Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intrac...Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intracardiac filling pressures,the physical exam(PE)remains the most accessible and cost-effective tool available to clinicians.An elevated jugular venous pressure(JVP) is considered the most sensitive sign of volume overload,although the commonly used‘method of Lewis’has several limitations.A useful cutoff is that if the JVP is greater than 3 cm in vertical distance above the sternal angle,the central venous pressure is elevated.In addition to assessment of volume status,the PE in HF can reveal adverse prognostic signs,namely:elevated JVP,presence of third heart sound,elevated heart rate,low systolic BP,and low proportional pulse pressure(＜25%).This article will review the evidence for the diagnostic and prognostic utility of common PE findings in HF.展开更多
A new real-time underwater equipment location method adopting an electric field induced by a standard current source is proposed.Our goals were real-time tracking and location of stationary or moving underwater equipm...A new real-time underwater equipment location method adopting an electric field induced by a standard current source is proposed.Our goals were real-time tracking and location of stationary or moving underwater equipment both in shallow and deep seas,under noisy conditions.The main features of this method are as follows:(1)a standard current source on the water surface,which can be towed by a vehicle,consisting of two electrodes,a signal generator,and a GPS unit;(2)measurement of the extremely low frequency(ELF)electric field emitted by the current source,made possible by electric field sensors on the underwater equipment;(3)position of the underwater equipment is estimated in real time based on a progressive update extended Kalman filter(PUEKF),which is carried out using the propagation model of an ELF electric field because the electric field at the position of the underwater equipment and the current source position are known.We verified the accuracy of our method and confirmed real-time location feasibility through numerical,physical scale,and real-time sea experiments.Through numerical experiments,we verified that our method works for underwater equipment location in real-world conditions,and the location error can be less than 0.2 m.Next,real-time location experiments for stationary underwater measuring equipment in water tank were conducted.The result shows that the location error can be less than 0.1 m.We also confirmed real-time location feasibility through the use of offshore experiment.We expect that our method will complement conventional underwater acoustic location methods for underwater equipment in acoustically noisy environments.展开更多
文摘Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intracardiac filling pressures,the physical exam(PE)remains the most accessible and cost-effective tool available to clinicians.An elevated jugular venous pressure(JVP) is considered the most sensitive sign of volume overload,although the commonly used‘method of Lewis’has several limitations.A useful cutoff is that if the JVP is greater than 3 cm in vertical distance above the sternal angle,the central venous pressure is elevated.In addition to assessment of volume status,the PE in HF can reveal adverse prognostic signs,namely:elevated JVP,presence of third heart sound,elevated heart rate,low systolic BP,and low proportional pulse pressure(＜25%).This article will review the evidence for the diagnostic and prognostic utility of common PE findings in HF.
基金supported by the Youth Foundation of the National Natural Science Foundation of China(Grant No.51509252)。
文摘A new real-time underwater equipment location method adopting an electric field induced by a standard current source is proposed.Our goals were real-time tracking and location of stationary or moving underwater equipment both in shallow and deep seas,under noisy conditions.The main features of this method are as follows:(1)a standard current source on the water surface,which can be towed by a vehicle,consisting of two electrodes,a signal generator,and a GPS unit;(2)measurement of the extremely low frequency(ELF)electric field emitted by the current source,made possible by electric field sensors on the underwater equipment;(3)position of the underwater equipment is estimated in real time based on a progressive update extended Kalman filter(PUEKF),which is carried out using the propagation model of an ELF electric field because the electric field at the position of the underwater equipment and the current source position are known.We verified the accuracy of our method and confirmed real-time location feasibility through numerical,physical scale,and real-time sea experiments.Through numerical experiments,we verified that our method works for underwater equipment location in real-world conditions,and the location error can be less than 0.2 m.Next,real-time location experiments for stationary underwater measuring equipment in water tank were conducted.The result shows that the location error can be less than 0.1 m.We also confirmed real-time location feasibility through the use of offshore experiment.We expect that our method will complement conventional underwater acoustic location methods for underwater equipment in acoustically noisy environments.
