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Detecting precise firing sequences in experimental data.

A precise firing sequence (PFS) is defined here as a sequence of three spikes with fixed delays (up to some time accuracy Delta), that repeat excessively. This paper provides guidelines for detecting PFSs, verifying their significance through surrogate spike trains, and identifying existing PFSs. The method is based on constructing a three-fold correlation among spikes, estimating the expected shape of the correlation by smoothing, and detecting points for which the correlations significantly protrude above the expected correlation. Validation is achieved by generating surrogate spike trains in which the time of each of the real spikes is randomly jittered within a small time window. The method is extensively tested through application to simulated spike trains, and the results are illustrated with recordings of single units in the frontal cortex of behaving monkeys. Pitfalls which may cause false detection of PFSs, or loss of existing PFSs, include searching for PFSs in which the same neuron participates more than once, and attempting to produce a surrogate with some fixed statistical property.

Action Potentials↗

Behavioral analysis of Drosophila landmark learning in the flight simulator.

Drosophila flies can be trained in the flight simulator to operantly avoid heat by choosing certain orientations relative to landmarks. Flies primarily store pattern orientations associated with the absence of heat. They readily escape from heat-associated orientations under the direct influence of the reinforcer but not in the subsequent memory tests. The flies tend to keep the largest possible distance from the "hot" or potentially "hot" regions, that is, they head toward the center of the "cold" sector. The results are discussed in the light of the retinotopic matching model explaining visual memory in flies by the superposition of a retinotopically stored template with the actual retinal image. Window experiments confining visual feedback to two 90 degrees sectors indicate that the memory template covers most of the visible space.

Animals↗

Nondominant Hand Training in Laparoscopy for Surgical Interns: Feasibility and Impact.

OBJECTIVE: Laparoscopy requires bimanual proficiency, yet early trainees demonstrate underdeveloped nondominant hand (NDH) performance. Although deliberate practice of NDH skill contributes to overall performance, NDH training is rarely incorporated into residency simulation curricula and has not been formally evaluated in surgical trainees. We assessed feasibility and impact of integrating structured NDH training with established laparoscopic curriculum for surgery interns. DESIGN: Prospective, single-institution randomized pilot study. Interns were assigned the standard 4-week curriculum of laparoscopic dominant hand and bimanual tasks (Control) or completed assigned NDH tasks in addition to the standard curriculum (Intervention). Feasibility was determined by assigned task completion, daily standard and NDH-specific self-reported practice time, and improvement in bimanual task performance. Performance was video recorded weekly and assessed by blinded evaluators using MISTELS and GOALS scoring. Cognitive workload during laparoscopic tasks was measured via NASA-TLX. Exploratory analyses were conducted within a Bayesian framework. SETTING: A single academic institution with a surgical simulation training program. PARTICIPANTS: General surgery interns on their 4-week simulation rotation. RESULTS: Eleven general surgery interns (6 intervention, 5 controls; all right-hand dominant) completed the study with 100% task completion and practice log compliance. Both groups improved in bimanual performance and perceived cognitive load. Reduction in cognitive workload during bimanual task performance was greater in the NDH group. Time spent on NDH practice over 4 weeks was associated with improved bimanual performance, independent of time spent on standard curriculum tasks. CONCLUSIONS: Structured NDH training is feasible to implement within an existing curriculum and reduces perceived cognitive workload during bimanual laparoscopic tasks. NDH practice demonstrates a beneficial dose-response relationship with performance, supporting its integration into early laparoscopic training.

Laparoscopy↗

A simple spike train decoder inspired by the sampling theorem.

Reconstructing a time-varying stimulus estimate from a spike train (Bialek's "decoding" of a spike train) has become an important way to study neural information processing. In this paper, we describe a simple method for reconstructing a time-varying current injection signal from the simulated spike train it produces. This technique extracts most of the information from the spike train, provided that the input signal is appropriately matched to the spike generator. To conceptualize this matching, we consider spikes as instantaneous "samples" of the somatic current. The Sampling Theorem is then applicable, and it suggests that the bandwidth of the injected signal not exceed half the spike generator's average firing rate. The average firing rate, in turn, depends on the amplitude range and DC bias of the injected signal. We hypothesize that nature faces similar problems and constraints when transmitting a time-varying waveform from the soma of one neuron to the dendrite of the postsynaptic cell.

Action Potentials↗

A layered model of a virtual human intestine for surgery simulation.

In this paper, we propose a new approach to simulate the small intestine in a context of laparoscopic surgery. The ultimate aim of this work is to simulate the training of a basic surgical gesture in real-time: moving aside the intestine to reach hidden areas of the abdomen. The main problem posed by this kind of simulation is animating the intestine. The problem comes from the nature of the intestine: a very long tube which is not isotropically elastic, and is contained in a volume that is small when compared to the intestine's length. It coils extensively and collides with itself in many places. To do this, we use a layered model to animate the intestine. The intestine's axis is animated as a linear mechanical component. A specific sphere-based model handles contacts and self-collisions. A skinning model is used to create the intestine's volume around the axis. This paper discusses and compares three different representations for skinning the intestine: a parametric surface model and two implicit surface models. The first implicit surface model uses point skeletons while the second uses local convolution surfaces. Using these models, we obtained good-looking results in real-time. Some videos of this work can be found in the online version at doi: 10.1016/j.media.2004.11.006 and at www-imagis.imag.fr/Publications/2004/FLAMCFC04.

Algorithms↗

A prototype simulator for endovascular repair of abdominal aortic aneurysms.

A prototype simulator for training in endovascular repair of abdominal aortic aneurysms (AAA) has been developed. Employing transparent models of human AAA complete with renal, iliac and femoral arteries, this system allows accurate simulation of aortography, road-mapping, catheter guidewire manipulation and stent-graft deployment while obviating the need for ionising radiation.

Aortic Aneurysm, Abdominal↗

Influence of virtual reality training on the roadside crossing judgments of child pedestrians.

The roadside crossing judgments of children aged 7, 9, and 11 years were assessed relative to controls before and after training with a computer-simulated traffic environment. Trained children crossed more quickly, and their estimated crossing times became better aligned with actual crossing times. They crossed more promptly, missed fewer safe opportunities to cross, accepted smaller traffic gaps without increasing the number of risky crossings, and showed better conceptual understanding of the factors to be considered when making crossing judgments. All age groups improved to the same extent, and there was no deterioration when children were retested 8 months later. The results are discussed in relation to theoretical arguments concerning the extent to which children's pedestrian judgments are amenable to training.

Accidents, Traffic↗

[Use of a virtual immersion computer simulator as a model for basic training in laparoscopic urology].

BACKGROUND: to date, it has not been defined the best method for teaching urologic laparoscopy, however it is well recognized that it involves a steep learning curve. METHODS: A course of Laparoscopic Urology was done in our Institute. The program included skill practices in a virtual immersion simulator which evaluated, the score and time to complete each activity. This was done in a group of residents with previous experience with this virtual simulator (group 1) and another group of residents with no experience (group 2). Four different basic tasks were performed in the virtual simulator, which included: coordination, cutting, clip application and performing a simple suture. RESULTS: When we compared the scores between both groups the mean scores for each task were superior in group 1 compared to the group 2, with no statistically significant difference, however when we compared the time to complete each task, it was shorter in group 1 compared to group 2 with a statistically significant difference. CONCLUSIONS: The performance of residents without experience in a virtual simulator was similar to that of previously trained residents, however it takes less time to complete each task as the resident gains experience in these simulators. The use of virtual simulators for laparoscopy training are useful when learning basic techniques allowing the surgeon to improve hand dexterity and coordination in laparoscopic surgery.

Computer Simulation↗

Developmental constraints aid the acquisition of binocular disparity sensitivities.

This article considers the hypothesis that systems learning aspects of visual perception may benefit from the use of suitably designed developmental progressions during training. We report the results of simulations in which four models were trained to detect binocular disparities in pairs of visual images. Three of the models were developmental models in the sense that the nature of their visual input changed during the course of training. These models received a relatively impoverished visual input early in training, and the quality of this input improved as training progressed. One model used a coarse-scale-to-multiscale developmental progression, another used a fine-scale-to-multiscale progression, and the third used a random progression. The final model was nondevelopmental in the sense that the nature of its input remained the same throughout the training period. The simulation results show that the two developmental models whose progressions were organized by spatial frequency content consistently outperformed the nondevelopmental and random developmental models. We speculate that the superior performance of these two models is due to two important features of their developmental progressions: (1) these models were exposed to visual inputs at a single scale early in training, and (2) the spatial scale of their inputs progressed in an orderly fashion from one scale to a neighboring scale during training. Simulation results consistent with these speculations are presented. We conclude that suitably designed developmental sequences can be useful to systems learning to detect binocular disparities. The idea that visual development can aid visual learning is a viable hypothesis in need of study.

Learning↗

In-flight hypoxia incidents in military aircraft: causes and implications for training.

BACKGROUND: Hypoxia has long been recognized as a significant physiological threat at altitude. Aircrew have traditionally been trained to recognize the symptoms of hypoxia using hypobaric chamber training at simulated altitudes of 25,000 ft or more. The aim of this study was to analyze incidents of hypoxia reported to the Directorate of Flying Safety of the Australian Defence Force (DFS-ADF) for the period 1990-2001, as no previous analysis of these incidents has been undertaken. The data will be useful in planning future training strategies for aircrew in aviation physiology. METHOD: A search was requested of the DFS-ADF database, for all Aircraft Safety Occurrence Reports (ASOR) listing hypoxia as a factor. These cases were reviewed and the following data analyzed: aircraft type, number of persons on board (POB), number of hypoxic POB, any fatalities, whether the victims were trained or untrained as aircrew, if the symptoms were recognized as hypoxia, symptoms experienced, the altitude at which the incident occurred, and the likely cause. RESULTS: During the period studied. 27 reports of hypoxia were filed, involving 29 aircrew. In only two cases was consciousness lost, and one of these resulted in a fatality. Most incidents (85.1%) occurred in fighter or training aircraft with aircrew who use oxygen equipment routinely. The majority of symptoms occurred between 10,000 and 19,000 ft. The most common cause of hypoxia (63%) in these aircraft was the failure of the mask or regulator, or a mask leak. Rapid accidental decompression did not feature as a cause of hypoxia. Symptoms were subtle and often involved cognitive impairment or light-headedness. The vast majority (75.8%) of these episodes were recognized by the aircrew themselves, reinforcing the importance and benefit of hypoxia training. CONCLUSION: This study confirms the importance and effectiveness of hypoxia training for aircrew. Hypoxia incidents occur most commonly at altitudes less than 19,000 ft. This should be emphasized to aircrew, whose expectation may be that it is only a problem of high altitude. Proper fitting of masks, leak checks, and equipment checks should be taught to all aircrew and reinforced regularly. Current hypobaric chamber training methods should be reviewed for relevance to the most at-risk aircrew population. Methods that can simulate subtle incapacitation while wearing oxygen equipment should be explored. Hypoxia in flight still remains a serious threat to aviators, and can result in fatalities.

Adult↗

The effects of replacing a portion of endurance training by explosive strength training on performance in trained cyclists.

To investigate the effects of replacing a portion of endurance training by strength training on exercise performance, 14 competitive cyclists were divided into an experimental (E; n = 6) and a control (C; n = 8) group. Both groups received a training program of 9 weeks. The total training volume for both groups was the same [E: 8.8 (1.1) h/week; C: 8.9 (1.7) h/week], but 37% of training for E consisted of explosive-type strength training, whilst C received endurance training only. Simulated time trial performance (TT), short-term performance (STP), maximal workload (Wmax) and gross (GE) and delta efficiency (DE) were measured before, after 4 weeks and at the end of the training program (9 weeks). No significant group-by-training effects for the markers of endurance performance (TT and Wmax) were found after 9 weeks, although after 4 weeks, these markers had only increased (P < 0.05) in E. STP decreased (P < 0.05) in C, whereas no changes were observed in E. For DE, a significant group-by-training interaction (P < 0.05) was found, and for GE the group-by-training interaction was not significant. It is concluded that replacing a portion of endurance training by explosive strength training prevents a decrease in STP without compromising gains in endurance performance of trained cyclists.

Adult↗

Effectiveness of artificial intelligence in nursing simulation education: A systematic review, meta-analysis and bibliometric visualization analysis.

OBJECTIVES: To synthesize the roles and core functions of AI in nursing simulation education for nursing students via systematic review, quantitatively evaluate its effects on students' knowledge and skill outcomes through meta-analysis, and map the research landscape and development trends of this field through bibliometric visualization analysis. DESIGN: Systematic review, meta-analysis and bibliometric visualization analysis. DATA SOURCES: Eight electronic databases: PubMed, Web of Science, MEDLINE, ERIC, Academic Search Complete, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Chinese Science and Technology Journal Database (VIP) were employed to search studies from the time of construction to 16 December 2025. REVIEW METHODS: Studies meeting the inclusion criteria were screened. The revised Cochrane Risk of Bias tool (ROB 2) and Joanna Briggs Institute (JBI) critical appraisal checklists were used for quality assessment. Meta-analysis was performed with Review Manager 5.4, and bibliometric visualization analysis was conducted using VOSviewer 1.6.20 and Bibliometrix (based on R4.4.3). RESULTS: A total of 61 studies were included. AI primarily played two roles in nursing simulation education: peer-type new subject (n&#xa0;=&#xa0;24) and direct mediator (n&#xa0;=&#xa0;22). Meta-analysis showed that AI interventions significantly improved nursing students' knowledge (SMD&#xa0;=&#xa0;1.49, 95% CI [0.55,2.43], p&#xa0;=&#xa0;0.002) and skills (SMD&#xa0;=&#xa0;0.66, 95% CI [0.02,1.31], p&#xa0;=&#xa0;0.04). Bibliometric analysis identified that the United States of America and China were the two main contributing countries in this field, and the key motor themes included generative artificial intelligence, virtual patients, and geriatric care. CONCLUSIONS: AI exerts positive effects on nursing students' knowledge acquisition and skill enhancement in simulation education, with peer-type new subject and direct mediator as the dominant roles. Future research should focus on expanding AI applications in multi-specialty simulation scenarios, activating the data-driven value of machine learning, and strengthening international collaboration and standardization construction, so as to promote the sustainable development of AI-integrated nursing simulation education.

Humans↗

Laparoscopic training on bench models: better and more cost effective than operating room experience?

BACKGROUND: Developing technical skill is essential to surgical training, but using the operating room for basic skill acquisition may be inefficient and expensive, especially for laparoscopic operations. This study determines if laparoscopic skills training using simulated tasks on a video-trainer improves the operative performance of surgery residents. STUDY DESIGN: Second- and third-year residents (n= 27) were prospectively randomized to receive formal laparoscopic skills training or to a control group. At baseline, residents had a validated global assessment of their ability to perform a laparoscopic cholecystectomy based on direct observation by three evaluators who were blinded to the residents' randomization status. Residents were also tested on five standardized video-trainer tasks. The training group practiced the video-trainer tasks as a group for 30 minutes daily for 10 days. The control group received no formal training. All residents repeated the video-trainer test and underwent a second global assessment by the same three blinded evaluators at the end of the 1-month rotation. Within-person improvement was determined; improvement was adjusted for differences in baseline performance. RESULTS: Five residents were unable to participate because of scheduling problems; 9 residents in the training group and 13 residents in the control group completed the study. Baseline laparoscopic experience, video-trainer scores, and global assessments were not significantly different between the two groups. The training group on average practiced the video-trainer tasks 138 times (range 94 to 171 times); the control group did not practice any task. The trained group achieved significantly greater adjusted improvement in video-trainer scores (five of five tasks) and global assessments (four of eight criteria) over the course of the four-week curriculum, compared with controls. CONCLUSIONS: Intense training improves video-eye-hand skills and translates into improved operative performance for junior surgery residents. Surgical curricula should contain laparoscopic skills training.

Clinical Competence↗

Training child welfare workers for cultural awareness: the culture simulator technique.

The Mexican-American Culture Simulator introduces a new, cost-effective method of training child welfare workers for cultural awareness. It was published in 1981 by the Worden School as a two-volume module containing 20 vignettes each [7]. The accompanying trainer's manual provides instruction for conducting modular training and a discussion guide that analyzes the values and practice implications in each vignette [8]. The simulator has a number of key advantages over some of the more traditional seminar approaches to this type of training. 1. It is directly related to child welfare practice, providing information in a familiar problem-oriented casework format that facilitates the transfer of knowledge to job-related activities. 2. It enables the trainees to learn at the their own pace, in private, and at a location of their own choice. 3. It exposes the trainees to standardized material that enables them to assess their progress, and controls for variations in the trainer's expertise. 4. It is brief and easily administered, thus allowing for its efficient distribution and use in training large numbers of workers. 5. It provides a baseline level of knowledge that can be supplemented with more extensive and specific training to meet differing staff needs. Its principal disadvantage results from its apparent effectiveness and utility: there is the possibility that it might be used as the sole source of training for child welfare workers about the Mexican-American community whose cultural pattern is too rich, varied, and a complex to be captured by a single instrument that focuses on cognitive awareness of selected traditional values. Within its limitations, however, cultural simulator training introduces an interim method of improving services to the Hispanic community.

Child Welfare↗

An adaptive training method for optimal interpolative neural nets.

In contrast to conventional multilayered feedforward networks which are typically trained by iterative gradient search methods, an optimal interpolative (OI) net can be trained by a noniterative least squares algorithm called RLS-OI. The basic idea of RLS-OI is to use a subset of the training set, whose inputs are called subprototypes, to constrain the OI net solution. A subset of these subprototypes, called prototypes, is then chosen as the parameter vectors of the activation functions of the OI net to satisfy the subprototype constraints in the least squares (LS) sense. By dynamically increasing the numbers of subprototypes and prototypes, RLS-OI evolves the OI net from scratch to the extent sufficient to solve a given classification problem. To improve the performance of RLS-OI, this paper addresses two important problems in OI net training: the selection of the subprototypes and the selection of the prototypes. By choosing subprototypes from poorly classified regions, this paper proposes a new subprototype selection method which is adaptive to the changing classification performance of the growing OI net. This paper also proposes a new prototype selection criterion to reduce the complexity of the OI net. For the same training accuracy, simulation results demonstrate that the proposed approach produces smaller OI net than the RLS-OI algorithm. Experimental results also show that the proposed approach is less sensitive to the variation of the training set than RLS-OI.

Algorithms↗

Testable predictions from realistic neural network simulations of vestibular compensation: integrating the behavioural and physiological data.

Neural network simulations have been used previously in the investigation of the horizontal vestibulo-ocular reflex (HVOR) and vestibular compensation. The simulations involved in the present research were based on known anatomy and physiology of the vestibular pathway. This enabled the straightforward comparison of the network response, both in terms of behavioural (eye movement) and physiological (neural activity) data to empirical data obtained from guinea pig. The network simulations matched the empirical data closely both in terms of the static symptoms (spontaneous nystagmus) of unilateral vestibular deafferentation (UVD) as well as in terms of the dynamic symptoms (decrease in VOR gain). The use of multiple versions of the basic network, trained to simulate individual guinea pigs, highlighted the importance of the particular connections: the vestibular ganglion to the type I medial vestibular nucleus (MVN) cells on the contralesional side. It also indicated the significance of the relative firing rate in type I MVN cells which make excitatory connections with abducens cells as contributors to the variability seen in the level of compensated response following UVD. There was an absence of any difference (both in terms of behavioural and neural response) between labyrinthectomised and neurectomised simulations. The fact that a dynamic VOR gain asymmetry remained following the elimination of the spontaneous nystagmus in the network suggested that the amelioration of both the static and dynamic symptoms of UVD may be mediated by a single network. The networks were trained on high acceleration impulse stimuli but displayed the ability to generalise to low frequency, low acceleration sinusoids and closely approximated the behavioural responses to those stimuli.

Models, Biological↗

Artificial neural networks: fundamentals, computing, design, and application.

Artificial neural networks (ANNs) are relatively new computational tools that have found extensive utilization in solving many complex real-world problems. The attractiveness of ANNs comes from their remarkable information processing characteristics pertinent mainly to nonlinearity, high parallelism, fault and noise tolerance, and learning and generalization capabilities. This paper aims to familiarize the reader with ANN-based computing (neurocomputing) and to serve as a useful companion practical guide and toolkit for the ANNs modeler along the course of ANN project development. The history of the evolution of neurocomputing and its relation to the field of neurobiology is briefly discussed. ANNs are compared to both expert systems and statistical regression and their advantages and limitations are outlined. A bird's eye review of the various types of ANNs and the related learning rules is presented, with special emphasis on backpropagation (BP) ANNs theory and design. A generalized methodology for developing successful ANNs projects from conceptualization, to design, to implementation, is described. The most common problems that BPANNs developers face during training are summarized in conjunction with possible causes and remedies. Finally, as a practical application, BPANNs were used to model the microbial growth curves of S. flexneri. The developed model was reasonably accurate in simulating both training and test time-dependent growth curves as affected by temperature and pH.

Humans↗

Altitude training and muscular metabolism.

To study the effects of training at moderate altitude on muscle metabolism; we defined the lowest altitude which affected the aerobic capacity in man, and we studied the differences between training at an altitude of 2300 m and at sea level, both at the same relative (to the VO2max) and absolute intensity of work. We confirmed that at 1200 m the VO2max is decreased in sedentary and well-trained persons. Elite athletes already at 900 m decrease their VO2max. We have found an increase in myoglobin, oxidative enzyme activities and endurance capacity and a decrease in some glycolytic enzyme activities associated with simulated altitude training. We conclude that when the amount of training performed at altitude is similar to the amount at sea level, the stimulus of hypoxia associated with the training stimulus induces improvements in the muscle oxidative enzymes and myoglobin.

Adaptation, Physiological↗