The outcome of patients not requiring ventilatory support in this study was encouraging, while invasive ventilation was again confirmed as predicting a dismal prognosis in this population. Efforts should be directed to avoiding this procedure by reducing the pulmonary toxicity of antineoplastic treatment and to making ventilatory support more tolerable.

During sepsis, adrenal androgens and glucocorticoids show a diverse time-dependent course in survivors and nonsurvivors.

Haemoptysis is a potentially life-threatening condition with the need for prompt diagnosis. In about 10-20% of all cases the bleeding source remains unexplained with the standard diagnostic approach. The aim of this article is to show the necessity of widening the diagnostic approach to haemoptysis with consideration of pulmonary venous stenosis as a possible cause of even severe haemoptysis and haemoptoe.A review of the literature was performed using the Medline/PubMed database with the terms: ''pulmonary venous stenosis'', ''pulmonary venous infarction'' and ''haemoptysis''. Further references from the case reports were considered.58 case reports and case collections about patients with haemoptysis due to pulmonary venous stenosis were detected. This review gives an overview about the case reports and discusses the underlying pathophysiology and the pros and cons of different imaging techniques for the detection of pulmonary venous stenosis.Several conditions predispose to the obstruction of the mediastinal pulmonary veins. Clinical findings are unspecific and may be misleading. Pulmonary venous stenosis can be detected using several imaging techniques, yet three-dimensional magnetic resonance-angiography and three-dimensional contrastenhanced computed tomography are the most appropriate. Pulmonary venous stenosis should be considered in patients with haemoptysis. @ERSpublications Pulmonary venous stenosis should be considered in haemoptysis and is best diagnosed using CT or MRI venography http://ow.ly/tMPFP

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Introduction: Arterial hypertension is the most frequent cause for spontaneous intracerebral hemorrhage (sICH) and may also cause left ventricular hypertrophy (LVH). We sought to analyze whether hypertensive sICH etiology is associated with LVH. Methods: We analyzed consecutive patients with sICH who were admitted to our tertiary stroke center during a four-year period and underwent transthoracic echocardiography (TTE) as part of the diagnostic work-up. We defined hypertensive sICH as typical localization of hemorrhage in patients with arterial hypertension and no other identified sICH etiology. We defined an increased end-diastolic interventricular septal wall thickness of ≥11 mm on TTE as a surrogate parameter for LVH. Results: Among 395 patients with sICH, 260 patients (65.8%) received TTE as part of their diagnostic work-up. The median age was 71 years (interquartile range (IQR) 17), 160 patients (61.5%) were male, the median baseline National Institute of Health Stroke Scale (NIHSS) score was 8 (IQR 13). Of these, 159 (61.2%) patients had a hypertensive sICH and 156 patients (60%) had LVH. In univariable (113/159 (71.1%) vs. 43/101 (42.6%); odds ratio (OR) 3.31; 95% confidence interval (CI95%) 1.97–5.62); and multivariable (adjusted OR 2.95; CI95% 1.29–6.74) analysis, hypertensive sICH was associated with LVH. Conclusions: In patients with sICH, LVH is associated with hypertensive bleeding etiology. Performing TTE is meaningful for diagnosis of comorbidities and clarification of bleeding etiology in these patients. Future studies should include long-term outcome parameters and assess left ventricular mass as main indicator for LVH.

The European building industry is facing a strong increase in renovation processes, which are still non-cost-effective, involve unproperly coordinated stakeholders, are disturbing for the occupants, and cause important inefficiencies in the overall renovation process. In this context, digitalization and Building Information Modelling (BIM), as an enabler, is the key solution that may drive renovation interventions to ensure a more successful and leaner process, aiding the whole value chain of actors to achieve its full potential. This research describes the OpenBIM methodology applied in order to transform the implicit knowledge from the stakeholders involved in the building renovation process, not structured enough for automation, into an OpenBIM digital process based on the BIM standards. The outcomes of this research are the OpenBIM ready workflows that represent the renovation process and information requirements according to the involvement of different stakeholders rooted in the analysis of barriers, requirements, and needs. Those workflows are the basis for the future development of specific products and tools for boosting digitalization and interoperability in the renovation process.

Encoding finite linear CSPs as Boolean formulas and solving them by using modern SAT solvers has proven to be highly effective by the award-winning sugar system. We here develop an alternative approach based on ASP that serves two purposes. First, it provides a library for solving CSPs as part of an encompassing logic program. Second, it furnishes an ASP-based CP solver similar to sugar. Both tasks are addressed by using first-order ASP encodings that provide us with a high degree of flexibility, either for integration within ASP or for easy experimentation with different implementations. When used as a CP solver, the resulting system aspartame re-uses parts of sugar for parsing and normalizing CSPs. The obtained set of facts is then combined with an ASP encoding that can be grounded and solved by off-the-shelf ASP systems. We establish the competitiveness of our approach by empirically contrasting aspartame and sugar