Рatients with diabetes have more complications and higher mortality from COVID-19. This is due to the fact that diabetes impairs the immune response. Hyperglycemia causes a violation of the immune response, which in turn cannot control the spread of pathogenic microorganisms and therefore patients with diabetes are more susceptible to infections. The purpose of the work ₋₋ analysis of bibliometric databases of literature on new developments in diabetes and COVID-19 and focused on clinical recommendations for patients with diabetes infected with COVID-19. The search methods included a literature review of scientific articles that studied diabetes and COVID-19.
According to the results of the analysis of the articles obtained as a result of the search in the PubMed, SCOPUS, Web of Science, MedScape databases, a combination of the terms “diabetes and SARS-CoV-2”, “diabetes and COVID-19”, “pathogenesis of diabetes in case of COVID-19”, "pancreas", "clinical features", "diagnosis", "treatment", "clinical recommendations", we found 32 messages from 2020 to 2022. The main parameters of the study were outpatients and inpatients with diabetes and COVID-19 of middle and elderly age starting from 46 years
and up to 82 years of age in France, China, the USA, Great Britain, in which a nationwide, retrospective, populationbased study was conducted. The following concomitant diseases are included in the main studies: arterial hypertension, cardiovascular diseases, heart failure, chronic kidney disease, chronic obstructive pulmonary disease, myocardial infarction, cerebrovascular diseases. Issues of pathogenetic mechanisms in DM and COVID-19, as well as management of patients with DM and COVID-19 are highlighted.
The increase in the frequency of toxic-allergic diseases is the result of an increase in the number of drugs on the pharmaceutical market, which leads to mass self-medication of the population. Most often, patients seek medical help after self-medication, using drugs of various pharmacological groups. Stevens-Johnson syndrome is the most common side effect of the drug.
A high incidence of acne, tendency to a chronic course with the formation of resistance to treatment and frequent development of deep forms determine the important medical problem. In the examined patients with acne, the qualitative and quantitative changes in the parameters of microbiocenosis of the skin and large intestine were determined, which depend on the clinical course of dermatosis, which indicates the need for additional examination of such patients in order to prescribe a pathogenetically substantiated therapy.
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) are systemic autoimmune diseases that may lead to multiorgan failure due to the destruction of small- and medium-sized blood vessels. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may exacerbate autoimmune diseases and induced vasculitis.
Відповідними викликам, поставленим сьогоденням нашій країні, стали теми сьомого міжнародного симпозіуму «SMART LION», що відбувся 26 вересня 2023 року у межах відзначення 150-річного ювілею Наукового товариства імені Шевченка та 125-річчя з дня створення при ньому Лікарської комісії. Організаторам «SMART LION 2023» – професорам Валентині Чопяк, Оксані Заячківській та Василю Лончині вдалося зібрати цього року майже дві сотні учасників наживо і понад тисячу слухачів у режимі онлайн. Доповіді про розвиток реабілітації в Україні та її основні напрями представили Олена Лазарєва, Віра Рокошевська, Олег Білянський, Оксана Гдиря, Олег Фітькало. Критичною проблемою для сучасної України, що давно стала викликом світовій медицині, є розвиток посттравматичного стресового розладу (ПТСР). Саме тому Олег Березюк, керівник служби ментального здоров’я Національного реабілітаційного центру UNBROKEN, у доповіді підняв питання складності правильної діагностики та лікування ПТСР в умовах багатопрофільної лікарні, а професор Валентина Чопяк і д-р мед. наук Світлана Зубченко акцентували увагу присутніх на імунореабілітації ПТСР.
The seventh international symposium, SMART LION, was held on September 26, 2023. It was to celebrate the 150th anniversary of the Shevchenko Scientific Society and the 125th anniversary of the Medical Commission. The topics concerned the challenges our country faces today. Organizers of SMART LION 2023 are Professors Valentyna Chopyak, Oksana Zayachkivska, and Vassyl Lonchyna. They managed to gather almost two hundred participants offline and over a thousand guests online. Olena Lazareva, Vira Rokoshevska, Oleh Bilianskyi, Oksana Hdyria, and Oleh Fitkalo delivered their reports on the development of rehabilitation in Ukraine and its main avenues. The emergence of post-traumatic stress disorder (PTSD) is a critical challenge for contemporary Ukraine and has long been a significant obstacle for global medicine. That is the reason why Oleh Berezyuk, Head of the Mental Health Service of the UNBROKEN National Rehabilitation Center, brought up the matter of difficulties in correctly diagnosing and treating PTSD in the context of a multidisciplinary hospital, while Professor Valentyna Chopyak and MD Svitlana Zubchenko focused the attention of attendees on PTSD immune-rehabilitation.