Transurethral resection of bladder tumor: A systematic review of simulator-based training courses and curricula

Objective:Transurethral resection of bladder tumor is one of the most common everyday urological procedures.This kind of surgery demands a set of skills that need training and experience.In this review,we aimed to investigate the current literature to find out if simulators,phantoms,and other training models could be used as a tool for teaching urologists.Methods:A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement and the recommendations of the European Association of Urology guidelines for conducting systematic reviews.Fifteen out of 932 studies met our inclusion criteria and are presented in the current review.Results:The UroTrainer(Karl Storz GmbH,Tuttlingen,Germany),a virtual reality training simulator,achieved positive feedback and an excellent face and construct validity by the participants.The inspection of bladder mucosa,blood loss,tumor resection,and procedural time was improved after the training,especially for inexperienced urologists and medical students.The construct validity of UroSim®(VirtaMed,Zurich,Switzerland)was established.SIMBLA simulator(Samed GmbH,Dresden,Germany)was found to be a realistic and useful tool by experts and urologists with intermediate experience.The test objective competency model based on SIMBLA simulator could be used for evaluating urologists.The porcine model of the Asian Urological Surgery Training and Education Group also received positive feedback by the participants that tried it.The Simulation and Technology Enhanced Learning Initiative Project had an extraordinary face and content validity,and 60%of participants would like to use the simulators in the future.The 5-day multimodal training curriculum“Boot Camp”in the United Kingdom achieved an increase of the level of confidence of the participants that lasted months after the project.Conclusion:Simulators and courses or curricula based on a simulator training could be a valuable learning tool for any surgeon,and there is no doubt that they should be a part of every urologist's technical education.

Blast waveform tailoring using controlled venting in blast simulators and shock tubes

A critical challenge of any blast simulation facility is in producing the widest possible pressure-impulse range for matching against equivalent high-explosive events.Shock tubes and blast simulators are often constrained with the lack of effective ways to control blast wave profiles and as a result have a limited performance range.Some wave shaping techniques employed in some facilities are reviewed but often necessitate extensive geometric modifications,inadvertently cause flow anomalies,and/or are only applicable under very specific configurations.This paper investigates controlled venting as an expedient way for waveforms to be tuned without requiring extensive modifications to the driver or existing geometry and could be widely applied by existing and future blast simulation and shock tube facilities.The use of controlled venting is demonstrated experimentally using the Advanced Blast Simulator(shock tube)at the Australian National Facility of Physical Blast Simulation and via numerical flow simulations with Computational Fluid Dynamics.Controlled venting is determined as an effective method for mitigating the impact of re-reflected waves within the blast simulator.This control method also allows for the adjustment of parameters such as tuning the peak overpressure,the positive phase duration,and modifying the magnitude of the negative phase and the secondary shock of the blast waves.This paper is concluded with an illustration of the potential expanded performance range of the Australian blast simulation facility when controlled venting for blast waveform tailoring as presented in this paper is applied.

Two Monte Carlo-based simulators for imaging-system modeling and projection simulation of flat-panel X-ray source

The advantages of a flat-panel X-ray source(FPXS)make it a promising candidate for imaging applications.Accurate imaging-system modeling and projection simulation are critical for analyzing imaging performance and resolving overlapping projection issues in FPXS.The conventional analytical ray-tracing approach is limited by the number of patterns and is not applicable to FPXS-projection calculations.However,the computation time of Monte Carlo(MC)simulation is independent of the size of the patterned arrays in FPXS.This study proposes two high-efficiency MC projection simulators for FPXS:a graphics processing unit(GPU)-based phase-space sampling MC(gPSMC)simulator and GPU-based fluence sampling MC(gFSMC)simulator.The two simulators comprise three components:imaging-system modeling,photon initialization,and physical-interaction simulations in the phantom.Imaging-system modeling was performed by modeling the FPXS,imaging geometry,and detector.The gPSMC simulator samples the initial photons from the phase space,whereas the gFSMC simulator performs photon initialization from the calculated energy spectrum and fluence map.The entire process of photon interaction with the geometry and arrival at the detector was simulated in parallel using multiple GPU kernels,and projections based on the two simulators were calculated.The accuracies of the two simulators were evaluated by comparing them with the conventional analytical ray-tracing approach and acquired projections,and the efficiencies were evaluated by comparing the computation time.The results of simulated and realistic experiments illustrate the accuracy and efficiency of the proposed gPSMC and gFSMC simulators in the projection calculation of various phantoms.

Application of Patient Simulators Combined with Internet plus Scenario Simulation Teaching Models on Intravenous Infusion Nursing Education in China

Objective: To explore the effectiveness of applying patient simulators combined with Internet Plus scenario simulation teaching models on intravenous (IV) infusion nursing education, and to provide scientific evidence for the implementation of advanced teaching models in future nursing education. Methods: Enrolled 60 nurses who took the IV infusion therapy training program in our hospital from January 2022 to December 2023 for research. 30 nurses who were trained in traditional teaching models from January to December 2022 were selected as the control group, and 30 nurses who were trained with simulation-based teaching models with methods including simulated patients, internet, online meetings which can be replayed and scenario simulation, etc. from January to December 2023 were selected as the experimental group. Evaluated the learning outcomes based on the Competency Inventory for Nursing Students (CINS), Problem-Solving Inventory (PSI), comprehensive learning ability, scientific research ability, and proficiency in the theoretical knowledge and practical skills of IV infusion therapy. Nursing quality, the incidence of IV infusion therapy complications and nurse satisfaction with different teaching models were also measured. Results: The scientific research ability, PSI scores, CINS scores, and comprehensive learning ability of the experimental group were better than those of the control group (P 0.05), and their assessment results of practical skills, nursing quality of IV infusion therapy during training, and satisfaction with teaching models were all better than those of the control group with statistical significance (P < 0.05). The incidence of IV infusion therapy complications in the experimental group was lower than that in the control group, indicating statistical significance (P < 0.05). Conclusions: Teaching models based on patient simulators combined with Internet Plus scenario simulation enable nursing students to learn more directly and practice at any time and in any place, and can improve their proficiency in IV infusion theoretical knowledge and skills (e.g. PICC catheterization), core competencies, problem-solving ability, comprehensive learning ability, scientific research ability and the ability to deal with complicated cases. Also, it helps provide high-quality nursing education, improve the nursing quality of IV therapy, reduce the incidence of related complications, and ensure the safety of patients with IV therapy.

基于Power World Simulator的地区电网静态安全稳定性分析

电力系统具有良好的稳定性是保证电网正常运行的关键,充分应用Power World Simulator电力系统仿真软件对我国西北某地区实际电网进行安全稳定性分析。根据给定的实际电网运行数据搭建电网模型并进行潮流计算,将潮流计算结果与静态安全理论相结合,对该地区电网模型进行N-1静态安全性分析。针对线路负载率过高以及节点母线电压越限的情况,提出解决措施以达到提高电网运行稳定性的目的。

Importance of Photo-Realistic and Dedicated Simulator in Agricultural Robotics

Agricultural robotics is a comparatively new field. Recently, it has gotten special attention because of agricultural labor shortages and rising labor costs. With the increasing operational use of agricultural robots, the need for a dedicated robotic simulator for such activity has been noted here. The need of a dedicated and specialty simulator for agricultural robotics research is the main focus area of this paper. Moreover, limitations have been pointed out when conventional robot simulators are used directly in agricultural settings. In a nutshell, it has been tried to emphasize that a dedicated simulator for agricultural robotics would be a timely advance and would accelerate the growth of agricultural robots.

SimTech Simulator中单变量控制器的开发与使用

SimTech Simulator是圣泰(北京)工程软件有限公司开发的国产通用化工流程模拟软件,能够对常用炼化装置,如常减压、柴油加氢等常用炼化工艺进行模拟。通用稳态流程模拟有两种流程的计算方法,一种是序贯模块法(SM);一种联立方程法(EO),SM是按照顺序逐个进行单元模块计算,遇到循环需要进行撕裂迭代,用户的规定受到限制;EO是整个流程图设备方程联立求解,用户的规定灵活,但方程数量多时求解困难,对初值要求高。目前的商业流程模拟软件大多数采用序贯模块法,在遇到特殊的用户规定时,就需要使用控制器来进行迭代计算。控制器有单变量控制器和多变量控制器,这里主要描述单变量控制器,单变量控制器需要指定一个控制变量和一个操纵变量,通过调节控制变量使操纵变量达到设定值。文章描述了控制器对序贯模块法计算过程的影响和控制器计算的迭代算法,最后通过两个案例进行验证,一个是天然气的压缩输送工况,设定出口压力和流量,来调节入口压力和流量;另一个是通过控制器来调节加氢装置循环氢的量,与手动设定值相比,与设计值的误差从3%降到了0.05%。

UltraStar:A Lightweight Simulator of Ultra-Dense LEO Satellite Constellation Networking for 6G

The mega-constellation network has gained significant attention recently due to its great potential in providing ubiquitous and high-capacity connectivity in sixth-generation(6G)wireless communication systems.However,the high dynamics of network topology and large scale of mega-constellation pose new challenges to the constellation simulation and performance evaluation.In this paper,we introduce UltraStar,a lightweight network simulator,which aims to facilitate the complicated simulation for the emerging mega-constellation of unprecedented scale.Particularly,a systematic and extensible architecture is proposed,where the joint requirement for network simulation,quantitative evaluation,data statistics and visualization is fully considered.For characterizing the network,we make lightweight abstractions of physical entities and models,which contain basic representatives of networking nodes,structures and protocol stacks.Then,to consider the high dynamics of Walker constellations,we give a two-stage topology maintenance method for constellation initialization and orbit prediction.Further,based on the discrete event simulation(DES)theory,a new set of discrete events is specifically designed for basic network processes,so as to maintain network state changes over time.Finally,taking the first-generation Starlink of 11927 low earth orbit(LEO)satellites as an example,we use UltraStar to fully evaluate its network performance for different deployment stages,such as characteristics of constellation topology,performance of end-to-end service and effects of network-wide traffic interaction.The simulation results not only demonstrate its superior performance,but also verify the effectiveness of UltraStar.

基于simulator+技术的动态驾驶安全教育系统

交通事故频发已经严重影响到了人们的生活,并对社会经济造成了巨大的损失。提升驾驶员的驾驶能力能有效减少驾驶事故发生。聚焦典型违法驾驶行为,基于simulator实验平台开发的沉浸体验式教育系统(DSIES),通过系统教育纠正驾驶行为进而减少事故。通过典型违法驾驶行为致因分析,基于计划行为理论提出"知-教-行"动态教育系统。为验证系统有效性,选取具有代表性的4项违法驾驶行为作为实验对象,42名被试者被随机均分为2组进行传统教育及新型教育。采用描述性统计、显著性方差分析及灰度关联分析方法验证不同教育方式的效果。实验结果表明,新型教育系统能有效提升驾驶员驾驶能力;但随着时间的流逝,教育效果均有所降低。另一方面,该教育系统从短时教育及长时教育效果方面均优于传统教育,通过动态教育系统能有效提高驾驶员危险预测能力、降低交通违法行为。

基于OPNET Simulator的低压电力线载波通信路由算法仿真

为了提高低压电力线载波通信的可靠性,以基于传输矩阵的动态路由算法为例,探讨基于OPNET Simulator的低压电力线载波通信路由算法。探讨数据帧设计、进程建模、节点建模和网络结构建模的方法,由仿真结果可以分别确定创建传输矩阵所需时间与传输速率和节点数量之间的关系。

Virtual reality simulators for gastrointestinal endoscopy training

The use of simulators as educational tools for medical procedures is spreading rapidly and many efforts have been made for their implementation in gastrointestinal endoscopy training. Endoscopy simulation training has been suggested for ascertaining patient safety while positively influencing the trainees' learning curve. Virtual simulators are the most promising tool among all available types of simulators. These integrated modalities offer a human-like endoscopy experience by combining virtual images of the gastrointestinal tract and haptic realism with using a customized endoscope. From their first steps in the 1980s until today, research involving virtual endoscopic simulators can be divided in two categories: investigation of the impact of virtual simulator training in acquiring endoscopy skills and measuring competence. Emphasis should also be given to the financial impact of their implementation in endoscopy, including the cost of these state-of-theart simulators and the potential economic benefits from their usage. Advances in technology will contribute to the upgrade of existing models and the development of new ones; while further research should be carried out to discover new fields of application.

可视化软件包Power World Simulator在电力系统教学中的应用

介绍一种先进的电力系统仿真软件Power World Simulator,其以潮流分析为核心,采用动画式多色彩的单线图可视化技术,模拟电力系统在给定时间段内的运行状况,从而直观、生动地阐述电力系统的基本概念,是辅助教学的有力工具。

仿真软件POWER WORLD SIMULATOR在电力系统分析课程中的应用

电力系统分析课程中有些概念抽象,不容易通过实际演示来完成,使得本门课程教与学都变得困难起来。采用具有可视化图形用户界面的Power World Simulator软件,可以很好地解决这些问题。文章介绍了这款全英文免费的软件,根据一个14节点电力系统原型,建立了可视化的模型,使用该软件演示了潮流计算和短路计算等难点问题,显示了该软件给电力系统分析课程教与学带来的好处。

基于Forest Simulator BWINPro的云南松林经营模拟分析

以云南省一平浪林场为研究对象,以Forest Simulator BWINPro为工作平台,通过建立云南松等主要造林树种的生长模型数据库,实现20年生云南松林动态生长经营模拟。结果表明:该模拟系统可以无缝衔接多树种的林分生长和收获模型,对云南松林生长经营从单木和林分两个层面进行可视化展示。应用森林经营模拟技术,可实现林分生长以及未来状态的可视化模拟,实现林分动态监测,为不同时期云南松林经营管理提供参考。

Visual System Simulator平台下锁相环综合分析与仿真

给出了基于VSS平台的锁相环仿真过程,并将其引入课堂教学和实验。同时给出了锁相环的仿真模型,构建了完整的锁相环系统,并给出了仿真波形与环路滤波器设计方法。实践证明,采用这种方式可以帮助学生对相关内容的理解,并为今后进行系统设计工作打下良好的基础。

Power World Simulator在电力系统类课程教学中的应用

本文介绍了美国伊利诺斯大学开发的电力系统可视化仿真软件包Power World Simulator,其以潮流分析为核心,采用动画式多色彩的单线图等可视化技术展现电力系统在给定时间段内的运行状况,可以直观、生动地阐述电力系统运行的基本概念,本文基于一个电网分析实例展示了其部分功能。Power World Simulator是电力系统类课程教学和实验教学的一种有力辅助教学工具,可以加强学生对理论知识的理解,提高学生的学习兴趣和积极性,加深他们对电力系统运行的认识。

GX Simulator仿真软件在PLC程序调试中的应用

采用GX Deve1oper编程软件及GX Simulator仿真软件可以在计算机上直接进行PLC编程及仿真调试。文中探讨了使用GX Simulator进行PLC程序调试的方法和步骤。利用仿真软件,能够使PLC程序设计与调试脱离硬件本身,给系统的开发及PLC的教学和自学提供了便利。

TMS320C54x Simulator文件格式及其应用

详细介绍了TMS320C54x Simulator环境的文件格式及其文件加载步骤,以及如何将BMP或JPEG格式灰度图像转换为能够使TMS320C54x Simulator识别的格式文件。实例应用表明此方法能够将图像信息加载到TMS320C54x Simulator环境中,进行相应的图像处理。

Petri．NETSimulator在Petri网模拟中的应用

Petri网模型建立后需要对该模型进行模拟，以发现模型的缺陷和资源的使用是否合理。本文介绍了Petri．NETsimulator在Petri网模拟中的应用，阐述了该软件的基本使用方法和关键点，并用实例加以说明。

Power World Simulator软件的电力系统暂态稳定性仿真

将可视化软件Power World Simulator应用于电力系统暂态稳定性仿真,介绍了仿真的步骤和发电机模型库,建立IEEE-3机9节点系统,先求得系统的潮流分布,然后选择发电机、励磁系统和稳定器的类型,设置三相短路故障,完成暂态稳定性仿真。通过分析和对比发电机6阶、5阶实用模型和经典2阶数学模型时的仿真结果,验证了暂态稳定性仿真结果的有效性。