• 한국응급구조학회지
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• 제17권2호
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• pp.77-87
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• 2013

Purpose : The purpose of this study was to develop a scenario and to evaluate the students by simulation-based learning of acute abdominal pain case in an emergency unit. The expert group of simulation developed the scenario based on actual abdominal pain by medical treatment records. Methods : Scenario was developed to evaluate the simMan3G simulation-based learning. The scenario was used in 2013 with ten groups of fourth grade 50 nursing students who voluntarily participated in the simulation class. Results : The nursing students were able to express nursing knowledge, learning attitude and self-efficacy. The simulation-based scenario proved to be very effective to students' skill training. The performance of nursing practice through simulation class made the nursing students more confident with patient care. Conclusion : Simulation-based learning was found to be the most effective curriculum to the nursing students and made the students satisfied and confident. So the simulation-based learning would be helpful to other students including paramedic students and medical school students.

• 한국멀티미디어학회논문지
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• 제15권5호
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• pp.664-671
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• 2012

가상 의료 시뮬레이션을 통한 실습 교육은 학습 효과를 높이는 장점이 있기 때문에 최근 실제 의료 환경에 도입이 확대되고 있다. 특히 최소 침습적 수술 분야에서 가상 수술 의료 시뮬레이션의 필요성이 증가하고 있다. 하지만, 가상 수술 의료 시뮬레이션 환경에서 자주 발생하는 출혈 특수 효과를 현실감이 있게 표현하기 위한 출혈 애니메이션 기술은 아직까지 제안되지 않고 있다. 본 논문에서는 사실적인 실시간 출혈 애니메이션 기법을 제안한다. 제안 기법은 출혈 시뮬레이션을 위해서 주 출혈 방향 벡터 방향을 기준으로 주 출혈 영역과 유효 출혈 영역을 계산하여 자연스러운 출혈 효과의 표현이 가능하다. 또한, 출혈 렌더링을 위해서 정점들의 불투명도 값을 시그모이드 함수를 이용한 가중치 부여로 부드러운 불투명도 변화를 통하여 사실적이고, 자연스러운 출혈 애니메이션이 가능하다. 본 논문에서 제안한 기법은 가상 수술 의료 시뮬레이션의 현실감, 몰입감을 증진시켜 이러한 시뮬레이션을 사용하는 의사 혹은 의대생들에 대한 교육의 효과를 증진시킬 수 있다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 1999년도 Japanese Journal of Medical Physics
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• pp.69-72
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• 1999

We present a method of quality assurance (QA) for dose and dose distribution anticipated in treatment planning at proton therapy using a particle-based simulation method.

• 한국시뮬레이션학회논문지
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• 제22권2호
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• pp.21-31
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• 2013

진단 의료 혈액 분석기는 세계 의료기기 시장에서 지속적인 고성장세를 이어가고 있다. 본 연구에서는 국내 혈액분석기가 진단 의료기기 시장에서 가격경쟁력을 높여갈 수 있도록 비용을 절감시키면서 낮은 생산원가를 실현시킬 수 있는 생산성 향상 방안을 마련하는데 중점을 두었다. TOC 제약이론의 집중개선 5단계와 공장자동화 전략을 기반으로 시뮬레이션을 모델링하였으며 단계별로 대안을 제시하고 결과를 예측하여 분석하였다. ARENA 시뮬레이션을 이용하여 현장의 상황을 정확히 모델링하였으며 TOC 제약이론 집중개선 5단계를 도입하여 보다 체계적이고 효과적으로 개선하였다. 제약공정의 능력을 확장하는 단계에서는 적절한 공장자동화를 통하여 생산성을 크게 향상시켰으며 자동화 설비 도입에 따른 경제성 분석을 실시하여 투자대비 효과를 입증하였다.

• 한국응급구조학회지
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• 제17권3호
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• pp.139-147
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• 2013

Purpose: The purpose of the study is to confirm the effect of ACLS program using simulations and understanding self-efficacy, practice satisfaction, learning attitude, and interest in ACLS after theory classes and simulation-based practice. Methods: A non-equivalent simulation-based practice post test design was used. The participants were 28 paramedic students. The students participated in simulation-based practice for 3 weeks and conventional instruction class for 12 weeks. Results: The students showed higher level of self-efficacy(p=.043), practice satisfaction(p<.001) and learning attitude(p=.003) compared to the conventional lecture students. Conclusion: Level of self-efficacy after simulation-based practice for ACLS was higher than that of self-efficacy after conventional instruction classes. Level of practice satisfaction was also higher. Academic achievement after simulation-based practice was higher than that in conventional instruction classes.

• Journal of Radiation Protection and Research
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• 제37권3호
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• pp.146-148
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• 2012

The use of GEANT4 simulation toolkit has increased in the radiation medical field for the design of treatment system and the calibration or validation of treatment plans. Moreover, it is used especially on calculating dose simulation using medical data for radiation therapy. However, using internal visualization tool of GEANT4 detector constructions on expressing dose result has deficiencies because it cannot display isodose line. No one has attempted to use this code to a real patient's data. Therefore, to complement this problem, using the result of gMocren that is a three-dimensional volume-visualizing tool, we tried to display a simulated dose distribution and isodose line on medical image. In addition, we have compared cross-validation on the result of gMocren and GEANT4 simulation with commercial radiation treatment planning system. We have extracted the analyzed data of dose distribution, using real patient's medical image data with a program based on Monte Carlo simulation and visualization tool for radiation isodose mapping.

• 한국응급구조학회지
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• 제21권2호
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• pp.71-78
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• 2017

Purpose: The purpose of the study was to investigate the satisfaction of paramedic students with simulation-based learning in an emergency intervention for bradycardia patients. Methods: Study participants were 72 paramedic students who experienced simulation-based learning. Data on satisfaction with the intervention were collected and analyzed using SPSS 18.0. Results: The mean satisfaction score for the simulation-based learning intervention was 4.28 by Likert 5 point scale. Conclusion: Simulation-based learning can facilitate adaptation to the scene of an emergency among paramedic students.

• Journal of International Society for Simulation Surgery
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• 제3권1호
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• pp.12-15
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• 2016

Functional and esthetic reconstruction after segmental mandibulectomy is one of the most challenging surgeries in microsurgical reconstruction field. Simulation surgery before free flap reconstruction has been performed for efficient surgery and successful results. Fibula free flap is the flap of the choice for reconstruction of the segmental mandibular defect. Straight nature of the fibula bone requires multiple segmentations to fit into mandible. 3D rapid prototype (RP) model gives a lot of information for mandibular reconstruction. The purpose of this study was to report mandibular reconstruction with free fibular flap using simulation surgery. A total of 30 consecutive patients were included for functional and esthetic evaluation. Among 30 patients, two flaps showed necrosis after radiotherapy. The other flaps were all survived and showed successful reconstruction in both function and esthetics.

• 한국응급구조학회지
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• 제10권2호
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• pp.15-23
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• 2006

Simulators were introduced in education as a tool to make advanced training standardized, less expensive, and without danger to those involved. In 1922 in the Unites States, Edward Link presented his homemade flight simulator, which became common place in both military and civilian aviation, known as the "Link Trainer". The development of mannequin simulators used for education, training, and research is reviewed, tracing the motivations, evolution to commercial availability, and efforts toward assessment of efficacy of those for teaching cardiopulmonary resuscitation, cardiology skills, anaesthesia clinical skills, and crisis management. This will provide a brief overview of simulators and trainers in several domains.

• 한국응급구조학회지
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• 제9권2호
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• pp.207-221
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• 2005

Purpose: The purpose of this study was to develop and apply a simulation-problem based learning(S-PBL) package in basic life support(BLS). Methods: This study was used to developed BLS' S-PBL package throughout 12 steps of PBL package development model. Then, BLS' S-PBL methodology was implemented in second year student in the undergraduate emergency medical technology, and survey was done. Results: 1. S-PBL package model was presented based on conceptual model II of PBL ; PEL for professional action. 2. Quantitative analysis of survey was to the effectiveness of learning, 3.59 points ; 4.15 of BLS and 3.84 of integration and practical use of knowledge. 3. As to the satisfaction of student, S-PBL package management, tutor and self-satisfaction' score was 3.59, 3.82, 3.39 respectively. Conclusion: This study was suggested that S-PBL education would be necessary with improved tutor skill and achieved advantage of simulation and PBL.