Alone on the frontline: The first report of PTSD prevalence and risk in de-occupied Ukrainian villages.

IMPORTANCE: The ongoing Russian invasion of Ukraine marks a critical juncture in a series of events posing severe threat to the health of Ukrainian citizens. While recent reports reveal higher rates of PTSD in Ukrainian refugees following Russia's invasion - data for Ukrainians remaining at the warfront is inherently difficult to access. A primarily elderly demographic, Ukrainians in previously Russian-occupied areas near the front (UPROANF) are at particular risk. DESIGN: Data was sourced from screening questionnaires administered between March 2022 and July 2023 by mobile health clinics providing services to UPROANF. SETTING: Previously occupied villages in Eastern and Southern Ukraine. PARTICIPANTS: UPROANF attending clinics completed voluntary self-report surveys reporting demographics, prior health diagnoses, and PTSD symptom severity (n = 450; Meanage = 53.66; 72.0% female). EXPOSURE: Participants were exposed to Russian occupation of Ukrainian villages. MAIN OUTCOME AND MEASURES: The PTSD Checklist for the DSM-V (PCL-5) with recommended diagnostic threshold (i.e. 31) was utilized to assess PTSD prevalence and symptom severity. ANCOVA was used to examine hypothesized positive associations between (1) HTN and (2) loneliness and PTSD symptoms (cumulative and by symptom cluster). RESULTS: Between 47.8% and 51.33% screened positive for PTSD. Though cumulative PTSD symptoms did not differ based on HTN diagnostic status, those with HTN reported significantly higher PTSD re-experiencing symptoms (b = 1.25, SE = 0.60, p = .046). Loneliness was significantly associated with more severe cumulative PTSD symptoms (b = 1.29, SE = 0.31, p < .001), re-experiencing (b = 0.47, SE = 0.12, p < .001), avoidance (b = .18, SE = 0.08, p = .038), and hypervigilance (b = 0.29, SE = 0.13, p = .036). CONCLUSIONS AND RELEVANCE: PTSD prevalence was higher than other war-exposed populations. Findings highlight the urgent mental health burden among UPROANF, emphasizing the need for integrated care models addressing both trauma and physical health. Given the significance of loneliness as a risk factor, findings suggest the potential for group-based, mind-body interventions to holistically address the physical, mental, and social needs of this highly traumatized, underserved population.

The presence of radiotoxic 210Po and 210Pb in Ukrainian wild medicinal plants and the assessment of related dose and cancer risk.

Herbal plants are considered natural pharmaceuticals but also accumulate chemical elements and compounds at high levels. 210Po and 210Pb are highly radiotoxic and may cause carcinogenesis due to ionizing radiation. Thirteen of the most popular wild-growing herbaceous plant species, mostly included in the European Pharmacopoeia, were collected across Ukraine. 210Po and 210Pb were determined in the medicinal plants, and their radiotoxicity and cancer risk were calculated. The results of 210Po activities measured in herbal raw material ranged from 2.28 Bq kg-1 dw (where dw is dry weight) in herb of common horsetail (Equisetum arvense L.) collected near Lviv to 37.7 Bq kg-1 dw in leaves of common birch (Betula pendula Roth.) from Rava Ruska. The activity concentrations of 210Pb varied from 0.44 Bq kg-1 dw in leaves of common birch from Starokostyantyniv to 28.4 Bq kg-1 dw in leaves of common birch from Mizhhirya. There were statistically significant differences between 210Po and 210Pb content in flowers, leaves, and aerial portions. The studies indicated that the estimated annual effective radiation dose from Ukrainian herbs consumption was low, ranging 5.00-82.6 µSv from 210Po and 0.56-35.8 µSv from 210Pb, while the cancer morbidity and mortality risk ranged from 10-4 to 10-6. The presented data indicated no radiological risk related to using herbal plant materials.

Long term studying of uranium and radium-226 activity in drinking water in some regions of Ukraine and assessment of corresponding hypotetical irradiation doses.

The article summarizes the activity concentrations data of 226Ra and the sum of uranium isotopes (∑U) in samples of drinking underground water for different regions of Ukraine studied during 1998-2023 in the radiation monitoring laboratory of the State Institution "O.M. Marzieiev Institute of Public Health National Academy of Medical Sciences of Ukraine. Arithmetic mean and standard deviations, minimum and maximum values for 226Ra and ∑U activity concentrations are presented for the entire 1240 sample set and for each region separately. Collected data show that the established state permissible level for drinking water of 1.0 Bq/l is exceeded for 226Ra in 1.1% of the studied samples, and for ∑U-in 3.9% correspondingly. The detected high levels of 226Ra and ∑U activity concentrations correspond to certain regions belonging to the Ukrainian crystalline shield territory. A comparison of the current data with the data of previous studies held during of 1989-1991 indicates a significant difference: for the previous studies the average and standard deviations are much higher. We attribute this to the fact that the centralized sampling of previous studies was random, and it was related exclusively to communal water supply systems. At the same time, the current sample set covers a much larger number of regions, different water consumers; the data set includes the results of repeated studies for a large number of sources, in particular, sources with purified water. Hypothetical exposure doses caused by consumption of 226Ra and ∑U in water for the current sample set were estimated for different age groups for each sample studied, as is, without taking into account the pattern of water consumption. The corresponding dose exceeds the WHO recommended value of 0.1 mSv per year for children under the age of one year for 220 cases (17.7%). This dose limit excess for other age groups corresponds-for children: aged 12-17 years-13.1%, aged 1-2 years-7.4%, 7-12 years old-5.6%, 2-7 years old-3.9% and for adults-4.1%.

A predictive assessment of the uranium ore tailings impact on surface water contamination: Case study of the city of Kamianske, Ukraine.

In this study, we present an assessment of the uranium ore tailings impact on groundwater and surface water contamination. The radioactive materials were deposited in the tailings storage facility "Dniprovske" (the city of Kamianske, Ukraine) from 1954 to 1968; now it contains about 5.85·106 m3 of hazardous waste on the area of about 76 ha in the floodplain of the Dnipro river. The lack of a proper waterproof screen below deposited tailings and in the earthen dam led to permanent watering of radioactive materials, their leaching and migration in groundwater into the nearest small Konoplianka river. We used the reports on previous site-specific studies conducted in 1999-2016, monitoring results, and the field studies conducted in 2022 with the authors' team participation. The calculations performed with the advection-dispersion model to simulate transport of radionuclides 238U, 230Th, 226Ra and 210Pb through the embankment to the Konoplianka river and dilution relations were compared to the monitoring data of the surface water quality. Among four radionuclides, uranium poses the greatest risks today; the subsurface runoff increases its concentration in the Konoplianka river water by several times over the background value. It is estimated that due to much more intensive sorption in the shallow aquifer, the contribution of 226Ra and 210Pb to the increase in radioactivity of Konoplianka river water is insignificant compared to uranium, whereas the migration front of 230Th has probably not yet reached the riverbank. In the next 50 years the radionuclide fluxes will increase by 1.3-3.7 times for different isotopes, with the uranium subsurface runoff growing at a slower rate than nowadays. These results are of high significance for improving hydrological, hydrogeological, and geotechnical monitoring on this hazardous facility to maintain its radiation safety.

Increased Demand for Pharmaceutical Drugs Containing Potassium Iodide In Connection with the Russia-Ukraine Conflict.

The current conflict between Russia and Ukraine increased concerns in the German population of a release of radioactive substances, e.g.radioactive iodine. A high dose of potassium iodide (PI) may prevent accumulation of radioactive iodine in the thyroid gland. Therefore, the German government keeps a sufficient quantity of PI in stock for public supply in case of an emergency. We investigated ambulatory drug dispensing rates of PI and found that the total dispensing of PI (statutory health insurance (SHI), private health insurance (PHI), and overthe-counter (OTC)) increased by 106% from February to March 2022. Changes in PI dispensing were mainly due to an increase in OTC sales, where PI as an antidote showed a sevenfold increase from around 930 packages (February 2022) to 6,500 packages (March 2022), while SHI and PHI dispensing remained relatively low. Furthermore, we investigated whether these changes in dispensing raised the number of suspected adverse drug reactions (ADR). We found no increase of ADR reports related to the use of PI-containing medicinal products between February and September 2022, neither in our national pharmacovigilance nor in the European EudraVigilance database. The data suggest that the mere possibility of a nuclear disaster in Ukraine raised the demand of PI in Germany. Thus, timely and proactive information and reassurance of the public of supply reliability by the Government in a case of a nuclear emergency could be helpful in preventing potential drug shortages and unfounded concern.

PROFESSIONAL RISKS FOR AGRICULTURAL PERSONNEL TREATING BERRIES AND MELON CROPS WITH PESTICIDES.

OBJECTIVE: The aim: Нygienic assessment of labour conditions and risks for the Ukrainian agricultural personnel treating berries and melon crops with fungicides, herbicides and insecticides for justification of their safe use regulations. PATIENTS AND METHODS: Materials and methods: Natural studies of labour conditions and risk correspond to the acting laws of Ukraine. The results were statistically treated using IBM SPSS StatisticsBase v.22. RESULTS: Results: The natural studies of fungicides, insecticides, used for treatment of berries and melon crops, show that labour air environment corresponds to hygienic standards. The authors have established that the hazard index of complex fungicides effect on spray fueling attendants and tractor drivers is 0.110}0.046 and 0.155}0.071, that of herbicides - 0.34}0.025 and 0.380}0.257, that of insecticides - 0.221}0.111 and 0.222}0.110, respectively; hazard index of combined effect of several acting substances makes up- 0.239}0.088 and 0.336}0.140 for spray fueling attendants and tractor drivers, respectively. The statistical analysis shows that the hazard coefficients of inhalation and percutaneous penetration do not differ statistically between spray fueling attendants and tractor drivers (р>0.05). The percutaneous risk (%) of various pesticide groups for spray fueling attendants ranges 65.74-97.58 %, for tractor drivers - 50.72-95.23 %. CONCLUSION: Conclusions: The analysis has shown that the professional risk of fungicides, herbicides, insecticides, during agricultural treatment of the berries and melon crops does not exceed standards.

Outcomes of laser-induced thermotherapy for thyroid nodules at the West Vascular Center, Ukraine.

Thyroid nodules are common, occurring in 50-60% of healthy patients. Currently, there are no effective conservative treatment options for nodular goiter, and surgery can have limitations and potential complications. The purpose of this study was to evaluate the efficacy, tolerability, and long-term results of using sclerotherapy and laser-induced interstitial thermotherapy (LITT) to treat benign thyroid nodules. A retrospective analysis was conducted on 456 patients with benign nodular goiter who received LITT. The volume of the nodular goiter was measured at 1, 3, 6, and 12 months post-treatment, and a repeated fine needle aspiration (FNA) with the cytological examination was performed to verify the structure of the nodular goiter in the long term. The results showed that LITT was an effective method for treating nodular mass (nodules), as evidenced by a decrease in the volume of NG by 51-85% after 6-12 months. FNA results 2-3 years after LITT showed no thyrocytes, only connective tissue, indicating the efficacy of LITT for benign thyroid nodules. LITT is highly effective in most cases, often resulting in the disappearance or significant decrease in nodular formations.

Visualization Analysis of Medicinal Mushrooms Research Topic Based on Web of Science.

This study analyzed 1,739 papers on medicinal mushrooms published from 1999 to July 18, 2022 based on Web of Science (WoS). Papers were mainly written in English (1,733, 99.655%), from 6,502 authors, 92 countries or territories, 1,862 organizations and published in 311 journals and 3 book series. International Journal of Medicinal Mushrooms published 1,069 (61.472%) papers. Top 5 countries or regions were P.R. China, India, Taiwan, USA, and Malaysia; each published more than 87 papers. From the average citations, papers from Ukraine, Israel, Netherlands, Serbia, and Thailand show the highest citations per paper (more than 22.9 times per paper). The top five affiliations were Chinese Academy of Sciences, University of Malaya, University of Haifa, National Chung Hsing University, and Shanghai Academy of Agricultural Sciences, each with more than 49 papers. Top five authors are Wasser SP, Hyde KD, Mau JL, Sabaratnam V, Yang Y; each published more than 26 papers. The paper with the most was Wasser SP in Applied Microbiology and Biotechnology (2002), which has 1442 citations and the average number of citations is 68.67 times per year. Based on the ESI database, there are 13 top papers with 13 highly cited papers and 1 hot paper. All keywords in medicinal mushrooms research were separated into ten clusters according to different research topics. The results will help researchers clarify the current situation and provide guidance for future research.

Chaplaincy, Judaism, Ukraine, COVID-19 and JORH Jubilee.

This first issue of JORH for 2023 considers (1) the ministry of chaplains, (2) Judaism, (3) the people of war-torn Ukraine, (4) the ongoing saga of COVID-19 and, on a happier note, (5) we celebrate a belated jubilee by presenting a bibliometric analysis of the Journal of Religion and Health (1961-2021). To conclude this issue, a book review is presented, "The Desperate Hours" by award winning journalist Marie Brenner, focusing on one hospital's fight to save New York City during COVID-19. A reminder is also provided to readers on the call for papers regarding a future issue on religion, spirituality, suicide and its prevention.

Dynamic interlinkages between the crude oil and gold and stock during Russia-Ukraine War: evidence from an extended TVP-VAR analysis.

The Russia-Ukraine significantly influences the oil market. We employ a time-varying parameter vector autoregression (TVP-VAR) in combination with an extended joint connectedness approach to identify the sources of the oil market's volatility by studying interlinkages between the crude oil and gold and stock market by characterizing the connectedness of four markets starting from January 1, 2018 to April 8, 2022. Our attention is mostly paid to the period marked by the event that Russia invaded Ukraine on 24 February, 2022. Our results demonstrate that the war shocks appear to influence the system-wide dynamic connectedness, which signifies the interlinkages among the considered markets. Net total directional connectedness suggests that the oil and gold markets appear to be the net transmitter of spillover shocks in the system. However, there are shifts in the roles of these two markets during the time of the Russia-Ukraine war shock. Pairwise connectedness highlights the significance of the oil market in transmitting the adverse influences of shocks to other markets, especially during the Russia-Ukraine war.

Comparing the effect of social media-based drama, music and art therapies on reduction in post-traumatic symptoms among Nigerian refugees of Russia's invasion of Ukraine.

PURPOSE: The objective of this study was to ascertain the effectiveness of social media-based music, art and drama therapies in treating PTSD symptoms among Nigerian evacuees from the Russia-Ukraine war. DESIGN AND METHODS: This study was a quasi-experiment involving a sample of 330 participants that were randomly assigned to control and treatment groups. The treatment group was further classified into three groups according to the different contents of the therapies they received. RESULTS: The study result showed that social media-based therapies effectively reduced PTSD symptoms for participants in the treatment group, unlike those who did not receive the intervention. Comparatively, drama therapy was more effective than art and music therapies. The reason drama therapy was more effective could be because it engaged the minds and body of the participants more than the other therapies. CONCLUSION: Although art, music and drama therapies are effective treatment options for reducing symptoms of PTSD among victims of war, drama therapy is the most effective among them all. PRACTICAL IMPLICATIONS: The result of this study has practical implications for health promotion from the perspective of nursing services by showing that social media-based therapies could serve as viable and cost-effectivealternativese to face-to-face group therapy.

Current Knowledge on Interactions of Plant Materials Traditionally Used in Skin Diseases in Poland and Ukraine with Human Skin Microbiota.

Skin disorders of different etiology, such as dermatitis, atopic dermatitis, eczema, psoriasis, wounds, burns, and others, are widely spread in the population. In severe cases, they require the topical application of drugs, such as antibiotics, steroids, and calcineurin inhibitors. With milder symptoms, which do not require acute pharmacological interventions, medications, dietary supplements, and cosmetic products of plant material origin are gaining greater popularity among professionals and patients. They are applied in various pharmaceutical forms, such as raw infusions, tinctures, creams, and ointments. Although plant-based formulations have been used by humankind since ancient times, it is often unclear what the mechanisms of the observed beneficial effects are. Recent advances in the contribution of the skin microbiota in maintaining skin homeostasis can shed new light on understanding the activity of topically applied plant-based products. Although the influence of various plants on skin-related ailments are well documented in vivo and in vitro, little is known about the interaction with the network of the skin microbial ecosystem. The review aims to summarize the hitherto scientific data on plant-based topical preparations used in Poland and Ukraine and indicate future directions of the studies respecting recent developments in understanding the etiology of skin diseases. The current knowledge on investigations of interactions of plant materials/extracts with skin microbiome was reviewed for the first time.

Radioactive Contamination of Wild Mushrooms from Ukraine under Conditions of Contrasting Radiation Loads: 36 Years after the Chernobyl Nuclear Power Plant Catastrophe.

It has been 36 years since the Chernobyl Nuclear Power Plant catastrophe, but the consumption of wild mushrooms in Ukrainian Polissya is still dangerous since its territory is heavily contaminated by radionuclides. The aim of this study was to estimate 137Cs and 90Sr uptake in wild mushrooms from locations with contrast radioactive loads (Zhytomyr Polissya, Ukraine). In mushroom samples collected from Drevlyanskyi Nature Reserve since 2013 (average levels of soil surface contamination with 137Cs are 555-1480 kBq m-2), the highest levels of 137Cs were observed in symbiotroph species - Imleria badia (≤ 2680 kBq kg-1 dry mass [dm]), Tricholoma equestre (≤ 1420 kBq kg-1 dm), Lactarius rufus (≤ 602 kBq kg-1 dm), Sarcodon imbricatus (≤ 464 kBq kg-1 dm), Leccinum scabrum (≤ 117 kBq kg-1 dm), Suillus bovinus (≤ 118 kBq kg-1 dm), and Boletus edulis (≤ 96 kBq kg-1 dm). 90Sr activity was significantly lower, with the highest levels detected in Russula emetica (193 Bq kg-1 dm), Daedaleopsis confragosa (145 Bq kg-1 dm), and Hypholoma fasciculare (141 Bq kg-1 dm). The 137Cs/90Sr ratio in fruiting bodies in samples ranged from 6.1 (Bovistella utriformis) to 28,979 (T. equestre). Activity concentrations in mushrooms from locations with relatively low contamination with 137Cs (18.5-27.75 kBq m-2) also reached the highest values in symbiotroph species I. badia (7698 Bq kg-1 dm), Lactarius vellereus (6072 Bq kg-1 dm), and S. luteus (1448 Bq kg-1 dm). Potential calculated annual effective doses due to mushroom consumption by adults, considering only the effect of 137Cs, reached 0.311 and 8.71 mSv in B. edulis and I. badia from highly contaminated locations, respectively, and 0.0014 and 0.009 mSv in these species from low contaminated ones.

Personality and Age of Male National Team of Ukraine in Kyokushin Karate-Pilot Study.

This article is a continuation of the research on personality in combat sports in karate. The authors' goal was to verify the relationship between personality and age of kyokushin karate practitioners. The male national team of Ukraine in karate kyokushin (N = 7) participated in the personality study with the use of the Big Five model. The NEO-FFI (NEO Five-Factor Inventory) Personality Questionnaire was applied as a research tool and the package of statistical methods IBM SPSS Statistics 27.0 (IBM Polska, Warszawa, Poland) was used to compute the research results. The study showed that there were differences in the intensity of openness to experiences between individual samples only at the level of the statistical trend. Masters showed a higher level of openness to experiences in relation to juniors (p = 0.081) and seniors (p = 0.097). Also, a negative and strong correlation between the intensity of neuroticism and conscientiousness among the respondents was noted. A conclusion was drawn that, with age, karatekas probably manifest greater openness to experience, which is the result of their sports experience, high sports level and pro-health values of karate. On the other hand, good emotional adaptation of karatekas is strictly related to conscientiousness.

Etiology and efficacy of anti-microbial treatment for community-acquired pneumonia in adults requiring hospital admission in Ukraine.

BACKGROUND AND AIM: Empiric therapy of community-acquired pneumonia (CAP) remains the standard care and guidelines are mostly based on published data from the United States or Europe. In this study, we determined the bacterial etiology of CAP and evaluated the clinical outcomes under antimicrobial treatment of CAP in Ukraine. METHODS: A total of 98 adult subjects with CAP and PORT risk II-IV were recruited for the study. The sputum diagnostic samples were obtained from all patients for causative pathogen identification. Subjects were randomly assigned in a 1:1 ratio to receive delafloxacin 300 mg (n=51) or moxifloxacin 400 mg (n=47) with blinding placebo. The switch to oral treatment was after a minimum of 6 IV doses according to clinical criteria. The total duration of antibacterial treatment was 5-10 days. In vitro susceptibility of pathogens to delafloxacin and other comparator antibiotics was determined. RESULTS: The most frequently isolated pathogens in adults with CAP were S. pneumoniae - 19.5%, M. pneumoniae - 15.3%, H. influenzae - 13.2%, S. aureus - 10.5%, K. pneumoniae - 10.1%, and H. parainfluenzae - 6.4%. All isolates of S. pneumoniae, S. aureus, M. pneumoniae had sufficient susceptibility to appropriate antibiotics. 9.0% of H. influenzae strains were susceptible to azithromycin. 94.8 % of patients had a successful clinical response to delafloxacin at the end of treatment and 93.9 % - at test-of-cure. CONCLUSIONS: In Ukraine, the major bacterial agents that induced CAP in adults were S. pneumoniae, M. pneumoniae, H. influenzae, S. aureus, K. pneumoniae, H. parainfluenzae, E. cloacae, L. pneumophila. Delafloxacin is a promising effective antibiotic for monotherapy for CAP in adults and could be used in cases of antimicrobial-resistant strains.

Deficiency of Daily Calcium and Vitamin D in Primary School Children in Lviv, Ukraine.

This study was conducted to determine the prevalence of calcium and vitamin D deficiency in school children aged 6 to 11 years in Lviv (Ukraine). The aim of this study was also to assess the effect of nutritional intervention and supplementation on serum calcium and vitamin D levels in children diagnosed with calcium deficiency. A 3 day diet was analyzed in 172 children. In 56 children with a deficiency of calcium and/or vitamin D, the level of total calcium, ionized calcium, and 25-hydroxyvitamin D in blood, as well as the calcium content in hair samples, was determined. Thirty children with confirmed calcium and/or vitamin D deficiency underwent a dietary intervention to increase calcium and vitamin D intake for 3 months. The study group (n = 15) was provided with a nutritional correction by modifying their diet with supplementation of calcium and vitamin D. The control group (n = 15) received only a diet modification. Decreased daily calcium intake was observed in 50.68% of boys and 70.71% of girls. A decreased level of daily vitamin D consumption was found in 84.93% of boys and 96.97% of girls. Among 56 children with insufficient daily consumption of calcium and/or vitamin D, 26.8% had reduced levels of total calcium in the blood, 16.1% had reduced levels of ionized calcium in the blood, and 48.2% had reduced levels of vitamin D. After 3 months of correction, normal calcium level was found in the hair of 10 students (66.7%) from the study group and in three subjects (20.0%) from the control group. Modification of the diet along with supplementation of calcium and vitamin D seems to be a more effective method for increasing the level of calcium among children aged 6 to 11 years.

Intermodel comparison for the radiological assessment of the Zapadnoe and Tessenderlo case studies with implications for selection of remediation strategy.

Risk assessment provides a key input for determining the need for and extent of remedial actions necessary for sites contaminated with naturally occurring radioactive material or nuclear legacy sites. The choice of a modelling approach for risk assessment, and the corresponding toolsets should fit the assessment context, taking account of the complexity, and be clearly related to the questions to be addressed in the decision-making process. One of the objectives of Working Group 1 of IAEA Modelling and Data for Radiological Impact Assessments II (MODARIA II) Programme is to perform intermodel comparisons for case studies of selected sites, in particular, to help illustrate the applicability of different models and approaches as inputs to decision-making processes. This intercomparison exercise, which included the analysis of potential consequences on the management strategy for contaminated sites, has been performed for two sites: The former uranium mill tailings facility at Zapadnoe, Ukraine, and the phosphate processing facility at Tessenderlo, Belgium. Several models and computer codes have been used for one or both of these cases: AMBER, GoldSim, NORM And LegacY Site Assessment, Preliminary Remediation Goals (PRG)-dose compliance concentration calculator, and RESRAD-OFFSITE. The assessments explore the implications of using differing assessment frameworks and assumptions, as well as alternative modelling tools, on model outputs and as input for corresponding decisions on remediation strategy. This paper reviews both similarities and differences in the results of assessments performed using these different models. It discusses how different approaches can complement one another to help build confidence in the evidence base underpinning decisions. It also discusses the appropriateness of the different modelling approaches in a given assessment context. In one of the case studies in particular (Tessenderlo case study), the remediation strategy is essentially driven by the contamination of the site with heavy metals, such as cadmium. This has significant consequences on the choice of the most adequate approaches and scenarios for assessing the radiological risk and balancing their relative importance with other impacts. The development of a holistic approach to risk assessment is, therefore, highlighted.

Genomes from Verteba cave suggest diversity within the Trypillians in Ukraine.

The transition to agriculture occurred relatively late in Eastern Europe, leading researchers to debate whether it was a gradual, interactive process or a colonisation event. In the forest and forest-steppe regions of Ukraine, farming appeared during the fifth millennium BCE, associated with the Cucuteni-Trypillia cultural complex (CTCC, ~ 5000-3000 BCE). Across Europe, the Neolithisation process was highly variable across space and over time. Here, we investigate the population dynamics of early agriculturalists from the eastern forest-steppe region based on the analyses of 20 ancient genomes from the site of Verteba Cave (3935-825 cal BCE). Results reveal that the CTCC individuals' ancestry is related to both western hunter-gatherers and Near Eastern farmers, has no local ancestry associated with Ukrainian Neolithic hunter-gatherers and has steppe ancestry. An Early Bronze Age individual has an ancestry profile related to the Yamnaya expansions but with 20% of ancestry related to the other Trypillian individuals, which suggests admixture between the Trypillians and the incoming populations carrying steppe-related ancestry. A Late Bronze Age individual dated to 980-825 cal BCE has a genetic profile indicating affinity to Beaker-related populations, detected close to 1000 years after the end of the Bell Beaker phenomenon during the third millennium BCE.

Why the ongoing occupation of Ukraine matters to ethnobiology.

Ethnobiology and ethnomedicine investigate the continuously changing complex and inextricable relations among culture, nature, and health. Since the emergence of modern ethnobiology a few decades ago, its essence and mission have been the study of biocultural diversities and the centers of its inquiries have been and are local communities and their co-evolutionary interrelationships between natural environments and social systems. At the core of ethnobiologists' work there are not only conceptualizations of and reflections on others' views about nature and the universe, but also a robust commitment to advocacy in defense of these assemblages of local ecological knowledge, practices, and beliefs (LEK). Homogenization processes and therefore erosion of LEK have occurred throughout history in different ways: from colonialism to industrialization, and from financialization to globalization; however, we cannot forget the role played by centripetal states and even dictatorships in this process, nor the associated political ideology of nationalism, which has often elicited and justified policies aimed at standardizing diversities within state borders. Our research groups have been working since eight years together with local communities in Ukrainian rural areas and documented a remarkable erosion of LEK during the Soviet times, yet an extraordinary surviving biocultural diversity occurs; the ongoing military occupation of Ukraine could further threaten this heritage. While citizens' attention now should be on effectively supporting those who are experiencing hardships during this traumatic time, ethnobiologists will be called hopefully soon to directly participate in rebuilding the biocultural "cobwebs" damaged by the military operations.

The impact of micronutrient supplementation in alcohol-exposed pregnancies on reaction time responses of preschoolers in Ukraine.

The potential of micronutrients to ameliorate the impact of prenatal alcohol exposure (PAE) on attentional regulation skills was explored in a randomized clinical trial conducted in Ukraine. Women who differed in prenatal alcohol use were recruited during pregnancy and assigned to one of three groups [No study-provided supplements, Multivitamin/Mineral Supplement (MVM), or MVM plus Choline]. Their offspring were seen in the preschool period and a reaction time task was administered. Participants were asked to press a response button as quickly as possible as 30 stimuli from the same category (animals) were presented consecutively and then followed by six stimuli from a novel category (vehicles). Number correct, mean latency of the response over trials, and variability in the latency were analyzed separately by sex. During the initial animal trials, boys whose mothers received MVM during pregnancy had more correct responses and reduced response latency compared to boys whose mothers had no MVM treatment. During vehicle trials, maternal choline supplementation was associated with increased response speed in males without a PAE history. Females receiving supplements did not show the same benefits from micronutrient supplementation and were more adversely impacted by prenatal alcohol exposure. Relationships between maternal levels of choline, betaine, and dimethylglycine (DMG) and task performance were also assessed. Although no effects were found for choline after adjusting for multiple comparisons, lower baseline DMG level was associated with greater accuracy and shorter latency of responses in the initial animal trials and shorter latency in the vehicle trials in female preschoolers. Level of betaine in Trimester 3 was associated with reduced variability in the latency of male responses during the animal trials. Maternal micronutrient supplementation in pregnancy appears to improve preschool reaction time performance, but the effects varied as a function of sex and PAE exposure status.