9 results on '"LÁSZLÓ, RÓZSA"'
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2. Subauktna acidoza buraga u mliječnih krava – fiziološko značenje, čimbenici rizika i dijagnostičke metode
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Levente Kovács, Péter Hejel, Ottó Szenci, László Rózsa, Walter Baumgartner, and Mátyás Pálffy
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General Veterinary ,business.industry ,Forage ,Laminitis ,Subacute ruminal acidosis ,subakutna acidoza buraga ,dijagnoza ,ruminocenteza ,bežične sonde buraga ,mliječne krave ,Rumen ,Animal science ,Lameness ,medicine ,subacute ruminal acidosis ,diagnosis ,rumenocentesis ,indwelling intraruminal sensor ,dairy cattle ,medicine.symptom ,business ,Reticulum ,Dairy cattle ,Acidosis - Abstract
According to the latest studies, the prevalence of subacute ruminal acidosis (SARA) is around 20% in early and mid- lactation dairy cows, generating annual losses in the United States of approximately USD 500 million to 1 billion. The diagnosis of SARA is still difficult due to lack of pathognomonic clues and the delayed appearance of certain clinical signs. Therefore, SARA remains neglected or even unrecognized in many dairy herds. SARA is characterized by daily episodes of low ruminal pH, when the pH remains in the range of 5.2 to 6 for a prolonged period due to the accumulation of short-chain fatty acids and insufficient rumen buffering. The causes of SARA are related to high-grain diets, such as feeding excessive amounts of non-structural carbohydrates and highly fermentable forages, and insufficient dietary coarse fibre. SARA is associated with the inflammation of several organs and tissues in dairy cows, and its main long-term health and economic consequences are the fluctuation of feed intake, reduced fibre digestion, depression of milk yield and milk fat content, gastrointestinal damage, diarrhoea, laminitis, liver abscesses, and lameness. The aim of this review is to summarize the information available on the physiological aspects, risk factors, prevalence and possible indicators of SARA in dairy cattle. Basedon the existing literature, rumenocentesis and the use of an oral stomach tube are reliable field techniques to detect SARA. Nowadays, improved field techniques allowing the continuous measurement of reticuloruminal pH are also available for better diagnosis of SARA. Wireless indwelling pH probes may become important tools for the continuous measurement of ruminal pH in the coming years., Prema najnovijim istraživanjima, pojavnost subakutne acidoze buraga (SARA) je oko 20 % u mliječnih krava u ranoj i srednjoj laktaciji, a prouzroči gubitke od približno 500 milijuna do 1 milijarde američkih dolara godišnje u SAD. Dijagnostika SARA je još uvijek problematična zbog nedostatka patognomoničnih karakteristika te kašnjenja pojavnosti određenih kliničkih znakova. Stoga je SARA i dalje zanemarena pa čak i neprepoznata u mnogim stadima mliječnih krava. SARA karakteriziraju dnevne epizode niskog pH buraga, kada se pH vrijednost kreće u rasponu od 5,2 do 6,0 kroz duže vrijeme, zbog nakupljanja nižih masnih kiselina i nedovoljnog puferiranja sadržaja buraga. Uzroci SARA povezani su s obrocima bogatim koncentratima, kao što je pretjerano davanje nestrukturnih ugljikohidrata i visoko probavljive voluminozne krme s nedovoljno grube voluminoze. SARA je povezana i s upalom različitih tkiva i organa u mliječnih krava, a njezine dugotrajne posljedice uključuju promjenjiv unos hrane, smanjenu probavu vlakana, smanjenu proizvodnju mlijeka i mliječne masti, oštećenja probavnog sustava, proljeva, laminitis, apscesi na jetri i šepavost. Cilj ovog preglednog rada je sažeti trenutno dostupne podatke o fiziološkim aspektima, činiteljima rizika, pojavnosti i potencijalnim indikatorima SARA u mliječnih krava. Prema trenutnoj literaturi jedine terenske metode za dijagnostiku SARA uključuju ruminocentezu i korištenje sonde buraga. Danas postoje poboljšane terenske dijagnostičke metode za kontinuirano mjerenje retikoruminalnog pH i lakšu dijagnostiku SARA. Bežične sonde koje kontinuirano mjere pH sadržaja buraga trebale bi postati sve značajnija dijagnostička metoda u skorijoj budućnosti.
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- 2020
3. Regional cerebral18FDG uptake during subarachnoid hemorrhage induced vasospasm
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Zsolt Lengyel, László Novák, Lajos Trón, László Balkay, Miklós Emri, S. Szabó, László Rózsa, and Peter Molnar
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Adult ,Male ,medicine.medical_specialty ,Subarachnoid hemorrhage ,Glucose uptake ,Standardized uptake value ,Statistical parametric mapping ,Asymptomatic ,Fluorodeoxyglucose F18 ,medicine.artery ,Internal medicine ,Humans ,Vasospasm, Intracranial ,Medicine ,Diagnosis, Computer-Assisted ,cardiovascular diseases ,Brain Mapping ,business.industry ,Vasospasm ,General Medicine ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,Transcranial Doppler ,Neurology ,Positron-Emission Tomography ,Anesthesia ,Middle cerebral artery ,Cardiology ,Female ,Neurology (clinical) ,medicine.symptom ,business - Abstract
The aim was to elucidate whether aneurysmal subarachnoid hemorrhage (SAH)-induced vasospasm induces changes of regional glucose uptake in surgically treated, asymptomatic cases.(18)FDG uptake (standardized uptake value, SUV) was analysed with PET in eight surgically treated aneurismal patients with a mean middle cerebral artery flow velocity120 cm/seconds measured with transcranial Doppler ultrasound. Data were compared with a healthy control group using Statistical Parametric Mapping (SPM99b).Six of the eight patients had no focal neurological signs. The inhomogeneous bilateral increase in SUV (p0.0001) was asymmetrical, with an almost 70% larger volume on the operated side. Reduced glucose uptake was found in the frontal and temporobasal regions of the two patients with neurological deficits (p0.0001); the affected volume was 40% larger on the operated side.SAH-induced vasospasm results in widespread increase of glucose uptake-probably reflecting increased glycolysis. This was earlier than neurological focal signs appear. Decreased glucose uptake can be detected in severe cases of vasospasm reflected by neurological deficit. Although the changes are more prominent where surgery had taken place our results suggest that not only the surgery, but also subarachnoid blood might have resulted in our findings.
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- 2006
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4. Cerebrovascular Reserve Capacity Many Years After Vasospasm Due to Aneurysmal Subarachnoid Hemorrhage
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Andrea Ficzere, László Novák, S. Szabó, Rishi N. Sheth, and László Rózsa
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Adult ,Male ,Time Factors ,Subarachnoid hemorrhage ,Adolescent ,Ultrasonography, Doppler, Transcranial ,Hemodynamics ,Klinikai orvostudományok ,Cerebral vasospasm ,Reference Values ,medicine.artery ,medicine ,Humans ,Advanced and Specialized Nursing ,Vascular disease ,business.industry ,Intracranial Aneurysm ,Vasospasm ,Orvostudományok ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,Transcranial Doppler ,Acetazolamide ,Ischemic Attack, Transient ,Cerebrovascular Circulation ,Anesthesia ,Middle cerebral artery ,Female ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business ,Blood Flow Velocity ,Follow-Up Studies ,medicine.drug - Abstract
Background and Purpose Vasospasm in aneurysmal subarachnoid hemorrhage results in proliferative vasculopathy. Systemic hypertension also causes vascular hypertrophy. Both of these histological changes can lead to rigidity of the cerebrovascular system, reducing its autoregulatory capacity. Methods Blood flow velocity (BFV) in the middle cerebral artery at rest and cerebrovascular reserve capacity (CVRC) (percent rise in BFV after acetazolamide stimulation) measured by means of transcranial Doppler sonography were studied many years after aneurysmal subarachnoid hemorrhage in patients with proven cerebral vasospasm (mean BFV >160 cm/s). The BFV under resting conditions and the CVRC values of the ipsilateral and the contralateral hemispheres were measured in 29 patients (mean age, 43 years; mean follow-up, 4.6 years) and compared with those of control subjects. Results Persistent high BFV (>120 cm/s) was found in three patients in the peripheral branch of the ipsilateral middle cerebral artery. In the main trunks of the arteries of the anterior circle of Willis, BFV was normal in all cases. CVRC was normal in all patients (ipsilateral, 52±21%; contralateral, 56±17%); values did not differ significantly from each other or from the control value (45±18%). The higher value of CVRC on the contralateral side was found to be statistically significant in selected groups (hypertensive patients and patients with residual infarct on late CT). Conclusions Proliferative vasculopathy developed at the time of vasospasm must have resolved and did not reduce late vasoreactivity. Comorbidity with hypertension also did not seem to influence the late vasoreactivity toward normalization.
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- 1997
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5. Hemodynamic Changes after Ruthenium Irradiation of Hippel’s Angiomatosis
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Gyula Rigó, Lajos Kolozsvári, Erzsébet Balázs, László Rózsa, and András Berta
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Adult ,Angiomatosis ,Pathology ,medicine.medical_specialty ,von Hippel-Lindau Disease ,Hemodynamics ,chemistry.chemical_element ,Angioma ,chemistry.chemical_compound ,Retinal Diseases ,parasitic diseases ,medicine ,Humans ,Irradiation ,Fluorescein Angiography ,Von Hippel–Lindau disease ,Ultrasonography ,business.industry ,Eye Neoplasms ,Retinal detachment ,Retinal ,General Medicine ,medicine.disease ,Sensory Systems ,Ruthenium ,Ophthalmology ,chemistry ,population characteristics ,Female ,Ruthenium Radioisotopes ,business - Abstract
The authors report a case of Hippel's angiomatosis successfully treated with contact beta irradiation. The area of the multiplex retinal angioma and the accompanying retinal detachment was irradiated with a 106Ru/106Rh radioactive applicator. Hemodynamic changes due to irradiation were followed up in the ipsilateral ophthalmic artery with transcranial Doppler sonography. Scarring was also demonstrated by fluorescein angiography and A- and B-scan ultrasonography. Irradiation caused the narrowing and later the occlusion of the precapillaries and capillaries (i.e. the resistance vessels) and that of the shunts inside the angioma; consequently, vascular resistance increased. Transcranial Doppler sonographic recordings showed a decrease in blood flow velocity as compared to pathologically increased blood flow velocity in angiomas, and a gradual increase in vascular resistance which was lower before treatment.
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- 1990
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6. Correlation between central somatosensory conduction time, blood flow velocity, and delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage
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György Székely, László Mikó, László Novák, László Rózsa, and S. Szabó
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Adult ,Male ,Subarachnoid hemorrhage ,genetic structures ,Ischemia ,Hemodynamics ,Brain Ischemia ,Evoked Potentials, Somatosensory ,medicine ,Humans ,cardiovascular diseases ,Aged ,Retrospective Studies ,Ultrasonography ,business.industry ,Vasospasm ,Intracranial Aneurysm ,General Medicine ,Blood flow ,Somatosensory Cortex ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,eye diseases ,Transcranial Doppler ,medicine.anatomical_structure ,Somatosensory evoked potential ,Anesthesia ,Cerebrovascular Circulation ,cardiovascular system ,Surgery ,Female ,sense organs ,Neurology (clinical) ,business ,Blood Flow Velocity ,Artery - Abstract
In this retrospective study of 67 aneurysmal patients, the predictive role of central conduction time (CCT) on vasospasm occurrence evaluated by means of transcranial Doppler sonography (TCD) and the correlation of CCT to blood flow velocity measured simultaneously in postoperative course were studied. Data about the clinical state of patients at the time of admission (Hunt Hess scale), severity of subarachnoidal hemorrhage on initial CT scan (Fisher grade), timing of surgery (acute or delayed), outcome (Glasgow Outcome Scale), severity of vasospasm graded by highest mean blood flow velocity (BFV) during the entire clinical course and CCT values measured at admission (preoperatively), then postoperatively (one day after surgery) and simultaneously with later TCD investigations were collected from the files. Interhemispheric difference of CCT was also calculated. The results showed that CCT at admission was not predictive for vasospasm. CCT measured either at admission or on the first postoperative day did not differ significantly in the different grades of vasospasm. Similar results were obtained in the acute and in the late operated group of patients. The results also suggest that increased CCT and interhemispheric difference at the time of admission indicate a worse prognosis, but this can be related to higher surgical risk rather than to a higher incidence of late ischemic deterioration. Simultaneous CCT and TCD examinations demonstrated that coincident and statistically significant (p0.01) increase of actual CCT (6.7 msec) was found only in the severe grade of vasospasm (BFV 200 cm/s). The authors discuss the role of CCT and TCD monitoring in the management of aneurysmal subarachnoid hemorrhage.
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- 1997
7. Investigation of Intracranial Haemodynamics by Means of Transcranial Doppler Ultrasonography After Severe Head Injury — A Clinical Study
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László Novák, Róza Gombi, S. Szabó, and László Rózsa
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medicine.medical_specialty ,business.industry ,Glasgow Outcome Scale ,Head injury ,Glasgow Coma Scale ,Hemodynamics ,Vasospasm ,medicine.disease ,Transcranial Doppler ,Transcranial Doppler ultrasonography ,medicine.artery ,Anesthesia ,Middle cerebral artery ,cardiovascular system ,medicine ,Radiology ,business - Abstract
54 head injured patients were monitored by means of transcranial Doppler (TCD) ultrasonography. The diffuse brain swelling was evaluated by CT (15 mild, 9 moderate, 28 severe), 2 patients had only focal laesions. We assessed the Glasgow Coma Scale (GCS) by admission and the Glasgow Outcome Scale (GOS). The flow velocity (FV) in the middle cerebral artery (MCA) was monitored by admission and repeatedly depending on clinical state.
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- 1993
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8. The effect of intracranial diseases on ophthalmic artery circulation
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Erzsébet Balázs, László Rózsa, and S. Szabó
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medicine.medical_specialty ,business.industry ,Transcranial doppler sonography ,Hemodynamics ,Circulation (fluid dynamics) ,Internal medicine ,Ophthalmic artery ,medicine.artery ,Blood circulation ,medicine ,Cardiology ,sense organs ,Cerebral perfusion pressure ,business - Abstract
Some intracranial diseases may also influence orbital blood circulation. Transcranial Doppler sonography (TDS) is a simple, noninvasive method for the follow up of these hemodynamic changes [1–3].
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- 1993
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9. Traumatic brain swelling studied by computerized tomography and densitometry
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László Rózsa, Ernst H. Grote, and Patric Egan
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Adult ,medicine.medical_specialty ,Brain Edema ,Cerebral edema ,Hyperaemia ,Absorptiometry, Photon ,Cerebrospinal fluid ,Hounsfield scale ,Edema ,Humans ,Medicine ,Aged ,business.industry ,Head injury ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Neurology (clinical) ,Neurosurgery ,Radiology ,medicine.symptom ,Swelling ,Tomography, X-Ray Computed ,business ,Follow-Up Studies - Abstract
Two-hundred and fifty-two computerized tomography (CT) scans of 107 patients with head injuries were analyzed. The most frequent consequence of trauma was a diffuse swelling of the brain in 91% of the cases. The severity of brain swelling and its course can be estimated by the compression of (or absence of) the intracranial cerebrospinal fluid space. These observations may be of prognostic value as well. By measurement of the Hounsfield units (HU) in 52 cases the blood or water content in the brain tissues was assessed. An increase in blood content of the tissues (hyperaemia) can account for an increase in Hounsfield values. A decrease in HU suggests brain edema. The density measurements showed that in the first hours and days following head injury, the diffuse brain swelling was caused by severe cerebrovascular congestion in the majority (53%) of the cases. Immediate brain edema without a preceding hyperaemic phase occurs less frequently (32%). Between the 1st and 4th day after injury, edema started to prevail, and between the 5th and 8th day the edematous type of brain swelling was present almost exclusively.
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- 1989
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