BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in g...BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in general physical activity.As a better ventilatory strategy,extracorporeal membrane oxygenation(ECMO) provides gas exchange via an extracorporeal circuit,and is increasingly being used to improve respiratory and circulatory function.After the modified Fontan operation,circulation is different from that of patients who are not subjected to the procedure.This paper describe a successful case using ECMO in curing influenza A infection in a young man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The special cardiac structure and circulatory characteristics are explored in this case.CASE SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A infection.He was initially treated by veno-venous(VV) ECMO,which was switched to veno-venous-arterial ECMO(VVA ECMO) 5 d later.As circulation and respiratory function gradually improved,the VVA ECMO equipment was removed on May 1,2018.The patient was successfully withdrawn from artificial ventilation on May 28,2018 and then discharged from hospital on May 30,2018.CONCLUSION After the modified Fontan operation,circulation is different compared with that of patients who are not subjected to the procedure.There are certainly many differences between them when they receive the treatment of ECMO.Due to the special cardiac structure and circulatory characteristics,an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier.展开更多
In this paper, a study and evaluation of the combination of GPS/GNSS techniques and advanced image processing algorithms for distressed human detection, positioning and tracking, from a fully autonomous Unmanned Aeria...In this paper, a study and evaluation of the combination of GPS/GNSS techniques and advanced image processing algorithms for distressed human detection, positioning and tracking, from a fully autonomous Unmanned Aerial Vehicle (UAV)-based rescue support system, </span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> presented. In particular, the issue of human detection both on terrestrial and marine environment under several illumination and background conditions, as the human silhouette in water differs significantly from a terrestrial one</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> is addressed. A robust approach, including an adaptive distressed human detection algorithm running every N input image frames combined with a much faster tracking algorithm, is proposed. Real time or near-real-time distressed human detection rates achieved, using a single, low cost day/night NIR camera mounted onboard a fully autonomous UAV for Search and Rescue (SAR) operations. Moreover, the generation of our own dataset, for the image processing algorithms training is also presented. Details about both hardware and software configuration as well as the assessment of the proposed approach performance are fully discussed. Last, a comparison of the proposed approach to other human detection methods used in the literature is presented.展开更多
基金Supported by the Capital Foundation of Medical Development,No. 2018-1-2171the Seedling Plan from the Beijing Ditan Hospital,Capital Medical University,No. DTYM201802。
文摘BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in general physical activity.As a better ventilatory strategy,extracorporeal membrane oxygenation(ECMO) provides gas exchange via an extracorporeal circuit,and is increasingly being used to improve respiratory and circulatory function.After the modified Fontan operation,circulation is different from that of patients who are not subjected to the procedure.This paper describe a successful case using ECMO in curing influenza A infection in a young man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The special cardiac structure and circulatory characteristics are explored in this case.CASE SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A infection.He was initially treated by veno-venous(VV) ECMO,which was switched to veno-venous-arterial ECMO(VVA ECMO) 5 d later.As circulation and respiratory function gradually improved,the VVA ECMO equipment was removed on May 1,2018.The patient was successfully withdrawn from artificial ventilation on May 28,2018 and then discharged from hospital on May 30,2018.CONCLUSION After the modified Fontan operation,circulation is different compared with that of patients who are not subjected to the procedure.There are certainly many differences between them when they receive the treatment of ECMO.Due to the special cardiac structure and circulatory characteristics,an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier.
文摘In this paper, a study and evaluation of the combination of GPS/GNSS techniques and advanced image processing algorithms for distressed human detection, positioning and tracking, from a fully autonomous Unmanned Aerial Vehicle (UAV)-based rescue support system, </span><span style="font-family:Verdana;">are</span><span style="font-family:Verdana;"> presented. In particular, the issue of human detection both on terrestrial and marine environment under several illumination and background conditions, as the human silhouette in water differs significantly from a terrestrial one</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> is addressed. A robust approach, including an adaptive distressed human detection algorithm running every N input image frames combined with a much faster tracking algorithm, is proposed. Real time or near-real-time distressed human detection rates achieved, using a single, low cost day/night NIR camera mounted onboard a fully autonomous UAV for Search and Rescue (SAR) operations. Moreover, the generation of our own dataset, for the image processing algorithms training is also presented. Details about both hardware and software configuration as well as the assessment of the proposed approach performance are fully discussed. Last, a comparison of the proposed approach to other human detection methods used in the literature is presented.
