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Sabrina Yesmin Barsha,Miah Md. Akiful Haque,Md Utba Rashid,Mohammad Lutfor Rahman,Mohammad Ali Hossain,Sanjana Zaman,Elias Bhuiyan,Rahima Sultana,Mosharop Hossian,Mohammad Hayatun Nabi,Mohammad Delwer 대한백신학회 2021 Clinical and Experimental Vaccine Research Vol.10 No.3
A 77-year-old man with a past medical history of type 2 diabetes mellitus, peripheral neuropathy, and chronic obstructive pulmonary disease was admitted to the intensive care unit of Bangladesh Medical College Hospital with acute encephalopathy and non-ST segment elevation myocardial infarction (NSTEMI). The patient was on antidiabetic medicine along with H2 blocker and multivitamins for his existing diseases. The patient’s attendant reported that the patient had received his first dose of the Moderna coronavirus disease 2019 (COVID-19) vaccine just 2 days ago. Physical examination revealed that he had a Glasgow Coma Scale of 8/15; a pulse of 106 beats/min; a respiratory rate of 30 breaths/min; oxygen saturation of 80% on room air, which became with 10 L of oxygen and blood pressure of 90/60 mm Hg at the time of admission. During the hospital stay, the patient was treated conservatively with intravenous antibiotics and other necessary medication. Although we have observed the onset of encephalopathy and NSTEMI following COVID vaccination for this patient, we, as healthcare professionals, cannot directly attribute the cause of the complications to the Moderna vaccine without further epidemiological studies with large samples.
Utility of medical simulation in neurovascular critical care education
Sandra Mass-Ramírez,Hernán Vergara-Burgos,Carmen Sierra-Ochoa,Ivan David Lozada-Martinez,Luis Rafael Moscote-Salazar,Tariq Janjua,Md Moshiur Rahman,Sabrina Rahman,Yelson Alejandro Picón-Jaimes 대한신경집중치료학회 2021 대한신경집중치료학회지 Vol.14 No.1
Simulation has shown good results in medical scenarios in which the patient’s problem can be solved by following protocols previously established in clinical practice guidelines. Therefore, the implementation of simulation programs in neurocritical care improves the outcomes of patients at clinical centers because a properly trained professional will be able to provide the most effective care in the shortest time possible, safeguarding the patient’s life. Some learning and simulation models that can be included in medical education to improve neurocritical vascular care include task trainers, full-body mannequins, standardized patients, and computer-based simulation. Specifically, medical simulation in academic training programs in health sciences has a great impact on the development of specific skills, which could potentially reduce medical-legal and economic issues, improve care, and result in the management of clinical events. Simulation is established as an essential educational tool, allowing the instruction of knowledge from an interactive perspective and offering a broader vision when it comes to medical practice. The objective of this article is to present evidence related to the usefulness and impact of medical simulation in neurovascular critical care education.