scholarly journals Movement-level process modeling of microsurgical bimanual and unimanual tasks

2021 ◽  
Author(s):  
Jani Koskinen ◽  
Antti Huotarinen ◽  
Antti-Pekka Elomaa ◽  
Bin Zheng ◽  
Roman Bednarik
Keyword(s):  
Process Model ◽  
Objective Evaluation ◽  
Process Models ◽  
Surgical Instruments ◽  
Left Hand ◽  
Surgical Process Model ◽  
Surgical Trainees ◽  
Hand Tool ◽  
Novices And Experts ◽  
The Right

Abstract Purpose Microsurgical techniques require highly skilled manual handling of specialized surgical instruments. Surgical process models are central for objective evaluation of these skills, enabling data-driven solutions that can improve intraoperative efficiency. Method We built a surgical process model, defined at movement level in terms of elementary surgical actions ($$n=4$$ n = 4 ) and targets ($$n=4$$ n = 4 ). The model also included nonproductive movements, which enabled us to evaluate suturing efficiency and bi-manual dexterity. The elementary activities were used to investigate differences between novice ($$n=5$$ n = 5 ) and expert surgeons ($$n=5$$ n = 5 ) by comparing the cosine similarity of vector representations of a microsurgical suturing training task and its different segments. Results Based on our model, the experts were significantly more efficient than the novices at using their tools individually and simultaneously. At suture level, the experts were significantly more efficient at using their left hand tool, but the differences were not significant for the right hand tool. At the level of individual suture segments, the experts had on average 21.0 % higher suturing efficiency and 48.2 % higher bi-manual efficiency, and the results varied between segments. Similarity of the manual actions showed that expert and novice surgeons could be distinguished by their movement patterns. Conclusions The surgical process model allowed us to identify differences between novices’ and experts’ movements and to evaluate their uni- and bi-manual tool use efficiency. Analyzing surgical tasks in this manner could be used to evaluate surgical skill and help surgical trainees detect problems in their performance computationally.

scholarly journals Improving the performance of process discovery algorithms by instance selection

2020 ◽  
Vol 17 (3) ◽  
pp. 927-958
Author(s):  
Mohammadreza Sani ◽  
Sebastiaan van Zelst ◽  
Aalst van der
Keyword(s):  
Process Model ◽  
Business Processes ◽  
Process Models ◽  
Instance Selection ◽  
Event Data ◽  
Process Discovery ◽  
Selection Strategies ◽  
Speed Up ◽  
The Right ◽  
Discovery Algorithms

Process discovery algorithms automatically discover process models based on event data that is captured during the execution of business processes. These algorithms tend to use all of the event data to discover a process model. When dealing with large event logs, it is no longer feasible using standard hardware in limited time. A straightforward approach to overcome this problem is to down-size the event data by means of sampling. However, little research has been conducted on selecting the right sample, given the available time and characteristics of event data. This paper evaluates various subset selection methods and evaluates their performance on real event data. The proposed methods have been implemented in both the ProM and the RapidProM platforms. Our experiments show that it is possible to considerably speed up discovery using instance selection strategies. Furthermore, results show that applying biased selection of the process instances compared to random sampling will result in simpler process models with higher quality.

Surgical Workflow Management Schemata for Cataract Procedures

2012 ◽  
Vol 51 (05) ◽  
pp. 371-382 ◽  
Author(s):  
P. Liebmann ◽  
P. Wiedemann ◽  
J. Meixensberger ◽  
T. Neumuth
Keyword(s):  
Process Model ◽  
Workflow Management ◽  
Surgical Techniques ◽  
High Variability ◽  
Process Models ◽  
Work Flow ◽  
Surgical Workflow ◽  
Design And Implementation ◽  
Surgical Process Model ◽  
Learning Sets

SummaryObjective: Workflow guidance of surgical activities is a challenging task. Because of variations in patient properties and applied surgical techniques, surgical processes have a high variability. The objective of this study was the design and implementation of a surgical workflow management system (SWFMS) that can provide a robust guidance for surgical activities. We investigated how many surgical process models are needed to develop a SWFMS that can guide cataract surgeries robustly.Methods: We used 100 cases of cataract surgeries and acquired patient-individual surgical process models (iSPMs) from them. Of these, randomized subsets iSPMs were selected as learning sets to create a generic surgical process model (gSPM). These gSPMs were mapped onto workflow nets as work-flow schemata to define the behavior of the SWFMS. Finally, 10 iSPMs from the disjoint set were simulated to validate the workflow schema for the surgical processes. The measurement was the successful guidance of an iSPM.Results: We demonstrated that a SWFMS with a workflow schema that was generated from a subset of 10 iSPMs is sufficient to guide approximately 65% of all surgical processes in the total set, and that a subset of 50 iSPMs is sufficient to guide approx. 80% of all processes.Conclusion: We designed a SWFMS that is able to guide surgical activities on a detailed level. The study demonstrated that the high inter-patient variability of surgical processes can be considered by our approach.

scholarly journals Strategies to Automatically Derive A Process Model From A Configurable Process Model Based on Event Data

2017 ◽  
Author(s):  
Mauricio Arriagada-Benítez ◽  
Marcos Sepúlveda ◽  
Jorge Munoz-Gama ◽  
Joos C. A. M. Buijs
Keyword(s):  
Process Model ◽  
Business Processes ◽  
Discrete Event ◽  
Search Space ◽  
Process Models ◽  
Greedy Heuristic ◽  
Event Data ◽  
Case Scenario ◽  
Erp System ◽  
The Right

Configurable process models are frequently used to represent business workflows and other discrete event systems among different branches of large organizations: they unify commonalities shared by all branches and describe their differences, at the same time. The configuration of such models is usually done manually, which is challenging. On the one hand, when the number of configurable nodes in the configurable process model grows, the size of the search space increases exponentially. On the other hand, the person performing the configuration may lack the holistic perspective to make the right choice for all configurable nodes at the same time, since choices influence each other. Nowadays, information systems that support the execution of business processes create event data reflecting how processes are performed. In this article, we propose three strategies (based on exhaustive search, genetic algorithms, and greedy heuristic) that use event data to automatically derive a process model from a configurable process model that better represents the characteristics of the process in a specific branch. These strategies have been implemented in our proposed framework, and tested in both business-like event logs as recorded in a higher educational ERP system, and a real case scenario involving a set of Dutch municipalities.

scholarly journals Business Process Model Variations in Islamic Boarding Schools Using Requirements Analysis Method

2020 ◽  
Vol 3 ◽  
pp. 183-188
Author(s):  
Fitri Nuriyanti ◽  
Iffatul Izzah ◽  
Munajatul Azizah ◽  
Muhammad Ainul Yaqin
Keyword(s):  
Business Process ◽  
Process Model ◽  
System Development ◽  
Boarding School ◽  
Requirements Analysis ◽  
Process Models ◽  
Analysis Method ◽  
Business Process Models ◽  
System Analyst ◽  
The Right

The business process at a boarding school is a collection of all the detailed activities that have been arranged in such a way as to solve the existing problems so that the objectives set can be met. There are development standards that can be used as a reference to build architecture and business process models at a boarding school. Every business process has planned many ways to be able to obtain goals precisely. Therefore variations are formed in the business process models. Business process models of variations are a collection of business process models that have the same goals in different ways. Variations in the business process models are needed to achieve the right goals in a variety of ways according to existing resources and needs. From all reviews of the variations, it is necessary to have a cyclomatic complexity to find out how complex the business process models is and to maintain the simplicity of the business process models. This study uses the requirements analysis method, which is the intensive interaction stage between the system analyst and the system user community (end-user), where the system development team shows its expertise to get user feedback and confidence so that it gets good participation. The results of this study are a collection of variations of business process models that have a level of complexity not much different from one variation, with another on each standard applied.

Editorial Note

1946 ◽  
Vol 11 (1) ◽  
pp. 2-2
Keyword(s):  
Editorial Note ◽  
Speech Sounds ◽  
Left Hand ◽  
Hand Column ◽  
Right Hand ◽  
Infant Speech ◽  
The Right

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.

Is the Future the Right Time?

2010 ◽  
Vol 57 (4) ◽  
pp. 308-314 ◽  
Author(s):  
Marc Ouellet ◽  
Julio Santiago ◽  
Ziv Israeli ◽  
Shai Gabay
Keyword(s):  
Auditory Task ◽  
English Speakers ◽  
Visual Modality ◽  
Opposite Pattern ◽  
Time Line ◽  
Temporal Reference ◽  
Left Hand ◽  
Reading Direction ◽  
Mental Time Line ◽  
The Right

Spanish and English speakers tend to conceptualize time as running from left to right along a mental line. Previous research suggests that this representational strategy arises from the participants’ exposure to a left-to-right writing system. However, direct evidence supporting this assertion suffers from several limitations and relies only on the visual modality. This study subjected to a direct test the reading hypothesis using an auditory task. Participants from two groups (Spanish and Hebrew) differing in the directionality of their orthographic system had to discriminate temporal reference (past or future) of verbs and adverbs (referring to either past or future) auditorily presented to either the left or right ear by pressing a left or a right key. Spanish participants were faster responding to past words with the left hand and to future words with the right hand, whereas Hebrew participants showed the opposite pattern. Our results demonstrate that the left-right mapping of time is not restricted to the visual modality and that the direction of reading accounts for the preferred directionality of the mental time line. These results are discussed in the context of a possible mechanism underlying the effects of reading direction on highly abstract conceptual representations.

Politikvermittlung an der Schnittstelle von Unterhaltung und Information : Political communication at the interface of entertainment and information

SPIEL ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 121-145
Author(s):  
Larissa Leonhard ◽  
Anne Bartsch ◽  
Frank M. Schneider
Keyword(s):  
Information Processing ◽  
Political Participation ◽  
Knowledge Acquisition ◽  
Political Communication ◽  
Information Seeking ◽  
Process Model ◽  
Political Information ◽  
Process Models ◽  
Dual Process ◽  
Dual Process Model

This article presents an extended dual-process model of entertainment effects on political information processing and engagement. We suggest that entertainment consumption can either be driven by hedonic, escapist motivations that are associated with a superficial mode of information processing, or by eudaimonic, truth-seeking motivations that prompt more elaborate forms of information processing. This framework offers substantial extensions to existing dual-process models of entertainment by conceptualizing the effects of entertainment on active and reflective forms of information seeking, knowledge acquisition and political participation.

scholarly journals Hand Preference and Performance in Basketball Tasks

2019 ◽  
Vol 16 (22) ◽  
pp. 4336 ◽  
Author(s):  
Emanuela Gualdi-Russo ◽  
Natascia Rinaldo ◽  
Alba Pasini ◽  
Luciana Zaccagni
Keyword(s):  
Professional Training ◽  
Factor Model ◽  
Hand Preference ◽  
Control Group ◽  
Basketball Players ◽  
Confirmatory Factor Analyses ◽  
Left Hand ◽  
Confirmatory Factor ◽  
And Performance ◽  
The Right

The aims of this study were to develop and validate an instrument to quantitatively assess the handedness of basketballers in basketball tasks (Basketball Handedness Inventory, BaHI) and to compare it with their handedness in daily activities by the Edinburgh Handedness Inventory (EHI). The participants were 111 basketballers and 40 controls. All subjects completed the EHI and only basketballers filled in the BaHI. To validate the BaHI, a voluntary subsample of basketballers repeated the BaHI. Exploratory and confirmatory factor analyses supported a two-factor model. Our results show that: (i) Handedness score (R) in daily actions did not differ between basketball players (R by EHI = 69.3 ± 44.6) and the control group (R by EHI = 64.5 ± 58.6); (ii) basketballers more frequently favored performing certain sport tasks with the left hand or mixed hands (as highlighted by R by BaHI = 50.1 ± 47.1), although their choice was primarily the right hand in everyday gestures; and (iii) this preference was especially true for athletes at the highest levels of performance (R by BaHI of A1 league = 38.6 ± 58.3) and for those playing in selected roles (point guard’s R = 29.4 ± 67.4). Our findings suggest that professional training induces handedness changes in basketball tasks. The BaHI provides a valid and reliable measure of the skilled hand in basketball. This will allow coaches to assess mastery of the ball according to the hand used by the athlete in the different tasks and roles.

scholarly journals Digit Variability in Carotenoid Scores Obtained with the Veggie Meter: A Pilot Study (P02-001-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Velarie Ansu ◽  
Stephanie Dickinson ◽  
Alyce Fly
Keyword(s):  
Indiana University ◽  
Left Hand ◽  
Funding Sources ◽  
Right Hand ◽  
Period Data ◽  
The Mean ◽  
The Right ◽  
Post Hoc ◽  
Main Effects ◽  
Mean Square Errors

Abstract Objectives To determine which digit and hand have the highest and lowest skin carotenoid scores, to compare inter-and-intra-hand variability of digits, and to determine if results are consistent with another subject. Methods Two subjects’ first(F1), second(F2), third(F3) and fifth(F5) digits on both hands were measured for skin carotenoids with a Veggie Meter, for 3 times on each of 18 days over a 37-day period. Data were subjected to ANOVA in a factorial treatment design to determine main effects for hand (2 levels), digits (4), and days (18) along with interactions. Differences between digits were determined by Tukey's post hoc test. Results There were significant hand x digit, hand x day, digit x day, and hand x digit x day interactions and significant simple main effects for hand, digit, and day (all P < 0.001). Mean square errors were 143.67 and 195.62 for subject A and B, respectively, which were smaller than mean squares for all main effects and interactions. The mean scores ± SD for F1, F2, F3, and F5 digits for the right vs left hands for subject A were F1:357.13 ± 45.97 vs 363.74 ± 46.94, F2:403.17 ± 44.77 vs. 353.20 ± 44.13, F3:406.76 ± 43.10 vs. 357.11 ± 45.13, and F5:374.95 ± 53.00 vs. 377.90 ± 47.38. For subject B, the mean scores ± SD for digits for the right vs left hands were F1:294.72 ± 61.63 vs 280.71 ± 52.48, F2:285.85 ± 66.92 vs 252.67 ± 67.56, F3:268.56 ± 57.03 vs 283.22 ± 45.87, and F5:288.18 ± 34.46 vs 307.54 ± 40.04. The digits on the right hand of both subjects had higher carotenoid scores than those on the left hands, even though subjects had different dominant hands. Subject A had higher skin carotenoid scores on the F3 and F2 digits for the right hand and F5 on the left hand. Subject B had higher skin carotenoid scores on F5 (right) and F1 (left) digits. Conclusions The variability due to hand, digit, and day were all greater than that of the 3 replicates within the digit-day for both volunteers. This indicates that data were not completely random across the readings when remeasuring the same finger. Different fingers displayed higher carotenoid scores for each volunteer. There is a need to conduct a larger study with more subjects and a range of skin tones to determine whether the reliability of measurements among digits of both hands is similar across the population. Funding Sources Indiana University.

scholarly journals Sea Surface Salinity Response to Tropical Cyclones Based on Satellite Observations

2021 ◽  
Vol 13 (3) ◽  
pp. 420
Author(s):  
Jingru Sun ◽  
Gabriel Vecchi ◽  
Brian Soden
Keyword(s):  
Tropical Cyclones ◽  
Sea Surface ◽  
Sea Surface Salinity ◽  
Surface Salinity ◽  
Translation Speed ◽  
Salinity Stratification ◽  
Left Hand ◽  
In Situ Data ◽  
Salinity Response ◽  
The Right

Multi-year records of satellite remote sensing of sea surface salinity (SSS) provide an opportunity to investigate the climatological characteristics of the SSS response to tropical cyclones (TCs). In this study, the influence of TC winds, rainfall and preexisting ocean stratification on SSS evolution is examined with multiple satellite-based and in-situ data. Global storm-centered composites indicate that TCs act to initially freshen the ocean surface (due to precipitation), and subsequently salinify the surface, largely through vertical ocean processes (mixing and upwelling), although regional hydrography can lead to local departure from this behavior. On average, on the day a TC passes, a strong SSS decrease is observed. The fresh anomaly is subsequently replaced by a net surface salinification, which persists for weeks. This salinification is larger on the right (left)-hand side of the storm motion in the Northern (Southern) Hemisphere, consistent with the location of stronger turbulent mixing. The influence of TC intensity and translation speed on the ocean response is also examined. Despite having greater precipitation, stronger TCs tend to produce longer-lasting, stronger and deeper salinification especially on the right-hand side of the storm motion. Faster moving TCs are found to have slightly weaker freshening with larger area coverage during the passage, but comparable salinification after the passage. The ocean haline response in four basins with different climatological salinity stratification reveals a significant impact of vertical stratification on the salinity response during and after the passage of TCs.

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