scholarly journals Adapt

2021 ◽  
Author(s):  
◽  
Ethan Henley
Keyword(s):  
Social Stigma ◽  
Limited Range ◽  
The Body ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Parametric System ◽  
Limited Range Of Motion ◽  
Individual Needs ◽  
The Individual ◽  
The Way

<p>This paper presents a system for digitally manufacturing hyper personalised sets of cutlery for stroke patients. Stroke produces a wide variety of physical, cognitive, emotional and social effects that vary widely among individuals and may include weakness or paralysis on one side of the body, contractures and inability to rotate joints. This design addresses the factors including weakened grip strength, contracted wrist and fingers, limited range of motion in the wrist, hand tremors and lack of control. Becoming independent again is an essential stage for patients and difficulty performing standard eating tasks is a commonly reported effect after stroke, which is challenging physically and emotionally. There are existing ergonomic eating aids on the market, but none that offer personalisation for the widely different physiological effects of stroke, or that effectively integrate a sense of progression and achievement, which is the key to keeping patients motivated and confident throughout the rehabilitation process. This study investigates the way design can help reduce product related and social stigma for upper limb stroke rehabilitation patients in the use of cutlery. This research explores the way that a parametric system can be implemented to aid clinicians in identifying the individual needs of patients against a list of criteria. This design study has developed a set of cutlery that assists patients, making them feel confident and comfortable using cutlery in situations outside of their homes, as well as assisting as a therapy device. This research presents a parametric system that allows for controlling the variables relative to the design criteria based on the patient’s physiological abilities. The variables include the ability to change the diameter and size of the handle, the curve of the utensil in the (x,y) plane, the angle of the handle in the (x,z) plane and the depth of the finger groove which accommodates the index finger. The paper presents the main findings from how participants experienced stigma, clinicians feedback on the appropriateness of the cutlery designs, and how personalisation contributes to motivation within therapy.  These main findings conclude that cutlery designed for stroke patients needs to be personalised, as each patient has very individual needs according to their very individual impairments. Current cutlery does not address them all and even less address them through personalisation. The specific variables in the system need to be controlled and restricted to ensure that all 40,000 of the possible outcomes are effective.</p>

scholarly journals Adapt

2021 ◽  
Author(s):  
◽  
Ethan Henley
Keyword(s):  
Social Stigma ◽  
Limited Range ◽  
The Body ◽  
Stroke Patients ◽  
Rehabilitation Process ◽  
Parametric System ◽  
Limited Range Of Motion ◽  
Individual Needs ◽  
The Individual ◽  
The Way

<p>This paper presents a system for digitally manufacturing hyper personalised sets of cutlery for stroke patients. Stroke produces a wide variety of physical, cognitive, emotional and social effects that vary widely among individuals and may include weakness or paralysis on one side of the body, contractures and inability to rotate joints. This design addresses the factors including weakened grip strength, contracted wrist and fingers, limited range of motion in the wrist, hand tremors and lack of control. Becoming independent again is an essential stage for patients and difficulty performing standard eating tasks is a commonly reported effect after stroke, which is challenging physically and emotionally. There are existing ergonomic eating aids on the market, but none that offer personalisation for the widely different physiological effects of stroke, or that effectively integrate a sense of progression and achievement, which is the key to keeping patients motivated and confident throughout the rehabilitation process. This study investigates the way design can help reduce product related and social stigma for upper limb stroke rehabilitation patients in the use of cutlery. This research explores the way that a parametric system can be implemented to aid clinicians in identifying the individual needs of patients against a list of criteria. This design study has developed a set of cutlery that assists patients, making them feel confident and comfortable using cutlery in situations outside of their homes, as well as assisting as a therapy device. This research presents a parametric system that allows for controlling the variables relative to the design criteria based on the patient’s physiological abilities. The variables include the ability to change the diameter and size of the handle, the curve of the utensil in the (x,y) plane, the angle of the handle in the (x,z) plane and the depth of the finger groove which accommodates the index finger. The paper presents the main findings from how participants experienced stigma, clinicians feedback on the appropriateness of the cutlery designs, and how personalisation contributes to motivation within therapy.  These main findings conclude that cutlery designed for stroke patients needs to be personalised, as each patient has very individual needs according to their very individual impairments. Current cutlery does not address them all and even less address them through personalisation. The specific variables in the system need to be controlled and restricted to ensure that all 40,000 of the possible outcomes are effective.</p>

Surplus Repressive Punishment and Spirit’s Regressive (de-)Actualisation

2018 ◽  
pp. 212-240
Author(s):  
Wes Furlotte
Keyword(s):  
Body Politic ◽  
The Body ◽  
Real Problem ◽  
The Real ◽  
Social Objective ◽  
The Individual ◽  
The Way

This chapter begins with a provoking claim: the real problem here is not the natural dimension involved in criminality. Instead, it argues that the real threat to freedom’s social actualization is the way in which the state’s disciplinary apparatus reacts to violations of right. It shows that if criminality needs to be framed in terms of nature then so does punishment. If punishment functions to (re-)habituate transgressive persons, then one of its inherent risks is that it might operate as a brute externality, a natural force. In functioning as an external natural force, punishment actively mutilates the freedom constitutive of juridical personhood. Not only does this mutilation undermine the individual it also actively undermines spirit’s social (objective) expression as freedom because such a practice serves to (a) fragment and alienate the person and (b) the totality constituting the body politic. This threat is what the chapter calls “surplus repressive punishment.” This problem as a whole is what the chapter denotes with “spirit’s regressive (de-)actualization.” Consequently, the problem nature poses in Hegel’s system is even more complex when considered in terms of how the polis’ institutions frame, understand, and react to that very same problem.

scholarly journals Septic arthritis of multiple native joints following tooth extraction

2021 ◽  
Vol 7 (12) ◽  
pp. 1937
Author(s):  
Chidambar Siddegowda ◽  
Nalina Nanjundappa ◽  
Sharanbasappa Japatti ◽  
Akshaya Subramanian
Keyword(s):  
Septic Arthritis ◽  
Tooth Extraction ◽  
Joint Infection ◽  
Third Molar ◽  
Limited Range ◽  
The Body ◽  
Third Molar Extraction ◽  
Limited Range Of Motion ◽  
Mandibular Third Molar ◽  
Molar Teeth

<p>Infection of the distant parts of the body especially the joints after a tooth extraction is uncommon, but when it occurs due to the virulence of the organism or due to the risk factors, it may cause severe joint infection with abscess formation and may limit the movements. We report a case of arthritis of the knee joint along with involvement of other joints following mandibular third molar teeth extraction one week postoperatively. The patient had swelling and limited range of motion of the involved joints, pain over other multiple joints. The patient had two episodes of postoperative septic arthritis following each mandibular third molar extraction. He was diagnosed of having septic arthritis and treated with antibiotics, analgesics, and steroids, that resolved after 3 weeks. </p>

scholarly journals SISTEM MEKANIK DAN ELEKTRIK PADA PROTOTIPE ROBOT REHABILITASI KAKI

2020 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Novian Fajar Satria ◽  
Endah Suryawati Ningrum ◽  
Hernandi Firmansyah Putra
Keyword(s):  
Power System ◽  
Mechanical Design ◽  
Lower Leg ◽  
The Body ◽  
Rehabilitation Robot ◽  
Stroke Patients ◽  
System Testing ◽  
Rehabilitation Process ◽  
Keywords Stroke ◽  
Leg Movement

Stroke patients need rehabilitation to repair diseased parts of the body. Patients have limitations on therapists who have limitations and intensity to accompany the patient's rehabilitation process. The development of modern robotics technology provides solutions for independent consultations. This research has made a prototype of a rehabilitation robot with a mechanical design based on the foot rehabilitation movement reference as upper leg movement and lower leg movement. The movement is to bend and straighten the knee, and the movement of lifting and lowering the thigh. Mechanical adjustments to the movements applied make the prototype divided into several parts, namely asking the body, approving the legs and packing the actuator. The leg frame on the prototype has two free joints. The power system legs are built to complement the workings of the prototype and support the user's independent movement effort. The results of system testing that have been applied to this prototype are actuators that serve to assist users, provide user movement and provide additional power PWM motor used. Keywords— Stroke Patients, Rehabilitation Robot, Sistem Power Legs.

Communicative Capitalism and Revolutionary Form

2019 ◽  
Vol 47 (3) ◽  
pp. 326-340 ◽  
Author(s):  
Jodi Dean
Keyword(s):  
The Body ◽  
The Political ◽  
The World ◽  
Political Form ◽  
The Individual ◽  
Winner Take All ◽  
Communicative Capitalism ◽  
Take All ◽  
The Way

This essay considers the political form that is presupposed in questions of resistance and revolution. It situates resistance and revolution in communicative capitalism, a setting characterised by intense winner-take-all inequality, the decline of symbolic efficiency, and the shift from the use to the circulation value of communicative utterances. It draws out the way that this setting inflects the body the question of resistance and revolution presupposes. Is it the world, the individual, the network, or the party? I argue that the party is the form we need to assume when we ask about revolution because it is the party that has the capacity to strategise, to plan and to arrange itself with an eye to revolution. Capitalismo comunicativo y forma revolucionaria

scholarly journals The Characteristics Of Impaired Physical Mobility Among Patients With Stroke

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
I Gede Purnawinadi
Keyword(s):  
Slow Motion ◽  
Limited Range ◽  
Stroke Patients ◽  
Related Factors ◽  
Clinical Indicators ◽  
Physical Mobility ◽  
Nursing Diagnosis ◽  
Limited Range Of Motion ◽  
Patient Documentation ◽  
Nursing Diagnoses

A valid nursing diagnosis is very important in nursing care. Clinical indicators are required to validate nursing diagnoses to reduce the risk of misdiagnosis. The accuracy of clinical indicators is determined by the limitation of characteristics and related factors. The purpose of this study was to describe the characteristics nursing diagnosis of impaired physical mobility. This research was a descriptive study conducted by assessment through observation in clinical practice. There were 20 records of stroke patient documentation used in this study. The results showed that the limitations of the main characteristics that emerged in stroke patients were dyspnea after activity (90%), gait disorder (100%), slow motion (100%), spastic movements (100%), uncoordinated movements (100%), posture instability (100%), difficulty flipping position (100%), limited range of motion (100%), discomfort (100 %), decreased fine motoric skills (90%), decreased gross motoric skills (100%), and moving tremor (90%). Nurses are expected to focus on main characteristics that arise during the assessment of stroke patients with nursing diagnoses of impaired physical mobility in order to plan effective nursing actions. For further investigators it is recommended to use valid instruments in conducting the assessment so that these characteristics can be a more accurate indicator in nursing diagnosis.

Impairment Tutorial: Rating Tears of the Acetabular Labrum

2006 ◽  
Vol 11 (6) ◽  
pp. 4-7
Author(s):  
Charles N. Brooks ◽  
Richard E. Strain ◽  
James B. Talmage
Keyword(s):  
Magnetic Resonance ◽  
Hip Arthroscopy ◽  
Age Groups ◽  
Limited Range ◽  
Labral Repair ◽  
X Rays ◽  
Joint Stability ◽  
Acetabular Labrum ◽  
Complete Excision ◽  
Limited Range Of Motion

Abstract The primary function of the acetabular labrum, like that of the glenoid, is to deepen the socket and improve joint stability. Tears of the acetabular labrum are common in older adults but occur in all age groups and with equal frequency in males and females. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is silent about rating tears, partial or complete excision, or repair of the acetabular labrum. Provocative tests to detect acetabular labrum tears involve hip flexion and rotation; all rely on production of pain in the groin (typically), clicking, and/or locking with passive or active hip motions. Diagnostic tests or procedures rely on x-rays, conventional arthrography, computerized tomography, magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and hip arthroscopy. Hip arthroscopy is the gold standard for diagnosis but is the most invasive and most likely to result in complications, and MRA is about three times more sensitive and accurate in detecting acetabular labral tears than MRI alone. Surgical treatment for acetabular labrum tears usually consists of arthroscopic debridement; results tend to be better in younger patients. In general, an acetabular labral tear, partial labrectomy, or labral repair warrants a rating of 2% lower extremity impairment. Evaluators should avoid double dipping (eg, using both a Diagnosis-related estimates and limited range-of-motion tests).

Hierarchical switching in a multi-dimensional task space is not induced by specific task cues

2001 ◽  
Vol 209 (2) ◽  
pp. 105-117 ◽  
Author(s):  
Thomas Kleinsorge ◽  
Herbert Heuer ◽  
Volker Schmidtke
Keyword(s):  
Specific Task ◽  
Task Space ◽  
Basic Pattern ◽  
Task Representation ◽  
Switching Mechanism ◽  
Factorial Combination ◽  
Individual Task ◽  
The Individual ◽  
The Way

Summary. When participants have to shift between four tasks that result from a factorial combination of the task dimensions judgment (numerical vs. spatial) and mapping (compatible vs. incompatible), a characteristic profile of shift costs can be observed that is suggestive of a hierarchical switching mechanism that operates upon a dimensionally ordered task representation, with judgment on the top and the response on the bottom of the task hierarchy ( Kleinsorge & Heuer, 1999 ). This switching mechanism results in unintentional shifts on lower levels of the task hierarchy whenever a shift on a higher level has to be performed, leading to non-shift costs on the lower levels. We investigated whether this profile depends on the way in which the individual task dimensions are cued. When the cues for the task dimensions were exchanged, the basic pattern of shift costs was replicated with only minor modifications. This indicates that the postulated hierarchical switching mechanism operates independently of the specifics of task cueing.

Influence of stable iodine on the uptake of the thyroid – model vs. experiment

2001 ◽  
Vol 40 (01) ◽  
pp. 31-37 ◽  
Author(s):  
U. Wellner ◽  
E. Voth ◽  
H. Schicha ◽  
K. Weber
Keyword(s):  
Time Course ◽  
Compartment Model ◽  
The Body ◽  
Iodine Uptake ◽  
Model Calculations ◽  
Physiological Conditions ◽  
Iodine Supply ◽  
Predicted Values ◽  
The Individual ◽  
Stable Iodine

Summary Aim: The influence of physiological and pharmacological amounts of iodine on the uptake of radioiodine in the thyroid was examined in a 4-compartment model. This model allows equations to be derived describing the distribution of tracer iodine as a function of time. The aim of the study was to compare the predictions of the model with experimental data. Methods: Five euthyroid persons received stable iodine (200 μg, 10 mg). 1-123-uptake into the thyroid was measured with the Nal (Tl)-detector of a body counter under physiological conditions and after application of each dose of additional iodine. Actual measurements and predicted values were compared, taking into account the individual iodine supply as estimated from the thyroid uptake under physiological conditions and data from the literature. Results: Thyroid iodine uptake decreased from 80% under physiological conditions to 50% in individuals with very low iodine supply (15 μg/d) (n = 2). The uptake calculated from the model was 36%. Iodine uptake into the thyroid did not decrease in individuals with typical iodine supply, i.e. for Cologne 65-85 μg/d (n = 3). After application of 10 mg of stable iodine, uptake into the thyroid decreased in all individuals to about 5%, in accordance with the model calculations. Conclusion: Comparison of theoretical predictions with the measured values demonstrated that the model tested is well suited for describing the time course of iodine distribution and uptake within the body. It can now be used to study aspects of iodine metabolism relevant to the pharmacological administration of iodine which cannot be investigated experimentally in humans for ethical and technical reasons.

The Correlation of the Limitations of Movement of the Shoulder Joint with the Functional Ability of Frozen Shoulder Patients at the Medical Rehabilitation Institute Dr. Mohammad Hoesin Palembang

2020 ◽  
Vol 3 (3) ◽  
pp. 88-96
Author(s):  
Ine Sintia ◽  
Nyimas Fatimah
Keyword(s):  
Functional Ability ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Medical Rehabilitation ◽  
Cross Sectional ◽  
Shoulder Joints ◽  
Limited Range Of Motion ◽  
Active Flexion ◽  
Cross Sectional Design

Background: Frozen shoulder is a condition of the shoulder joint that experiences inflammation, pain, adhesions, atrophyand shortening of the joint capsule resulting in limited motion. In frozen shoulder patients, the limited range of motion ofthe shoulder joint can affect and reduce functional ability. This study aims to analyze the correlation between the limitedarea of motion of the shoulder joint with the functional ability of frozen shoulder patients at the Medical RehabilitationInstallation Dr. Mohammad Hoesin Palembang. Methods: This study was an observational analytic study, correlationtest, with a cross sectional design. There were 29 frozen shoulder patients who met the inclusion criteria in the MedicalRehabilitation Installation Dr. Mohammad Hoesin Palembang in November 2018 was taken as a sample using consecutivesampling techniques. Functional ability was assessed using the quickDASH questionnaire and the area of motion wasmeasured using a goniometer, then analyzed. Results: The results of the correlation test showed significant resultsbetween functional abilities and the area of motion of the shoulder joints. Active flexion (p = 0.000; r = -0.669), activeextension (p = 0.004; r = -0.520), active abduction (p = 0.000; r = -0.663), active adduction (p = 0.022; r = -0.423 ), passiveflexion (p = 0.001; r = -0.589), passive extension (p = 0.002; r = -0.543), passive abduction (p = 0.000; r = -0.676), passiveadduction (p = 0.038; r = -0.388). Conclusion: There is a significant correlation between limited joint motion andfunctional ability in frozen shoulder patients at the Medical Rehabilitation Installation of Dr. Mohammad HoesinPalembang

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