Continuous renal replacement therapy

Acute renal failure refers to sudden deterioration in biochemical and physiological functioning of kidneys and often associated with multi organ failure. Continuous renal replacement therapy (CRRT) holds special significance for the treatment of renal failure due to a variety of factors. It is believed that CRRT helps in restoration of acid-base imbalances and electrolyte abnormalities. Along with that, with gradual solute removal, it ensures haemodynamic stability and prevents the risk of cerebral oedema in neurosurgery patients. Besides this, several studies have supported that CRRT enables practitioners to adjust drug dosages and prevent drug accumulation and overdose. In addition, gradual removal of solutes and metabolic waste products helps to clear inflammatory mediators and ensure adequate nutrition for patients and lead to improved renal recovery. Therefore, this article will discuss the different treatment modalities that encompass CRRT and explore the indications and advantages of CRRT in acute renal failure

A Medical error: To disclose or not to disclose

Human error can occur in any profession. Medical errors are most commonly occurring errors in a health care system, which are responsible to delay patient’s recovery and produce harm to patient. However, being as a health care professional, it is the requirement of professional code of ethics to do well and not to harm our patients. Historically, many of these errors were not disclosed to patients but the trend is emerging for more open disclosure of medical errors to patients and their families. The aim of this paper is to explain medical error and analyze this concept in the light of ethical principles. The paper will discuss the role of medical professionals in the disclosure of medical errors integrating an explicit ethical decision making process named MORAL

Transient Propagation and Scattering of Quasi-Rayleigh Waves in Plates: Quantitative comparison between Pulsed TV-Holography Measurements and FC(Gram) elastodynamic simulations

We study the scattering of transient, high-frequency, narrow-band quasi-Rayleigh elastic waves by through-thickness holes in aluminum plates, in the framework of ultrasonic nondestructive testing (NDT) based on full-field optical detection. Sequences of the instantaneous two-dimensional (2-D) out-of-plane displacement scattering maps are measured with a self-developed PTVH system. The corresponding simulated sequences are obtained by means of an FC(Gram) elastodynamic solver introduced recently, which implements a full three-dimensional (3D) vector formulation of the direct linear-elasticity scattering problem. A detailed quantitative comparison between these experimental and numerical sequences, which is presented here for the first time, shows very good agreement both in the amplitude and the phase of the acoustic field in the forward, lateral and backscattering areas. It is thus suggested that the combination of the PTVH system and the FC(Gram) elastodynamic solver provides an effective ultrasonic inspection tool for plate-like structures, with a significant potential for ultrasonic NDT applications.Comment: 46 pages, 16 figures, corresponding author Jos\'e Carlos L\'opez-V\'azquez, [email protected]. Changes: 1st, 4th, 5th paragraphs (intro), 3rd, 4th paragraphs (sec. 4); [59-60] cited only in appendixes; old ref. [52] removed; misprints corrected in the uncertainty of c_L (subsec. 3.1), citation to fig. 10 (sec. 4), size of images (caption fig.15); reference to Lam\'e constants removed in subsec. 3.

Numerical modeling and measurement by pulsed television holography of ultrasonic displacement maps in plates with through-thickness defects

We present a novel numerical modeling of ultrasonic Lamb and Rayleigh wave propagation and scattering by through-thickness defects like holes and slots in homogeneous plates, and its experimental verification in both near and far field by a self-developed pulsed TV holography system. In contrast to rigorous vectorial formulation of elasticity theory, our model is based on the 2-D scalar wave equation over the plate surface, with specific boundary conditions in the defects and plate edges. The experimental data include complex amplitude maps of the out-of-plane displacements of the plate surface, obtained by a two-step spatiotemporal Fourier transform method. We find a fair match between the numerical and experimental results, which allows for quantitative characterization of the defects

Resolving ethical dilemma: An application of a theoretical model

Human error can occur in any profession. Medical errors most commonly occur in a health care system, which may delay patient’s recovery and produce harm to patients. However, when a medical error occurs, it is challenging to inform the incident to patients and their family. Health care professionals follow a professional code of ethics to do well and not harm patients. Historically, many of these errors were not disclosed to patients but the trend for more open disclosure of medical errors to patients and their families is a mutually beneficial and welcomed change

A Strategic Analysis of a North American Online Plumbing Retailer

EMBA Project-Simon Fraser Universit

Modelling for characterizing defects in plates using two-dimensional maps of instantaneous ultrasonic out-of-plane displacement obtained by pulsed TV-holography

It has been demonstrated that non-destructive inspection of plates can be performed by using two-dimensional maps of instantaneous out-of-plane displacements obtained with a self-developed pulsed TV-holography system. Specifically, the interaction of guided elastic waves with defects produces scattering patterns that contain information about the defects (position, dimensions, orientation, etc.). For quantitative characterization on this basis, modeling of the wave propagation and interaction with the defects is necessary. In fact, the development of models for scattering of waves in plates is yet an active research field in which the most reliable approach is usually based on the rigorous formulation of elasticity theory. By contrast, in this work the capability of a simple two-dimensional scalar model for obtaining a quantitative description of the output two-dimensional maps associated to artificial defects in plates is studied. Some experiments recording the interaction of narrowband Rayleigh waves with artificial defects in aluminum plates are presented, in which the acoustic field is obtained from the TV-holography optical phase-change maps by means of a specially developed two-step spatio-temporal Fourier transform method. For the modeling, harmonic regime and free-stress boundary conditions are assumed. Comparisons between experimental and simulated maps are included for defects with different shapes

Magnetic dipolar coupling and collective effects for binary information codification in cost-effective logic devices

Physical limitations foreshadow the eventual end to traditional Complementary Metal Oxide Semiconductor (CMOS) scaling. Therefore, interest has turned to various materials and technologies aimed to succeed to traditional CMOS. Magnetic Quantum dot Cellular Automata (MQCA) are one of these technologies. Working MQCA arrays require very complex techniques and an excellent control on the geometry of the nanomagnets and on the quality of the magnetic thin film, thus limiting the possibility for MQCA of representing a definite solution to cost-effective, high density and low power consumption device demand. Counter-intuitively, moving towards bigger sizes and lighter technologies it is still possible to develop multi-state logicdevices, as we demonstrated, whose main advantage is cost-effectiveness. Applications may be seen in low costlogicdevices where integration and computational power are not the main issue, eventually using flexible substrates and taking advantage of the intrinsic mechanical toughness of systems where long range interactions do not need wirings. We realized cobalt micrometric MQCA arrays by means of Electron Beam Lithography, exploiting cost-effective processes such as lift-off and RF sputtering that usually are avoided due to their low control on array geometry and film roughness. Information relative to the magnetic configuration of MQCA elements including their eventual magnetic interactions was obtained from Magnetic Force Microscope (MFM) images, enhanced by means of a numerical procedure and presented in differential maps. We report the existence of bi-stable magnetic patterns, as detected by MFM while sampling the z-component of magnetic induction field, arising from dipolar inter-element magnetostatic coupling, able to store and propagate binaryinformation. This is achieved despite the array quality and element magnetic state, which are low and multi-domain, respectively. We discuss in detail shape, inter-element spacing and dot profile effects on the magneticcoupling. Numerical Finite Element Method (FEM) simulations show a possible microspin arrangement producing such magnetostatic couplin