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Review Citation - WoS: 7Citation - Scopus: 7A Systematic Review on Classification and Assessment of Surgical Skill Levels for Simulation-Based Training Programs(Elsevier Ireland Ltd, 2023) Tonbul, Gokcen; Topalli, Damla; Cagiltay, Nergiz ErcilBackground: Nowadays, advances in medical informatics have made minimally invasive surgery (MIS) procedures the preferred choice. However, there are several problems with the education programs in terms of surgical skill acquisition. For instance, defining and objectively measuring surgical skill levels is a challenging process. Accordingly, the aim of this study is to conduct a literature review for an investigation of the current approaches for classifying the surgical skill levels and for identifying the skill training tools and measurement methods.Materials and Methods: In this research, a search is conducted and a corpus is created. Exclusion and inclusion criteria are applied by limiting the number of articles based on surgical education, training approximations, hand movements, and endoscopic or laparoscopic operations. To satisfy these criteria, 57 articles are included in the corpus of this study.Results: Currently used surgical skill assessment approaches have been summarized. Results show that various classification approaches for the surgical skill level definitions are being used. Besides, many studies are con-ducted by omitting particularly important skill levels in between. Additionally, some inconsistencies are also identified across the skill level classification studies.Conclusion: In order to improve the benefits of simulation-based training programs, a standardized interdisci-plinary approach should be developed. For this reason, specific to each surgical procedure, the required skills should be identified. Additionally, appropriate measures for assessing these skills, which can be defined in simulation-based MIS training environments, should be refined. Finally, the skill levels gained during the developmental stages of these skills, with their threshold values referencing the identified measures, should be redefined in a standardized manner.Article Citation - WoS: 16Citation - Scopus: 19Cop Trends for Ideal Thermal Wave Adsorption Cooling Cycles With Enhancements(Elsevier Sci Ltd, 2012) Taylan, Onur; Baker, Derek K.; Kaftanoglu, BilginModels are presented for ideal thermal wave adsorption cooling cycles without mass recovery, with adiabatic mass recovery and with isothermal mass recovery. Coefficient of performance (COP) values obtained from simulations are compared with the results of a reversible cycle and previously developed models for a simple cycle and heat recovery cycle with two spatially isothermal beds (2SIB). The effects of maximum and minimum bed temperatures, bed's dead mass, and condensation and evaporation temperatures on COP were investigated. The thermal wave cycle has significantly higher COP's than the simple and 2SIB cycles. For the conditions investigated, adding mass recovery to the thermal wave cycle does not affect its COP significantly. The COP of the thermal wave cycle increases with increasing maximum bed and evaporation temperatures and decreasing minimum bed and condensation temperatures. Unlike for the simple and 2SIB cycles, variations in the bed's dead mass have minimal impact on COP. (C) 2010 Elsevier Ltd and IIR. All rights reserved.
