This case study of object-oriented program design illustrates two limitations of object-oriented programming languages. Existing object-oriented languages do not have good facilities to support two key program design problems: the definition of composite objects, or data structures that include sets of related subobjects; and the specification and run-time management of temporary data structure...

Right ventricular failure (RVF) is an unfortunate complication that continues to limit outcomes following durable left ventricular assist device (LVAD) implantation. Despite several 'RVF risk scores' having been proposed, preoperative prediction of post-LVAD RVF remains a guesstimate at best. Current strategies for institution of temporary RVAD support are invasive, necessitate additional re-th...