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Malnutrition and non-compliance to nutritional recommendations in patients with cirrhosis are associated with a lower survival

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World Journal of Hepatology 2020年第10期12卷 829-840页

作者： Dana Crisan Bogdan Procopet Alexandra Epure Horia Stefanescu Alina Suciu andreea fodor Emil Mois Rares Craciun Nicolae Crisan Internal Medicine Department “Iuliu Hatieganu”University of Medicine and PharmacyCluj-Napoca 400126Romania 3rd Medical Clinic “Iuliu Hatieganu”University of Medicine and PharmacyCluj-Napoca 400126Romania Hepatology Unit “Prof.Dr.Octavian Fodor”Regional Institute of Gastroenterology and HepatologyCluj-Napoca 400162Romania Surgery Department “Prof.Dr.Octavian Fodor”Regional Institute of Gastroenterology and HepatologyCluj-Napoca 400126Romania Hepatology Unit “Prof.Dr.Octavian Fodor”Regional Institute of Gastroenterology and HepatologyCluj-Napoca 400126Romania

BACKGROUND Malnutrition is frequently encountered in patients with cirrhosis and appears to significantly impact their *** evaluating the burden of malnutrition in cirrhosis is gathering momentum,as suggested by multiple recently published reports,there is still a persistent scarcity of solid data in the field,especially with regards to the role of nutritional *** To assess the prevalence of malnutrition in patients with advanced cirrhosis and to evaluate its impact on *** One hundred and one consecutive patients with advanced cirrhosis were screened for malnutrition using the Subjective Global Assessment(SGA)criteria and the mid-arm circumference(MAC).Malnutrition was defined as SGA class B and C and MAC<10th *** patients were interviewed regarding their food intake using an adapted ***,total energy intake was calculated and further subdivided in main *** data were then compared to the available recommendations at the time of analysis to assess *** 54/79 patients(68.4%)in the decompensated group had malnutrition,while only 3/22 patients(13.6%)were malnourished in the compensated *** a median follow-up time of 27 mo(0-53),the overall mortality was 70%.Survival was significantly lower among patients with *** mortality rates were 50%at 1 year and 63%at 2 years for the patients with malnutrition,compared to 21%at 1 year and 30%at 2 years for patients without malnutrition(P=0.01).On multivariate analysis,the factors independently associated with mortality were age,creatinine level and adherence to the protein intake *** mortality was lower in patients with the appropriate protein intake:8%at 1 year and 28%at 2 years in the adherent group,compared to 47%at 1 year and 56%at 2 years in the non-adherent *** The prevalence of malnutrition is high among patients with advanced cirrhosis and might be related in part to a low adherenc

关键词： Malnutrition Decompensated cirrhosis Survival Subjective global assessment Protein intake

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Coupling the 4M crop model with national geo-databases for assessing the effects of climate change on agro-ecological characteristics of Hungary

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International Journal of Digital Earth 2014年第5期7卷 391-410页

作者： Nandor fodor Laszlo Pasztor Tamas Nemeth Institute for Soil Science and Agricultural Chemistry Centre for Agricultural ResearchHungarian Academy of SciencesBudapestHungary Hungarian Academy of Sciences BudapestHungary

The 4M crop model was used to investigate the prospective effects of climate change on the agro-ecological characteristics of *** model was coupled with a detailed meteorological database and spatial soil information systems covering the whole territory of ***-specific model parameters were determined by inverse *** meteorological data were produced from the present meteorological data by combining a climate change scenario and a stochastic weather *** the available and the generated data,the present and the prospective agro-ecological characteristics of Hungary were *** to the simulation results,average yields will decrease considerably(-30%)due to climate *** rate of nitrate leaching will prospectively decrease as *** fluctuations of both the yields and the annual nitrate leaching rates will most likely increase approaching the end of the twenty-first *** the basis of the simulation results,the role of autumn crops is likely to become more significant in *** achieved results can be generalized for more extended regions based on the concept of spatial(geographical)analogy.

关键词： agro-ecological features crop modeling climate change effects spatial soil information systems

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Low fermentable oligosaccharides, disaccharides,monosaccharides, and polyols diet in children

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World Journal of Clinical Cases 2019年第18期7卷 2666-2674页

作者： Ioana fodor Sorin Claudiu Man Dan L Dumitrascu 3^rd Pediatric Department Iuliu Hatieganu University of Medicine and PharmacyCluj-Napoca 400006Romania 2^nd Medical Department Iuliu Hatieganu University of Medicine and PharmacyCluj-Napoca 400006Romania

Irritable bowel syndrome (IBS) is a lifelong condition with a high prevalence among children and adults. As the diet is a frequent factor that triggers the symptoms, it has been assumed that by avoiding the consumption of fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP), the symptoms might be improved. Therefore, in the past decade, low FODMAP diet has been intensively investigated in the management of IBS. The capacity of FODMAPs to trigger the symptoms in patients with IBS was related to the stimulation of mechanoreceptors in the small and large intestine. This stimulation appears as a response to a combination of increased luminal water (the osmotic effect) and the release of gases (carbon dioxide and hydrogen) due to the fermentation of oligosaccharides and malabsorption of fructose, lactose and polyols. Numerous studies have been published regarding the efficacy of a low FODMAP diet compared to a traditional diet in releasing the IBS symptoms in adults, but there are only a few studies in the juvenile population. The aim of this review is to analyze the current data on both low FODMAP diet in children with IBS and the effects on their nutritional status and physiological development, given the fact that it is a restrictive diet.

关键词： Low fermentable oligosaccharides Disaccharides Monosaccharides Polyols Diet Children Irritable bowel syndrome Symptom

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Angiogenesis of hepatocellular carcinoma: An immunohistochemistry study

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World Journal of Hepatology 2019年第3期11卷 294-304页

作者： Decebal fodor Ioan Jung Sabin Turdean Catalin Satala Simona Gurzu Department of Pathology University of MedicinePharmacy Sciences and Technology Research Center (CCAMF) University of Medicine Pharmacy Sciences and Technology

BACKGROUND Although hepatocellular carcinoma(HCC) is one of the most vascular solid tumors, antiangiogenic therapy has not induced the expected *** To uncover immunohistochemical(IHC) aspects of angiogenesis in *** A retrospective cohort study was performed and 50 cases of HCC were randomly selected. The angiogenesis particularities were evaluated based on the IHC markers Cyclooxygenase-2(COX-2), vascular endothelial growth factor(VEGF) A and the endothelial area(EA) was counted using the antibodies CD31 and *** The angiogenic phenotype evaluated with VEGF-A was more expressed in small tumors without vascular invasion(pT1), whereas COX-2 was rather expressed in dedifferentiated tumors developed in non-cirrhotic liver. The CD31-related EA value decreased in parallel with increasing COX-2 intensity but was higher in HCC cases developed in patients with cirrhosis. The CD105-related EA was higher in tumors developed in patients without associated *** In patients with HCC developed in cirrhosis, the newly formed vessels are rather immature and their genesis is mediated via VEGF. In patients with non-cirrhotic liver, COX-2 intensity and number of mature neoformed vessels increases in parallel with HCC dedifferentiation.

关键词： Hepatocellular carcinoma Angiogenesis Endothelial area Antiangiogenic therapy

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It’s Time for New Insights into Renovascular Hypertension at the Molecular Level

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Journal of Biosciences and Medicines 2024年第2期12卷 180-201页

作者： Ljiljana fodor Duric Facultas Medica Zagreb Universitas Studiorum Catholica Croatica Zagreb Croatia Department of Internal Medicine Medikol Polyclinic Zagreb Croatia

At the cellular level, reduced kidney perfusion in atherosclerotic renal arthery disease (ARVD), induces hypoxia, activation of the renin-angiotensin-aldosterone system (RAAS) and cytokine activation. Impaired blood flow in the kidneys creates a microenvironment triggering significant cytokine production, contributing to vascular damage and endothelial disfunction. Interactions between cytokines and endothelial, glomerular, and tubular cells often result in increased vessel permeability, and fibrosis, and contribute to the development of chronic kidney disease (CKD). Molecules such as endothelins, prostaglandins, and nitric oxide play a crucial role at the molecular level. The imbalance between vasoconstrictor and vasodilator factors contributes to vascular dysfunction. Oxidative stress and inflammatory processes at the cellular level contribute to endothelial damage and structural changes in blood vessels. Mineralocorticoid receptor antagonists (MRAs) therapy in the context of ARVD holds promise in reducing fibrosis, promoting angiogenesis and enhancing overall outcomes in patients with this pathology. Recent data also indicates the antioxidative, anti-inflammatory, and antifibrotic effects of SGLT2 inhibitors. They reduce oxidative stress caused by hypoxic conditions and enhance renal perfusion, contributing to the preservation of cellular function. Studies employing Blood Oxygen Level-Dependent (BOLD) imaging have identified adaptations to reduced blood flow, volume, and glomerular filtration rate in post-stenotic kidneys that preserve oxygenation in the medulla and cortex during medical therapy. Data from the literature indicate that despite the partial recovery of renal hypoxia and restoration of blood flow after revascularization, inflammatory cytokines and injury biomarkers remain elevated, and the glomerular filtration rate (GFR) does not recover in ARVD. Restoration of vascular patency alone has failed to reverse tubulointerstitial damage and partially expl

关键词： Renovascular Hypertension Renal Hypoxia Inflammatory Cytokines BOLD MR Imaging New Therapeutic Modalities

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Right-Sizing BizJets:When to Plan for Change

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今日民航 2021年第2期 142-143页

作者： Andre fodor 不详

Picking,and ultimately purchasing the right-sized business jet for sale is a complex task,and requires knowledge of market,finances,operations,and the ability to manage egos and *** are two occasions when my involveme... 详细信息

关键词： finance process. sized

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High plasma CD40 ligand level is associated with more advanced stages and worse prognosis in colorectal cancer

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World Journal of Clinical Cases 2022年第13期10卷 4084-4096页

作者： Zoltan Herold Magdolna Herold Gyorgy Herczeg Agnes fodor Attila Marcell Szasz Magdolna Dank Aniko Somogyi Division of Oncology Department of Internal Medicine and OncologySemmelweis UniversityBudapest H-1083Hungary Department of Internal Medicine and Hematology Semmelweis UniversityBudapest H-1088Hungar Department of General Surgery Szent Imre University Teaching HospitalBudapest H-1115Hungary

BACKGROUND Colorectal cancer(CRC)is often associated with elevated platelet count(>400×10^(9)/L),known as *** role of CD40 ligand(CD40L),a member of the tumor necrosis factor family,is controversial in *** CD40L is higher in CRC,but its relationship with disease staging and local and distant metastasis is not *** most of the circulating CD40L is produced by platelets,no previous study investigated its relationship with CRC-related *** To investigate the role of CD40L to predict the outcome of CRC and its relation to *** A total of 106 CRC patients and 50 age and sex-matched control subjects were enrolled for the *** data including comorbidities and histopathological data were *** measurements were performed at the time of CRC diagnosis and 1.5 mo and at least 6 mo after the surgical removal of the *** CD40L and thrombopoietin were measured via enzyme-linked immunosorbent assay,while plasma interleukin-6 was measured via electrochemiluminescence *** follow-ups were terminated on January 31,*** Plasma CD40L of CRC patients was tendentiously higher,while platelet count(P=0.0479),interleukin-6(P=0.0002),and thrombopoietin(P=0.0024)levels were significantly higher as opposed to the control *** of the 106 CRC patients(11.3%)had *** higher CD40L was found in the presence of distant metastases(P=0.0055)and/or thrombocytosis(P=0.0294).A connection was found between CD40L and platelet count(P=0.0045),interleukin-6(P=0.0130),and thrombocytosis(P=0.0155).CD40L was constant with the course of CRC,and all baseline differences persisted throughout the whole *** pre-and postoperative elevated platelet count,CD40L,and interleukin-6 level were associated with poor overall and disease-specific survival of *** negative effect of CD40L and interleukin-6 on patient survival remained even after the stra

关键词： CD40 ligand Colorectal neoplasms Interleukin-6 Thrombocytosis Thrombopoietin

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Phase behaviors of binary mixtures composed of banana-shaped and calamitic mesogens

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Chinese Physics B 2014年第9期23卷 341-346页

作者： M.Cvetinov D.Z.Obadovic M.Stojanovic A.Vajda K.fodor-Csorba N.Eber I.Ristic Department of Physics University of Novi Sad Wigner Research Center Institute for Solid State Physics and OpticsHungarian Academy of Sciences Technological Faculty University of Novi Sad

In this work, five mixtures with different concentrations of banana-shaped and calamitic compounds have been prepared and subsequently studied by polarizing optical microscopy, differential scanning calorimetry, and X-ray diffraction on non-oriented samples. The phase sequences and molecular parameters of the binary systems are presented.

关键词： liquid crystals mesogens binary mixtures phase transitions

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How Do You Describe China in One Word?

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China Today 2009年第7期58卷 46-47页

作者： SEBASTIEN CLERMONT TIMEA fodor-CLERMONT

WE had heard so much about China, but with such a vast territory, so many people and such a long history, how do you describe China without covering every single aspect of it? How can you sum up the whole of China in ... 详细信息

关键词：中国医疗卫生行业发展现状健康

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Microanalysis of Plant Cell Wall Polysaccharides

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Molecular Plant 2009年第5期2卷 922-932页

作者： Nicolai Obel Veronika Erben Tatjana Schwarz Stefan Kuhnel Andrea fodor Markus Pauly Max-Planck-lnstitut for Molecular Plant Physiology Am Muhlenberg 1 14476 Golm Potsdam Germany Present address: European Patent Office Erhardtstrasse 27 Munich Germany Helmhotz Center Munich Institute of Biological and Medical Imaging Ingolstaedter Landstrass. 1 85764 Neuherberg Germany ageningen University Department of Agrotechnology and Food Sciences Laboratory of Food Chemistry Bomenweg 2 6703 HD Wageningen The Netherlands DOE Plant Research Lab. Michigan State University East Lansing MI 48864 USA

Oligosaccharide Mass Profiling （OLIMP） allows a fast and sensitive assessment of cell wall polymer structure when coupled with Matrix Assisted Laser Desorption Ionisation Time Of Flight Mass Spectrometry （MALDI-TOF MS）. The short time required for sample preparation and analysis makes possible the study of a wide range of plant organs, revealing a high degree of heterogeneity in the substitution pattern of wall polymers such as the cross-linking glycan xyloglucan and the pectic polysaccharide homogalacturonan. The high sensitivity of MALDI-TOF allows the use of small amounts of samples, thus making it possible to investigate the wall structure of single cell types when material is collected by such methods as laser micro-dissection. As an example, the analysis of the xyloglucan structure in the leaf cell types outer epidermis layer, entire epidermis cell layer, palisade mesophyll cells, and vascular bundles were investigated. OLIMP is amenable to in situ wall analysis, where wall polymers are analyzed on unprepared plant tissue itself without first isolating cell walls. In addition, OLIMP enables analysis of wall polymers in Golgi-enriched fractions, the location of nascent matrix polysaccharide biosynthesis, enabling separation of the processes of wall biosynthesis versus post-deposition apoplastic metabolism. These new tools will make possible a semi-quantitative analysis of the cell wall at an unprecedented level.

关键词： Carbohydrate metabolism xyloglucan mass spectrometry cell expansion cell walls Arabidopsis laser microdissection.

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