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Biomedical subjects

Vincenzo Liberatore

Publications and source records attributed to Vincenzo Liberatore.

4 recordsLinked to original sources

Using complexity theory to build interventions that improve health care delivery in primary care.

Previous observational research confirms abundant variation in primary care practice. While variation is sometimes viewed as problematic, its presence may also be highly informative in uncovering ways to enhance health care delivery when it represents unique adaptations to the values and needs of people within the practice and interactions with the local community and health care system. We describe a theoretical perspective for use in developing interventions to improve care that acknowledges the uniqueness of primary care practices and encourages flexibility in the form of intervention implementation, while maintaining fidelity to its essential functions.

Community Health Services↗

Virtual environment-based training simulator for endoscopic third ventriculostomy.

A virtual environment-based endoscopic third ventriculostomy simulator is being developed for training neurosurgeons as a standardized method for evaluating competency. Magnetic resonance (MR) images of a patient's brain are used to construct the geometry model, realistic behavior in the surgical area is simulated by using physical modeling and surgical instrument handling is replicate by a haptic interface. The completion of the proposed virtual training simulator will help the surgeon to practice the techniques repeatedly and effectively, serving as a powerful educational tool.

Computer Simulation↗

Evaluation methods of a middleware for networked surgical simulations.

Distributed surgical virtual environments are desirable since they substantially extend the accessibility of computational resources by network communication. However, network conditions critically affects the quality of a networked surgical simulation in terms of bandwidth limit, delays, and packet losses, etc. A solution to this problem is to introduce a middleware between the simulation application and the network so that it can take actions to enhance the user-perceived simulation performance. To comprehensively assess the effectiveness of such a middleware, we propose several evaluation methods in this paper, i.e., semi-automatic evaluation, middleware overhead measurement, and usability test.

Computer Simulation↗

GiPSiNet: an open source/open architecture network middleware for surgical simulations.

In this paper, we present the design and techniques of GiPSiNet, an open source/open architecture network middleware being developed for surgical simulations. GiPSiNet extends GiPSi (General Interactive Physical Simulation Interface), our framework for developing organ level surgical simulations, to network environments. This network extension is non-trivial, since the network settings pose several serious problems for distributed surgical virtual environments such as band-width limit, delays, and packet losses. Our goal is to enhance the quality (fidelity and realism) of networked simulations in the absence of network QoS (Quality of Service) through the GiPSiNet middleware.

Computer Simulation↗