Reported here is a 26-year-old patient with corrected congenital interrupted aortic arch admitted with massive hemoptysis and severe suprasystemic pul-monary hypertension provided him for heart-lung transplantation. I...Reported here is a 26-year-old patient with corrected congenital interrupted aortic arch admitted with massive hemoptysis and severe suprasystemic pul-monary hypertension provided him for heart-lung transplantation. Initial closure of a small aorto-pulmonary collateral remained ineffective. Persistent life-threatening hemoptysis led to the decision for a modified Potts shunt with the aim of decompressing the right ventricle and avoiding pulmonary-hypertensive crisis. The hemoptysis did not recur. However, the patient’s oxygen transport condition deteriorated and necessitated an orchestra of interventional-surgical approaches from re-coarctation stenting, Potts shunt flow reducing to surgical and transcatheter tricuspid valve repair with transient ECMO before the patient could be discharged home.展开更多
Based on various experiences in developing Geodata Infrastructures(GDIs)for scientific applications,this article proposes the concept of a Scientific GDI that can be used by scientists in environmental and earth scien...Based on various experiences in developing Geodata Infrastructures(GDIs)for scientific applications,this article proposes the concept of a Scientific GDI that can be used by scientists in environmental and earth sciences to share and disseminate their research results and related analysis methods.Scientific GDI is understood as an approach to tackle the science case in Digital Earth and to further enhance e-science for environmental research.Creating Scientific GDI to support the research community in efficiently exchanging data and methods related to the various scientific disciplines forming the basis of environmental studies poses numerous challenges on today’s GDI developments.The paper summarizes requirements and recommendations on the publication of scientific geospatial data and on functionalities to be provided in Scientific GDI.Best practices and open issues for governance and policies of a Scientific GDI are discussed and are concluded by deriving a research agenda for the next decade.展开更多
文摘Reported here is a 26-year-old patient with corrected congenital interrupted aortic arch admitted with massive hemoptysis and severe suprasystemic pul-monary hypertension provided him for heart-lung transplantation. Initial closure of a small aorto-pulmonary collateral remained ineffective. Persistent life-threatening hemoptysis led to the decision for a modified Potts shunt with the aim of decompressing the right ventricle and avoiding pulmonary-hypertensive crisis. The hemoptysis did not recur. However, the patient’s oxygen transport condition deteriorated and necessitated an orchestra of interventional-surgical approaches from re-coarctation stenting, Potts shunt flow reducing to surgical and transcatheter tricuspid valve repair with transient ECMO before the patient could be discharged home.
文摘Based on various experiences in developing Geodata Infrastructures(GDIs)for scientific applications,this article proposes the concept of a Scientific GDI that can be used by scientists in environmental and earth sciences to share and disseminate their research results and related analysis methods.Scientific GDI is understood as an approach to tackle the science case in Digital Earth and to further enhance e-science for environmental research.Creating Scientific GDI to support the research community in efficiently exchanging data and methods related to the various scientific disciplines forming the basis of environmental studies poses numerous challenges on today’s GDI developments.The paper summarizes requirements and recommendations on the publication of scientific geospatial data and on functionalities to be provided in Scientific GDI.Best practices and open issues for governance and policies of a Scientific GDI are discussed and are concluded by deriving a research agenda for the next decade.
