• Title/Summary/Keyword: High-fidelity Simulation

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Nursing Students' Experiences with simulation of Pneumonia and Pleural Effusion (간호대학생의 폐렴 및 흉막삼출액 시뮬레이션 실습 경험)

  • Eunyoung Lee;Kiryeon Kim;Hyejung Kim
    • Journal of Korean Clinical Health Science
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    • v.12 no.1
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    • pp.1678-1688
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    • 2024
  • Purpose: This study was conducted to explore the experiences of nursing students who participated in the pneumonia and pleural effusion using web-based virtual reality and high-fidelity simulation. Methods: This study is qualitative study using inductive content analysis. We developed simulation scenario regarding pneumonia and pleural effusion. Eleven nursing students who participated in simulation were interviewed between June 20 to August 25, 2022. The interviews were transcribed and analyzed according to the inductive content analysis. Results: The results were analyzed into three key categories: 'pre-learning and psychological burden before simulation','increased learning satisfaction','improved clinical performance'. Conclusions: Participants was able to integrate their previous experience, including clinical practice experiences, web-based virtual simulation, into high-fidelity simulation and effectively enhanced their learning experience. Therefore, when providing various types of simulation simultaneously, it is necessary to take into account the prior students' experiences and to organize simulation education by considering the characteristics of simulation.

The Change of perception according to the fidelity of simulation in Objective Structured Clinical Examination for Procedural Skill of 4th Medical Students (의전원 4학년 학생의 과정기술 객관구조화진료시험에 도입된 시뮬레이션의 충실도에 따른 인식 변화)

  • Son, Hee-Jeong;Kim, Jin-Uk;Yi, Yu-Ri;Hwang, Byeong-Moon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1178-1185
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    • 2012
  • The 4th year medical students were randomly divided and designated as group HF and LF, representing high and low fidelity simulations respectfully. Both groups performed OSCE on 2 topics(adult intubation and IV cannulation) with each composed of the same scenario. Each scenario was developed by a faculty in charge of clinical skill education with supervision from 2 other faculty members. High fidelity simulations were designed as in-situ simulations in real OR. Low fidelity simulations had the same scenarios but the environment was simulated only with a simple task trainer in the classroom. All students participated in series of survey using a Likert scale before and after the simulations. The provided data was anlayzed with paired T-test and Mann-Whiteney test(p<0.05). The post simulations self evaluation score for group HF was lower than pre-simulation self confidence score for both topics of adult intubation and IV cannulation where as for group LF, it was lower only for adult intubation(p<0.05). In group HF, the needs for clinical training on both topics increased after the simulation. In group LF, there was no significant change of needs for clinical training between pre and post simulation survey. This suggest that fidelity may be a helpful factor to improve the motivation of the students and further study on economical aspect should be addressed.

Essential Computational Tools for High-Fidelity Aerodynamic Simulation and Design (고 정밀 항공우주 유동해석 및 설계를 위한 공력계산 툴)

  • Kim, Chong-Am
    • 유체기계공업학회:학술대회논문집
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    • 2006.08a
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    • pp.33-36
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    • 2006
  • As the computing environment is rapidly improved, the interests of CFD are gradually focused on large-scale computation over complex geometry. Keeping pace with the trend, essential computational tools to obtain solutions of complex aerospace flow analysis and design problems are examined. An accurate and efficient flow analysis and design codes for large-scale aerospace problem are presented in this work. With regard to original numerical schemes for flow analysis, high-fidelity flux schemes such as RoeM, AUSMPW+ and higher order interpolation schemes such as MLP (Multi-dimensional Limiting Process) are presented. Concerning the grid representation method, a general-purpose basis code which can handle multi-block system and overset grid system simultaneously is constructed. In respect to design optimization, the importance of turbulent sensitivity is investigated. And design tools to predict highly turbulent flows and its sensitivity accurately by fully differentiating turbulent transport equations are presented. Especially, a new sensitivity analysis treatment and geometric representation method to resolve the basic flow characteristics are presented. Exploiting these tools, the capability of the proposed approach to handle complex aerospace simulation and design problems is tested by computing several flow analysis and design problems.

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The Chicken Aorta as a Simulation-Training Model for Microvascular Surgery Training

  • Ramachandran, Savitha;Chui, Christopher Hoe-Kong;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.327-329
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    • 2013
  • As a technically demanding skill, microsurgery is taught in the lab, in the form of a course of variable length (depending on the centre). Microsurgical training courses usually use a mixture of non-living and live animal simulation models. In the literature, a plethora of microsurgical training models have been described, ranging from low to high fidelity models. Given the high costs associated with live animal models, cheaper alternatives are coming into vogue. In this paper we describe the use of the chicken aorta as a simple and cost effective low fidelity microsurgical simulation model for training.

Multi-fidelity uncertainty quantification of high Reynolds number turbulent flow around a rectangular 5:1 Cylinder

  • Sakuma, Mayu;Pepper, Nick;Warnakulasuriya, Suneth;Montomoli, Francesco;Wuch-ner, Roland;Bletzinger, Kai-Uwe
    • Wind and Structures
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    • v.34 no.1
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    • pp.127-136
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    • 2022
  • In this work a multi-fidelity non-intrusive polynomial chaos (MF-NIPC) has been applied to a structural wind engineering problem in architectural design for the first time. In architectural design it is important to design structures that are safe in a range of wind directions and speeds. For this reason, the computational models used to design buildings and bridges must account for the uncertainties associated with the interaction between the structure and wind. In order to use the numerical simulations for the design, the numerical models must be validated by experi-mental data, and uncertainties contained in the experiments should also be taken into account. Uncertainty Quantifi-cation has been increasingly used for CFD simulations to consider such uncertainties. Typically, CFD simulations are computationally expensive, motivating the increased interest in multi-fidelity methods due to their ability to lev-erage limited data sets of high-fidelity data with evaluations of more computationally inexpensive models. Previous-ly, the multi-fidelity framework has been applied to CFD simulations for the purposes of optimization, rather than for the statistical assessment of candidate design. In this paper MF-NIPC method is applied to flow around a rectan-gular 5:1 cylinder, which has been thoroughly investigated for architectural design. The purpose of UQ is validation of numerical simulation results with experimental data, therefore the radius of curvature of the rectangular cylinder corners and the angle of attack are considered to be random variables, which are known to contain uncertainties when wind tunnel tests are carried out. Computational Fluid Dynamics (CFD) simulations are solved by a solver that employs the Finite Element Method (FEM) for two turbulence modeling approaches of the incompressible Navier-Stokes equations: Unsteady Reynolds Averaged Navier Stokes (URANS) and the Large Eddy simulation (LES). The results of the uncertainty analysis with CFD are compared to experimental data in terms of time-averaged pressure coefficients and bulk parameters. In addition, the accuracy and efficiency of the multi-fidelity framework is demonstrated through a comparison with the results of the high-fidelity model.

The Application of Distributed Synthetic Environment Data to a Military Simulation (분포형 합성환경자료의 군사시뮬레이션 적용)

  • Cho, Nae-Hyun;Park, Jong-Chul;Kim, Man-Kyu
    • Journal of the Korea Society for Simulation
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    • v.19 no.4
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    • pp.235-247
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    • 2010
  • An environmental factor is very important in a war game model supporting military training. Most war game models in Korean armed forces apply the same weather conditions to all operation areas. As a result, it fails to derive a high-fidelity simulation result. For this reason this study attempts to develop factor techniques for a high-fidelity war game that can apply distributed synthetic atmospheric environment modeling data to a military simulation. The major developed factor technology of this study applies regional distributed precipitation data to the 2D-GIS based Simplified Detection Probability Model(SDPM) that was developed for this study. By doing this, this study shows that diversely distributed local weather conditions can be applied to a military simulation depending on the model resolution from theater level to engineering level, on the use from training model to analytical model, and on the description level from corps level to battalion level.

Development of an Integrated High Fidelity Helicopter and Engine Simulation for Control System Design (헬리콥터용 가스터빈 엔진의 제어기 설계를 위한 고충실도 통합 시뮬레이션 개발)

  • Choi, Kee-Young;Jang, Se-Ah;Choi, Ki-Young;Eom, Joo-Sang;Lee, Beom-Suk;Son, Young-Chang;Ryu, Hyeok
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.38 no.3
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    • pp.249-257
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    • 2010
  • Full authority digital engine control systems for gas turbine engines are replacing conventional mechanical control units rapidly. However, setting up design processes of controllers for high performance helicopter engines are not well known because of the complexity of the total system. This paper presents a high fidelity helicopter and engine simulation for control system design and analysis. Using this environment, a feedforward schedule was set up for a utility helicopter. The total engine simulation with the new controller showed better or equal performance compared to the total engine simulation with the pre-existing controller.

Effects and Adequacy of High-Fidelity Simulation-Based Training for Obstetrical Nursing (산과 간호 영역에서의 시뮬레이션 실습 교육의 효과 및 적절성)

  • Lee, Woo-Sook;Kim, Mi-Ok
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.433-443
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    • 2011
  • Purpose: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. Methods: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. Results: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was $7.15{\pm}1.35$ (out of 10). Most students became more interested in Women's Health Nursing after SBT. Conclusion: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.

Effects of High-fidelity Simulation-based Education on Maternity Nursing (시뮬레이션을 활용한 분만간호 실습교육의 효과)

  • Chung, Chae-Weon;Kim, Hee-Sook;Park, Young-Sook
    • Perspectives in Nursing Science
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    • v.8 no.2
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    • pp.86-96
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    • 2011
  • Purpose: This study examined the effects of simulation-based education on knowledge about and self-confidence in maternity nursing care in senior students. Methods: One group, pre-post design, was utilized with 28 students. The simulation-based maternity nursing education that consisted of two sessions each 2 hours long for intrapartum and postpartum care was provided to 4 small groups. An expert panel of 3 maternity clinical instructors developed the module with a high-fidelity maternal simulator. Core items of knowledge about and self-confidence in maternity nursing care were measured with 13 items before and after the sessions. Results: The knowledge score did not increase significantly (z=-1.95, p=.05); however, self-confidence in maternity nursing care showed a significant change in the posttest (z=-2.82, p<.001). The subjective evaluation of the students indicated that the simulation-based education was helpful in preparing for clinical practicum as far as interaction with clients, psychological readiness to practice, and learning efficiencies. Conclusion: The simulation-based nursing education was useful in improving self-confidence in clinical performance for childbirth and postpartum care in nursing students. Along with the application of diverse scenarios in simulations, modules with standard patients and role-plays are also recommended for maternity nursing practicum to empower the competency of the students.

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Real-time H.264/AVC High 4:4:4 Predictive Decoder Using Multi-Thread and SIMD Instructions (멀티쓰레드와 SIMD 명령어를 이용한 실시간 H.264/AVC High 4:4:4 Predictive 디코더의 구현)

  • Kim, Yong-Hwan;Kim, Je-Woo;Choi, Byeong-Ho;Lee, Seok-Pil;Paik, Joon-Ki
    • 한국정보통신설비학회:학술대회논문집
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    • 2007.08a
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    • pp.350-353
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    • 2007
  • This paper presents an real-time implementation of H.264/AVC High 4:4:4 Predictive profile decoder using general-purpose processors by exploiting multi-threading technique and Single Instruction Multiple Data (SIMD) instructions without any quality degradation. We analyze differences between the existing High profile and High 4:4:4 Predictive profile decoder, and show various optimization techniques to decode high fidelity and high definition (HD) video in real-time. Simulation results show that the proposed decoder can play high fidelity HD video at average 40 frames per seconds (fps) for the IBBrBP bistream and about 50 fps for the Intra-only bitstream.

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