bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of mini PCNL versus supermini PCNL: a cohort study
Authors:   Institute for Urology and Human Reproductive Health of the I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Moscow, Russia), Akopyan G.N. , Tursunova F.I. , Gadzhiev N.K. ,   Department of Urology, Saint Petersburg State University Hospital, Saint Petersburg, Russia, Davronbekovo Kh.Kh. , Fedortsova T.P. , Goryacheva E.V. , Yusupov K.M. , Rapoport L.M. , Glybochko P.V.
Published: September 2024

Introduction. Over the past 20 years mini-percutaneous nephrolithotomy (mini-PCNL) is remaining an effective method non inferior to standard PCNL with lower rates of serious complication related to bigger nephrotomy tract size like bleeding. However, in comparison to standard PCNL miniPCNL diminishes visualization, leads to increase of intrarenal pressure (IRP), difficulties in stone fragments evacuation, and longer operative time. In 2016 Zeng has developed an innovative aspiration sheath. Novel modification of miniPCNL with suction was called superminiPCNL (SMP) [1]. We have modified this aspiration sheath. There is the lack of data regarding efficacy and safety of this innovative method. Objectives. The aim of the study is to compare efficacy and safety of miniPCNL with SMP using an innovative suction sheath in the treatment of kidney stone disease. Material and methods. Between September 2021 and March 2023, 140 underwent PCNL. Patient were divided into 2 groups 1:1, 70 patients in each group. MiniPCNL was used in control group, SMP using aspiration suction sheath – in intervention group. Operative time, stone-free rate (SFR), bleeding, postoperative complications were compared between two groups. Results. SFR didn`t significantly differ between the groups and was 91.3% and 98.4% respectively (p = 0.117). Mean operative time was less in SMP group with a mean shortening of the procedural time of 13 min (p < 0.001). Hemoglobin drop was comparable between the groups (p = 0.73). Fever was significantly less frequent in SMP group, 11.6% in miniPCNL vs. 1.6% in SMP group (p = 0.042). There were no serious complications (Clavien III and IV) in any group. Discussion. PSMP is not inferior to miniPCNL in terms of efficy and safety. Moreover, it leads to shorter operative ime, decreases complication rates, and thus is a preferable method of renal stone treatment. Keywords: Kidney stone disease, percutaneous nephrolithotomy, surgery, supermini-PCNL.
Evaluation of the effectiveness and safety of the use of the antioxidant complex “Spermafert”
Authors:   Moscow Consultative and Diagnostic Center No2 of the Moscow Health Department, 8 Igralnaya St., Moscow, Ipatenkov V.V. ,   Moscow City Department of Health, Martazinova S.V. ,   Central Medical Clinic CMD, Moscow, Perovo metro station, Novogireevskaya st., 3A, Shcheplev P.A. , Naumov N.P. ,   Professional Association of Andrologists of Russia (PAAR)
Published: September 2024

Reactive oxygen species negatively affect the indicators of ejaculate and spermatogenesis in general. This study evaluated the efficacy and safety of combination antioxidant therapy with respect to the treatment of male infertility. The general indicators of the ejaculate and the sperm DNA fragmentation index were assessed. Men with a high sperm DNA fragmentation index were recommended to take 1 capsule and 5 ml of liquid (1 scoop) once a day with meals. The liquid contains L-carnitine – 900 mg; 1 capsule contains: lipoic acid - 96 mg, vitamin C – 72 mg, zinc citrate – 56 mg, vitamin B6 – 2.4 mg, folic acid – 0.48 mg, 9-phenyl-symmetric octahydroselenoxanthene – 0.34 mg. Results. After three months of treatment with the antioxidant complex "Spermafert", ejaculate valuesimproved, as evidenced by a decrease in the sperm DNA fragmentation index from 21.6 ± 3.2% to 12.8 ± 3.3%; an increase in sperm concentration from 29.7× 106 /ml to 35.7 × 106 /ml an increase in the totalsperm count from 72.1 × 106 to 95.5 × 106 . Findings. Taking antioxidants can improve overall ejaculate counts and lowersperm DNA fragmentation index levelsin men in infertile marriages. The conclusions of thisstudy coincide with general trendsin this direction. Keywords: male infertility, antioxidants, Spermafert, DNA fragmentation
The use of a large number of methods of surgical treatment of urethral stricture in one patient: a clinical case
Authors:   City Clinical Hospital, Katibov M.I. ,   89 Laptiyeva St., Makhachkala 367018, Russia, Alibekov M.M. ,   Dagestan State Medical University, Ministry of Healthcare of Russia; 1 Lenin sq., Makhachkala 367012, Russia, Magomedov Z.M.
Published: September 2024

Introduction. Insufficient surgical experience and inadequate choice of surgical treatment options may be the reasons for the failure of treatment of urethral stricture. In this regard, a clinical case from our practice is very indicative. Case: The article is devoted to the description of a clinical case of urethral injury in a man who, at the age of 22 years, suffered a fracture of the pelvic bones as a result of a traffic accident. From the moment of injury to the final operation, the following types of surgical interventions were sequentially performed in this patient: anastomotic endto-end urethroplasty, augmentation urethroplasty using a skin graft, augmentation urethroplasty using a graft of the tunica vaginalis of the testicle, bougienage of the urethra, urethroplasty with a vascularized radial fasciocutaneous flap on a vascular pedicle, 2-stage urethroplasty using a graft of the buccal mucosa according to the type of Bracka I and II operations, perineal urethrostomy. Urethrostomy became the final option for urine diversion; no recurrence of urethral stricture was observed during 4 years of follow-up after urethrostomy. Conclusion. Until recently, the lack of uniform approaches to the treatment of urethral stricture has led to the use of inadequate methods of surgical treatment in various clinics. The recent approval of federal clinical guidelines for urethral stricture should help optimize the treatment of this disease. Keywords: urethral stricture, urethroplasty, urethrostomy
Erectile dysfunction: current state of the problem, diagnostic methods and X-ray endoscopic surgical treatment
Authors:   Scientific and Practical Center for Interventional Cardioangiology of the First Moscow State Medical University named after I.M. Sechenov (Sechenov University) of the Ministry of Health of the Russian Federation, Ioseliani D.G. ,   119048, Russia, Moscow, Trubetskaya Street, 8, building 2., Rapoport L.M. ,   Department of Interventional Cardioangiology of the Institute of Professional Education of the First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation; Ministry of Health of the Russian Federation; 119048, Russia, Moscow, Trubetskaya Street, 8, building 2., Semitko S.P. , Asadov D.A. , Petovskiy N.V. , Bezrukov E.A. , Chinenov D.V. , Lukyanova M.E. , Koledinskiy A.G. ,   Institute for urology and Human reproductive health (Sechenov University)., Korolev D.O. ,   State Budgetary Healthcare Institution of the Moscow Region «Sergiev Posad Hospital»; 141301, Moscow Region, Sergiev Posad, Novouglichskoye Shosse, 62a.
Published: September 2024

According to the Russian Society of Urologists, almost half of men aged 27 to 77 suffer from erectile dysfunction. ED should be considered not only as a medical nosology, but also as a socio-psychological problem with a demographic aspect. There are many methodsfor improving erectile function, including psychological consultations, drug therapy and penile prosthetics. Given the accumulated international experience,the key pointis an accurate diagnosis ofthe cause of erectile dysfunction to determine the correct approach to treatment. Among the many causes of erectile dysfunction, vascular causes are quite common. Given the rapid development of endovascular and low-traumatic approachesto vascular pathology,the technique of improving inflow and outflow obstruction in vasculogenic erectile dysfunction is becoming increasingly obvious and effective. The presented article discussesthe currentstate ofthe issue and possible prospectsfor endovascularsurgery for vascular erectile dysfunction, including significant venous leakage.
Impact of COVID19 on spermological indicators of men in reproductive age
Authors:   Institute of Molecular Pathology and Pathomorphology, Federal State Budgetary Scientific Institution «Federal Research Center for Fundamental and Translational Medicine» of the Ministry of Science and Higher Education of the Russian Federation, 630117, Russia, Novosibirsk, Timakova str., 2, Senchukova S.R. , Savina A.A. ,   Clinics of medical cosmetology in Akademgorodok, 630055, Novosibirsk, Rossiyskaya str., 21, Russia, Taranov O.S. ,   Federal Budgetary Institution of Science State Scientific Center of Virology and Biotechnology «Vector» of the Federal Service for Supervision of Consumer Rights Protection and Human Well-being, 630559, Koltsovo, Russia, Novosibirsk region.
Published: September 2024

Introduction: The new coronavirus infection is dangerous not only in the acute period of the disease, but also during the period of convalescence, causing various complications. The long-term effects of the SARS-CoV 2 virus on male reproductive function are an important prognostic factor requiring comprehensive study. Purpose of the study: to study the long-term results of the impact of COVID-19 mild to moderate severity on spermological indicators in men of reproductive age. Materials and Methods: the study included 14 healthy men of reproductive age who were not vaccinated against COVID 19, who had negative results of an STI examination, normal spermological parameters, TUNEL test values <15%, who subsequently suffered a viral infection caused by the SARS-CoV 2 virus of mild and moderate severity, with persistent negative results of an STI examination. Results: а comparative analysis of the results of spermograms of patients before and after COVID 19 showed that the total number of spermatozoa before and after the disease (422.5 ± 53.9 and 410.2 ± 176.9 million, respectively), the indicator of the number of spermatozoa with progressive translational (PR) mobility (56.4 ± 8.7 and 54.4 ± 8.0%, respectively), morphologically normal male gametes before and after 3 months after COVID-19 (21.2 ± 4.3 and 20.2 ± 3.6%, respectively) are comparable. Normozoospermia was observed in all cases, TUNEL test values <15%. Conclusion: in the conducted study, mild and moderate COVID-19 did not have a clinically significant effect on the spermological parameters of men 3 months after COVID-19. Keywords: COVID-19, SARS-CoV 2 virus, spermological indicators, TUNEL-test.
Regulation of spermatogenesis and functional state of seeds at experimental animals
Authors:   Dagestan State Medical University, Makhachkala, Russian Federation, Magomedov M.M. , Kamalov K.G. , Magomedov A.A.
Published: September 2024

Abstract: the aim of the study was to determine the effect of postoperative hypothyroidism on spermatogenesis in experimental dogs. Materials and Methods: experimental studies were performed on 20 mongrel male dogs. The study was randomized, 3 groups were identified. The first group was a control group, 4 dogs served as controls. Hemithyroidectomy was performed in the second group, subtotal thyroidectomy was performed in the third group. The operations were performed under general anesthesia. The testes, thyroid gland and blood were the objects of the study. In the postoperative period, biochemical and histological analyses of the removed thyroid gland tissue and testicles of the examined dogs were performed. The determination of hormones in the blood before and after surgery was carried out using a chemiluminescent analyzer Roche Codas E601 (Switzerland). Results: in the course of the study, in the postoperative period, experimental dogs had a decrease in testosterone in serum by 15% on day 5-8, and from 15% to 30.1% on day 20; in dogs after subtotal thyroidectomy, this indicator was 41.1% on day 20 (p < 0.005). Changes in FSH and prolactin in the blood were different in all groups. The FSH index had a significant increase on day 5-8, and a decrease on day 20, and the prolactin index on the contrary: a decrease on day 5-8 and an increase on day 20. The hormonal activity of the thyroid gland was reduced, especially after subtotal thyroidectomy. Morphological studies have shown a marked decrease in the activity of the spermatogenic layer and interstitial edema of the testes on 5-8 days in both groups. On the 30th day, in both groups after surgery, there was a noticeable decrease in both the spermatogenic layer and the interstitial cells of the testes. Conclusion: the results of experimental studies have shown that as a result of hemithyroidectomy and subtotal thyroidectomy, there is a noticeable change in the regulation of spermatogenesis and structural and functional changes in the testes of experimental animals, especially in the iodine-deficient region. Keywords: postoperative hypothyroidism, spermatogenesis, semens, hormones, hemitireoidectomy.
Ways to increase patient satisfaction during re-implantation of testicular prosthesis: clinical case, literature review
Authors:   Federal State Budgetary Educational Institution of Higher Education «Yaroslavl State Medical University» of the Ministry of Healthcare of the Russian Federation. 150000, Yaroslavl region, Yaroslavl, Revolutionary st., 5., Ryzhkov A.I. ,   OOO «Mother and Child Yaroslavl». 150062, Yaroslavl region, Yaroslavl, 5th Yakovlevskaya st., 17., Sokolova S.Yu. , Chirkov A.N. , Shormanov I.S.
Published: September 2024

The features of implantation of a testicular prosthesis are insufficiently covered in modern literature. We present a clinical observation of testicular implant replacement in a 56-year-old patient dissatisfied with the results of primary implantation, with a discussion of the main causes of patient dissatisfaction and ways to overcome them. Keywords: testicular prosthetics, testicular implantation, reimplantation of testicular prosthesis.
Direct percutaneous x-ray endovascular occlusion of the veins of the prostatic plexus
Authors:   Department of Urology and Andrology of ANO DPO Center for Medical and Corporate Training, Kapto A.A. ,   Russia, 127299 Moscow, st. Kosmonavta Volkova, 9/2, Shevakin A.G. ,   Multidisciplinary medical holding SM-Clinic, Moscow., Shkaburin A.D.
Published: September 2024

In this work, we developed and introduced into clinical practice direct percutaneous X-ray endovascular occlusion of the veins of the prostatic plexus. Indications for this operation were a decrease in the quality of life associated with erectile dysfunction, the presence of proximal pathological venous drainage from the corpora cavernosa of the penis, lack of sufficient effect from taking of inhibitors phosphodiesterase type 5, refusal to use intracavernosal injections, refusal to undergo penile prosthetics, absence or low quality of visualization of the deep dorsal vein of the penis when using antegrade approaches to the prostatic plexus (transdorsal) as well as the complex anatomy of the pelvic veins when using retrograde approaches to the prostatic plexus (transfemoral and transcubital). The advantage of this technique was safety, extremely low morbidity and minimal hospitalization time. Keywords: venogenic erectile dysfunction, x-ray endovascular occlusion of the veins of the prostatic plexus
The state of the microbiota of prostate secretion in patients with chronic bacterial prostatitis before and after antibacterial treatment
Authors:   RUDN University. Moscow, Russia, Ignatev A.V. , Mashaneishvili Sh.G. , Kadyrov Z.A. , Ramishvili Sh.V. , Stepanov V.S.
Published: September 2024

Introduction. The effect of antibiotics on the microbiota of different organs is the subject of close attention and an urgent problem of modern medicine. The literature mainly contains works related to the effect of antibiotics on the intestinal microflora and some other organs other than the genitourinary organs. On the other hand, the microbiota of many organs, including the prostate, largely depends on the gut microbiota. Objective: to conduct a comparative analysis of the microbiota of prostate secretion (PS) in patients with chronic bacterial prostatitis (CBP) before and after antibacterial treatment. Material and methods. A prospective study of PS was conducted in 38 patients with CBP aged 25 to 50 years. The study of the microbiota of prostate secretion was carried out using cultural methods, real-time PCR and using a gas chromatograph of the Maestro mass spectrometer (Interlab LLC, Russia), by the methods of mass-spectrometry microbes markers (MSMM). Results. According to the statistical analysis of absolute indicators obtained from the MSMM data, a sharp decrease in the number of almost all groups of microorganisms (MO) has been established. At the same time, the level of the cocco-bacillary group decreased from 1,049.50 x cells/g to 142.00 x 105 cells/g, the level of anaerobes from 1,638.00 to 221.50, the level of actinobacteria from 197.00 to 40.00, the level of enterobacteria from 452.50 to 87.00, the level of gram-negative rods from 79.00 to 25.00, the level of fungi and yeast from 56.00 to 23.00, the level of viruses from 24.50 to 3.00x105 cells/g (p <0.0001; p = 0.0004; p = 0.0033; p = 0.0007; p <0.0001). In addition, there was a decrease in the level of resident MO, transient opportunistic, normally non-occurring MO and MO sum, as well as a decrease in the level of plasmologens and endotoxin sum (p <0.0001). When analyzing the relative value in the microbiome of individual MO, a decrease in the proportion of cocco-bacillar flora, actinobacteria, enterobacteria, viruses, transient and normally non-occurring microorganisms was noted, while the proportion of grams of negative rods increased by 48.4% (p = 0.0033), fungi and yeast by 74.4% (p<0.0001), anaerobes by 6.3% (p<0.0001), resident bacteria by 5.3% (p<0.0001). The decrease in the level of plasmologen reached 63.9% (p<0.0001), endotoxin 64.3% (p<0.0001). Conclusion. The analysis showed that antibiotics lead to a decrease in the level of absolute values in almost all microorganisms, regardless of belonging to different taxonomic groups, while the relative values in some groups increase and in others decrease. Keywords: microbiota, prostate secretion, gas chromatography-mass spectrometry, microorganisms.
Ukrainian works of folk art through the prism of scientific attribution
Authors: Nesen Iryna
Published: September 2024

Studying the methods of methodological interactions opens up new opportunities for understanding the meaning, artistic and evaluative value of a particular artwork. The attribution of folk art works is one of the most pressing issues in the scientific discourse. The purpose of the article is to develop an effective research toolkit for the attribution of folk art. The research methodology combines discourse interpretation with a disciplinary approach, using both general and specific scientific methods. Essential to attributing folk art is determining the sequence of various known methods. The study’s main results are derived from a systematic and comprehensive examination of key theoretical and practical aspects of folk art, specifically identifying the most effective scientific methods for its attribution. An important outcome is the development of the article’s methodological structure, focusing on the conceptual framework of folk art theory to understand its morphology. Key methods include historical and geographical, semiotic, and analogical approaches. As a result of the analysis, the article develops a methodological construct that has an analytical logic and is a theoretical justification for the concepts of attribution already existing in art history. The selected methods in the study acquire a constant hierarchy and sequence of actions, taking into account each individual situation, which has its own explicability. This analytical process involves the gradual generation of a strategy, methodology, interpretations, and interpretations that form the final knowledge of a folk artwork, as well as reveal gaps that require further search for materials and facts. In a combination of practical and theoretical methods, a folk artwork becomes an extended system and part of traditional everyday life, revealing its own objective features. The practical value of the work lies in the field of educational training of art experts, and is also important for use in special educational components
Examining the relationship between life regulation, rumination and experiential avoidance with the level of symptoms and severity of depression in male students of the first year of high school
Authors: Mohammadi Sayeda Sara , Hassanzadeh Amirhosein , Moghadasi Hasti , Saket ghalb langeroodi Shadi , Niknam Zahra , Bayat Mohsen
Published: September 2024

The purpose of this study was to investigate the relationship between emotion regulation rumination and experiential avoidance with the level of symptoms and severity of depression in male high school students of the first year. The method of the descriptive research was correlation type and the statistical population included all male students of the first period of secondary school in Zanjan city in 2014-01. The sampling method in this research was simple random and the sample number was 60 students. The measurement tools used in this research were emotion regulation questionnaire, attitude towards addiction and rumination and experiential avoidance. Pearson's test was used to analyze the data, and SPSS statistical software was used for this purpose. The results showed that with a confidence level of 0.05% and with a confidence level of 0.95, there is a relationship between attitude towards drugs and physical health ( r =-0.18), exercise and wellness ( r =-0.24 ), weight control and nutrition. ( r =-0.19 ), disease prevention ( r =-0.22 ), mental health ( r =-0.13 ), spiritual health ( r =-0.31 ), social health (-0.19) = r ), environmental health ( r = -0.18 ) and self-efficacy ( r = -0.34 ), there is a significant negative relationship ( p < 0.05 ). Based on the results obtained, it can be concluded that emotion regulation and rumination and experiential avoidance are negative influencing factors in students' attitude towards drug use and better than drugs and rumination and experiential avoidance to students. to be given.
Predicting Life Expectancy Based on Self-Efficacy and Psychological Hardiness in Cancer Patients
Authors: Askari Zahra , Rahimian Maryam , Alishahi Mohammad Hossein
Published: September 2024

This study investigated the relationship between life expectancy, psychological hardiness, and self-efficacy in cancer patients. The statistical population of this study consisted of all cancer patients residing in Shiraz in 1402 (2023). Using a non-random sampling method, 150 patients were selected and voluntarily responded to the questionnaires. This research is descriptive and correlational. Three scales were used to measure the variables: Snyder's Adult Hope Scale, Kobasa's Psychological Hardiness Questionnaire, and Jerusalem and Schwartz's Self-Efficacy Scale. Data analysis was performed using the simultaneous multiple regression method. The data analysis confirmed all three hypotheses of the research. Thus, self-efficacy and psychological hardiness can predict life expectancy in cancer patients (p < 0.001). Accordingly, the coefficient of determination was 0.52. Of these two variables, the share of the psychological hardiness variable in predicting life expectancy was greater than that of self-efficacy.
OBLIGACIONES DE ALIMENTOS
Authors: Hernández Rodríguez Aurora
Published: September 2024

Esta obra constituye una herramienta básica de naturaleza coral que tiene como finalidad que el estudiantado de Grado pueda asimilar la esencia del Derecho internacional privado, ello sin menoscabo del rigor científico, de la actualidad de los materiales manejados y del afán propedéutico que siempre deben estar presentes en el quehacer del profesor universitario. Este Libro-Curso sobre DERECHO INTERNACIONAL PRIVADO ofrece un instrumento de fácil manejo para el estudio de la asignatura Derecho internacional privado adaptado a las exigencias del Espacio Europeo de Educación Superior. La materia es abordada en 14 lecciones en la que se dibujan los conceptos esenciales de la asignatura a fin de afrontar, con unas garantías mínimas, cualquier supuesto práctico ius internacional privatista. Para ello, tras las explicaciones relativas a cada tema, se exponen ejemplos y casos prácticos a resolver que permiten al estudiantado poner en práctica los conocimientos adquiridos. La obra se complementa con un cuadro resumen de las fuentes jurídicas básicas del Derecho internacional privado español de origen institucional, convencional y autónomo; y un listado de enlaces web recomendados de Derecho internacional privado. En definitiva, se presenta esta obra como una herramienta básica coral para que el estudiantado de Grado (y cualquier profesional del mundo del Derecho) pueda asimilar el Derecho internacional privado, desde una perspectiva teórico-práctica.
REGÍMENES DE COMPETENCIA JUDICIAL INTERNACIONAL EN EL SISTEMA ESPAÑOL DE DERECHO INTERNACIONAL PRIVADO
Authors: Marullo María Chiara
Published: September 2024

Esta obra constituye una herramienta básica de naturaleza coral que tiene como finalidad que el estudiantado de Grado pueda asimilar la esencia del Derecho internacional privado, ello sin menoscabo del rigor científico, de la actualidad de los materiales manejados y del afán propedéutico que siempre deben estar presentes en el quehacer del profesor universitario. Este Libro-Curso sobre DERECHO INTERNACIONAL PRIVADO ofrece un instrumento de fácil manejo para el estudio de la asignatura Derecho internacional privado adaptado a las exigencias del Espacio Europeo de Educación Superior. La materia es abordada en 14 lecciones en la que se dibujan los conceptos esenciales de la asignatura a fin de afrontar, con unas garantías mínimas, cualquier supuesto práctico ius internacional privatista. Para ello, tras las explicaciones relativas a cada tema, se exponen ejemplos y casos prácticos a resolver que permiten al estudiantado poner en práctica los conocimientos adquiridos. La obra se complementa con un cuadro resumen de las fuentes jurídicas básicas del Derecho internacional privado español de origen institucional, convencional y autónomo; y un listado de enlaces web recomendados de Derecho internacional privado. En definitiva, se presenta esta obra como una herramienta básica coral para que el estudiantado de Grado (y cualquier profesional del mundo del Derecho) pueda asimilar el Derecho internacional privado, desde una perspectiva teórico-práctica.
ENGINEERING CHALLENGES AND SOLUTIONS IN SMART GRID INTEGRATION WITH ELECTRIC VEHICLES
Authors:   Master in Industrial and Systems Engineering, University of Michigan, Michigan, USA, Mosleuzzaman Md , Shamsuzzaman H M ,   Master in Electrical and Electronics Engineering, College of Engineering, Lamar University, Beaumont, USA, Hussain Md Delwar ,   Master in Electrical and Electronics Engineering, College of Engineering, Lamar University, Beaumont, TX, USA
Published: September 2024

This paper explores the critical engineering challenges and innovative solutions for successfully integrating intelligent grids and electric vehicles (EVs), emphasizing the increasing need for a resilient and adaptive electrical grid as global EV adoption accelerates. It comprehensively examines the technological, infrastructural, and regulatory obstacles that must be addressed to ensure seamless integration, focusing on advanced energy management systems, grid stability amidst fluctuating demand, and incorporating renewable energy sources. The study delves into the infrastructural requirements, including the expansion of charging networks, upgrades to transmission and distribution systems, and the implementation of vehicle-to-grid (V2G) technologies, while also analyzing the necessary regulatory and policy frameworks, stressing the importance of clear standards, incentives, and public-private collaboration. The paper offers a forward-looking perspective on overcoming current challenges by reviewing recent advancements in innovative grid technology—such as high-capacity energy storage and artificial intelligence (AI) use for predictive maintenance and load balancing. It highlights the need for interdisciplinary collaboration among engineers, policymakers, and industry leaders to develop a cohesive strategy for future energy distribution while underscoring the role of AI in optimizing grid performance, predicting energy consumption patterns, and enhancing overall efficiency. Ultimately, the paper provides a comprehensive analysis of the current state of smart grid and EV integration, offering actionable insights for stakeholders and concluding with recommendations for future research and development priorities, with a strong emphasis on continued innovation and cooperation to achieve a sustainable and resilient energy future.
ENSINO DO DIREITO NO BRASIL
Authors:   Eveline Gonçalves Denardi, da Silva Lucilenny Nunes
Published: September 2024

O propósito do presente artigo é evolução histórica do Ensino do Direito no Brasil, desde a Colônia, Império e República, perpassando, também, pelo sistema do ensino superior no concerne ao seu regramento e estruturação, evidenciando a atividade docente no ensino, especialmente do curso jurídico, não pode dispensar ou minimizar a relevância dos saberes pedagógicos que possibilitem qualificar o ensino e profissionalização do docente e, assim, como do discente. Busca-se uma educação de qualidade, fundamentada em sua função social, necessária ao desenvolvimento consciente, crítico e autônomo de sua atividade, firmado no saber.
INFLUÊNCIA DAS VIVÊNCIAS EM AMBIENTES NATURAIS NA SAÚDE E BEM-ESTAR DE SERES HUMANOS: UM DIAGNÓSTICO
Authors: Chaves Alexandre Nascimento da Silva
Published: September 2024

Este artigo buscou avaliar a relação entre saúde física, bem-estar com o contato de seres humanos com ambientes de natureza. Trabalhadores da UC (ESPAB), responderam um questionário semiestruturado que mostrou correlação positiva entre a saúde física e bem-estar das pessoas a sua frequência na ESPAB. Os dados mostraram convergência com as evidências científicas pertinentes, permitindo afirmar que estar em ambientes de natureza pode ser uma ótima forma de manutenção e promoção de saúde em diversas vertentes.
Choc vagal induit par l'acupuncture : cas clinique chez une adolescente de 17 ans à l'Hôpital Général de Référence de Niamey
Authors:   Université Abdou Moumouni de Niamey, Alfari AA ,   Service de Médecine Physique et Réadaptation, Hôpital Général de Référence de Niamey, Saidou A ,   Université Abdou Moumouni de Niamey,   Service de Chirurgie Viscérale et d’Endoscopie Digestive, Hôpital Général de Référence de Niamey, Idé AI ,   Service de Médecine Physique et Réadaptation, Hôpital National de Niamey, Hassan HMA ,   Service de santé des Armés et de l’Action Sociale des Forces Armées Nigérienne
Published: September 2024

Ce travail rapporte le cas d’une adolescente âgée de 17 ans, sans antécédents particuliers, victime d’un malaise vagal lors de sa première séance d’acupuncture pour une scapulalgie droite post traumatique au service de Médecine Physique et Réadaptation (MPR) de l’Hôpital Général de Référence de Niamey. La perte de connaissance était survenue subitement après 30 secondes de l’implantation de l’aiguille d’acupuncture dans la partie supéro-médiale de l’épaule droite de la patiente. L’examen clinique trouva une patiente inconsciente, le corps couvert de sueurs, la tension artérielle était mesurée à 90/50 mm hg, le pouls à 56 battements par minute, la saturation en oxygène à 95% et la glycémie d’urgence à 1, 45g/l. L’installation rapide du malade en décubitus dorsal, membre inferieurs surélevés, la perfusion de sérum salé (NaCl) à 0,9% et l’oxygénothérapie par lunette nasale avaient conduit à une évolution favorable et rapide. Nous rapportons cette expérience de choc vagal survenu lors d’d’acupuncture ; un fait rarement décrit dans la littérature. Mots-clés : Choc vagal, Acupuncture, Hôpital Général de Référence, Niamey.
Dérivations urinaires après cystectomie au service d'urologie du CHU "Le Luxembourg"
Authors:   Service d’urologie CHU Luxembourg, Diarra A , Sylla A ,   Service d’urologie CHU Luxembourg, Kassogué A ,   Service d’urologie CHU de Kati, Cissé D ,   Service d’urologie de l’Hôpital de Mopti, Cissoko BA ,   Service d’urologie CHU Luxembourg, Maiga S ,   Service d’urologie CHU Luxembourg, Keita M ,   Service d’urologie CHU Luxembourg, Kouma M ,   Service d’urologie CHU Luxembourg
Published: September 2024

Introduction : La tumeur de vessie est diagnostiquée ou traitée chez 2,7 millions de personnes chaque année dans le monde. La cystectomie totale est le traitement de référence des tumeurs de la vessie infiltrant le muscle (TVIM). Après exérèse de la vessie, les urines sont soit dérivées vers la peau, soit en interne en créant un remplacement orthotopique ou néo-vessie. Méthodologie : Nous rapportons une étude prospective allant de janvier 2015 à août 2021, sur les patients chez qui nous avons réalisé une cystectomie radicale dans le cadre du traitement de la tumeur de vessie infiltrant le muscle (TVIM) au service d’urologie du CHU Luxemburg. Résultats : L’âge moyen : 54,5 ans. La tranche d’âge la plus représentée était de 50 à 59 ans, sexe féminin :74 %. Les types dérivations urinaires étaient (l’urétérostomie cutanée trans iléale de Bricker soit 56,5% et la vessie de Hautmann soit 43,5%). Dans notre étude nous n’avons pas enregistré de complications précoces. Les complications tardives par ordre de fréquence étaient (1 cas d’uretero-hydronephrose,1 cas de fistule de la néo-vessie, 1 cas d’incontinence urinaire, 1 cas de récidive tumorale) et 7 cas de décès (dont 4 survenus avant 3 mois) Conclusion : La cystectomie reste un geste chirurgical lourd mais la bonne collaboration entre l’équipe d’anesthésie réanimation et les chirurgiens a permis de réduire au maximum ses complications. L’expérience du chirurgien joue un rôle capital pour une prise en charge efficiente. Mots-clés : tumeur de vessie, cystectomie, dérivations urinaires, CHU « Le Luxembour ».
Impacto da obesidade no pós-operatório de pacientes submetidos à Cirurgia Geral: uma revisão integrativa
Authors: Lopes Marcelo Sampaio , Medeiros Felipe de Abreu , Cruz Lanna Luiza Ferreira da , Lédo Ana Clara Sousa , Oliveira Pedro Gabriel Kaefer de , Queiroz Pedro Emílio Paixão , Silva Charles Bonatti do Vale , Kozerski Maria Eduarda Fugivara , Souza Rafaela Ferreira de , Yoo Yann Gustavo Sabino , Nogueira Ana Júlia da Cunha , Silva Wesley Souza , Costa Henrique Souza , Silva Mayara Duarte , Bolwerk Marculina Barros de Carvalho
Published: September 2024

Obesidade, definida pela OMS como um IMC igual ou superior a 30 kg/m², é um problema de saúde global relacionado a fatores como má alimentação, sedentarismo e genética. Ela aumenta o risco de doenças como hipertensão, AVC e infarto, além de complicar cirurgias, resultando em maior risco de trombose venosa profunda, infecções e complicações respiratórias. A obesidade prejudica a resposta imunológica, gera inflamação crônica e compromete a perfusão tecidual, dificultando a cicatrização e aumentando o tempo de internação e custos com saúde. Este artigo revisa evidências sobre o impacto da obesidade nas cirurgias gerais, focando em complicações, recuperação pós-operatória e taxas de readmissão hospitalar. A revisão foi baseada em estudos retirados de bases como PubMed e SCIELO até agosto de 2024, utilizando critérios rigorosos de inclusão e exclusão. Dos 312 artigos inicialmente identificados, 45 foram analisados. Os resultados indicam que pacientes obesos têm mais comorbidades, maior perda de sangue intraoperatória, tempo cirúrgico prolongado e maiores taxas de infecções. No entanto, a obesidade não demonstrou ser um fator significativo para aumentar as complicações pós-operatórias em comparação com pacientes com peso normal. Observou-se, inclusive, melhor sobrevida em pacientes obesos a longo prazo, o que caracteriza o “paradoxo da obesidade”. As taxas de readmissão foram semelhantes entre os diferentes grupos de peso, sem diferença estatística significativa. Pacientes abaixo do peso, no entanto, apresentaram maiores complicações e tempo de internação, sugerindo que o estado nutricional pode influenciar mais a recuperação do que a obesidade em si. Embora a obesidade aumente o risco de morbidades, a qualidade dos cuidados pré e pós-operatórios pode mitigar esse risco, desafiando a visão de que a obesidade leva automaticamente os piores resultados cirúrgicos. Pesquisas futuras são necessárias para explorar a relação entre obesidade e resultados cirúrgicos de forma mais ampla e desenvolver estratégias específicas de manejo para esses pacientes.
Doença de Crohn e Colite Ulcerativa: Uma revisão abrangente sobre patogênese, diagnóstico e tratamento
Authors: Morais Sabrina Karen Meneses , Melo Carolina Simas , Igarashi Ágatha Thomé , Brustolon Lohanne de Lima , Ferreira Antônia Eduarda Moreira , Cunha Virna Vitória Lima Brauna , Almeida Maria Fernanda Brunetta Sant’Ana , Ferreira Diane Vitória Lopes , Soares Anna Victória Leitgeb Santos de Castro , Cruz Cristine Diniz Coutinho , Tormena Jady Miranda , Macedo Rayonara Franco , Araújo Marcelo Pereira de , Vieira Lauren Machado , Silva Ana Karoline dos Santos da , Júnior Tarcisio Pereira da Rocha , Almeida Mirely Oliveira , Junior Reinaldo Couri Nogueira
Published: September 2024

A Doença de Crohn e a Colite Ulcerativa são duas formas principais de Doenças Inflamatórias Intestinais (DIIs), caracterizadas por inflamação crônica do trato gastrointestinal. A Doença de Crohn pode afetar qualquer parte do trato digestivo, desde a boca até o ânus, enquanto a Colite Ulcerativa é restrita ao cólon e ao reto. Ambas as condições apresentam sintomas debilitantes, como dor abdominal, diarreia crônica e perda de peso. Embora a causa exata seja desconhecida, fatores genéticos, imunológicos e ambientais desempenham um papel crucial em seu desenvolvimento. O tratamento é voltado para controlar a inflamação, aliviar os sintomas e melhorar a qualidade de vida. Essa revisão de literatura foi realizada por meio de publicações científicas encontradas nos seguintes bancos de dados: Biblioteca Virtual de Saúde (BVS), Public Medline (PubMed), Portal de Periódicos CAPES e Scientific Elec tronic Library Online (SciELO), sem restrição de período. Foram também consultados os sites oficiais do Ministério da Saúde e a literatura cinzenta. As considerações finais sobre a Doença de Crohn e a Colite Ulcerativa destacam a complexidade e o impacto dessas condições inflamatórias intestinais na vida dos pacientes. Ambas as doenças apresentam desafios significativos para o diagnóstico e tratamento, exigindo uma abordagem multidisciplinar para o manejo eficaz. A importância de um tratamento personalizado é crucial para controlar a inflamação, aliviar sintomas e prevenir complicações graves. A contínua evolução das terapias, incluindo novas medicações e técnicas cirúrgicas, oferece esperança para melhores resultados e qualidade de vida. No entanto, é fundamental a implementação de estratégias de acompanhamento e prevenção para reduzir o impacto dessas condições e melhorar a gestão a longo prazo. A colaboração entre médicos, pacientes e equipes de saúde é essencial para alcançar um controle ótimo da doença e minimizar as complicações associadas.
Adaptation et validation transculturelle d’un questionnaire de qualité de vie liée à la santé orale des sujets complètement édentés au Liban
Authors: HADDAD Elissa , ABI GHOSN YARED Carole , FAKHOURI Jihad , EL OSTA Nada
Published: September 2024

The objectives of the present study were to adapt and validate transculturally the Arabic version of the OHIP-EDENT in a group of completely edentulous Lebanese individuals aged 60 or over. A sample of edentulous subjects aged 60 and over was recruited from the Department of Removable Prosthodontics, at the Saint-Joseph Unoversity of Beirut, and from a private medical clinic in Beirut. The Arabic version of OHIP-EDENT was applied. It comprised 19 items grouped into seven dimensions:functional limitation, pain, psychological discomfort, physical incapacity, psychological incapacity, social incapacity and handicap. Reproducibility, internal consistency, concurrent validity and discriminant validity were assessed. Two hundred and two participants were included in the study. The average age was 72.94 ± 7.378 years and 51% were women. The OHIP-EDENT presented good reproducibility (Intra-class correlation coefficient equal to 0.922), good internal consistency (Cronbach’s Alpha coefficient equal to 0.929) and good concurrent validity. OHIP-EDENT was significantly associated with using functional prostheses, prosthetic status, stability of the prostheses and the number of years the prostheses were worn (p <0.05).The Lebanese version of OHIP-EDENT has shown good psychometric properties. The properties of OHIP-EDENT should be compared with other OHRQoL tools according to cross-sectional and prospective studies to confirm the results obtained.
Interest of attachment use in the treatment of a large edentulous ridge: A clinical report
Authors: SAADELLAOUI Ines , MABROUK Yosra , MANSOUR Lamia , TRABELSI Mounir
Published: September 2024

The oral rehabilitation of a large edentulous ridge is complicated by mechanical and esthetic problems. The use of an axial attachment as a complementary retention device has many benefits on the prosthetic balance and the esthetically integration of the prosthesis. To manage this procedure successfully, the rigorous study of the prosthetic space and the mastering of the implementations’ steps are necessary. The purpose of this work is to present through a clinical case the various steps of the realization of a metallic framework removable partial denture with an axial attachment and to underline the contribution of this device in the case of a large edentulous ridge.
ORAL HEALTH OF COMPLETELY EDENTULOUS PATIENTS DURING THE COVID-19 PANDEMIC AND ITS IMPACT ON THEIR NUTRITIONAL STATUS: A PILOT STUDY
Authors: JABER Hayat , HADDAD Elissa , ABI GHOSN YARED Carole , FAKHOURI Jihad , EL OSTA Nada
Published: September 2024

La pandémie COVID-19, déclarée par l’OMS en Mai 2020, a obligé les gouvernements du monde à adapter plusieurs mesures restrictives provoquant des difficultés d’accès aux soins bucco-dentaires. Au Liban, un manque de données sur ces difficultés et leurs conséquences chez les personnes complètement édentées a incité la réalisation d’une étude pilote évaluant l’impact de cette pandémie sur l’accès aux soins bucco-dentaires, l’état de santé orale, la qualité de vie liée à la santé orale (QVLSO), et le statut nutritionnel de ces personnes. L’étude a été menée au département de Prothèse Adjointe de la Faculté de Médecine Dentaire de l’Université Saint-Joseph de Beyrouth par l’intermédiaire d’un entretien personnel comprenant l’utilisation des versions Arabes des questionnaires ADL, OHIP-EDENT et MNA, suivi d’un examen clinique. La collecte des données de 17 sujets complètement édentés a montré une difficulté élevée d’accès aux soins bucco-dentaires et des répercussions négatives sur leur santé orale, leur QVLSO et leur nutrition.
Distal cantilever length comparison in esthetic material for hybrid implant prosthesis: an in vitro study.
Authors: SHAMS EDDIN Sana , JASSER Elie , CHAMS EDDIN Mohammad , MAKHZOUME Joseph , YARED Carole , BOULOS Paul J
Published: September 2024

Objective: the assessment of distal cantilever length in implant supported prothesis (Hybrid prosthesis) by comparing the load to fracture in two different esthetic framework materials (Zirconia and Polyetheretherketone (PEEK)) with two different cantilevers loading distances (10mm, 15mm).
Material and methods: 20 frameworks were fabricated and divided into 4 groups (n=5): according to the material type, Peek, zirconia, and according to the cantilever loading distance (10), or (15) mm and a load-to-fracture test was used until complete fracture of specimens occurs.
Results: The effect of material type and cantilever loading distance were statistically significant for the mean load-to-fracture values (P< 0.05). The Zirconia group failed at higher fracture loads (817 N) than the Peek one (651 N). Frameworks with 10 mm cantilever loading distance failed at higher fracture loads than specimens with 15 mm.
Conclusion: Peek is a suitable material for hybrid implant prosthesis (with distal cantilever in specific situations, and for zirconia the success chances are higher in these types of prosthesis when the distal cantilever length is kept at its minimal value (10 mm).
The Relationship Between Self-Adjustment and Emotion Regulation with Problem Solving in Overseas Students from Outside Java at UIN Malang
Authors: Ulfah Maziah
Published: September 2024

The number of problems faced by students requires the ability to overcome and deal with every problem that comes their way. Every student needs to have the right problem solving skills so that problems can be solved properly. Therefore in this study will examine what factors are positively correlated with problem solving. So this study aims to determine the correlation between self-adjustment variables and emotional regulation together with problem solving variables in overseas students who come from outside the island of Java who study at UIN Malang as many as 50 people. The method used is a quantitative research method using a Likert scale. As for the analysis of the results used is correlation analysis. Based on the results of data processing, this study provides several conclusions, namely the variables of self-adjustment and emotional regulation correlate with problem solving by 66.5% and the remaining 33.5% are influenced by other variables and factors. The correlation between problem solving variables and self-adjustment is 0.59 and is positive so that the two variables are stated to have a positive correlation. Furthermore, the correlation between self-adjustment variables and emotional regulation is 0.46, which means that the two variables are positively correlated. From the results of this analysis it can be seen that problem solving has a high relationship with emotional regulation variables than problem solving with self-adjustment in overseas students who come from outside Java.
Application Absence Online Students: Solutions Reduce Wasted Time Vain
Authors: Priyanto Sutopo , Tabroni Imam , Lesmanasari Nunung , Miharja Jaja
Published: September 2024

Objective study This is For designing something system for Google Workspace-based online attendance for streamline processes and record absenteeism. Study This uses Method ADDIE development (analysis, Design, Development, Implementation, evaluation) or R&D (Research and development ) using data collection techniques (1) Observation, (2) Interview, (3) Questionnaire. Data analysis for know effectiveness absenteeism before and after use application online attendance. Subject study This is 20 students for the testing scale small and 50 remaining schoolgirls for the testing group big. As well as 50 students` pre-test and post-test questionnaire effectiveness system attendance at SMAN 1 Babakan before and after the use application. Research result This is (1) a product application online attendance at SMAN 1 Babakan based Google Workspace (2) Eligibility levels product This is known through evaluation validation two experts and earn results with category Very Appropriate / Very Worthy For aspect material and appearance. The product this is also through trial stage scale small and scale big and both get results evaluation with category very worthy. Thereby can concluded that the product on research development This appropriate For used, and (3) Based on the results questionnaire effectiveness system absenteeism before use application average of 51.28% and after use application SMAN 1 Babakan's online attendance average was 88.72%. With increase in the average questionnaire effectiveness , yes interpreted that system absenteeism after use applications developed on research This experience enhancement .