Successfully treated necrotizing fasciitis using extracorporeal life support combined with hemoadsorption device and continuous renal replacement therapy

INTRODUCTION: Necrotizing fasciitis represents a life-threatening infectious condition that causes spreading necrotisis of superficial fascia and subcutaneous cellular tissues. We describe the case of a patient diagnosed with septic and toxic shocks leading to multiple organ failure successfully treated with a combination of extracorporeal life support, continuous renal replacement therapy, and a hemoadsorption device. METHODS: A 41-year-old patient presented with necrotizing fasciitis and multi-organ failure. Initial extracorporeal life support therapy was implanted, compensating for systolic failure. Due to acute renal failure that persisted in time, continuous renal replacement therapy was added. Despite these treatments and as a last attempt to control the septic condition, a CytoSorb hemoadsorption device was installed in parallel to the extracorporeal life support circuit and two sessions were run. RESULTS: During the days following CytoSorb treatment, hemodynamic stabilization was observed, as well as normalization of lactic acidosis and blood parameters. CONCLUSION: This case describes the successful use of CytoSorb with continuous renal replacement therapy and extracorporeal life support in a combined way to overcome a critical phase of septic shock in a young adult patient. This combination of treatments turned out to be efficient for this patient in the context of necrotizing fasciitis

Decisional role of the dorsolateral prefrontal cortex in ocular motor behaviour

Three patients with a unilateral cortical lesion affecting the dorsolateral prefrontal cortex (DLPFC), i.e. Brodmann area 46, were tested using different paradigms of reflexive saccades (gap and overlap tasks), intentional saccades (antisaccades, memory‐guided and predictive saccades) and smooth pursuit movements. Visually guided saccades with gap and overlap, latency of correct antisaccades and memory‐guided saccades and the gain of smooth pursuit were normal, compared with controls. These results confirm our anatomical data showing that the adjacent frontal eye field (FEF) was unimpaired in these patients. The specific pattern of abnormalities after a unilateral DLPFC lesion, compared with that of the FEF lesions previously reported, consists mainly of: (i) a bilateral increase in the percentage of errors in the antisaccade task (misdirected reflexive saccades); (ii) a bilateral increase in the variable error in amplitude, without significant decrease in the gain, in the memory‐guided saccade task; and (iii) a bilateral decrease in the percentage of anticipatory saccades in the predictive task. Taken together, these results suggest that the DLPFC plays a crucial role in the decisional processes, preparing saccades by inhibiting unwanted reflexive saccades (inhibition), maintaining memorized information for ongoing intentional saccades (short‐term spatial memory) or facilitating anticipatory saccades (prediction), depending upon current external environmental and internal circumstance

Kuwaitiella rubra gen. et sp. nov. (Bangiales, Rhodophyta), a new filamentous genus and species from the north-western Indian Ocean

ACKNOWLEDGMENTS Many thanks to Bivin Thomas, Pupa Kumai and Hedda Weitz for helping in the laboratory and improving this manuscript, to Ioanna Kosma for diving, to Yusuf Buhadi for assistance during field work, archiving and preparation of herbarium specimens, and to Tatiana Mikhaylova for micrographs of previously collected filamentous red algae from Kuwait. We are grateful to La′ala Kuwait Real Estate Company and especially Mr. Fawaz Al-Marzouq for providing the salinity data. The present work is part of MHH's PhD thesis ‘Macroalgal biodiversity of Kuwait, with special emphasis on the vicinity of desalination plants’ funded by a PhD fellowship from the Kuwait Foundation for the Advancement of Sciences. FCK received support from the Marine Alliance for Science and Technology for Scotland pooling initiative. MASTS is funded by the Scottish Funding Council (grant reference HR09011) and contributing institutions. Work of AFP was in part supported by the project IDEALG (France: ANR-10-BTBR-04). Research Funding Agence Nationale de la Recherche. Grant Number: 10-BTBR-04 Kuwait Foundation for the Advancement of Sciences Marine Alliance for Science and Technology for Scotland IDEALG. Grant Number: ANR-10-BTBR-04 Scottish Funding Council. Grant Number: HR09011 Marine Alliance for Science and Technology Kuwait Foundation for the Advancement of SciencesPeer reviewedPublisher PD

SIMULATION AND ANALYSIS OF PHOTOGRAMMETRIC UAV IMAGE BLOCKS: INFLUENCE OF CAMERA CALIBRATION ERROR

Unmanned aerial vehicles (UAV) are increasingly used for topographic mapping. The camera calibration for UAV image blocks can be performed a priori or during the bundle block adjustment (self-calibration). For an area of interest with flat, corridor configuration, the focal length of camera is highly correlated with the height of camera. Furthermore, systematic errors of camera calibration accumulate on the longer dimension and cause deformation. Therefore, special precautions must be taken when estimating camera calibration parameters. In this paper, a simulated, error-free aerial image block is generated. error is then added on camera calibration and given as initial solution to bundle block adjustment. Depending on the nature of the error and the investigation purpose, camera calibration parameters are either fixed or re-estimated during the bundle block adjustment. The objective is to investigate how certain errors in the camera calibration impact the accuracy of 3D measurement without the influence of other errors. All experiments are carried out with Fraser camera calibration model being employed. When adopting a proper flight configuration, an error on focal length for the initial camera calibration can be corrected almost entirely during bundle block adjustment. For the case where an erroneous focal length is given for pre-calibration and not re-estimated, the presence of oblique images limits the drift on camera height hence gives better camera pose estimation. Other than that, the error on focal length when neglecting its variation during the acquisition (e.g., due to camera temperature increase) is also investigated; a bowl effect is observed when one focal length is given in camera pre-calibration to the whole image block. At last, a local error is added in image space to simulate camera flaws; this type of error is more difficult to be corrected with the Fraser camera model and the accuracy of 3D measurement degrades substantially

A new straight line reconstruction methodology from multi-spectral stereo aerial images

In this study, a new methodology for the reconstruction of line features from multispectral stereo aerial images is presented. We take full advantage of the existing multispectral information in aerial images all over the steps of pre-processing and edge detection. To accurately describe the straight line segments, a principal component analysis technique is adapted. The line to line correspondences between the stereo images are established using a new pair-wise stereo matching approach. The approach involves new constraints, and the redundancy inherent in pair relations gives us a possibility to reduce the number of false matches in a probabilistic manner. The methodology is tested over three different urban test sites and provided good results for line matching and reconstruction

SECOND ITERATION OF PHOTOGRAMMETRIC PIPELINE TO ENHANCE THE ACCURACY OF IMAGE POSE ESTIMATION

In classical photogrammetric processing pipeline, the automatic tie point extraction plays a key role in the quality of achieved results. The image tie points are crucial to pose estimation and have a significant influence on the precision of calculated orientation parameters. Therefore, both relative and absolute orientations of the 3D model can be affected. By improving the precision of image tie point measurement, one can enhance the quality of image orientation. The quality of image tie points is under the influence of several factors such as the multiplicity, the measurement precision and the distribution in 2D images as well as in 3D scenes. In complex acquisition scenarios such as indoor applications and oblique aerial images, tie point extraction is limited while only image information can be exploited. Hence, we propose here a method which improves the precision of pose estimation in complex scenarios by adding a second iteration to the classical processing pipeline. The result of a first iteration is used as a priori information to guide the extraction of new tie points with better quality. Evaluated with multiple case studies, the proposed method shows its validity and its high potiential for precision improvement

Assessment of the interplay between blood and skin vascular abnormalities in adult purpura fulminans

RATIONALE: Purpura fulminans in adults is a rare but devastating disease. Its pathophysiology is not well known. OBJECTIVES: To understand the pathophysiology of skin lesions in purpura fulminans, the interplay between circulating blood and vascular alterations was assessed. METHODS: Prospective multicenter study in four intensive care units. Patients with severe sepsis without skin lesions were recruited as control subjects. MEASUREMENTS AND MAIN RESULTS: Twenty patients with severe sepsis and purpura fulminans were recruited for blood sampling, and skin biopsy was performed in deceased patients. High severity of disease and mortality rates (80%) was observed. Skin biopsies in purpura fulminans lesions revealed thrombosis and extensive vascular damage: vascular congestion and dilation, endothelial necrosis, alteration of markers of endothelial integrity (CD31) and of the protein C pathway receptors (endothelial protein C receptor, thrombomodulin). Elevated plasminogen activating inhibitor-1 mRNA was also observed. Comparison with control patients showed that these lesions were specific to purpura fulminans. By contrast, no difference was observed for blood hemostasis parameters, including soluble thrombomodulin, activated protein C, and disseminated intravascular coagulation markers. Bacterial presence at the vascular wall was observed specifically in areas of vascular damage in eight of nine patients tested (including patients with Streptococcus pneumoniae, Neisseria meningitidis, Escherichia coli, and Pseudomonas aeruginosa infection). CONCLUSIONS: Thrombi and extensive vascular damage with multifaceted prothrombotic local imbalance are characteristics of purpura fulminans. A "vascular wall infection" hypothesis, responsible for endothelial damage and subsequent skin lesions, can be put forward

Time-calibrated molecular phylogeny of pteropods

© 2017 Burridge et al. This is an open access article distributed under the terms of the [4.0] Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The attached file is the published version of the article

Medio-Frontal and Anterior Temporal abnormalities in children with attention deficit hyperactivity disorder (ADHD) during an acoustic antisaccade task as revealed by electro-cortical source reconstruction

<p>Abstract</p> <p>Background</p> <p>Attention Deficit Hyperactivity Disorder (ADHD) is one of the most prevalent disorders in children and adolescence. Impulsivity is one of three core symptoms and likely associated with inhibition difficulties. To date the neural correlate of the antisaccade task, a test of response inhibition, has not been studied in children with (or without) ADHD.</p> <p>Methods</p> <p>Antisaccade responses to visual and acoustic cues were examined in nine unmedicated boys with ADHD (mean age 122.44 ± 20.81 months) and 14 healthy control children (mean age 115.64 ± 22.87 months, three girls) while an electroencephalogram (EEG) was recorded. Brain activity before saccade onset was reconstructed using a 23-source-montage.</p> <p>Results</p> <p>When cues were acoustic, children with ADHD had a higher source activity than control children in Medio-Frontal Cortex (MFC) between -230 and -120 ms and in the left-hemispheric Temporal Anterior Cortex (TAC) between -112 and 0 ms before saccade onset, despite both groups performing similarly behaviourally (antisaccades errors and saccade latency). When visual cues were used EEG-activity preceding antisaccades did not differ between groups.</p> <p>Conclusion</p> <p>Children with ADHD exhibit altered functioning of the TAC and MFC during an antisaccade task elicited by acoustic cues. Children with ADHD need more source activation to reach the same behavioural level as control children.</p