Development of a Motorized Hospital Bed with Swerve Drive Modules for Holonomic Mobility

In hospitals; transferring patients using hospital beds is time consuming and inefficient. Additionally; the task of frequently pushing and pulling beds poses physical injury risks to nurses and caregivers. Motorized hospital beds with holonomic mobility have been previously proposed. However; most such beds come with complex drivetrain which makes them costly and hinders larger-scale adoption in hospitals. In this study; a motorized hospital bed that utilizes a swerve drive mechanism is proposed. The design takes into account simplicity which would allow for minimum modification of the existing beds. Two DC motors for steering and propulsion are used for a single swerve drive module. The control of the propulsion motor is achieved by a combination of trajectory planning based on quintic polynomials and PID control. Further; the control performance of the proposed bed was evaluated; and the holonomic mobility of its prototype was successfully demonstrated. An average error of less than 3% was obtained for motion with a constant velocity; however; larger values in the range of 15% were observed for other conditions, such as accelerating and decelerating.

Entitlement to cover for chronic pain syndrome under the Accident Compensation Scheme

<p>Sufferers of primary chronic pain syndrome are not currently entitled to cover from New Zealand's Accident Compensation scheme. The Supreme Court decision in Allenby v H, which adopted a wider interpretation of the term "physical injury", presents an opportunity for the courts to reconsider whether chronic pain syndrome should constitute an injury. Policy factors, particularly the need to uphold the integrity of the legislation enacted by Parliament, demand that the status quo exclusion of chronic pain syndrome is maintained. A legislative amendment which clarifies this position is recommended.</p>

Entitlement to cover for chronic pain syndrome under the Accident Compensation Scheme

<p>Sufferers of primary chronic pain syndrome are not currently entitled to cover from New Zealand's Accident Compensation scheme. The Supreme Court decision in Allenby v H, which adopted a wider interpretation of the term "physical injury", presents an opportunity for the courts to reconsider whether chronic pain syndrome should constitute an injury. Policy factors, particularly the need to uphold the integrity of the legislation enacted by Parliament, demand that the status quo exclusion of chronic pain syndrome is maintained. A legislative amendment which clarifies this position is recommended.</p>

Let Me Out of Here: A Story of Using Comics to Heal During the Pandemic

This autobiographical graphic essay details my experience with the hardships I facedduring Covid as a comics studies scholar who moved across the country to starttheir Ph.D. in history. It highlights the importance of comic-making incombating present-day isolation and hardship and in aiding in trauma recovery.&nbsp;Covid and quarantine continued to bring with them and compound new, tragedy-specific traumas that left me desperately seeking ways to cope. During the first year ofmy Ph.D. I experienced a miscarriage, my step-grandfather passed away due to Covid, and, at the start of my second semester, I was sexually assaulted,resulting in a physical injury that has yet to heal. The emotional and physicaltrauma resulting from these incidents put me behind in my coursework. To cope, I engaged in art therapy and started a trauma recovery program. Often, myrecovery has been aided in and expressed through comics I create, which aredigital in format and usually, but not always, take the form of a poetry comic.&nbsp;Creating thesecomics aided in an emotional release by enabling me to create spaces of ‘escape’outside the walls of my one-bedroom apartment. The creative process also helpedme find freedom from the confines of my anguished mind. For instance, shadingthe skin of my attacker and myself allowed me to own the narrative of myassault and regain ownership of my body. Further juxtaposing these images withwords provides a method for me to express the pain and deep isolation that thevarious traumatic incidents incited. By expressing the weight of thesetraumatic incidents both visually and through written text, I am able to properly acknowledge their significance and consequently I have found somerelief and self-consolation in this act.&nbsp;I have also sharedmy experience with the outside world through social media. This act lessened myfeelings of isolation and gave me the support network I so desperately cravedand needed, especially with the comics and comics studies communities. &nbsp;In sharing myexperience, I hope to impart why comics are so important now by showing how thecreative helped me process trauma created and exacerbated by the pandemic.Intro:In January of this year, I was assaulted twice withina four-day period. These two incidents resulted in physical and mental trauma andextreme change in how I view myself, my life, and those around me. These two incidentsweren’t the only traumatic ones had experienced in recent time. I had also experienceda miscarriage, which was made worse by the circumstances of isolation (due tothe pandemic) and abandonment. My step-grandfather passed away from Covid. However,what occurred in January was a sort of catalyst to a personal breakdown. I lostmyself.Being a woman is difficult enough. I always feel as ifI am battling with my femininity. There is always some distinct, un-femininestandard by which I must define myself but can never quite reach in order tohave a voice in this patriarchal society. It is hard to love something aboutyourself that can so easily be used against you. And the man who assaulted meused it against me in the worst way. What resulted was an immense sense ofself-hatred and dissociation. It was hard to see the point of it all. But Ihave worked hard to regain a sense of purpose. Recovery is a choice, and it is not an easy one tomake. It’s a confusing process with no roadmap. It’s easy to get lost and I donot judge anyone who gives up or takes detours along the way. I often feel thatI am surrounded by walls. I cannot go around them and I cannot climb them. Icannot break them down. I am trapped. However, with my art I started seeingthrough these walls, and I feel in making these comics they have become rathertransparent. I can see more clearly what has happened to me and how and why Ihave reacted the ways that I have. I may not have a found a map that can takeme through my recovery process, but I have can see my next steps. &nbsp;Making this comic, and the art that came before it,has allowed me to make sense of and establish some sort of order concerning myvery recent past. What has emerged from this process is a sense of calm. Iwouldn’t say I found happiness (and I’m not much interested in the pursuit of thatemotion), but I do, at times, feel good. I have found a voice. There is a pleasure,or a sense of relief, in sharing my voice with you through the images and wordscontained in this comic. References:Chivington, L., 2021. Signifying Silence: The EmptySpeech Balloon. Image Text 12. https://imagetextjournal.com/signifying-silence-the-empty-speech-balloon/

ON PSYCHOTHERAPEUTIC TREATMENT OF PHYSICAL TRAUMA CONSEQUENCES IN GESTALT APPROACH PERSPECTIVE. AUTHOR'S METHOD OF MICRO-MOTION REACTIONS RESTORATION (MRR)

Физическая травма и лечение ее последствий в основном находится в сфере задач специалистов-медиков. Но вряд ли мы можем себе представить, что какое-либо физическое воздействие может привести только к телесному повреждению. Фактически, человек сталкивается с рядом психологических последствий, начиная ограничениями, вызванными болью, заканчивая тонкими изменениями в жизненной ситуации и отношениях. Таким образом, можно считать, что пациенты с последствиями физических травм могут успешно получать помощь и у психологов. В статье предлагается и описывается метод восстановления микродвигательных реакций (ВМР). Этот метод основан на принципе дифференциации микродвигательных реакций. В нашем подходе мы используем концепцию «незавершенных дел», происходящую из гештальт-терапии. Метод ВМР позволяет развивать различные разнонаправленные и противоречивые импульсы и реакции, которые были временно остановлены в эпизоде перенесенной физической травмы. Такой вид работы дает каждому незавершенному двигательному импульсу, рожденному во время травмы, полностью развиться. В результате восстанавливается вера в спонтанность движений и увеличивается резилентность пациента. Также в статье представлены три клинических случая, демонстрирующих возможности использования метода ВМР в психотерапевтической работе. Physical trauma and treatment of its consequences basically lies in the domain of medical specialists. But we would hardly imagine that some physical injury may result in bodily impairment only. As a matter of fact, one encounters with a number of psychological consequences from restriction caused by pain to subtle changes in life situation and relationships. Thus, we can consider that patients with physical trauma consequences may be also successfully treated by psychologists. Micro-motion reactions restoration method (MRR) is suggested and described in the article. This method is based on the principle of micro-motion reactions differentiation. In our approach we are using the concept of “unfinished tasks” which originates from Gestalt therapy. The MRR method enables development of various multidirectional and contradictory impulses and reactions that had been temporarily stalled in the episode of past physical trauma. That type of work permits each unfinished motion impulse born during trauma to develop completely. As a result, trust in spontaneity of movement is restored and one’s resilience grows. Also three clinical cases are presented in the article to demonstrate the possibilities of using the MRR method in psychotherapeutic work.

Best Practice Injury Compensation Processes Following Intentional Vehicular Assaults and Other Large Scale Transport Incidents: A Delphi Review

Objective: Intentional vehicular assaults on civilians have become more frequent worldwide, with some resulting in mass casualties, injuries, and traumatized witnesses. Health care costs associated with these vehicular assaults usually fall to compensation agencies. There is, however, little guidance around how compensation agencies should respond to mental and physical injury claims arising from large-scale transport incidents. Methods: A Delphi review methodology was used to establish expert consensus recommendations on the major components of “no fault” injury claim processes for mental and physical injury. Results: Thirty-three international experts participated in a 3-round online survey to rate their agreement on key statements generated from the literature. Consensus was achieved for 45 of 60 (75%) statements, which were synthesized into 36 recommendations falling within the domains of (1) facilitating claims, (2) eligibility rules, (3) payments and benefits for clients, (4) claims management procedures, (5) making and explaining decisions, (6) support and information resources for clients, (7) managing scheme staff and organizational response, (8) clients with special circumstances, and (9) scheme values and integrity. Conclusions: The recommendations present an opportunity for agencies to review their existing claims management systems and procedures. They also provide the basis for the development of best practice guidelines, which may be adapted for application to compensation schemes in different contexts worldwide.

The Effects of Flexibility and Relative Muscle Strength on Injury in Running

When exercising, physical injury is almost inevitable. Although there is a multitude of practices to avoid injury, a large portion of luck is required to minimize injury proneness. In this paper, with the aid of a public dataset gait kinetics and kinematics, flexibility and strength are tested against the Boolean value of injury to conduct a linear binary regression model.

History of Neuro Rehabilitation in Russia

Medical rehabilitation is a process aimed at promoting and facilitating recovery from physical injury, psychological and mental disorders and clinical illness. The history of medical rehabilitation is a fascinating journey through time, providing insight into many different areas of medicine. When modern rehabilitation emerges in the mid-twentieth century, it stems from a combination of management approaches focusing on orthopedic and biomechanical understanding of movement patterns, on mastering neuropsychological mechanisms, and on an awareness of the socio-professional dimension of everyday reality.

Exercise Addiction in the Sports Context: What Is Known and What Is Yet to Be Known

Exercise addiction (EA) involves excessive concerns for exercise routines, an abusive practice, and the inability to control one’s own behavior, as well as the presence of psychological processes that are typical of behavioral addictions such as abstinence. EA is further associated with an alteration of the individual’s personal, social, and professional functioning and a higher risk for several pathologies, including physical injury, psychological distress, and eating disorders. The present work presents a narrative scoping review of the state of the art and the main findings of the research on EA, with a focus in the athletic population. The prevalence of EA risk, between 1 and 52% and up to 80% when co-occurring with eating disturbances, is also reviewed. Additionally, some of the explanatory models proposed to date and their power and limitations in terms of their capacity for a consensual operationalization and characterization of EA, and thus for the optimal exploration and management of this condition, are discussed. Finally, some deficiencies in the research on EA are noted which are to be addressed to successfully respond to the intervention and prevention needs that occur both in the general context of exercise-sports practice and the specific context of competitive athletes.