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Over the past decades, in the mountainous, hilly and/or urban areas of Hungary several high-intensity storms were followed by severe flash flooding and other hydrologic consequences. The overall aim of this paper was to upgrade the national flash flood susceptibility map of Hungary first published by Czigány et al. (2011). One elementary watershed level (FFSIws) and three settlement level flash flood susceptibility maps (FFSIs) were constructed using 13 environmental factors that influence flash flood generation. FFSI maps were verified by 2,677 documented flash flood events. In total, 5,458 watersheds were delineated. Almost exactly 10% of all delineated watersheds were included into the category of extreme susceptibility. While the number of the mean-based FFSIs demonstrated a normal quasi-Gaussian distribution with very low percentages in the quintile of low and extreme categories, the maximum-based FFSIs overemphasized the proportion of settlements of high and extreme susceptibility. These two categories combined accounted for more than 50% of all settlements. The highest accuracy at 59.02% for class 5 (highest susceptibility) was found for the majority based FFSIs. The current map has been improved compared to the former one in terms of (i) a higher number of conditional factors considered, (ii) higher resolution, (iii) being settlement-based and (iv) a higher number of events used for verification.

Background: Women are typically diagnosed with estrogen receptor-positive breast cancer around the postmenopausal period when declining estrogen levels initiate changes in lipid profiles. Aromatase inhibitors (AI) are used to prevent the progression of cancer; however, a further reduction in estrogen levels may have detrimental effects on lipid levels, which was our working hypothesis. Methods: Our meta-analysis was conducted on the lipid profiles of postmenopausal breast cancer patients at baseline and at different treatment time points. Results: We identified 15 studies, including 1708 patients. Studies using anastrozole (ANA), exemestane (EXE), letrozole (LET), and tamoxifen (TMX) were involved. Subgroup analyses revealed that 3- and 12-month administrations of LET and EXE lead to negative changes in lipid profiles that tend to alter the lipid profile undesirably, unlike ANA and TMX. Conclusions: Our results suggest that, despite statistically significant results, EXE and LET may not be sufficient to cause severe dyslipidemia in patients without cardiovascular comorbidities according to the AHA/ACC Guideline on the Management of Blood Cholesterol. However, the results may raise the question of monitoring the effects of AIs in patients, especially those with pre-existing cardiovascular risk factors such as dyslipidemia. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the biological outcomes of bone‐level implants restored with long vs. short abutments, with regard to the 'one abutment at one time' protocol. The systematic search was performed in five databases: MEDLINE (PubMed), EMBASE, Web of Science, Scopus, and CENTRAL for randomized controlled trials up to January 14, 2023. Data were collected for marginal bone loss, bleeding on probing, and probing pocket depth by two reviewers. As effect size measure, mean difference (MD), and risk ratio (RR) were used for continuous and categorical outcomes, R‐statistics software was used for conducting statistical analyses. For quality and certainty assessment, Risk of Bias Tool 2, ROBINS‐I, and GRADE approach were used. The search resulted in 4055 records without any duplicates. After title, abstract, and full‐text analysis, eight articles were found eligible for inclusion. Bone‐level and platform‐switched implants presented less marginal bone loss after 6 months and 1 year as well, when long abutments were used (MD 0.63, 95% CI: [−0.16; 1.42]) and (MD 0.26, 95% CI: [−0.02; 0.53]). However, subgroup analysis revealed no difference in marginal bone loss when applying 'one abutment at one time' protocol (p = 0.973). Bleeding on probing and probing pocket depth presented similarly good results in both groups without almost any differences (RR 0.97, 95% CI: [0.76; 1.23]) and (MD −0.05, 95% CI: [−1.11; 1.01]). Longer abutments on bone‐level implants seem to be a favorable choice for decreasing early marginal bone loss, irrespective of connection timing. [ABSTRACT FROM AUTHOR]

Purpose: To assess the accuracy of scanning technologies for constructing facial prostheses on human faces. Study selection: Our systematic search was performed on five databases. Studies reporting on human volunteers (P) whose faces were scanned with a scanning technology were eligible. The anthropometrical interlandmark distances (ILDs) were used as indicators of accuracy; the ILDs are measured on the virtual models (I) and directly on the faces (C). The virtual models deviated from their true values (O). Studies reporting the measurements on patients with or without facial deformities were included, but cadavers or inanimate objects were reasons for exclusion. We performed a mean difference (MD) / standardized MD analysis with a random effect model. The difficulties regarding the scanning procedure mentioned in the articles were also assessed. Results: We found 3723 records after duplicate removal. Twenty five articles were eligible for the qualitative review, and ten articles were included in the quantitative synthesis. Eight different ILDs were compared in MD analyses. The differences were between -0.54-0.43 mm. We also performed a regional three-dimensional analysis to compare scanning technologies in each major region. No significant differences were found in any of the regions and axes. The most mentioned difficulties were artifacts due to motion or blinking. Conclusions: The results suggest no systematic skew in linear dimensions neither between direct caliper measurements nor between measurements on the scanned models, scanning technologies, or facial regions. [ABSTRACT FROM AUTHOR]