A quantitative analysis of the effectiveness of laparascopy and endoscopy virtual reality simulators

The increasing use of virtual reality (VR) simulators in surgical training makes it imperative that definitive studies be performed to assess their training effectiveness. Indeed in this paper we report the meta-analysis of the efficacy of virtual reality simulators in (1) the transference of skills from the simulator training environment to the operating room and (2) their ability to discriminate between the experience levels of its users. The task completion time and the error score were the two study outcomes collated and analyzed in this meta-analysis. Sixteen studies were identified from a computer-based literature search (1996-2004). The meta-analysis of the random-effects model (because of the heterogeneity of the data) revealed that training on virtual reality simulators did lessen the time taken to complete a given surgical task as also clearly differentiate between the experienced and the novice trainees. Meta-analytic studies such as the one reported here would be very helpful in the planning and setting up of surgical training programs and for the establishment of reference ‘learning curves’ for a specific simulator and surgical task. If any such programs already exist they can then indicate the improvements to be made in the simulator used such as providing for more variety in their case scenarios based on the state and/or rate of learning of the trainee.     

Portability of three consumer products

Three consumer products (a television set, a personal computer and a typewriter), all considered portable by their respective manufacturers, were evaluated experimentally for portability. Products were not considered portable if the physical and subjective workloads resulting from carrying them over specified distances were excessive. Twenty-two males and six females participated in the experimental investigation and carried the three products for distances of 45·72, 91·44. 137·16 and 182·88 m. Their pulse and ratings of perceived exertion (RPE) of the arms and whole body were recorded and used as measures of physical and perceived workloads. Both physiological and subjective responses to carrying products were significantly influenced by the type of product and carrying distance, regardless of the gender of the person performing the carrying. The results of this study and the design guidelines provided in the literature for one-handed and two-handed carrying tasks led to the conclusion that, of the three products, only the television set could be considered portable.     

Effect of body posture and common hand tools on peak torque exertion capabilities

An experimental investigation was conducted to investigate the effects of body posture and of different types of common non-powered hand tools on maximum volitional torque exertion capabilities of males and females. Thirty-six males and 14 females applied peak torque in 21 different body postures while using nine different hand tools. The data analysis indicated that, for both males and females, the magnitude of volitional torque is strongly influenced by the type of tool used and the posture assumed. Between the two, however, the effect of hand tool is more profound. The correlation between the tool type and volitional torque was of the order of 0.71. No other variable was as strongly correlated with volitional torque. Maximum volitional torque profiles, as a function of posture and tool type, are provided for males and females.     

Multiplexer logic circuit design using cubical complexes

A novel approach to design combinational logic circuits using multiplexers is presented. The approach is based upon the representation of switching functions by cubical complexes.1 The method is simpler than the existing methods and highly suitable for design by inspection.     

Effects of sitting and standing, reach distance, and arm orientation on isokinetic pull strengths in the horizontal plane

In recent years, isokinetic strengths (dynamic strength exertions at constant speed) have almost replaced isometric (static) strengths in laboratory studies as measures of a person's strength exertion capabilities. Many industries are also showing a keen interest in replacing static strength usage with dynamic strength usage. The increasing acceptance of isokinetic strengths as a more valid and accurate measure of people's strength exertion capability has necessitated the development of isokinetic strength databases. This paper presents one-arm isokinetic pull strength profiles of males, engaged in infrequent exertion in a horizontal plane, as a function of posture (sitting and standing), reach distance (25, 40, and 55 cm for the sitting posture; 45, 65, and 85 cm for the standing posture), and angle of the preferred (stronger) arm from the frontal plane (0—frontal plane, 30, 60, 90, 120, and 150 deg). Twenty-five males participated in the study. The results indicated that more strength is exerted while standing. The strength also increases with the reach distance. The strength exertion becomes stronger as the angle of the arm increases to 90° from the frontal plane (i.e., the arm moves to the sagittal plane) and then weakens.     

Quality control expert systems: a review of pertinent literature

Statistical quality control (SQC) is an effective tool that ensures quality products and services by means of control charts, the essence of SQC, and sampling plans. While the computation of sample statistics and the development of control charts are routine exercises, the interpretation of chart patterns, trends and the associated diagnosis of assignable causes requires expert knowledge. The present trend is to develop a quality control system and apply it throughout the company (company-wide quality control CWQC or total quality control - TQC). This frequently means involvement of non-quality personnel in QC teams. Additionally, many companies are faced with a shortage of experienced quality controllers and individuals who can train and educate others on statistical quality control techniques. Quality control expert systems (QCESs) are considered as one way to alleviate these difficulties. In recent years, quality control expert systems have attracted the attention of both quality researchers and practitioners. This paper reviews existing quality control expert systems and recommends a set of quality engineering techniques that should be used to form a knowledge base, the heart of an expert system.