Since the beginning of the pandemic COVID-19, distance learning has become the mainstay in most educational institutions in Ukraine. Distance learning is the organization of the educational process in terms of distance from each other and their usually indirect interaction in the educational environment, which operates on the basis of modern educational, informational, communication (digital) technologies [1]. The organization of the educational process during distance learning may include training (including practical, laboratory) classes, correctional and developmental classes, webinars, online forums and conferences, independent work, research, search, project activities, educational games, consultations and other forms of organization educational process, defined by the educational program of the educational institution [2].The aim of the study: to assess satisfaction of different parameters of the educational process at the Department of Propedeutics of Pediatric Diseases with Patient Care at National Pirogov Memorial Medical University to create the main strategies for the development of the educational process and maximize the advantages of distance learning methods nowadays.Methods. An anonymous voluntary online survey of 162 medical international students has been conducted using Google Forms. Questions included: evaluation of satisfaction with the organization of the educational process at the department, technical capabilities of training platforms have been granted, assess the sociopsychological conditions during the lesson and evaluate the level of cooperation with the teacher. They have tried to answer the following questions: What is a good teacher (lecturer)? What are lectures good for? We have asked to write at least 3 options.162 foreign students of the third year of study of the Faculty of Medicine agreed to answer the questions. About half of foreign students (57,40%) were completely satisfied with the educational process at the department, 38,27% were partially satisfied, 0,64% could not answer, 2,46% were not satisfied and 1,23% were absolutely dissatisfied (Table 1).

The aim of the study: to assess supplementary feeding in breastfed neonate, evaluate infant and maternal indications for supplementation in healthy infants. Methods. An anonymous voluntary survey about supplementary feeding of 50 women who has breastfed children and visited the hospital for various reasons, not related to breastfeeding. According to the results of survey, the main reason for starting supplementary feeding was the insufficient amount of breast milk in the mother (63,20%). Other reasons included: low body weight of the child, illness of the mother, difficulties in applying to the breast, restlessness of the child. After the introduction of supplementary food, only 3,80% of children were returned to exclusively breastfeeding, 22,20% - remained on mixed feeding until the introduction of complementary food, and 29,60% had artificial feeding. The majority of women (74,10%) did not use any methods to improve lactation. Half of the surveyed mothers (56,00%) who introduced supplementary feeding gave milk formula to feed their child and used bottle feeding (32,60%) and spoon feeding (21,30%). Conclusions: the majority of interviewed women had a shortage of breast milk, which was the main reason for the introduction of supplementary food; the best supplementary food product is mother's or donor's milk; a third part of the surveyed women used bottle feeding; the decision to introduce supplementary food should be made by the doctor individually to every child.

Advantages and disadvantages of distance learning at the Department of Propaedeutic Pediatrics of M. Pyrohov Vinnytsia National Medical University were assessed. Students′ attitudes to distance learning was analyzed. Most of foreign students were satisfied with the educational process at the Department of Propaedeutic Pediatrics. On the one hand, they have enumerated lots of advantages, the most important of them are staying safe and interruption of infections spreading, comfortable and convenient learning, saving a lot of time, reduction stress and tiredness. On the other hand, distance learning has disadvantages. Distance learning at medical universities are having theoretically classes mainly without practical and communicative skills at the patient’s bedside. The main barrier of remote learning is the quality of internet connection. Active communication, interaction, getting feedback, understanding the needs and feelings of students are significant during remote studying.

The main approaches to the prevention of viral hepatitis A Abstract. Currently, the prevention of hepatitis A in populations with the intermediate level of endemicity is a significant issue. Vaccination associated with the importance of environmental and personal hygiene and sanitation are the most effective methods of prophylaxis in the world. Hepatitis A vaccination provides long-term protective effects, it is well tolerated and has less side effects. The possibility of hepatitis A vaccination should be considered, especially in the risk groups of populations with the intermediate level of endemicity for hepatitis A.

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Annotation. Timely detection of influenza cases and modern opportunities for prevention of the disease are becoming important in the season of increasing the incidence of respiratory diseases in a pandemic COVID-19.The aim was to study the clinical and laboratory features of influenza in children in the season 2021/2022, who were hospitalized in the departments of Vinnytsia City Hospital “Mother and Child Center” since December 2021 till February 2022, as well as to analyze the current possibilities of specific prevention of the disease. 30 children were examined to clarify the clinical course of influenza. To diagnose influenza A and B, children underwent a smear of the nasal mucosa. Immunochromatographic method was used, namely cito-test of LLC "Pharmaco - Ukraine". To rule out coronavirus infection, a rapid antigen test for the coronavirus "SARS-CoV-2 Rapid Antigen Test" was performed. An analysis of prophylactic vaccination cards №063/o was performed to study the coverage of influenza vaccination. It was found that preschool children predominated (17 people – 56.7%), while school-age children accounted for 43.3%. A quarter of children (26.6%) sought medical help on the first day of illness, half (56.6%) - on the second day and the rest (16.6%) – on the third day. The children with flu mostly complained of chills, headache, loss of appetite, aches in the joints and muscles, most children suffered from high body temperature, which lasted up to 3±0.8 days. The average temperature figures were 39.52±0.58ºC. Catarrhal phenomena were present in the biggest part of children (86.7%). It was revealed a clear lung sound and vesicular breath sound in a physical examination. There were no significant changes in the blood count in 70% of children. Children were prescribed special and symptomatic therapy. No one of the hospitalized children received specific influenza prophylaxis according to the prophylactic vaccination cards №063/o, although vaccination remains the best way to protect against influenza and is of great importance, especially in a pandemic COVID-19. Inactivated tetravalent vaccines present in Ukraine provide reliable protection against influenza and are completely safe.

Резюме. Встановлено, що ротавірусна інфекція займає велику частку серед інфекційних гастроентеритів у дітей раннього віку з підвищенням захворюваності в зимово-весняний період. Вивчені основні клініко-діагностичні характеристики ротавірусного гастроентериту. Серед клінічних проявів у дітей переважали диспептичні прояви, симптоми інтоксикації та дегідратації. Було встановлено, що жоден із госпіталізованих пацієнтів не отримував специфічної профілактики даної інфекції, тоді як найбільш ефективним і безпечним методом профілактики є вакцинація. Саме тому мають бути розглянуті шляхи впровадження вакцинації проти ротавірусної інфекції в Україні.

Однією з актуальних проблем сьогодення залишається вакцинація в умовах пандемії COVID-19. Саме через швидке поширення коронавірусу, за даними Всесвітньої організації охорони здоров'я (ВООЗ), більше 117 млн дітей у 37 країнах світу ризикують не отримати щеплення проти кору. Вже відомо, що вакцинальні програми порушені у 24 країнах [1]. А прогалини в імунітеті можуть обернутися новими спалахами кору, особливо у країнах, де рівень охоплення вакцинацією менше 95 %. Хоча вакцина проти кору існує вже понад 50 років, кількість смертей від даного захворювання досягла 140 тис. випадків тільки у 2018 році. І Україна, на жаль, за кількістю випадків кору останніми роками займала лідируючі позиції. Так, у 2018 році захворіло понад 54 тис. українців, а в 2019 році рівні захворюваності на кір сягнули 57 440 випадків [2]. Понад 100 тис. випадків кору було зареєстровано в Європейському регіоні ВOOЗ за січень-жовтень 2019 року. Цей показник перевищив показники за 2018 рік та є втричі вищим, ніж у 2017 році [3]. У звіті