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Gulácsi L, Békássy S, Bittner N, Feith HJ, Ficzere A, Horváth L, Horváth Z, Tóth I, Zrubka Z, Tóth E, Kovács LG. [Personalized medicine and healthcare: where are we now, where should we go?]. Orv Hetil 2023; 164:202-209. [PMID: 36774631 DOI: 10.1556/650.2023.32711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 12/04/2022] [Indexed: 02/13/2023]
Abstract
The authors of this manuscript are representatives of different subdisciplines of medicine, all of them are experienced researchers. As of their origin, they are practicing doctors from the primary care and from the clinical/hospital setting, diagnostics experts, researchers from healthcare management, health economics, representatives of patients' rights and patient organizations. They are all devoted to the implementation of personalized medicine and personalized healthcare in Hungary. The current manuscript - also meant to be a keynote message provoking further discussion in the medical community - is devoted to correcting for two false ideas. One is that personalized medicine is not yet ready for practical applications, it is merely a research area of futurologists. The other false idea is that only (or mainly) the lack of financial resources hinders the introduction of personalized healthcare in Hungary. Orv Hetil. 2023; 164(6): 202-209.
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Affiliation(s)
- László Gulácsi
- 1 Óbudai Egyetem, Egyetemi Kutató és Innovációs Központ, Egészségügyi Közgazdaságtan Kutatóközpont Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Szabolcs Békássy
- 2 Országos Kórházi Főigazgatóság, Alapellátásfejlesztési Igazgatóság Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Nóra Bittner
- 3 Uzsoki Utcai Kórház, Onkoradiológiai Osztály Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Helga Judit Feith
- 4 Semmelweis Egyetem, Egészségtudományi Kar, Társadalomtudományi Tanszék Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Andrea Ficzere
- 5 Uzsoki Utcai Kórház, Főigazgatóság Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Lajos Horváth
- 6 Országos Mentális, Ideggyógyászati és Idegsebészeti Intézet Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Zsolt Horváth
- 7 Bács-Kiskun Megyei Oktatókórház, Onkoradiológiai Központ Kecskemét Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Icó Tóth
- 8 Mályvavirág Alapítvány Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Zsombor Zrubka
- 1 Óbudai Egyetem, Egyetemi Kutató és Innovációs Központ, Egészségügyi Közgazdaságtan Kutatóközpont Budapest Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - Erika Tóth
- 9 Országos Onkológiai Intézet, Sebészeti és Molekuláris Patológiai Osztály Budapest, Ráth Gy. u. 7-9., 1122 Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
| | - L Gábor Kovács
- 10 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Humán Reprodukciós Nemzeti Laboratórium Pécs, Ifjúság útja 20., 7624 Magyarország.,11 Pécsi Tudományegyetem, Szentágothai János Kutatóközpont Pécs Magyarország.,12 Magyar Személyre Szabott Egészségügy Fejlesztéséért Alapítvány Budapest Magyarország
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Horváth L. Traumatic retroactivity: The phenomenological significance of Freud’s retroactive trauma. Philosophical Psychology 2023. [DOI: 10.1080/09515089.2023.2174844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Lajos Horváth
- Department of Philosophy, University of Debrecen, Debrecen, Hungary
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Gazsi G, Ivánovics B, Izabella RB, Szabó T, Daniel Z, Kucska B, Urbányi B, Horváth L, Müller F, Müller T. Artificial sperm insemination in externally fertilised fish as a novel tool for ex situ and in situ conservation of valuable populations. ENDANGER SPECIES RES 2021. [DOI: 10.3354/esr01124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Loss of genetic diversity and accumulation of deleterious mutations may lead to inbreeding depression in captive breeding. To address the problem of maintaining genetic diversity, we developed a new fish spawning method which offers flexibility in crossing diverse species when in vitro fertilisation (IVF) is not available. This method involves the collection of sperm from several males of ovuliparous fish; the sperm mix is then injected by catheter into the ovarian cavity of a female through the oviduct. We demonstrate, using zebrafish as a model for externally fertilised fish, that the sperm survives the ovarian conditions and can fertilise ovulated eggs, which are released from the body cavity during natural spawning. Wild type females were injected with reporter transgenic sperm from homozygous transgenic males before intended spawning with wild type males. The sperm injection method did not have an impact on reproductive parameters such as egg production or fertilisation rate compared to controls. In 25 successful spawning experiments, 20 females produced mixed genotype offspring comprising both transgenic and wild type larvae in varying ratios, indicating that the injected transgenic sperm efficiently competed with sperm released by non-transgenic wild type mating males, and both sperm types contributed to the fertilisation of the released eggs. This experiment provides proof of principle for increasing the genetic base of offspring of fish species, including that of many endangered fish species for which IVF is not available due to lack of timed induction of ovulation or when gametic release cannot be synchronised.
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Affiliation(s)
- G Gazsi
- Department of Environmental Toxicology, Institute of Aquaculture and Environmental Safety, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - B Ivánovics
- Department of Environmental Toxicology, Institute of Aquaculture and Environmental Safety, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - RB Izabella
- Department of Environmental Toxicology, Institute of Aquaculture and Environmental Safety, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - T Szabó
- Department of Aquaculture, Institute of Aquaculture and Environmental Safety, Department of Aquaculture, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - Z Daniel
- Institute of Animal Reproduction and Food Research of Polish Academy of Sciences, Tuwima 10 Str., 10-748 Olsztyn, Poland
| | - B Kucska
- Department of Applied Fish Biology, Institute of Aquaculture and Environmental Safety, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences 7400 Kaposvár, Guba S. u. 40, Hungary
| | - B Urbányi
- Department of Aquaculture, Institute of Aquaculture and Environmental Safety, Department of Aquaculture, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - L Horváth
- Department of Aquaculture, Institute of Aquaculture and Environmental Safety, Department of Aquaculture, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
| | - F Müller
- Institute of Cancer and Genomic Sciences, College of Medical and Dental Sciences, University of Birmingham, Vincent Drive, Edgbaston, B15 2TT Birmingham, UK
| | - T Müller
- Department of Freshwater Fish Ecology, Institute of Aquaculture and Environmental Safety, Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Páter K. u. 1, Hungary
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Neumeyer N, Delgado MA, Horváth L, Meintanis S, Taufer E, Zhu L. 4th Workshop on Goodness‐of‐Fit, Change‐Point, and Related Problems, Trento, 2019. Scand Stat Theory Appl 2021. [DOI: 10.1111/sjos.12537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
| | | | | | - Simos Meintanis
- National and Kapodistrian University of Athens Athens Greece
- North‐West University Potchefstroom South Africa
| | | | - Lixing Zhu
- Beijing Normal University and Hong Kong Baptist University Zhuhai China
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Affiliation(s)
- Lajos Horváth
- Department of Mathematics University of Utah Salt Lake City Utah USA
| | - Curtis Miller
- Department of Mathematics University of Utah Salt Lake City Utah USA
| | - Gregory Rice
- Department of Statistics and Actuarial Science University of Waterloo Waterloo Ontario Canada
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Affiliation(s)
- Tomasz Górecki
- Faculty of Mathematics and Computer Science Adam Mickiewicz University Poznań 61‐614 Poland
| | - Lajos Horváth
- Department of Mathematics University of Utah Salt Lake City UT 84112‐0090 USA
| | - Piotr Kokoszka
- Department of Statistics Colorado State University Fort Collins CO 80523-1877 USA
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Elmer D, Endrei D, Csákvári T, Horváth L, Boncz I. PNS34 COMPARING REMUNERATION OF GENERAL PRACTITIONERS IN COUNTRIES WITH BISMARCK- AND BEVERIDGE HEALTH CARE MODELS. Value Health Reg Issues 2019. [DOI: 10.1016/j.vhri.2019.08.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Papp V, Iljicsov A, Rajda C, Magyari M, Koch‐Henriksen N, Petersen T, Jakab G, Deme I, Nagy F, Imre P, Lohner Z, Kovács K, Birkás AJ, Köves Á, Rum G, Nagy Z, Kerényi L, Vécsei L, Bencsik K, Jobbágy Z, Diószeghy P, Horváth L, Galántai G, Kasza J, Molnár G, Simó M, Sátori M, Rózsa C, Ács P, Berki T, Lovas G, Komoly S, Illes Z. A population‐based epidemiological study of neuromyelitis optica spectrum disorder in Hungary. Eur J Neurol 2019; 27:308-317. [DOI: 10.1111/ene.14079] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Accepted: 08/21/2019] [Indexed: 11/27/2022]
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Szummer C, Horváth L, Szabó A, Frecska E, Orzói K. The hyperassociative mind: The psychedelic experience and Merleau-Ponty’s “wild being”. Journal of Psychedelic Studies 2017. [DOI: 10.1556/2054.01.2017.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Csaba Szummer
- Department of Social and Intercultural Psychology, Faculty of Humanities, Institute of Psychology, Károli Gáspár University of the Reformed Church in Hungary, Budapest, Hungary
| | - Lajos Horváth
- Faculty of Humanities, Institute of Philosophy, University of Debrecen, Debrecen, Hungary
| | - Attila Szabó
- Faculty of Humanities, Institute of Philosophy, University of Debrecen, Debrecen, Hungary
- Department of Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Ede Frecska
- Department of Psychiatry, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Kristóf Orzói
- Faculty of Humanities, Institute of Psychology, Károli Gáspár University of the Reformed Church in Hungary, Budapest, Hungary
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Abstract
We show that the discrete scattering process converges weakly to a time-changed Wiener process.
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Abstract
We prove strong approximations for partial sums indexed by a renewal process. The obtained results are optimal. The established probability inequalities are also used to get bounds for the rate of convergence of some limit theorems in queueing theory.
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Berkes I, Horváth L, Rice G. On the asymptotic normality of kernel estimators of the long run covariance of functional time series. J MULTIVARIATE ANAL 2016. [DOI: 10.1016/j.jmva.2015.11.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Horváth L, Fekete I, Márton S, Fekete K. PS-119 Effect of anticoagulation and antiplatelet therapy on the incidence of intracranial bleeding after thrombolysis in patients with acute ischaemic stroke – a pharmacoepidemiological approach: Abstract PS-119 Table 1. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Takacs G, Horváth L, Botz L. DI-092 Population attributable risk of hip fractures in antidepressant users in hungary and estimation of the relevant cost consequences. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Takacs G, Horváth L, Botz L. DI-092 Population attributable risk of hip fractures in antidepressant users in hungary and estimation of the relevant cost consequences. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Bazarova A, Berkes I, Horváth L. On the central limit theorem for modulus trimmed sums. Stat Probab Lett 2014. [DOI: 10.1016/j.spl.2013.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Horváth L, Csótó E. PP-015 Complex partnership between paediatricians and hospital pharmacists. Eur J Hosp Pharm 2014. [DOI: 10.1136/ejhpharm-2013-000436.314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Batsidis A, Horváth L, Martín N, Pardo L, Zografos K. Change-point detection in multinomial data using phi-divergence test statistics. J MULTIVARIATE ANAL 2013. [DOI: 10.1016/j.jmva.2013.03.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Horváth L, Fekete K, Csótó E, Fekete I. CPC-047 Epilepsy Management from the Clinical Pharmacist’s Point of View Among Epilepsy Outpatients in the Eastern Hungarian Database. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Zubek L, Szabó L, Horváth L, Mesterházi A, Gál J, Élő G. Correlation between APACHE II score and quality of life among patients discharged from the ICU. Crit Care 2012. [PMCID: PMC3363822 DOI: 10.1186/cc11011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Affiliation(s)
- Robertas Gabrys
- Robertas Gabrys is a Doctoral Candidate in Statistics, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322 . Lajos Horváth is Professor, Department of Mathematics, University of Utah, Salt Lake City, UT 84112. Piotr Kokoszka is Professor, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322. The research was partially supported by NSF grants DMS-0804165 and DMS-0931948, at Utah State University, and DMS-0905400, at the University of Utah. Three
| | - Lajos Horváth
- Robertas Gabrys is a Doctoral Candidate in Statistics, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322 . Lajos Horváth is Professor, Department of Mathematics, University of Utah, Salt Lake City, UT 84112. Piotr Kokoszka is Professor, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322. The research was partially supported by NSF grants DMS-0804165 and DMS-0931948, at Utah State University, and DMS-0905400, at the University of Utah. Three
| | - Piotr Kokoszka
- Robertas Gabrys is a Doctoral Candidate in Statistics, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322 . Lajos Horváth is Professor, Department of Mathematics, University of Utah, Salt Lake City, UT 84112. Piotr Kokoszka is Professor, Department of Mathematics and Statistics, Utah State University, Logan, UT 84322. The research was partially supported by NSF grants DMS-0804165 and DMS-0931948, at Utah State University, and DMS-0905400, at the University of Utah. Three
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Horváth L, Székely C, Boczonádi Z, Mészáros E, Bercsényi M, Urbányi B, Müller T. Induced oogenesis of the European eel (Anguilla anguilla L.) in freshwater condition. Acta Biol Hung 2011; 62:485-8. [PMID: 22119876 DOI: 10.1556/abiol.62.2011.4.13] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
European eel is a catadromous fish species, which means that after living in freshwater premature individuals adapt to sea water, and migrate to the Sargasso Sea for spawning. Although male eel can be sexually matured even in freshwater, to date, it was believed that female eel can be matured only in seawater. Here we show that the process of sexual maturation may be induced in freshwater by treating female eels with carp pituitary (GSI = 9.87 ± 1.55%). It is thus proposed that seawater condition is not an obligatory environment for stimulating gametogenesis and for artificial maturation of the European eel in neither gender.
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Affiliation(s)
- L Horváth
- Department of Fish Culture, Szent István University, Páter K. u. 1 H-2100 Gödöllő, Hungary.
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Trenovszki M, Lebovics V, Müller T, Szabó T, Hegyi Á, Urbányi B, Horváth L, Lugasi A. Survey of fatty acid profile and lipid peroxidation characteristics in comon carp (Cyprinus carpioL.) meat taken from five Hungarian fish farms. Acta Alimentaria 2011. [DOI: 10.1556/aalim.40.2011.1.17] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Kugler S, Horváth L, Machon A. Estimation of nitrogen balance between the atmosphere and Lake Balaton and a semi natural grassland in Hungary. Environ Pollut 2008; 154:498-503. [PMID: 18060671 DOI: 10.1016/j.envpol.2007.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2006] [Revised: 10/10/2007] [Accepted: 10/15/2007] [Indexed: 05/25/2023]
Abstract
The paper summarises the results to determine the fluxes of different N-compounds within the atmosphere and an aquatic and a terrestrial ecosystems, in Hungary. In the exchange processes of N-compounds between atmosphere and various ecosystems the deposition dominates. The net deposition fluxes are -730, -1270 and -1530 mg Nm(-2)yr(-1) for water, grassland, and forest ecosystems, respectively. For water, the main source of nitrogen compounds is the wet deposition. Ammonia gas is close to the equilibrium between the water and the air. For grassland the dry flux of nitric acid and ammonia is also an important term beside the wet deposition. Dry deposition to terrestrial ecosystems is roughly two times higher than wet deposition. A total of 8-10% of the nitrates and NH(x) deposited to terrestrial ecosystems are re-emitted into the air in the form of nitrous oxide (N2O) greenhouse gas.
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Affiliation(s)
- Sz Kugler
- Department of Meteorology, Eötvös Loránd University, Pázmány P. s. 1/A, 1117 Budapest, Hungary.
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Horváth L, Grosz B, Machon A, Balogh J, Pintér K, Czóbel S. Influence of soil type on N2O and CH4soil fluxes in Hungarian grasslands. COMMUNITY ECOL 2008. [DOI: 10.1556/comec.9.2008.s.11] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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