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BACKGROUND In severe chronic obstructive pulmonary disease (COPD), interval training (IT) can be performed with oxygen support, which provides beneficial effect on metabolic processes, tissue perfusion, and peripheral muscle function. METHODS A prospective cohort study with matched controls was performed on patients in Budapest at the Department of Pulmonary Rehabilitation of the National Koranyi Institute of Pulmonology between January 1, 2020 and March 1, 2020. After a complex condition assessment, both case and control patients participated in a 3-week long complex pulmonary rehabilitation (PR) program that included individual training, education, nutrition, and psychological counseling. Anthropometric and functional data of patients were recorded at both the beginning and end of the PR program. Our research aimed to assess the effect of non-invasive ventilation (NIV) in patients with severe COPD who underwent IT. RESULTS A total of 18 [male/female: 10 (55.6%)/8 (44.4%)] patients were enrolled in our study. IT with NIV significantly improved the patients' 6-minute walking distance (6MWD) (m) [216.0 (211.5-233.7) vs. 274.0 (247.5-313.5); P

Introduction: Pulmonary rehabilitation (PR) is beneficial for lung mechanics, chest kinematics, metabolism, and inspiratory and peripheral muscle function. Freediving training (FD) can be effective in sportsmen and can improve breath-holding time. Aims: We sought to determine the effectiveness of freediving training in the pulmonary rehabilitation of COPD patients. Patients and methods: Twenty-three COPD patients (15 men and 8 women; median age 63 years; FEV1: 41% pred; BMI: 28 kg/m2) participated in the FD + PR group (3 weeks PR and 3 weeks FD + PR) and 46 patients with COPD (25 men and 21 women; median age 66 years; FEV1: 43% pred; BMI: 27 kg/m2) participated in an inpatient PR program (6 weeks). Patients performed comfort zone breath holding for 30 min/day. Patients increased their breath-holding time within their comfort zone for 30 min. We detected lung function, chest expansion (CWE), inspiratory muscle pressure (MIP), peripheral muscle function (GS), and exercise capacity (6MWD), and we included breath-holding time (BHT), quality of life score (COPD Assessment Test (CAT)), modified Medical Research Dyspnea Scale (mMRC) score, and the severity of the disease assessed by the BODE index (FEV1, BMI, 6MWD, and mMRC) and an alternative scale (FEV1, BMI, 6MWD, and CAT). Result: There were significant differences in the characteristics of the two groups. Significant improvement was detected in all functional and quality of life parameters except lung function in both groups. Significantly higher improvement was detected in CWE, GS, 6MWD, BHT, CAT, mMRC, alternative scale, and MIP. The improvement in forced vital capacity (FVC) was not significant. There were no side effects of FD training. Conclusion: The FD method can potentiate the effect of PR, improving not only BHT but also other parameters. Trial registration: ISRCTN ISRCTN13019180. Registered 19 December 2017.

The intracerebroventricularly (icv) injected streptozotocin (STZ) induced brain state is a widely used model of sporadic Alzheimer-disease (AD). However, data have been generated in young, naive albino rats. We postulate that the translationally most relevant animal population of an AD model should be that of aged rats with substantial learning history. The objective of the study was thus to probe the model in old rats with knowledge in various cognitive domains. Long-Evans rats of 23 and 10 months age with acquired knowledge in five-choice serial reaction time task (5-CSRTT), a cooperation task, Morris water-maze (MWM) and “pot-jumping” exercise were treated with 3 × 1.5 mg/kg icv. STZ and their performance were followed for 3 months in the above and additional behavioral assays. Both STZ-treated age groups showed significant impairment in the MWM (spatial learning) and novel object recognition test (recognition memory) but not in passive avoidance and fear conditioning paradigms (fear memory). In young STZ treated rats, significant differences were also found in the 5CSRTT (attention) and pot jumping test (procedural learning) while in old rats a significant increase in hippocampal phospho-tau/tau protein ratio was observed. No significant difference was found in the cooperation (social cognition) and pairwise discrimination (visual memory) assays and hippocampal β-amyloid levels. STZ treated old animals showed impulsivity-like behavior in several tests. Our results partly coincide with partly deviate from those published on young, albino, unexperienced rats. Beside the age, strain and experience level of the animals differences can also be attributed to the increased dose of STZ, and the applied food restriction regime. The observed cognitive and non-cognitive activity pattern of icv. STZ in aged experienced rats call for more extensive studies with the STZ model to further strengthen and specify its translational validity.

Nowadays, reactor runaway is still a crucial phenomen from the safety viewpoint. About 120 scientific journal articles are published every year in the last decade in which thermal runaway is a keyword. The possible cause and consequences of reactor runaway are adressed where the worst case is the explosion of the reactor. Prevention steps to avoid the development of thermal runaway include the appropriate design of the reactor, the operation strategy and an early warning detection system. The available assessment methods for thermal risk analysis are addressed in detail. Reactor runaway criteria can indicate early the thermal runaway, which criteria are addressed in this review in detail under three classes: geometry-, sensitivity-, and stability-based runaway criteria. Operation strategy of semi-batch reactors can be designed by calculating Westerterp-diagram whose evolution is cleary presented. Significant works on the field of the reactor design, operation and reactor safety are collected and evaluated. Finally possible further research areas are suggested to improve our knowledge about thermal safety, such as investigating parameter uncertainty in runaway indication or optimize the safety actions to moderate the consequences of runaway.

Since the establishment of highly active antiretroviral therapy, survival rates have improved among patients with human immunodeficiency virus infection giving them the possibility to become transplant candidates. Recent publications revealed that human immunodeficiency virus‐positive heart transplant recipients' survival is similar to non‐infected patients. We present the case of a 40‐year‐old human immunodeficiency virus infected patient, who was hospitalized due to severely decreased left ventricular function with a possible aetiology of acute myocarditis, that has later been confirmed by histological investigation of myocardial biopsy. Due to rapid progression to refractory cardiogenic shock, extracorporeal membrane oxygenation implantation had been initiated, which was upgraded to biventricular assist device later. On the 35th day of upgraded support, the patient underwent heart transplantation uneventfully. Our clinical experience confirms that implementation of temporary mechanical circulatory support and subsequent cardiac transplantation might be successful in human immunodeficiency virus‐positive patients even in case of new onset, irreversible acute heart failure.

Annually resolved radiocarbon (14C) measurements on tree rings led to the discovery of abrupt variations in 14C production attributed to large solar flares. We present new results of annual and subannual 14C fluctuations in tree rings from a middle-latitude sequoia (California) and a high-latitude pine (Finland), analyzed for the period 1030–1080 CE, to trace a possible impact of the Crab supernova explosion, occurring during the Oort minimum of solar activity. Our results indicate an increase of Δ14C around 1054/55 CE, which we estimate is higher in magnitude than the cyclic variability due to solar activity at a 2σ significance level. The net signal appears to be synchronized in the studied locations. Several sources of this event are possible including γ-rays from the Crab supernova, an unusually weak solar minimum or a solar energetic particle incident. More data are needed to provide more insight into the origin of this 14C event.

Aims The PREPARE‐MVR study (PRediction of Early PostoperAtive Right vEntricular failure in Mitral Valve Replacement/Repair patients) sought to investigate the alterations of right ventricular (RV) contraction pattern in patients undergoing mitral valve replacement/repair (MVR) and to explore the associations between pre‐operative RV mechanics and early post‐operative RV dysfunction (RVD). Methods and results We prospectively enrolled 42 patients (63 ± 11 years, 69% men) undergoing open‐heart MVR. Transthoracic three‐dimensional (3D) echocardiography was performed pre‐operatively, at intensive care unit discharge, and 6 months after surgery. The 3D model of the RV was reconstructed, and RV ejection fraction (RVEF) was calculated. We decomposed the motion of the ventricle to compute longitudinal ejection fraction (LEF) and radial ejection fraction (REF). Pulmonary artery catheterization was performed to monitor RV stroke work index (RVSWi). RVEF was slightly decreased after MVR [52 (50–55) vs. 51 (46–54)%; P = 0.001], whereas RV contraction pattern changed notably. Before MVR, the longitudinal shortening was the main contributor to global systolic RV function [LEF/RVEF vs. REF/RVEF; 0.53 (0.47–0.58) vs. 0.33 (0.22–0.42); P

The correct answer regarding which nonlinear optimization algorithm should we use for a given problem is that “it depends.” In this paper, we would like to add that “it depends, but use multiple programs whenever possible.” Here we consider 23 algorithms, implemented in MATLAB, evaluating their performance both on a lumped kinetic model for vacuum gas oil hydrocracking and a few-step kinetic model for ethane pyrolysis; the former particularly raised our interest as the kinetic parameters have no reference values in such models. We can use the results of such a study to estimate model variance; moreover, the statistical analysis of the identified minimum values can also quantify the parameter uncertainty. We can also identify key operating conditions where the applied kinetic model shows the highest sensitivity to the identified parameters, opening up the possibility to further reduce the uncertainty by targeting additional experimental work or by refining the identification problem.

The so-called lumped reaction networks are extensively used to model complex processes such as hydrocracking. Despite this, studies on the further applicability of these networks during a reactor s...

Art objects form an essential part of cultural heritage and are appreciated for their artistic values. However, the observed investment in art and capacity for high monetary returns encourages counterfeiting of art objects. The art market's lack of transparency and traditional confidential protocols amplifies the problem. Radiocarbon analysis provides a tool to detect anachronistic materials. Measurement of bomb peak radiocarbon, which was observed in the atmosphere during the last 70 years, can provide clear evidence of post-1950 material. Here we briefly introduce the method and discuss its application in detecting forgeries. Three accelerator mass spectrometry AMS laboratories performed a 14C dating inter-comparison study on the material used in art. Results obtained on modern cotton paper, two antique sheets of paper, one parchment, and one textile demonstrate the radiocarbon dating capacity to date the material accurately. The excellent agreement between laboratories is crucial for the broader application of this scientific tool in forensic studies and court cases., Forensic Science International, 335, ISSN:0379-0738, ISSN:1872-6283

Our aim was to establish a pharmacologically induced neurovascular uncoupling (NVU) method in rats as a model of human cognitive decline. Pharmacologically induced NVU with subsequent neurological and cognitive defects was described in mice, but not in rats so far. We used 32 male Hannover Wistar rats. NVU was induced by intraperitoneal administration of a pharmacological “cocktail” consisting of N-(methylsulfonyl)-2-(2-propynyloxy)-benzenehexanamide (MSPPOH, a specific inhibitor of epoxyeicosatrienoic acid-producing epoxidases, 5 mg kg−1), L-NG-nitroarginine methyl ester (L-NAME, a nitric oxide synthase inhibitor, 10 mg kg−1) and indomethacin (a nonselective inhibitor of cyclooxygenases, 1 mg kg−1) and injected twice daily for 8 consecutive days. Cognitive performance was tested in the Morris water-maze and fear-conditioning assays. We also monitored blood pressure. In a terminal operation a laser Doppler probe was used to detect changes in blood-flow (CBF) in the barrel cortex while the contralateral whisker pad was stimulated. Brain and small intestine tissue samples were collected post mortem and examined for prostaglandin E2 (PGE2) level. Animals treated with the “cocktail” showed no impairment in their performance in any of the cognitive tasks. They had higher blood pressure and showed cca. 50% decrease in CBF. Intestinal bleeding and ulcers were found in some animals with significantly decreased levels of PGE2 in the brain and small intestine. Although we could evoke NVU by the applied mixture of pharmacons, it also induced adverse side effects such as hypertension and intestinal malformations while the treatment did not cause cognitive impairment. Thus, further refinements are still required for the development of an applicable model.

Sonochemistry in combination with a combustion procedure was used to prepare superparamagnetic iron oxide nanoparticles. Two different iron precursors, ferrocene and iron(II)-acetate were dispersed...

Recently we interpreted the notion of ESS for matrix games under time constraints and investigated the corresponding state in the polymorphic situation. Now we give two further static (monomorphic) characterizations which are the appropriate analogues of those known for classical evolutionary matrix games. Namely, it is verified that an ESS can be described as a neighbourhood invader strategy independently of the dimension of the strategy space in our non-linear situation too, that is, a strategy is an ESS if and only if it is able to invade and completely replace any monomorphic population which totally consists of individuals following a strategy close to the ESS. With the neighbourhood invader property at hand, we establish a dynamic characterization under the replicator dynamics in two dimensions which corresponds to the strong stability concept for classical evolutionary matrix games. Besides, in some special cases, we also prove the stability of the corresponding rest point in higher dimensions.

The increase of fossil-fuel-derived CO2 in the atmosphere has led to the dilution of the atmospheric radiocarbon concentration, but due to the costly instrumentation, the continuous atmospheric 14C/12C data is incomplete in developing countries, such as in Indonesia. These data give useful information about the level of local and regional fossil emissions. In this study, 14C AMS measurements of local vegetation and woody plant species samples have been used to estimate the rate of fossil-fuel-derived carbon in the plants, which fix the CO2 from the atmosphere by photosynthesis. Evergreen leaf samples were collected in September 2018 on the island of Bali in different, diverse districts in local and urban areas. The samples from the densely populated areas show observable fossil fuel emissions and show that the Δ14C level is close to zero ‰, similar to the natural level.

Deciduous tree leaf and grass samples were collected in Debrecen, the second largest city in Hungary. The aim of the study was to determine the rate of fossil fuel-derived carbon in urban vegetation. At the locations sampled, C3 and C4 plants close to roads were collected in September 2017. In total, 82 tree and grass leaf samples were gathered at 36 different sampling points all over the city of Debrecen. The radiocarbon (14C) results of the samples were compared to the local urban background atmospheric 14CO2 data to determine the percentage of the fossil fuel-derived carbon in the plants. Based on our results, the average fossil carbon content in the tree and grass leaf samples were 0.9 ± 1.2% and 2.5 ± 2.5%, respectively. The highest fossil carbon content was 9.6 ± 0.6% in a grass and 4.7 ± 0.7% in a tree leaf sample. It appears that the negative fossil carbon content results obtained at urban sampling areas reflect modern carbon emission, where radiocarbon content is higher than the corresponding local background, presumably due burning of recent wood containing bomb 14C in the suburbs as well as other possible sources such as litter decomposition or soil CO2 emission.

In this study, a series of free-standing as well as controlled size Pt nanoparticles-loaded mesoporous metal oxides (NiO, Co3O4, CeO2 and MnO2) with high surface area and designed pore structure were prepared by hard template method and used as catalysts for CO2 hydrogenation together with dry reforming of CO2 with methane. The physicochemical properties of catalysts were analysed by N2 adsorption-desorption isotherm, XRD, TEM, and H2-TPR. Pt-free and Pt-loaded mesoporous NiO and Co3O4 performed with high catalytic activity and selectivity for both CO2 activation reactions. Pt-free NiO exhibited the highest catalytic activity and also showing 100% CH4 selectivity between 473–673 K and ˜1:1 H2/CO2 ratio between 673–973 K in CO2 hydrogenation and dry reforming with methane, respectively. The enhanced catalytic properties can be due to the existence of metallic Ni as well as the optimal dynamics of Ni/NiOx structure under reaction conditions.

Radiocarbon (14C) analysis was performed on Japanese cedar (Cryptomeria japonica) tree rings from Koriyama, Fukushima prefecture. Our primary aim was to detect any 14C release from the Fukushima Dai-ichi nuclear power plant accident on 11 March 2011. We also completed and assessed the 14C level in Japanese tree rings for the period of 1990–2014 because of the lack of environmental 14C results in the Japanese island that time. For this reason, we used a trajectory model to investigate the air mass forward and backward trajectories at the area of the power plant and sampling site. The modeling data show that the air masses mainly moved to the Pacific Ocean, both during March 2011 and during the growing season (March–September). During the period 1990–2014 there was no significant 14C excess in any of the samples, but there was a detectable Suess effect in almost every tree ring sample. The average fossil contribution was 0.83 ± 0.01% and the calculated anthropogenic component ratio, the 14C excess varied between +0.5 and –1.6%. The Δ14C value decreased from 150.0‰ to 9.5‰ from 1990–2014, which follows the decline of the 14C bomb peak, in addition to any detectable Suess effect.

The methane emissions from the Hungarian Pannonian Basin are not well qualified, due to a lack of measurements of CH4 mole fraction and δ13CCH4 in the air. This study reports methane measurements in air samples from Hungary, placing them in the context of regional and global background data, to investigate the inputs to the methane burden in Central Europe. CH4 mole fraction and δ13CCH4 from the Hungarian tall tower station, Hegyhátsál, and additional data from Mace Head (Ireland) and Zeppelin (Svalbard) are used with back-trajectory modeling to identify central European source areas and their seasonal variation between the summer vegetation and winter heating periods. Methane measurements in air masses sampled in the European interior, have significantly higher maxima and seasonal amplitudes than at the Mace Head and Zeppelin European background sites. The mean CH4 mole fraction value is about 80 ppb higher than the comparable marine background, and values above 2000 ppb were frequently observed between February 2013 and December 2015. The mean δ13CCH4 value -47.5±0.3 ‰ (2σ) was comparable to values at all three monitoring sites, but specific pollution events were detected at Hegyhátsál. Concentration weighted trajectory modeling, meteorological parameters, stable carbon isotopic composition (δ13CCH4), and Miller-Tans analysis show that the main factors influencing CH4 at the Hegyhátsál, apart from diurnal and seasonal changes in the Planetary Boundary Layer, are emissions from residential heating and industrial CH4 emissions during the winter.

We set out to measure the health literacy (HL) of COPD patients using the Short Test of Functional Health Literacy (S-TOFHLA), perception-based screening questions (BHLS), and a specific disease knowledge test (COPD-Q). Our main focus is the relationship between functional HL and patients’ disease-knowledge, which contributes to the clarification of the relationship between the different kinds of HL. In two prospective observational studies, 151 COPD patients (80 males, mean age: 62 ± 9 years) completed a questionnaire containing HL measurements, psychological tests (e.g., the Self-Control and Self-Management Scale), and questions regarding subjective health status. Medical data of the patients from the MedSole system were added. The HL scores of the COPD patients were compared to a representative sample using a t-test. Furthermore, correlations of HL with demographic, psychological, and medical variables were calculated within the patient group. The relations among the different HL measurements were tested by chi-square trials. COPD patients had significantly lower HL, as measured by S-TOFHLA. Younger and higher educated patients possessed higher S-TOFHLA scores. Unlike the demographic variables, general self-management showed significant correlations with both BHLS and with COPD-Q. Out of the medical variables, objective health status was associated with BHLS and COPD-Q. Neither BHLS nor S-TOFHLA had a correlation with COPD-Q, but they correlated with each other. We found S-TOFHLA to be a better tool in the medical context. There is a clear gap between self-perceived/functional HL and the necessary disease knowledge. Rehabilitation care for patients with lower HL was more advantageous.

In this paper, we present the time-dependent elemental composition and AMS radiocarbon dating results of 36 rape, sunflower and forest honey samples, collected between 1985 and 2018 in geographically close locations. Based on the elemental information, we conclude that bee products regardless the type provide useful environmental information of the previous decades, such as the decreasing trend of airborne Pb emission can be traced. However, radiocarbon results agree less with the atmospheric bomb peak. Random offsets were observed in the specific radiocarbon activity of the honey samples indicating that rape, sunflower and forest honey samples are not as reliable materials for radiocarbon dating as acacia honeys. The radiocarbon results show that the rape, sunflower and forest honey samples can contain non-photosynthetic carbon, presumably derived from the soil. Thus, the complex application of honey samples for environmental reconstruction requires the species-separated investigation of bee products to reveal their adaptability for assessment approaches.

One of the main result in the theory of classical evolutionary matrix games (Maynard Smith and Price 1973, Maynard Smith 1982) claims that monomorphic ESS condition implies the stability of the corresponding state of the polymorphic replicator dynamics (Hofbauer et al. 1979, Zeeman 1980). The picture was then refined by Cressman (1990) introducing the strong stability concept which says that if there is a monomorphic ESS then stable polymorphism is established in polymorphic populations. In this paper we demonstrate with examples that this relationship generally does not hold in three or higher dimensions if times related to the interactions vary with the strategies of the participants.

Systemic sclerosis (SSc) is a heterogeneous multisystem autoimmune disease whereby its main pathological drivers of disability and damage are vascular injury, inflammatory cell infiltration, and fibrosis. These mechanisms result in diffuse and diverse impairments arising from ischemic circulatory dysfunction leading to painful skin ulceration and calcinosis, neurovascular aberrations hindering gastrointestinal (GI) motility, progressive painful, incapacitating or immobilizing effects of inflammatory and fibrotic effects on the lungs, skin, articular and periarticular structures, and muscle. SSc-related impairments impede routine activities of daily living (ADLs) and disrupt three critical life areas: work, family, social/leisure, and also impact on psychological well-being. Physical activity and exercise are globally recommended; however, for connective tissue diseases, this guidance carries greater impact on inflammatory disease manifestations, recovery, and cardiovascular health. Exercise, through myogenic and vascular phenomena, naturally targets key pathogenic drivers by downregulating multiple inflammatory and fibrotic pathways in serum and tissue, while increasing circulation and vascular repair. G-FoRSS, The Global Fellowship on Rehabilitation and Exercise in Systemic Sclerosis recognizes the scientific basis of and advocates for education and research of exercise as a systemic and targeted SSc disease-modifying treatment. An overview of biophysiological mechanisms of physical activity and exercise are herein imparted for patients, clinicians, and researchers, and applied to SSc disease mechanisms, manifestations, and impairment. A preliminary guidance on exercise in SSc, a research agenda, and the current state of research and outcome measures are set forth.

Összefoglaló. A COVID-19-fertőzésen átesett betegek közül többen elhúzódó panaszokról számolnak be a felépülést követően, sokaknál tartósan fennáll a köhögés, a nehézlégzés, a mellkasi fájdalom, a légszomj attól függetlenül, hogy enyhe vagy súlyosabb tüneteket okozott a koronavírus. A betegek erőtlennek érzik magukat, erős fáradtságérzetre panaszkodnak, míg mások gyomor-bél rendszeri panaszokra, fejfájásra, depresszióra, a szaglás- és ízérzékelés elvesztésére. Számtalan kutatás leírja, hogy a fertőzés még akár hónapokkal később is hatással lehet a tüdő működésére, és korábban egészséges tüdőn is látható a koronavírus-fertőzés a gyógyulás után három hónappal készült kontroll-mellkas-CT-leleten. Éppen ezért szükség van a fertőzés lezajlását követően tüdőgyógyászati kivizsgálásra, ha a betegnek elhúzódó panaszai vannak, vagy ha a betegség tüdőgyulladást okozott. Szükség van a jelenleg működő fekvőbeteg-légzőszervi rehabilitáció mellett a kezelés ambuláns kiterjesztésére is, melynek célja újabb kórházi ápolás nélkül a teljes gyógyulás elérése a betegeknél. A COVID-19-fertőzésen átesett betegeknél a komplex rehabilitáció hatására javul a terhelhetőség, az életminőség, javulnak a légzésfunkciós értékek, csökkennek a panaszok, javul a betegek fizikai és pszichikai állapota. Összefoglaló kutatásunk célja áttekinteni, hogy milyen COVID-19 ambuláns rehabilitációs programok indultak el a koronavírus-fertőzésen átesett betegek esetében nemzetközi és hazai színtereken. Orv Hetil. 22021; 162(42): 1671-1677. Summary. Several patients with COVID-19 infection report prolonged complaints after recovery and many of them suffer from persistent cough, dyspnea, chest pain and shortness of breath regardless of whether the coronavirus caused mild or more severe symptoms. They complain of severe fatigue and weakness while others grizzle about gastrointestinal complaints, headache, depression, loss of sense of smell and taste. Numerous studies describe that the infection can affect lung function even in months and coronavirus infection can be detectable in previously healthy lungs by taking a control chest CT scan three months after recovery. Therefore, chest follow-up is required after the infection if the patient has prolonged complaints or if the disease has caused pneumonia. In addition to the currently operating inpatient respiratory rehabilitation, there is also a need for an outpatient extension of treatment to achieve complete recovery in patients without further hospitalization. For those patients who have had the COVID-19 infection complex rehabilitation can improve their workload, quality of life, improves their respiratory function values, reduces their complaints and also improves their physical and mental condition. The aim of our summary research is to review what COVID-19 outpatient rehabilitation programs have been initiated for patients who went through coronavirus infection on international and domestic scenes. Orv Hetil. 2021; 162(42): 1671-1677.

Intracerebroventricularly injected streptozotocin (STZ)-induced learning impairment has been an increasingly used rat model of Alzheimer disease. The evoked pathological changes involve many symptoms of the human disease (cognitive decline, increase in β-amyloid and phospho-tau level, amyloid plaque-like deposits). However, the model has predominantly been used with Wistar rats in the literature. The objective of the current study was to transfer it to Long-Evans rats with the ulterior aim to integrate it in a complex cognitive test battery where we use this strain because of its superior cognitive capabilities. We performed two experiments (EXP1, EXP2) with three months old male animals. At EXP1, rats were treated with 2 × 1.5 mg/kg STZ (based on the literature) or citrate buffer vehicle injected bilaterally into the lateral ventricles on days 1 and 3. At EXP2 animals were treated with 3 × 1.5 mg/kg STZ or citrate buffer vehicle injected in the same way as in EXP1 at days 1, 3, and 5. Learning and memory capabilities of the rats were then tested in the following paradigms: five choice serial reaction time test (daily training, started from week 2 or 8 post surgery in Exp1 or Exp2, respectively, and lasting until the end of the experiment); novel object recognition (NOR) test (at week 8 or 14), passive avoidance (at week 11 or 6) and Morris water-maze (at week 14 or 6). 15 or 14 weeks after the STZ treatment animals were sacrificed and brain phospho-tau/tau protein ratio and β -amyloid level were determined by western blot technique. In EXP1 we could not find any significant difference between the treated and the control groups in any of the assays. In EXP2 we found significant impairment in the NOR test and elevated β-amyloid level in the STZ treated group in addition to slower learning of the five-choice paradigm and a trend for increased phospho-tau/tau ratio. Altogether our findings suggest that the Long-Evans strain may be less sensitive to the STZ treatment than the Wistar rats and higher doses may be needed to trigger pathological changes in these animals. The results also highlight the importance of strain diversity in modelling human diseases.

Due to its various function vasopressin has been associated with many psychiatric disorders, including schizophrenia. Our previous study confirmed that vasopressin-deficient (di/di) Brattleboro rat can be a good genetic model for schizophrenia. Our present aim was to confirm whether the treatment effects of marketed antipsychotics are similar in di/di rats to those seen in human schizophrenic patients. Chronic subcutaneous administration of aripiprazole (5 mg/kg), clozapine (1 mg/kg), haloperidol (0.1 mg/kg), olanzapine (0.3 mg/kg) or risperidone (0.25 mg/kg) was used for 15 days in control (+/+ Brattleboro) and di/di rats. Social discrimination, social avoidance and prepulse inhibition tests were conducted on day 1, 8 and 15 of the treatment. Vasopressin-deficient rats showed social memory- and sensorimotor gating deficit. All used antipsychotics successfully normalized the reduced prepulse inhibition of di/di animals. However, most were effective only after prolonged treatment. Aripiprazole, clozapine, and olanzapine normalized the social memory deficit, while the effects of haloperidol and risperidone were not unequivocal. All drugs reduced social interest to some extent both in control and in di/di animals, aripiprazole being the less implicated in this regard during the social avoidance test. The restoration of schizophrenia-like behavior by antipsychotic treatment further support the utility of the vasopressin-deficient Brattleboro rat as a good preclinical model. Reduced social interest might be a general side-effect of antipsychotics, and aripiprazole has the most favorable profile in this regard.

A Correction to this paper has been published: https://doi.org/10.1038/s41467-021-21647-w

The goal of this study was to compare factor concentrate (FC)-based and blood product-based hemostasis management of coagulopathy in cardiac surgical patients in terms of postoperative bleeding, required blood products, and outcome.Retrospective, propensity score-matched analysis.Single, tertiary, academic medical center.One hundred eighteen matched pairs of 433 consecutive patients scheduled for cardiac surgery in two isolated periods with distinct strategies of hemostasis management.Patients received either blood product-based (period I) or FC-based (period II) hemostasis management to treat perioperative coagulopathy.Patients treated with FC management experienced less postoperative blood loss (907 v 1,153 mL, p = 0.014) and required less red blood cell and fresh frozen plasma transfusion (2.3 v 3.7 units p0.0001, and 2.0 v 3.4 units p0.0001, respectively) compared with subjects in the blood product-based management group. The frequency of Stage 3 acute kidney injury and 30-day mortality rate were significantly higher in the blood product-based group than in the FC management group (6.8% v 0.8%, p = 0.016, and 7.2% v 0.8%, p = 0.022, respectively). FC management-related thromboembolic events were not registered. The FC strategy was associated with a 2.19-fold decrease in the odds of massive postoperative bleeding (p0.0001), a 2.56-fold decrease in the odds of polytransfusion (p0.0001), and a 13.16-fold decrease in the odds of early postoperative death (p = 0.003).FC-based versus blood product-based management is associated with reduced blood product needs and fewer complications, and was not linked to a higher frequency of thromboembolic events or a decrease in long-term survival in cardiac surgical patients developing perioperative coagulopathy and bleeding.

Our study shows a one-year-long, monthly integrated continuous monitoring campaign of gaseous radiocarbon emission and ambient air compared with 4 event-like, weekly (168 h) atmospheric aerosol radiocarbon data in every season of 2019, at 4 locations (n = 16 aerosol sample) around the Paks Nuclear Power Plant, Hungary. The study shows the first aerosol radiocarbon results around a nuclear power plant measured by accelerator mass spectrometry in Hungary. There was no dominant contribution detected in the atmospheric CO

Nature Communications, 12 (1), ISSN:2041-1723

A coupled accelerator mass spectrometer–gas interface system has been successfully operating at the Hertelendi Laboratory of Environmental Studies, Debrecen, Hungary, since 2013. Over the last 6 years more than 500 gas targets were measured below 100 µg carbon content for carbon isotopic composition. The system was tested with blanks, OxII, IAEA-C1, IAEA-C2, and IAEA-C7 standards. The performance of our instrumentation shows good agreement with other published gas-interface system data and also shows a quite good agreement with the nominal value of international standard samples. There is a measurable but quite small memory effect after modern samples, but this does not significantly affect the final results. Typical ion currents at the low energy side were between 10–15 µA with a 5% CO2 in He mixing ratio. The relative errors average ±6% for samples greater than or equal to 10 µgC sample with mean count rates of 300 counts per microgram C for OxII. The blank is comparable with other systems, which is 0.0050 ± 0.0018 F14C or 34,000–47,000 yr BP, which allows for the routine measurement of both of small environmental and archeological samples.

A laboratory intercomparison project was carried out on 20 annually resolved late-wood samples from the Danish oak record. The project included the following three laboratories: (1) the University of Arizona AMS Laboratory, University of Arizona, USA (AA); (2) HEKAL AMS Laboratory, MTA Atomki, Hungary (DeA); and (3) Aarhus AMS Centre (AARAMS), Aarhus University, Denmark (AAR). The large majority of individual data points (96%) lie within ±2σ of the weighted mean. Further assessment of the accuracy associated with the individual laboratories showed good agreement, indicating that consistent and reliable 14C measurements well in agreement with each other are produced at the three laboratories. However, the quoted analytical uncertainties appear to be underestimated when compared to the observed variance of differences from the geometric mean of the samples. This study provides a general quality check of the single-year tree-ring 14C measurements that are included in the new calibration curve.

BACKGROUND The role of pre- and post-lung transplant rehabilitation is to maintain or improve exercise tolerance, lung mechanics, peripheral and respiratory muscle function. Our aim was to measure the effectiveness of pre- and post-transplant rehabilitation in terms of the changes of functional and quality of life markers. METHODS Sixty-three patients (40 COPD FEV1: 21±5%pred, 18 IPF TLC: 42±13%pred, 4 bronchiectasis FEV1: 28±4%pred and 1 alveolitis fibrotisans TLC: 31%pred) participated in a pre- and 14 took part in a post-transplant rehabilitation program (more than 2 months after lung transplantation (LTx), primary diagnoses: 9 COPD, 4 IPF). The rehabilitation program consisted of chest-wall stretching, controlled breathing techniques and personalized exercise of 20-30 minutes by cycling and treadmill 2-3 times per day for 4 weeks. Seven functional and quality of life markers, like lung function, chest wall expansion (CWE), 6-minute walking distance (6MWD), modified Medical Research Council Dyspnea Scale (mMRC), COPD Assessment Test (CAT), breath holding time (BHT) and hand grip strength (HGS) were measured at the onset and the end of the rehabilitation program. The safety profile of the rehabilitation program was followed-up. RESULTS Pre-transplant pulmonary rehabilitation resulted in significant improvement in CWE (3.24±1.49 vs. 4.48±1.62 cm), CAT IQR {19 [13-25] vs. 15 [11-21]}, 6MWD (315±118 vs. 375±114 m), P

Crop water productivity (CWP), irrigation water productivity (IWP), actual seasonal basal crop coefficient (Kab), and actual crop evapotranspiration (ETa) are essential parameters for accurate estimation of crop water requirement to prevent irrigation water waste. These parameters were evaluated by conducting three experiments using a drought-tolerant maize hybrid and a non-drought-tolerant (&lsquo, standard&rsquo, ) maize hybrid receiving 50, 100, and 150% of the recommended optimal nitrogen (N) fertilizer rate and grown under well-watered conditions, drought stress from the 14 leaf collar maize phenological stage (V14) to maize physiological maturity (R6), and drought stress from the blister maize phenological stage (R2) to R6. Across hybrids, ETa decreased with increased duration of drought stress. The drought-tolerant hybrid had 7 and 8% greater CWP and IWP, respectively, compared to the standard hybrid when drought stress began at V14. Mid-season Kab was 1.08, 0.89, and 0.73 under well-watered conditions and when drought stress began at R2 and V14, respectively. These results reveal that (i) maize achieved more effective physiological acclimation with earlier exposure to drought stress, (ii) grain yield of the drought-tolerant hybrid was unchanged by earlier, compared to later, onset of drought despite a 10% decrease in ETa, and (iii) two phases of acclimation were identified: Maize Kab declined upon exposure to drought but stabilized as the crop acclimated.

Territorial behaviour is an important part of the lives of many animals. Once a territory has been acquired, an animal may spend its entire life on it, and may have to repeatedly defend it from conspecifics. Some species make great investments in the defence of a territory, and this defence can be costly, in terms of time, energy and risk of injury. Time costs in particular have rarely been explicitly factored into such models. In this paper we consider a model of territorial defence which includes both population dynamic and time delay elements, building upon recent advances in time constraint models. Populations may divide into two distinct types, where one type makes no effort to control territories. We shall call this type nomads, and the other type territorials. Here the territory owners must divide their time between patrolling and foraging, and this balance is their only strategic decision. We show how to find the evolutionarily stable patrolling strategy and the population composition of territorials and nomads, and consider some examples demonstrating key situations. We see that both time constraints and population density pressure are crucial to influencing behaviour. In particular we find cases with both territorial individuals and nomads where a mixed, either pure or both pure patrolling strategies are evolutionarily stable. In different conditions either nomads or territorials can be absent, and indeed for a significant range of parameter combinations the population can exhibit tristability, with three distinct ecologically stable population compositions: with both nomads and territorials, only nomads or only territorials.

Összefoglaló. Bevezetés: Krónikus obstruktív tüdőbetegségben (COPD) az obesitas mellett a csökkent fizikai aktivitás nagymértékben fokozza a metabolikus szindróma kialakulásának valószínűségét. Célkitűzés: Kutatásunk célja volt felmérni a metabolikus szindróma prevalenciáját COPD-ben, valamint azt, hogy milyen mértékben függ össze az életkorral, a nemmel, a társbetegségekkel, a tüdőfunkció károsodásának mértékével, a tápláltsági állapottal, a fizikai terhelhetőséggel és az életminőséggel. Módszer: Keresztmetszeti vizsgálatot végeztünk az Országos Korányi Pulmonológiai Intézet Légzésrehabilitációs Osztályán fekvő betegek körében 2019. július 1. és december 31. között. A véletlenszerűen kiválasztott 300, 40 év feletti betegnek ismertük az antropometriai, légzésfunkciós vizsgálati eredményét és laboratóriumi paramétereit. Adatokat gyűjtöttünk a dohányzási szokásokról, az előző évi exacerbatiók számáról és a kortikoszteroidok használatáról is. Az életminőség mérésére a betegségspecifikus Szent György-féle Légzési Kérdőív magyar nyelvre validált változatát használtuk. A metabolikus szindrómát a Nemzetközi Diabetes Szövetség kritériumai alapján határoztuk meg. Eredmények: A metabolikus szindróma a betegek 72%-ánál fordult elő, férfi: 65,9% nő: 77,2% (p = 0,031). A metabolikus szindrómás betegek esetében rövidebb 6 perces sétatávolságot mértünk ([m] 250 [150-330] vs. 295 [162-360]; p = 0,384), és szignifikánsan több volt az előző évi exacerbatiók száma (3 [0-6] vs. 1 [1-2]; p0,001) a nem metabolikus szindrómás betegekhez képest. A BMI-re történő stratifikáció után a metabolikus szindróma jelenléte nagyobb volt BMI≥25 kg/m2 esetén. A hasi elhízás, a magas vérnyomás, a hyperlipidaemia és a hyperglykaemia szignifikánsan gyakoribb volt BMI≥25 kg/m2 esetén (p0,001). Következtetés: Eredményeink azt sugallják, hogy a metabolikus szindrómás betegekben megnő az együttes morbiditási index, különösen azok körében, akik túlsúlyosak vagy elhízottak. Ezért a COPD-s betegekben nagyon fontos időben felismerni és megfelelően kezelni a metabolikus szindrómát. Orv Hetil. 2021; 162(5): 185-191.Both obesity and the lack of physical activity among chronic obstructive pulmonary disease (COPD) patients increase the risk of developing metabolic syndrome.The goal of our study was to assess the prevalence of metabolic syndrome among COPD patients and to examine its correlation with age, gender, comorbidities, lung function values, nutritional status, exercise capacity, and quality of life.A cross-sectional study was performed at the Department of Pulmonary Rehabilitation of the Hungarian National Korányi Institute for Pulmonology between July 1st and December 31st, 2019. A total of 300 patients aged over 40 were selected at random. Anthropometric data were collected along with lung function values, laboratory parameters, smoking status, the number of exacerbations in the previous year, and the use of corticosteroids. Quality of life was measured by the validated Hungarian, COPD-specific Saint George Respiratory Questionnaire. Metabolic syndrome was defined according to the International Diabetes Federation criteria.Metabolic syndrome affected 72% of COPD patients (male: 65.9%, female 77.2%; p = 0.031). In patients with metabolic syndrome, shorter 6-minute walking distance was measured ([m] 250 [150-330] vs. 295 [162-360]; p = 0.384) and the number of exacerbations in the previous year was significantly higher (3 [0-6] vs. 1 [1-2]; p0.001) compared to patients with no metabolic syndrome. After stratification for BMI, metabolic syndrome was more frequent in the case of BMI≥25 kg/m2. Central adiposity, hypertension, hyperlipidemia, and hyperglycemia were also significantly more frequent among patients with BMI≥25 kg/m2 (p0.001).Our results suggest that the co-morbidity index increases in patients with metabolic syndrome, especially in overweight or obese patients. Therefore, early detection and appropriate treatment of metabolic syndrome in patients with COPD is very important. Orv Hetil. 2021; 162(5): 185-191.

Background Near-infrared spectroscopy (NIRS) technology can evaluate muscle metabolism and oxygenation. NIRS-based oximeters can measure skeletal muscle oxygen delivery and utilization during static and dynamic work non-invasively. Our goal was to assess the value and usability of NIRS technology in chronic obstructive pulmonary disease (COPD) rehabilitation program. Methods Forty patients with COPD participated in a 4-week inpatient rehabilitation program that included breathing exercises and personalized cycle/treadmill training adjusted to the functional capacity, physical activity and comorbidities of the patients. A NIRS muscle oxygen monitor was used to measure tissue oxygenation and hemoglobin levels. Total hemoglobin index, average muscle oxygenation, minimal and maximal muscle oxygenation were recorded before and after the rehabilitation program. Results Rehabilitation resulted improvement in 6 min walking distance (6MWD:335.3 ± 110. vs. 398.3 ± 126.2 m; P < 0.01), maximal inspiratory pressure (MIP: 57.7 ± 22.7 vs. 63.6 ± 18.0 cmH2O; P < 0.01), chest wall expansion (CWE: 2.84 ± 1.26 vs, 4.00 ± 1.76 cm; P < 0.01), breath hold time (BHT: 25.8 ± 10.6 vs. 29.2 ± 11.6 s; P < 0.01) and grip strength (GS: 24.9 ± 11.9 vs. 27.0 ± 11.4 kg; P < 0.01). Quality of life improvement was monitored by COPD Assessment Test (CAT: 17.00 ± 8.49 vs. 11.89 ± 7.3, P < 0.05). Total hemoglobin index (tHb: 12.8 ± 1.3% vs. 12.8 ± 1.4), average muscle oxygenation (SmO2: 67.5 ± 14.4% vs. 65.2 ± 20.4%) showed a tendency for improvement. Maximal muscle oxygenation decreased (SmO2 max: 98.0 ± 20.5% vs. 90.1 ± 14.3%; P < 0.01). Minimal muscle oxygenation increased (SmO2 min: 42.6 ± 12.6% vs. 54.8 ± 14.3%; P < 0.01). Conclusions NIRS results showed that muscle oxygenation and microcirculation can be described as a high-risk factor in COPD patients. The 4-week rehabilitation improves functional parameters, quality of life and tissue oxygenation levels in COPD patients.

Safe operation of thermally sensitive chemical reactors remains a crucial engineering issue. Thermal runaway occurs mainly due to loss of temperature control, and many chemical accidents initiated by thermal runaway can be foreseen by an appropriate analysis of thermal process data. Thermal runaway criteria can be applied to determine the onset of runaway phenomena and safety boundary diagrams can be constructed. However, several runaway criteria exist, which define the runaway-and safe zones differently. In this work nine commonly applied thermal runaway criteria were analyzed and compared based on their critical curves. As a result of this analysis, two new criteria were developed. Reliability of the derived criteria were investigated, where the occurrence of real runaway was determined based on the number of indications applying different criteria. The two new criteria were tested in three general reaction systems and in case a complex problem, where feeding trajectory of fed-batch reactor was optimized applying new criteria as non-linear constraint. One of the new criteria shows the highest reliability in indication of runaway development from all investigated runaway criteria.

With improving industrial chemical technologies Hazard and Operability Analysis (HAZOP) becomes more difficult to perform, because the technologies become more integrated and complex. It is more difficult to explore all hazard events due to the more frequent operating point transition. Therefore the experts’ work becomes more and more complicated, it takes a long time to analyze thoroughly a chemical technology with respect to process safety. Applying dynamic HAZOP can help the experts to explore all hazard situations in a technology based on dynamic process simulation, therefore a framework for exploring hazard events is suggested in this work. The proposed framework works via OPC (Open Platform Communication) connection between MATLAB and Aspen HYSYS dynamic process simulator. Based on the OPC connection data from Aspen HYSYS can be efficiently analyzed, moreover process optimization can be performed with a wide range of algorithms implemented in MATLAB. Applying the proposed framework different malfunctions can be preprogrammed and the effects of malfunctions can be analyzed automatically, hence the spending time of HAZOP can be shortened. Concentration of cumene-hydroperoxide (CHP) in vacuum distillation column is chosen as a case study to show how the framework can be applied to analyze process safety related situations. The malfunctions are generated through controller failures with significant changes in setpoints.