Brief review on systematic hypothermia for the protection of central nervous system during aortic arch surgery: a double-sword tool?

Antegrade selective cerebral perfusion in conjunction with hypothermia attenuate postoperative neurological injury, which in turn still remains the main cause of mortality and morbidity following aortic arch surgery. Hypothermic circulatory arrest however could be a useful tool during arch surgery, surgery for chronic thromboembolic disease, air on the arterial line during CPB, during cavotomy for extraction of renal cell carcinoma with level IV extension, or when dealing with difficult trauma to the SVC or IVC. Cerebral protective effects with hypothermic procedures including inhibition of neuron excitation, and discharge of excitable amino acids, and thereby, prevention of an increase in intercellular calcium ions, hyperoxidation of lipids in cell membranes, and free radical production

Postharvest biology and technology of plum

Games can provide an effective and replicable space in which stakeholders learn skills necessary for deliberative and pluralist policymaking. These skills are especially important for “nexus” policy issues that are typically characterised by multiple, competing problem frames involving overlapping networks of stakeholders. In this position paper, we describe three serious games that serve as a space for players (stakeholders) and researchers to jointly explore alternative solutions to complex resource management issues: the Water-Food-Energy Nexus Game (Nexus Game); the Narubu Game of Many Voices (Narubu Game); and the Forest Governance Game (Forest Game). The games contain instructive and reflexive mechanisms that prompt players to self-discover common challenges associated with complex nexus issues, including conflicting institutional mandates, social dilemmas, contending worldviews, and plural interpretations of science