• Archives of Plastic Surgery
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• v.44 no.4
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• pp.293-300
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• 2017

Background Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsurgery model has been developed to include dissection of a type 1-muscle flap and is described and validated here. Methods A step-by-step dissection guide on how to perform the chicken thigh adductor profundus free muscle flap is demonstrated. Forty trainees performed the novel simulation muscle flap on the last day of a 5-day microsurgery course. Pre- and post-course microvascular anastomosis assessment, along with micro dissection and end product (anastomosis lapse index) assessment, demonstrated skills acquisition. Results The average time to dissect the flap by novice trainees was $82{\pm}24$ minutes, by core trainees $90{\pm}24$ minutes, and by higher trainees $64{\pm}21$ minutes (P=0.013). There was a statistically significant difference in the time to complete the anastomosis between the three levels of training (P=0.001) and there was a significant decrease in the time taken to perform the anastomosis following course completion (P<0.001). Anastomosis lapse index scores improved for all cohorts with post-test average anastomosis lapse index score of $3{\pm}1.4$ (P<0.001). Conclusions The novel chicken thigh adductor profundus free muscle flap model demonstrates face and construct validity for the introduction of the principles of free tissue transfer. The low cost, constant, and reproducible anatomy makes this simulation model a recommended addition to any microsurgical training curriculum.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.519-528
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• 2021

This study was conducted to examine the convergence effects of a simulation-based handoff training program on nursing students' handoff performance ability and handoff confidence. A quasi-experimental study of pre and post-experimental design was performed on 104 nursing college students located in P city and A city and the developed simulation-based handoff training program was implemented for 2 weeks from October 30 to November 10, 2017. The collected data were analyzed using the SPSS WIN 21.0 program with x² test, Fisher's exact test, independent t-test, ANCOVA with pretest value as covariate. The experimental group had significantly different handoff Performance Ability in comparison to the control group. The simulation-based handoff training program can be used as an effective handoff training program to enhance the handoff performance ability of nursing students.

• Journal of the Korea Society for Simulation
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• v.28 no.2
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• pp.169-177
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• 2019

LVC(Live-Virtual-Constructive) training system is drawing attention due to changes in battlefield situation and the development of advanced information and communication technologies. The ROKAF(Republic of Korea Air Force) plans to construct LVC training system capable of scientific training. This paper analyzes the results of V-C interoperability test with three fighter simulators as virtual systems and a theater-level wargame model as a constructive system. The F-15K, KF-16, and FA-50 fighter simulators, which have different interoperable methods, were converted into a standard for simulation interoperability. Using the integrated field environment simulator, the fighter simulators established a mutually interoperable environment. In addition, the Changgong model, which is the representative training model of the Air Force, was converted to the standard for simulation interoperability, and the integrated model was implemented with optimized interoperability performance. Throughput experiments, It was confirmed that the fighter simulators and the war game model of the ROKAF could be interoperable with each other. The results of this study are expected to be a good reference for the future study of the ROKAF LVC training system.

• The Journal of the Korea Contents Association
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• v.19 no.2
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• pp.661-670
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• 2019

The purpose of the study was to review the evidence of effects of virtual reality (VR) technology in nursing education. Four databases were searched for articles publised until November 2018 that databases include PubMed, Proquest (nursing and allied health), CINAHL, & RISS. Key word used for search include 'education, nursing', 'simulation', 'skill training', 'virtual reality' and 'VR'. Of 695 papers searched, Seven studies were selected for data analysis. Of seven studies, five studies used quasi-experimental design and two used one group design. There were two studies used VR technology for skill training and five were scenario based VR simulation program. Studies evaluated outcomes including students performance, time spent on practice, self-efficacy and communication ability that most studies reported positive effects while some figures were not statistically significant. The findings of this study provides evidence of nursing education program using VR, however, additional research with rigorously designed studies using systematized measurements for study outcomes are required. In addition, comparison with existing skill training and simulation education should be considered in the future studies.

• Journal of the Korean Society of Radiology
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• v.12 no.7
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• pp.919-927
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• 2018

The purpose of this study was to present simulation training model for general X-ray examinations and to analyze the errors that occur during the simulation training. From 2012 to 2018, a total of 183 students (77 men and 106 women) participated. The simulated X-ray system used computed radiography (CR) system. The contents of simulation training were patient's care, X-ray examinations accuracy, images stability, etc. As a result, it were found that the patient's position setting error, the accuracy error of the X-ray beam central ray, the image receptor's size and setting error, the error of the grid use, the marking error, and the error of X-ray exposure technical factors. It is expected that improved practical general X-ray examinations training of radiographer will be needed, focusing on these errors, so that we could contribute to the health care of the people by providing precise examinations and high quality medical service.

• Proceedings of the Korea Society for Simulation Conference
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• 2002.05a
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• pp.15-20
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• 2002

Most of marine casualties are caused by not only wrong operation of equipments but also lack of knowledge about navigational equipments or systems. But we can say these casualties result from lack of ship handling skill or lack of situational awareness. This study aims to investigate the recent status of SHS and suggest several recommendations such as teaching skills, evaluation skill, etc. to make more efficient crew training with SHS (ship handling simulator).

• Proceedings of the Korea Society for Simulation Conference
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• 2001.05a
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• pp.153-156
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• 2001

We have developed CNS(Compact Nuclear Simulator) which can be used for the fundamental training of the nuclear power plant operators. The application software for CNS consists of simulation engine(analyzer code), instructor station software, and man-machine interface software. Each application software is regarded as one black box and the communication of black boxes is performed by the predefined shared memory variables. In this paper, we discuss our experience for CNS development.

• The Journal of the Korean dental association
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• v.58 no.11
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• pp.670-682
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• 2020

This research examined the difference in cognitive load and the virtual presence depending on auditory feedback and task difficulty in haptic-based dental simulation. In the field of dental education, practice-centered training using handpiece has been crucial because a practitioner's psychomotor experience has a significant impact on the mastery of treatment skills. For the novice, it is necessary to reduce errors in dental treatment to enhancing skill acquisition in the haptic practice. In the training process, the force-feedback is crucial to elaborate subtle movement to guide what to do and how it should be hard or soft. However, It is not easy to add force-feedback to generate kinetic experience training. As an alternative method, we examined that auditory feedback can help learners' skill training. In this study, we analyzed how the presence/absence of auditory feedback at the different levels of task difficulty impacts learners' psychological demand and virtual presence in the virtual reality simulation. For this study, 29 dental college students participated in a dental simulation. The participants were grouped into two conditions that are with and without auditory feedback. Additionally, two consecutive tooth preparation tasks with different levels of difficulty were used in the simulation. The auditory feedback condition gives alarms to a learner when he treats a non-targeted tooth with a virtual handpiece. The user's cognitive load and virtual presence were measured to examine the effects of auditory feedback. The results revealed that the main effect was found in cognitive loads. Also, a significant interaction effect was shown in the virtual presence. We discussed the effective design methods for the virtual reality-based dental simulation through the result of this study.

• Journal of the Korea Society of Computer and Information
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• v.23 no.1
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• pp.103-109
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• 2018

The purpose of the study is to investigate the effect of a simulation training of BLS in paramedics in pre-hospital situation. This a nonequivalence control quasi-experimental study. The study subjects were 8 paramedics of experimental group and 8 paramedics of control group in K fire department. An informed consent was written by the subjects after explaining of the purpose of the study. The study methods consisted of conventional education and practice training. The conventional education was done for 30 minutes and the practice training was taken by four trainees of one group and the instructor demonstrated Basic Iife Support (BLS) performance for three minutes. Each trainer peformed BLS for ten minutes. In the beginning of the course, two paramedics got off from the ambulance and performed BLS including 5 cycles of Cardiopulmonary Resuscitation (CPR). Soon after the BLS, another two paramedics performed pre-hospital BLS survey. The education was guided by two professors of emergency medical technology, two Basic Iife Support instructors, and two emergency rescue directors. Pre-hospital BLS was measured by a 5-point Likert scale. Higher score means higher performance skills. The data were analyzed using SPSS/WIN 22.0 program set at significance level of p<05. The effect of simulation education was much more significant than the conventional education in BLS. The simulation education is very important and effective in improving the clinical performance skills of paramedics than the conventional education. The simulation education can provide the virtual environment of cardiac arrest to the paramedics. In conclusion, the simulation education can provide the effective teaching methods for various practice performance skills and solution by critical thinking in the paramedics and healthcare providers in the future.

• Journal of the Korea Society for Simulation
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• v.31 no.2
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• pp.21-32
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• 2022

The ROK Navy is seeking to secure an aircraft carrier(CVX) to take responsibility for the maritime security of the Republic of Korea. In order for the CVX to complete the mission given to it, the crew must be able to operate the CVX perfectly, and for this purpose, the operating skills of the CVX crew result from constant training. Therefore, this paper proposes an On-board Training System(OBTS) so that the best training can always be performed even on ship. CVX OBTS should be built in the form of a thorough simulator based on a Synthetic Training Environment(STE) so that it can be optimally applied to ship and provide the best training environment to the crew. In order to satisfy the various training requirements and implementation conditions of the CVX, this paper proposes a plan to consist of Embedded Training System(ETS), VR training system, AR maintenance system, MR training system, MR metaverse training system, and realistic simulator training system.