43 research outputs found

    Supporting Data Collection in Complex Scenarios with Dynamic Data Collection Processes

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    Nowadays, companies have to report a large number of data sets (e.g., sustainability data) regarding their products to different legal authorities. However, in today's complex supply chains products are the outcome of the collaboration of many companies. To gather the needed data sets, companies have to employ cross-organizational and long-running data collection processes that imply great variability. To support such scenarios, we have designed a lightweight, automated approach for contextual process configuration. That approach can capture the contextual properties of the respective situations and, based on them, automatically configure a process instance accordingly, even without human involvement. Finally, we implemented our approach and started an industrial evaluation

    Congenital heart diseases: post-operative appearance on multi-detector CT—a pictorial essay

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    Echocardiography is considered as an initial imaging modality of choice in patients with congenital heart disease (CHD), and magnetic resonance (MR) imaging is preferred for detailed functional information. Multi-detector computed tomography (CT) plays an important role in clinical practice in assessing post-operative morphological and functional information of patients with complex CHD when echocardiography and MR imaging are not contributory. Radiologists should understand and become familiar with the complex morphology and physiology of CHD, as well as with various palliative and corrective surgical procedures performed in these patients, to obtain CT angiograms with diagnostic quality and promptly recognise imaging features of normal post-operative anatomy and complications of these complex surgeries

    Extracorporeal life support in pediatric cardiac dysfunction

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    <p>Abstract</p> <p>Background</p> <p>Low cardiac output (LCO) after corrective surgery remains a serious complication in pediatric congenital heart diseases (CHD). In the case of refractory LCO, extra corporeal life support (ECLS) extra corporeal membrane oxygenation (ECMO) or ventricle assist devices (VAD) is the final therapeutic option. In the present study we have reviewed the outcomes of pediatric patients after corrective surgery necessitating ECLS and compared outcomes with pediatric patients necessitating ECLS because of dilatated cardiomyopathy (DCM).</p> <p>Methods</p> <p>A retrospective single-centre cohort study was evaluated in pediatric patients, between 1991 and 2008, that required ECLS. A total of 48 patients received ECLS, of which 23 were male and 25 female. The indications for ECLS included CHD in 32 patients and DCM in 16 patients.</p> <p>Results</p> <p>The mean age was 1.2 ± 3.9 years for CHD patients and 10.4 ± 5.8 years for DCM patients. Twenty-six patients received ECMO and 22 patients received VAD. A total of 15 patients out of 48 survived, 8 were discharged after myocardial recovery and 7 were discharged after successful heart transplantation. The overall mortality in patients with extracorporeal life support was 68%.</p> <p>Conclusion</p> <p>Although the use of ECLS shows a significantly high mortality rate it remains the ultimate chance for children. For better results, ECLS should be initiated in the operating room or shortly thereafter. Bridge to heart transplantation should be considered if there is no improvement in cardiac function to avoid irreversible multiorgan failure (MFO).</p

    Norwood-Sano Operation Using a Stentless Pulmonary Valved Conduit

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    BVR – Better Variability Results

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    We present BVR (Base Variability Resolution models), a language developed to fulfill the industrial needs in the safety domain for variability modeling. We show how the industrial needs are in fact quite general and that general mechanisms can be used to satisfy them. BVR is built on the OMG Revised Submission of CVL (Common Variability Language), but is simplified and enhanced relative to that language.acceptedVersio
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