UDC: 61(092)

Among the morphologists of Ukraine and the world, an honourable place is occupied by Doctor of Medicine, Professor, Head of the Department of Normal Anatomy at Danylo Halytskyi Lviv National Medical University (1982-1988), member of the Scientific Society of Anatomists, Histologists, Embryologists and Topographical Anatomists (SS AHET) (since 1954), a member of the Shevchenko Scientific Society (SSS) and the Ukrainian Medical Society (UMS) (since 1991) - Lev Mykhailovych Lychkovsky (8.05.1924 - 20.09.1993).

Lev Lychkovsky’s life was dedicated to the service of Science. This article is dedicated to him on the occasion of the centenary of his birth.

Invitation to take part in "Global", "International", and "Worldwide" conferences seem attractive and prestigious and often with affiliation in Europe, USA, Japan or other well-developed Asia countries. Moreover, the possibility of sharing a stage with a "top speaker" and/or eligibility for reduced registration and accommodation fees and being listed in the abstract book on the "international" level might be a hook not only for young researchers but even for experienced ones. A broad range of submissions, low processing fees, increasing authors' citations, high "local" impact factor, an invitation to write an article for money, "gift-authorship”, suboptimal author guidelines or special offers.

This paper addresses disparities in reperfusion therapy, particularly primary percutaneous coronary interventions (PCI), for elderly patients experiencing acute myocardial infarction (AMI). Despite proven benefits, our center’s data reveals a stark contrast in PCI rates between younger and older patients, leading to significantly higher mortality among the elderly. Rooted in concerns about comorbidities, the reluctance to administer PCI prompts ethical questions 
and necessitates a critical examination of age-based clinical decision-making. The paper advocates for optimized AMI management protocols, emphasizing an individualized approach and evidence-based guidelines. Recognizing challenges in accurate AMI diagnosis in the elderly, educational initiatives target healthcare professionals and the population, disseminating information about symptoms and treatment benefits. To combat age-related stereotypes, 
digital tools like virtual consultations and telemedicine enhance accessibility to information. The paper proposes policy initiatives prioritizing clinical condition over age in treatment decisions, ensuring equitable care. In conclusion, urgent action is required to bridge the gap in reperfusion therapy for elderly AMI patients. By fostering inclusivity, implementing education, and advocating policy changes, we aim to ensure every patient, irrespective of age, receives 
timely and appropriate life-saving interventions.

The issue of ethics in scientific publications remains both relevant and of paramount importance. The literature has extensively documented misconduct issues, problems in publishing and ethics all around the world. Scimago Journal and Country Rank ranked Ukraine in the 45th position globally, underscoring its significant presence in the global research landscape. Despite the good position, from personal observation in scientific publications in Ukraine, the weak 
sides are the absence of a clear hypothesis, predatory publication, plagiarism, and incorrect citation. The prevalent tendency in the Ukrainian academic community «to publish for the sake of publication, not to be read or cited» is a concern that should be addressed. This inclination is one of the primary issues contributing to the challenges mentioned above. The academic community in Ukraine must shift its focus toward producing high-quality, impactful research that not only gets published but is also read, cited, and contributes to the advancement of knowledge.

The full-scale Russian invasion of Ukraine in early 2022 affected the lives of every Ukrainian. According to the International Organization for Migration, 11.3 million Ukrainians were forced to relocate since the beginning of the Russian invasion: 4.2 million left Ukraine, and 7.1 million were displaced internally. At the same time that many displaced Ukrainians were forced to evacuate West, many others headed East, towards the front lines and into harm’s way. This article shares the story of three civilian physicians from Lviv, a city in Western Ukraine. For over a year, Dr. Dmytro Beshley and Drs. Roman and Andriy Sobko worked in the Donetsk region near the battlefront. Their trio is referred to as “Dmytro and Brothers Sobko”. Their bond dates to 2014, when all three first were deployed to the Ukrainian Miliary Forces. That deployment lasted 14 months, with most of their time spent operating in Donetsk region, including Mariupol, Krasnoarmiysk (Pokrovsk) and Dnipro. A phone call in February of 2022 reconnected all of them yet again. As they had done in 2014, all three of them answered the call and took leave of successful medical careers, family, hobbies, and the comforts of daily living to serve Ukraine. So many Ukrainian heroes have done the same, and this article is meant to share just one story about the multitude of formerly civilian doctors who must now carry weapons
over their white coats as they must practice medicine under the savagery of war.