537 research outputs found

    Further insights on predictors of environmental tobacco smoke exposure during the pediatric age

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    Background: The smoking ban in public places has reduced Environmental Tobacco Smoke (ETS) exposure for non-smokers, but despite this, domestic environments still remain places at high risk of exposure, and, today, about 40% of children worldwide are exposed to ETS at home. The aims of the study are to investigate the contribution of several factors on ETS exposure among a group of Italian children and to evaluate the changes in smoking precautions adopted at home when the smoker is the mother, the father, or both parents, respectively. Methods: A cross-sectional study was performed on a sample of 519 Italian schoolchildren. Information was collected via a questionnaire. Results: 41.4% of the participants lived with at least one smoker. Almost half of the children exposed to ETS lived with one or more smokers who do not observe any home smoking ban. Lower maternal or paternal educational levels significantly increase the risk of ETS exposure at home and the “worst case” is represented by both parents who smoke. Conclusions: More effective preventive interventions are needed to protect children from ETS exposure. Some interventions should be specifically dedicated to smokers with a low educational level and to mothers that smoke

    Laparoscopic partial suprarenalectomy

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    Catedra de Chirugie nr. 4, Universitatea de Stat de Medicină și Farmacie “Nicolae Testemițanu”, Chișinău, Republica Moldova, Al XIII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” și al III-lea Congres al Societății de Endoscopie, Chirurgie miniminvazivă și Ultrasonografie ”V.M.Guțu” din Republica MoldovaIntroducere: Abordul laparoscopic în suprarenalectomie a devenit standartul de aur pentru diverse afecțiuni ale suprarenalei. Impactul suprarenalectomiei totale este deosebit de grav atunci când procesul este bilateral, în special la pacienții tineri. Suprarenalectomia parțială este binevenită în astfel de situații. Totodată dificultățile tehnice intraoperatorii și riscurile hemoragice sunt problemele majore cu care se confruntă aceste operații. În cazuri selecționate de tumori benigne sub 3 cm, cu localizare anterioară sau laterală, suprarenalectomia parțială este perfect justificată. Principalele repere sunt reprezentate de identificarea adenomului, pãstrarea țesutului glandular restant vascularizat și disecția precisă cu menținerea spațiului de clivaj între tumorã și restul parenchimului. Realizarea propriu zisã a rezecției țesutului glandular în condiții de securitate hemostatica este fezabilă și eficientă cu utilizarea tehnicilor moderne de sigilare vascularã Liga-Sure. Scopul: Implementarea interventiilor organomenajante in chirurgia tumorilor benigne ale suprarenalelor. Material și metode: Pe parcursul a 10 ani (2009-2018) in clinică au fost supuși intervențiilor chirurgicale 144 pacienti cu diverse formațiuni de volum ale suprarenalelor. Din lotul total 68 (47.2%) au suportat rezecții parțiale de glandă în bloc cu tumora. Rezultate: Durata medie a intervențiilor chirurgicale organomenajante nu a înregistrat deosebiri esențiale de suprarenalectomia totală, iar evoluția postoperatorie precoce a fost similară. Concluzii: Ambele metode chirurgicale prezintă evoluție postoperatorie precoce similare, iar suprarenalectomia parțială necesită dotari suplimentare pentru realizare totodată fiind metoda care ar permite prezervarea parenchimului hormonal.Background: The laparoscopic approach to suprarenalectomy has become a "gold standard" for various disorders of the suprarenal gland. The overall suprarenalectomy is particularly severe when the process is bilateral, especially in young patients. Partial suprarenalectomy is welcome in such situations. Intraoperative technical difficulties and hemorrhagic risks are the major problems during these operations. In selected cases of benign tumors under 3 cm, with anterior or lateral localization, partial suprarenalectomy is perfectly justified. The main milestones are the identification of the adenoma, preservation of the vascularized resting glandular tissue and the precise dissection with the maintenance of the cleavage space between the tumor and the rest of the parenchyma. The actual realization of the resection of the glandular tissue under hemostatic safety conditions is phased and efficient with the use of modern vascular sealing techniques Liga-Sure. The aim: A comparative study between the total and partial suprarenalectomies. Methods and materials: Over the course of 10 years (2009-2018) in the clinic 144 patients with various suprarenal volume formations underwent surgical interventions. From the total group 68 (47.2%), underwent partial tumor resection of the gland. Results: The average duration of partial resection surgeries did not show any essential differences of total suprarenalectomy and postoperative evolution was similar. Conclusions: Both surgical methods have a similar postoperative evolution, but the partial suprarenalectomy is technically more difficult to perform, but at the same time it is the only method that would maintain the endogen hormonal status

    STRUCTURAL STATIC ANALYSIS OF THE CURVED STILT BY FEM USING THE ELCUT PROGRAM

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    The paper presents a study of the distribution of stresses and strains in the curved stilt of the plough-body, using the ELCUT analysis program by the finite element method. In its public version, the program allows the static structural analysis in three stages of precision. However, there are some limitations on the number of nodes for the discretized structure, depending on its complexity (250 to 500 nodes)
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