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 ◽  
...  

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.

2020 ◽  
Vol 70 (1) ◽  
pp. 54-59
Author(s):  
Zhi Zhu ◽  
Yonglin Lei ◽  
Yifan Zhu

Model-driven engineering has become popular in the combat effectiveness simulation systems engineering during these last years. It allows to systematically develop a simulation model in a composable way. However, implementing a conceptual model is really a complex and costly job if this is not guided under a well-established framework. Hence this study attempts to explore methodologies for engineering the development of simulation models. For this purpose, we define an ontological metamodelling framework. This framework starts with ontology-aware system conceptual descriptions, and then refines and transforms them toward system models until they reach final executable implementations. As a proof of concept, we identify a set of ontology-aware modelling frameworks in combat systems specification, then an underwater targets search scenario is presented as a motivating example for running simulations and results can be used as a reference for decision-making behaviors.


2010 ◽  
Vol 44-47 ◽  
pp. 3508-3513
Author(s):  
Wei Xia ◽  
Yi Ping Yao ◽  
Xiao Dong Mu ◽  
Fei Xing

The accuracy and credibility of model is the most important determinant of development of Modeling and Simulation (M&S). There is a desperate need for an immediate practical solution to the problem of VV&A (Validation, Verification and Accreditation) of simulation systems. A discussion and experiment of the relative merits of informal methods and formal methods are provided in this paper. In spite of increasing simulation speed via parallelization, the number of problem cases that can be covered is not highly increased. On the other hand, formal methods have proven to be valuable techniques, but they require detailed specifications of systems and requirements, therefore they are not very accessible in practical simulation systems development. According to the exhaustiveness of formal methods, a Model Driven Architecture (MDA) based simulation VV&A framework guided by model checking is presented in this paper. This framework combines scalability of simulation with exhaustiveness of formal methods in order to get the best of both worlds for simulation model verification. It can provide more confidence in simulation models and increase the use of formal methods in the context of M&S by people that are not trained in formal techniques.


Buildings ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 242
Author(s):  
Christoph Schünemann ◽  
David Schiela ◽  
Regine Ortlepp

Can building performance simulation reproduce measured summertime indoor conditions of a multi-residential building in good conformity? This question is answered by calibrating simulated to monitored room temperatures of several rooms of a multi-residential building for an entire summer in two process steps. First, we did a calibration for several days without the residents being present to validate the building physics of the 3D simulation model. Second, the simulations were calibrated for the entire summer period, including the residents’ impact on evolving room temperature and overheating. As a result, a high degree of conformity between simulation and measurement could be achieved for all monitored rooms. The credibility of our results was secured by a detailed sensitivity analysis under varying meteorological conditions, shading situations, and window ventilation or room use in the simulation model. For top floor dwellings, a high overheating intensity was evoked by a combination of insufficient use of night-time window ventilation and non-heat-adapted residential behavior in combination with high solar gains and low heat storage capacities. Finally, the overall findings were merged into a process guideline to describe how a step-by-step calibration of residential building simulation models can be done. This guideline is intended to be a starting point for future discussions about the validity of the simplified boundary conditions which are often used in present-day standard overheating assessment.


2014 ◽  
Vol 281 (1788) ◽  
pp. 20140812 ◽  
Author(s):  
William L. Romey ◽  
Magenta M. Miller ◽  
Jose M. Vidal

Coordinated group motion has been studied extensively both in real systems (flocks, swarms and schools) and in simulations (self-propelled particle (SPP) models using attraction and repulsion rules). Rarely are attraction and repulsion rules manipulated, and the resulting emergent behaviours of real and simulation systems are compared. We compare swarms of sensory-deprived whirligig beetles with matching simulation models. Whirligigs live at the water's surface and coordinate their grouping using their eyes and antennae. We filmed groups of beetles in which antennae or eyes had been unilaterally obstructed and measured individual and group behaviours. We then developed and compared eight SPP simulation models. Eye-less beetles formed larger diameter resting groups than antenna-less or control groups. Antenna-less groups collided more often with each other during evasive group movements than did eye-less or control groups. Simulations of antenna-less individuals produced no difference from a control (or a slight decrease) in group diameter. Simulations of eye-less individuals produced an increase in group diameter. Our study is important in (i) differentiating between group attraction and repulsion rules, (ii) directly comparing emergent properties of real and simulated groups, and (iii) exploring a new sensory modality (surface wave detection) to coordinate group movement.


2013 ◽  
Vol 309 ◽  
pp. 366-371 ◽  
Author(s):  
František Manlig ◽  
Radek Havlik ◽  
Alena Gottwaldova

This paper deals with research in computer simulation of manufacturing processes. The paper summarizes the procedures associated with developing the model, experimenting with and evaluating the model results. The key area is of experimentation with the simulation model and evaluation using indicators or multi-criteria functions. With regards to the experiment the crucial variables are the simulation model. The key ideas are to set the number of variables, depending on what a given simulation will be. For example, when introducing new technology into production, modify the type of warehouse, saving workers, thus economizing. The simulation models for the operational management uses simplified models, if possible, a minimum number of variables to obtain the result in shortest possible time. These models are more user friendly and the course will be conducted mostly in the background. An example of a criteria function is the number of parts produced or production time. Multi-criteria function has given us the opportunity to make better quality decisions. It is based on the composition of several parameters, including their weight to one end point. The type of evaluation functions, whether it is an indicator or criteria function is selected and based on customer requirements. In most cases it is recommended to use the multi-dimensional function. It gives us a more comprehensive view of the results from the model and facilitates decision-making. The result of this paper is a display of setting parameters for the experimentation on a sample model. Furthermore, the comparisons of results with a multi-criteria objective function and one-criterion indicator.


Author(s):  
Mahyar Asadi ◽  
Ghazi Alsoruji

Weld sequence optimization, which is determining the best (and worst) welding sequence for welding work pieces, is a very common problem in welding design. The solution for such a combinatorial problem is limited by available resources. Although there are fast simulation models that support sequencing design, still it takes long because of many possible combinations, e.g. millions in a welded structure involving 10 passes. It is not feasible to choose the optimal sequence by evaluating all possible combinations, therefore this paper employs surrogate modeling that partially explores the design space and constructs an approximation model from some combinations of solutions of the expensive simulation model to mimic the behavior of the simulation model as closely as possible but at a much lower computational time and cost. This surrogate model, then, could be used to approximate the behavior of the other combinations and to find the best (and worst) sequence in terms of distortion. The technique is developed and tested on a simple panel structure with 4 weld passes, but essentially can be generalized to many weld passes. A comparison between the results of the surrogate model and the full transient FEM analysis all possible combinations shows the accuracy of the algorithm/model.


Author(s):  
Dheeraj Agarwal ◽  
Linghai Lu ◽  
Gareth D. Padfield ◽  
Mark D. White ◽  
Neil Cameron

High-fidelity rotorcraft flight simulation relies on the availability of a quality flight model that further demands a good level of understanding of the complexities arising from aerodynamic couplings and interference effects. One such example is the difficulty in the prediction of the characteristics of the rotorcraft lateral-directional oscillation (LDO) mode in simulation. Achieving an acceptable level of the damping of this mode is a design challenge requiring simulation models with sufficient fidelity that reveal sources of destabilizing effects. This paper is focused on using System Identification to highlight such fidelity issues using Liverpool's FLIGHTLAB Bell 412 simulation model and in-flight LDO measurements from the bare airframe National Research Council's (Canada) Advanced Systems Research Aircraft. The simulation model was renovated to improve the fidelity of the model. The results show a close match between the identified models and flight test for the LDO mode frequency and damping. Comparison of identified stability and control derivatives with those predicted by the simulation model highlight areas of good and poor fidelity.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elisabeth C. Sappenfield ◽  
Elena Tunitsky-Bitton

Author(s):  
Miguel Prestes NÁCUL ◽  
Leandro Totti CAVAZZOLA ◽  
Marco Cezário de MELO

INTRODUCTION: The surgeon's formation process has changed in recent decades. The increase in medical schools, new specialties and modern technologies induce an overhaul of medical education. Medical residency in surgery has established itself as a key step in the formation of the surgeon, and represents the ideal and natural way for teaching laparoscopy. However, the introduction of laparoscopic surgery in the medical residency programs in surgical specialties is insufficient, creating the need for additional training after its termination. OBJECTIVE: To review the surgical teaching ways used in services that published their results. METHODS: Survey of relevant publications in books, internet and databases in PubMed, Lilacs and Scielo through july 2014 using the headings: laparoscopy; simulation; education, medical; learning; internship and residency. RESULTS: The training method for medical residency in surgery focused on surgical procedures in patients under supervision, has proven successful in the era of open surgery. However, conceptually turns as a process of experimentation in humans. Psychomotor learning must not be developed directly to the patient. Training in laparoscopic surgery requires the acquisition of psychomotor skills through training conducted initially with surgical simulation. Platforms based teaching problem solving as the Fundamentals of Laparoscopic Surgery, developed by the American Society of Gastrointestinal Endoscopic Surgery and the Laparoscopic Surgical Skills proposed by the European Society of Endoscopic Surgery has been widely used both for education and for the accreditation of surgeons worldwide. CONCLUSION: The establishment of a more appropriate pedagogical process for teaching laparoscopic surgery in the medical residency programs is mandatory in order to give a solid surgical education and to determine a structured and safe professional activity.


2021 ◽  
Vol 2125 (1) ◽  
pp. 012051
Author(s):  
Guoqing Qiu ◽  
Kedi Jiang ◽  
Shengyou Xu ◽  
Xin Yang ◽  
Wei Wang

Abstract Although the superior performance of SiC MOSFET devices has beenvalidated by many studies, it is necessary to overcome many technical bottlenecks to make SiC MOSFET gradually replace Si-based power devices into the mainstream. In view of the current situation where the performance of SiC MOSFETs in power conversion devices cannot be evaluated well at this stage, it is necessary to carry out fine modeling of SiC MOSFETs and establish accurate simulation models. In this paper, the powerful mathematical processing capability and rich modules of Matlab/Simulink are used to build a SiC MOSFET model, and then the product data sheet is compared with the fitted data. The results show that the switching simulation waveforms are in general agreement with the data sheet waveforms, and the error is less than 7%. Verifing the accuracy of the model and reducing the difficulty of modeling, it provides a new idea for establishing the circuit simulation model of SiC MOSFET in Matlab/Simulink.


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