The advantage of simulation environments is that they present various insights into real situations, where experimental research opportunities are very limited-for example, in endoscopic surgery. These operations require simultaneous use of both hands. For this reason, surgical residents need to develop several motor skills, such as eye-hand coordination and left-right hand coordination. While performing these tasks, the hand condition (dominant, nondominant, both hands) creates different degrees of mental workload, which can be assessed through mental physiological measures-namely, pupil size. Studies show that pupil size grows in direct proportion to mental workload. However, in the literature, there are very limited studies exploring this workload through the pupil sizes of the surgical residents under different hand conditions. Therefore, in this study, we present a computer-based simulation of a surgical task using eye-tracking technology to better understand the influence of the hand condition on the performance of skill-based surgical tasks in a computer-based simulated environment. The results show that under the both-hand condition, the pupil size of the surgical residents is larger than the one under the dominant and nondominant hand conditions. This indicates that when the computer-simulated surgical task is performed with both hands, it is considered more difficult than in the dominant and nondominant hand conditions. In conclusion, this study shows that pupil size measurements are sufficiently feasible to estimate the mental workload of the participants while performing surgical tasks. The results of this study can be used as a guide by instructional system designers of skill-based training programs.
In this study, a decision support system (DSS) based on the interactive use of location models and geographical information systems (GIS) was developed to determine the optimal positions for air defence weapons and radars. In the location model, the fire units are considered as the facilities to be located and the possible approach routes of air vehicles are treated as demand points. Considering the probability that fire by the units will miss the targets, the objective of the problem is to determine the positions that provide coverage of the approach routes of the maximum number of weapons while considering the military principles regarding the tactical use and deployment of units. In comparison with the conventional method, the proposed methodology presents a more reliable, faster, and more efficient solution. On the other hand, owing to the DSS, a battery commander who is responsible for air defence becomes capable of determining the optimal weapon and radar positions, among the alternative ones he has identified, that cover the possible approach routes maximally. Additionally, he attains the capability of making such decisions in a very short time without going to the field over which he will perform the defence and hence without being subject to enemy threats. In the decision support system, the digital elevation model is analysed using Map Objects 2.0, the mathematical model is solved using LINGO 4.0 optimization software, and the user interface and data transfer are supported by Visual Basic 6.0.
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