stories that must be told again and again, in the hope that by bearing witness, we can create
change.

Introduction. According to the WHO, in 2022 every eighth person in the world suffers from obesity. Future forecasts are that by 2025, 167 million adults and children will experience poor health as a result of being overweight or obese. Accordingly, this issue gives rise to the need for people to find weight loss methods, and in recent years, drugs based on semaglutide have become in great demand as an easy way to lose weight, despite the presence of a large number of possible side effects. The purpose of this work was a webometric analysis of the availability of such drugs on the market of Ukraine. Materials and methods. The research materials were data from online search pages for medicines in pharmacies of Ukraine, as well as 12 websites that illegally offer to purchase the above-mentioned drugs were investigated. Webometrics, modeling and scientific generalization were used among the methods. Research results. After analyzing the pharmaceutical market of Ukraine, we found out that there is only one semaglutide-based drug registered in Ukraine – Ozempik. Currently, there is a shortage of this medicine, as there were only 27 offers for the availability of this drug in Ukrainian pharmacies as of 07/23/2024. Nevertheless, illegal Internet platforms (we have identified 10 online services that position themselves as platforms for the sale of drugs by delivery / imports them from European pharmacies, and 2 online services with biologically active supplements and sports nutrition) offer easy availability of Ozempik (injectable dosage form). In addition, there are two other medicines available for purchase on online resources - Vegovi (injectable dosage form) and Ribelsus (tablet dosage form), which are not registered in our country. Conclusion. The availability of semaglutide-based drugs in Ukraine was studied using a webometric search. Its shortage in licensed distribution points (pharmacies) was established, while the unimpeded presence of unlicensed sales was revealed, which requires strengthening of state control over the illegal trade in these medicines.

Introduction. Pharmaceutical ethics is the science of moral norms of pharmacists’ behavior in the process of their professional activity. The work of pharmacists in modern conditions is accompanied by new challenges (the development of technology and artificial intelligence), and even danger, given the recent Covid-19 pandemic and the current military actions of Russia on the territory of our country. The purpose of our research was to study the current state and problems in pharmaceutical ethics. Materials and methods. Research materials were scientific publications on pharmaceutical ethics and ethical problems in pharmacy, Codes of Pharmaceutical Ethics of Ukraine, Poland, USA, Canada, and Spain. The methods of the system approach, analysis, synthesis, comparison, generalization and the questionnaire survey method were used. Research results. It has been established that the most common ethical problems in the modern pharmaceutical field are conflicts between the patient's right to autonomy and his health interests, as well as between the patient's right to information and the obligation to follow the doctor's recommendations; the presence of queues in pharmacies, problems with the dispensing of medicines with incorrectly written prescriptions. A comparative analysis of the Ethical Codes of Pharmacists of Ukraine, the USA, Poland, Spain, and Canada showed that, in general, their content is very similar, in particular, in matters of providing patient-centered pharmaceutical care. A questionnaire for surveying pharmacists on the topic of pharmaceutical ethics was developed, it was tested and preliminary results were obtained, indicating a high degree of theoretical knowledge of pharmaceutical ethics norms among pharmacists. Conclusion. Pharmaceutical ethics is one of the basic components of the activities of pharmacists, and the modern world poses new challenges in the form of artificial intelligence, pandemics, and wars, which affect pharmaceutical practice. Professional ethics of pharmacists includes their responsibility to ensure the patients` interests, including their rights to autonomy, privacy, confidentiality and information rights.

УДК 616.831-005.1-085].001.2

Мета роботи. Здійснити моделювання системи управління якістю медичної допомоги (МД) хворим із гострими порушеннями мозкового кровообігу
(ГПМК), пов’язаною з використанням лікарських засобів (ЛЗ).
Матеріали і методи. Матеріалом дослідження були теоретичні питання управління якістю МД хворим із ГПМК у частині фармакотерапії. Використано концепцію управління якістю А. Фейгенбаума, методи системного підходу, інформаційного пошуку, узагальнення, моделювання.
Результати й обговорення. Опрацьовано модель управління якістю МДихворим із ГПМК, реалізація якої через інтеграцію 5 управлінських рівнів та
17 вертикальних функцій за концепцією управління якістю А. Фейгенбаумаита скеровування основних зусиль на комплексний контроль якості МД
уможливить доступ хворого з ГПМК до раціональної фармакотерапії (ФТ).
Висновки. На засадах концепції управління якістю А. Фейгенбаумаи опрацьована модель управління якістю МД хворим із ГПМК, реалізація якої
закладами охорони здоров’я гіпотетично забезпечить отримання пацієнтами раціональної ФТ за комплексного контролю якості цього процесу, що в
кінцевому результаті уможливить позитивний вплив на якість життя хворих із ГПМК.