A Flexible Framework for Highly-Modular Surgical Simulation Systems

2006 ◽  
pp. 84-92 ◽  
Author(s):  
S. Tuchschmid ◽  
M. Grassi ◽  
D. Bachofen ◽  
P. Früh ◽  
M. Thaler ◽  
...  
Keyword(s):  
Surgical Simulation ◽  
Flexible Framework ◽  
Simulation Systems

scholarly journals THE MOST REALISTIC SURGICAL SIMULATION MODEL TO GAIN SKILLS IN LAPAROSCOPIC SURGERY IS THE CADAVERIC MODEL THIEL, ACCORDING TO OPINIONS OF DIFFERENT SPECIALIST SURGEONS

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
A Soler Silva ◽  
A Sanchís López ◽  
L Sánchez Guillén ◽  
D Triguero Cánovas ◽  
F López Rodríguez Arias ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Simulation Model ◽  
Surgical Simulation ◽  
Simulation Models ◽  
Operation Room ◽  
Young Surgeon ◽  
General Surgeons ◽  
Conventional Models ◽  
Simulation Systems ◽  
Surgical Learning

Abstract INTRODUCTION Laparoscopic procedures are still a challenge for the surgeon residents and young surgeon physicians. Different learning systems have been used without achieving a realism faithful to the lived in the operation room. All existing surgical simulation systems should be compared, with the aim of identifying the most realistic of them, for improving the surgical learning. MATERIAL AND METHODS An 18-item survey was sent to different specialized surgeons (general surgeons, gynecologists and urologists) who participated in international postgraduate laparoscopic surgery courses on cadavers embalmed by Thiel method. Participants were asked to the differences and improving skills in each surgical procedure, about the different surgical simulation models that the participants had already used. Surgeons were asked if they would recommend doing it during residency to improve their confidence in the operating room. RESULTS Attendees (n = 104) had a response rate of 92% (96 replies). The 91.8% surgeons recognized that Thiel model was more realistic than others simulation methods. The 97.9 % of respondents believed that had improved their surgical skills. Globally, 96.9% (93) of the participants surveyed recommended the conducting of these courses with Thiel cadavers to different colleagues of other specialties as a reliable simulation measure during the residency period. CONCLUSIONS Participants in the laparoscopic surgery course on the cadaver Thiel recognized that this is more realistic surgical simulation model than conventional models, one of the best ways to gain confidence and improve laparoscopic skills in operation room for inexperienced surgeons.

Meta-Accuracy and Perceived Reciprocity From the Perception-Meta-Perception Social Relations Model

2019 ◽  
Vol 50 (1) ◽  
pp. 24-37
Author(s):  
Ben Porter ◽  
Camilla S. Øverup ◽  
Julie A. Brunson ◽  
Paras D. Mehta
Keyword(s):  
Structural Equation Modeling ◽  
Social Relations ◽  
Latent Variables ◽  
Structural Equation ◽  
Multilevel Structural Equation Modeling ◽  
Equation Modeling ◽  
Complete Understanding ◽  
Social Relations Model ◽  
Flexible Framework ◽  
Multilevel Structural Equation

Abstract. Meta-accuracy and perceptions of reciprocity can be measured by covariances between latent variables in two social relations models examining perception and meta-perception. We propose a single unified model called the Perception-Meta-Perception Social Relations Model (PM-SRM). This model simultaneously estimates all possible parameters to provide a more complete understanding of the relationships between perception and meta-perception. We describe the components of the PM-SRM and present two pedagogical examples with code, openly available on https://osf.io/4ag5m . Using a new package in R (xxM), we estimated the model using multilevel structural equation modeling which provides an approachable and flexible framework for evaluating the PM-SRM. Further, we discuss possible expansions to the PM-SRM which can explore novel and exciting hypotheses.

Analyzing Stochastic Dependence of Cognitive Processes in Multidimensional Source Recognition

2014 ◽  
Vol 61 (5) ◽  
pp. 402-415 ◽  
Author(s):  
Thorsten Meiser
Keyword(s):  
Cognitive Processes ◽  
Model Complexity ◽  
Multinomial Model ◽  
Stochastic Dependence ◽  
New Model ◽  
Multinomial Processing Tree ◽  
Cognitive States ◽  
The Family ◽  
Tree Models ◽  
Flexible Framework

Stochastic dependence among cognitive processes can be modeled in different ways, and the family of multinomial processing tree models provides a flexible framework for analyzing stochastic dependence among discrete cognitive states. This article presents a multinomial model of multidimensional source recognition that specifies stochastic dependence by a parameter for the joint retrieval of multiple source attributes together with parameters for stochastically independent retrieval. The new model is equivalent to a previous multinomial model of multidimensional source memory for a subset of the parameter space. An empirical application illustrates the advantages of the new multinomial model of joint source recognition. The new model allows for a direct comparison of joint source retrieval across conditions, it avoids statistical problems due to inflated confidence intervals and does not imply a conceptual imbalance between source dimensions. Model selection criteria that take model complexity into account corroborate the new model of joint source recognition.

Three-Dimensional Model for Virtual Surgical Simulation, during Complex Skull Base Surgery and Aneurysm Surgery

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Akio Morita ◽  
Toshikazu Kimura ◽  
Shigeo Sora ◽  
Kengo Nishimura ◽  
Hisayuki Sugiyama ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Simulation ◽  
Skull Base Surgery ◽  
Three Dimensional ◽  
Aneurysm Surgery ◽  
Dimensional Model ◽  
Three Dimensional Model

The Belt and Road Initiative and Sino-Russian economic cooperation: Is there one more chance for us?

2019 ◽  
pp. 47-71
Author(s):  
Petr M. Mozias
Keyword(s):  
Regional Integration ◽  
Raw Materials ◽  
Belt And Road Initiative ◽  
Stage Of Development ◽  
Belt And Road ◽  
Flexible Framework ◽  
The One ◽  
International Transactions ◽  
The Belt And Road ◽  
Current Stage

China’s Belt and Road Initiative could be treated ambiguously. On the one hand, it is intended to transform the newly acquired economic potential of that country into its higher status in the world. China invites a lot of nations to build up gigantic transit corridors by joint efforts, and doing so it applies productively its capital and technologies. International transactions in RMB are also being expanded. But, on the other hand, the Belt and Road Initiative is also a necessity for China to cope with some evident problems of its current stage of development, such as industrial overcapacity, overdependence on imports of raw materials from a narrow circle of countries, and a subordinate status in global value chains. For Russia participation in the Belt and Road Initiative may be fruitful, since the very character of that project provides us with a space to manoeuvre. By now, Russian exports to China consist primarily of fuels and other commodities. More active industrial policy is needed to correct this situation . A flexible framework of the Belt and Road Initiative is more suitable for this objective to be achieved, rather than traditional forms of regional integration, such as a free trade zone.

scholarly journals Otoskills training during covid-19 pandemic: a before-after study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maxime Fieux ◽  
Antoine Gavoille ◽  
Fabien Subtil ◽  
Sophie Bartier ◽  
Stéphane Tringali
Keyword(s):  
Surgical Training ◽  
Rating Scale ◽  
Surgical Simulation ◽  
Global Rating Scale ◽  
Middle Ear Surgery ◽  
Global Rating ◽  
Training Requirements ◽  
Significant Difference ◽  
Before And After ◽  
Total Performance

Abstract Background The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. The educational benefits of repeating ossiculoplasty simulations under a microscope have never been evaluated. With this study we aimed to evaluate the differences in performance scores and on a global rating scale before and after training on an ossiculoplasty simulator. Methods In this quasi-experimental, prospective, single-centre, before-after study with blinded rater evaluation, residents performed five microscopic ossiculoplasty tasks with a difficulty gradient (sliding beads onto rods, the insertion of a partial prosthesis, the insertion of a total prosthesis, and the insertion of a stapedotomy piston under microscopic or endoscopic surgery) before and after training on the same simulator. Performance scores were defined for each task, and total performance scores (score/min) were calculated. All data were collected prospectively. Results Six out of seven intermediate residents and 8/9 novices strongly agreed that the simulator was an effective training device and should be included in the ENT residency program. The mean effect of training was a significant increase in the total performance score (+ 0.52 points/min, [95 % CI, 0.40–0.64], p < 0.001), without a significant difference between novice and intermediate residents. Conclusions This preliminary study shows that techniques for middle-ear surgery can be acquired using a simulator, avoiding any risk for patients, even under lockdown measures.

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