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.

Marine Predator Algorithm-based Sliding Mode Control of a Novel Motion Simulator for High Column Sloshing Experiments

Sloshing experiment is crucial to determine the reaction performance of regeneration columns on an offshore floating platform.A novel type of column motion simulating device and a Marine Predator Algorithm-based Sliding Mode Controller(MPA-SMC)are proposed for such sloshing experiments.The simulator consists of a Stewart platform and a steel framework.The Stewart platform is located at the column's center of gravity(CoG)and supported by the steel framework.The platform's hydraulic servo system is controlled by a sliding mode controller with parameters optimized by MPA to improve robustness and precision.A numerical sloshing experiment is conducted using the proposed device and controller.The results show that the novel motion simulator has lower torque during the column sloshes,and the proposed controller performs better than a well-tuned PID controller in terms of target tracking precision and anti-interference capability.

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.

NeTrainSim:a network-level simulator for modeling freight train longitudinal motion and energy consumption

Although train modeling research is vast, most available simulation tools are confined to city-or trip-scale analysis, primarily offering micro-level simulations of network segments. This paper addresses this void by developing the Ne Train Sim simulator for heavy long-haul freight trains on a network of multiple intersecting tracks. The main objective of this simulator is to enable a comprehensive analysis of energy consumption and the associated carbon footprint for the entire train system. Four case studies were conducted to demonstrate the simulator's performance. The first case study validates the model by comparing Ne Train Sim output to empirical trajectory data. The results demonstrate that the simulated trajectory is precise enough to estimate the train energy consumption and carbon dioxide emissions. The second application demonstrates the train-following model considering six trains following each other. The results showcase the model ability to maintain safefollowing distances between successive trains. The next study highlights the simulator's ability to resolve train conflicts for different scenarios. Finally, the suitability of the Ne Train Sim for modeling realistic railroad networks is verified through the modeling of the entire US network and comparing alternative powertrains on the fleet energy consumption.

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.

Photonic implementation of quantum gravity simulator

Detecting gravity-mediated entanglement can provide evidence that the gravitational field obeys quantum mechanics.We report the result of a simulation of the phenomenon using a photonic platform.The simulation tests the idea of probing the quantum nature of a variable by using it to mediate entanglement and yields theoretical and experimental insights,clarifying the operational tools needed for future gravitational experiments.We employ three methods to test the presence of entanglement:the Bell test,entanglement witness,and quantum state tomography.We also simulate the alternative scenario predicted by gravitational collapse models or due to imperfections in the experimental setup and use quantum state tomography to certify the absence of entanglement.The simulation reinforces two main lessons:(1)which path information must be first encoded and subsequently coherently erased from the gravitational field and(2)performing a Bell test leads to stronger conclusions,certifying the existence of gravity-mediated nonlocality.

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。

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。

The System Design of Semiconductor Device Simulator

This paper studies the numerical simulation for semiconductor devices and discusses the software design of the simulation system. Our focus is on the deep submicron device simulation for BJT, MOSFET, heterojunction bipolar transistors (HBT), etc. So the object oriented technology for software design and its realization is used to make the system easy to implement, maintain and extend. Besides the discussion of simulation and software system design, this paper introduces a device simulator SMDS and its parallel extension under local network environment using CORBA technology.

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。

基于Plant Simulation仿真技术的装配生产线优化研究

【目的】优化装备生产线,缩短产品交付周期。【方法】基于Plant Simulation仿真技术,对装配生产线进行建模、编程、仿真、分析和优化,有效计算产品产量和成本,识别并优化装配生产线的瓶颈工位。【结果】优化后的三维产线仿真模型产量增幅接近10%,生产效率明显提升。【结论】通过将智能制造技能竞赛和科研教学活动相结合,能够凝练总结竞赛内容,促使教师紧盯前沿知识,创新改革教学内容,实现以赛促教、以赛促学、以赛促改、以赛促建的多重目标。

Microstructure Evolution and Mechanism of Strength Development of Fly Ash Paste

Three types of activators such as sodium hydroxide,calcium oxide and triethanolamine(TEA)are used to establish different activation environments to address the problems associated with the process of activating fly ash paste.We conducted mechanical tests and numerical simulations to understand the evolution of microstructure,and used environmental scanning electron microscopy(ESEM)and energy dispersive spectroscopy(EDS)techniques to analyze the microenvironments of the samples.The mechanical properties of fly ash paste under different activation conditions and the changes in the microstructure and composition were investigated.The results revealed that under conditions of low NaOH content(1%-3%),the strength of the sample increased significantly.When the content exceeded 4%,the rate of increase in strength decreased.Based on the results,the optimal NaOH content was identified,which was about 4%.A good activation effect,especially for short-term activation(3-7 d),was achieved using TEA under high doping conditions.The activation effect was poor for long-term strength after 28 days.The CaO content did not significantly affect the degree of activation achieved.The maximum effect was exerted when the content of CaO was 2%.The virtual cement and concrete testing laboratory(VCCTL)was used to simulate the hydration process,and the results revealed that the use of the three types of activators accelerated the formation of Ca(OH)_(2) in the system.The activators also corroded the surface of the fly ash particles,resulting in a pozzolanic reaction.The active substances in fly ash were released efficiently,and hydration was realized.The pores were filled with hydration products,and the microstructure changed to form a new frame of paste filling that helped improve the strength of fly ash paste.

Analysis of Micromechanical Properties at the Interface of Pre-wet SBS Modified Asphalt Mixture Based on Molecular Simulation Technology

The pre-wetting of aggregate surface is a means to improve the interface performance of SBS modified asphalt and aggregate.The effect of pre-wetting technology on the interaction between SBS modified asphalt and aggregate was analyzed by molecular dynamics simulation.The diffusion coefficient and concentration distribution of SBS modified asphalt on aggregate surface are included.The simulation results show that the diffusion coefficient of the aggregate surface of SBS modified asphalt is increased by 47.6%and 70.5%respectively after 110#asphalt and 130#asphalt are pre-wetted.The concentration distribution of SBS modified asphalt on the aggregate surface after pre-wetting is more uniform.According to the results of interface energy calculation,the interface energy of SBS modified bitumen and aggregate can be increased by about 5%after pre-wetting.According to the results of molecular dynamics simulation,the pre-wetting technology can effectively improve the interface workability of SBS modified bitumen and aggregate,so as to improve the interface performance.

Estimation of Chloride Diffusivity in Hydrated Tricalcium Silicate Using a Hydration-Diffusion Integrated Method

This study aims to develop a chloride diffusion simulation method that considers the hydration microstructure and pore solution properties during the hydration of tricalcium silicate(C3S).The method combines the hydration simulation,thermodynamic calculation,and finite element analysis to examine the effects of pore solution,including effect of electrochemical potential,effect of chemical activity,and effect of mechanical interactions between ions,on the chloride effective diffusion coefficient of hydrated C3S paste.The results indicate that the effect of electrochemical potential on chloride diffusion becomes stronger with increasing hydration age due to the increase in the content of hydrated calcium silicate;as the hydration age increases,the effect of chemical activity on chloride diffusion weakens when the number of diffusible elements decreases;the effect of mechanical interactions between ions on chloride diffusion decreases with the increase of hydration age.

Understanding the local structure and thermophysical behavior of Mg-La liquid alloys via machine learning potential

The local structure and thermophysical behavior of Mg-La liquid alloys were in-depth understood using deep potential molecular dynamic(DPMD) simulation driven via machine learning to promote the development of Mg-La alloys. The robustness of the trained deep potential(DP) model was thoroughly evaluated through several aspects, including root-mean-square errors(RMSEs), energy and force data, and structural information comparison results;the results indicate the carefully trained DP model is reliable. The component and temperature dependence of the local structure in the Mg-La liquid alloy was analyzed. The effect of Mg content in the system on the first coordination shell of the atomic pairs is the same as that of temperature. The pre-peak demonstrated in the structure factor indicates the presence of a medium-range ordered structure in the Mg-La liquid alloy, which is particularly pronounced in the 80at% Mg system and disappears at elevated temperatures. The density, self-diffusion coefficient, and shear viscosity for the Mg-La liquid alloy were predicted via DPMD simulation, the evolution patterns with Mg content and temperature were subsequently discussed, and a database was established accordingly. Finally, the mixing enthalpy and elemental activity of the Mg-La liquid alloy at 1200 K were reliably evaluated,which provides new guidance for related studies.

Effects of mesoscale gravity waves on sporadic E simulated by a one-dimensional dynamic model

In addition to being driven by tidal winds,the sporadic E(Es)layers are modulated by gravity waves(GWs),although the effects are not yet comprehensively understood.In this article,we discuss the effects of mesoscale GWs on the Es layers determined by using a newly developed model,MISE-1D(one-dimensional Model of Ionospheric Sporadic E),with low numerical dissipation and high resolution.Driven by the wind fields resolved by the high-resolution version of the Whole Atmosphere Community Climate Model with thermosphere and ionosphere extension(WACCM-X),the MISE-1D simulation revealed that GWs significantly influence the evolution of the Es layer above 100 km but have a very limited effect at lower altitudes.The effects of GWs are diverse and complex,generally including the generation of fluctuating wavelike structures on the Es layer with frequencies similar to those of the GWs.The mesoscale GWs can also cause increases in the density of Es layers,or they can disperse or diffuse the Es layers and increase their thickness.In addition,the presence of GWs is a key factor in sustaining the Es layers in some cases.

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。