ABSTRACT
INTRODUCTION AND OBJECTIVES: Three-dimensional (3D) model simulation provides the opportunity to manipulate real devices and learn intervention skills in a realistic, controlled, and safe environment. To ensure that simulators provide a realistic surrogate to real procedures they must undergo scientific validation. We aimed to evaluate the 3D-printed simulator SimulHeart® for face and content validity to demonstrate its value as a training tool in interventional cardiology (IC). METHODS: Health professionals were recruited from sixteen Portuguese IC units. All participants received a 30-minute theoretical introduction, 10-minute demonstration of each task and then performed the intervention on a 3D-printed simulator (SimulHeart®). Finally, a post-training questionnaire focusing on the appearance of the simulation, simulation content, and satisfaction/self-efficacy was administered. RESULTS: We included 56 participants: 16 "experts" (general and interventional cardiologists), 26 "novices" (cardiology residents), and 14 nurses and allied professionals. On a five-point Likert scale, the overall mean score of face validity was 4.38±0.35 and the overall mean score of content validity was 4.69±0.32. There was no statistically significant difference in the scores provided by "experts" and "novices". Participants reported a high level of satisfaction/self-efficacy with 60.7% considering it strongly improved their skills. The majority (82.1%) "agreed" or "strongly agreed" that after the simulation they felt confident to perform the procedure on a patient. CONCLUSION: The 3D-printed simulator (SimulHeart®) showed excellent face and content validity. 3D simulation may play an important role in future IC training programs. Further research is required to correlate simulator performance with clinical performance in real patients.
Subject(s)
Cardiology , Printing, Three-Dimensional , Simulation Training , Humans , Cardiology/education , Simulation Training/methods , Male , Female , Reproducibility of Results , AdultABSTRACT
Sarcoidosis is a chronic multisystemic disease of unknown etiology, characterized by the formation of non-caseous granulomas, most commonlywith lung, intrathoracic lymph node, skin and ocular involvement. We present the case of a 69-year-old male with hyperthyroidism due to a toxicnodule who underwent a thyroidectomy but kept losing weight. Afterwards he developed photopsias, hepatosplenomegaly and pancytopenia.Exams revealed non-caseous granulomatous involvement of thyroid, eye, liver and bone marrow. Corticosteroid therapy was initiated with overallimprovement but the patient developed hypercortisolism and hyperglycemia and did not tolerate steroid taping. Azathioprine was started, allowingimprovement with low dose steroids.This case illustrates an infrequent case of sarcoidosis with exclusive extra-thoracic disease, highlighting the rare bone marrow and thyroid involvement causing an unspecific presentation. (AU)
Subject(s)
Humans , Female , Aged , Sarcoidosis , Sarcoidosis/therapy , Multiple Organ Failure , Adrenal Cortex Hormones/therapeutic useABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Castleman Disease/drug therapy , HIV Infections/drug therapy , Valganciclovir/administration & dosage , Antiviral Agents/therapeutic use , Lung Diseases, Interstitial/complications , Pleural Effusion/complications , Disease ProgressionABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Solitary Fibrous Tumor, Pleural/diagnostic imaging , Solitary Fibrous Tumor, Pleural/surgery , Solitary Fibrous Tumor, Pleural/pathology , Immunohistochemistry , BiopsyABSTRACT
No disponible