The Importance Of Emergency Intervention And Management...

The Importance Of Emergency Intervention And Management...
Our University of Mary (UMary) EBP project team would like to acknowledge the following people
with a heartfelt and sincere "Thank You." Without your guidance, help, and assistance this project
would not have been able to move forward and touch the lives of those patients on extracorporeal
membrane oxygenation (ECMO) needing emergency intervention and management services. First,
we would like to express our thankfulness to Claudia Dietrich, University of Mary faculty and
Project Advisor. Her expertise in the capstone projects offered a higher level of assistance to keep us
going and on the right track. She has guided our team through every step of the process and
answered many questions with a calming reassurance. The ECMO team from ... Show more content
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nizational planning process 44
Implementation Plan 45
Project Measurement Plan 49
Human Subject Protection Statement 51
Implementation...............................................................................................52
Project Outcome Measurements ...........................................................................54
Hand–off Plan ................................................................................................58
Conclusions 59
References 61
List of Tables
Table 1: External Data – Number of Articles Found Per Database....................................16
Table 2: Matrix Grid of Highest Quality PICOT–Relevant Articles...................................18
Table 3: Internal Data.......................................................................................34
List of Figures
ECMO Example..............................................................................................64
List of Appendices
Appendix I: Project Action Plan............................................................................65

Appendix II: Simulation Scenarios........................................................................68
Appendix III: Five Why's..................................................................................101
Appendix IV: Multidisciplinary ECMO Pre–Simulation Survey.....................................102
Appendix V: Multidisciplinary ECMO Post–Simulation Survey.....................................103
Appendix VI: IRB Application............................................................................104
Appendix VII: Pre–Survey Responses...................................................................114
Appendix VIII: Post–Survey Responses.................................................................115
Appendix IX: Satisfaction with Current Simulation Format..........................................116
Appendix X: Feedback Regarding Simulation.........................................................117
Appendix XI: Questions 1–10 T–Test Analysis.........................................................118
Appendix XII: Cumulative Mean
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Policy Gaming For Strategy And Change Essay
Research Assignment 1
Summary: "Policy Gaming for Strategy and Change"
The following assignment is a summary of the article "Policy Gaming for Strategy and Change" that
was written by Geurts, Duke and Vermeulen in 2007. In the article, it can be read how companies
can use gaming simulations in order to analyse future scenarios and adapt certain strategies to their
complex organisational environment.
The article begins with an introduction about policy gaming, why it is becoming more useful for
today 's organisations and the statement that the unstable environment of today is a risk to
organisations strategies, and that these risks would require coming up with innovative and creative
solutions in order to solve these issues.
It is stated, that there are two functions within a game policy that directly addresses this dilemma,
namely on one hand as a customised and interactive approach and on the other as an opportunity to
shape the own future, which can be explored and analysed, due to a mixture of role–playing and
strategic simulation.
Further on, the article is divided into two parts. In the first part, the authors explain how exactly
policy gaming works, so how it is build up and how it is practiced. In the second part, the authors
make a step further and defining how powerful simulation gaming is actually by using examples,
which show the potential that simulation gaming has in real world cases. In the end, as the last part,
they are giving a conclusion and their own

Advantages Of Simulation In Healthcare Systems
Simulation has been used to analyze many issues in the healthcare sector for over 40 years [1]. Such
issues that have been addressed by simulation include, but not limited to; improving patients'
workflows and throughput time, reducing waiting times, resources allocation and optimization, staff
scheduling and development of decision support systems (DSS). Discrete Event Simulation (DES),
Agent Based Simulation (ABS) and System Dynamics are the main simulation methods that have
been used for healthcare systems' modelling and analysis [2]. Although each of these methods has
its own capabilities, they exhibit some limitations [3]. Table 1 summaries some of the capabilities
and limitations of DES and ABS methods in healthcare applications.
Recently, several hybrid/integrated simulation models have been introduced. In such approach,
multiple simulation methods are combined in one model. This combination/ integration of
individual methods enables the symbiotic realization of the strengths of individual methods, while
reducing their limitations [4].
Chahal and Eldabi [5], [6] identified three different formats for the integration between DES and
SD: Hierarchical format (data passes between two distinct paradigms), Process–environment format
(two distinct paradigms, ... Show more content on Helpwriting.net ...
From the comparison provided in Table 1, neither the DES method nor the ABS method is capable
to capture such details and complexity in healthcare systems on its own. However, both methods
together may be capable of capturing these details. In this paper, a framework for a novel DES–ABS
hybrid approach for modeling healthcare systems is proposed with the aim to enable modeling of the
complexity of healthcare systems considering the concepts of flows and queues, and also humans'
decisions and interactions. Then, a case study for one of the famous radiology centers in Alexandria,
Egypt is

Selective Reasoning
Marketing Simulation Analysis
When the simulation was first assigned, I really had no idea what to expect. I assumed that my
group members and I would be creating various written documents, which was clearly not the case.
After selecting a group composed mainly of my close friends, we began to read through the various
materials given to us to help us successfully complete the simulation. After watching a few of the
videos from our customers and reading the given document about Minnesota Mircromotors, we
began the simulation. Before the simulation started our group decided that we wanted to put
customer satisfaction as our top priority, over market share and profit. After our first quarter, we
began to panic because every ... Show more content on Helpwriting.net ...
From then on out I left market research at the required $50,000 just to stay safe. One of the most
important parts of the game I found was spending on IMC. After the first quarter as a group, when
we did very poorly, we found that putting money into IMC was the best way to increase our profit
and market share. What I found that worked best regarding IMC, was to basically put all additional
budget into it. Almost every quarter I did this, my profits would continue to rise. When I did the
simulation individually, every time I gained more money in my total budget that money would
address IMC first. IMC was definitely the key to the game for me. The single most argued part of
the simulation for our group was the distribution of money in Power–To–Size Ratio, Manufacturing,
and Thermal Resistance. At first it seemed that no matter what we did as a group some customer
would complain about something. No customer complained more than Customer B complaining
about wanting more thermal. Our group found ourselves always arguing over how much money to
put into which of the three categories. We never really did a great job doing so because there was
always an unhappy customer. What I found to be the best method was based on sure luck. I really
wanted to take some relatively large risks in my last attempt at the individual simulation so I cut out
Manufacturing Efficiency Improvement entirely. After two quarters of making a huge profit, I kept
that up until the end. This

Project Scheduling By Simulation Modelling Technique
Project Scheduling by Simulation Modelling Technique
Ramkumar Harikrishnakumar
Wichita State University Abstract
In the present scenario of manufacturing, agile manufacturing calls for flexibility in the global
market which involves rapid changes. Flexible manufacturing technology such as agent
manufacturing plays a vital role to achieve agility in the system. (Yeung, W. 2012) in job shop floor
the project scheduling technique provides the dynamic and unique way of dispatching the jobs if
there is any variabilities in the manufacturing system, resources, production disturbances and
irregular arrival of products. The main emphasis is designing the network schedules which will be
applicable to be implemented in a competitive operating condition. These software scheduling tools
will be able to represent the manufacturing tasks, sub tasks, work system and people involved.
(Wang, 2015) using simulation tools, the performance of a (simulated) multi–agent manufacturing
system under particular operating conditions can be analyzed in terms of. Simulation models are
developed based on current system to eliminate bottlenecks, to prevent under or over–utilization of
resources, and to optimize system performance.
Project Scheduling by Simulation Modelling Technique
Multi–objective optimization model was applied to minimize the bottleneck machine makespan and
the total product tardiness for machine tool in a job shop and Particle swarm optimization (PSO) is
been used to

Nursing Simulation Lab Report
Using simulation technology for healthcare education is not solely about interaction with the
simulation mannequins themselves, but being put into an environment and situation that resembles
what it would be like if the student were in an actual clinical setting. These types of environments
are called simulation labs. Upon viewing a simulation lab, the physical set up closely resembles that
of a hospital setting, yet there will be simulation mannequins instead of actual patients and a control
room where the instructor will sit and monitor what happens during the simulations. According to
Marcia K. Rothgeb, MSN, RN, in her article "Creating a Nursing Simulation Laboratory: A
Literature Review", the simulation lab enhances a student's learning ... Show more content on
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Therefore, healthcare students need to be prepared to handle a variety of different situation
concerning these issues. Fortunately, during the process of simulation–based education, a healthcare
student would be sufficiently trained in each of these categories. For political responsibility, an
instructor could initiate a scenario where a homeless person, who is also jobless, comes in with a
heroin overdose. While debriefing the student on the simulation, an instructor might have him or her
explain how a patient being homeless and jobless causes political issues by not being able to pay for
his or her own care. The student might further explain how this is also a social issue because it
impacts society when a person cannot pay for his or her own medical care as the burden then falls
on taxpayers. A way to bring the issue of environmental responsibility into simulation learning is
having the students practice how to dispose of medication and bio–hazardous waste in a proper,
environmentally–friendly

Modeling and Simulation
Modeling and Simulation
A Simulation is the imitation of the operation of a real–world process or system over time. It
involves the generation of an artificial history of a system and observation of the artificial history to
draw inferences concerning the operating characteristics of the real system. Simulation can be used
both as an analysis tool for predicting the effect of changes to existing systems and as a design tool
to predict performance of new systems under varying sets of circumstances
Advantages of Simulation: 1– Choose correctly. 2– Time compression and expansion 3– Explore
possibilities. 4– Diagnose problems. 5– Identify constraints. 6– Develop understanding. 7– Visualize
the plan. 8– Prepare ... Show more content on Helpwriting.net ...
2. By using simulation to perform bottleneck analysis, you can discover the cause of the delays in
work–in–process, information, materials, or other processes. 3. Simulation studies aid in providing
understanding about how a system really operates rather than indicating an individual's predictions
about how a system will operate 4. By compressing or expanding time simulation allows you to
speed up or slow down phenomena so that you can thoroughly investigate them.
Lecture 2:
A system 1. A system is defined as a group of objects that are joined together in some regular
interaction or interdependence toward the accomplishment of some purpose Example: Automobile
factory – Machines, parts, and workers operate jointly to produce a vehicle Example: Computer
network – User, hosts, routers, lines establish a network
2. A system is often affected by changes occurring outside the system. Such changes are said to
occur in the system environment.
Component of a System
Entity: an entity is an object of interest in the system.
Attribute: an attribute is a property of an entity.
Activity: an activity represents a time period of specified length.
State: the state of a system is defined to be that collection of variables necessary to describe the

Motion Cueing Simulation Analysis
Human factors issues in flight simulation have been identified to include motion sickness, motion
cueing, and adapting fidelity issues related to flying the simulator versus the actual aircraft. Also
there is the issue with older legacy simulators that are still in use and their limitations. It is an
accepted fact that aircraft simulator design is a balance between technology, design limitations, cost
and operational effectiveness and safe to assume that due to these limitations, the simulator will
never feel or fly exactly like the actual aircraft (Sewzey & Andrews, 2001). In addition, the high
cost of building a simulator, the technical support and operation costs will continue to grow with
simulators.
Motion sickness in flight simulation ... Show more content on Helpwriting.net ...
The simulators needs to be build and produce the fidelity as if a operator would be walking into a
real world environment. A operator would not like to train on a simulator and have a button that is
needed for checklist item situated in a different location that is not correct to a real aircraft cockpit.
(Rehmann, Mitman, & Reynolds, 1995) There are four key dimensions in determining the fidelity
requirements for an aviation simulator and they are Missions or Missions segmented to be
Simulated, Objectives of the Simulation, Fidelity Dimensions, and Simulation. These are the four
drivers that constitute that any given Component can be simulated and analyzed (Lane & Alluisi,

Heat Source Model: Advantages And Disadvantages Of...
Abstract. Additive layer manufacturing regarded as the driver of a "third industrial revolution" can
give the industry and science significant benefits over existing manufacturing techniques. Yet it has
some disadvantages, with one of them being a wide variation of mechanical properties of additive
manufactured parts. The mechanical behavior of produced components is known to be profoundly
affected by a microstructure, which, in turn, depends on the material and process parameters. In this
paper, a two–dimensional numerical model is developed to simulate the grain structure evolution
during laser additive manufacturing. The cellular automata method is applied to describe the grain
growth. The Goldak's heat source model is used to define the heat input during laser melting.
Selective laser melting process, which involves sequential deposition and melting of powder layers,
is considered. First layer is deposited on a polycrystalline substrate. The laser beam moves
perpendicular to the area under consideration. The paper discusses the influence of the heat source
parameters on the grain ... Show more content on Helpwriting.net ...
A wide range of application domains, including medicine, aerospace, defense, and automotive
industries, have benefited [1–3]. The term "ALM" relates to several different types of additive
manufacturing, which can be categorized in different ways [2]. Among them are such types as
extrusion (fused deposition modeling), wire (electron beam freeform fabrication), powder bed
(selective laser melting) types and so on. The ALM technique studied in this work is selective laser
melting (SLM) where metal powders are selectively melted by a focused laser beam in layer–by–
layer

Essay on Real World Exposure and CVA Simulation
Real world exposure and CVA simulation
The risk–neutral approach assumes that asset prices follow stochastic process with drift coinciding
with the short rate r(t) being risk–free interest rate. dS(t)=S(t)[rdt+σ(S(t),t) 〖dW〗^Q (t)]
Instead, in real–world measure they follow more complex process, which embodies time and risk
aversion of investors, namely: dS(t)=S(t)[μ(S(t),t)dt+σ(S(t),t) 〖dW〗^R (t)] or, equivalently, a
process with real–world stochastic discount factors which depend on risk–free interest rates but also
on asset prices itself.
The form of this process with almost arbitrary process's drift term complicates the implementation;
for example, makes it difficult in practice to simulate asset prices through standard analytic or ...
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Below we outline this straightforward and well–known implementation methodology yet we further
enhance it to join real–world simulation specifics with the evident benefits of risk–neutral American
Monte Carlo pricing.
Under real–world measure there is a problem of defining an appropriate form of the market price of
risk, or the drift terms in the equation above. In practice, one uses historical data for all coupled risk
factors as a source to make model assumptions on the market price of risk, then calibrate real–world
stochastic process with corresponding drift terms. Note that for real–world simulation one needs a
real–world evolution of the whole yield curve to incorporate realistic risk perception of market
participants and not just a few principal yield curve components as it often happens in risk–neutral
simulation.
There is a large number of approaches to evolve real–world yield curves including non–, semi– or
parametric ones based on historical data as the primary source of real–world model calibration. In
general, their common feature is that they preserve historical quote patterns and statistical properties
including the following important ones: historical unconditional moments of 1–day or many–day
normal or lognormal changes for all yield

Simulation Learning Experience Essay
My personalized knowledge and experience in the field of simulation comes from working in a
simulation center within a hospital setting under the direction of the Quality and Safety Department.
Providing a service like simulation within a hospital organization has come with its own set of
challenges and barriers in trying to ensure that the quality and safety of hospital patients is always
consistent. Because of the unforeseen issues like the way a simulation is obtainable in a hospital
across different locations and everyday hospital dynamics between healthcare providers, has
impacted the quality care and safety of our hospital patients and families. I anticipate that fostering a
challenging and safe simulation learning environment would be ... Show more content on
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These two delivery methods are appropriate for our widespread hospital, but having just one
simulation center for all locations is not ideal in regards to quality control of how the simulations are
conducted. Not having the resources to have simulation center staff present at all hospital wide
simulations does not ensure that proper protocols are implemented to ensure that the psychological
safety and debriefing experience is challenging and safe for all participating learners involved. Does
in–situ or in center simulations truly assure a challenging and safe learning environment? If neither
of these methods can assure a safe learning experience, is there another delivery method available
that is yet to be discovered? From experience, no matter what delivery method is used, our approach
seems to not further eliminate the fact that that our instructors at times disregard the guidelines on
how to debrief appropriately, therefore; compromising the psychological safety and learning
environment for participants. This negative experience can influence participants to not embrace
simulation and diminish their understanding of how simulation can improve the quality of care and
safety of their

The Mandate to Change the Prevailing Culture from...
The mandate to change the prevailing culture from opinion–based practice to evidence–based
practice has influenced models designed as decision –making approaches to advance the integration
of simulation education methods in higher education health professional programs, specifically
among undergraduate and graduate education nursing programs. Simulation is one of the most
rapidly growing strategies in clinical education and defining the best practices for dissemination is
essential to the integration process. The intent of this workshop is to facilitate the opportunity to
explore an approach to seek evidence–based outcomes in the process of simulation integration in
clinical nursing professional education. Doing things many times ... Show more content on
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The call to action is clear for EBP and evaluation strategies. To that end, the ten (10) steps applied
for framing a simulation informatics infrastructure in the academic environment are presented in this
graphic as an approach to outcomes for process evaluation in setting the stage for simulation
integration.
The Approach to Outcomes
The initial step in the approach call for needs/resource appraisals: It is within this frame that the
realities of environment relevance and requirements must be considered. This may involve but not
limited to (not exhaustive listings) gathering relevant data to describe outfitting required in the
physical environment, supply inventory /requirements, technology capacities (system networking,
audio–video, data to describe resources available for blending new/existing), staffing, scheduling ,
orientations, trainings. This is sometimes referred to as an academic environment transformation
event which will vary in scope and scale based on the appraisal of resources available. The human
capital aspect is essential to the simulation integration process for the purpose of aligning people
with the strategy. The key objective is to close skill gaps in strategic Simulation Center positions
that allow each faculty to be equipped with the

Simulation In Health Care
What is simulation? Well it is the imitation of the operation of a real–world process or system over
time. (Google) I think that the use of simulation in health care provides an ideal environmental
experience and burst of reality for students. The use of simulation in health care helps decrease risks
of any kind while increasing the safety throughout health care. I feel that simulations have definitely
provided us with an alternate route for health care, allowing not only students but also healthcare
workers to indulge in real life situations. This provides the learning need to understand important
techniques and treatments instead of having to just witness. Simulation is significantly utilized in the
health care environment. When I was

Computer Simulations Used as Technology-Based Assessments...
Today we live in an increasingly electronic, virtual world. Educators and their students depend upon
this world to conduct research, simulate reality, and demonstrate their achievement. Our students
never knew their environment not to have the Internet and video games. Thus, they expect their
educational experience to included these as well. Student expectations can be seized upon to engage
them in formal education. Driver Education has long recognized and seized upon this opportunity.
The very nature of the driving task necessitates structured learning and assessment experiences
beyond the traditional classroom, such as simulations. These experiences must provide opportunity
for practice and assessment without risk, a virtual ... Show more content on Helpwriting.net ...
The results could then be instantly observed from the instructor console, via the use of a rotary
telephone dial, and tallied by the system enabling the instructor to assess student knowledge and
tailor instruction. Today the instructors at Chambersburg are using digital photography and
presentation software to assess students continually in the classroom. Effective assessment is
accepted universally as being associated with effective instruction. The need for technology–based
assessment in the classroom existed then and exists now. Risk encountered during the real driving is
experience is lessened for the community, the instructors, and the students. Thus, the simulation
technology used in the Driver Education program is necessary.
Computer enabled simulation tools allow amazing representations of the driving experience.
Modern gaming systems like the PlayStation three and X–box allow users to see, hear, and feel the
driving experience to an extreme degree. Most students are aware of these simulations if not directly
experienced with them. Elizabeth Simpson and Frances A. Clem state "92 percent of children ages
2–17 play video and computer games" (Simpson and Clem 2008). These students then come to the
school setting with expectations of what a simulation should be. They believe it should match or
exceed their gaming console experience. Is this

The Asbjectages And Disadvantages Of Simulation
benefits and limitations. A review of the literature indicated that no academic exercise has been
undertaken to assess the full potential of simulation tools either in the design and manufacture of
airframes or any other industrial sector. Therefore, it is vital to assess the role of simulation tools
throughout the product life cycle and define the best use of these tools within selected areas. There
are a number of US companies that are leading the way forward through full corporate investment,
time and collaboration partnership (simulation vendors) in developing simulation as an integral
element in their company. These companies have planned in detail their approach to simulation to
allow them to gain the full benefits simulation can provide:
Allow identification of design errors earlier in the product ... Show more content on Helpwriting.net
...
The use of simulation capabilities in the 'right–first–time' approach has become an important tool in
product and process design and development.
Simulation is used for tooling design and development and runs concurrently with product design in
the right–first–time approach , which reduces lead times to shop floor activities.
When simulation is adopted there is also a requirement for some thought to the way they are used
within the business process.
The interaction process between simulation types has to be appropriate and highly efficient to ensure
that the benefits of simulation integration are not lost through isolated activities.
Even though data transfer techniques have advanced significantly, internal business system
configurations need to be developed to allow for these transfer techniques to be used efficiently.
Product data management must ensure that all participants involved in product and process design
work from the same data source for process coherency and prevent none value–added

Interview Summary Of Peter Holloway's On Virtual...
Interview summary for Peter Holloway, conducted on October 8, 2015 by Anita Sommer for the IRI
Virtual Experimentation and Simulation project.
Peter Holloway is a Systems Engineer with Rolls Royce Limited. He leads a team of simulation tool
developers that code, refine, and integrate existing modeling tools that are used in the preliminary
design phases of their jet engines. The preliminary design stages involve identifying candidate
engine architectures, preparing proposals, and presenting proposals to customers such as Boeing and
Airbus. Peter has been involved in simulation for about ten years in a number of different companies
and at various levels. His team consists mostly of domain experts that have lent themselves to
programming, with between three and five years of systems design experience.
Rolls Royce has a culture of allowing its engineering staff to develop experimentation and
simulation tools within their domain of expertise. Often however, these domain experts are not
experienced programmers and the tools the engineers develop are used by only a few people within
that domain. Peters team takes these tools, improves the code, making the tools more robust, and
most importantly from a simulation point of view, making the different tools talk to each other in
whole system simulation software.
Rolls Royce Ltd. uses virtual experimentation and simulation on both their products and processes
because it helps the company meet cost and time objectives when delivering

High Fidelity Simulations in Nursing Education Essay
A New Way of Learning: High Fidelity Simulation in Nursing Education For years nurses have
gained experience in the medical field through clinical rounds at hospitals and doctors offices.
Learning has always taken place first through textbooks and then through personal experience
during required clinical time. These methods have proven effective but include limitations to the
amount of exposure a student can gain before entering the workforce. A new way of learning is on
the rise with the use of High Fidelity Simulations (HFS) or the Sim Man. HFS is a computerized life
size manikin that simulates real human responses to treatment. This new technology allows students
to practice rare procedures or treat common diagnoses. Although these ... Show more content on
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These skills may be compromised if majority of the student's training is focused on the Sim Man. In
a experiment done comparing the test results from students using traditional teaching methods and
HFS, twelve different studies showed no dramatic increase or decrease in a students testing ability
after training from both styles. (Robyn and Simon 2010) However, students noted that HSF training
allowed them to implement their prior textbook knowledge in practical procedures.
www.Medicine.virginia.edu The positive approach to HFS training allows patients lives to not be
put at risk during the teaching process. Student's can practice administering a catheter or assisting in
surgery without the added stress of harming the patient. HFS allows students to practice complicated
procedures they otherwise may not have the opportunity to participate in. From poison to natural
disaster, with HFS students can practice group situations and emergency preparedness and have time
to reflect on what they could do better next time. (Garrett, B., Macphee, M., Jackson, C. 2010) Cost
vs. Effectiveness of HFS training Like many other technological advances, HFS is a very expensive
training tool. A cost analysis done showed the cost per resident for HFS setup was around $260 for
the first year and $203 for the additional years opposed to less than $5 for lecture setup (Petscavage
JM, Wang CL, Schopp JG, Paladin AM, Richardson ML, Bush WH Jr. Acad Radiol 2011).

Jet Copies Case Problem Essay
Assignment #1: JET Copies Case Problem Read the "JET Copies" Case Problem on pages 678–679
of the text. Using simulation estimate the loss of revenue due to copier breakdown for one year, as
follows: 1. In Excel, use a suitable method for generating the number of days needed to repair the
copier, when it is out of service, according to the discrete distribution shown. 2. In Excel, use a
suitable method for simulating the interval between successive breakdowns, according to the
continuous distribution shown. 3. In Excel, use a suitable method for simulating the lost revenue for
each day the copier is out of service. 4. Put all of this together to simulate the lost revenue due to
copier breakdowns over 1 year to ... Show more content on Helpwriting.net ...
This gave James an idea, which he shared with Ernie and their friend Terri Jones when he got home
later that evening. "Look, you guys, I've got an idea to make some money," James started. "Let's
open a copy business! All we have to do is buy a copier, put it in Terri's duplex next door, and sell
copies. I know we can get customers because I've just seen them all at Klecko's. If we provide a
copy service right here in the Southgate complex, we'll make a killing." Terri and Ernie liked the
idea, so the three decided to go into the copying business. They would call it JET Copies, named for
James, Ernie, and Terri. Their first step was to purchase a copier. They bought one like the one used
in the college of business office at State for $ 18,000. (Terri's parents provided a loan.) The company
that sold them the copier touted the copier's reliability, but after they bought it, Ernie talked with
someone in the dean's office at State, who told him that the University's copier broke down
frequently and when it did, it often took between 1 and 4 days to get it repaired. When Ernie told
this to Terri and James, they became worried. If the copier broke down frequently and was not in use
for long periods while they waited for a repair person to come fix it, they could lose a lot of revenue.
As a result, James, Ernie, and Terri thought they might need to purchase a smaller backup copier for
$ 8,000 to use when the main copier broke down. However,

County Hospital Simulation
County Hospital Simulation Project
Abstract
The paper offers a simulation model describing the X–ray departments operations in the county
hospital. It can be used for testing various process scenarios, for allocation of resources and also
conduct activity based cost analysis. The simulation model is used for demonstrating a new
operational method that makes the operations at the X–ray department more effective. The
operational method is referred to as Triage team method. This method has been it is been studied
from two view points. The results showed that the method enhances the X–ray department if
properly implemented and it incorporates all the required tasks.
County hospital simulation project
Introduction
The department of ... Show more content on Helpwriting.net ...
First, a structural development was undertaken. The real design was used as the background. This
was because the entire operation of the x–ray department and the future alterations were easier to
show the staff. The areas of treatment as well as other operational areas, were defined in the layout
by use of graphical SimQuick graphical elements. Other graphical elements included counters for
waiting areas and utilization meters for areas of treatment. The counters were used for giving visual
information regarding the number of patients in the areas of waiting. On the other side, the
utilization meters were showing how much of the resources were been utilized.
After defining all the areas, it was time for defining the entities' paths and resources that are the
staff. The network of the path comprises of all the probable paths that all the entities, patients, and
members of staff could utilize in moving from place to place in the x–ray department. After creating
the paths, the structural definitions were made.
The needed information for the simulation model to be functional comprised of these particulars:
entities information, resources information, logic definitions and data use.
Definition of entities
The x–ray department of the County Hospital has various departments, which include: ultrasound,
computed tomography, interventional radiology, nuclear medicine, and magnetic resonance imaging.
The five groups have partially their own processes

Advantages And Disadvantages Of Simulation
Simulation is a software package for modeling, simulating, and analyzing dynamical systems. It
supports linear and non–linear systems, modeled in continuous time, sampled time, or a hybrid of
the two. Systems can also be multi rate, i.e., have different parts that are sampled or updated at
different rates. For modeling, Simulink provides a graphical user interface (GUI) for building
models as block diagrams, using click and drag mouse operations. With this interface, you can draw
the models just as you would with pencil and paper (or as most textbooks depict them). This is a far
cry from previous simulation packages that require you to formulate differential equations in a
language or program. Simulink includes a comprehensive block library of a sinks, sources, linear
and non–linear components, and connectors. You can customize and ... Show more content on
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Shows voltages across blocking capacitors
Voltage stress of switches S1a, S1b, S2a, and S2b are Vs1a, Vs1b, Vs2a, and Vs2b, are shown in
Figure 6.3.e. & 6.3.f. Here time is represented along X–axis (in milliseconds) & the voltage is
represented along Y–axis (in Volts). Figure: 6.3.e. Shows voltage stress of switches S1a, and S1b
Figure: 6.3.f. Shows voltage stress of switches S2a, and S2b
Two–phase inductor current iL1 and iL2 is shown in Figure 6.3.g. and Figure 6.3.h, shows the ripple
current through output capacitor (∆ico). Here time is represented along X–axis (in milliseconds) &
the current is represented along Y–axis (in Amps). Figure: 6.3.g. Show inductor currents iL1 and iL2
Figure: 6.3.h. Shows ripple current through output capacitor (∆ico)
Voltage stress across diodes D1 & D2 (Vd1 & Vd2) are as shown in Figure 6.3.i. Here time is
represented along X–axis (in milliseconds) & the voltage is represented along Y–axis (in Volts).
Figure: 6.3.i. Shows voltage stress across diodes D1 & D2 (Vd1 & Vd2)
Simulation of the proposed converter & the results using MATLAB & Simulink can be seen in this

Essay on Effectiveness of Scenario Based Simulation...
Introduction/Problem Statement Across the nation many nursing programs are facing clinical site
shortages for their students. The hardest hit population is the license vocational nursing (LVN)
students. Many hospitals are trending toward achieving "Magnet Status" for their institutions.
Therefore, LVN students are no longer allowed to complete their clinical training in several
hospitals. This action forces many nursing programs to seek alternative methods of clinical
instruction. In years past simulation training was used as an aid to facilitate learning. Today, for
many nursing programs scenario based simulation is the only option for learning patient care. Which
brings about the question as to just how effective is ... Show more content on Helpwriting.net ...
Simulations should map onto real–life clinical experience, ensuring that learning supports the
experience gained within communities of actual practice. Simulation–based learning environments
should provide a supportive, motivational, and learner–centered educational climate that is
conducive to learning. Commonly encountered problems: Many courses are isolated, single–
instance episodes with little or no provision for regular practice and consolidation. Clinician tutors
often have limited training in the use of simulation for education. Simulation–based training is often
unrelated to the learner's everyday work, so newly learned skills are not incorporated into clinical
practice. Simulation–based learning is often dominated by organizational and financial pressures
rather than the individual needs of learners, and the importance of educational climate is frequently
overlooked. PICOT Question Will nursing students benefit from simulation training only, when
hospital training is not an option? My PICOT has now evolved into the question as to, whether or
not simulation training improves the quality of care in the hospital setting. Furthermore, in my
experience scenario based simulation provides a highly structured and well thought environment for
patient care. Kneebone, Nestel, Vincent, & Darzi state, "Many existing simulations focus on crises,
so clinicians are in a heightened state of

Final Discussion Board on Simulation Article and a Reflection
Final Discussion Board on Simulation Article and a Reflection For this final posting for the
informatics class I will be sharing and then commenting on an article discussing the effectiveness of
simulation to help medical surgical nurses to recognise then respond to clinical emergencies. I will
then be sharing my reflective thoughts and opinions on my personal experiences in the blending
leaning classes here at Framingham State University thus far.
The APA Formatted Reference
Buckley, T., & Gordon, C. (2011). The effectiveness of high fidelity simulation on medical–surgical
registered nurses' ability to recognize and respond to clinical emergencies. Nurse Education Today,
31(7), 716–721. Retrieved from: ... Show more content on Helpwriting.net ...
In conclusion this study suggests greater use of simulation in graduate programs could result in
more clinically confident and proficient nurses responding to emergency situations in clinical
situations after graduation.
My Reflection on the Blended Learning Experience I have been extremely happy with my
experiences thus far here at Framingham State University and the blended learning experience.
Having graduated from an accelerated nursing program only seven and a half years ago I can recall
very vividly the pain and torturous experiences of having to sit in class for eight hours per day, two
days a week. As an adult learner I can vividly recall multiple conversations with fellow adult
learners about how class work felt like it was filler. As a group we provided follow–up feedback to
the institution that they consider additional technologies and recourses that could fulfill the
educational requirement but allow the student to learn at home. We frequently commented on how
the class work could have been easily cut down to 2 hours of meaty material vs. 8 hours of fluff.
However, I personally enjoyed the camaraderie and networking of meeting my cohorts. Here at
Framingham I feel I found a program that has given me the best of both worlds. So far the balance
of course work and module work at home have complemented the experience wonderfully. I have
met some

Virtual Reality Simulation Response
Holly crap, you do get it! I was trying to formulate a response in regards to your virtual reality
simulation question, when I did what I usually do when an answer is not forthcoming: I started to
poke around in your profile, looking for more information. I hope you don't see this as an intrusion;
I figured that the posts are out there to be read. I came across your thread on 'Speculation on the
Nature of Reality' and am blown away. I didn't doubt your sincerity in your e–mail on Sunday, just
that the level of it is starting to sink in. You do get it. This means that I am getting it too, but it
required reading someone else's posts to understand the scale. I am not able in joining you (yet) in
an intellectual discussion of VR. I am familiar with Tom Campbell; I have taken one of his
workshops. (By the way, I much appreciate you saving me from having to read his book. I
questioned his take on reincarnation and saw a rather irritable and dogmatic ... Show more content
My take is that those stages don't just apply to grieving but can be applied to dealing with negative
emotions in general. To bring a long story to an end, my background is healing (along with risk
management). This is how I view the world and where I see the solutions arise. True healing is re–
establishing connection which starts with our bodies, our hearts and minds and radiates out from
there into relationships with others and our environment. You just can't go through life harming
other people or being mindless on your impact when you radiate as a whole, healthy, connected and
empowered human being. I am intrigued by the possibility of using a game to bring forth healing
solutions. So far story telling has been one of the few ways of reaching the masses. Computers and
smart phones another. The time for virtual reality may well have arrived. I have never played such a
game; my exposure is limited to Sci–Fi

Simulating The Entire Learning Environment, To Be Used
simulating the entire learning environment, to be used for formative evaluation of new learning
approaches and interventions designed to support doctoral learners [71].
Consequently, this proposed solution leads to a specific research challenge and opportunity: how can
a system designer design, implement, and validate a simulation to be used in evaluating adaptive
support systems for doctoral learners. My proposed research aims to address this gap by depicting
the design process, implementation, validation, and use of a simulation model for em–pirical
evaluation of various personalized support strategies for doctoral learners. While the long–term goal
is to show how simulation can be used to evaluate the design process of advanced learning ... Show
more content on Helpwriting.net ...
More specific research questions are:
Q1. How can a system designer build a valid and credible simulation model of a doctoral program to
be used for exploring hypothetical questions concerning various personal–ization strategies?
a. Do the learning outcomes generated by SimGrad simulation model match those of UofS as
measured by completion rates, attrition rates, and time to de–gree?
b. Can SimGrad predict the future past of learning outcomes of the UofS data–set?
Q2. How do different combinations of supervisor and learner characteristics affect learn–ing
outcomes?
a. What if all supervisors within a doctoral program could adopt a single super–visory style, how
effective would each of the four (4) supervisory styles iden–tified by Gatfield [50] be among the
three (3) learner types identified based on writing strategies as identified by Torrance et al. [51]?
b. What if the ratio of the different learner types could be predetermined within a doctoral program,
how would different ratios (percentage–wise) of the three (3) learner types identified based on
writing strategies as identified by Tor–rance et al. [51] affect doctoral program?
c. What if the sizes of the labs (research groups) lead by supervisors could be predetermined within
a doctoral program, how would the different sizes of the labs affect the learning outcomes of a
doctoral program?
Q3. What if the department could

The At The Training And Completed A University Approved...
Results
One hundred and four students volunteered for the training and completed a university–approved
informed consent. Sample characteristics, previous experience with older adults, and primary reason
for choosing specialty in gero–social work are presented in Table 1. The mean age was 27 years
(range of 23–52 yrs.) and a majority were female participants. A significant number had prior
volunteer experience with older persons. Field internships varied from medical surgery units to
specialty units including dialysis, oncology, or behavioral health, hospice, and outpatient clinics,
primary care, and community agencies. Students reported (a) being part of a specialized student
cohort and (b) improving the lives of older adults, as primary reasons for choosing a gero–social
work specialty.
Table 2 reports on differences in ratings of interpersonal skills by students and faculty, who
observed interviews of the outpatient depression case sessions on a bank of television screens at the
simulation center. There were significant differences between groups with faculty rating student
skills higher on all the interpersonal skill items. The largest observational differences included
eliciting and giving information. Students reported high self–ratings on the items of (a)
respectfulness and (b) empathy, followed by (c) professionalism and (d) listening skills.
Table 3 shows group differences in ratings on depression care "best practices" by students and
faculty. All practice behaviors

The Importance Of Simulation In Nursing
Simulation is an educational approach that allows nurses to refine, expand, and apply skills and
knowledge to sensible medical conditions. The nurses participate in experiences that involve
interactive learning to meet the needs of their education. Nurses who engage in simulated learning
have the potential to identify specific scenarios while at the same time developing competencies and
skills, which improve their learning and experience. Simulation enables healthcare providers to
work without panic, thus minimizing the risk of harm to patients. The teaching strategy optimizes
the outcomes of care and contributes to patient safety, providing the learners with the opportunity to
intervene in clinical situations and experience scenarios with a safe, unsupervised setting without
exposing risks to the patients. In this, simulation in nursing enables the learners to acquire
knowledge and skills, improve their critical thinking skills to rescue lives, and enhance mental
health nursing education. In the teaching career, simulation enables beginners to obtain acquaintance
and skills. It is an important aspect of education for working caregivers and students. The Institute
of Medicine supports simulation as a constant attainment of skills and knowledge (Michelle
Aebersold & Dana Tschannen 2013). When learners use simulation, they acquire knowledge and
skills, enabling them to reduce the rates of mortality and morbidity. The knowledge acquired from
this aspect also enables

The Simulation Of Reality, By Cameron Stewart
The Simulation of Reality
Even at a first glance, Cameron Stewart's webcomic Sin Titulo seems to be fraught with mystery,
uncertainty and a certain sense of foreboding. It's fast–paced and pulls the reader in immediately
with its questions of existentialism as it blurs the line between dream spaces and reality. There is
anxiety, paranoia and the text is full of philosophical paradoxes and references. Above all, however,
the text grapples with the question of what reality is, how human beings perceive it, and if it is
possible to simulate it. This is directly in line with Jean Baudrillard's philosophical treatise of
Simulacra and Simulation, which examines the link between reality, society, and symbols. With this
concept in mind, Cameron Stewart's Sin Titulo can be read as a postmodern expression of paranoia
about life being reduced to a simulation of reality where the original is lost and where there is a
precession of simulacra.
The best way to explain the simulation of reality in v is through an allegory used to explain
Baudrillard's philosophy, which is derived from Jorge Luis Borges' "On Exactitude in Science" in
which the latter explains the relation between an empire and its representation. The cartographers of
this empire, "struck a map of the Empire whose size was that of the Empire, and which coincided
point for point with it" (Borges and Hurley 325).When this empire finally meets its downfall, all that
is left of it is the map. In Baudrillard's version of this

Testing Simulation Tools And Simulations
Introduction Research databases offer people copious amounts of information, a lot of the
information on these databases can be difficult to rummage through. After navigating through the
following databases, PubMed, CHINAL, and the Cochrane library, I have found the following
articles from these databases provide information that supports the effectiveness of practice
simulation tools and simulations in the healthcare field to improve quality of care. This papers
intention is to critique the research studies conducted showing the differences and similarities they
may have and showing the importance of simulation tools and simulations.
Study #1
The first study discussed the importance of poor teamwork showing a connection in critical
incidences. A way to prevent such incidences was the implementation of having a group of medical
students, nurses and student nurses go through simulation–based interprofessional(SBITT) team
training. In hopes of preventing critical incidences in the healthcare field, in the study it says that
there are three main reasons that cause adverse patient outcomes. The three are failure to properly
diagnose, failure to institute appropriate treatment and inappropriate management of complications.
(Rieme,2016) By implementing SBITT, they hoped to decrease the adverse outcomes. (Rieme,2016)
The design of this study was to monitor team performance, and then scored on an observation form.
On the form it asked the participants to answer from 1= strongly

The WOW Factor In Flight Simulation?
The WOW factor in flight simulation
Many people seem to believe that flight simulation is all about the technical aspects of flying an
aircraft. It isn't! Many times, and for many people, it is also about the unique experience of seeing
the landscape from up there.
Flight simulation for me is a state of mind. While recently flying, on an extended kind of round
robin flight around England, using Orbx scenery on top of the other Orbx layers, from somewhere in
the westerly side of the map to my Chester destination, listenning to Neil Young's music streaming –
from his recent opened Neil Young Archives – I thought it was time to write something about the
freedom flight simulators give us, and why I believe those refusing to explore some of the options
available are not having as much fun as they could.
The heart of a flight simulator, is, no doubt, the aircraft itself, so I understand people want to have it
"as real as it gets" – to keep to ... Show more content on Helpwriting.net ...
This means that I am always looking for the best light and the best angle to capture a shot. It does
not matter if I am photographing a real plane during an aerobatic display, either on the ground or
airborne or a plane inside a simulation, the rules are the same, with the difference that in the flight
simulation I can better choose my vantage point.
Having flown a fair amount of cockpits with professional pilots on commercial flights, I
experienced in those voyages their passion for being there, their interest for photography, their
dream of being able to jump from cloud to cloud. I continue to see through the photographs they
post on social media and share with friends that despite them being professionals "driving those big
trucks on the sky" day after day, the dream that once led them to discover how airplanes work is still

Questions On Derivation Of Equations
DERIVATION OF EQUATIONS The purpose of this section is to find the analytical expressions
which relate the S–parameters of an SUS, S _ij and error box, S _ijE, to the whole simulation
results, S _ijm. Fig. 3 describes the network flow graph of a typical and all–inclusive simulation
involving an SUS, shifted (de–embedded) reference planes and wave ports. According to the wave
port characteristic (Appendix), the de–embedded sections are non–reflecting transmission lines with
the following known S–parameter matrix:
S_(L_dmbd )=(■(0&e^(–γL_dmb )@e^(–γL_dmb )&0@&)) (1)
In which γ is derived from the wave port 2D cross section calculation and Ldmb is the distance that
reference plane is moved. In order to develop the ... Show more content on Helpwriting.net ...
For this purpose, two THRU simulations, as explained in the above method section, are performed
with two different lengths (L _dmb1 and L _dmb2). Fig.3B shows the network flow graph of a
THRU simulation. In this case, the equations (14) and (18) are simplified with S_11=S_22=0 and
S_12=S_21=1 and the analytical expressions for the error box–related S–parameters are derived as
functions of the two simulated THRU S–parameters (TT) and S–parameters of the de–embedded
part as expressed in (1). The L _dmb1 and L _dmb2 are selected the shortest possible considering
the minimum frequency range (more than the maximum wavelength), but their length difference
must be in such a way that their

The Appropriateness Of A Mean Variance Simulation Model...
The appropriateness of a Mean–Variance Simulation Model for a
Commonwealth public sector defined pension benefit fund
Kevin Lian
October 20, 2014
In this section, we will examine the use of a mean–variance simulation model on a commonwealth
public section defined pension benefit fund. Firstly, we will examine the expected medium term
returns using the reverse optimisation approach and discuss whether any adjustments are necessary.
Secondly, we will examine how appropriate the model is for the fund. Lastly, we will discuss how to
determine any inconsistencies if a mean–variance model is used.
Expectations for medium term returns
The market portfolio consisted of 8 asset classes 1 , in which we used an adjusted allocation size
based on APRA ... Show more content on Helpwriting.net ...
This is emphasised by the near singular correlation matrices
2 . Furthermore, the results are extremely sensitive to these mean and variance assumptions due to
the structure of the M–V model. This exposes our results to a potentially unbounded error size.
Thus, we suggest a Bayesian adjustment is needed to reflect our uncertainty about our assumptions.
1 AE – Australian Equity, IE – International Equity, LP – Listed property, UP – Unlisted Property,
AFI – Australian
Fixed Interest, IFI – International fixed Interest (Hedged), Cash – $AUD
2 This can be seen by determinants of the 5, 6, and 7 year correlation matrices, which were
2.31258E–48, –9.99469E–
34, and –1.72439E–20 respectively
1
Group B Part D ACTL4303 Assignment Student ID: 3374652
Furthermore, the results in Table 1 also requires some adjustments due to tax and the inherent
assumptions of the reverse optimisation approach. In general, the returns of each asset class need to
be subjected to the appropriate tax deductions and transaction fees. In particular, Australian equity
returns have not accounted for the franking credits. In addition, the method used to calculate the
risk–aversion coefficient result in time–invariant equity returns. Thus, adjustments are needed to
reflect time–vary equity risk premiums. In

Simulations Essay
Simulations
"What I hear, I forget; what I see, I remember; what I do, I understand."
Confucius, 451 BC
General
As young children, we all learn by doing. Toddlers learn to walk on their own with their parents
standing by as guides, providing a safe environment that makes it possible for the child to learn.
When a child enters the "formal education" system, unfortunately this rich environment of learning
by doing often disappears. The education system is still stuck in the industrial age with classrooms
more often designed for teaching rather than for learning purposes.
To return to the learning by doing stage, enter simulations. A simulation is an instructional strategy
that offers the opportunity to learn in a ... Show more content on Helpwriting.net ...
A well–designed simulation meets all of John Keller's goals in the ARCS model (attention,
relevance, confidence and satisfaction). It presents a problem to be solved, allows the learner to
make choices, shows the consequences of those choices, and builds confidence in the learner when
the problem is mastered.
There are five major characteristics of simulations:
Simulations are problem–based units of learning that are set in motion by a particular task, issue,
policy, crisis, or problem. The problems to be addressed by the participant may be either implicit or
explicit, depending on the nature of the simulation. The issues inherent in the simulation are not
textbook problems or questions in which answers are cut and dried and determined quickly.
Participants carry out functions associated with their roles and the settings in which they find
themselves. The outcomes of the simulation are not determined by chance or luck. Instead,
participants experience consequences that follow from their own actions. Participants experience
reality of function to the extent that they fulfill their roles conscientiously and in a professional
manner, executing all the rights, privileges and responsibilities associated with the role.
(Grendler, 1994).
Debriefing after a simulation is one of the most

The Difference Between Bisimulation And Forced Simulation
Literature Review: The difference between Bisimulation and Forced Simulation Haowei Zheng
hzhe024@aucklanduni.ac.nz 1. INTRODUCTION
Currently, component reuse techniques have become more and more important for handling the
rapidly increasing complexities of component based embedded system. Bisimulation is a well–
known technique which has been proposed in the very early stage of simulation development. It
provides the functionality of checking for process equivalent in process algebras. Many applications
have been developed by using this technique. However, there are still some issues regarding using
bisimulation technique. One specific issue is component matching problem. To better resolve this
problem, a new technique which is called forced simulation is proposed and developed. In this
article, we will carry out a literature review to discover the difference between forced simulation
technique and bisimulation technique.
In the following sections, first of all the component matching problem will be explained more
detailed. Then the definition of bisimulation and forced simulation will be shown. After that, an
example of these two different techniques will be shown for comparing the difference between
them.
2. COMPONENT MATCHING PROBLEM
In component based embedded system, component reuse methodologies has been an important
focus of industry since the complexities of modern embedded system are increasing rapidly.
However, there are several unresolved issues in this

Experimental Study About Rc Based Rfid Tracking System For...
Simulation enables researchers to construct models to understand and evaluate current systems and
alternatives for applying new processes or improving current processes in various areas (Greasley,
2004; Ingalls, 2008; Iqbal et al., 2012). The simulation method has been adopted in various
industries such as airline, port operation, banking, service, food and transportation (Robinson, 2004;
Kotachi et al., 2013). Although simulation raises quality concerns and does not provide absolute
answers, simulation is flexible to design simple and complex processes (Chung, 2003; Kotachi et al.,
2013). Researchers used different approaches to simulate returnable container (RC) models such as
agent approach, regression approach and discrete event simulation approach. Apparwal (2014) used
agent based system approach to study about RC based RFID tracking system for logistic services
provider. Kim et al. (2014) used regression simulation model to study about RC for perishable
products under stochastic return times.
 Discrete Event Simulation Model
This experimental study aims to execute model which displays RC system of a company in Thailand
by using discrete event simulation (DES) approach or next–event technique. This approach is to
simulate and update the operation of components when a state change or event is due (Greasley,
2004; Robinson, 2004; Pidd, 2004). For instance, considering close loop supply chain for RCs
which pallets are used to deliver products to customers and then

Simulation Modelling Essay
Simulation modelling is the procedure of developing and analysing a prototype of a physical model
to predict its behaviour and performance in real–world or over time. A model represents the system
itself and the simulation represents the operation of the system over a specified time period. It can
be used to show the effects of possible conditions and the sequence of action. Modelling and
simulation helps obtaining information about how a system will perform without testing it in real
life. It shows any flaws in the design and reduces potential errors with the system itself, as well the
operation of it. Also, validates the safety and durability of a physical prototype. This reduces the
costs and increases the quality of products and systems.
Figure 1: Interaction between model, experiment, theory and the simulation of the system.
In civil engineering, a typical process of simulation modelling includes:
1. By using a 2 dimensional (2D) or 3 dimensional (3D) tool/application, develop a virtual model of
a system to represent ... Show more content on Helpwriting.net ...
Simulations can often be more realistic than traditional experiments, as they allow to change the
environment parameters at any stage of the design.
Analysis and simulations can be performed faster and more accurate than hand calculations and
experimental testing. This allows using them for efficient analyse of different alternatives. Also, it is
quicker to make decisions from using simulation applications.
Simulations set up a coherent environment that allows for integration of simulated systems in the
early analysis phase with initial components to a test environment for the final system. Then, this
environment can be transferred from development and testing field to training and education phases
for the system.

The Best Way Of Successfully Acting A Part
Scottish writer Arthur Conan Doyle stated, "The best way of successfully acting a part is to be it."
Although this quote can be linked to all aspects of human life, it can be specifically correlated to
gaining a profession. In other words, to gain a profession such as a doctor, nurse, surgeon, military
medic, etc, a person must act the part. Yet, to act the part, people contemplating mastering one of
these careers needs the appropriate tools and technology to gain experience. Seeing that nobody
would be willing to allow a medical student to butcher them by practicing various operations and
medical procedures, there are now technologies which simulate real life people and situations
without involving actual people. This is called simulation technology. Simulation technology is an
amazing innovation, specifically within the medical field, because it has been proven useful for
many years, it aids in learning for adult education, there is a wide variety of different simulation
technologies and uses of those technologies, and it helps create a safe, cruelty–free, and accurate
environment for medical students to practice their skills.
Definition
In order to understand the history of simulation technology, it is important to first understand what
simulation means. According to the Meriam–Webster Dictionary (2004), simulation is defined as,
"something that is made to look, feel, or behave like something else especially so that it can be
studied or used to train people."

Measuring A Rural And An Urban Catchment
Introduction
Understanding a rivers response to the differences of a catchments characteristics demonstrates how
the processes that occur in the hydrological cycle operate differently, which influences discharge,
runoff and stream flow of a river (Davie, 2002). River response is the adjustment of processes
during rainfall events through infrastructure, the geomorphic and biological characteristics (Kang
and Kazama, 2013). A catchments characteristic influence the flow rates (build up) and discharge
(wash–off) into a river system (Liu et al. 2013). A catchment, either rural or urban, is the area of
land in which water flows and is directed towards a river system, leading to the sea. Catchments can
vary in size from hectares to millions of ... Show more content on Helpwriting.net ...
2004). At the completion of the first catchment simulation, the majority of the water in sponge was
removed, and 1000 millilitre tube topped up with water to have exactly 1000 millilitres. The repeat
of this simulation was to have a plastic A4 sheet placed on the sponge to represent an urban
catchment, and the same process was implemented. To keep the simulations fair and balanced, the
roles in the experiment have to be consistent, and the motion in which the water is deposited needs
to be kept nearly identical.
Results
The hydrograph that is produced (Figure 1) has data that represents both a rural catchment and an
urban catchment experiments. Both experiments had a steep rising limb which both had a peak flow
event of 1160 millilitres per minute, but the urban catchments peak flow occurred 0.25 minutes
earlier (0.75 minutes) than the rural catchments peak flow (1.00 minutes). From here, a sharp falling
limb occurs after the peak flows occurrence, with the urban catchments discharge dropping 520
millilitres per minute, and rural catchments discharge drops 514 millilitres per minute. From 1.50
minutes both catchments on the hydrograph have a steady decline, and plateau from 3 minutes until
the completion of the simulation.
The simulations conducted are only carried out on a much smaller scale and time frame compared to
an actual river system, and how it responds to a rainfall event due to time restraints. The Leith river
is subjected to a mainly urban

Pros And Cons Of Army Simulations Theory
Abstract
Overview/Summary of Both Articles (naming the Article Titles and Authors)
This paper explores four published articles published in relation to the theory presented by Raymond
A. Noe in Employee Training & Development. All four articles were published online (Internet) and
compared to Noe's text offline (non–Internet). The topics discussed are the pros and cons of Army
Simulations and the virtual training environment of today's soldiers. Three of the four articles
confirm Noe's opinion of the value added (both monetarily, as well as, the ability to train in
situations that would not be possible to train for in real life) of virtual simulations (Sims) in the
Army training environment. The fourth article, however, shows a flaw with ... Show more content
But the cost is much less than the hourly cost of taking helicopters out of service to teach pilots"
(Noe, 2017). Below are outside articles that either agree with the overall opinion of Noe, or disagree
with certain aspects.
According to Raymond A. Noe in Employee Training & Development, the world of virtual
simulations in the U.S. Army is not only cost efficient, but also a training tool that allows soldiers to
"focus on important safety issues and emergency procedures that are impossible to replicate" (Noe,
2017) in real life events. This theory is repeated by many. David Vergun interviewed Maj. Mike
Stinchfield, chief of the Training Innovation Facility, Army National Simulation Center, Army
Combined Arms Center, Fort Leavenworth, Kansas for MilGaming
Online.
In this article, Vergun states, "Simulators are cost–effective in terms of fuel and maintenance, and
they also allow trainers to simulate variables that are dangerous and costly to simulate in real life:
weather conditions, difficult terrain and enemy attacks." (Vergun, 2016). Simulations are used all
across the world to train soldiers of all ranks in basic, and advanced, procedures. For example,
Virtual Battlespace 3 (VBS3) is used at most military installations in the United States. VBS3 is
used primarily to support dismounted patrols and convoy operations; as it is a 3D

A Study On Advancing Entrepreneurial Skills And Abilities...
KEABETSWE PHUTHEGO 200903371 ELB 504 GUIDED STUDY IN BUSINESS EDUCATION
TOPIC: ADVANCING ENTREPRENEURIAL SKILLS AND ABILITIES THROUGH THE USE
OF SIMULATION GAMES IN SECONDARY SHOOL BUSINESS EDUCATION DUE DATE: 8
APRIL 2016 INTRODUCTION What can we as teachers do to influence our learners to become
entrepreneurs? The government of Botswana has been over the years working tirelessly in trying to
curb unemployment more especially among the youth, as well as motivating them to venture into
different kinds of businesses as a way encouraging entrepreneurship and trying to diversify the
country's economy which is highly reliant on diamond exports. This includes among other things,
coming up with initiatives such as the Youth Development Fund (YDF) which exists to fund youth
businesses to help fight unemployment and poverty. One of the programs of late is the Economic
Stimulus Package (ESP) which aims at up–skilling and up–scaling unemployed youth among one of
its many mandates. Again, there is the Citizen Entrepreneurship Development Agency (CEDA)
which aims at providing financial and technical assistance to citizens to develop their businesses
(CEDA, 2016). Not only does CEDA offer financial assistance to developing businesses but also to
already existing ones. What is more, it also offers training, mentorship and advisory services to new
entrepreneurs as well as those that have been in the industry for a while. It is however worrisome
how some of the youth businesses

The Importance Of Emergency Intervention And Management...

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