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Nagy A, Niu N, Ratner E, Hui P, Buza N. Novel FOXL2 Mutation in an Ovarian Adult Granulosa Cell Tumor: Report of a Case With Diagnostic and Clinicopathologic Implications. Int J Gynecol Pathol 2024:00004347-990000000-00146. [PMID: 38426544 DOI: 10.1097/pgp.0000000000001024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
Adult granulosa cell tumor, the most common malignant ovarian sex cord-stromal tumor, harbors the characteristic mutation c.402C>G (p.C134W) in the FOXL2 gene in ~90% to 95% of cases. To date, no other variants of FOXL2 mutations have been identified in these tumors. Here we report the first case of an adult granulosa cell tumor with a novel FOXL2 point mutation c.398C>T (p.A133V) presenting in a 64-year-old postmenopausal woman. The patient underwent total hysterectomy and bilateral salpingo-oophorectomy for atypical endometrial hyperplasia and gross examination revealed an incidental 3.2 cm right ovarian mass with a solid, bright yellow, homogeneous cut surface. Microscopically, ~30% of the tumor showed a nested growth pattern composed of uniform tumor cells with oval nuclei and a moderate amount of pale cytoplasm, while the remaining areas consisted of a bland storiform fibromatous stroma. Reticulin stain demonstrated loss of the individual pericellular network within the nested areas, while the pericellular staining pattern was retained in the background stromal component. FOXL2 sequencing analysis was performed in both components and revealed a c.398C>T (p.A133V) mutation in the nested component, whereas wild-type FOXL2 sequence was identified in the fibromatous stroma. Sections from the uterus showed a low-grade endometrioid endometrial adenocarcinoma with superficial myometrial invasion. The patient underwent adjuvant vaginal cuff brachytherapy for the endometrial carcinoma and is alive and well at 8 months follow-up. This case illustrates that new FOXL2 mutations may be detected in ovarian sex cord-stromal tumors with increasing use of routine molecular testing, adding to the complexity of the pathologic diagnosis. In the right morphologic and clinical context, a FOXL2 mutation-even if it is different from the dominant hotspot mutation c.402C>G (p.C134W)-can support the diagnosis of adult granulosa cell tumor.
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Rácz IA, Szanyi S, Nagy A. Review on flower-visiting behaviour of orthopterans and setting priorities for further studies. Biol Futur 2023; 74:393-400. [PMID: 38349457 DOI: 10.1007/s42977-024-00203-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 01/16/2024] [Indexed: 03/16/2024]
Abstract
The importance of pollination and pollinators is easy to underestimate and impossible to overstate, since its importance goes far beyond the crop production and even the maintenance of plant populations. Most terrestrial ecosystems ultimately depend on the plant-pollinator interactions formed by million years coevolution. This is essential for both the daily functioning of the ecosystems and the long-term development of biodiversity. At the same time, the loss of biodiversity caused by climate change and human activities will soon lead to an ecological crisis, a catastrophe, which could endanger our life: For example, through the decline and loss of various ecosystem services. Such may be the pollination crisis, resulted from a significant loss of pollinating insects' diversity and abundance. The discovery of a pollinator Orthoptera species has encouraged researchers in the densely populated region of Indo-Malaysia to explore the potential role of orthopterans as pollinators. Although the flower visitation of some species has been already known, the role of orthopterans in pollination is scarcely revealed. Here, we collected and reviewed the available data in order to point out some factors of their importance and set priorities that may serve as a basis for further investigations regarding ecological, evolutionary and practical points of view.
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Affiliation(s)
- I A Rácz
- Department of Evolutionary Zoology and Human Biology, Faculty of Science and Technology, University of Debrecen, Debrecen, Hungary
| | - Sz Szanyi
- Institute of Plant Protection, Faculty of Agriculture and Food Sciences and Environmental Management, University of Debrecen, Debrecen, Hungary.
| | - A Nagy
- Institute of Plant Protection, Faculty of Agriculture and Food Sciences and Environmental Management, University of Debrecen, Debrecen, Hungary
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Nagy A, Rácz IA, Arnóczkyné Jakab D, Szanyi S. Setting priorities and evaluation of habitats for the conservation of orthopterans: case study in the Aggtelek National Park (N Hungary). Biol Futur 2023; 74:401-412. [PMID: 38265543 DOI: 10.1007/s42977-023-00199-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 12/16/2023] [Indexed: 01/25/2024]
Abstract
The biodiversity conservation needs recent high-quality data and efficient methods for prioritizing species and sites for conservation. Here we prioritized Orthoptera habitats of the Aggtelek National Park, based on revised and actualized distribution data of 69 Orthoptera species living at 98 sites. The simple ranking and complementary areas methods were used with species richness (S), rarity weighted species richness (SR), and number of rare species (SQ). Additionally, the Grasshopper Conservation Indexes (GCI" and GCIn") combining European and local rarity and dispersal capacity of the species were also tested. Contrary to simple ranking the complementary areas method represented the whole fauna and significant part of the species-site data records. All the used indices performed similar except the standardized GCIn" which is highly affected by the differences in study intensity of sites. High-priority areas of the Aggtelek National Park were designated in the plateau above Jósvafő and Aggtelek villages and in the small, isolated hill near Jósvafő (Szőlő-hegy) covered with remained mosaic of former vineyards, orchards and hayfields. The combined use of the efficient indices provides additional ranking that allows the best selection of hotspots to support efficient use of limited resources in nature conservation.
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Affiliation(s)
- A Nagy
- Faculty of Agriculture and Food Sciences and Environmental Management, Institute of Plant Protection, University of Debrecen, Debrecen, Hungary
| | - I A Rácz
- Faculty of Sciences, Department of Evolutionary Zoology and Human Biology, University of Debrecen, Debrecen, Hungary
| | - Dóra Arnóczkyné Jakab
- Faculty of Agriculture and Food Sciences and Environmental Management, Institute of Plant Protection, University of Debrecen, Debrecen, Hungary.
| | - Sz Szanyi
- Faculty of Agriculture and Food Sciences and Environmental Management, Institute of Plant Protection, University of Debrecen, Debrecen, Hungary
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Sadagopan M, Rivera AO, Malaga K, Nagy A. Recycled Fine and Coarse Aggregates' Contributions to the Fracture Energy and Mechanical Properties of Concrete. Materials (Basel) 2023; 16:6437. [PMID: 37834573 PMCID: PMC10573185 DOI: 10.3390/ma16196437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 09/19/2023] [Accepted: 09/22/2023] [Indexed: 10/15/2023]
Abstract
This paper investigates the fracture mechanical properties of concrete, using crushed concrete aggregates (CCA) and granulated blast furnace slag (GGBS) for partial cement replacement. CCAs made from prefabricated concrete replace 100% of the fine and coarse fractions in concrete recipes with w/c ratios of 0.42 and 0.48. Two pre-treatment methods, mechanical pre-processing (MPCCA) and accelerated carbonation (CO2CCA), are investigated for quality improvements in CCA. The resulting aggregates show an increased density, contributing to an increase in the concrete's compressive strength. The novelty of this paper is the superposition of the effects of the composite parts of concrete, the aggregate and the cement mortar, and their contributions to concrete fracture. Investigations are directed toward the influence of fine aggregates on mortar samples and the influence of the combination of coarse and fine aggregates on concrete samples. The physical and mechanical properties of the aggregates are correlated with mortar and concrete fracture properties. The results show that CCA concrete achieves 70% of the fracture energy values of concrete containing natural aggregates, and this value increases to 80% for GGBS mixes. At lower w/c ratios, MPCCA and CO2CCA concretes show similar fracture energies. CO2CCA fine aggregates are the most effective at strengthening the mortar phase, showing ductile concrete behavior at a w/c ratio of 0.48. MPCCA aggregates contribute to higher compressive strengths for w/c ratios of 0.42 and 0.48. Thus, mechanical pre-processing can be improved to produce CCA, which contributes to more ductile concrete behavior.
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Affiliation(s)
- Madumita Sadagopan
- Department of Resource Recovery and Building Technology, University of Borås, 50190 Borås, Sweden; (A.O.R.)
| | - Alexander Oliva Rivera
- Department of Resource Recovery and Building Technology, University of Borås, 50190 Borås, Sweden; (A.O.R.)
- RISE-Research Institutes of Sweden, 50115 Borås, Sweden
| | - Katarina Malaga
- Department of Resource Recovery and Building Technology, University of Borås, 50190 Borås, Sweden; (A.O.R.)
- RISE-Research Institutes of Sweden, 50115 Borås, Sweden
| | - Agnes Nagy
- Department of Resource Recovery and Building Technology, University of Borås, 50190 Borås, Sweden; (A.O.R.)
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Tóth I, Ábrahám S, Karamya Z, Benkő R, Matuz M, Nagy A, Váczi D, Négyessy A, Czakó B, Illés D, Tajti M, Ivány E, Lázár G, Czakó L. Multidisciplinary management of acute cholecystitis during the COVID-19 pandemic. Sci Rep 2023; 13:16257. [PMID: 37759081 PMCID: PMC10533883 DOI: 10.1038/s41598-023-43555-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 09/25/2023] [Indexed: 09/29/2023] Open
Abstract
The coronavirus disease 2019 pandemic had a major impact on most medical services. Our aim was to assess the outcome of acute cholecystitis during the nationwide lockdown period. All patients admitted to our emergency department for AC were analysed. Patient characteristics, performance status, AC severity, treatment modality and outcome of AC were assessed during the lockdown period (Period II: 1 April 2020-30 November 2021) and compared to a historical control period (Period I: 1 May 2017-31 December 2018). AC admissions increased by 72.8% in Period II. Patients were younger (70 vs. 74 years, p = 0.017) and greater in number in the CCI 1 group (20.4% vs. 11.2%, p = 0.043) in Period II. The unplanned readmission rate (6.3 vs. 0%, p = 0.004) and the gallbladder perforation (GP) rate was higher (18.0 vs. 7.3%, p = 0.006) in Period II. Percutaneous transhepatic gallbladder drainage (PTGBD) was more frequent (24.1 vs. 12.8%, p = 0.012) in Period II. In addition to a drop in patient age and CCI, a significant rise in the prevalence of acute cholecystitis, GP and unplanned readmissions was observed during the nationwide lockdown due to the COVID-19 pandemic. PTGBD was more frequent during this period, whereas successful conservative treatment was less frequent.
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Affiliation(s)
- I Tóth
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - S Ábrahám
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - Z Karamya
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary
| | - R Benkő
- Department of Clinical Pharmacology, University of Szeged, Szeged, Hungary
| | - M Matuz
- Department of Clinical Pharmacology, University of Szeged, Szeged, Hungary
| | - A Nagy
- Department of Radiology, University of Szeged, Szeged, Hungary
| | - D Váczi
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - A Négyessy
- Department of Surgery, University of Szeged, Szeged, Hungary
- Department of Urology, University of Szeged, Szeged, Hungary
| | - B Czakó
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary
| | - D Illés
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary
| | - M Tajti
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary
| | - E Ivány
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary
| | - G Lázár
- Department of Surgery, University of Szeged, Szeged, Hungary
| | - László Czakó
- Divison of Gastroenterology, Department of Medicine, University of Szeged, Kálvária Sgt. 57., Szeged, 6725, Hungary.
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Piehlmaier DM, Stagno E, Nagy A. Overconfidence at the time of COVID-19:Does it lead to laxer attitudes? Soc Sci Med 2023; 328:116000. [PMID: 37290148 DOI: 10.1016/j.socscimed.2023.116000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 05/19/2023] [Accepted: 05/28/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND Health education campaigns often aim to create awareness by increasing objective knowledge about pathogens, such as COVID-19. However, the present paper proposes that confidence in one's knowledge more than knowledge is a significant factor that leads to a laxer attitude toward COVID-19 and hence lower support for protective measures and reduced intention to comply with preemptive behaviors. METHODS We tested two hypotheses in three studies conducted between 2020 and 2022. In Study 1, we assessed participants' level of knowledge and confidence, as well as attitudes toward COVID-19. In Study 2, we tested the relation between fear of COVID-19 and protective behaviors. In Study 3, we used an experimental approach to show the causal effect of overconfidence on fear of COVID-19. In addition to manipulating overconfidence and measuring fear of COVID-19, we also measured prophylactic behaviors. RESULTS In Study 1, more overconfident participants had a laxer attitude toward COVID-19. While knowledge had an increasing effect on worry, confidence in said knowledge significantly decreased worry about COVID-19. In Study 2, participants who were more worried about COVID-19 were more likely to engage in protective behaviors (e.g., wearing masks). In Study 3, we show that when overconfidence was experimentally diminished, fear of COVID-19 increased. The results support our claim that the effect of overconfidence on attitudes toward COVID-19 is causal in nature. Moreover, the results show that people with higher fear of COVID-19 are more likely to wear masks, use hand sanitizers, avoid crowded places or social gatherings, and get vaccinated. CONCLUSIONS Managing adherence to public health measures is critical when it comes to highly infectious diseases. Our findings suggest that efficient information campaigns to increase adherence to public health measures should focus on calibrating people's confidence in their knowledge about COVID-19 to prevent the spread of the virus.
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Affiliation(s)
- Dominik M Piehlmaier
- Department of Strategy and Marketing University of Sussex Business School Jubilee Building, BN1 9SL, Falmer, Brighton, UK; Bennett Institute for Applied Data Science, University of Oxford, Nuffield Dept of Primary Care Health Sciences, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Rd, OX2 6GG, Oxford, UK.
| | - Emanuela Stagno
- Department of Strategy and Marketing University of Sussex Business School Jubilee Building, BN1 9SL, Falmer, Brighton, UK
| | - Agnes Nagy
- Department of Strategy and Marketing University of Sussex Business School Jubilee Building, BN1 9SL, Falmer, Brighton, UK
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Groma V, Kugler S, Farkas Á, Füri P, Madas B, Nagy A, Erdélyi T, Horváth A, Müller V, Szántó-Egész R, Micsinai A, Gálffy G, Osán J. Size distribution and relationship of airborne SARS-CoV-2 RNA to indoor aerosol in hospital ward environments. Sci Rep 2023; 13:3566. [PMID: 36864124 PMCID: PMC9980870 DOI: 10.1038/s41598-023-30702-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 02/28/2023] [Indexed: 03/04/2023] Open
Abstract
Aerosol particles proved to play a key role in airborne transmission of SARS-CoV-2 viruses. Therefore, their size-fractionated collection and analysis is invaluable. However, aerosol sampling in COVID departments is not straightforward, especially in the sub-500-nm size range. In this study, particle number concentrations were measured with high temporal resolution using an optical particle counter, and several 8 h daytime sample sets were collected simultaneously on gelatin filters with cascade impactors in two different hospital wards during both alpha and delta variants of concern periods. Due to the large number (152) of size-fractionated samples, SARS-CoV-2 RNA copies could be statistically analyzed over a wide range of aerosol particle diameters (70-10 µm). Our results revealed that SARS-CoV-2 RNA is most likely to exist in particles with 0.5-4 µm aerodynamic diameter, but also in ultrafine particles. Correlation analysis of particulate matter (PM) and RNA copies highlighted the importance of indoor medical activity. It was found that the daily maximum increment of PM mass concentration correlated the most with the number concentration of SARS-CoV-2 RNA in the corresponding size fractions. Our results suggest that particle resuspension from surrounding surfaces is an important source of SARS-CoV-2 RNA present in the air of hospital rooms.
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Affiliation(s)
- V Groma
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary
| | - Sz Kugler
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary
| | - Á Farkas
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary
| | - P Füri
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary
| | - B Madas
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary
| | - A Nagy
- Department of Applied and Nonlinear Optics, Wigner Research Centre for Physics, Budapest, 1121, Hungary
| | - T Erdélyi
- Department of Pulmonology, Semmelweis University, Budapest, 1085, Hungary
| | - A Horváth
- Department of Pulmonology, Semmelweis University, Budapest, 1085, Hungary
- Pest County Pulmonology Hospital, Törökbálint, 2045, Hungary
| | - V Müller
- Department of Pulmonology, Semmelweis University, Budapest, 1085, Hungary
| | | | | | - G Gálffy
- Pest County Pulmonology Hospital, Törökbálint, 2045, Hungary
| | - J Osán
- Environmental Physics Department, Centre for Energy Research, Budapest, 1121, Hungary.
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Voros V, Fekete S, Szabo Z, Torma E, Nagy A, Fekete J, Tenyi T, Osvath P. High prevalence of suicide-related internet use among patients with depressive disorders - a cross-sectional study with psychiatric in-patients. Psychiatry Res 2022; 317:114815. [PMID: 36063749 DOI: 10.1016/j.psychres.2022.114815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 08/26/2022] [Accepted: 08/28/2022] [Indexed: 10/31/2022]
Abstract
The association between Internet use and suicidal behavior is a subject of intense research. Internet use patterns of patients with depressive disorders were assessed to determine the prevalence and aim of browsing for suicide-related contents and its impact on help-seeking. Self-administered questionnaire among psychiatric in-patients treated for depression was used to assess suicidal behavior, characteristics of Internet use and help-seeking preferences. 113 psychiatric in-patients with depressive disorders participated in the study. One-third had a history of life-time suicide attempt and the majority had already encountered suicide-related contents while browsing the Internet. 27.4% reported intentional and specific search for suicidal contents. This suicide-related Internet user (SRIU) group was characterized by younger age, single status, more frequent suicidal ideations, and they more likely considered that they would attempt suicide in the future. Among patients with depressive disorders, a sub-group was identified with a potential higher suicide risk. The frequent use of the Internet and online help-seeking preference may provide an opportunity to prevent suicidal behavior in this high-risk sub-group. Further research is needed into the possibilities of using the Internet more effectively for suicide prevention.
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Affiliation(s)
- Viktor Voros
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary.
| | - Sandor Fekete
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Zsuzsanna Szabo
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Eszter Torma
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Agnes Nagy
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Judit Fekete
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Tamas Tenyi
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Peter Osvath
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
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Lakatos BK, Ruppert M, Ladanyi Z, Fabian A, Ujvari A, Turschl T, Molnar B, Straub E, Molnar A, Nagy A, Molnar L, Kovacs A, Merkely B. Clinical determinants of non-invasive global myocardial work index before and after transcatheter aortic valve implantation: a prospective study. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
The estimation of non-invasive global myocardial work indices is a novel method of the left ventricular (LV) functional assessment, which may overcome the load-sensitvity of the traditional functional measures. The diagnostic and prognostic role of this approach may gain particular importance in pressure overload states, such as in patients with severe aortic stenosis. However, the longitudinal changes of this recently introduced measure are scarcely investigated, and data are also lacking about the main determinants of these measures.
Accordingly, our aim was to investigate the clinical determinants of preoperative and also postoperative GMWI in patients undergoing transcatheter aortic valve replacement (TAVR).
Fifty patients (62% male, age: 78±5 years) were enrolled. Prior to the procedure, subjects underwent echocardiographic investigation and the detailed medical history was also recorded. Speckle-tracking analysis was performed and global longitudinal strain (GLS) was measured. LV pressure curve was estimated by adding the mean aortic valve gradient to the systolic blood pressure. Using these measures, global myocardial work index (GMWI) and global constructive work index (CMWI) was quantified by commercially available software. A 6 months follow-up examination was also performed and at that time point we determined the aforementioned parameters.
At follow-up, GLS has significantly increased (−13.0±4.1 vs. −14.8±3.8%; p<0.001), while GMWI was significantly lower compared to baseline (1789±748 vs. 1506±561 mmHg%, p<0.01). CMWI did not differ between the two time points (2309±782 vs. 2086±609 mmHg%, p=0.11). Using multivariable analysis, age (β=0.30; p<0.05) preoperative New York Heart Association (NYHA) class (β=−0.48; p<0.001) and having a pacemaker (β=−0.44; p<0.01) were found to be independent predictors of the preoperative GMWI (R2=0.39; overall p<0.001). On the other hand, postoperative GMWI was determined (R2=0.48; overall p<0.001) by gender (β=−0.25; p<0.05), the presence of diabetes mellitus (β=−0.37; p<0.01) and also by having a pacemaker (β=−0.38; p<0.01).
TAVR significantly alters LV functional measures. Different clinical factors influence GMWI before and after the procedure: age, NYHA class-based symptom severity and having a pacemaker were found to be independently associated with preoperative GMWI, while gender, the presence of diabetes mellitus and pacemaker device are the most important clinical determinants of the postoperative GMWI value.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- B K Lakatos
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - M Ruppert
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - Z Ladanyi
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - A Fabian
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - A Ujvari
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - T Turschl
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - B Molnar
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - E Straub
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - A Molnar
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - A Nagy
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - L Molnar
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - A Kovacs
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
| | - B Merkely
- Semmelweis University Heart and Vascular Center , Budapest , Hungary
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Voros V, Szabo Z, Torma E, Nagy A, Fekete J, Tényi T, Fekete S, Osvath P. Internet Use Related to Suicidal Thoughts and Help-Seeking – Preliminary Results of a Study with Depressive Patients. Eur Psychiatry 2022. [PMCID: PMC9568093 DOI: 10.1192/j.eurpsy.2022.2163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Introduction Suicide-related Internet use is becoming more common, and many research study its potential risks and benefits. Objectives Data on suicidal thoughts and Internet use of patients with depressive disorders were collected to assess their suicide-related Internet use and its relation to help-seeking preferences. Methods Semi-structured interviews were completed to assess Internet use patterns and suicidal thoughts among patients treated with depressive disorders, and preferred forms of help-seeking were also examined. Results
113 patients completed the interviews, most of them spend more hours a day using the Internet. More than 80% came across suicide-related contents while browsing, a quarter reported specific search for suicidal contents. In case of suicidal thoughts, three-quarters of depressed patients would seek help from a mental health professional, two-thirds from their partners, half from friends, and nearly one-third from parents, other relatives or from GPs. Most patients would prefer offline (personal) help for their psychological problems and suicidal thoughts, online methods were less preferred, with only one-fifth choosing these options. However, a third of them also considered it probable that they would not ask anyone for help. Conclusions Despite of the frequent use of the Internet, online help-seeking is less common in depressive patients. However, in the times of pandemic, online help facilities may provide an opportunity to prevent suicidal behavior for those, who have suicidal thoughts and use the Internet regularly, especially searching for suicide-related contents. In the future, further research is needed to develop more effective online suicide prevention programs and applications. Disclosure No significant relationships.
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Lakatos BK, Ruppert M, Ladanyi Z, Fabian A, Ujvari A, Tokodi M, Molnar L, Zima E, Apor A, Nagy A, Kovacs A, Merkely B. Changes of the non-invasive myocardial work in patient undergoing transcatheter aortic valve replacement: the influence of left bundle branch block. Europace 2022. [DOI: 10.1093/europace/euac053.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Patients with left bundle branch block (LBBB) are known to have substantially increased afterload sensitivity. It gains particular importance in subjects with aortic stenosis: patients with pre-existing LBBB may benefit more from interventions such as transcatheter aortic valve replacement (TAVR) by an effective and rapid reduction of the left ventricular (LV) pressures.
Accordingly, our aim was to investigate the changes of LV myocardial work indices in patients undergoing TAVR by the presence of preoperative LBBB. Non-invasive myocardial work indices are novel echocardiographic parameters which adjust LV deformation to the instantaneous LV pressure, overcoming the the load-sensitivity of the traditional LV functional measures.
Thirty patients undergoing TAVR were enrolled (37% female; age: 78±6 years; aortic valve area [AVA]: 0.7±0.3 cm2). Fourteen patients (47%; LBBB group) showed LBBB pattern on ECG, by demonstrating native LBBB (n=6; 20%) or having ventricular pacing dependency (n=8; 27%), while 16 patients had narrow QRS (53%; non-LBBB group). Prior to the procedure, subjects underwent a detailed echocardiographic investigation. Speckle-tracking analysis was performed and global longitudinal strain (GLS) was measured. LV pressure curve was estimated by adding the mean aortic valve gradient to the aortic systolic pressure. Using these measures, LV global constructive work index (CMWI) and global work efficiency (GWE). were quantified by commercially available software. A 6 months follow-up examination was also performed and at that time point we determined the aforementioned parameters.
As expected, AVA significantly improved after the procedure in the pooled study group (1.8±0.4 cm2; p<0.001). GLS also significantly increased (-13.2±4.2 vs. -15.2±3.9 %; p<0.01), while CMWI only showed a tendential decrease (2422±788 vs. 2166±640 mmHg%; p=NS) at the follow-up. GLS (-10.6±3.7 vs. -15.5±3.4%; p<0.001), CMWI (1877±679 vs. 2898±529 mmHg%; p<0.001), and also GWE (82±9 vs. 91±4%; p<0.01) was significantly lower in the LBBB-group compared to the non-LBBB patients. At the follow-up, GLS was still significantly lower in the LBBB patients (-13.2±4.6 vs. -16.9±2.1%; p<0.01), however, CMWI was comparable between the two groups (1956±776 vs. 2350±439 mmHg%, p=NS).
Pressure overload of the LV may affect patients with LBBB substantially more than subjects without it. TAVR causes an immediate and significant decrease in the LV afterload, which results in a more pronounced improvement in the LBBB group compared to those with no LBBB.
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Affiliation(s)
- BK Lakatos
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - M Ruppert
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - Z Ladanyi
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Fabian
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Ujvari
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - M Tokodi
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - L Molnar
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - E Zima
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Apor
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Nagy
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Kovacs
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - B Merkely
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
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12
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Kapcsandi V, Hanczne EL, Nagy A, Szekelyhidi R. Alcoholic Fermentation with different Saccharomyces Strains and its Effect of Mash Composition. Rev Chim 2021. [DOI: 10.37358/rc.21.4.8467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aim of this study was to determine the effect of two yeast strains (Saccharomyces cerevisiae and S. bayanus) on the fermentation with or without additional pectinase. The organic acids products (tartaric, malic, and succinic acid), carbohydrates (glucose, fructose, and sucrose) utilized, and ethanol produced were examined by HPLC. The efficiency of fermentation was affected by several parameters such as the preparation procedure of the fruits, like temperature (18�C), yeast strain applied, pH adjustment (3.2), the dosage of yeast nutrient and application of pectinase. We have found that pectinase pre-treatment and S. cerevisiae could significantly alter the amount of the examined components, which changed the quality of the end product. We have also experienced significant (p≤0.05) differences in the sugar utilisation of yeast strains as well as organic acid contents in the different stages of fermentation, where the samples fermented with spontaneous and identified yeast strains.
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Blum MR, Popat RA, Nagy A, Cataldo NA, McLaughlin TL. Using metabolic markers to identify insulin resistance in premenopausal women with and without polycystic ovary syndrome. J Endocrinol Invest 2021; 44:2123-2130. [PMID: 33687700 DOI: 10.1007/s40618-020-01430-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 09/17/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Insulin resistance (IR) is associated with increased risk for type 2 diabetes mellitus and cardiovascular disease. Quantifying IR is invasive and time-consuming, and thus not routinely used in clinical practice. Simple metabolic markers to predict IR exist, but have not been validated in premenopausal women or women with polycystic ovary syndrome (PCOS). OBJECTIVE To evaluate the ability of metabolic markers to identify premenopausal women with/without PCOS who are insulin resistant. DESIGN/SETTING Cross-sectional analysis. PARTICIPANTS One hundred and seventy-one non-diabetic premenopausal overweight/obese women without PCOS and 71 women with PCOS. METHODS IR was quantified by the steady-state plasma glucose during the modified insulin-suppression test. Metabolic markers (BMI, lipid/lipoprotein concentrations, and fasting glucose) were evaluated for their discriminative ability to identify IR, using area under the receiver-operating-characteristic curve (AUROC) analysis. Optimal cut-points were evaluated for predictive power. RESULTS In the non-PCOS group, the triglyceride/HDL cholesterol ratio (TG/HDL-C) was the best marker (AUROC 0.73). Optimal diagnostic cut-point was 1.9. In the PCOS group, the TG/HDL-C ratio, cholesterol/HDL-C ratio (TC/HDL-C), and HDL-C performed well (AUROC > 0.80), with optimal cut-points for TG/HDL-C 1.3, TC/HDL-C 3.4, and HDL-C 52 mg/dL: TG/HDL-C was more sensitive, but HDL-C had a higher PPV for IR. CONCLUSION TG/HDL-C can identify IR in premenopausal women with and/without PCOS; diagnostic cut-points differ from those of men and postmenopausal women. HDL-C is an alternative predictor in women with PCOS. These simple metabolic markers, which are standardized between labs, inexpensive, and routinely measured, can be used to tailor lifestyle and medical interventions to improve health outcomes in insulin-resistant premenopausal women.
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Affiliation(s)
- M R Blum
- Department of Health Research and Policy (Division of Epidemiology), Stanford University School of Medicine, Stanford, CA, USA
- Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - R A Popat
- Department of Health Research and Policy (Division of Epidemiology), Stanford University School of Medicine, Stanford, CA, USA
| | - A Nagy
- Division of Endocrinology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA
| | - N A Cataldo
- America Institute for Reproductive Medicine, Alabama, One Independence Plaza, Suite 810, Birmingham, AL, USA
| | - T L McLaughlin
- Division of Endocrinology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
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Tomisa G, Horváth A, Farkas Á, Nagy A, Kis E, Tamási L. Real-life measurement of size-fractionated aerosol concentration in a plethysmography box during the COVID-19 pandemic and estimation of the associated viral load. J Hosp Infect 2021; 118:7-14. [PMID: 34487775 PMCID: PMC8414843 DOI: 10.1016/j.jhin.2021.08.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 08/17/2021] [Accepted: 08/31/2021] [Indexed: 11/25/2022]
Abstract
Introduction There are concerns about pulmonary function tests (PFTs) being associated with aerosol generation and enhanced virus transmission. As a consequence, the number of PFTs was reduced significantly during the coronavirus disease 2019 pandemic. However, there are no robust data supporting this fear. Objectives To perform real-life measurement of aerosol concentrations in a PFT laboratory to monitor the concentration of particles near the patient, and to model the associated potential viral load. Methods Two optical particle counters were used to sample the background concentration and the concentration of particles near the patient's mouth in a whole-body plethysmography box. Statistical evaluation of the measured particle concentration time series was completed. The particle exhalation rate was assessed based on the measured particle concentration data by applying the near-field/far-field theory. The number of exhaled viruses by an infected patient during the test was compared with the emission of viruses during quiet breathing and speaking. Results Twenty-five patients were included in the study. Eighteen patients showed a significant increase in aerosol concentration [mean 1910 (standard deviation 593) particles/L]. Submicron particles dominated the number size distribution of the generated particles, but large particles represented a higher volume fraction in the generated particles compared with background. An average gene exhalation rate of 0.2/min was estimated from this data. This is one order of magnitude higher than the release rate for the same infected person during quiet breathing, and of the same order of magnitude as the release rate during normal speaking. Conclusions This study demonstrated that PFTs are aerosol-generating procedures. Based on these results, the moderate increase in viral load does not underpin stopping such examinations.
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Affiliation(s)
- G Tomisa
- Chiesi Hungary Ltd, Budapest, Hungary
| | - A Horváth
- Chiesi Hungary Ltd, Budapest, Hungary
| | - Á Farkas
- Centre for Energy Research, Budapest, Hungary.
| | - A Nagy
- Wigner Research Centre for Physics, Budapest, Hungary
| | - E Kis
- Babes-Bolyai University, Hungarian Department of Biology and Ecology, Cluj-Napoca, Romania
| | - L Tamási
- Department of Pulmonology, Semmelweis University, Budapest, Hungary
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15
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Takács K, Szerdahelyi E, Nagy A, Gelencsér É. Mechanically deboned turkey meat with improved digestibility and biological value. AAlim 2021. [DOI: 10.1556/066.2020.00307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
AbstractEnzymatic hydrolysates of mechanically deboned meat (MDM) for a long time have been used as flavouring and functional food ingredients in the food industry and also as the bases of formula foods for special dietary uses.The aim of the present study was to produce MDM hypo-antigenic products with improved digestibility and high biological value to be used as a milk protein alternative. turkey MDM was treated with digestive enzymes (trypsin and/or α-chymotrypsin, or pancreatin), followed by freeze drying. The optimised reaction conditions of hydrolysis were at 6% (w/v) of meat protein in 0.1% NaHCO3 buffer, pH 7.5; pancreatin enzyme with 50 TAME units/g meat protein substrate, 37 °C and 60 min). Hydrolysates (MDMH) were assessed for degree of hydrolyses (DH, %) by using trinitrobenzenesulphonic acid method and MW distribution by SDS-PAGE. Modification of immune reactive binding sites in MDMHs was monitored by immunoblot with cow’s milk, chicken egg or meat allergic human patients’ sera. Biological value indices (True Digestibility (TD), Net Protein Utilisation (NPU), Biological Value (BV)) were determined using rat feeding trials. Among the MDMH products, the pancreatic hydrolysate proved to be the most favourable in terms of biological value and digestibility as well as hypoallergenic property.
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Affiliation(s)
- K. Takács
- Food Science Research Group, Institute of Food Science and Technology, Hungarian University of Agriculture and Life Sciences, Herman Ottó út 15., H-1022 Budapest, Hungary
| | - E. Szerdahelyi
- Food Science Research Group, Institute of Food Science and Technology, Hungarian University of Agriculture and Life Sciences, Herman Ottó út 15., H-1022 Budapest, Hungary
| | - A. Nagy
- Food Science Research Group, Institute of Food Science and Technology, Hungarian University of Agriculture and Life Sciences, Herman Ottó út 15., H-1022 Budapest, Hungary
| | - É. Gelencsér
- Food Science Research Group, Institute of Food Science and Technology, Hungarian University of Agriculture and Life Sciences, Herman Ottó út 15., H-1022 Budapest, Hungary
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16
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Hacibekiroglu S, Jong E, Tang J, Oussenko T, Ho M, Shoichet M, Wallace V, Kertes P, Yan P, Nagy A. Engineered safe and immune-tolerant ‘designer’ rpe cells towards the treatment of age-related macular degeneration. Cytotherapy 2021. [DOI: 10.1016/s1465324921002759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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17
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Rosenthal AM, Hughes JW, Bortolon A, Laggner FM, Wilks TM, Vieira R, Leccacorvi R, Marmar E, Nagy A, Freeman C, Mauzey D. A 1D Lyman-alpha profile camera for plasma edge neutral studies on the DIII-D tokamak. Rev Sci Instrum 2021; 92:033523. [PMID: 33820041 DOI: 10.1063/5.0024115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 02/11/2021] [Indexed: 06/12/2023]
Abstract
A one dimensional, absolutely calibrated pinhole camera system was installed on the DIII-D tokamak to measure edge Lyman-alpha (Ly-α) emission from hydrogen isotopes, which can be used to infer neutral density and ionization rate profiles. The system is composed of two cameras, each providing a toroidal fan of 20 lines of sight, viewing the plasma edge on the inboard and outboard side of DIII-D. The cameras' views lie in a horizontal plane 77 cm below the midplane. At its tangency radius, each channel provides a radial resolution of ∼2 cm full width at half maximum (FWHM) with a total coverage of 22 cm. Each camera consists of a rectangular pinhole, Ly-α reflective mirror, narrow-band Ly-α transmission filter, and a 20 channel AXUV photodetector. The combined mirror and transmission filter have a FWHM of 5 nm, centered near the Ly-α wavelength of 121.6 nm and is capable of rejecting significant, parasitic carbon-III (C-III) emission from intrinsic plasma impurities. To provide a high spatial resolution measurement in a compact footprint, the camera utilizes advanced engineering and manufacturing techniques including 3D printing, high stability mirror mounts, and a novel alignment procedure. Absolutely calibrated, spatially resolved Ly-α brightness measurements utilize a bright, isolated line with low parasitic surface reflections and enable quantitative comparison to modeling to study divertor neutral leakage, main chamber fueling, and radial particle transport.
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Affiliation(s)
- A M Rosenthal
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - J W Hughes
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - A Bortolon
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - F M Laggner
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - T M Wilks
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - R Vieira
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - R Leccacorvi
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - E Marmar
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - A Nagy
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - C Freeman
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - D Mauzey
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
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18
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Laggner FM, Bortolon A, Rosenthal AM, Wilks TM, Hughes JW, Freeman C, Golfinopoulos T, Nagy A, Mauzey D, Shafer MW. Absolute calibration of the Lyman-α measurement apparatus at DIII-D. Rev Sci Instrum 2021; 92:033522. [PMID: 33820112 DOI: 10.1063/5.0038134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 01/13/2021] [Indexed: 06/12/2023]
Abstract
The LLAMA (Lyman-Alpha Measurement Apparatus) diagnostic was recently installed on the DIII-D tokamak [Rosenthal et al., Rev. Sci. Instrum. (submitted) (2020)]. LLAMA is a pinhole camera system with a narrow band Bragg mirror, a bandpass interference filter, and an absolute extreme ultraviolet photodiode detector array, which measures the Ly-α brightness in the toroidal direction on the inboard, high field side (HFS) and outboard, low field side (LFS). This contribution presents a setup and a procedure for an absolute calibration near the Ly-α line at 121.6 nm. The LLAMA in-vacuum components are designed as a compact, transferable setup that can be mounted in an ex situ vacuum enclosure that is equipped with an absolutely calibrated Ly-α source. The spectral purity and stability of the Ly-α source are characterized using a vacuum ultraviolet spectrometer, while the Ly-α source brightness is measured by a NIST-calibrated photodiode. The non-uniform nature of the Ly-α source emission was overcome by performing a calibration procedure that scans the Ly-α source position and employs a numerical optimization to determine the emission pattern. Nominal and measured calibration factors are determined and compared, showing agreement within their uncertainties. A first conversion of the measured signal obtained from DIII-D indicates that the Ly-α brightness on the HFS and LFS is on the order of 1020 Ph sr-1 m-2 s-1. The established calibration setup and procedure will be regularly used to re-calibrate the LLAMA during DIII-D vents to monitor possible degradation of optical components and detectors.
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Affiliation(s)
- F M Laggner
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - A Bortolon
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - A M Rosenthal
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - T M Wilks
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - J W Hughes
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - C Freeman
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - T Golfinopoulos
- MIT Plasma Science and Fusion Center, Cambridge, Massachusetts 02139, USA
| | - A Nagy
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - D Mauzey
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - M W Shafer
- Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
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Shah J, Shacham S, Kauffman M, Daniele P, Tomaras D, Tremblay G, Casasnovas RO, Maerevoet M, Zijlstra J, Follows G, P Vermaat JS, Kalakonda N, Goy AH, Choquet S, Den Neste EV, Hill BT, Thieblemont C, Cavallo F, la Cruz FD, Kuruvilla J, Hamad N, Bouabdallah R, Jäger U, Caimi P, Gurion R, Warzocha K, Bakhshi S, Sancho JM, Schuster M, Egyed M, Offner F, Vasilakopoulos TP, Samal P, Nagy A, Ku M, Canales Albendea MÁ. Health-related quality of life and utility outcomes with selinexor in relapsed/refractory diffuse large B-cell lymphoma. Future Oncol 2021; 17:1295-1310. [PMID: 33528286 DOI: 10.2217/fon-2020-0946] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Aim: Evaluate health-related quality of life (HRQoL) and health utility impact of single-agent selinexor in heavily pretreated patients with relapsed/refractory diffuse large B-cell lymphoma. Patients & methods: Functional Assessment of Cancer Therapy (FACT) - Lymphoma and EuroQoL five-dimensions five-levels data collected in the single-arm Phase IIb trial SADAL (NCT02227251) were analyzed with mixed-effects models. Results: Treatment responders maintained higher FACT - Lymphoma (p ≤ 0.05), FACT - General (p < 0.05) and EuroQoL five-dimensions five-levels index scores (p < 0.001) beginning in cycle 3. The estimated difference in health state utilities for treatment response and progressive disease was both statistically significant and clinically meaningful (mean difference: 0.07; p = 0.001). Conclusion: In patients with relapsed/refractory diffuse large B-cell lymphoma, objective response to selinexor was associated with HRQoL maintenance, reduction in disease-related HRQoL decrements and higher health utilities.
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Affiliation(s)
- Jatin Shah
- Karyopharm Therapeutics, Inc., Newton, MA 02459, USA
| | | | | | - Patrick Daniele
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | - Dimitrios Tomaras
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | - Gabriel Tremblay
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | | | | | - Josee Zijlstra
- Department of Hematology, Amsterdam UMC, Amsterdam, 1105 AZ, The Netherlands
| | - George Follows
- Haematology, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK
| | - Joost S P Vermaat
- Hematology, Leiden University Medical Center, Leiden, 2333 ZA, The Netherlands
| | - Nagesh Kalakonda
- Institute of Translational Medicine, University of Liverpool, Liverpool, L3 9TA, UK
| | - Andre Henri Goy
- John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, USA
| | - Sylvain Choquet
- Service d'Hématologie clinique, Hôpital Pitié-Salpêtrière, Paris, 75013, France
| | - Eric Van Den Neste
- Faculté de médecine et médecine dentaire, Université catholique de Louvain, Ottignies-Louvain-la-Neuve, 1348, Belgium
| | - Brian T Hill
- Hematology & Medical Oncology, Cleveland Clinic, Cleveland, OH 44106, USA
| | | | - Federica Cavallo
- Divisione di Ematologia, University of Turin, Turin, 10138, Italy
| | - Fátima de la Cruz
- Facultativo Especialista de Área de Hematología, Hospital Universitario Virgen del Rocío, Sevilla, 41013, Spain
| | - John Kuruvilla
- Cancer Clinical Research Unit, University Health Network Research, Toronto, ON, Canada
| | - Nada Hamad
- Haematology Clinical Trials Unit, St Vincent's Hospital, Melbourne, 3065, Australia
| | | | - Ulrich Jäger
- Department of Clinical Hematology & Hemostaseology, Medical University of Vienna, Vienna, 1090, Austria
| | - Paolo Caimi
- Department of Medicine, UH Cleveland Medical Center, Cleveland, OH 44106, USA
| | - Ronit Gurion
- Hematology, Tel Aviv University, Tel Aviv, 69978, Israel
| | | | - Sameer Bakhshi
- Department of Medical Oncology, Institute Rotary Cancer Hospital, New Delhi, 110029, India
| | - Juan Manuel Sancho
- Department of Clinical Hematology, Germans Trias i Pujol Hospital, Barcelona, 08916, Spain
| | | | - Miklós Egyed
- Department of Haematology, Somogy County Kaposi Mór Hospital, Kaposvár, 7400, Hungary
| | - Fritz Offner
- Department of Clinical Hematology, Ghent University Hospital, Ghent, 9000, Belgium
| | | | | | - Agnes Nagy
- Hematology, Semmelweis University, Budapest, 1085, Hungary
| | - Matthew Ku
- Department of Haematology, St Vincent's Hospital, Melbourne, VIC, 3065, Australia
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Voros V, Tenyi T, Nagy A, Fekete S, Osvath P. Crisis Concept Re-loaded?-The Recently Described Suicide-Specific Syndromes May Help to Better Understand Suicidal Behavior and Assess Imminent Suicide Risk More Effectively. Front Psychiatry 2021; 12:598923. [PMID: 33868041 PMCID: PMC8044894 DOI: 10.3389/fpsyt.2021.598923] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 02/22/2021] [Indexed: 12/22/2022] Open
Abstract
Background: Despite of the decreasing suicide rates in many countries, suicide is still a major public health concern worldwide. Traditional suicide risk factors have limited clinical predictive value, as they provide little reliable information on the acute psychological processes leading to suicide. Aims: The aim of this analysis is to describe and compare the recently introduced two suicide-specific syndromes [Acute Suicidal Affective Disturbance (ASAD) and Suicidal Crisis Syndrome (SCS)] with the classic psychological features of pre-suicidal crisis and also to assess the clinical utility of the new suicide prediction scales in contrast to classical risk factors. Method: Conceptual analysis. Results: Suicide-specific syndromes are not novel in terms of symptomatology or dynamics of symptom onset, but in their use of well-defined diagnostic criteria. In addition to symptomatic classification, they also provide an opportunity to objectively measure the current pre-suicidal emotional and mental state by validated tools. Limitations: Future studies need to be completed to prove the reliability and predictive validity of suicide-specific diagnostic categories and the related suicide risk assessment tools. Conclusion: Clinical use of suicide-specific syndromes is suggested. This transdiagnostic approach not only enables a more accurate and objective assessment of imminent suicide risk, but also facilitates research in neuroscience, which represent a major step forward in managing and complex understanding of suicidal behavior.
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Affiliation(s)
- Viktor Voros
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Tamas Tenyi
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Agnes Nagy
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Sandor Fekete
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
| | - Peter Osvath
- Department of Psychiatry and Psychotherapy, Medical School, University of Pecs, Pecs, Hungary
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Nespoli F, Ashikawa N, Gilson E, Lunsford R, Masuzaki S, Shoji M, Oishi T, Suzuki C, Nagy A, Mollen A, Pablant N, Ida K, Yoshinuma M, Tamura N, Gates D, Morisaki T. First impurity powder injection experiments in LHD. Nuclear Materials and Energy 2020. [DOI: 10.1016/j.nme.2020.100842] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Dyson S, Nagy A, Murray R. Letter to the Editor: Regarding recent paper by Pezzanite et al. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.13384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S. Dyson
- The Cottage Market Weston, Suffolk UK
| | - A. Nagy
- Equine Clinic University of Veterinary Medicine Üllő Dóramajor Hungary
| | - R. Murray
- Rossdales LLP Exning, Newmarket, Suffolk UK
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Maingi R, Hu JS, Sun Z, Diallo A, Tritz K, Qian YZ, Xu W, Zuo GZ, Li CL, Huang M, Ye Y, Bortolon A, Gilson EP, Lunsford R, Mansfield DK, Nagy A, Qian JP, Gong XZ. ELM Suppression by Boron Powder Injection and Comparison with Lithium Powder Injection on EAST. J Fusion Energ 2020. [DOI: 10.1007/s10894-020-00256-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Szabo A, Domokos D, Nagy A, Sandor A, Eke C, Toth K, Szecsi B, Krupa Z, Merkely B, Gal J, Szekely A. Elevated preoperative C reactive protein level as an independent risk factor for mortality after coronary bypass graft surgery. J Cardiothorac Vasc Anesth 2020. [DOI: 10.1053/j.jvca.2020.09.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Sadagopan M, Malaga K, Nagy A. Improving Recycled Aggregate Quality by Mechanical Pre-Processing. Materials (Basel) 2020; 13:ma13194342. [PMID: 33003614 PMCID: PMC7579599 DOI: 10.3390/ma13194342] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 09/25/2020] [Accepted: 09/28/2020] [Indexed: 11/29/2022]
Abstract
Concrete with crushed concrete aggregates (CCA) shows lesser compressive strength than reference concrete with natural aggregates. The goal of this study is to improve the strength of structural concrete with 53% and 100% CCA replacements without increasing the cement content. Thus, improvements in CCA quality are induced by combining mechanical and pre-soaking pre-processing techniques. Mechanical pre-processing by rotating drum is separately pursued on fine and coarse CCA for 10 and 15 min respectively. Results show, adhered mortar content and CCA water absorption reduces as pre-processing duration increases. Pre-processing influences CCA particle grading, flakiness index, shape index, void-content, unit-weight and density, jointly seen as packing density, which increases with pre-processing duration. Water amount to pre-soak CCA before concrete mixing is stable despite grading modifications, due to reduced water absorption resulting from mechanical pre-processing. Compressive strength and workability for pre-processed CCA50 and CCA100 concrete are comparable to reference concrete and show similar trends of improvement with packing density. Packing density markedly shows the quality improvements induced by pre-processing on CCA, maybe considered as one of the quality assessment indexes for CCA. Packing density should be investigated for other recipes to see the stability of the trend with workability and compressive strength.
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Affiliation(s)
- Madumita Sadagopan
- Department of Resource Recovery and Building Technology; University of Borås, 50190 Borås, Sweden; (K.M.); (A.N.)
- Correspondence:
| | - Katarina Malaga
- Department of Resource Recovery and Building Technology; University of Borås, 50190 Borås, Sweden; (K.M.); (A.N.)
- RISE, CBI Swedish Cement and Concrete Research Institute, 50115 Borås, Sweden
| | - Agnes Nagy
- Department of Resource Recovery and Building Technology; University of Borås, 50190 Borås, Sweden; (K.M.); (A.N.)
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Varga A, Sarkadi Nagy E, Zámbó L, Illés É, Bakacs M, Felkai CS, Nagy A, Boda B, Feigl E, Biró K. Impact assessment of the TFA regulation on fatty acid composition of foods in Hungary. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Trans fatty acids are formed during the industrial processing of food, and are proven to be harmful for the human body. They have been associated with increased risk of cardiovascular disease, abdominal obesity, diabetes, and certain types of cancer. Decree 71/2013. (XI. 20.) of the Ministry of Human Capacities, which has been in force since 2014, defines the highest permitted amount of trans fats in food products placed on the market in Hungary. The impact of the decree on the industrially produced trans fatty acids (iTFA) availability and population intake was assessed in 2017. Results demonstrated that iTFA were replaced by other fatty acids due to the legislation. In 2019, we investigated food groups which had high measured TFA content before the regulation entered into force and compared the total fat and fatty acid profiles to the same brand or similar products being on the market afterwards. In collaboration with the World Health Organization, this was the first assessment to determine to which extent manufacturers increased saturated fat (SFA) content of foodstuffs to reduce iTFA content. In those product groups, which were identified as significant food sources of iTFA before introducing the regulation (biscuits, coffee creamers and flavorings, sweets, bakery products, confectionary, wafers, margarines) we found no significant changes in the total fat content, while in most foodstuffs the average proportion of SFA was higher after reformulation, as iTFA were mainly substituted with SFA in 61% of the products, with cis-MUFA in 25% and cis-PUFA in 14% of the products, respectively. Evidence from this analysis supports concerns that eliminating iTFA in certain foodstuffs leads to unwanted substitution with saturated fat, hence reducing the possible health benefits. Given the high SFA intake and the unfavourable cardiovascular statistics in Hungary, the consumption frequency and portion size control of these products are advised.
Key messages
Monitoring the changes of food composition is important in order to evaluate the effect of the regulation. Manufacturers should be encouraged to reduce the SFA content to a technologically feasible level.
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Affiliation(s)
- A Varga
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - E Sarkadi Nagy
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - L Zámbó
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - É Illés
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - M Bakacs
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - C s Felkai
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - A Nagy
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - B Boda
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - E Feigl
- National Institute of Pharmacy and Nutrition, Budapest, Hungary
| | - K Biró
- Ministry of Human Capacities, Budapest, Hungary
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Affiliation(s)
- A. Nagy
- Animal Health Trust Newmarket Suffolk UK
| | - L. Quiney
- Animal Health Trust Newmarket Suffolk UK
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Horvath-Szanics E, Perjéssy J, Klupács A, Takács K, Nagy A, Koppány-Szabó E, Hegyi F, Németh-Szerdahelyi E, Du M, Wang Z, Kan J, Zalán Z. STUDY OF CHITINASE AND CHITINOLYTIC ACTIVITY OF LACTOBACILLUS STRAINS. Acta Alimentaria 2020. [DOI: 10.1556/066.2020.49.2.11] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The increasing consumer demand for less processed and more natural food products – while improving those products’ quality, safety, and shelf-life – has raised the necessity of chemical preservative replacement. Biopreservation refers to extended storage life and enhanced safety of foods using the natural microflora and (or) their antibacterial products. Chitinolytic enzymes are of biotechnological interest, since their substrate, chitin, is a major structural component of the cell wall of fungi, which are the main cause of the spoilage of food and raw plant material. Among the several organisms, many bacteria produce chitinolytic enzymes, however, this behaviour is not general. The chitinase activity of the lactic acid bacteria is scarcely known and studied.The aim of the present study was to select Lactobacillus strains that have genes encoding chitinase, furthermore, to detect expressed enzymes and to characterise their chitinase activity. Taking into consideration the importance of chitin-bindig proteins (CBPs) in the chitinase activity, CBPs were also examined. Five Lactobacillus strains out of 43 strains from 12 different species were selected by their chitinase coding gene. The presence of the chitinase and chitin-biding protein production were confirmed, however, no chitinolytic activity has been identified.
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Affiliation(s)
- E. Horvath-Szanics
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - J. Perjéssy
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - A. Klupács
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - K. Takács
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - A. Nagy
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - E. Koppány-Szabó
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - F. Hegyi
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - E. Németh-Szerdahelyi
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - M.Y. Du
- bCollege of Food Science, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715. P.R. China
- cChinese-Hungarian Cooperative Research Centre of Food Science, Food Science Research Institute, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - Z.R. Wang
- bCollege of Food Science, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715. P.R. China
| | - J.Q. Kan
- bCollege of Food Science, Southwest University, No. 2 Tiansheng Road, Beibei District, Chongqing 400715. P.R. China
- cChinese-Hungarian Cooperative Research Centre of Food Science, Food Science Research Institute, H-1022 Budapest, Herman Ottó út 15. Hungary
| | - Zs. Zalán
- aFood Science Research Institute of National Agricultural Research and Innovation Centre, H-1022 Budapest, Herman Ottó út 15. Hungary
- cChinese-Hungarian Cooperative Research Centre of Food Science, Food Science Research Institute, H-1022 Budapest, Herman Ottó út 15. Hungary
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Nagy A, Apor A, Czimbalmos CS, Szegedi N, Toth A, Vago H, Becker D, Geller L, Merkely B. 1642 Mitral annulus disjunction, a rare form of focal arrhythmogenic cardiomyopathy. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.1032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Project no. NVKP_16-1-2016-0017 has been implemented with the support provided from the National Research, Development and Innovation Fund of Hungary
The rate of sudden cardiac death in mitral valve prolapse (MVP) patients is roughly twice that observed in the general population. Arrhythmogenic bileaflet MVP syndrome has been recently described and mitral annulus disjunction (MAD) has been found associated with papillary muscle fibrosis and ventricular arrhythmias even without severe mitral regurgitation. An underlying primary structural myocardial disease might be expected and the non-invasive imaging techniques are playing an increasingly important role in the detection of myocardial fibrosis as a focal arrhythmogenic substrate. Standard 2D-, 3D- and speckle tracking echocardiography and cardiac MRI can help to differentiate between the benign and malignant forms of MVP.
A 52-year-old man with a history of hypertension was referred for evaluation of frequent palpitations and presyncope. Ambulatory Holter monitoring showed paroxysmal atrial fibrillation and non-sustained ventricular tachycardias. Dilated left ventricle (LVEDD: 65mm, LVESD: 45 mm) and left atrium (LAVi: 52mL/m2), moderately reduced left ventricular (LV) systolic function (LVEF: 42%), and reduced LV global longitudinal strain (GLS: -13.5%) with severely decreased segmental longitudinal strain in the basal inferolateral segment were measured by transthoracic echocardiography. The diastolic function was preserved, however Pickelhaube sign was noticed in the lateral mitral annulus TDI curves. MAD (17 mm) and curling motion of the inferolateral basal segment of the left ventricle was observed. Transesophageal echocardiography showed bileaflet mitral valve prolapse with the involvement of all the six scallops (mitral valve prolapse volume: 10.2 mL). Severe mitral regurgitation (3D vena contracta area: 1cm2) and extremely dilated and dyskinetic mitral annulus (diameters: 55x72x12 mm, area: 34 cm2) was measured by 3D echocardiography. MRI showed transmural late gadolinium enhancement in the underlying myocardium of both papillary muscles and midmyocardial enhancement in the basal inferior, inferolateral and anteroseptal LV segments. During electrophysiology study ventricular fibrillation was easily induced and ICD was placed for primary prevention of sudden cardiac death. The patient was referred to the heart surgeon for mitral valve replacement.
This case highlights the importance of early recognition of MAD and arrhythmogenic MVP syndrome using novel non-invasive imaging techniques. The presence of MAD, the curling motion of the inferolateral basal LV segment, the Pickelhaube sign, the decreased LVEF and GLS, the characteristic segmental longitudinal strain pattern and the presence of late enhancement in the papillary muscles and the surrounding myocardium could be warning signs of the malignant form of MVP.
Abstract 1642 Figure. CMR images of arrhythmogenic MAD
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Affiliation(s)
- A Nagy
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Apor
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - C S Czimbalmos
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - N Szegedi
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - A Toth
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - H Vago
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - D Becker
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - L Geller
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
| | - B Merkely
- Semmelweis University Heart and Vascular Center, Budapest, Hungary
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Boado A, Nagy A, Dyson S. Ultrasonographic features associated with the lumbosacral or lumbar 5–6 symphyses in 64 horses with lumbosacral‐sacroiliac joint region pain (2012–2018). EQUINE VET EDUC 2019. [DOI: 10.1111/eve.13236] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- A. Boado
- Monte Hijedo 56 Boadilla del Monte Madrid Spain
| | - A. Nagy
- Centre for Equine Studies Animal Health Trust Newmarket Suffolk UK
| | - S. Dyson
- Centre for Equine Studies Animal Health Trust Newmarket Suffolk UK
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Kugler S, Nagy A, Kerekes A, Veres M, Rigó I, Czitrovszky A. Determination of emitted particle characteristics and upper airway deposition of Symbicort® Turbuhaler® dry powder inhaler. J Drug Deliv Sci Technol 2019. [DOI: 10.1016/j.jddst.2019.101229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Boruzs K, Fekete Z, Dombrádi V, Bányai G, Nagy A, Horne R, Bíró K. Beliefs About Medicines: Differences in cholesterol treatment adherence among the Visegrad countries. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz187.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Raised cholesterol is a risk factor for cerebrovascular and cardiovascular diseases. New cholesterol guidelines highlight more personalized risk assessments and new cholesterol-lowering drugs for people at the highest risk for cardiovascular disease.
Methods
The aim of our study was to investigate the possible differences in the beliefs about the necessity and concerns regarding lipid-lowering drugs among the Visegrad Group countries. For this the Beliefs About Medicines Questionnaire (BMQ-Specific) was used. The statistical analyses included 235 Czech, 205 Hungarian, 200 Polish, and 200 Slovak respondents, all of who were taking cholesterol lowering drugs.
Results
After comparing the answers of the citizens of the Visegrad Group countries, no statistically significant difference could be found regarding the concerns about the lipid-lowering drugs. However, related to the beliefs in necessity, a significant difference was shown between Poland and Hungary for the benefit of Polish participants. These results suggest, that the citizens of Visegrad Group countries do not differ regarding their beliefs about the fear of the treatment, while the beliefs about benefits are the most emphasized among the Polish citizens and less among the Hungarian citizens.
Conclusions
While policy makers in the Visegrad Group countries can use the same strategy to address the concerns regarding cholesterol lowering medication, the reasons behind the difference in the beliefs in necessity should be further investigated in order to implement country specific interventions.
The research was funded by the GINOP-2.3.2-15-2016-00005 project which is co-financed by
the European Union under the European Regional Development Fund.
Key messages
No differences exist regarding the concerns for cholesterol lowering medication among the Visegrad Group countries. Concerning necessity significant differences were observed among the same countries, which prompts further research questions.
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Affiliation(s)
- K Boruzs
- Department of Health Systems Management and Quality Management in Health Care, University of Debrecen, Debrecen, Hungary
| | - Z Fekete
- Institute of Behavioral Sciences, University of Debrecen, Debrecen, Hungary
| | - V Dombrádi
- Department of Health Systems Management and Quality Management in Health Care, University of Debrecen, Debrecen, Hungary
| | - G Bányai
- Department of Health Systems Management and Quality Management in Health Care, University of Debrecen, Debrecen, Hungary
| | - A Nagy
- Department of Preventive Medicine, University of Debrecen, Debrecen, Hungary
| | - R Horne
- UCL School of Pharmacy, University College London, London, UK
| | - K Bíró
- Department of Health Systems Management and Quality Management in Health Care, University of Debrecen, Debrecen, Hungary
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Szabo A, Nagy A, Holndonner-Kirst E, Sandor A, Domokos D, Eke C, Lendvai M, Szecsi B, Czobor N, Merkely B, Gal J, Szekely A. The role of preoperative endocrine parameters in prediction of postoperative complication in adult patients undergoing elective heart surgery – Preliminary study. J Cardiothorac Vasc Anesth 2019. [DOI: 10.1053/j.jvca.2019.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Paternoster G, Nagy A, Vitiello M, D'Amora M, Dileo C, Vignale R, Pitella G. Igm-enriched-immunoglobulins associated with EMiC2 filter in the treatment of early septic shock after cardiac surgery. J Cardiothorac Vasc Anesth 2019. [DOI: 10.1053/j.jvca.2019.07.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Nagy A, Szécsi B, Lendvai M, Eke C, Holndonner-Kirst E, Szabó A, Czobor N, Gál J, Merkely B, Székely A. Perioperative thyroid dysfunction and outcome after heart transplantation. J Cardiothorac Vasc Anesth 2019. [DOI: 10.1053/j.jvca.2019.07.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Affiliation(s)
- A. Nagy
- Centre for Equine Studies Animal Health Trust Newmarket Suffolk UK
| | - S. Dyson
- Centre for Equine Studies Animal Health Trust Newmarket Suffolk UK
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Abstract
The purpose of this paper is to give an overview of our present knowledge about the feline tecto-thalamo-basal ganglia cortical sensory pathway. We reviewed morphological and electrophysiological studies of the cortical areas, located in ventral bank of the anterior ectosylvian sulcus as well as the region of the insular cortex, the suprageniculate nucleus of the thalamus, caudate nucleus, and the substantia nigra. Microelectrode studies revealed common receptive field properties in all these structures. The receptive fields were extremely large and multisensory, with pronounced sensitivity to motion of visual stimuli. They often demonstrated directional and velocity selectivity. Preference for small visual stimuli was also a frequent finding. However, orientation sensitivity was absent. It became obvious that the structures of the investigated sensory loop exhibit a unique kind of information processing, not found anywhere else in the feline visual system.
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Affiliation(s)
- G Benedek
- 1 Department of Physiology, University of Szeged , Szeged, Hungary
| | - S Keri
- 1 Department of Physiology, University of Szeged , Szeged, Hungary.,2 Nyirő Gyula Hospital, Laboratory for Perception & Cognition and Clinical Neuroscience , Budapest, Hungary
| | - A Nagy
- 1 Department of Physiology, University of Szeged , Szeged, Hungary
| | - G Braunitzer
- 3 Department of Anatomy, Niigata University , Niigata, Japan
| | - M Norita
- 3 Department of Anatomy, Niigata University , Niigata, Japan
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Bortolon A, Rohde V, Maingi R, Wolfrum E, Dux R, Herrmann A, Lunsford R, McDermott R, Nagy A, Kallenbach A, Mansfield D, Nazikian R, Neu R. Real-time wall conditioning by controlled injection of boron and boron nitride powder in full tungsten wall ASDEX Upgrade. Nuclear Materials and Energy 2019. [DOI: 10.1016/j.nme.2019.03.022] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Nagy A, Quiney L, Dyson S. Long‐term outcome of 84 horses with sacroiliac joint region pain with (n = 69) or without (n = 15) other orthopaedic problems. EQUINE VET EDUC 2019. [DOI: 10.1111/eve.13057] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Nagy
- Animal Health Trust Centre for Equine Studies Newmarket Suffolk
| | - L. Quiney
- MV Imaging, Bellshill South Lanarkshire UK
| | - S. Dyson
- Animal Health Trust Centre for Equine Studies Newmarket Suffolk
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Mârza SM, Magyari K, Bogdan S, Moldovan M, Peştean C, Nagy A, Tăbăran F, Licarete E, Suarasan S, Dreanca A, Baia L, Papuc I. Skin wound regeneration with bioactive glass-gold nanoparticles ointment. ACTA ACUST UNITED AC 2019; 14:025011. [PMID: 30630137 DOI: 10.1088/1748-605x/aafd7d] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
The bioactive glasses can lead to the promotion of growth of granulation tissue, while the gold nanoparticles (AuNPs) can induce the acceleration of wound healing including tissue regeneration, connective tissue formation, and angiogenesis. The aim of this study was to evaluate the impact of using the bioactive glass (BG) and BG-AuNPs composites on skin wound healing in experimental rat models for 14 days. Sol-gel derived BGs and BG-AuNPs composites mixed with Vaseline at 6, 12 and 18 wt% were used to evaluate the repair response of the skin. During the process of healing, granulomatous reaction was observed in the wound treated with 12 and 18 wt% BG-Vaseline ointments. Furthermore, a strong vascular proliferation and complete wound regeneration were found in 18%BG-AuNPs-Vaseline treated groups. The results derived from the performed investigations revealed that the 18% BG-AuNPs-Vaseline ointment is a promising candidate for wound healing applications.
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Affiliation(s)
- S M Mârza
- Faculty of Veterinary Medicine, University of Agricultural Science and Veterinary Medicine, 400372 Cluj-Napoca, Romania. Faculty of Physics, Babeș-Bolyai University, 400084 Cluj-Napoca, Romania
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Simonka Z, Anna M, Nagy A, Ormándi K, Rárosi F, Attila P, Lázár G. The role of MRI based tumor volume definition in the surgical therapy of breast cancer. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Toma C, Taulescu M, Nagy A, Balteanu V, Negru M, Catoi C. Detection of Jaagsiekte sheep retrovirus in Romanian sheep diagnosed with pulmonary adenocarcinoma. J Comp Pathol 2019. [DOI: 10.1016/j.jcpa.2018.10.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Hydoub Y, Kousa O, Mansour M, Al Hmoudi A, Abdelkarim M, Nagy A, Khan Z, Al Zubaidi A, Nour S. PO195 Emiratis vs South Asian Young Patients With Acute Coronary Syndromes: Risk Factor Profiles, Presentations and In-Hospital Outcomes. Glob Heart 2018. [DOI: 10.1016/j.gheart.2018.09.168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Waite JH, Perryman RS, Perry ME, Miller KE, Bell J, Cravens TE, Glein CR, Grimes J, Hedman M, Cuzzi J, Brockwell T, Teolis B, Moore L, Mitchell DG, Persoon A, Kurth WS, Wahlund JE, Morooka M, Hadid LZ, Chocron S, Walker J, Nagy A, Yelle R, Ledvina S, Johnson R, Tseng W, Tucker OJ, Ip WH. Chemical interactions between Saturn’s atmosphere and its rings. Science 2018; 362:362/6410/eaat2382. [DOI: 10.1126/science.aat2382] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Accepted: 09/10/2018] [Indexed: 11/03/2022]
Abstract
The Pioneer and Voyager spacecraft made close-up measurements of Saturn’s ionosphere and upper atmosphere in the 1970s and 1980s that suggested a chemical interaction between the rings and atmosphere. Exploring this interaction provides information on ring composition and the influence on Saturn’s atmosphere from infalling material. The Cassini Ion Neutral Mass Spectrometer sampled in situ the region between the D ring and Saturn during the spacecraft’s Grand Finale phase. We used these measurements to characterize the atmospheric structure and material influx from the rings. The atmospheric He/H2 ratio is 10 to 16%. Volatile compounds from the rings (methane; carbon monoxide and/or molecular nitrogen), as well as larger organic-bearing grains, are flowing inward at a rate of 4800 to 45,000 kilograms per second.
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Nagy A, Bortolon A, Mauzey DM, Wolfe E, Gilson EP, Lunsford R, Maingi R, Mansfield DK, Nazikian R, Roquemore AL. A multi-species powder dropper for magnetic fusion applications. Rev Sci Instrum 2018; 89:10K121. [PMID: 30399718 DOI: 10.1063/1.5039345] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Accepted: 09/07/2018] [Indexed: 06/08/2023]
Abstract
We present a device for controlled injection of a variety of materials in powder form. The system implements four independent feeder units, arranged to share a single vertical drop tube. Each unit consists of a 80 ml reservoir, coupled to a horizontal linear trough, where a layer of powder is advanced by piezo-electric agitation at a speed proportional to the applied voltage, until it falls into a drop tube. The dropper has been tested with a number of impurities of low (B, BN, C), intermediate (Si, SiC), and high Z (Sn) and a variety of microscopic structures (flakes, spheres, rocks) and sizes (5-200 μm). For low Z materials, drop rates ∼2-200 mg/s have been obtained showing good repeatability and uniformity. A calibrated light-emitting diode (LED)-based flowmeter allows measuring and monitoring the drop rate during operation. The fast time-response of the four feeders allows combination of steady and pulsed injections, providing a flexible tool for controlled-dose, real-time impurity injection in fusion plasmas.
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Affiliation(s)
- A Nagy
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - A Bortolon
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - D M Mauzey
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - E Wolfe
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - E P Gilson
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - R Lunsford
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - R Maingi
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - D K Mansfield
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - R Nazikian
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
| | - A L Roquemore
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543, USA
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Szilveszter B, Oren D, Kolossvary M, Karady J, Vattay B, Jermendy Ά, Bartykowszki A, Panajotu A, Suhai F, Nagy A, Apor A, Merkely B, Maurovich-Horvat P. P6050CT based assessment of left ventricular reverse remodeling after transcatheter aortic valve implantation. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- B Szilveszter
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - D Oren
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - M Kolossvary
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - J Karady
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - B Vattay
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - Ά Jermendy
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - A Bartykowszki
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - A Panajotu
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - F Suhai
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
| | - A Nagy
- Semmelweis University Heart Center, Budapest, Hungary
| | - A Apor
- Semmelweis University Heart Center, Budapest, Hungary
| | - B Merkely
- Semmelweis University Heart Center, Budapest, Hungary
| | - P Maurovich-Horvat
- Semmelweis University Heart Center, Cardiac Imaging Dept. MTA-SE “Lendület” Cardiovascular Imaging Research Group, Budapest, Hungary
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Jenei Z, Nagy A, Kovacs N, Horvath J. Short-term effect of low intensity forced aerob exercise added to conventional physiotherapy on cognitive functions and fitness after stroke: A randomized controlled pilot study. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Nagy A. Analysis of various clinical and pathological factors affecting survival in patients diagnosed with pancreatic adenocarcinoma: Single institute study. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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50
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Nagy A, Tegge A, Borden L, Osborne J, Valea F, Iglesias D. A retrospective comparison of oral rivaroxaban versus subcutaneous low-molecular-weight heparin for postoperative thromboprophylaxis in women with a gynecologic malignancy. Gynecol Oncol 2018. [DOI: 10.1016/j.ygyno.2018.04.453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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