Initial resuscitation with Ringer's lactate is indicated for children with moderately severe dengue shock syndrome. Dextran 70 and 6 percent hydroxyethyl starch perform similarly in children with severe shock, but given the adverse reactions associated with the use of dextran, starch may be preferable for this group.
In this study we examined the rate of decrease in size of facial port wine stains (PWS) as a function of number of treatments, lesion size, lesion location and patients' age. This study was performed at the University of Colorado Hospital Outpatient Dermatology Center, Denver, U.S.A. A consecutive sample of 91 patients 18 years of age or younger with facial PWS in which the entire lesion was treated at each visit were studied. Included were all patients who had a minimum of five treatments or complete clearance of their lesion in fewer than five treatments. Patients were evaluated following one, five and 10 treatments with the pulsed (450 s) dye (585 nm) laser. Improvement was defined as the percentage decrease in the size of the PWS. For all patients, the first five treatments resulted in a mean decrease in size of 55% while the second five treatments (38 patients) only improved the mean decrease in size by 18%. Grouped by location, the mean decreases in size from the first five and the second five treatments were as follows: central forehead = 100%, 0%; peripheral face = 58%, 28%; central face = 48%, 14%; and mixed (combination of peripheral and central face) = 21%, 9%. All central forehead PWS completely cleared within five treatments while none of the mixed PWS did so even with an average of 14 treatments. Grouped by size, mean decrease in size was highest for small lesions; < 20 cm2 = 67%, 21%; 20 to < 40 cm2 = 45%, 8%; and > 40 cm2 = 23%, 29%. Grouped by age, mean decrease in size was highest for young children: < 1-year-old = 63%, 33%; 1 to < 6 years = 48%, 15%; and older than 6 years = 54%, 10%. For all patients studied, maximal improvement was obtained in the first five treatments. Major determinants of treatment response in order of decreasing importance are PWS location, size and patients' age. The most successful responses are seen in young patients (less than 1 year old) with small PWS (under 20 cm2) that are located over bony areas of the face such as the central forehead. These three determinants may be useful tools to guide patient expectations and to predict the rate of improvement of PWS to pulsed dye laser treatment.
In this letter, the use of adaptive source transmission with amplify-and-forward relaying is proposed. Three different adaptive techniques are considered: (i) optimal simultaneous power and rate adaptation; (ii) constant power with optimal rate adaptation; (iii) channel inversion with fixed rate. The capacity upper bounds of these adaptive protocols are derived for the amplify-and-forward cooperative system over both independent and identically distributed (i.i.d.) Rayleigh fading and non-i.i.d.
Rayleigh fading environments. The capacity analysis is based on an upper bound on the effective received signal-to-noise ratio (SNR). The tightness of the upper bound is validated by the use of a lower bound and by Monte Carlo simulation. It isshown that at high SNR the optimal simultaneous power and rate adaptation and the optimal rate adaptation with constant power provide roughly the same capacity. Channel inversion is shown to suffer from a deterioration in capacity relative to the other adaptive techniques.
In multitarget tracking, the main challenge is to maintain the correct identity of targets even under occlusions or when differences between the targets are small. The paper proposes a new approach to this problem by incorporating the context information. The context of a target in an image sequence has two components: the spatial context including the local background and nearby targets and the temporal context including all appearances of the targets that have been seen previously. The paper considers both aspects. We propose a new model for multitarget tracking based on the classification of each target against its spatial context. The tracker searches a region similar to the target while avoiding nearby targets. The temporal context is included by integrating the entire history of target appearance based on probabilistic principal component analysis (PPCA). We have developed a new incremental scheme that can learn the full set of PPCA parameters accurately online. The experiments show robust tracking performance under the condition of severe clutter, occlusions, and pose changes.
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