г.Москва, м.Октябрьское поле,
ул.Маршала Соколовского, д.3

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Primary arterial hypertension (AH) or essential hypertension (AH) remains one of the most common cardiovascular diseases. A prolonged and persistent increase in blood pressure (BP) leads to damage to target organs, contributing to the development of severe cardiovascular complications (cerebral stroke, myocardial infarction, life-threatening arrhythmias and heart failure), kidney damage (renal failure) and vision and causes high mortality and disability of the working-age population. Annually in the world hypertension is the cause of death of more than 10 million people. In Ukraine, more than 12.6 million people are registered with this disease, or more than 35% of the population. But, among people with high blood pressure (BP), only 52% of patients know about the presence of the disease, less than a third of them are treated, and no more than 15% of patients are effectively treated.

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The left column of the Color Chart shows the four basic shades (BC - 1, 2, 3, 4), and the right column shows the names of the masses that exist in the seven shades. Then the brightness is determined, which determines the degree of luminescence of the hue: black has zero luminescence, and white has maximum luminescence. The value depends on the thickness, water content and mineralization of the enamel. The thicker the enamel layer, the lower its mineralization, the greater the brightness for a given tooth - for example, in children with plaster-white teeth. On the contrary, in older patients, the enamel thins, revealing more mineralized layers that look like glass with a predominantly gray color. We distinguish three types of enamel (children, adults and elderly patients): high brightness (GE3), medium brightness (GE2) and low brightness (GE1). The Color Table contains three values ​​(1, 2, 3), which correspond to low (1), medium (2) and high (3) enamel brightness. These three numbers are represented in tonalities from gray (1) to cool white (2) and milky white (3) to remember the meaning. The most appropriate area for determining this value is the middle third.

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The last (seventh) category includes artificial (trophic) changes in facial tissues that occurred in patients with artificial lung ventilation and due to prolonged lying on the stomach. The classifications given were the first descriptions of skin lesions in COVID-19 and therefore different signs were given: those that were caused specifically by COVID-19, and those that arose due to various causes, in particular those associated with the treatment of the disease. Due to the fact that these lesions required different approaches in both treatment and anti-epidemic or precautionary measures, we, based on the experience of all these months of observation of patients, propose a classification of skin lesions associated with COVID-19. lay out like this

Treatment with corticosteroids (especially prednisolone ≥20 mg/day or equivalent) is associated with an increased risk of infection. However, it is unclear whether corticosteroid therapy is associated with an increased risk of developing COVID-19 or its complications. Data on budesonide, a topical corticosteroid with low systemic bioavailability, show that these drugs are associated with significantly fewer side effects compared to systemic corticosteroids and their side effects are close to placebo. If possible, corticosteroids should be avoided and a rapid dose reduction considered, and a switch to budesonide is recommended. This must be taken into account, taking into account the risk of exacerbation of CKD. If a patient with COPD is in contact with a person with COVID-19 or develops COVID-19, it is recommended to gradually reduce the dose of corticosteroids, the use of budesonide is preferred, but taking into account the severity of COPD and the risk of exacerbation.

Султанов  Руфат Расимович
Султанов
Руфат Расимович
Главный врач клиники, стоматолог-ортодонт, стоматолог-ортопед, стоматолог терапевт.
Земляной  Алексей Викторович
Земляной
Алексей Викторович
Стоматолог-хирург, стоматолог-терапевт
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г.Москва, м.Октябрьское поле,
ул.Маршала Соколовского, д.3

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