Synopsis 208 2019 Annual Trends And Outcomes Report In French

Moyamoya disease (MMD) is a chronic cerebrovascular disease characterized by progressive stenosis of the arteries of the circle of Willis, and formation of a collateral vascular network at the base of the brain. Moyamoya syndrome is caused by numerous conditions, which lead to arterial occlusion of the circle of Willis and resultant collaterals reminiscent of moyamoya disease. Due to the diverse angioarchitecture and unknown influence factors, the hemodynamic disturbances of MMD/Moyamoya syndrome are complicated, and result in multimodal clinical manifestations including headache, cognitive impairment, seizures, TIA, infarction, and hemorrhage. Surgical revascularization has been proven as effective in decreasing incidence of long-term risk of stroke. However, occurrence of perioperative stroke and complications such as seizures and cerebral hyperperfusion syndrome are still unpredictable. In addition, many patients with cognitive impairment cannot benefit from surgical revascularization and the mechanism remains unclear. Thus, a series of studies focusing on the objective evaluation of MMD/Moyamoya syndrome are needed to help understand this complicated cerebrovascular disease and improve our treatment strategy. The goal of this Research Topic is to better understand the pathophysiological nature of MMD/Moyamoya syndrome through objective neuroimaging. We also aim to generate a reasonable and objective evaluation system for MMD/ Moyamoya syndrome and would like to understand the link between cognitive impairment and brain damage of MMD/Moyamoya syndrome though neuroimaging. Through these findings we also aim to improve the treatment strategy by understanding the pathophysiological link with relevant complications. Finally, we also aim to improve our understanding of the significance of perioperative management for patients with severe complications from the perspective of objective evaluation.

The Working Group I contribution to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC) provides a comprehensive assessment of the physical science basis of climate change. It considers in situ and remote observations; paleoclimate information; understanding of climate drivers and physical, chemical, and biological processes and feedbacks; global and regional climate modelling; advances in methods of analyses; and insights from climate services. It assesses the current state of the climate; human influence on climate in all regions; future climate change including sea level rise; global warming effects including extremes; climate information for risk assessment and regional adaptation; limiting climate change by reaching net zero carbon dioxide emissions and reducing other greenhouse gas emissions; and benefits for air quality. The report serves policymakers, decision makers, stakeholders, and all interested parties with the latest policy-relevant information on climate change. Available as Open Access on Cambridge Core.

Solid organ transplantation offers a new chance at life to those suffering from failing organs. With these successes, however, comes the everyday management that is required to maintain health. The field of solid organ transplantation has become a part of medicine that generalists should be familiar with, as recipients are living longer and frequently returning to primary care for management. While specialists will still need to be involved with the care of solid organ transplant recipients on a life-long basis, many conditions will still need initial and often ongoing care by generalists, including infections, metabolic conditions, psychiatric illnesses, and malignancy. This book focuses on the care of adult solid organ transplant recipients, and is targeted at the level of the primary care provider. It begins with an introduction and overviews of solid organ transplantation and anti-rejection medications. It then delves into organ-specific chapters that provide the primary care provider with an overview of how to take care of patients with the most commonly-transplanted solid organs: kidney, kidney-pancreas, liver, heart, and lung. The final section focuses on specific complications that arise from transplantation including cancer, metabolic conditions, infections, and common presenting syndromes. Preventative health is also discussed, and the book concludes with a chapter on palliative care. Primary Care of the Solid Organ Transplant Recipient is a unique text that provides the reader with organ and complication-specific sections that can be independently read as they relate to the individual physicians and their patients. Written by experts in the field, this text is a valuable resource for primary care providers, medical students, residents and anyone involved in the care of solid organ transplant recipients.

This volume constitutes selected papers presented at the 24th Italian Conference on Geomatics and Geospatial Technologies, ASITA 2021, held as five sessions takind place between 1 and 23 July, 2021. Due to the COVID-19 pandemic the conference was held online. The 28 papers were thoroughly reviewed and selected from 139 submissions. They are organized in topical sections on ​remote sensing applications; geomatics and natural hazards; geomatics for cultural heritage and natural resources; sensors performance and data processing; geomatics and land management.