4 research outputs found
Research Perspective on Supporting Software Engineering via Physical 3D Models
Get PDFBuilding architects, but also civil or mechanical engineers often build from their designs physical3D models for a better presentation, comprehension, and communication among stakeholders. Software engineers usually create visualizations of their software designs as digital objects to be presented on a screen only. 3D software visualization metaphors, such as the software city metaphor, provide a basis for exporting those on-screen software visualizations into physical models. This can be achieved by 3D-printers to transfer the advantages of real, physical, tangible architecture models from traditional engineering disciplines to software engineering. We present a new research perspective of using physical models to support software engineering. Furthermore, we describe four envisioned usage scenarios for physical models which provide a plethora of new research topics. As proof of concept, we investigate the first usage scenario by evaluating the impact of using physical models on program comprehension in teams through a first controlled experiment. Our experiment reveals that the usage of physical models has a diverging influence. However, they improve the team-based program comprehension process for specific tasks by initiating gesture-based interaction. Therefore, the experiment shows that physical models can provide a promising future research direction
International Survey on Mechanical Ventilation During Extracorporeal Membrane Oxygenation
Get PDFThe optimal ventilation strategy for patients on extracorporeal membrane oxygenation (ECMO) remains uncertain. This survey reports current mechanical ventilation strategies adopted by ECMO centers worldwide. An international, multicenter, cross-sectional survey was conducted anonymously through an internet-based tool. Participants from North America, Europe, Asia, and Oceania were recruited from the extracorporeal life support organization (ELSO) directory. Responses were received from 48 adult ECMO centers (response rate 10.6%). Half of these had dedicated ventilation protocols for ECMO support. Pressure-controlled ventilation was the preferred initial ventilation mode for both venovenous ECMO (VV-ECMO) (60%) and venoarterial ECMO (VA-ECMO) (34%). In VV-ECMO, the primary goal was lung rest (93%), with rescue therapies commonly employed, especially neuromuscular blockade (93%) and prone positioning (74%). Spontaneous ventilation was typically introduced after signs of pulmonary recovery, with few centers using it as the initial mode (7%). A quarter of centers stopped sedation within 3 days after ECMO initiation. Ventilation strategies during VA-ECMO focused less on lung-protective goals and transitioned to spontaneous ventilation earlier. Ventilation strategies during ECMO support differ considerably. Controlled ventilation is predominantly used initially to provide lung rest, often facilitated by sedation and neuromuscular blockade. Few centers apply "awake ECMO" early during ECMO support, some utilizing partial neuromuscular blockade.</p
International Survey on Mechanical Ventilation During Extracorporeal Membrane Oxygenation
Get PDFThe optimal ventilation strategy for patients on extracorporeal membrane oxygenation (ECMO) remains uncertain. This survey reports current mechanical ventilation strategies adopted by ECMO centers worldwide. An international, multicenter, cross-sectional survey was conducted anonymously through an internet-based tool. Participants from North America, Europe, Asia, and Oceania were recruited from the extracorporeal life support organization (ELSO) directory. Responses were received from 48 adult ECMO centers (response rate 10.6%). Half of these had dedicated ventilation protocols for ECMO support. Pressure-controlled ventilation was the preferred initial ventilation mode for both venovenous ECMO (VV-ECMO) (60%) and venoarterial ECMO (VA-ECMO) (34%). In VV-ECMO, the primary goal was lung rest (93%), with rescue therapies commonly employed, especially neuromuscular blockade (93%) and prone positioning (74%). Spontaneous ventilation was typically introduced after signs of pulmonary recovery, with few centers using it as the initial mode (7%). A quarter of centers stopped sedation within 3 days after ECMO initiation. Ventilation strategies during VA-ECMO focused less on lung-protective goals and transitioned to spontaneous ventilation earlier. Ventilation strategies during ECMO support differ considerably. Controlled ventilation is predominantly used initially to provide lung rest, often facilitated by sedation and neuromuscular blockade. Few centers apply "awake ECMO" early during ECMO support, some utilizing partial neuromuscular blockade.</p
