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Infrared neural stimulation and inhibition using an implantable silicon photonic microdevice

Microsystems & Nanoengineering 2020年第1期6卷 939-950页

作者： Agoston Csaba Horvath Sandor Borbely ors csanad boros Lili Komaromi Pal Koppa Peter Bartho Zoltan Fekete Research Group for Implantable Microsystems Faculty of Information Technology&BionicsPazmany Peter Catholic UniversityBudapestHungary Microsystems Laboratory Institute for Technical Physics&Material ScienceCentre for Energy ResearchBudapestHungary Obuda University Doctoral School on Materials Sciences and Technologies BudapestHungary MTA TTK NAP Sleep Oscillations Research Group BudapestHungary Department of Physiology and Neurobiology Eotvos Lorand UniversityBudapestHungary Department of Atomic Physics Budapest University of Technology&EconomicsBudapestHungary

Brain is one of the most temperature sensitive *** the fundamental role of temperature in cellular metabolism,thermal response of neuronal populations is also significant during the evolution of various neurodegenerative *** such critical environmental factor,thorough mapping of cellular response to variations in temperature is desired in the living *** far,limited efforts have been made to create complex devices that are able to modulate temperature,and concurrently record multiple features of the stimulated *** our work,the in vivo application of a multimodal photonic neural probe is ***,thermal,and electrophysiological functions are monolithically integrated in a single *** system facilitates spatial and temporal control of temperature distribution at high precision in the deep brain tissue through an embedded infrared waveguide,while it provides recording of the artefact-free electrical response of individual cells at multiple locations along the probe *** distribution of the optically induced temperature changes is evaluated through in vitro measurements and a validated multi-physical *** operation of the multimodal microdevice is demonstrated in the rat neocortex and in the hippocampus to increase or suppress firing rate of stimulated neurons in a reversible manner using continuous wave infrared light(λ=1550 nm).Our approach is envisioned to be a promising candidate as an advanced experimental toolset to reveal thermally evoked responses in the deep neural tissue.

关键词： stimulation metabolism organs

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Prophylactic transcatheter arterial embolization reduces rebleeding in non-variceal upper gastrointestinal bleeding: A meta-analysis

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World Journal of Gastroenterology 2021年第40期27卷 6985-6999页

作者： Eszter boros Zoltán Sipos Péter Hegyi Brigitta Teutsch Levente Frim Szilárd Váncsa Szabolcs Kiss FanniDembrovszky Eduard Oštarijaš Andrew Shawyer Bálint Erőss Institute for Translational Medicine University of PecsMedical SchoolPécs 7624Hungary First Department of Internal Medicine St.George University Teaching Hospital of County FejérSzékesfehérvár 8000Hungary Szentágothai Research Center University of PecsPécs 7624Hungary Doctoral School of Clinical Medicine University of SzegedSzeged 6720Hungary Department of Interventional Radiology University Hospitals Dorset NHS Foundation TrustBournemouth BH77DWUnited Kingdom

BACKGROUND Despite the improvement in the endoscopic hemostasis of non-variceal upper gastrointestinal bleeding(NVUGIB),rebleeding remains a major *** To assess the role of prophylactic transcatheter arterial embolization(PTAE)added to successful hemostatic treatment among NVUGIB *** We searched three databases from inception through October 19th,*** controlled trials(RCTs)and observational cohort studies were *** compared patients with NVUGIB receiving PTAE to those who did not get *** outcomes were rebleeding,mortality,reintervention,need for surgery and transfusion,length of hospital(LOH),and intensive care unit(ICU)*** the quantitative synthesis,odds ratios(ors)and weighted mean differences(WMDs)were calculated with the random-effects model and interpreted with 95%confidence intervals(CIs).RESULTS We included a total of 3 RCTs and 9 observational studies with a total of 1329 patients,with 486 in the intervention *** was associated with lower odds of rebleeding(OR=0.48,95%CI:0.29–0.78).There was no difference in the 30-d mortality rates(OR=0.82,95%CI:0.39–1.72)between the PTAE and control *** who underwent PTAE treatment had a lower chance for reintervention(OR=0.48,95%CI:0.31–0.76)or rescue surgery(OR=0.35,95%CI:0.14–0.92).The LOH and ICU stay was shorter in the PTAE group,but the difference was non-significant[WMD=-3.77,95%CI:(-8.00)–0.45;WMD=-1.33,95%CI:(-2.84)–0.18,respectively].CONCLUSION PTAE is associated with lower odds of rebleeding and any reintervention in ***,further RCTs are needed to have a higher level of evidence.

关键词： Prophylactic transcatheter arterial embolization Non-variceal upper gastrointestinal bleeding Rebleeding Reintervention Meta-analysis Review

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