Artificial Heart Rejects High Tech? Lessons Learned from Non-pulsatile VAD with Straight Impeller Vanes

2008 ◽  
Author(s):  
Kun-xi Qian ◽  
Ying Ji
Keyword(s):  
Artificial Heart ◽  
Lessons Learned ◽  
High Tech ◽  
Pulsatile Vad

scholarly journals Artificial Heart Rejects High Tech? Lessens Learnt from Non-pulsatile VAD with Straight Impeller Vanes

2007 ◽  
Vol 1 (1) ◽  
pp. 35-37
Author(s):  
Kun-xi Qian
Keyword(s):  
Artificial Heart ◽  
High Tech ◽  
Pulsatile Vad

Despite the progresses in developing pulsatile impeller pump and impeller total heart, as well as in applying streamlined impeller vanes, the best results in application of artificial heart pumps have been achieved by nonpulsatile univentricular assist pump with straight impeller vanes until now. It seems all efforts and successes have been done in vain because artificial heart rejects Hi-Tech! This paper recalls some important achievements in R&D of artificial heart in past 25 years and shares author’s experiences with the readers.

scholarly journals Adaptive Manufacturing for Healthcare During the COVID-19 Emergency and Beyond

2021 ◽  
Vol 3 ◽  
Author(s):  
Antoine Vallatos ◽  
James M. Maguire ◽  
Nikolas Pilavakis ◽  
Gabrielis Cerniauskas ◽  
Alexander Sturtivant ◽  
...  
Keyword(s):  
Product Lifecycle Management ◽  
Lessons Learned ◽  
High Tech ◽  
Distributed Manufacturing ◽  
Emergency Situations ◽  
Reverse Engineer ◽  
Health And Social Care ◽  
3D Printed ◽  
Lifecycle Management ◽  
Cottage Industries

During the COVID-19 pandemic, global health services have faced unprecedented demands. Many key workers in health and social care have experienced crippling shortages of personal protective equipment, and clinical engineers in hospitals have been severely stretched due to insufficient supplies of medical devices and equipment. Many engineers who normally work in other sectors have been redeployed to address the crisis, and they have rapidly improvised solutions to some of the challenges that emerged, using a combination of low-tech and cutting-edge methods. Much publicity has been given to efforts to design new ventilator systems and the production of 3D-printed face shields, but many other devices and systems have been developed or explored. This paper presents a description of efforts to reverse engineer or redesign critical parts, specifically a manifold for an anaesthesia station, a leak port, plasticware for COVID-19 testing, and a syringe pump lock box. The insights obtained from these projects were used to develop a product lifecycle management system based on Aras Innovator, which could with further work be deployed to facilitate future rapid response manufacturing of bespoke hardware for healthcare. The lessons learned could inform plans to exploit distributed manufacturing to secure back-up supply chains for future emergency situations. If applied generally, the concept of distributed manufacturing could give rise to “21st century cottage industries” or “nanofactories,” where high-tech goods are produced locally in small batches.

E-Novation in Large Corporations

2011 ◽  
pp. 210-237
Author(s):  
Michael Conlin
Keyword(s):  
Business Value ◽  
Lessons Learned ◽  
Business Community ◽  
High Tech ◽  
High Tech Sector ◽  
Community Recommendations ◽  
Large Corporations ◽  
The Impact

This chapter explores the lessons learned by large corporations that have been pioneers of e-novation. These pioneers have much to teach us about the opportunities for competitive impact and business value. These are explored within the framework of Porter’s Five Forces model. The impact of e-novation on employees and, especially on the employee-employer relationship is explored to reveal possible insights. Although a significant portion of these pioneers are in the high tech sector, many of the insights are broadly applicable to all sectors of the economy. A case is made that e-novation is well on its way to broad adoption in the business community. Recommendations are offered for those wishing to take up the challenge of e-novation.

scholarly journals No strings attached? Challenges and successes in creating a flexible, wire-free active learning classroom

2018 ◽  
Vol 36 (2) ◽  
pp. 211-224 ◽  
Author(s):  
Gillian (Jill) D. Ellern ◽  
Heidi E. Buchanan
Keyword(s):  
Active Learning ◽  
Teaching And Learning ◽  
Lessons Learned ◽  
High Tech ◽  
Learning Space ◽  
Content Type ◽  
Electronic Classroom ◽  
Technical Details ◽  
Practical Implications

Purpose This paper serves as a case study, detailing an academic library’s three-year process of redesigning, implementing, and using a library electronic classroom. The purpose of this paper is to share the challenges and successes of a library’s attempt to create a high-tech space that both accommodates active learning and is entirely flexible and free of wires. The paper provides technical details for implementing features such as wireless screen sharing and offers practical advice for librarians who are creating new teaching and learning spaces at their institutions. Design/methodology/approach This is a descriptive case study, which details the lessons learned in implementing an active learning space that incorporates technology such as wireless display to multiple screens. Findings There are still major challenges in having a truly wire-free classroom including authentication policies, wireless display technology, instructor’s station mobility, and student laptop control. Successes include flexible furniture, battery-power management solutions, and using multiple wireless devices in a single room. Practical implications Practical implications of this paper include recommendations for planning this type of upgrade in a library electronic classroom. Originality/value The unique feature of this case was the effort to combine the mobile features of a flexible learning space with some of the robust technology of a hardwired active learning classroom. This paper features technical details beyond what can be found in the library literature. For example, very little has been written about the issues involved in wirelessly displaying a computer screen to multiple devices in a classroom.

Implementing corporate intranets: lessons learned from two high‐tech firms

2002 ◽  
Vol 102 (3) ◽  
pp. 140-145 ◽  
Author(s):  
William P. Wagner ◽  
Q.B. Chung ◽  
Todd Baratz
Keyword(s):  
Lessons Learned ◽  
High Tech

Policy coherence as a demand for excellence in Iranian bio-production industry

2019 ◽  
Vol 11 (1) ◽  
pp. 4-16
Author(s):  
Vahid Marandi ◽  
Seyyed Habibollah Tabatabaeian ◽  
Parivash Jafari ◽  
Morteza Azarnoosh
Keyword(s):  
Industrial Development ◽  
Focal Point ◽  
National Health System ◽  
Global Market ◽  
Lessons Learned ◽  
National Standard ◽  
High Tech ◽  
Policy Coherence ◽  
Content Type ◽  
Innovative Products

Purpose The Iranian bio-pharma industry was the first high-tech industry in the country, which had succeeded to develop innovative products. Despite past successes, there are bottlenecks preventing the industry from meeting the national standard and plans for excellence. The purpose of this paper is to find out the challenges impeding further innovation of the firms in the industry and find solution to the issues. Based on these findings, the authors recommend a set of policies that might be of interest to the new-comer countries in biotechnology. Design/methodology/approach The institutional structure of the industry, its market situation and the players are studied using a qualitative method based on an institutional approach and an appreciative theory. Findings Ten challenges were found after examining the pyramid of technological capabilities. Moreover; conflicting approaches in the policies made for the national health system and industrial development are identified. Adoption of policy coherence has been highlighted as a necessary strategy to harmonize and integrate the approaches required to play a role in bio-production global market actively. Practical implications A unique focal point for the country’s strategic plans should be assigned, and the supply-side policies with demand-side policies must be balanced. Originality/value This paper is an evidence-based effort to bring policy coherence as an approach in sectoral level, while political settlement lies in governance level. The opportunities for improvement are highlighted in the Iranian bio-pharmaceutical sector, as a key technology. Moreover, the findings could be used as lessons-learned for new-comers countries.

Why is high-tech healthcare at home purchasing underdeveloped and what could be done to improve it?

2003 ◽  
Vol 16 (2) ◽  
pp. 127-135 ◽  
Author(s):  
D. Short ◽  
J. Norwood
Keyword(s):  
Good Practice ◽  
Lessons Learned ◽  
High Tech ◽  
Value For Money ◽  
District Health ◽  
Health Authorities ◽  
Intravenous Antibiotics ◽  
Adequate Quality ◽  
Improve Service Quality ◽  
At Home

Executive Letter (95)5 initiated a change of health policy preventing general practitioners (GPs) from prescribing packages of 'high-tech healthcare at home' (HTHC). From 1 April 1995, district health authorities were required to establish contracts to purchase such care. Several reasons were behind this policy change including the belief that contracting would improve service quality by encouraging competition between potential suppliers, securing better value for money, and establishing service specifications and monitoring mechanisms. Our survey of 98 health authorities, however, highlighted that contracting for home total parenteral nutrition, intravenous antibiotics for patients with cystic fibrosis, intravenous chemotherapy and continuous ambulatory peritoneal dialysis is largely undeveloped. The majority of districts contracted with historic providers and authorities freely admitted that they did not know whether they were obtaining value for money or a service of adequate quality. Only three districts had developed a strategy for purchasing HTHC as required by the Executive Letter, and only 17 had plans to re-examine their approach. Contracting for HTHC presents practical problems, including the complexity of the process and the significant time demands for efficient and effective contracting. Phase two of this research sought to produce a 'guide to good practice' for health authorities wishing to re-examine and improve their purchasing. We conducted case study analyses in districts that had made effective progress and those that had encountered difficulties, drawing upon lessons learned. We reported our findings to the NHS Executive and supplemented this with a 'toolbox' that included sample documents covering areas such as tendering, monitoring mechanisms, service specifications and different purchasing approaches.

scholarly journals Advanced Multimodal Communication Curriculum for Pediatric Residents

2021 ◽  
Vol 8 ◽  
pp. 238212052110352
Author(s):  
Melanie C Marsh ◽  
Suzanne M Reed ◽  
John D Mahan ◽  
Lydia Schneider ◽  
Ashley K Fernandes ◽  
...  
Keyword(s):  
Communication Skills ◽  
Deliberate Practice ◽  
Skills Training ◽  
Communication Training ◽  
Lessons Learned ◽  
Multimodal Communication ◽  
Learning Climate ◽  
High Tech ◽  
Traditional Curriculum ◽  
The Impact

Background Medical educators juggle competing demands as they seek to integrate medical advancements and new technology with the call for earlier introduction to clinical experiences. Newer models of medical education place even greater emphasis on the importance of deliberate training of providers who can deliver compassionate patient-centered care. The need for adaptable, effective communication skills training has never been more relevant than now, in our high-tech and ever-evolving learning climate. Methods At a large pediatric academic center, we used Kern's six-step approach to complete a needs assessment, identify goals and learning preferences of trainees, and ultimately develop and evaluate a multimodal communication curriculum. This curriculum was rooted in the Accreditation Council for Graduate Medical Education's Pediatric Milestones, with the goal of enhancing knowledge, skills, and competency. Pediatric interns were randomized to either the new curriculum ( n = 19) or the existing didactic-based communication training ( n = 17) from 2019 to 2020. We evaluated the impact of the new and traditional curriculum through evaluations by expert facilitators, learner surveys, and faculty-assigned resident milestones. Results Many trainees self-identified performance gaps in communication skills at baseline. Eighteen residents attended 1 to 6 in-person deliberate practice workshops. Workshop participation by the residents varied over time due to a variety of factors. All residents, regardless of curricular exposure, showed statistically significant improvement in communication milestones from first to second year and those enrolled in the deliberate practice curriculum highly valued the workshops and coaching. Discussion Our curriculum demonstrates the value of deliberate practice opportunities for residents to gain skills in advanced communication. Residents appreciated this type of training and the time devoted to expand these skills. Lessons learned and barriers to implementation from this curriculum can be helpful for educators interested in integrating active, deliberate practice, simulation-based communication training into their current educational model.

scholarly journals High Tech High Touch: Lessons Learned from Project Haiti 2011

2020 ◽  
Author(s):  
Yan Tang ◽  
Marc Compere ◽  
Yung Wong ◽  
Jared Coleman ◽  
Matthew Selkirk
Keyword(s):  
Lessons Learned ◽  
High Tech
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