Hand Grip and Load Force Coordination of the Ipsilesional Hand of Chronic Stroke Individuals

Object manipulation depends on a refined control of grip force (GF) and load force (LF). After a brain injury, the GF control is altered in the paretic hand but what happens with the non-paretic hand is still unclear. In this study, we compared the GF control and GF–LF coordination of the non-paretic hand of 10 stroke individuals who suffered right brain damage (RBD) and 10 who suffered left brain damage (LBD), with 20 healthy individuals during lifting and oscillation task, using an instrumented object. GF was recorded with a force transducer, and LF was estimated from the object weight and acceleration. Overall, the ipsilesional hand of stroke individuals, independent of the lesion side, presented similar GF control and GF–LF coordination. However, LBD individuals took longer to start lifting the object, which may be due to the need of more time to obtain somatosensory information from the contact with the object. The findings indicate that stroke individuals preserve their ability to control and coordinate GF and LF when using their ipsilesional hand for object manipulation and the left hemisphere may play an essential role in the processing of somatosensory information needed for the GF control.     

Me have a traffic accident? The effects of core self-evaluations on the perceived likelihood and perceived undesirability of traffic accidents

Problem: The aim of this article was to demonstrate the influence of “Core Self-Evaluations” (CSEs) on the perception which drivers have of the occurrence of a “traffic accident”, in particular the evaluation of its likelihood, of the personal control exercised and its undesirability (attitude). More generally, this article introduces the concept of CSE in the field of driver psychology and discusses its relevance. Method: 201 French drivers replied to a questionnaire measuring CSEs, the perceived likelihood of having an accident, attitude and perceived personal control. Results and discussion: The more positively drivers evaluated themselves, the more they judged that they were in control and that accidents were unlikely. Drivers with a negative self-evaluation had an attitude more negative than drivers with positive CSEs solely when they judged the accident as unlikely. This positive correlation between attitude and perceived likelihood for drivers with negative CSEs could be viewed as the result of “wishful thinking” or “rationalisation” modes of reasoning. For these drivers a positive relationship was also observed between driving experience and perceived personal control, the latter thus cancelling out the effect of CSEs. This result suggest that with experience self-evaluation as a driver becomes positive and compensates for the effect of a negative general self-evaluation on perceived personal control and perceived likelihood. Practical implications: Using and adapting the Experience-Based Analysis technique for each group of drivers (positive or negative CSEs) is recommended, as well as implementing interventions that triggers drivers’ awareness of CSEs influence and that promote their self-regulating skills.     

The Needle in the Haystack

Summary

Despite the significant damages in sexual abuse cases, the plaintiff's ability to collect the money awarded in settlement or judgment is often precluded by the limited financial resources of the defendant(s). In this chapter, practicing attorney Julian Hubbard introduces the basics of individual and corporate insurance coverage and reviews the development of very limited coverage in sexual abuse cases in statutory and case law. While direct coverage for sexual abuse injuries is as rare as a “needle in a haystack,” indirect coverage can be found in some cases, especially those in which the acts of negligent individuals other than the perpetrator facilitated the abuse and thus the plaintiff's injuries. After an overview of relevant insurance issues and law, Mr. Hubbard delineates a practical model for research and legal strategies to ensure reaching any available insurance coverage, and explores the benefits and drawbacks of drawing on administrative resources to help pay for survivors' medical and mental health care.     

对医疗事故罪法定刑的理性思考

医疗事故罪的法定刑为“三年以下有期徒刑或者拘役”,而其他业务过失犯罪的法定最高刑可达十五年。较之后者,医疗事故罪的法定刑明显偏低。显然,现行刑法对医疗事故罪采取了减轻处罚的刑事政策。减轻处罚的立法政策,在理论上缺乏充分的立法依据,在实践中难收刑罚一般预防和特殊预防的功能。     

皖江地区员工事故行为心理规律初探

研究表明严重的经济困难因素和政治动乱因素,都是引发工矿员工事故行为的重要时空心理致因。建国后1959年、1960年、1961年“三年经济困难”时期是工矿员工事故行为的高峰,其次是1966年至1976年十年文革动乱时期。一天24时昼夜节律中白班开工后1-2小时是员工事故行为心理高发时段。市场经济条件下低年龄、低工龄、低文化等“三低”员工是事故高暴露群体。     

Evaluating small‐scale simulation for training firearm safety skills

There is limited research using small‐scale simulation in applied behavior analysis. We used small‐scale simulation to train firearm safety skills to 3‐ to 5‐year‐old children and assessed whether the skills generalized to the natural environment through in situ assessment. Three participants completed the training, and all participants learned the safety skills from simulation training. Two of the participants acquired the safety skills after the first simulation training, and the third participant required one booster training before demonstrating the safety skills in the natural environment.     

浅谈医疗事故中的归责问题

在涉及医疗服务的投诉日益增加的今天,现有的医疗事故处理办法中关于归责的部分有很大不足,为改进医疗事故归责的工作,从"医疗契约"的角度对医疗事故进行分类,提出了医疗事故归责的原则和具体操作标准.并提出了相关建议.     

Driver's avoidance characteristics to hazardous situations: A driving simulator study

When analyzing the causes of an accident, it is critical to determine whether the driver could have prevented the accident. In previous studies on the reaction times of drivers, the definition and values of reaction times vary, so applying reaction time is difficult. In such analysis, the driver’s reaction time from perception is required to determine whether the driver could have prevented the accident, but past studies are difficult to utilize in accident analysis as reaction time measurements were taken after the occurrence of hazardous situations. In this study, 93 subjects from age groups ranging from 20 s to 40 s participated in an experiment inside a full-scale driving simulator, to determine reaction time values that can be practically applied to accident analysis. A total of 4 hazardous accident situations were reproduced, including driving over the centerline, pedestrian jaywalking, a vehicle cutting in, and intersection traffic signal violation. The Time-To-Collision (TTC) was 2.5 s and the driving speed was set to the common city road speed limits of 60 and 80 km/h. An eye tracker was used to determine the driver’s Saccade Latency (SL) during hazardous situations. Brake Reaction Time from Perception (BRT_P), Steer Reaction Time from Perception (SRT_P), and Driver Reaction Time from Perception (DRT_P) were derived, and the measurements were statistically analyzed to investigate differences by age group, gender, speed, and type of hazardous situation. Most participants were found to avoid collisions by braking first rather than steering for the presented hazardous situations, except for the cutting in situation. Also, to determine a reaction time that would cover most drivers, the 85th percentile of DRT_P was calculated. The 85th percentile of DRT_P was in the range of 0.550 – 0.800 s. Specifically for each hazardous situation, it was 0.650 s for driving over the centerline, 0.800 s for the pedestrian jaywalking, 0.660 s for cutting in, and 0.550 s for the intersection traffic signal violation. For all 4 hazardous situations combined, the 85th percentile of DRT_P was 0.646 s. The findings can be utilized to determine the driver’s likelihood of avoiding accidents when faced with similar hazardous situations.     

Features of Coping Strategies in Overcoming Extreme Critical Situations: A Study on Chernobyl Nuclear Power Plant Liquidators and Antiterrorist Participants

The present study investigated and compared coping strategies and self-perception of psychopathological symptoms or disorders and radiation threat at different times in 122 cleanup workers (liquidators) of the consequences of the disaster at the Chernobyl nuclear power plant, in 76 liquidators who were also evacuated from the contaminated area, in 81 participants in antiterrorist operations (ATO), and in 84 individuals who were not liquidators or ATO combatants. The results showed that liquidators used a variety of coping strategies, while ATO participants and control subjects mainly used problem-oriented strategies. In all groups, coping subscale scores showed positive correlations with the radiation hazard factor that in turn increased the self-perception of psychopathological symptoms or disorders. Taken together, these findings would suggest that life-threatening stressors related to IR might increase the vulnerability toward developing psychopathological disorders and symptoms.     

Influence of target uncertainty on reaching movements while standing in stroke

Stroke individuals frequently have balance problems and impaired arm movements that affect their daily activities. We investigated the influence of target uncertainty and the side of the brain lesion on the performance of arm movements and postural adjustments during reaching in a standing position by stroke individuals. Participants stood on force plates and reached a target displayed on the center of a monitor screen under conditions differentiated by the prior knowledge of the target location at the beginning of the movement. Individuals who had a stroke in the right side of the brain performed the tasks with the ipsilesional, right upper limb while the individuals with a left stroke performed with the ipsilesional, left upper limb. Healthy individuals performed with right and left limbs, which data were later averaged for statistical analysis. Kinematic analysis of the arm and lower limb joints and displacements of the center of pressure of each lower limb were compared between target conditions and groups. Stroke individuals showed larger center of pressure displacements of the contralesional compared to the ipsilesional limb while these displacements were symmetrical between lower limbs for the healthy individuals, regardless of the target condition. The target uncertainty affected both the characteristics of the arm movements and postural adjustments before movement onset. Right stroke individuals used more ankle joint movements under the uncertain compared to the certain condition. The uncertainty in target location affects the arm reaching in upright standing, but the effects depend on the side of the brain lesion.