Patient Simulator

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Eldon D Lehmann - One of the best experts on this subject based on the ideXlab platform.

  • user experience with the aida interactive educational virtual diabetes Patient Simulator
    Diabetes Technology & Therapeutics, 2000
    Co-Authors: Eldon D Lehmann
    Abstract:

    THE PREVIOUS TWO “Diabetes Information Technology & WebWatch” columns have focused on the application of database systems in clinical diabetes care. In this column, and the next two, the focus switches to diabetes education and a topic close to my heart—namely the use of interactive educational diabetes Simulators. One such Simulator, called AIDA, which is available for download without charge from the Internet (from: http://www.diabetic.org.uk/aida.htm) has been previously described in detail elsewhere in this journal.1 In this column, various user experience with the software is documented, highlighting some of the different ways in which the Simulator has been applied to date by Patients with diabetes.

Takashi Komeda - One of the best experts on this subject based on the ideXlab platform.

  • Design of Upper Limb Patient Simulator
    Procedia Engineering, 2020
    Co-Authors: Takashi Komeda, Cheng Yee Low
    Abstract:

    Abstract Spasticity is one of the muscle diseases in upper limb that is often seen in the Patients of stroke and shoulder paralyzed. The disease occur when the Patients central nerve is damaged, leading the Patients having resistance in the joint when they tries to move it. In the area of orthopedics and rehabilitation, it has become essential to study the characteristics of human joint and muscle diseases. In this paper, an experiment to measure the characteristics of the disease was conducted and the data is used to reproduce the symptoms of spasticity in an upper limb Patient Simulator. The developed Patient Simulator is built with the joint and three bones of human arm: humerus, radius and ulna and is evaluated in term of reproducibility of the spasticity stiffness by two experiences physiotherapist.

  • Development of a Patient Simulator for physical therapy exercise of the upper limb
    2012 9th France-Japan & 7th Europe-Asia Congress on Mechatronics (MECATRONICS) 13th Int'l Workshop on Research and Education in Mechatronics (REM), 2012
    Co-Authors: Yoshiyuki Takahashi, Takashi Komeda, Kaoru Inoue, Hiroyuki Koyama, Takayuki Arimatsu, Yuko Ito, Shinichiro Yamamoto, Yukio Kawakami
    Abstract:

    Physical therapists play an important role to help people to regain social life after a disease or physical handicap. However, they can obtain their skills only from their practical experiences. The physical therapist trainee can enrich is experience only from the clinical practical training and this opportunity is limited. Therefore, we have been developing the upper limb Patient Simulator, which reproduce the stiffness of the elbow joint to allow trainees to increase the opportunities to obtain the practical exercise of the physical therapy. The system reproduces the diseases by generating stiffness of the elbow joint when the trainee tries to flex the simulated Patient's arm elbow joint. We developed a mechanical part and a control system to realize the Patient conditions and the full system has been evaluated by veteran physical therapists.

  • Development of an upper limb Patient Simulator for physical therapy exercise
    IEEE ... International Conference on Rehabilitation Robotics : [proceedings], 2011
    Co-Authors: Yoshiyuki Takhashi, Takashi Komeda, Kaoru Inoue, Yukio Kawakami, Hiroyuki Koyama, S-ichiro Yamamoto, Takayuki Arimatsu, Yuko Ito
    Abstract:

    Physical therapist plays an important role to help people to regain the social life from disease and physical handicap. However, they can obtain their skills only from their practical experiences. The physical therapist trainee can enrich is experience only from the clinical practical training and this opportunity is limited. Therefore, we have been developing the upper limb Patient Simulator, which reproduce the stiffness of elbow joint to allow trainees to increase the opportunities to obtain the practical exercise of the physical therapy. The system reproduces the diseases by generating stiffness of the elbow joint, when the trainee tries to flex the elbow joint of the Patient. We developed a mechanical part and a control system to realize the Patient conditions and the full system has been evaluated by veteran physical therapists.

  • Basic Research on the Upper Limb Patient Simulator
    2007 IEEE 10th International Conference on Rehabilitation Robotics, 2007
    Co-Authors: T. Fujisawa, Motoki Takagi, Yoshiyuki Takahashi, Kaoru Inoue, Takafumi Terada, Yukio Kawakami, Takashi Komeda
    Abstract:

    In the field of rehabilitation, physical therapist plays an important role to resume the social life from disease and physical handicap. However, they can obtain their skills only from their practical experiences. The trainee of the physical therapist can earn the experience only from the clinical practical training, and the opportunity is limited. Therefore, we have been developing the upper limb Patient Simulator, which reproduce the stiffness of elbow joint to allow trainees to increase the opportunities to obtain the exercise of the physical therapy. The system reproduces the diseases by generating stiffness of the elbow joint, when the trainee is trying to flexion the elbow joint of the Patient. In this paper, we tried to reproduce the stiffness of Spasticity, that is often seen the Patients of stroke and shoulder paralyzed. In addition, we evaluated reproducibility of the stiffness with out system.

Paul A. Sloan - One of the best experts on this subject based on the ideXlab platform.

  • teaching clinical opioid pharmacology with the human Patient Simulator
    Journal of opioid management, 2010
    Co-Authors: Zaki-udin Hassan, M Amy A Dilorenzo, Paul A. Sloan
    Abstract:

    Objective: Postoperative pain should be aggressively treated to decrease the development of chronic postsurgical pain. There has been an increase in the use of Human Patient Simulator (HPS) for teaching advanced courses in pharmacology to medical students, residents, and nurses. The aim of this educational investigation was to pilot the HPS for the training of medical students and surgical recovery room staff nurses in the pharmacology of opioids for the management of postoperative pain. Methods: The computerized HPS mannequin is fully monitored with appropriate displays and includes a voice speaker mounted in the head. Medical students and Postanesthesia care unit nurses, led by faculty in the Department of Anesthesiology in small groups of 4-6, participated in a 2- to 3-hour HPS course on the use of opioids for the management of acute postoperative pain. Trainees were asked to treat the acute and severe postoperative pain of a simulated Patient. Opioid effects and side effects (such as respiratory depression) were presented on the mannequin in real time to the participants. Side effects of naloxone to reverse opioid depression were presented as a crisis in real time to the participants. Participants completed a 10-item course evaluation using a 5-point Likert scale (1 = strongly disagree; 5 = strongly agree). Results: Twenty-two nurses and nine medical students completed the HPS opioid pharmacology scenario. Almost all participants rated the HPS course very highly and rated every item as either agree or strongly agree. Most participants agreed that the Simulator session improved their understanding of opioid pharmacology including opioid side effects and management of opioid complications. Course participants felt most strongly (median, interquartile range) that the Simulator session improved their understanding of naloxone pharmacology (5, 0), Simulators serve as a useful teaching tool (5, 0), and that they would be pleased to participate in any additional HPS teaching sessions (5, 0). Conclusions: The HPS provides a novel educational format to teach essential information regarding opioid pharmacology for the management of acute postoperative pain. The HPS provides a realistic format to teach the pharmacology of acute opioid side effects and the management of acute and life-threatening side effects of naloxone therapy.

  • The Patient Simulator for training of anesthesia residents in the management of one lung ventilation.
    Simulation in healthcare : journal of the Society for Simulation in Healthcare, 2008
    Co-Authors: Zaki-udin Hassan, Johannes Dorfling, John T. Mclarney, Paul A. Sloan
    Abstract:

    Simulators are used extensively for the training of medical personnel. All anesthesia providers should be prepared and trained in the management of one lung ventilation for pulmonary surgery, yet familiarization with one lung ventilation may not be possible on a routine basis in the operating room. Therefore, this reports details the first use of the Patient Simulator (PS) to enhance the training of anesthesia residents in the management of one lung ventilation. A detailed report of our computer program for simulating one lung ventilation is included.

  • Human Patient Simulator for training oral and maxillofacial surgery residents in general anesthesia and airway management.
    Journal of Oral and Maxillofacial Surgery, 2007
    Co-Authors: Zaki-udin Hassan, Matthew D'addario, Paul A. Sloan
    Abstract:

    Since Horace Wells discovered nitrous oxide as a general anesthetic agent for the extraction of teeth in 1844, oral and maxillofacial surgeons have been intimately involved in the development, use, and promotion of anesthesia. 1 Anesthesia has been most instrumental in shaping our specialty’s place in the health care field and a few far-sighted dentists who had extraordinary compassion for their Patients, helped to promote the importance of anesthesia to the profession of oral and maxillofacial surgery. The first oral and maxillofacial surgery residencies were established at Cincinnati General and the University of Michigan Hospitals in 1917. In the early years, anesthesia training for oral and maxillofacial surgeons involved preceptorship, with pioneering oral surgeons acting as the instructors and their offices serving as the training facilities; while others gained their anesthesia training in nurse anesthetist programs. Hospital anesthesia in the United States was administered primarily by nurse anesthetists until the establishment of a medical specialty of anesthesiology after World War II. When the medical specialty developed, it controlled residency training for anesthesiologists and took over the training of nurse anesthetists as well. As time progressed, physician anesthesiologists replaced nurse anesthetists as the persons responsible for hospital anesthesia training programs. During the late 1940s and into the 1950s, the American Society of Oral Surgeons did much to persuade training centers to establish hospital-based anesthesia programs for oral surgeons. Because oral surgeons use significant intravenous and inhalational analgesia and anesthesia in their practice, 2 it became imperative that they were competent in the basics of sedation and airway management. Structured training and experience in general anesthesia finally became available during this time, and oral surgery trainees began to receive training in departments of anesthesiology. Traditionally residents have been trained in anesthesia with a combination of classroom learning and hands-on clinical application in the operating room. Today, with the advent of human Patient Simulators, the method to train oral and maxillofacial surgery residents in anesthesia and sedation, along with anesthesia residents themselves, is evolving. Because Patient Simulators have demonstrated educational value for teaching critical care skills including advanced cardiac life support without exposing real Patients to risk, 3 we developed a training program to help oral and maxillofacial residents gain the required sedation, analgesic, and airway management skills necessary for modern oral surgery practice. We present the use of the METI (Medical Educational Technologies Incorporated, Sarasota, FL) human Patient Simulator (HPS) for the structured training of oral and maxillofacial surgery (OMS) residents in the basics of general anesthesia, intravenous analgesia/sedation, and airway management skills.

Nikos Makris - One of the best experts on this subject based on the ideXlab platform.

  • The Virtual Patient Simulator of Deep Brain Stimulation in the Obsessive Compulsive Disorder Based on Connectome and 7 Tesla MRI Data The Virtual Patient Simulator of Deep Brain Stimulation in the Obsessive Compulsive Disorder
    2014
    Co-Authors: Giorgio Bonmassar, Nikos Makris, A. A. Martinos
    Abstract:

    We present work in progress on the virtual Patient model for Patients with Deep Brain Stimulation (DBS) implants based on Connectome and 7 Tesla Magnetic Resonance Imaging (MRI) data. Virtual Patients are realistic computerized models of Patients that allow medical-device companies to test new products earlier, helping the devices get to market more quickly and cheaply according to the Food and Drug Administration. We envision that the proposed new virtual Patient Simulator will enable radio frequency power dosimetry on Patients with the DBS implant undergoing MRI. Future Patients with DBS implants may profit from the proposed virtual Patient by allowing for a MRI investigation instead of more invasive Computed Tomography (CT) scans. The virtual Patient will be flexible and morphable to relate to neurological and psychiatric conditions such as Obsessive Compulsive Disorder (OCD), which benefit from DBS. Keywords-virtual Patient Simulator; VPS; deep brain brain stimulation; DBS; obsessive compulsive disorder; OCD; MRI; CT; MRI safety; specific absorption rate; SAR; connectome; 7 Tesla MRI

  • A Virtual Patient Simulator Based on Human Connectome and 7 T MRI for Deep Brain Stimulation.
    Advances in life sciences, 2014
    Co-Authors: Giorgio Bonmassar, Leonardo M. Angelone, Nikos Makris
    Abstract:

    This paper presents a virtual model of Patients with Deep Brain Stimulation implants. The model is based on Human Connectome and 7 Tesla Magnetic Resonance Imaging (MRI) data. We envision that the proposed virtual Patient Simulator will enable radio frequency power dosimetry on Patients with deep brain stimulation implants undergoing MRI. Results from the proposed virtual Patient study may facilitate the use of clinical MRI instead of computed tomography scans. The virtual Patient will be flexible and morphable to relate to Patient-specific neurological and psychiatric conditions such as Obsessive Compulsive Disorder, which benefit from deep brain stimulation.

  • the virtual Patient Simulator of deep brain stimulation in the obsessive compulsive disorder based on connectome and 7 tesla mri data
    COGNITIVE 2014 The Sixth International Conference on Advanced Cognitive Technologies and Applications, 2014
    Co-Authors: Giorgio Bonmassar, Nikos Makris
    Abstract:

    We present work in progress on the virtual Patient model for Patients with Deep Brain Stimulation (DBS) implants based on Connectome and 7 Tesla Magnetic Resonance Imaging (MRI) data. Virtual Patients are realistic computerized models of Patients that allow medical-device companies to test new products earlier, helping the devices get to market more quickly and cheaply according to the Food and Drug Administration. We envision that the proposed new virtual Patient Simulator will enable radio frequency power dosimetry on Patients with the DBS implant undergoing MRI. Future Patients with DBS implants may profit from the proposed virtual Patient by allowing for a MRI investigation instead of more invasive Computed Tomography (CT) scans. The virtual Patient will be flexible and morphable to relate to neurological and psychiatric conditions such as Obsessive Compulsive Disorder (OCD), which benefit from DBS.

Holger A Jakstat - One of the best experts on this subject based on the ideXlab platform.

  • Reproduction accuracy of articulator mounting with an arbitrary face-bow vs. average values—a controlled, randomized, blinded Patient Simulator study
    Clinical Oral Investigations, 2019
    Co-Authors: M. Oliver Ahlers, Daniel Edelhoff, Holger A Jakstat
    Abstract:

    Objectives The benefit from positioning the maxillary casts with the aid of face-bows has been questioned in the past. Therefore, the aim of this study was to investigate the reliability and validity of arbitrary face-bow transfers compared to a process solely based on the orientation by means of average values. For optimized validity, the study was conducted using a controlled, randomized, anonymized, and blinded Patient Simulator study design. Material and methods Thirty-eight undergraduate dental students were randomly divided into two groups; both groups were applied to both methods, in opposite sequences. Investigated methods were the transfer of casts using an arbitrary face-bow in comparison to the transfer using average values based on Bonwill’s triangle and the Balkwill angle. The “Patient” used in this study was a Patient Simulator. All casts were transferred to the same individual articulator, and all the transferred casts were made using type IV special hard stone plaster; for the attachment into the articulator, type II plaster was used. A blinded evaluation was performed based on three-dimensional measurements of three reference points. Results The results are presented three-dimensionally in scatterplots. Statistical analysis indicated a significantly smaller variance (Student’s t test, p  

  • reproduction accuracy of articulator mounting with an arbitrary face bow vs average values a controlled randomized blinded Patient Simulator study
    Clinical Oral Investigations, 2019
    Co-Authors: Oliver M Ahlers, Daniel Edelhoff, Holger A Jakstat
    Abstract:

    Objectives The benefit from positioning the maxillary casts with the aid of face-bows has been questioned in the past. Therefore, the aim of this study was to investigate the reliability and validity of arbitrary face-bow transfers compared to a process solely based on the orientation by means of average values. For optimized validity, the study was conducted using a controlled, randomized, anonymized, and blinded Patient Simulator study design.