POLYMORPHISM PREVALENCE OF TLR 9 TYPE GENE IN PATIENTS WITH CHRONIC FORMS OF EPSTEIN-BARR VIRUS-INFECTION.

The aim of the study - to determine the TLR-914 T/C gene polymorphism in patients with CVEB caused by Epstein-Barr virus. Research for the determination of polymorphism - 1486 T/C TLR-9 gene was performed in 44 patients with chronic forms of the VEB infection. DNA isolation from the specimens was performed using a kit for DNA extraction by the Miniprep Company (Siles M, Russia), using the sorption assay technique of the sorbent. Polymorphic region -1486 T/C, rs187084 of the TLR9 gene was studied by real-time PCR amplification by determining the length of the restriction fragment-PCR using restriction enzymes Ncol and oligonucleotide primers. The analysis of the results of the 1486 T/C polymorphism of the TLR-9 gene revealed three main genotypes - TT, TC, CC. Investigation of the frequency of occurrence of individual genotypes revealed the dominance of the genotype TC, compared with the homozygous genotypes of TT and CC. The study of frequency distribution of the TLR-1486 T/C gene polymorphism for different genotypes demonstrated the specificity of changes in the TC genotype in patients with HEBV and the absence of such for the genotypes of TT and CC.

IMPLEMENTATION OF DRUG ADDICTS RIGHT TO HEALTH PROTECTION (SEPARATE ASPECTS).

The purpose of the research is to analyze specific problems of the realization of the right to protect the health of people who take narcotic drugs or psychotropic substances. To achieve this goal, statistics have been analyzed on the number of people using narcotic drugs or psychotropic substances (including drug-addicted children) placed on medical records and the number of their applications for medical care. It has been found out that people in this category often face a denial of medical care that causes extremely strong physical and mental suffering. The analysis of the understanding of the legal design of the «right to health care¼ in the scientific literature, national legislation and international legal documents was made. State institutions and local authorities providing «the right to health care¼ of people taking narcotic or psychotropic drugs are singled out. The absence of grounds for restricting the right to protect the health of people who take narcotic or psychotropic drugs who are not registered is justified. In the course of the research, it was found out that people who take narcotic drugs or psychotropic substances are more likely than other patients to need medical assistance and, when requesting the right to health care, face a number of problems that require immediate solution: incomplete provision of quality free medical care; unimplementation of rehabilitation programs for such categories of patients; the lack of the right of children who take narcotic drugs or psychotropic substances to make their own decisions at the age of 14 and apply to public health institutions for the treatment of drug addiction; violations of the continuity of SMT programs and their absence in penal institutions for drug dependent people. It was proposed to introduce a number of changes in the relevant normative legal acts.

LEGAL REGULATION OF PROCUREMENT OF NARCOTIC DRUGS IN UKRAINE WITH INVOLVEMENT OF INTERNATIONAL SPECIALIZED ORGANIZATIONS.

The purpose of the study is to analyze specific problems of legal regulation of the procurement of narcotic drugs in Ukraine with the involvement of international specialized organizations. To achieve this goal, statistics have been analyzed concerning the number of people who receive narcotic drugs for the SMT program, the number of their treatment applications, the quantity of drugs purchased for them from the state budget. It is proposed to divide the regulatory legal acts regulating the purchase of narcotic drugs, general and special, and analyze them. The understanding of legal constructions "state procurement" and "public procurement" in scientific literature, national legislation and international legal documents is analyzed. Two groups of subjects of legal relations in the field of procurement of narcotic drugs with the involvement of international specialized organizations have been distinguished out. In the course of the study, a number of problems have been identified that require urgent solutions: insufficient budget financing of drug provision for SMT programs; absence of control over the use of methadone and buprenorphine for SMT programs at the legislative level, as well as the differentiation of the terms "narcotic drugs", "psychotropic substances" and "drugs containing narcotic drugs, psychotropic substances and precursors"; absence of the price of the drug in the selection criteria of international organizations, the lack of economic competition in this field, existence of prepayment for SMT drugs for more than one year, which affects the efficiency of using budgetary funds. It is proposed to make a number of changes to the relevant legal acts.