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1.
IEEE Trans Image Process ; 33: 1614-1626, 2024.
Article in English | MEDLINE | ID: mdl-38358876

ABSTRACT

We present a systematic approach for training and testing structural texture similarity metrics (STSIMs) so that they can be used to exploit texture redundancy for structurally lossless image compression. The training and testing is based on a set of image distortions that reflect the characteristics of the perturbations present in natural texture images. We conduct empirical studies to determine the perceived similarity scale across all pairs of original and distorted textures. We then introduce a data-driven approach for training the Mahalanobis formulation of STSIM based on the resulting annotated texture pairs. Experimental results demonstrate that training results in significant improvements in metric performance. We also show that the performance of the trained STSIM metrics is competitive with state of the art metrics based on convolutional neural networks, at substantially lower computational cost.

2.
J Vis ; 23(6): 2, 2023 06 01.
Article in English | MEDLINE | ID: mdl-37266933

ABSTRACT

Most studies on the perception of style have used whole scenes/entire paintings; in our study, we isolated a single motif (an apple) to reduce or even eliminate the influence of composition, iconography, and other contextual information. In this article, we empirically address two fundamental questions of the existence (Experiment 1) and description (Experiment 2) of style. We chose 48 cut-outs of mostly Western European paintings (15th to 21st century) that showed apples. In Experiment 1, 415 unique participants completed online triplet similarity tasks. Multidimensional scaling (MDS) reached a nonrandom three-dimensional (3D) embedding, showing that participants are able to judge stylistic differences in a systematic way. We also found a strong correlation between creation year and embedding, both a linear correlation with Dimension 2, and a rotational correlation in the first two dimensions. To interpret the embedding further, in Experiment 2, we fitted three color statistics and nine attribute ratings (glossiness, three-dimensionality, convincingness, brush coarseness, etc.) to the 3D perceptual style space. Results showed that Dimension 1 is associated with spatial attributes (Smoothness, Brushstroke coarseness) and Convincingness, Dimension 2 is related to Hue, and Dimension 3 is related to Chroma. The results suggest that texture and color are two important variables for style perception. By isolating the motifs, we could exclude higher levels of information such as composition and context. Interestingly, the results reinforce previous findings using whole scenes, suggesting that style can already be perceived in sometimes very small fragments of paintings.


Subject(s)
Paintings , Humans , Perception
3.
J Med Internet Res ; 23(3): e15846, 2021 03 03.
Article in English | MEDLINE | ID: mdl-33656446

ABSTRACT

BACKGROUND: Web-based patient education is increasingly offered to improve patients' ability to learn, remember, and apply health information. Efficient organization, display, and structural design, that is, information architecture (IA), can support patients' ability to independently use web-based patient education. However, the role of IA in the context of web-based patient education has not been examined systematically. OBJECTIVE: To support intervention designers in making informed choices that enhance patients' learning, this paper describes a randomized experiment on the effects of IA on the effectiveness, use, and user experience of a patient education website and examines the theoretical mechanisms that explain these effects. METHODS: Middle-aged and older adults with self-reported hip or knee joint complaints were recruited to use and evaluate 1 of 3 patient education websites containing information on total joint replacement surgery. Each website contained the same textual content based on an existing leaflet but differed in the employed IA design (tunnel, hierarchical, or matrix design). Participants rated the websites on satisfaction, engagement, control, relevance, trust, and novelty and completed an objective knowledge test. Analyses of variance and structural equation modeling were used to examine the effects of IA and construct a theoretical model. RESULTS: We included 215 participants in our analysis. IA did not affect knowledge gain (P=.36) or overall satisfaction (P=.07) directly. However, tunnel (mean 3.22, SD 0.67) and matrix (mean 3.17, SD 0.69) architectures were found to provide more emotional support compared with hierarchical architectures (mean 2.86, SD 0.60; P=.002). Furthermore, increased perceptions of personal relevance in the tunnel IA (ß=.18) were found to improve satisfaction (ß=.17) indirectly. Increased perceptions of active control in the matrix IA (ß=.11) also improved satisfaction (ß=.27) indirectly. The final model of the IA effects explained 74.3% of the variance in satisfaction and 6.8% of the variance in knowledge and achieved excellent fit (χ217,215=14.7; P=.62; root mean square error of approximation=0.000; 95% CI [0.000-0.053]; comparative fit index=1.00; standardized root mean square residual=0.044). CONCLUSIONS: IA has small but notable effects on users' experiences with web-based health education interventions. Web-based patient education designers can employ tunnel IA designs to guide users through sequentially ordered content or matrix IA to offer users more control over navigation. Both improve user satisfaction by increasing user perceptions of relevance (tunnel) and active control (matrix). Although additional research is needed, hierarchical IA designs are currently not recommended, as hierarchical content is perceived as less supportive, engaging, and relevant, which may diminish the use and, in turn, the effect of the educational intervention.


Subject(s)
Patient Education as Topic , Personal Satisfaction , Aged , Humans , Internet , Learning , Middle Aged , Trust
4.
J Vis ; 20(4): 13, 2020 04 09.
Article in English | MEDLINE | ID: mdl-32324842

ABSTRACT

We previously presented a systematic optics-based canonical approach to test material-lighting interactions in their full natural ecology, combining canonical material and lighting modes. Analyzing the power of the spherical harmonics components of the lighting allowed us to predict the lighting effects on material perception for generic natural illumination environments. To further understand how material properties can be brought out or communicated visually, in the current study, we tested whether and how light map orientation and shape affect these interactions in a rating experiment: For combinations of four materials, three shapes, and three light maps, we rotated the light maps in 15 different configurations. For the velvety objects, there were main and interaction effects of lighting and light map orientation. The velvety ratings decreased when the main light source was coming from the back of the objects. For the specular objects, there were main and interaction effects of lighting and shape. The specular ratings increased when the environment in the specular reflections was clearly visible in the stimuli. For the glittery objects, there were main and interaction effects of shape and light map orientation. The glittery ratings correlated with the coverage of the glitter reflections as the shape and light map orientation varied. For the matte objects, results were robust across all conditions. Last, we propose combining the canonical modes approach with so-called importance maps to analyze the appearance features of the proximal stimulus, the image, in contradistinction to the physical parameters as an approach for optimization of material communication.


Subject(s)
Form Perception/physiology , Light , Orientation, Spatial/physiology , Visual Perception/physiology , Contrast Sensitivity/physiology , Humans , Imaging, Three-Dimensional
5.
J Vis ; 19(4): 11, 2019 04 01.
Article in English | MEDLINE | ID: mdl-30952162

ABSTRACT

Photographers and lighting designers set up lighting environments that best depict objects and human figures to convey key aspects of the visual appearance of various materials, following rules drawn from experience. Understanding which lighting environment is best adapted to convey which key aspects of materials is an important question in the field of human vision. The endless range of natural materials and lighting environments poses a major problem in this respect. Here we present a systematic approach to make this problem tractable for lighting-material interactions, using optics-based models composed of canonical lighting and material modes. In two psychophysical experiments, different groups of inexperienced observers judged the material qualities of the objects depicted in the stimulus images. In the first experiment, we took photographs of real objects as stimuli under canonical lightings. In a second experiment, we selected three generic natural lighting environments on the basis of their predicted lighting effects and made computer renderings of the objects. The selected natural lighting environments have characteristics similar to the canonical lightings, as computed using a spherical harmonic analysis. Results from the two experiments correlate strongly, showing (a) how canonical material and lighting modes associate with perceived material qualities; and (b) which lighting is best adapted to evoke perceived material qualities, such as softness, smoothness, and glossiness. Our results demonstrate that a system of canonical modes spanning the natural range of lighting and materials provides a good basis to study lighting-material interactions in their full natural ecology.


Subject(s)
Form Perception/physiology , Lighting , Contrast Sensitivity/physiology , Ecology , Environment , Humans , Psychophysics
6.
J Vis ; 18(11): 11, 2018 10 01.
Article in English | MEDLINE | ID: mdl-30347097

ABSTRACT

To better understand the interactions between material perception and light perception, we further developed our material probe MatMix 1.0 into MixIM 1.0, which allows optical mixing of canonical lighting modes. We selected three canonical lighting modes (ambient, focus, and brilliance) and created scenes to represent the three illuminations. Together with four canonical material modes (matte, velvety, specular, glittery), this resulted in 12 basis images (the "bird set"). These images were optically mixed in our probing method. Three experiments were conducted with different groups of observers. In Experiment 1, observers were instructed to manipulate MixIM 1.0 and match optically mixed lighting modes while discounting the materials. In Experiment 2, observers were shown a pair of stimuli and instructed to simultaneously judge whether the materials and lightings were the same or different in a four-category discrimination task. In Experiment 3, observers performed both the matching and discrimination tasks in which only the ambient and focus light were implemented. Overall, the matching and discrimination results were comparable as (a) robust asymmetric perceptual confounds were found and confirmed in both types of tasks, (b) performances were consistent and all above chance levels, and (c) observers had higher sensitivities to our canonical materials than to our canonical lightings. The latter result may be explained in terms of a generic insensitivity for naturally occurring variations in light conditions. Our findings suggest that midlevel image features are more robust across different materials than across different lightings and, thus, more diagnostic for materials than for lightings, causing the asymmetric perceptual confounds.


Subject(s)
Contrast Sensitivity/physiology , Form Perception/physiology , Light , Humans , Photic Stimulation/methods , Probability
7.
Iperception ; 9(3): 2041669518781381, 2018.
Article in English | MEDLINE | ID: mdl-30090316

ABSTRACT

In this article, we studied perception of a particular case of light fields that is characterized by a difference in its consistent structure between parts of a scene. In architectural lighting design, such a consistent structure in a part of a light field is called a light zone. First, we explored whether human observers are sensitive to light zones, that is, zones determined primarily by light flow differences, for a natural-looking scene. We found that observers were able to distinguish the light conditions between the zones. The results suggested an effect of light zones' orientation. Therefore, in Experiment 2, we systematically examined how the orientation of light zones (left-right or front-back) with respect to a viewer influences light inferences in symmetric scenes. We found that observers are quite sensitive to the difference in the light flow of the light zones. In addition, we found that participants showed idiosyncratic behavior, especially for front-back-oriented light zones. Our findings show that observers are sensitive to differences in light field structure between two parts of a scene, which we call visual light zones.

8.
J Med Internet Res ; 20(4): e143, 2018 04 23.
Article in English | MEDLINE | ID: mdl-29685869

ABSTRACT

BACKGROUND: Patients with orthopedic conditions frequently use the internet to find health information. Patient education that is distributed online may form an easily accessible, time- and cost-effective alternative to education delivered through traditional channels such as one-on-one consultations or booklets. However, no systematic evidence for the comparative effectiveness of Web-based educational interventions exists. OBJECTIVE: The objective of this systematic review was to examine the effects of Web-based patient education interventions for adult orthopedic patients and to compare its effectiveness with generic health information websites and traditional forms of patient education. METHODS: CINAHL, the Cochrane Library, EMBASE, MEDLINE, PsycINFO, PUBMED, ScienceDirect, Scopus, and Web of Science were searched covering the period from 1995 to 2016. Peer-reviewed English and Dutch studies were included if they delivered patient education via the internet to the adult orthopedic population and assessed its effects in a controlled or observational trial. RESULTS: A total of 10 trials reported in 14 studies involving 4172 patients were identified. Nine trials provided evidence for increased patients' knowledge after Web-based patient education. Seven trials reported increased satisfaction and good evaluations of Web-based patient education. No compelling evidence exists for an effect of Web-based patient education on anxiety, health attitudes and behavior, or clinical outcomes. CONCLUSIONS: Web-based patient education may be offered as a time- and cost-effective alternative to current educational interventions when the objective is to improve patients' knowledge and satisfaction. However, these findings may not be representative for the whole orthopedic patient population as most trials included considerably younger, higher-educated, and internet-savvy participants only.


Subject(s)
Internet/standards , Orthopedics/education , Female , Humans , Male
9.
Hum Factors ; 58(8): 1143-1157, 2016 12.
Article in English | MEDLINE | ID: mdl-27613827

ABSTRACT

OBJECTIVE: We examine how transitions in task demand are manifested in mental workload and performance in a dual-task setting. BACKGROUND: Hysteresis has been defined as the ongoing influence of demand levels prior to a demand transition. Authors of previous studies predominantly examined hysteretic effects in terms of performance. However, little is known about the temporal development of hysteresis in mental workload. METHOD: A simulated driving task was combined with an auditory memory task. Participants were instructed to prioritize driving or to prioritize both tasks equally. Three experimental conditions with low, high, and low task demands were constructed by manipulating the frequency of lane changing. Multiple measures of subjective mental workload were taken during experimental conditions. RESULTS: Contrary to our prediction, no hysteretic effects were found after the high- to low-demand transition. However, a hysteretic effect in mental workload was found within the high-demand condition, which degraded toward the end of the high condition. Priority instructions were not reflected in performance. CONCLUSION: Online assessment of both performance and mental workload demonstrates the transient nature of hysteretic effects. An explanation for the observed hysteretic effect in mental workload is offered in terms of effort regulation. APPLICATION: An informed arrival at the scene is important in safety operations, but peaks in mental workload should be avoided to prevent buildup of fatigue. Therefore, communication technologies should incorporate the historical profile of task demand.


Subject(s)
Auditory Perception/physiology , Automobile Driving , Executive Function/physiology , Memory, Short-Term/physiology , Psychomotor Performance/physiology , Adult , Humans
10.
J Vis ; 16(10): 9, 2016 08 01.
Article in English | MEDLINE | ID: mdl-27548087

ABSTRACT

Human observers have been demonstrated to be sensitive to the local (physical) light field, or more precisely, to the primary direction, intensity, and diffuseness of the light at a point in a space. In the present study we focused on the question of whether it is possible to reconstruct the global visual light field, based on observers' inferences of the local light properties. Observers adjusted the illumination on a probe in order to visually fit it in three diversely lit scenes. For each scene they made 36 settings on a regular grid. The global structure of the first order properties of the light field could then indeed be reconstructed by interpolation of light vectors coefficients representing the local settings. We demonstrate that the resulting visual light fields (individual and averaged) can be visualized and we show how they can be compared to physical measurements in the same scenes. Our findings suggest that human observers have a robust impression of the light field that is simplified with respect to the physical light field. In particular, the subtle spatial variations of the physical light fields are largely neglected and the visual light fields were more similar to simple diverging fields than to the actual physical light fields.


Subject(s)
Light , Lighting/methods , Visual Fields/physiology , Visual Perception/physiology , Female , Humans , Male , Photic Stimulation/methods
11.
PLoS One ; 11(7): e0158511, 2016.
Article in English | MEDLINE | ID: mdl-27391779

ABSTRACT

The role of task prioritization in performance tradeoffs during multi-tasking has received widespread attention. However, little is known on whether people have preferences regarding tasks, and if so, whether these preferences conflict with priority instructions. Three experiments were conducted with a high-speed driving game and an auditory memory task. In Experiment 1, participants did not receive priority instructions. Participants performed different sequences of single-task and dual-task conditions. Task performance was evaluated according to participants' retrospective accounts on preferences. These preferences were reformulated as priority instructions in Experiments 2 and 3. The results showed that people differ in their preferences regarding task prioritization in an experimental setting, which can be overruled by priority instructions, but only after increased dual-task exposure. Additional measures of mental effort showed that performance tradeoffs had an impact on mental effort. The interpretation of these findings was used to explore an extension of Threaded Cognition Theory with Hockey's Compensatory Control Model.


Subject(s)
Task Performance and Analysis , Adult , Attention/physiology , Cognition/physiology , Female , Healthy Volunteers , Humans , Male , Psychomotor Performance
12.
J Vis ; 16(6): 11, 2016.
Article in English | MEDLINE | ID: mdl-27089066

ABSTRACT

MatMix 1.0 is a novel material probe we developed for quantitatively measuring visual perception of materials. We implemented optical mixing of four canonical scattering modes, represented by photographs, as the basis of the probe. In order to account for a wide range of materials, velvety and glittery (asperity and meso-facet scattering) were included besides the common matte and glossy modes (diffuse and forward scattering). To test the probe, we conducted matching experiments in which inexperienced observers were instructed to adjust the modes of the probe to match its material to that of a test stimulus. Observers were well able to handle the probe and match the perceived materials. Results were robust across individuals, across combinations of materials, and across lighting conditions. We conclude that the approach via canonical scattering modes and optical mixing works well, although the image basis of our probe still needs to be optimized. We argue that the approach is intuitive, since it combines key image characteristics in a "painterly" approach. We discuss these characteristics and how we will optimize their representations.


Subject(s)
Form Perception/physiology , Optical Imaging/methods , Visual Perception/physiology , Adult , Female , Humans , Light , Male , Mathematics , Scattering, Radiation , Young Adult
13.
J Opt Soc Am A Opt Image Sci Vis ; 32(2): 329-42, 2015 Feb 01.
Article in English | MEDLINE | ID: mdl-26366606

ABSTRACT

The development and testing of objective texture similarity metrics that agree with human judgments of texture similarity require, in general, extensive subjective tests. The effectiveness and efficiency of such tests depend on a careful analysis of the abilities of human perception and the application requirements. The focus of this paper is on defining performance requirements and testing procedures for objective texture similarity metrics. We identify three operating domains for evaluating the performance of a similarity metric: the ability to retrieve "identical" textures; the top of the similarity scale, where a monotonic relationship between metric values and subjective scores is desired; and the ability to distinguish between perceptually similar and dissimilar textures. Each domain has different performance goals and requires different testing procedures. For the third domain, we propose ViSiProG, a new Visual Similarity by Progressive Grouping procedure for conducting subjective experiments that organizes a texture database into clusters of visually similar images. The grouping is based on visual blending and greatly simplifies labeling image pairs as similar or dissimilar. ViSiProG collects subjective data in an efficient and effective manner, so that a relatively large database of textures can be accommodated. Experimental results and comparisons with structural texture similarity metrics demonstrate both the effectiveness of the proposed subjective testing procedure and the performance of the metrics.

14.
Iperception ; 4(2): 111-21, 2013.
Article in English | MEDLINE | ID: mdl-23755356

ABSTRACT

In this paper, we focus on how people perceive the aspect ratio of city squares. Earlier research has focused on distance perception but not so much on the perceived aspect ratio of the surrounding space. Furthermore, those studies have focused on "open" spaces rather than urban areas enclosed by walls, houses and filled with people, cars, etc. In two experiments, we therefore measured, using a direct and an indirect method, the perceived aspect ratio of five city squares in the historic city center of Delft, the Netherlands. We also evaluated whether the perceived aspect ratio of city squares was affected by the position of the observer on the square. In the first experiment, participants were asked to set the aspect ratio of a small rectangle such that it matched the perceived aspect ratio of the city square. In the second experiment, participants were asked to estimate the length and width of the city square separately. In the first experiment, we found that the perceived aspect ratio was in general lower than the physical aspect ratio. However, in the second experiment, we found that the calculated ratios were close to veridical except for the most elongated city square. We conclude therefore that the outcome depends on how the measurements are performed. Furthermore, although indirect measurements are nearly veridical, the perceived aspect ratio is an underestimation of the physical aspect ratio when measured in a direct way. Moreover, the perceived aspect ratio also depends on the location of the observer. These results may be beneficial to the design of large open urban environments, and in particular to rectangular city squares.

15.
Seeing Perceiving ; 25(3-4): 339-49, 2012.
Article in English | MEDLINE | ID: mdl-21968162

ABSTRACT

Human observers adjust the frontal view of a wireframe box on a computer screen so as to look equally deep and wide, so that in the intended setting the box looks like a cube. Perspective cues are limited to the size-distance effect, since all angles are fixed. Both the size on the screen, and the viewing distance from the observer to the screen were varied. All observers prefer a template view of a cube over a veridical rendering, independent of picture size and viewing distance. If the rendering shows greater or lesser foreshortening than the template, the box appears like a long corridor or a shallow slab, that is, like a 'deformed' cube. Thus observers ignore 'veridicality'. This does not fit an 'inverse optics' model. We discuss a model of 'vision as optical user interface'.


Subject(s)
Depth Perception/physiology , Form Perception/physiology , Space Perception/physiology , Adult , Aged , Cues , Female , Humans , Male , Middle Aged , Pattern Recognition, Visual/physiology , Size Perception
16.
Perception ; 40(8): 938-48, 2011.
Article in English | MEDLINE | ID: mdl-22132508

ABSTRACT

We investigated the apparent spatial layout of cast shadows up to very wide fields of view. We presented up to 130 degrees wide images in which two 'flat poles' were standing on a green lawn under a cloudless blue sky on a sunny day. The poles threw sharp cast shadows on the green, of which one was fixed. The observer's task was to adjust the azimuth of the shadow of the other pole such that it fitted the scene. The source elevation was kept constant. The two cast shadows are, of course, parallel in physical space, but generically not in the picture plane because of the wide perspective. We found that observers made huge systematic errors, indicating that, generically, they fail to account for these perspective effects. The systematic deviations could be well described by a weighted linear combination of the directions in the picture plane and in the physical space, with weights that depended on the positions of, and distance between, the poles.


Subject(s)
Space Perception/physiology , Visual Perception/physiology , Adult , Aged , Animals , Female , Humans , Judgment/physiology , Male , Middle Aged , Models, Psychological , Orientation , Psychological Tests , Signal Processing, Computer-Assisted , Young Adult
17.
Perception ; 39(9): 1163-71, 2010.
Article in English | MEDLINE | ID: mdl-21125944

ABSTRACT

We show that human observers using monocular viewing treat the pencil of 'visual rays' that diverges from the vantage point as experientally parallel. This oddity becomes very noticeable in the case of wide-angle presentations, where the angle subtended by a pair of visual rays may be as large as the angular size of the display. In our presentations such angles subtended over 100 deg. There are various ways to demonstrate the effect; in this study we measure the attitudes of pictorial objects that appear to be situated in mutually parallel attitudes in pictorial space. Our finding is that such objects appear parallel if they are similarly oriented with respect to the local visual rays. This leads to 'errors' in the judgment of mutual orientations of up to 100 deg. Although this appears to be the first quantitative study of the effect, we trace it to qualitative reports by Helmholtz (late 19th century) and Kepler (early 17th century) as well as speculation by early authors (AD 500). The effect has apparently been noticed by visual artists from the late middle ages to the present day.


Subject(s)
Visual Perception , Female , Humans , Illusions , Male , Photic Stimulation , Space Perception , Vision, Monocular
18.
Qual Saf Health Care ; 19 Suppl 3: i36-41, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20959317

ABSTRACT

OBJECTIVES: The aim of this study is to arrive at design implications for the digital support of intensive care nurses, with a focus on supporting them in their roles as practitioners, as scholars and in their human response to their work. METHODS: Seventeen nurses from six different Dutch hospitals were interviewed using a newly developed digital prototype designed around these roles. The nurses were questioned about the suitability of four functions: two supporting the practitioner role ('web of actors' and 'timeline and notes'); one supporting the scholar role ('assessment of the patient'); and one supporting the role of human ('perception of the shift'). The remarks of the nurses about these functions were grouped by their relevance to design (ie, the perceived added value of the function, suggestions for other uses, and the perceived negative impact of the function) and by topic. RESULTS: A total of 23 topics emerged: nine topics described the added values of the functions, nine were suggestions for other uses, and five concerned the negative impact of the functions as perceived by the participants. The main points of each topic were summarised, resulting in 23 design implications for digital role-based support.


Subject(s)
Adaptation, Psychological , Decision Support Systems, Clinical , Intensive Care Units , Nurse's Role/psychology , Nursing Staff, Hospital/psychology , Professional Role , Adult , Attitude of Health Personnel , Attitude to Computers , Clinical Competence , Education, Nursing, Continuing , Humans , Netherlands , Nurse-Patient Relations , Nursing Process , Organizational Innovation , Outcome Assessment, Health Care , Physician-Nurse Relations , Surveys and Questionnaires
19.
Surg Endosc ; 24(12): 2993-3001, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20419318

ABSTRACT

BACKGROUND: The aim of this study is to investigate the influence of the presence of anatomic landmarks on the performance of angled laparoscope navigation on the SimSurgery SEP simulator. METHODS: Twenty-eight experienced laparoscopic surgeons (familiar with 30° angled laparoscope, >100 basic laparoscopic procedures, >5 advanced laparoscopic procedures) and 23 novices (no laparoscopy experience) performed the Camera Navigation task in an abstract virtual environment (CN-box) and in a virtual representation of the lower abdomen (CN-abdomen). They also rated the realism and added value of the virtual environments on seven-point scales. RESULTS: Within both groups, the CN-box task was accomplished in less time and with shorter tip trajectory than the CN-abdomen task (Wilcoxon test, p < 0.05). No significant differences were found between the performances of the experienced participants and the novices on the CN tasks (Mann-Whitney U test, p > 0.05). In both groups, the CN tasks were perceived as hard work and more challenging than anticipated. CONCLUSIONS: Performance of the angled laparoscope navigation task is influenced by the virtual environment surrounding the exercise. The task was performed better in an abstract environment than in a virtual environment with anatomic landmarks. More insight is required into the influence and function of different types of intrinsic and extrinsic feedback on the effectiveness of preclinical simulator training.


Subject(s)
Computer Simulation , Laparoscopy/education , Laparoscopy/methods , Abdominal Cavity/anatomy & histology , Adult , Aged , Humans , Middle Aged , Surveys and Questionnaires , Young Adult
20.
World J Surg ; 34(5): 933-40, 2010 May.
Article in English | MEDLINE | ID: mdl-20151134

ABSTRACT

BACKGROUND: Surgical techniques that draw from multiple types of image-based procedures (IBP) are increasing, such as Natural Orifice Transluminal Endoscopic Surgery, fusing laparoscopy and flexible endoscopy. However, little is known about the relation between psychomotor skills for performing different types of IBP. For example, do basic psychomotor colonoscopy and laparoscopy skills interact? METHODS: Following a cross-over study design, 29 naïve endoscopists were trained on the Simbionix GI Mentor and the SimSurgery SEP simulators. Group C (n = 15) commenced with a laparoscopy session, followed by four colonoscopy sessions and a second laparoscopy session. Group L (n = 14) started with a colonoscopy session, followed by four laparoscopy sessions and a second colonoscopy session. RESULTS: No significant differences were found between the performances of group L and group C in their first training sessions on either technique. With additional colonoscopy training, group C outperformed group L in the second laparoscopy training session on the camera navigation task. CONCLUSIONS: Overall, training in the basic colonoscopy tasks does not affect performance of basic laparoscopy tasks (and vice versa). However, to limited extent, training of basic psychomotor skills for colonoscopy do appear to contribute to the performance of angled laparoscope navigation tasks. Thus, training and assessment of IBP type-specific skills should focus on each type of tasks independently. Future research should further investigate the influence of psychometric abilities on the performance of IBP and the transfer of skills for physicians who are experienced in one IBP type and would like to become proficient in another type of IBP.


Subject(s)
Endoscopy , Laparoscopy , Minimally Invasive Surgical Procedures/education , Psychomotor Performance , Colonoscopy , Cross-Over Studies , Education , Educational Measurement , Endoscopy/education , Humans , Motor Skills
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