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Which Type of Decompressive Craniectomy Is Better? Advantages and Challenges of Fresh Cadaver Practices Based on Experiences from the Last 20 Years. The Effect of Jesus Prayers in science

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Open Journal of Modern Neurosurgery 2024年第4期14卷 229-238页

作者： csókay andrás csókay Gergely Tóth Bertalan csókay Bernadett Department of Neurology St. Lazar Hospital Salgtarjn Hungary Department of Maxillo-Facial surgery Semmelweis University Budapest Hungary

Aim of study: Reviewing the large number of publications about DC in the case of severe traumatic brain swelling, there is no clear position on which one is preferable for the patient. Bifrontal or bilateral fronto-parieto-temporo-partial occipital craniectomy. One of the most critical points, the behaviour of brainstem and its vascular structures during the protrusion of the traumatized swelling brain, which can expand in different directions, depending on where the skull has been opened. Method: After the high ICP created on a simple fresh cadaver model, we examined the brainstem displacements and compressions with the help of an endoscope-guided transnasal transsphenoidal transclival and analyzed their possible harmful effects on brainstem structures and blood vessels. Results: In bilateral bifronto-parieto-temporo-partial occipital craniotomy, no significant bulging or forward movement of the brainstem was detected. In the course of bifrontal craniectomy, significant forward movement and thus compression of vascular structures and pons were detected. Conclusion: Our assumption has been confirmed. In bifrontal craniectomy, the expansion is not parallel to the course of the brainstem, but perpendicular so that the pons and the blood vessels running along its anterior surface are compressed by moving forward against the clivus, which leads to circulatory compression and damage to the brainstem. In bilateral DC, the expansion is axially parallel to the course of the brainstem. Based on the fresh cadaver model, the use of the latter method is preferable for the traumatized swelling brain. In both cases, bridging veins of the protruding brain at the bone edge must be protected by the vascular tunnel method against compression. We examined this scientific question not only from a neurosurgical perspective but also in terms of the general ethical possibilities and psychological difficulties of conducting fresh cadaver practices. Additionally, we provided an answer on ho

关键词： Decompressive Craniectomy Traumatic Brain swelling

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Complications of Learning Curve in supratentorial Intraventricular Region. The Concept of Fast Daily Fresh Cadaver Practice. (Technical Note for Training Method)

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Open Journal of Modern Neurosurgery 2022年第4期12卷 233-247页

作者： csókay andrás Péter Forró Josvai Attila Gergely csókay Jäckel Márta Hungarian Deffence Forces Medical Center Budapest Hungary Department of Maxillofacial surgery Semmelweis University Budapest Hungary

Background: The difficulty of learning curve in different microsurgical regions is one of the most challenging factors that affect neurosurgeon’s life. Two of the delicate areas are the suprasellar intraventricular and pontocerebellar region. High level of microsurgery or endoscopic surgery requires virtuosity, which can not be learnt only by assisting. Even among the well skilled neurosurgeons who work in big centers we can often hear “in spite of centralization there are not enough operations available to keep the high level of our skills”. The situation of surgeons working at mid centers is more difficult especially on duties. Methods: Huge number of scientific articles demonstrate the importance of different types of cadaver practice, but always did not pay enough attention to the daily fast fresh cadaver exercises. Focusing on lifelong every day practice we examined the difficulties of learning curve in intraventricular and pontocerebellar region and try to give some useful advice for practicing on fresh cadavers on a daily basis. We offer a simple endovascular fresh cadaver model for practicing. Results: We have performed more than 800 quick (60 - 90 minutes long) routine practice sessions in these two regions during last 18 years. We found that implantation a modelized pathology and removing it by microscopical or endoscopic way without causing injuries to sensitive structures seems to be the most practical way of fast everyday training. Nerves and vascular bypass sutures are also excellent practical method. Conclusions: We have focused on daily fast fresh cadaver practice as a novel training method like used in professional sport and art. After 18 years experience we can state that, for mastering the microsurgery of pontocerebellar and intraventricular region, which is one of the most challenging regions minimum 100 fresh cadaver practice sessions need before performing the operation. We believe this region should be part of fast fresh cadaver microsurgical

关键词： Cadaver Practice Fresh Cadaver Practice Neurosurgical Training Endovascular Training

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Presence of Fleischer ring and prominent corneal nerves in keratoconus relatives and normal controls

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International Journal of Ophthalmology(English edition) 2015年第5期8卷 922-927页

作者： gnes Kriszt Gergely Losonczy andrs Berta Lili Takcs Department of Ophthalmology University of Debrecen Clinical Center

AIMTo examine the occurrence of commonly known clinical signs of keratoconus (KC), i.e. Fleischer ring, prominent corneal nerves and thinning, among unaffected family members of KC patients and healthy control *** of both eyes of 117 relatives of KC patients having no manifest disease based on videokeratography indices (KC relatives), and 142 controls were used for Pearson correlation and t-test statistics. Correlation of Fleischer ring, prominent corneal nerves and central pachymetry data were tested with each other and with videokeratography indices (KsI, KIsA, 3 and 6 mm Fourier asymmetry, and I-s).REsULTsA moderate correlation was found between Fleischer ring and all examined topographical indices. Most important correlation was present with 6 mm Fourier asymmetry, and corneal pachymetry (r=0.272, Pspectively). similar correlations were found with prominent corneal nerves (r=0.234, Psymmetry and r=-0.235, P=0.0265 for pachymetry). KC family members who exhibited Fleischer ring or prominent nerves had thinner and more asymmetric corneas than those without Fleischer ring or prominent corneal nerves (Ps with t-test and Mann-Whitney rank sum test). Though rarely, Fleischer ring and prominent corneal nerves occurred among normal controls, indicating the existence of forme fruste cases in the normal population. Control subjects, who had corneal Fleischer ring or prominent nerves had corneas more similar to KC than other controls (t-test: increased KsI and KIsA, P=0.048 and 0.012, respectively).CONCLUsIONIn KC family members and healthy individuals, Fleischer ring and prominent corneal nerves are associated with features of KC and may suggest a possibility of forme fruste KC. searching for the possible presence of Fleischer ring or prominent nerves on the cornea may help in the decision whether or not to diagnose subclinical KC in

关键词： forme fruste/subclinical keratoconus Fleischer ring corneal nerves corneal thinning videokeratographic indices iatrogenic keratectasia

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Touristic urbanization and greening of coastal dune fields:A long-term assessment of a temperate sandy barrier of Argentina

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Journal of Geographical sciences 2025年第1期 206-230页

作者： GARZO Pedro andrés DADON José Roberto IsLA Federico Ignacio Instituto de Investigaciones Marinas y Costeras (IIMyC-CONICET/UNMDP) Instituto de Geología de Costas y del Cuaternario Dr.Enrique J.schnack (IGCC-CIC/UNMDP) Universidad de Buenos Aires Facultad de Arquitectura Dise?o y Urbanismo Centro de Investigaciones Gestión de Espacios Costeros (GEC-FADU/UBA) Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)

Dune barrier systems represent highly sought-after coastal landscapes for tourism and urban development around the world. However, a century ago, they were considered hazardous environments due to their great dynamic nature. As a result, stabilization practices were considered necessary. The systematic introduction of fast-growing exotic trees helped stabilize the sand, making it easier for tourism urbanization to take place, but also leading to erosion processes. This paper aims to assess long-term changes in vegetation cover over a large temperate barrier in Argentina. This complex region includes urban resorts, afforestation zones, and protected areas. A GIs-based geospatial analysis was conducted using a large satellite database(> 350 images), and the future evolution of the vegetation was modeled. The results revealed two primary spatiotemporal patterns associated with a gradual expansion of vegetation cover, accompanied by a concurrent reduction in sandy areas. In 1986, the dune area comprised 75% more surface than vegetation, whereas in 2021, it represented 60% less than vegetation. Furthermore, the 2050 scenario suggests a potential 40% reduction of dunes in certain areas. It is necessary to enhance management actions aimed at maintaining dune mobility and ensuring local and regional sediment balance. Long-term management strategies must focus on restoring native plant communities and controlling invasive species, and avoiding new dune fixation initiatives based on the introduction of exotic species.

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setpoint Feasibility and stability of Wind Park Control Interactions at Weak Grids

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Journal of Modern Power systems and Clean Energy 2022年第6期10卷 1790-1796页

作者： Argüello andrés IEEE the school of Electrical Engi‐neering and Computation University of CampinasCampinasBrazil

The controllers of wind parks that are connected to weak grids can induce unstable oscillations near the fundamental *** phenomenon can be studied with equivalent impedances of the wind generators,which depend on their operational setpoints at the fundamental *** feasibility of such setpoint,i.e.,solution to the power flow,does not depend on the control ***,oscillations from unfeasible setpoints and control instabilities both occur at weak grids and near the fundamental *** letter presents an exploratory study to map the conditions where both phenomena occur,using sensitivity studies comprising multiple setpoints and control parameter *** results are visually presented as the regions which inform the configurations leading to unfeasible setpoints,and unstable control interaction *** the results,it can be observed that the trajectory of the eigenvalues in the Nyquist plots towards an unfeasible setpoint approaches a fundamental frequency instability.

关键词： Control interaction impedance power quality resonance stability wind generator

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Improving ecosystem services in farmlands:beginning of a long-term ecological study with restored flower-rich grasslands

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Ecosystem Health and sustainability 2022年第1期8卷 399-405页

作者： andrás Báldi Raoul Pellaton Áron Domonkos Bihaly Viktor szigeti Eszter Lellei-Kovács andrás Máté Miklós sárospataki Zoltán soltész Lászlósomay AnikóKovács-Hostyánszki Lendület Ecosystem services Research Group Institute of Ecology and BotanyCentre for Ecological ResearchVácrátótHungary Department of Zoology and Ecology Institute of Wildlife Management and Nature ConservationHungarian University of Agriculture and Life SciencesGödöllőHungary Dorcadion Ltd KecskemétHungary

Biodiversity declines in an unprecedented way,mostly due to land use *** interventions proved to be one of the most effective tools to halt the decline,especially in ecosystems such as agricultural ***-based,locally adapted recommendations on grassland restoration,however,are often missing,so we present a novel approach for such interventions that can be implemented anywhere and that are based on scientific *** a recently started long-term field ecological study,we established 0.5 ha wildflower parcels,using a diverse local seed mixture of 32 insect-visited plant species in Central European agricultural landscapes in *** focus is on the landscape-scale effects of this ecological intensification on ecosystem services such as crop yield,pollination and pest control,and the long-term monitoring of the successional *** aim is to showcase an effective restoration protocol that could serve as a model for future farm management,and provide much-needed evidence for policy on landscape ecological restoration of international relevance.

关键词： Ecological intensification field experiment protocol restoration wildflower strip

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Revisiting cerebral endothelial cells in Alzheimer’s disease

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Neural Regeneration Research 2025年第10期20卷 2911-2912页

作者： Amira s.Hanafy Department of Neurosurgery University Hospital BonnBonnGermany

Alzheimer’s disease(AD)is the most common neurodegenerative disorder characterized by slow and progressive decline of cognitive and memory *** only approximately 5%of the cases,AD is familial,as often predisposed by genetic mutations(Hoogmartens et al.,2021),while sporadic AD accounts for approximately 95%of the *** amyloid cascade hypothesis is one of the fundamental hypotheses put out to explain AD pathogenesis as dysregulated homeostasis of amyloid-β(Aβ)peptides that leads to the accumulation of Aβplaques in the parenchyma,an anatomical hallmark of AD.

关键词： Alzheimer Aβ cerebral

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Litterfall production modeling based on climatic variables and nutrient return from stands of Eucalyptus grandis Hill ex Maiden and Pinus taeda L.

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Journal of Forestry Research 2024年第5期35卷 26-36页

作者： andrés Baietto andrés Hirigoyen Jorge Hernández Amabelia del Pino Forest Department Faculty of AgronomyUniversity of the Republic12900 MontevideoUruguay National Research Program of Forest Production National Agriculture Research InstituteINIA97000 TacuarembóUruguay soil and Water Department Faculty of AgronomyUniversity of the Republic12900 MontevideoUruguay

Native grasslands in the Pampas of south America are increasingly being replaced by Eucalyptus and Pinus *** short rotation regimes used for the stands require high nutrient levels,with litterfall being a major source of nutrient *** model the litterfall production using climatic variables and assess the nutrient return in 14-year-old Eucalyptus grandis and Pinus taeda stands,we measured litter production over 2 years,using conical litter traps,and monitored climatic *** temperature,accumulated precipitation,and mean maximum vapor pres-sure deficit at the seasonal level influenced litterfall produc-tion by ***;seasonal accumulated precipitation and mean maximum temperature affected litterfall by *** regression tree modeling based on these climatic vari-ables had great accuracy and predictive power for ***(N=33;MAE(mean absolute error)=0.65;RMsE(root mean square error)=0.91;R^(2)=0.71)and ***(N=108;MAE=1.50;RMsE=1.59;R^(2)=0.72).The nutrient return followed a similar pattern to litterfall deposition,as well as the order of importance of macronutrients(***:Ca>N>K>Mg>P;***:N>Ca>K>Mg>P)and micronutrients(*** and ***:Mn>Fe>Zn>Cu)in both *** study constitutes a first approximation of factors that affect litterfall and nutrient return in these systems.

关键词： Afforestation Litterfall Nutrient recycling Climate modeling Myrtaceae Pinaceae

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Electrocardiographic and echocardiographic dyssynchrony parameters that might better predict the response to cardiac resynchronization therapy than QRs morphology and duration

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Journal of Geriatric Cardiology 2022年第2期19卷 98-100页

作者： andrás Vereckei Department of Medicine and Hematology Semmelweis UniversityBudapestHungary

Cardiac resynchronization therapy(CRT)is an evidence-based effective therapy of symptomatic heart failure with reduced ejection fraction refractory to optimal medical ther-apy and associated with intraventricular conduction disturbance,that results in a significant electrical ventricular ***,the non-response rate to CRT is still 20%−40%.[1]The potential underlying causes of CRT nonresponse are:(1)suboptimal localization of the left ventricular(LV)electrode,far away from the latest activated LV region.

关键词： ventricular synchronization echocardiographic

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Deciphering the mechanobiology of microglia in traumatic brain injury with advanced microsystems

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Neural Regeneration Research 2025年第8期20卷 2304-2306页

作者： Anthony Procès sylvain Gabriele Univ.Grenoble Alpes InsermU1216Grenoble Institut des NeurosciencesGrenobleFrance Mechanobiology&Biomaterials Group CIRMAPResearch Institute for BiosciencesUniversity of MonsMonsBelgium

Advanced microsystems in traumatic brain injury research:Traumatic brain injury(TBI)results from a mechanical insult to the brain,leading to neuronal and axonal damage and subsequently causing a secondary *** minutes ... 详细信息

关键词： traumatic injury damage

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