scholarly journals The Role of Simulator Promis2 in Learning Laparoscopic Skill

2009 ◽  
Vol 48 (175) ◽  
Author(s):  
Suman K Shrestha ◽  
T Nomura ◽  
T Tajiri ◽  
I Akagi ◽  
R Aso ◽  
...  

Introduction: Laparoscopic surgery is unique and complex in nature, so the training is necessarybefore proceeding to operation room. Many computer aided simulators have been developed forthe purpose. Our objective is to assess the improvement of basic laparoscopic skills after training insimulator.Methods: The fi fth year medical students underwent training of three laparoscopic skills usingPromis2 simulator twice weekly for 4-6 weeks. The skills are laparoscopic orientation, target pointingand objects transferring. Time, path length of instruments and economy of movements were recorded.The comparisons were made for these parameters between session fi rst and the last using a Mann-Whitney U test.Results: Ten volunteers completed the exercises in less time (186.3±55.4 seconds) than the fi rstexercise (215.7±57.4 seconds) (P=0.0027). Both the right and left hand instrument path lengths werealso improved from 4425.8±1284.3 mm in the fi rst exercise to 3925.3±1313.6 mm in the last exercisein the left side (P=0.0219) and likewise from 4273.8±1859.4 mm to 3831.3±1717.4 mm in the right side(P=0.0027). Economy of the movement in the left handed instrument improved from 1114.4±453.5mm in the fi rst exercise to 966.8±411.1 mm in the last (P=0.0443) and in the right handed instrumentfrom 845±398.8 mm to 771.4±370.5 mm according to the software of Promis2 simulator (P >0.005).Conclusions: Training in Promis2 simulator improves the basic laparoscopic skills. The candidatesbecome consistently faster with shorter path lengths and had smoother instruments movements.They also became signifi cantly more consistent in their performance.Key Words: laparoscopy, promis2, simulator, training

2008 ◽  
Vol 107 (2) ◽  
pp. 497-506
Author(s):  
P. S. B. Sarma

The purpose of the study was to replicate findings of an earlier study of fourth grade boys manifesting mixed handedness with a sample. Among 32 mixed-handed boys in Grades 6 to 8, the right-handed writer, left-handed thrower group obtained low spelling scores (Normal Curve Equivalent Scores) on the California Achievement Test significantly more frequently than the left-handed writer, right-handed thrower group. These findings are consistent with data for Grade 4 boys in the earlier study. Findings strengthen the hypotheses that mixed handedness is not a unitary neuropsychological entity and that boys who write with the right hand and throw with the left hand might be at risk for certain academic deficits.


2022 ◽  
Vol 8 (1) ◽  
pp. 257-262
Author(s):  
Vionita Putri ◽  
Elda Irma Jeanne Joice Kawulur ◽  
Febriza Dwiranti ◽  
Sabarita Sinuraya ◽  
Sita Ratnawati

Human has a preference to use their hands for various manual activities. Left-handed preference is people who tend to use their left hand to perform various manual activities, while right-handed people tend to use right-handed. Any researches show that the left-handed preference for more creativity was influenced by the dominant use of the right brain and bigger corpus callosum. The research aims to determine the percentage of left-handed preference and their creativity in Universitas Papua, Manokwari Papua Barat. The method used in this research is the descriptive method. Data collection used a questionnaire to evaluate individual hand preference using Handedness Questionnaire and to determine individual creativity using Adjective Check List. The percentage of left-handed people in UNIPA were 9.3% or lower than right-handed and higher than ambidextrous. Our study supports the statement about selection in handedness in the traditional society which showed a higher percentage of left-hander as advantages related to using hand intensively.  The percentage of left-handed males and females was almost equal and strongly left-handed was higher in females. The percentage of creative people was higher in left-handed, especially in males


Author(s):  
Tsymbalista L.R.

Валентність предиката має вирішальний вплив на структуру речення. Хоча активний і пасивний варіанти речення опису-ють одну й ту ж ситуацію, предикат проходить крізь трансформацію, яка тісно пов’язана з явищем валентності. У цій статті проаналізовано валентність предиката та її вплив на цю трансформацію у німецькій та українській мовах на прикладах із сучасної літератури.Мета. Метою статті є порівняння трансформації «актив – пасив» у німецькій та українській мовах та опис ролі валентності у цьому процесі.Методи. Для проведення дослідження було зібрано методом суцільної вибірки приклади пасивних конструкцій із сучас-них художніх текстів німецькою та українською мовами, які опісля було оброблено та проаналізовано з використанням типо-логічного, зіставного, описового методів, а також методу моделювання.Валентність предиката проявляється у його здатності формувати зв’язки з іншими елементами в реченні та дає змогу передбачити додаткові позиції у синтаксичній структурі речення, які можуть бути заповнені обов’язковими чи факультатив-ними компонентами. Для предиката властиві два типи валентності, які залежать від позиції поширювачів у реченні. Якщо лівобічну позицію переважно пов’язують із суб’єктом, то правобічна зазвичай стосується актантів з об’єктним, адресатним, локативним чи інструментальним значеннями.Результати. Зважаючи на те, що одна й та ж функція пасивних конструкцій у німецькій та українській мовах реалізується різними формами, валентні зміни у кожній з конструкцій мають свої особливості. Спільною рисою цих перетворень виступає зменшення облігаторних актантів на одну одиницю, яка може бути заповнена факультативно у разі комунікативної потреби у інформації про виконавця дії.Висновки. Можна зробити висновок, що валентність предиката є багатогранним феноменом, що підлягає впливу не лише формально-граматичних, а й семантико-синтаксичних чинників, а також мовленнєвої ситуації загалом. Відповідно, змін у валентності предикатів протягом трансформації з активу у пасив не можна уникнути. The valence of the predicate has a decisive effect on the structure of the sentence. Although the active and passive variant of the sentence describes the same situation, the predicate goes through a transformation that also has to do with valence. This article analyzes the valency of the predicate and its influence on such transformation in German and Ukrainian based on the examples from modern literature.Purpose. The purpose of the article is to compare the active-passive transformation in German and Ukrainian and to describe the role of valence in this process.Methods. For the research, we collected the examples of passive constructions from modern fiction in German and Ukrainian using the continuous sampling method, which were then processed and analyzed using typological, comparative, descriptive methods as well as the modelling method.The valence of the predicate verb shows in its ability to connect with other sentence elements and enables the prediction of the additional positions in the syntactic structure of the sentence, which can be supplemented by mandatory or optional components. The predicate is characterized by two types of valence, which depend on the position of the fillers in the sentence: the left-hand position is mainly connected the subject of the utterance, and the right-hand position has to do with actants which define object, addressee, location or have instrumental meaning.Results. Due to the fact that the same function of passive constructions in German and Ukrainian is realized in different forms, the valence changes in each of the constructions have their own features. A common feature of these transformations is the reduction of obligatory actants by one unit, which can be filled in optionally in case of communicative need for information about the performer of the action.Conclusions. We reach the conclusion that the valence of the predicate is a multilevel phenomenon that is influenced not only by formal grammatical but also by semantic and syntactic factors as well as the language situation in general. Accordingly, changes in the valence of predicates during the active-passive transformation are inevitable.


1971 ◽  
Vol 43 ◽  
pp. 65-70
Author(s):  
Richard B. Dunn

The Sac Peak magnetograph (DZA) has been modified from Evans' original scheme so that it measures the displacement of the right and left hand circularly polarized lines separately. The computer reduction calculates the Zeeman and radial velocity signals. A grating servo system has been added to correct for slow temperature drifts in the spectrograph. A paper-tape reader controls the raster scan and the formatting of data on to magnetic tape.


1995 ◽  
Vol 80 (2) ◽  
pp. 671-674 ◽  
Author(s):  
Carl Gabbard ◽  
Susan Hart

Prior research has shown that right-handed adults perform better on a speed-tapping task with the right hand and right foot, while left-handers execute more rapidly with the left hand and right foot. Speculation is that environmental influence, most likely driving experience, may account for the right-foot bias. To examine this hypothesis further, 48 young right- and left-handed children were tested on a similar protocol. Analyses indicated no significant differences in foot performance within hand-preference groups. Since these findings do not complement reports for adults, factors such as experience or maturation might contribute to the difference. Were patterns similar, the effect of environmental influence would be assumed to be small. However, much more evidence is needed before an adequate explanation can be developed. The issue of possible environmental influence is discussed from various theoretical perspectives.


1988 ◽  
Vol 66 (2) ◽  
pp. 503-506 ◽  
Author(s):  
John R. Reddon ◽  
David M. Gill ◽  
Stephen E. Gauk ◽  
Marita D. Maerz

26 normal, self-reported dextral subjects (12 men, 14 women) were assessed with a Purdue Pegboard 5 times at weekly intervals to evaluate temporal stability and efficacy of lateralization with this test. There was a statistically significant increase in performance over time for men on the right- and left-hand placing subtests and for women on the assemblies subtest. For men/women the test-retest reliability over the 5 sessions averaged .63/.76 for the right-hand, .64/.79 for the left-hand, .67/.81 for both-hands, .81/.83 for assemblies, and .33/.22 for the right/left-hand ratio.


1989 ◽  
Vol 68 (3) ◽  
pp. 955-962 ◽  
Author(s):  
Heinz Krombholz

The connection between lateral dominance and force of handgrip was investigated by means of a repeated-measures design. 521 children participated. Performance on a paper-and-pencil task and force of handgrip were measured at the beginning of the first year at school and at the end of the first and of the second years at school. On the paper-and-pencil task 84% of the children were classified as right-handers, 8% as left-handers, and 8% as ambidexterous. About 2% of children classified as right-handers at the beginning of the first year at school were classified as left-handers at the end of the second year at school while 18% of left-handers shifted to right-handedness. 52% of children attained their best performance on handgrip with the right hand and 39% with the left hand. No differences could be found either for the right or for the left hand in force of handgrip between right- and left-handed and ambidexterous children. For right-handers, however, the more skilled hand showed superior performance in force of handgrip. These results indicate that left-handers are less strongly handed than right-handers.


2013 ◽  
Vol 20 (1) ◽  
pp. 10-17
Author(s):  
R. O Magomedov ◽  
G. I Mikusev ◽  
R. F Baykeev ◽  
I. E Mikusev ◽  
A. E Nikitina

Analysis of Dupuytren’s contracture (DC) surgical treatment efficacy according to the Tatarstan Republic DC Register (258 patients, 343 hands) was performed. Partial wedge-shaped excision of palmar aponeurosis was the most common intervention on both the right and left hand. Late (1 year and over) postoperative complications (POC) — relapse, dissemination, progression were detected in 41.8% of patients at terms up to 15 years. Presence of POC on the operated hand caused disturbance of its function in 11.9% of cases on the right and 16.3% of cases on the left. Curability from DC made up 34.9 — 73.8% depending on the operated hand. Complete restoration of hand function was achieved in 22.2—100% of observations. Surgical treatment of DC enabled to ensure favorable patient’s condition at term 1 year and over in 67.5 and 59.9% of cases on the right and left hand respectively.


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