The paper examines the phenomenon of academic ratings and a brief history of their emergence. The authors provide a generalized description of the most influential ratings. The views of supporters and opponents of academic ratings have been analyzed. It has been shown that under conditions of globalization processes in education, academic ratings are considered by a number of scientists as one of the tools intended for measuring the competitiveness of educational institutions, forming a strategy for further development of universities and their transformation. Given the fact that the issue of the methodology of academic ratings and the logic of their use remains debatable, the arguments from the opponents of the rating have been analyzed. In particular, the opinion is expressed that the main indicators that affect the place in most of the currently existing ratings are relevant for research universities that have extremely powerful sources of funding, which determines their competitiveness and consistently high rating positions. In this regard, the ratings from a tool for measuring the quality of education have partly turned into an economic and political tool with a "perceptible geopolitical flavor", which is unlikely to lead to a significant improvement in the quality of education. Attention is focused on the fact that the currently existing rating methodology can be appropriate only for world-class universities, which make up 3 – 5% of the total number of higher education institutions in different countries globally. In the conclusions, the authors point out that the ratings, despite their debatable nature, have become both an integral part of the management culture and the global information space, as well as a driver of positive changes in the educational environment of universities.

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The aim: To analize the legislative activity of MOH of Ukraine in wartime. Materials and methods: Were conducted a study of the orders for the first 30 days of the Russian military invasion by the method of content analysis. Using the method of deduction, the all orders was divided into areas of their influence. Conclusions: Twenty-nine orders were found during the first month of the war, which regulated the issues of medical care, circulation of drugs, blood transfusions, drugs, medical records, etc. Particular attention is paid to the organization of affordable medical care for all segments of the population, including the involvement of interns, senior students of medical institutions of higher education, as well as foreign professionals. The analysis of the legislative activity of the Ministry of Health of Ukraine to optimize the functioning of the medical care system for both military and civilian population in the context of Russian military aggression showed the Ministry’s prompt response to time and high activity in the first two weeks of the war.

Weight gain and obesity as its consequence are one of the leading causes of cardiovascular diseases and increased mortality worldwide. The aim of this study was to assess the parameters of the cardiovascular system and the autonomic nervous system in young individuals with different body weight. Materials and methods. This study involved 92 men and women aged from 18 to 25 years. We measured the anthropometric indicators including height, body weight, waist and hip circumferences, waist-to-hip ratio; calculated the body mass index and the percentage of body fat. According to the mass index values, the participants were divided into two groups: a control group involving 23 men and 23 women, and a group with overweight individuals (23 men and 23 women). The following cardiovascular parameters were determined: heart rate, systolic and diastolic blood pressure. We evaluated the energy potential of the cardiovascular system using the Robinson index, calculating pulse pressure, determining endurance coefficient. The assessment of the autonomic nervous system was based on using the Cerdo index. The findings obtained were then processed statistically. A comparative assessment has revealed a significant increase in the values of cardiovascular parameters among overweight young people. We have found out mainly positive correlations between anthropometric and cardiovascular system indicators, and the autonomic nervous system. The individuals of both groups showed an increase in endurance coefficient, which indicates a decrease in the level of physical performance. Overweight men demonstrated a growth in the Robinson index, which indicates the development of a deficiency in the functional capabilities of the cardiovascular system that, in the absence of a lifestyle change, may result in cardiovascular diseases.

The purpose of the study was to determine the features of the development of osteoporotic changes in bones in patients with liver fibrosis against the background of non-alcoholic steatohepatosis. Materials and methods. 79 patients with non-alcoholic steatohepatosis and liver fibrosis were examined. 38 surveyed persons were women, 41 were men. The average age of the patients was 42.5±5.8 years. All patients were excluded from comorbidities for inclusion in the study. For female patients, it was imperative to maintain menstrual function. The degree of liver fibrosis was established based on 2D shear wave elastometry in SWE mode. The patients included to study have liver fibrosis F1 - F3 according to METAVIR. Determination of bone mineral density was performed using a DEXXUM T X-ray densitometer by dual energy absorptiometry. Results and discussion. In patients with fibrotic changes in the liver, a decrease in bone mineral density was found in 49.3%. Osteopenia and osteoporosis in women occurred in 47.4%, which was significantly more frequent than among men – 26.8%, p = 0.014. There was a significant relationship between the duration of the presence of steatohepatosis and the incidence of osteoporosis and osteopenia: among patients with a duration of steatohepatosis of less than 7 years, a decrease in bone mineral density was noted in 62.5% of cases, and with a duration of more than 7 years – already in 89.3% of patients (χ2 = 5.5; p = 0.011). Among patients with liver fibrosis F3 METAVIR, a decrease in bone mineral density was observed in 85.7%. Among patients with liver fibrosis F1-2 METAVIR, osteoporosis and osteopenia were found in 46% (p = 0.0008). In patients with METAVIR F3 fibrosis, osteoporotic changes were observed in 85.2% of cases. An isolated decrease in the mineral density of the lumbar spine was diagnosed in 12 (30.7% of patients with a decrease in bone mineral density). In 9 patients (23%), there was a combination of a decrease in mineral density of the spine with a decrease in mineral density of the hip, the mean T score of the vertebrae was -2.5±0.2, the mean T score of the femoral neck was 2.1±0.3. In patients with F1-F2 fibrosis METAVIR, bone mineral density decreased mainly to the level of osteopenia, isolated osteopenia of the lumbar spine was diagnosed in 18 (46%) patients, there was no decrease in hip mineral density in this group of patients, the mean criterion of T vertebrae was 1.5±0.15. Conclusion. Patients with steatohepatosis and hepatic fibrosis are characterized by a high prevalence of osteoporosis and osteopenia. The risk of developing this complication is higher in patients with fibrosis stages F3 METAVIR; the decrease in bone mineral density in patients with steatohepatosis and liver fibrosis is influenced not only by population risk factors, but also by the duration of the presence of steatohepatosis; the severity of liver fibrosis METAVIR affects the localization of changes in the bone tissue. In patients with degrees of fibrosis F1 - F2, trabecular bone tissue is affected, and in patients with degrees of fibrosis F3, trabecular and cortical bone tissue is equally affected