Design of a Spatial Aid for Communication in Robotic Surgery

Author(s):  
Stacey Cunningham ◽  
Amine Chellali ◽  
Jose Banez ◽  
Caroline G. L. Cao

Robots are increasingly being incorporated into the clinical environment. In minimally invasive surgery, robots are used to hold the tools and camera at the operating table while the surgeon performs surgery at a console away from the rest of the surgical team, reducing the opportunity for face-to-face communication. As surgery is a team-oriented process in which surgeons, nurses, and anesthesiologists collaborate to achieve the common goal of delivering care to a patient, any barrier to communication can inhibit the team process required in surgery. This study examined surgeon-nurse spatial communication in a collaborative surgical task in a controlled experiment. It was hypothesized that providing a spatial communication aid would improve performance time and reduce the amount of communication needed for the task. Fifteen dyads of surgeons or novices completed a simulated organ manipulation task using a laparoscopic trainer box in two viewing conditions: aligned (0°) and rotated (90°) camera view. Subjects were divided into 3 experimental groups: control, cardinal directional aid, and grid directional aid. Results show that experts were faster than novices, and the directional aids significantly facilitated task performance. While the volume of communication was not different across the three groups, there was a shift toward a more collaborative style of communication in the cardinal directions and grid conditions. The findings suggest that spatial communication aids can improve performance and promote collaboration in the robotic operating room.

Gesture ◽  
2005 ◽  
Vol 4 (2) ◽  
pp. 157-195 ◽  
Author(s):  
Jennifer Gerwing ◽  
Janet Bavelas

Hand gestures in face-to-face dialogue are symbolic acts, integrated with speech. Little is known about the factors that determine the physical form of these gestures. When the gesture depicts a previous nonsymbolic action, it obviously resembles this action; however, such gestures are not only noticeably different from the original action but, when they occur in a series, are different from each other. This paper presents an experiment with two separate analyses (one quantitative, one qualitative) testing the hypothesis that the immediate communicative function is a determinant of the symbolic form of the gesture. First, we manipulated whether the speaker was describing the previous action to an addressee who had done the same actions and therefore shared common ground or to one who had done different actions and therefore did not share common ground. The common ground gestures were judged to be significantly less complex, precise, or informative than the latter, a finding similar to the effects of common ground on words. In the qualitative analysis, we used the given versus new principle to analyze a series of gestures about the same actions by the same speaker. The speaker emphasized the new information in each gesture by making it larger, clearer, etc. When this information became given, a gesture for the same action became smaller or less precise, which is similar to findings for given versus new information in words. Thus the immediate communicative function (e.g., to convey information that is common ground or that is new) played a major role in determining the physical form of the gestures.


2022 ◽  
pp. 256-272
Author(s):  
Patrícia Rodrigues ◽  
Manuela Soares Rodrigues ◽  
Diana Pinheiro ◽  
Cecília Nunes

Health influences general well-being, and well-being affects future health. Oral health professionals report a decreased well-being and a higher burnout. This chapter measures and evaluates the perception of the health professional and the patient about factors of stress and well-being. It evaluates the strategies used to overcome the anxiety and stress that involve the meeting. Two surveys applied by questionnaire, with face-to-face and online dissemination, the first to patients and second to dentists, were done. Of the 245 patients, 46% consider themselves to be anxious. The instruments used in a clinical environment cause discomfort, and their noise is the predominant cause for this fear. Of the 306 dentists, 80% show the ability to face difficult situations. Finally, 90% have an awareness that contributes to the well-being of others. Oral health professionals should prepare themselves with techniques to develop a therapeutic relationship that is more positive, calm, and less stressful.


2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i37-i37
Author(s):  
E R Bodger ◽  
K Ibrahim ◽  
H C Roberts

Abstract Introduction People with Parkinson’s (PwP) and their caregivers often report poor diagnosis experiences and a lack of information, support and control over Parkinson’s. First Steps is a two-day course delivered by volunteers with Parkinson’s, which aims to help those newly diagnosed and their caregivers face the future positively and take control of Parkinson’s. This study aimed to capture the views and experiences of participants and volunteer hosts of First Steps, and evaluate if it meets those aims. Methods Using purposive sampling, twelve participants comprising four PwP, five caregivers and three volunteer hosts were recruited. Face-to-face, semi-structured interviews were conducted, audio-recorded, transcribed verbatim and analysed thematically. Results Course participants found First Steps informative, supportive, and helpful in feeling more positive about Parkinson’s. Participants were reassured by the hosts having Parkinson’s, despite prior concerns regarding seeing people who might have more advanced Parkinson’s. Some found First Steps more relatable than other support services and reported that the course complemented clinician-led courses as the content was aimed at caregivers as well as PwP, with variation in information delivery techniques. Among the PwP and caregivers, two thirds reported a lack of control over Parkinson’s and some felt First Steps had improved their control. Hosts felt they had control over Parkinson’s and perceived their role to be both challenging and rewarding. Conclusions First Steps was perceived as a helpful course, offering information and support for those newly diagnosed and their caregivers in a positive and non-clinical environment. Volunteer hosts felt more control over Parkinson’s than other participants, but there was evidence that the course helped some experience more control. Suggested course improvements included: additions to the presentation content with more emphasis on taking control, and offering group follow up sessions. This will inform current expansion across the UK.


2015 ◽  
Vol 4 (1) ◽  
pp. 137-140
Author(s):  
Zhou Mingqiang

Pragmatic function and cognitive characteristics of discourse markers of complaintsDiscourse markers of complaints, mainly including ‘zhēnshì/yě zhēnshì’ (‘really / is really’), ‘zhēnshìde /yě zhēnshìde’ (‘really / is really’), ‘hébì ne’ (‘why bother’), ‘hékǔ ne’ (‘why bother’), ‘zhìyù mā’ (‘need you …’), ‘nǐ kàn nǐ’ (‘look at you’), ‘bù shì wǒ shuō nǐ’ (‘I want to remind you’), ‘bù shì wǒ V nǐ’ (‘I want to VERB you’), ‘kàn / qiáo nǐ shuōde’ (‘well, listen to you’), ‘nǐ zhè ge / zhè zhǒng rén a’ (‘oh, the likes of you’), ‘zài zěnme shuō’ (‘anyway’), etc., express complaint feelings.The pragmatic frame of discourse markers of complaints includes WHOM, WHY and WHAT, among which WHOM and WHAT are two vital factors. People usually complain in three cases: first is to complain behind the back of an interlocutor, which is graver than the second, to complain face to face; third is to complain about oneself, which is usually in a light way or just to boast with sly humor. The cause of complaints is sometimes identical to the content to be complained about, including complaining interlocutors’ behavior and its consequences, interlocutors’ thought and speech, among which the complaints about interlocutors’ behaviors and its consequences are more common than the complaints about interlocutors’ thought and speech. Different discourse markers of complaints might intensify, weaken or even alleviate the complaining feelings. Depending on different complaining interlocutors and the content to be complained about, the speakers choose corresponding discourse markers of complaints to make the complaining content fit their feelings. The sentiments of complaints can be classified into following categories: the first is a self-compliment, a false complaint concealing actual praise; the second is caring displeasure, a tender complaint with sympathy, friendliness and affection to remind the addresser of inappropriateness; the third is blaming in different degrees, a complaint of criticism with an excuse in a stern tone, or that of disapproval with no excuse in the same tone, or that of mocking in a teasing tone, as well as that of self-reproach, of persuasion, of rejection, of marked ellipsis with no gist and ground of the blame, etc. The sentiments of complaint may be expressed with the marked speech with criticism and blame at the fore, while the marked speech is indispensible from the changeable context of complaints due to a wide variety of complainees.The objects to be complained about can be the interlocutors, the speaker him/herself and the facts. When the object to be complained about is the interlocutor, the speaker may complain to them face to face, or behind their back; when an object to be complained about is facts, the complaints will be with a lighter tone, and only with comments and descriptions on the facts; when the object to be complained about is the speaker him/herself, the complaints will be with lightest tone. The discourse markers of complaints are usually used in the negative contexts, mainly by 4 means: first is to use negative sentences, second is to use contrast expressions, third is to use rhetorical questions, fourth is to use some other special expression, such as Chinese idioms ‘duì niú tán qín’ (‘play the lute to a cow’), ‘diū rén xiàn yǎn’ (‘disgraced’) etc., or commentary adverbs, such as ‘chàdiǎner’ (‘almost’), ‘jiǎnzhí’ (‘simply’), ‘lǎoshì’ (‘always’), ‘hébì’ (similar to ‘why must...’),or sentence constructions with negative connotation, such as ‘lián…dōu’,‘gēnběn bù…’,‘yě tài…’ etc. When discourse markers are used in the negative contexts, the scale of complaining tone is like this (from heavy to light): rhetorical question sentence > negative sentence > contrast sentence > other sentence.To choose the right discourse markers of complaints, the speakers must correctly understand the functions of the corresponding discourse markers. Meanwhile, listeners can catch the speakers’ real implication by seizing the characteristics of the discourse markers of complaints.The discourse markers of complaints can be researched in terms of the following aspects: the impacts of contexts, the common and distinct functions of the complaint markers, and the convergence of cognition on the pragmatic function.


2015 ◽  
Vol 5 (3) ◽  
pp. 67 ◽  
Author(s):  
George Peter Banky ◽  
Aaron S Blicblau

Experimental learning, traditionally conducted in on-campus laboratory venues, is the cornerstone of science and engineering education. To satisfy online student and accreditation requirements, the common practice has been to offer equivalent remote and/or simulated laboratory experiments in lieu of the ones delivered, face-to-face, on campus. The current implementations of both remote and simulated laboratories tend to be specified with a focus on technical characteristics, instead of pedagogical requirements. This work attempts to redress this situation by detailing a framework for the investigation of quality teaching and learning in existing and proposed experimental educational environments. For the tertiary education sector, involved with technical or scientific training, a tool capable of comparatively assessing the pedagogical limitations of laboratory venues is an important aid during the planning, designing and evaluating stages of face-to-face and online environments that facilitate student experimentation. Providing quality experimental learning venues has been identified as one of the distance-education providers’ greatest challenges.


2018 ◽  
Vol 26 (1) ◽  
pp. 85-98 ◽  
Author(s):  
Valo Vähäpassi

While some scholars have addressed the common cultural tropes about trans people, the way media might sometimes legitimate violence against trans people, and even take part in forms of violence, has not been analysed. This is what this article sets out to do, through an examination of how a verbal and physical attack against black trans women, videotaped and uploaded on a platform for user-generated entertainment, was framed in a way which repeated the symbolic violence (reality enforcement) already at play in the physical (face-to-face) encounter. The article addresses the way this depiction of real violence, framed as entertainment, and coupled with identity invalidation both legitimizes physical violence and delegitimizes black trans feminine people as victims of violence.


2020 ◽  
Vol 5 (SI2) ◽  
pp. 35-41
Author(s):  
Siti Rashidah Mohd Nasir ◽  
Azmi Ibrahim ◽  
Rohana Hassan ◽  
Halilah Haron ◽  
Siti Hafizan Hassan ◽  
...  

The common issues of energy services related to customers’ complaints are delays in billing, inaccurate consumption measurement, lack of breakdown information, lack of real-time billing, and energy consumption.  A questionnaire survey was conducted using face-to-face methods during the pre-installation phase to determine the customers’ awareness, acceptance, knowledge, and benefits in using smart meters. The findings show that 69.6% of the customers are aware that the use of energy-efficient appliances can save electricity. This study shows that the customers, regardless of demographic profiles and background, portrayed overall good awareness of the smart metering and smart living concept.  Keywords: Awareness, Acceptance, Benefit, Smart Meter  eISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5iSI2.2519.


2021 ◽  
Author(s):  
A.Zh. Esbulatova ◽  
K.N. Voinov

Teaching is the constant process in our life. It makes our parents, teachers/pedagogues at school or in the universities, mentors, experts, coaches, well-known academic, preachers and so on. The additional such factor maybe (and do indeed) Internat. Moreover, the common link among people is essentially exchanged as well. Many persons prefer have short conversation using SMS-communications, and it isn’t face-to-face unfortunately. In any transport (metro, bus, trolleybus) a man seeks interesting or useful information but has not noticed persons’ associates. It’s not good. We can see the next negative situation at home in a family. For example: let’s suppose that one student arrived home. Members of his family ask him about his routine business. And they usually here that everything is OK. Even during his eating, he tries to read the information which he sees in his mobile telephone or in the planetable. Besides, he sends different short communications and gives answers. There are not any friendly dialogs with his family (father, mother, grandfather, grandmother, brother or sister). That’s why in this article you can understand the new way how to exchange such negative situation in full.


Author(s):  
Dickon Bevington ◽  
Peter Fuggle ◽  
Liz Cracknell ◽  
Peter Fonagy

The first quadrant of the AMBIT wheel is presented, focusing on mentalizing in face-to-face client work. The “therapist’s mentalizing stance” (first developed in mentalization-based treatment) is described—behavioral prompts promoting a “way of being with” the client to foster mentalizing. Next, the “Mentalizing Loop” is described: a sequence of activities providing structure for sessions. Common sources of “unbalance” in the work are explored that can make it stressful; this is particularly expressed in the common tension between “Scaffolding existing relationships” and “Managing risk,” two often apparently contradictory elements of AMBIT’s principled stance. Broadcasting intentions, and other explicit mentalizing techniques, are presented, leading on to a presentation of the AMBIT wheel from the client’s perspective, emphasizing parallel helping processes between worker and client. The place of other (non mentalization-based) specific evidence-based interventions within AMBIT frameworks is discussed. Risk assessment, and the tension between support and challenge, is described.


2020 ◽  
Vol 6 (4) ◽  
pp. 785-812
Author(s):  
Gökhan Yılmaz ◽  
Doğuş Kılıçarslan ◽  
Meltem Caber

Purpose As one of the United Nations Educational, Scientific and Cultural Organization initiatives, the creative cities network (CCN) declares the cities that are creative in the contexts of music, gastronomy, design, etc., with the aim of promoting cooperation amongst the member cities and maintaining sustainable urban development. This study aims to identify the destination food image of Gaziantep in Turkey, which is a member gastronomy city of the CCN since 2015. Identified destination food image elements were connected to the common targets of the CCN to show how the city may contribute to the network objectives. Design/methodology/approach A two-stage research process was used in the study. First, qualitative approach was adopted for the clarification of projected and perceived destination food image elements. Projected image elements were derived from a content analysis performed on a totally 113 official, semi-official and unofficial online documents in Turkish and English. Perceived destination food image elements were identified by face-to-face interviews, conducted on 10 participants. As a result, 18 projected and 20 perceived destination food image elements were obtained. These were then grouped under 4 main and 22 sub-categories. At the second stage, destination food image elements were matched with common targets of the CCN. Findings Destination food image elements, obtained by two qualitative studies, are grouped under 4 main and 22 sub-categories as follows: gastronomic identity (with sub-categories of destination’s identity and local culinary culture); diversity of the destination (with sub-categories of attractiveness of the local food, ease of promotion and high brand value); gastronomic attractions (with sub-categories of restaurants and cafes, culinary museums, farmer markets, orchards, gastronomy tours, gastronomy events (e.g. festivals, competitions), culinary education, books on gastronomy, certification systems, organizations, street foods and vendors and handmade or homemade foods); and qualified workforce and stakeholders (with sub-categories of expert chefs and cooks, specialist suppliers, service personnel, locals and local authorities). These are then connected to the common CCN targets (e.g. cuisine, tourism and festivals; extension of the creative value chain; fostering cultural creativity; and sustainability). Originality/value This is one of the early research attempts in examining a member gastronomy city’s food image elements and the role that they played in the success of the CCN’s common targets. Moreover, the study contributes to the literature on the identification of (projected and perceived) destination food image by using content analysis.


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