Background and study aims Left ventricular assist devices (LVADs) are currently the standard of care in treatment of patients with end-stage heart failure waiting for heart transplant as well as destination therapy for non-transplant candidates. However, patients with LVADs are at increased risk of gastrointestinal bleeding due to the device's unique effects on hemodynamics. A major source of g...

BACKGROUND Patients with sepsis admitted to the intensive care unit often present with acid-base disorders. As the traditional interpretation might be clinically misleading, an alternative approach described by Stewart may allow one to quantify the individual components of acid-base abnormalities and provide an insight into their pathogenesis. The aim of our study was to compare the traditional...

Multidisciplinary, interdisciplinary, and transdisciplinary collaboration (TDC) continue to address complex societal problems such as sustainable development, global environmental change, public health challenges. Nature-based design (NBD) methods including biomimicry, biomorphism, biophilia, bio-utilization zoomorphism are essential for the of built environment (SBE). Currently, there is no fr...

Telah dilakukan penelitian adsorpsi menggunakan tiga jenis adsorben, yaitu SBE, ZnO, dan SBE/ZnO untuk menghilangkan rhodamine B. Dua parameter digunakan dalam ini adalah kondisi eksperimen gelap terang, serta konsentrasi awal larutan Pengaruh cahaya ambient perlu diteliti mengingat ZnO material fotokatalis. Proses komposit metode aktivasi SBE (maserasi pengasaman), sintesis sol gel. terbukti b...

Medical training must at some point use live patients to hone the skills of health professionals. But there is also an obligation to provide optimal treatment and to ensure patients' safety and well-being. Balancing these 2 needs represents a fundamental ethical tension in medical education. Simulation-based learning can help mitigate this tension by developing health professionals' knowledge, ...

The field of simulation-based procedural education in medicine is undergoing rapid development, with significant improvements in both graphic and tactile fidelity. As a consequence, the use of simulation for competency assessment and credentialing is evolving rapidly. Establishing the conceptual framework for developing such assessments using simulation is becoming critical to the expansion of ...

There is no doubt that the great triumphs of Formula One Grand Prix drivers such as Fernando Alonso are due to the efforts of a perfectly synchronised team accomplishing every multiple and complex task necessary to achieve high performance. Their results are the fruit of structured, organised and effective training outside the competitive environment. Care is becoming increasingly complex in ou...

PURPOSE Barriers to simulation-based education in postgraduate and continuing education for anesthesiologists have not been well studied. We hypothesized that the level of training may influence attitudes towards simulation-based education and impact on the use of simulation. This study investigated this issue at the University of Toronto which possesses two sites equipped with high-fidelity pa...

Continuous quality improvement is an accepted mandate in healthcare services. The delivery of the best, evidence based quality of care ultimately depends on the competences of practitioners as well as the system that supports their work. Medical education has been increasingly called upon to insure providers possess the skills and understanding necessary to fulfill the quality mission. Patient ...