Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the u...Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the use of virtual reality(VR)technology.VR has been demonstrated to be an effective treatment for pain associated with medical procedures,as well as for chronic pain conditions for which no effective treatment has been established.The precise mechanism by which the diversion from reality facilitated by VR contributes to the diminution of pain and anxiety has yet to be elucidated.However,the provision of positive images through VR-based visual stimulation may enhance the functionality of brain networks.The salience network is diminished,while the default mode network is enhanced.Additionally,the medial prefrontal cortex may establish a stronger connection with the default mode network,which could result in a reduction of pain and anxiety.Further research into the potential of VR technology to alleviate pain could lead to a reduction in the number of individuals who overdose on painkillers and contribute to positive change in the medical field.展开更多
BACKGROUND Subchorionic hematoma(SCH)is a common complication in early pregnancy characterized by the accumulation of blood between the uterine wall and the chorionic membrane.SCH can lead to adverse pregnancy outcome...BACKGROUND Subchorionic hematoma(SCH)is a common complication in early pregnancy characterized by the accumulation of blood between the uterine wall and the chorionic membrane.SCH can lead to adverse pregnancy outcomes such as miscarriage,preterm birth,and other complications.Early detection and accurate assessment of SCH are crucial for appropriate management and improved pregnancy outcomes.AIM To evaluate the diagnostic efficacy of virtual organ computer-assisted analysis(VOCAL)in measuring the volume ratio of SCH to gestational sac(GS)combined with serum progesterone on early pregnancy outcomes in patients with SCH.METHODS A total of 153 patients with SCH in their first-trimester pregnancies between 6 and 11 wk were enrolled.All patients were followed up until a gestational age of 20 wk.The parameters of transvaginal two-dimensional ultrasound,including the circumference of SCH(Cs),surface area of SCH(Ss),circumference of GS(Cg),and surface area of GS(Sg),and the parameters of VOCAL with transvaginal three-dimensional ultrasound,including the three-dimensional volume of SCH(3DVs)and GS(3DVg),were recorded.The size of the SCH and its ratio to the GS size(Cs/Cg,Ss/Sg,3DVs/3DVg)were recorded and compared.RESULTS Compared with those in the normal pregnancy group,the adverse pregnancy group had higher Cs/Cg,Ss/Sg,and 3DVs/3DVg ratios(P<0.05).When 3DVs/3DVg was 0.220,the highest predictive performance predicted adverse pregnancy outcomes,resulting in an AUC of 0.767,and the sensitivity,specificity were 70.2%,75%respectively.VOCAL measuring 3DVs/3DVg combined with serum progesterone gave a diagnostic AUC of 0.824 for early pregnancy outcome in SCH patients,with a high sensitivity of 82.1%and a specificity of 72.1%,which showed a significant difference between AUC.CONCLUSION VOCAL-measured 3DVs/3DVg effectively quantifies the severity of SCH,while combined serum progesterone better predicts adverse pregnancy outcomes.展开更多
Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Betwee...Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Between April 2023 and October 2023,we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province.The patients were randomly divided into an intervention group(n=118)and a control group(n=119)using block randomization.The intervention group received the VR intervention 3-5 times over 5±2 weeks using natural landscapes with music or relaxation guidance,and the duration of each VR intervention was 15±3 min.The control group received routine nursing care,including disease education and psychological counseling.Patients were assessed using the Type D Scale,Positive and Negative Affect Scale,and Distress Thermometer,and adverse events during the intervention were recorded.Results:Overall,85 patients completed the study(44 in the intervention group and 41 in the control group).Patients with Type D personalities showed more negative emotions[25.0(21.5,27.5)vs.19.0(16.0,24.0),P=0.001]and distressed attitudes[4.0(2.0,5.0)vs.3.0(1.0,4.0),P=0.020]with fewer positive emotions(27.2±5.6 vs.31.0±5.9,P=0.014)than those with non-Type D personalities.Total population analysis revealed no significant differences between the groups.However,in the subgroup analysis,patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group[median difference,-5.0(-9.0,-2.5)vs.-2.0(-4.0,2.0),P=0.046].No significant differences were found between groups of patients with non-Type D personality traits.The proportion of adverse events was not significantly different between groups(P=0.110).Conclusions:Breast cancer patients with Type D personalities suffer more severe negative emotions and distress,and more attention should be paid to them.VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.展开更多
As the penetration rate of distributed energy increases,the transient power angle stability problem of the virtual synchronous generator(VSG)has gradually become prominent.In view of the situation that the grid impeda...As the penetration rate of distributed energy increases,the transient power angle stability problem of the virtual synchronous generator(VSG)has gradually become prominent.In view of the situation that the grid impedance ratio(R/X)is high and affects the transient power angle stability of VSG,this paper proposes a VSG transient power angle stability control strategy based on the combination of frequency difference feedback and virtual impedance.To improve the transient power angle stability of the VSG,a virtual impedance is adopted in the voltage loop to adjust the impedance ratio R/X;and the PI control feedback of the VSG frequency difference is introduced in the reactive powervoltage link of theVSGto enhance the damping effect.Thesecond-orderVSGdynamic nonlinearmodel considering the reactive power-voltage loop is established and the influence of different proportional integral(PI)control parameters on the system balance stability is analyzed.Moreover,the impact of the impedance ratio R/X on the transient power angle stability is presented using the equal area criterion.In the simulations,during the voltage dips with the reduction of R/X from 1.6 to 0.8,Δδ_(1)is reduced from 0.194 rad to 0.072 rad,Δf_(1)is reduced from 0.170 to 0.093 Hz,which shows better transient power angle stability.Simulation results verify that compared with traditional VSG,the proposedmethod can effectively improve the transient power angle stability of the system.展开更多
The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing ...The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the patient.It also reduces burden on nursing staff and counsellors.Larger and more diverse cohort studies will help us understand the wider application of this tool on the patient population.It may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical comorbidities.Also,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for counselling.We will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.展开更多
Background Over the last few years,the rapid advancement of technology has led to the development of many approaches to digitalization.In this respect,metaverse provides 3D persistent virtual environments that can be ...Background Over the last few years,the rapid advancement of technology has led to the development of many approaches to digitalization.In this respect,metaverse provides 3D persistent virtual environments that can be used to access digital content,meet virtually,and perform several professional and leisure tasks.Among the numerous technologies supporting the metaverse,immersive Virtual Reality(VR)plays a primary role and offers highly interactive social experiences.Despite growing interest in this area,there are no clear design guidelines for creating environments tailored to the metaverse.Methods This study seeks to advance research in this area by moving from state-of-the-art studies on the design of immersive virtual environments in the context of metaverse and proposing how to integrate cutting-edge technologies within this context.Specifically,the best practices were identified by i)analyzing literature studies focused on human behavior in immersive virtual environments,ii)extracting common features of existing social VR platforms,and iii)conducting interviews with experts in a specific application domain.Specifically,this study considered the creation of a new virtual environment for MetaLibrary,a VR-based social platform aimed at integrating public libraries into metaverse.Several implementation challenges and additional requirements have been identified for the development of virtual environments(VEs).These elements were considered in the selection of specific cutting-edge technologies and their integration into the development process.A user study was also conducted to investigate some design aspects(namely lighting conditions and richness of the scene layout)for which deriving clear indications from the above analysis was not possible because different alternative configurations could be chosen.Results The work reported in this paper seeks to bridge the gap between existing VR platforms and related literature in the field,on the one hand,and requirements regarding immersive virtual environments for the metaverse,on the other hand,by reporting a set of best practices which were used to build a social virtual environment that meets users'expectations and needs.Conclusions Results suggest that carefully designed virtual environments can positively affect user experience and interaction within metaverse.The insights gained from this study offer valuable cues for developing immersive virtual environments for the metaverse to deliver more effective and engaging experiences.展开更多
To address the challenges of insufficient visualization in the industrial robot assembly operation system and the limitation of visualizing only geometric attributes of physical properties,a method is proposed for con...To address the challenges of insufficient visualization in the industrial robot assembly operation system and the limitation of visualizing only geometric attributes of physical properties,a method is proposed for constructing an industrial robot assembly system based on virtual reality technology.Focusing on the shaft hole assembly,the mechanical characteristics of the industrial robot shaft hole assembly process are analyzed and a dynamic model is established for shaft hole assembly operations.The key elements of virtual assembly operations for industrial robots are summarized and a five-dimensional model is proposed for industrial robot virtual operations.Utilizing the Unity3D engine based on the 5-D model for industrial robot virtual operations,an industrial robot shaft hole assembly system is developed.This system enables virtual assembly operations,displays physical attributes,and provides valuable references for the research of virtual systems.展开更多
The power-electronics-based DC microgrid system composed of new energy sources in railway field has low inertia,weak damping characteristics,and the voltage fluctuation microgrid systems caused by the power disturbanc...The power-electronics-based DC microgrid system composed of new energy sources in railway field has low inertia,weak damping characteristics,and the voltage fluctuation microgrid systems caused by the power disturbance of solar.In order to improve the inertia of the DC microgrid system,a virtual DC generator technology is adopted in the interface converter of photovoltaic(PV)power generation unit,so that it has the external characteristics of DC generator.However,the influence of PV maximum power point tracking(MPPT)is not considered in the traditional virtual DC generator control.Therefore,an improved control strategy for virtual DC generator is proposed,and its small signal model is established to analyze the influence of inertia and damping coefficient on stability.The results show that the proposed method effectively weakens the impact on DC bus voltage when the output of PV power unit changes suddenly,which improves the stability of the microgrid.Meanwhile,the correctness and feasibility of the method are verified.展开更多
The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for ...The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for aircraft mission effectiveness evaluation and design space exploration based on Virtual Operational Test(VOT),incorporating Virtual Open Scenario(VOS)and User in Scenarios(UIS)concepts.By employing modeling and simulation technologies in the early stages of aircraft development and design,a virtual environment can be constructed,allowing aircraft users to participate more closely and conveniently in the design process.Virtual tests conducted by users within the mission context provide data on mission effectiveness and critical user feedback.This paper outlines the main components of the virtual operational test process and related conceptual methods,and discusses an open support system framework that supports VOT.The effectiveness and adaptability of the method are demonstrated through two case studies:a beyond-visual-range air combat scenario and a helicopter ground attack scenario.These case studies demonstrate the evaluation of aircraft mission effectiveness and the sensitivity analysis and optimization of design and operational parameters based on VOT.展开更多
In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.T...In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.These three concepts are plasticity(defended for many years by C.Malabou),contingency(reconstructed by Q.Meillassoux),and virtuality(developed by G.Deleuze).The main task of the text will be to reflect on which of these three concepts better protects our thinking against automation and stays faithful to the ideal of creativity.In what sense are plasticity,contingency,and the possibility of virtualization the a priori condition of any transformation,physical or intellectual,affective or conceptual metamorphosis?In what sense are these three concepts the only conditions for the survival of every living being?Would a being without contingency,plasticity,and disposition to virtualization simply be a dead being?展开更多
Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeo...Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeons in locating IVC invasion,formulate a surgical plan for robot-assisted IVC thrombectomy(RA-IVCT),and evaluate its potential value.Methods:The reconstruction involves building the construction of deep learning models to predict IVC invasion,which were evaluated via intraoperative findings and pathological analysis.Thirty-six patients with renal tumors and IVC thrombi who underwent RA-IVCT between June 2016 and March 2022 were included in the study.A virtual vascular endoscopy was performed based on preoperative CT findings to identify IVC invasion.Based on the extent of IVC wall invasion and the collateral situation,surgeons could decide whether to perform partial or segmental IVC resection during RA-IVCT.Results:Twenty patients were retrospectively analysed for training in virtual vascular endoscopy(the training cohort),and 16 patients were prospectively analysed to evaluate the accuracy of this technique(the validation cohort).Sixteen patients with IVC invasion underwent cavectomy,whereas six patients underwent partial IVC resection.In the validation cohort,pathological analysis confirmed the exact location of IVC invasion in eight of the nine patients,as indicated by virtual vascular endoscopy.Patients who underwent partial IVC wall resection had less lower extremity edema than those who underwent cavectomy.Conclusion:Our initial experience showed that the virtual vascular endoscopy could assist surgeons in identifying IVC invasion and creating a surgical plan for RA-IVCT.展开更多
Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance...Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance meditation effectiveness,this study implemented an immersive virtual reality meditation(IVRM)program and examined its potentialmental health benefits among university students-a population that frequently experiences significant psychological distress.Methods:Nineteen university students participated in eight 15-min sessions of an IVRM program designed to promote mindfulness and relaxation over the course of one month.Perceived stress and anxiety levels were assessed using validated self-report measures at baseline(T1)and post-intervention(T2).Twotailed paired t-tests were conducted to evaluate the preliminary efficacy of the program,and effect sizes were reported using Cohen’s d.Results:Significant reductions were observed from pre-to post-intervention in perceived stress(t(18)=3.694,p<0.001,SE=0.17,d=−0.85)and perceived anxiety(t(18)=5.113,p<0.01,SE=0.10,d=−1.20),both indicating large effect sizes.Conclusion:Our findings provide preliminary evidence that the IVRMprogramcan reduce stress and anxiety levels in university students.The positive results suggest that IVRM has the potential to serve as a novel,technology-based meditation intervention for individuals at elevated risk for developingmental health disorders.Furthermore,our study suggests important implications for future research.展开更多
As a new dynamic reactive power compensator,the grid-forming Static Var Generator(GF-SVG)can not only provide reactive power-voltage support,but also has inertial support capability.It has been experimentally deployed...As a new dynamic reactive power compensator,the grid-forming Static Var Generator(GF-SVG)can not only provide reactive power-voltage support,but also has inertial support capability.It has been experimentally deployed in many wind farms.However,studies have shown that when the three-phase short-circuit fault occurs in the wind farm,the transient overcurrent during the fault occurrence and fault clearance is suppressed,making it difficult for GF-SVG to use traditional fixed virtual impedance.Aiming at the problem,firstly,the influence of virtual reactance on control stability is analyzed using the GF-SVG’s current open-loop transfer function.Secondly,based on the existing current limitation strategies of GF-SVG,an adaptive virtual reactance current limitation strategy suitable for symmetrical faults of the power grid is proposed,which limits GF-SVG’s transient overcurrent during fault occurrence and fault clearance stage to the tolerance range of GF-SVG’s power devices.Based on the GF-SVG’s active power loop and reactive power loop small signal models,the availability of the proposed adaptive virtual reactance in suppressing the DC voltage drop of GF-SVG is analyzed,and shortening the transient overvoltage recovery time of the wind farm after the fault clearance is also discussed.Finally,electromagnetic simulation proves the effectiveness and correctness of the proposed adaptive current limitation method.展开更多
Background Fibromyalgia(FM)is a chronic rheumatic disorder characterised by musculoskeletal pain,fatigue,and psychoemotional symptoms.Virtual reality(VR)has proven to be an innovative and motivating tool for managing ...Background Fibromyalgia(FM)is a chronic rheumatic disorder characterised by musculoskeletal pain,fatigue,and psychoemotional symptoms.Virtual reality(VR)has proven to be an innovative and motivating tool for managing FM,with several studies indicating that it can improve quality of life indices and reduce psychoemotional symptoms.However,studies on immersive VR-based exercise(iVRE)are limited.Methods The aim of this study was to evaluate the effects of iVRE on quality of life,stress,anxiety,depression,and handgrip strength in patients with FM.A single-arm pre-post-test pilot study was conducted.Individuals diagnosed with FM were recruited using convenience sampling.The iVRE protocol consisted of 12 sessions of 10 min warm-up and 15 min exercises applied with the Oculus Quest 2TM device.The impact on quality of life was assessed using the Revised Fibromyalgia Impact Questionnaire,and the effects on stress,anxiety,and depression were determined using the Depression Anxiety Stress Scale-21 questionnaire.Handgrip strength was evaluated using the Baseline®dynamometer.The normality assumption was evaluated,and the pre-post means were compared using Student's ttest(p<0.05).Results Eleven individuals(40.6±11.2 years)completed the protocol(10 women).There were significant differences in favour of iVRE in quality of life impact(p<0.001,Cohen's d:1.48),handgrip strength(p<0.05,Cohen's d:0.26),depression(p<0.05,Cohen's d:0.73),and anxiety(p<0.05,Cohen's d:0.73).Conclusions A six-week iVRE program significantly reduces the impact on quality of life,anxiety,and depression and improves handgrip strength in people with FM.Future studies should investigate the physiological effects using systemic biomarkers to explain the scope of this therapeutic modality.展开更多
The integration of Human-Robot Collaboration(HRC)into Virtual Reality(VR)technology is transforming industries by enhancing workforce skills,improving safety,and optimizing operational processes and efficiency through...The integration of Human-Robot Collaboration(HRC)into Virtual Reality(VR)technology is transforming industries by enhancing workforce skills,improving safety,and optimizing operational processes and efficiency through realistic simulations of industry-specific scenarios.Despite the growing adoption of VR integrated with HRC,comprehensive reviews of current research in HRC-VR within the construction and manufacturing fields are lacking.This review examines the latest advances in designing and implementing HRC using VR technology in these industries.The aim is to address the application domains of HRC-VR,types of robots used,VR setups,and software solutions used.To achieve this,a systematic literature review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology was conducted on the Web of Science and Google Scholar databases,analyzing 383 articles and selecting 53 papers that met the established selection criteria.The findings emphasize a significant focus on enhancing human-robot interaction with a trend toward using immersive VR experiences and interactive 3D content creation tools.However,the integration of HRC with VR,especially in the dynamic construction environment,presents unique challenges and opportunities for future research,including developing more realistic simulations and adaptable robot systems.This paper offers insights for researchers,practitioners,educators,industry professionals,and policymakers interested in leveraging the integration of HRC with VR in construction and manufacturing industries.展开更多
The convergence of large language models(LLMs)and virtual reality(VR)technologies has led to significant breakthroughs across multiple domains,particularly in healthcare and medicine.Owing to its immersive and interac...The convergence of large language models(LLMs)and virtual reality(VR)technologies has led to significant breakthroughs across multiple domains,particularly in healthcare and medicine.Owing to its immersive and interactive capabilities,VR technology has demonstrated exceptional utility in surgical simulation,rehabilitation,physical therapy,mental health,and psychological treatment.By creating highly realistic and precisely controlled environments,VR not only enhances the efficiency of medical training but also enables personalized therapeutic approaches for patients.The convergence of LLMs and VR extends the potential of both technologies.LLM-empowered VR can transform medical education through interactive learning platforms and address complex healthcare challenges using comprehensive solutions.This convergence enhances the quality of training,decision-making,and patient engagement,paving the way for innovative healthcare delivery.This study aims to comprehensively review the current applications,research advancements,and challenges associated with these two technologies in healthcare and medicine.The rapid evolution of these technologies is driving the healthcare industry toward greater intelligence and precision,establishing them as critical forces in the transformation of modern medicine.展开更多
Dear Editor,The cell,as the fundamental unit of life,presents core challenges in biological research due to its inherent complexity and dynamic properties.A recent perspective published in Cell[1]and an out-of-box art...Dear Editor,The cell,as the fundamental unit of life,presents core challenges in biological research due to its inherent complexity and dynamic properties.A recent perspective published in Cell[1]and an out-of-box article in The Innovation Life[2]outlined our visions for constructing artificial intelligence virtual cells(AIVCs).Unlike other diseases,cancer is fundamentally a cellular disease.While other disciplines focus on pathophysiological changes at the system or organ level,cancer uniquely begins with abnormal proliferation triggered by genomic instability at the cellular level,subsequently inducing local microenvironment remodeling.展开更多
This study proposes a virtual healthcare assistant framework designed to provide support in multiple languages for efficient and accurate healthcare assistance.The system employs a transformer model to process sophist...This study proposes a virtual healthcare assistant framework designed to provide support in multiple languages for efficient and accurate healthcare assistance.The system employs a transformer model to process sophisticated,multilingual user inputs and gain improved contextual understanding compared to conventional models,including long short-term memory(LSTM)models.In contrast to LSTMs,which sequence processes information and may experience challenges with long-range dependencies,transformers utilize self-attention to learn relationships among every aspect of the input in parallel.This enables them to execute more accurately in various languages and contexts,making them well-suited for applications such as translation,summarization,and conversational Comparative evaluations revealed the superiority of the transformer model(accuracy rate:85%)compared with that of the LSTM model(accuracy rate:65%).The experiments revealed several advantages of the transformer architecture over the LSTM model,such as more effective self-attention,the ability for models to work in parallel with each other,and contextual understanding for better multilingual compatibility.Additionally,our prediction model exhibited effectiveness for disease diagnosis,with accuracy of 85%or greater in identifying the relationship between symptoms and diseases among different demographics.The system provides translation support from English to other languages,with conversion to French(Bilingual Evaluation Understudy score:0.7),followed by English to Hindi(0.6).The lowest Bilingual Evaluation Understudy score was found for English to Telugu(0.39).This virtual assistant can also perform symptom analysis and disease prediction,with output given in the preferred language of the user.展开更多
This article discusses the detailed examination of the engineering design and implementation process for direct Train-to-Train(T2T)communication within a wireless train backbone network in the context of a virtual cou...This article discusses the detailed examination of the engineering design and implementation process for direct Train-to-Train(T2T)communication within a wireless train backbone network in the context of a virtual coupling scenario.The article proposed several critical aspects,including the optimization of transmission data requirements,which is essential to ensure that communication between trains is efficient and reliable.The design of the T2T wireless communication subsystem is discussed in detail,outlining the technical specifications,protocols,and technologies employed to facilitate wireless communication between multiple trains.Additionally,the article presents a thorough analysis of the data collected during real-world train experiments,highlighting the performance metrics and challenges encountered during testing.This empirical data not only validates the effectiveness of the proposed design but also serves as a crucial reference for future advancements in T2T wireless communication systems.By combining both theoretical principles and practical outcomes,the article offers insights that will aid engineers and researchers in developing robust and efficient wireless communication systems for next-generation train operations.展开更多
文摘Medical procedures are inherently invasive and carry the risk of inducing pain to the mind and body.Recently,efforts have been made to alleviate the discomfort associated with invasive medical procedures through the use of virtual reality(VR)technology.VR has been demonstrated to be an effective treatment for pain associated with medical procedures,as well as for chronic pain conditions for which no effective treatment has been established.The precise mechanism by which the diversion from reality facilitated by VR contributes to the diminution of pain and anxiety has yet to be elucidated.However,the provision of positive images through VR-based visual stimulation may enhance the functionality of brain networks.The salience network is diminished,while the default mode network is enhanced.Additionally,the medial prefrontal cortex may establish a stronger connection with the default mode network,which could result in a reduction of pain and anxiety.Further research into the potential of VR technology to alleviate pain could lead to a reduction in the number of individuals who overdose on painkillers and contribute to positive change in the medical field.
文摘BACKGROUND Subchorionic hematoma(SCH)is a common complication in early pregnancy characterized by the accumulation of blood between the uterine wall and the chorionic membrane.SCH can lead to adverse pregnancy outcomes such as miscarriage,preterm birth,and other complications.Early detection and accurate assessment of SCH are crucial for appropriate management and improved pregnancy outcomes.AIM To evaluate the diagnostic efficacy of virtual organ computer-assisted analysis(VOCAL)in measuring the volume ratio of SCH to gestational sac(GS)combined with serum progesterone on early pregnancy outcomes in patients with SCH.METHODS A total of 153 patients with SCH in their first-trimester pregnancies between 6 and 11 wk were enrolled.All patients were followed up until a gestational age of 20 wk.The parameters of transvaginal two-dimensional ultrasound,including the circumference of SCH(Cs),surface area of SCH(Ss),circumference of GS(Cg),and surface area of GS(Sg),and the parameters of VOCAL with transvaginal three-dimensional ultrasound,including the three-dimensional volume of SCH(3DVs)and GS(3DVg),were recorded.The size of the SCH and its ratio to the GS size(Cs/Cg,Ss/Sg,3DVs/3DVg)were recorded and compared.RESULTS Compared with those in the normal pregnancy group,the adverse pregnancy group had higher Cs/Cg,Ss/Sg,and 3DVs/3DVg ratios(P<0.05).When 3DVs/3DVg was 0.220,the highest predictive performance predicted adverse pregnancy outcomes,resulting in an AUC of 0.767,and the sensitivity,specificity were 70.2%,75%respectively.VOCAL measuring 3DVs/3DVg combined with serum progesterone gave a diagnostic AUC of 0.824 for early pregnancy outcome in SCH patients,with a high sensitivity of 82.1%and a specificity of 72.1%,which showed a significant difference between AUC.CONCLUSION VOCAL-measured 3DVs/3DVg effectively quantifies the severity of SCH,while combined serum progesterone better predicts adverse pregnancy outcomes.
基金supported by a project of the National Natural Science Foundation of China:Research on the integration of artificial intelligence and virtual reality technology to promote psychological rehabilitation of breast cancer patients with different personalities(project approval no.82073408).
文摘Objectives:To explore the efficacy and safety of virtual reality(VR)in relieving negative emotions in patients with breast cancer with different personalities.Methods:A randomized controlled trial was conducted.Between April 2023 and October 2023,we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangdong Province.The patients were randomly divided into an intervention group(n=118)and a control group(n=119)using block randomization.The intervention group received the VR intervention 3-5 times over 5±2 weeks using natural landscapes with music or relaxation guidance,and the duration of each VR intervention was 15±3 min.The control group received routine nursing care,including disease education and psychological counseling.Patients were assessed using the Type D Scale,Positive and Negative Affect Scale,and Distress Thermometer,and adverse events during the intervention were recorded.Results:Overall,85 patients completed the study(44 in the intervention group and 41 in the control group).Patients with Type D personalities showed more negative emotions[25.0(21.5,27.5)vs.19.0(16.0,24.0),P=0.001]and distressed attitudes[4.0(2.0,5.0)vs.3.0(1.0,4.0),P=0.020]with fewer positive emotions(27.2±5.6 vs.31.0±5.9,P=0.014)than those with non-Type D personalities.Total population analysis revealed no significant differences between the groups.However,in the subgroup analysis,patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group[median difference,-5.0(-9.0,-2.5)vs.-2.0(-4.0,2.0),P=0.046].No significant differences were found between groups of patients with non-Type D personality traits.The proportion of adverse events was not significantly different between groups(P=0.110).Conclusions:Breast cancer patients with Type D personalities suffer more severe negative emotions and distress,and more attention should be paid to them.VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.
基金supported by theMajor Science and Technology Projects of China Southern Power Grid(Grant number CGYKJXM20210328).
文摘As the penetration rate of distributed energy increases,the transient power angle stability problem of the virtual synchronous generator(VSG)has gradually become prominent.In view of the situation that the grid impedance ratio(R/X)is high and affects the transient power angle stability of VSG,this paper proposes a VSG transient power angle stability control strategy based on the combination of frequency difference feedback and virtual impedance.To improve the transient power angle stability of the VSG,a virtual impedance is adopted in the voltage loop to adjust the impedance ratio R/X;and the PI control feedback of the VSG frequency difference is introduced in the reactive powervoltage link of theVSGto enhance the damping effect.Thesecond-orderVSGdynamic nonlinearmodel considering the reactive power-voltage loop is established and the influence of different proportional integral(PI)control parameters on the system balance stability is analyzed.Moreover,the impact of the impedance ratio R/X on the transient power angle stability is presented using the equal area criterion.In the simulations,during the voltage dips with the reduction of R/X from 1.6 to 0.8,Δδ_(1)is reduced from 0.194 rad to 0.072 rad,Δf_(1)is reduced from 0.170 to 0.093 Hz,which shows better transient power angle stability.Simulation results verify that compared with traditional VSG,the proposedmethod can effectively improve the transient power angle stability of the system.
文摘The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing treatment.It can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the patient.It also reduces burden on nursing staff and counsellors.Larger and more diverse cohort studies will help us understand the wider application of this tool on the patient population.It may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical comorbidities.Also,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for counselling.We will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.
基金Supported by Fondazione TIM in the context of the “Facciamola Facile” initiativeby Programma Operativo Nazionale (PON)“Ricerca e Innovazione” 2014-2020-DM 1062/2021 funds
文摘Background Over the last few years,the rapid advancement of technology has led to the development of many approaches to digitalization.In this respect,metaverse provides 3D persistent virtual environments that can be used to access digital content,meet virtually,and perform several professional and leisure tasks.Among the numerous technologies supporting the metaverse,immersive Virtual Reality(VR)plays a primary role and offers highly interactive social experiences.Despite growing interest in this area,there are no clear design guidelines for creating environments tailored to the metaverse.Methods This study seeks to advance research in this area by moving from state-of-the-art studies on the design of immersive virtual environments in the context of metaverse and proposing how to integrate cutting-edge technologies within this context.Specifically,the best practices were identified by i)analyzing literature studies focused on human behavior in immersive virtual environments,ii)extracting common features of existing social VR platforms,and iii)conducting interviews with experts in a specific application domain.Specifically,this study considered the creation of a new virtual environment for MetaLibrary,a VR-based social platform aimed at integrating public libraries into metaverse.Several implementation challenges and additional requirements have been identified for the development of virtual environments(VEs).These elements were considered in the selection of specific cutting-edge technologies and their integration into the development process.A user study was also conducted to investigate some design aspects(namely lighting conditions and richness of the scene layout)for which deriving clear indications from the above analysis was not possible because different alternative configurations could be chosen.Results The work reported in this paper seeks to bridge the gap between existing VR platforms and related literature in the field,on the one hand,and requirements regarding immersive virtual environments for the metaverse,on the other hand,by reporting a set of best practices which were used to build a social virtual environment that meets users'expectations and needs.Conclusions Results suggest that carefully designed virtual environments can positively affect user experience and interaction within metaverse.The insights gained from this study offer valuable cues for developing immersive virtual environments for the metaverse to deliver more effective and engaging experiences.
基金Sponsored by the National Natural Science Foundation of China(Grant No.52005003)the Science and Technology Planning Project of Wuhu City(Grant No.2022jc41)。
文摘To address the challenges of insufficient visualization in the industrial robot assembly operation system and the limitation of visualizing only geometric attributes of physical properties,a method is proposed for constructing an industrial robot assembly system based on virtual reality technology.Focusing on the shaft hole assembly,the mechanical characteristics of the industrial robot shaft hole assembly process are analyzed and a dynamic model is established for shaft hole assembly operations.The key elements of virtual assembly operations for industrial robots are summarized and a five-dimensional model is proposed for industrial robot virtual operations.Utilizing the Unity3D engine based on the 5-D model for industrial robot virtual operations,an industrial robot shaft hole assembly system is developed.This system enables virtual assembly operations,displays physical attributes,and provides valuable references for the research of virtual systems.
基金supported by National Natural Science Foundation of China(No.52067013)Natural Science Foundation of Gansu Province(No.20JR5RA395)Tianyou Innovation Team of Lanzhou Jiaotong University(No.TY202010).
文摘The power-electronics-based DC microgrid system composed of new energy sources in railway field has low inertia,weak damping characteristics,and the voltage fluctuation microgrid systems caused by the power disturbance of solar.In order to improve the inertia of the DC microgrid system,a virtual DC generator technology is adopted in the interface converter of photovoltaic(PV)power generation unit,so that it has the external characteristics of DC generator.However,the influence of PV maximum power point tracking(MPPT)is not considered in the traditional virtual DC generator control.Therefore,an improved control strategy for virtual DC generator is proposed,and its small signal model is established to analyze the influence of inertia and damping coefficient on stability.The results show that the proposed method effectively weakens the impact on DC bus voltage when the output of PV power unit changes suddenly,which improves the stability of the microgrid.Meanwhile,the correctness and feasibility of the method are verified.
文摘The early involvement of test and evaluation can significantly reduce the cost of modifying issues and errors found in the later stages of aircraft development and design process.This paper presents a methodology for aircraft mission effectiveness evaluation and design space exploration based on Virtual Operational Test(VOT),incorporating Virtual Open Scenario(VOS)and User in Scenarios(UIS)concepts.By employing modeling and simulation technologies in the early stages of aircraft development and design,a virtual environment can be constructed,allowing aircraft users to participate more closely and conveniently in the design process.Virtual tests conducted by users within the mission context provide data on mission effectiveness and critical user feedback.This paper outlines the main components of the virtual operational test process and related conceptual methods,and discusses an open support system framework that supports VOT.The effectiveness and adaptability of the method are demonstrated through two case studies:a beyond-visual-range air combat scenario and a helicopter ground attack scenario.These case studies demonstrate the evaluation of aircraft mission effectiveness and the sensitivity analysis and optimization of design and operational parameters based on VOT.
文摘In this paper,the author follows the trail of C.Malabou,Q.Meillassoux,and G.Deleuze and tries to test three philosophical concepts that seem to be particularly threatened in the era of automatic digital reproduction.These three concepts are plasticity(defended for many years by C.Malabou),contingency(reconstructed by Q.Meillassoux),and virtuality(developed by G.Deleuze).The main task of the text will be to reflect on which of these three concepts better protects our thinking against automation and stays faithful to the ideal of creativity.In what sense are plasticity,contingency,and the possibility of virtualization the a priori condition of any transformation,physical or intellectual,affective or conceptual metamorphosis?In what sense are these three concepts the only conditions for the survival of every living being?Would a being without contingency,plasticity,and disposition to virtualization simply be a dead being?
基金supported by the National Natural Science Foundation of China(No.82273412 to Huang Q).
文摘Objective:Partial or segmental inferior vena cava(IVC)resection is indicated for tumor control in patients with renal tumors invading the IVC.This study aimed to introduce a virtual vascular endoscope to assist surgeons in locating IVC invasion,formulate a surgical plan for robot-assisted IVC thrombectomy(RA-IVCT),and evaluate its potential value.Methods:The reconstruction involves building the construction of deep learning models to predict IVC invasion,which were evaluated via intraoperative findings and pathological analysis.Thirty-six patients with renal tumors and IVC thrombi who underwent RA-IVCT between June 2016 and March 2022 were included in the study.A virtual vascular endoscopy was performed based on preoperative CT findings to identify IVC invasion.Based on the extent of IVC wall invasion and the collateral situation,surgeons could decide whether to perform partial or segmental IVC resection during RA-IVCT.Results:Twenty patients were retrospectively analysed for training in virtual vascular endoscopy(the training cohort),and 16 patients were prospectively analysed to evaluate the accuracy of this technique(the validation cohort).Sixteen patients with IVC invasion underwent cavectomy,whereas six patients underwent partial IVC resection.In the validation cohort,pathological analysis confirmed the exact location of IVC invasion in eight of the nine patients,as indicated by virtual vascular endoscopy.Patients who underwent partial IVC wall resection had less lower extremity edema than those who underwent cavectomy.Conclusion:Our initial experience showed that the virtual vascular endoscopy could assist surgeons in identifying IVC invasion and creating a surgical plan for RA-IVCT.
文摘Background:While traditional meditation practices are known for their mental health benefits,they often face limitations such as restricted access and environmental distractions.To address these challenges and enhance meditation effectiveness,this study implemented an immersive virtual reality meditation(IVRM)program and examined its potentialmental health benefits among university students-a population that frequently experiences significant psychological distress.Methods:Nineteen university students participated in eight 15-min sessions of an IVRM program designed to promote mindfulness and relaxation over the course of one month.Perceived stress and anxiety levels were assessed using validated self-report measures at baseline(T1)and post-intervention(T2).Twotailed paired t-tests were conducted to evaluate the preliminary efficacy of the program,and effect sizes were reported using Cohen’s d.Results:Significant reductions were observed from pre-to post-intervention in perceived stress(t(18)=3.694,p<0.001,SE=0.17,d=−0.85)and perceived anxiety(t(18)=5.113,p<0.01,SE=0.10,d=−1.20),both indicating large effect sizes.Conclusion:Our findings provide preliminary evidence that the IVRMprogramcan reduce stress and anxiety levels in university students.The positive results suggest that IVRM has the potential to serve as a novel,technology-based meditation intervention for individuals at elevated risk for developingmental health disorders.Furthermore,our study suggests important implications for future research.
基金supported by the National Natural Science Foundation of China under Grant 52077030.
文摘As a new dynamic reactive power compensator,the grid-forming Static Var Generator(GF-SVG)can not only provide reactive power-voltage support,but also has inertial support capability.It has been experimentally deployed in many wind farms.However,studies have shown that when the three-phase short-circuit fault occurs in the wind farm,the transient overcurrent during the fault occurrence and fault clearance is suppressed,making it difficult for GF-SVG to use traditional fixed virtual impedance.Aiming at the problem,firstly,the influence of virtual reactance on control stability is analyzed using the GF-SVG’s current open-loop transfer function.Secondly,based on the existing current limitation strategies of GF-SVG,an adaptive virtual reactance current limitation strategy suitable for symmetrical faults of the power grid is proposed,which limits GF-SVG’s transient overcurrent during fault occurrence and fault clearance stage to the tolerance range of GF-SVG’s power devices.Based on the GF-SVG’s active power loop and reactive power loop small signal models,the availability of the proposed adaptive virtual reactance in suppressing the DC voltage drop of GF-SVG is analyzed,and shortening the transient overvoltage recovery time of the wind farm after the fault clearance is also discussed.Finally,electromagnetic simulation proves the effectiveness and correctness of the proposed adaptive current limitation method.
基金Supported by collaborative project(ID3003)of the Vice-Rectors Office for University Outreach(VCM,Spanish acronym)of the Universidad San Sebastián Concepción,Republic of Chile.
文摘Background Fibromyalgia(FM)is a chronic rheumatic disorder characterised by musculoskeletal pain,fatigue,and psychoemotional symptoms.Virtual reality(VR)has proven to be an innovative and motivating tool for managing FM,with several studies indicating that it can improve quality of life indices and reduce psychoemotional symptoms.However,studies on immersive VR-based exercise(iVRE)are limited.Methods The aim of this study was to evaluate the effects of iVRE on quality of life,stress,anxiety,depression,and handgrip strength in patients with FM.A single-arm pre-post-test pilot study was conducted.Individuals diagnosed with FM were recruited using convenience sampling.The iVRE protocol consisted of 12 sessions of 10 min warm-up and 15 min exercises applied with the Oculus Quest 2TM device.The impact on quality of life was assessed using the Revised Fibromyalgia Impact Questionnaire,and the effects on stress,anxiety,and depression were determined using the Depression Anxiety Stress Scale-21 questionnaire.Handgrip strength was evaluated using the Baseline®dynamometer.The normality assumption was evaluated,and the pre-post means were compared using Student's ttest(p<0.05).Results Eleven individuals(40.6±11.2 years)completed the protocol(10 women).There were significant differences in favour of iVRE in quality of life impact(p<0.001,Cohen's d:1.48),handgrip strength(p<0.05,Cohen's d:0.26),depression(p<0.05,Cohen's d:0.73),and anxiety(p<0.05,Cohen's d:0.73).Conclusions A six-week iVRE program significantly reduces the impact on quality of life,anxiety,and depression and improves handgrip strength in people with FM.Future studies should investigate the physiological effects using systemic biomarkers to explain the scope of this therapeutic modality.
基金Supported by National Science Foundation under Grant No.2222881.
文摘The integration of Human-Robot Collaboration(HRC)into Virtual Reality(VR)technology is transforming industries by enhancing workforce skills,improving safety,and optimizing operational processes and efficiency through realistic simulations of industry-specific scenarios.Despite the growing adoption of VR integrated with HRC,comprehensive reviews of current research in HRC-VR within the construction and manufacturing fields are lacking.This review examines the latest advances in designing and implementing HRC using VR technology in these industries.The aim is to address the application domains of HRC-VR,types of robots used,VR setups,and software solutions used.To achieve this,a systematic literature review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology was conducted on the Web of Science and Google Scholar databases,analyzing 383 articles and selecting 53 papers that met the established selection criteria.The findings emphasize a significant focus on enhancing human-robot interaction with a trend toward using immersive VR experiences and interactive 3D content creation tools.However,the integration of HRC with VR,especially in the dynamic construction environment,presents unique challenges and opportunities for future research,including developing more realistic simulations and adaptable robot systems.This paper offers insights for researchers,practitioners,educators,industry professionals,and policymakers interested in leveraging the integration of HRC with VR in construction and manufacturing industries.
基金Supported by Noncommunicable Chronic Diseases-National Science and Technology Major Project(2024ZD0523200)National Natural Science Foundation of China(62301330,62101346).
文摘The convergence of large language models(LLMs)and virtual reality(VR)technologies has led to significant breakthroughs across multiple domains,particularly in healthcare and medicine.Owing to its immersive and interactive capabilities,VR technology has demonstrated exceptional utility in surgical simulation,rehabilitation,physical therapy,mental health,and psychological treatment.By creating highly realistic and precisely controlled environments,VR not only enhances the efficiency of medical training but also enables personalized therapeutic approaches for patients.The convergence of LLMs and VR extends the potential of both technologies.LLM-empowered VR can transform medical education through interactive learning platforms and address complex healthcare challenges using comprehensive solutions.This convergence enhances the quality of training,decision-making,and patient engagement,paving the way for innovative healthcare delivery.This study aims to comprehensively review the current applications,research advancements,and challenges associated with these two technologies in healthcare and medicine.The rapid evolution of these technologies is driving the healthcare industry toward greater intelligence and precision,establishing them as critical forces in the transformation of modern medicine.
基金supported by the National Key Research and Development Program of China(2022YFE0103600,2024YFA1107400)the National Natural Science Foundation of China(82472633,92459304)the CAMS Innovation Fund for Medical Sciences(2022-I2M-2-001,2023-I2M-2-004).
文摘Dear Editor,The cell,as the fundamental unit of life,presents core challenges in biological research due to its inherent complexity and dynamic properties.A recent perspective published in Cell[1]and an out-of-box article in The Innovation Life[2]outlined our visions for constructing artificial intelligence virtual cells(AIVCs).Unlike other diseases,cancer is fundamentally a cellular disease.While other disciplines focus on pathophysiological changes at the system or organ level,cancer uniquely begins with abnormal proliferation triggered by genomic instability at the cellular level,subsequently inducing local microenvironment remodeling.
文摘This study proposes a virtual healthcare assistant framework designed to provide support in multiple languages for efficient and accurate healthcare assistance.The system employs a transformer model to process sophisticated,multilingual user inputs and gain improved contextual understanding compared to conventional models,including long short-term memory(LSTM)models.In contrast to LSTMs,which sequence processes information and may experience challenges with long-range dependencies,transformers utilize self-attention to learn relationships among every aspect of the input in parallel.This enables them to execute more accurately in various languages and contexts,making them well-suited for applications such as translation,summarization,and conversational Comparative evaluations revealed the superiority of the transformer model(accuracy rate:85%)compared with that of the LSTM model(accuracy rate:65%).The experiments revealed several advantages of the transformer architecture over the LSTM model,such as more effective self-attention,the ability for models to work in parallel with each other,and contextual understanding for better multilingual compatibility.Additionally,our prediction model exhibited effectiveness for disease diagnosis,with accuracy of 85%or greater in identifying the relationship between symptoms and diseases among different demographics.The system provides translation support from English to other languages,with conversion to French(Bilingual Evaluation Understudy score:0.7),followed by English to Hindi(0.6).The lowest Bilingual Evaluation Understudy score was found for English to Telugu(0.39).This virtual assistant can also perform symptom analysis and disease prediction,with output given in the preferred language of the user.
基金supported by the National Key R&D Program of China(2021YFF0501103).
文摘This article discusses the detailed examination of the engineering design and implementation process for direct Train-to-Train(T2T)communication within a wireless train backbone network in the context of a virtual coupling scenario.The article proposed several critical aspects,including the optimization of transmission data requirements,which is essential to ensure that communication between trains is efficient and reliable.The design of the T2T wireless communication subsystem is discussed in detail,outlining the technical specifications,protocols,and technologies employed to facilitate wireless communication between multiple trains.Additionally,the article presents a thorough analysis of the data collected during real-world train experiments,highlighting the performance metrics and challenges encountered during testing.This empirical data not only validates the effectiveness of the proposed design but also serves as a crucial reference for future advancements in T2T wireless communication systems.By combining both theoretical principles and practical outcomes,the article offers insights that will aid engineers and researchers in developing robust and efficient wireless communication systems for next-generation train operations.
