Relevant bibliographies by topics / Outside therapy

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Outside therapy'

Author: Grafiati
Published: 4 June 2021
Last updated: 18 February 2022

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Journal articles on the topic "Outside therapy"

1

Little, Rosaleen. "Representation on Outside Organisations." Physiotherapy 75, no. 1 (1989): 29. http://dx.doi.org/10.1016/s0031-9406(10)62933-1.

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Betts, James A., and Dylan Thompson. "Thinking outside the Bag (Not Necessarily outside the Lab)." Medicine & Science in Sports & Exercise 44, no. 10 (2012): 2040. http://dx.doi.org/10.1249/mss.0b013e318264526f.

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Beames, Simon, and Hamish Ross. "Journeys outside the classroom." Journal of Adventure Education & Outdoor Learning 10, no. 2 (2010): 95–109. http://dx.doi.org/10.1080/14729679.2010.505708.

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Barnitt, Rosemary E. "Editorial – A view from outside." Physiotherapy Research International 9, no. 1 (2004): iii—iv. http://dx.doi.org/10.1002/pri.294.

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Pope, Kenneth S. "How people change inside and outside therapy." Clinical Psychology Review 13, no. 3 (1993): 296–97. http://dx.doi.org/10.1016/0272-7358(93)90026-i.

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Mellinger, John D. "Endoluminal GERD therapy: inside, outside, upside, downside." Surgical Endoscopy 21, no. 5 (2007): 695–96. http://dx.doi.org/10.1007/s00464-007-9343-4.

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Reider, Bruce. "Thinking outside the Box." American Journal of Sports Medicine 33, no. 5 (2005): 645. http://dx.doi.org/10.1177/0363546505276271.

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Dave, Lee Yee Han, and David N. M. Caborn. "Outside-In Meniscus Repair." Sports Medicine and Arthroscopy Review 20, no. 2 (2012): 77–85. http://dx.doi.org/10.1097/jsa.0b013e318254966a.

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Poyade, Matthieu, Glyn Morris, Ian C. Taylor, and Victor Portela. "iSenseVR: bringing VR exposure therapy outside the laboratory." Journal of Enabling Technologies 13, no. 2 (2019): 123–34. http://dx.doi.org/10.1108/jet-12-2018-0063.

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PurposeThe purpose of this paper is to present the preliminary outcomes of a research which takes gradual exposure in virtual reality (VR) outside the laboratory to empower people with “hidden disabilities” breaking down their barriers towards independent living. It explores the use of VR through smartphones to practically apply gradual exposure to environment stressors that are typically found in busy spaces from one’s own safe environment.Design/methodology/approachAberdeen International Airport has kindly accepted to take part to this research as a case study. Following a participatory design and usability testing, a semi-controlled seven-day study was conducted among seven individuals with hidden disabilities to assess user acceptance.FindingsResults showed undeniable participants’ engagement and enthusiasm for the proposed approach, although further research is needed to increase the presence and improve the overall user experience.Research limitations/implicationsThe proposed research has been conducted on small cohort of participants outside of a clinical setting. Further engagement with individuals with hidden disabilities is required in order to determine the effectiveness of the proposed approach.Originality/valueThis research presents a methodological and technological framework which contributes effectively to the practicality of VR exposure therapy outside of the laboratory setting, from one’s own safe place.
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Luchetti, Martina, Nicolino Rossi, and Ornella Montebarocci. "Brief report: Collecting self-defining memories outside therapy." Clinical Psychologist 20, no. 2 (2013): 80–85. http://dx.doi.org/10.1111/cp.12032.

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Dissertations / Theses on the topic "Outside therapy"

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Jordan, Martin. "Taking therapy outside : a narrative inquiry into counselling and psychotherapy in outdoor natural spaces." Thesis, University of Brighton, 2013. https://research.brighton.ac.uk/en/studentTheses/a0ccbe36-def4-40c8-89a7-bed095493033.

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There is a growing body of literature which advocates the psychological benefits of contact with the natural world. The existing literature on therapy in outdoor contexts (Linden and Grut, 2002; Berger, 2006;2007; Berger and McLeod, 2006; Burns, 1998) offers some insight into the practical and therapeutic issues encountered when moving outdoors and ways of working therapeutically in an outdoor natural space. One of the weaknesses of the literature is a limited discussion of how the therapeutic frame is affected by the move outdoors and a thorough discussion of the practice issues encountered when moving outdoors and how these might link to the therapeutic process and relationship.
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Walsh, Maryann Sheridan. "Looking at the Picture by Stepping Outside: a Qualitative Study of Parents' of Adolescents Experiences in Family Therapy." Thesis, Virginia Tech, 1997. http://hdl.handle.net/10919/33365.

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Parents with adolescents often find themselves caught in the stress and strain that normally accompanies this stage of life. It is when parents cannot meet the demands of troubled adolescents that they find themselves seeking family therapy. Most of what is reported about the process of therapy continues to be from the therapist's or reseacher's perspective. There has been an increased interest in what clients have to say about their experiences. The purpose of this study was to develop a detailed description of how parents of adolescents who attended family therapy in private practice settings viewed their experiences. Fifteen parents who had been to therapy with their adolescent were recruited by their therapist to be interviewed for this study. A multicase qualitative design and constructivist theoretical framework guided the investigation. The constant comparative analysis was used to develop four core categories that described the subtitles of parents' therapeutic experience. Five case stories illustrated the core categories and parents' quotes were used to further embellish the findings. The findings included parents' experiences prior to beginning therapy, during therapy as well as reflections in retrospect. The pre-therapy presentation, based on expectations and past experiences in treatment, affected the way parents initially approached therapy. A supportive therapeutic climate was necessary for parents to trust and become open to possibilities and do the hard work required to make changes. The story of their current experience was part of the family therapy process. Parents recognized changes and what they valued about their experiences in family therapy.<br>Master of Science
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Cuevas, Maritza, Kara Lynn Dr Boynewicz, and Brandi Dr Eveland-Sayers. "Self-report Participation of Physical Activity Outside School on Rate of Motor Skills Development in Elementary Students." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/53.

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This research investigates the question of why some younger children appear to have better motor skills than older children. The hypothesis that children involved in physical activities after school or in the evenings have better motor skills at younger ages than children who aren't involved in physical activities outside of school is proposed. Young children have very varied levels of motor skills competency that have developed due to living in different environments and having varied opportunity to be physically active. These differences are a result of factors like socioeconomic status, parental influence, climate, and culture.2 Sports and physical activities are usually executed in team settings, allowing children to develop important social skills like teamwork, leadership, sportsmanship, and responsibility among others.1 But what if in addition to these numerous benefits, physical activity throughout childhood also offered an improvement in the rate of development of motor skills? 120 students in grades K-5 at the East Tennessee State University School participated in a large program looking at perception, cognition and motor skills. There were no exclusion criteria for the study and all children were invited to participate.  A total of 95% of the kids participated in the study and the attrition rate was zero. This portion focuses on the part of the larger study that was done prior to the start of the program. Children’s motor skills were evaluated with a standardized measure (BOT-2). The BOT-2 had 3 sections which were implemented, running speed and agility, balance, and upper limb coordination. These scores served as the dependent variable that relied on the time spent in physical activities outside of school and in the evenings as the independent variable. The scores were analyzed along with self-reported surveys on the levels of physical activity of the children. The results showed that there was evidence to support an association between the amount of physical activity outside of school, either after or in the evenings, r = .621, p = .001. There was evidence to support an association between the amount of time spent in physical activity on after school/evenings and running speed/agility, r = 0.295 and 0.269 p=.001. There was some evidence to support an association between the amount of time spent in physical activity after school and upper limb r = 0.253, p = 0.05. There was no evidence to support an association between the amount of time spent in physical activity on nights/after school and balance r = 0.045 and r = 0.059 p = 0.45. This work will be useful in understanding the relationship between children’s participation in physical activity after school and their motor skills development rate. The information gathered from this research can be used to promote and support the increase of physical activity time that is available to students during school. Allowing children to have more experiences and opportunities for physical activity at school can help minimize any disadvantage in the rate of motor skills development that children who are not physically active at home may have.
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Bexley, Jewell Nichole. "Relationship Systems Outside the Therapy Room| A Grounded Theory on Seasoned MFT Doctoral Graduates Utilizing Their Systemic Training in Human Service Team-based Organizations." Nova Southeastern University, 2013.

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Carlgren, Gunilla. "Psykoanalytikers upplevelser av att patienten finns med i deras inre värld : utanför terapins tid och rum." Thesis, Ersta Sköndal Bräcke högskola, S:t Lukas utbildningsinstitut, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7707.

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Inledning: Relationen mellan analytiker och patient i det terapeutiska rummet är av stor betydelse för terapin, men vilken betydelse har samma relation utanför nämnda rum? Frågeställningar: Denna studie syftar till att undersöka psykoanalytikers upplevelser av patientens närvaro i deras inre, utanför terapin, hur analytikern, det terapeutiska samarbetet och processen i terapin påverkas av detta. Metod: Fem analytiker intervjuades genom semistrukturerad kvalitativ intervju. Intervjuerna analyserades med Interpretative Phenomenological Analysis. Resultat: Analytikerna beskrev erfarenheter av en lugn, kreativ, rörlig och drömsk närvaro av patienten i terapeutens inre, av en betungande närvaro präglad av oro, av en närvaro präglad av både kärleksfulla känslor och oro, av en överföring och motöverföring präglad av stark aggressivitet, där analytikern känner sig ockuperad av patienten samt av patientens närvaro kopplad till rambrott. Diskussion: Samtliga analytiker uppgav att patienterna för dem blivit inre objekt, vilka utgjorde en bestående del av deras inre värld. Detta kunde upplevas både som berikande, i form av känslor av glädje, tillfredställelse och kreativitet, och krävande, i form av känslor av oro, frustration och ilska. I båda fallen upplevdes dock närvaron av patienten i analytikerns inre värld utanför terapin som en tillgång och ett verktyg i den terapeutiska processen.<br>Introduction: The relationship between analyst and patient in the therapeutic setting is of great importance in therapy, but what is the importance of this relationship outside the therapeutic setting? Question: The purpose of this study is to examine psychoanalysts’ experiences of the patient’s presence in their inner world, outside the therapeutic setting, how the analyst, the therapeutic collaboration and the therapeutic process are affected by this. Method: Five analysts were interviewed using semistructured qualitative interview. The interviews were analyzed using IPA. Results: The analysts described experiences of a calm, creative, fluid, dreamlike presence of the patient, of a burdening presence characterized by concern, of a presence characterized by feelings of both affection and concern, of a transference and counter transference characterized by aggression, where the analyst feels occupied by the patient, and of the patient’s presence linked to frame break. Discussion: All analysts stated that the patients had become internal objects, and a permanent part of their inner world. This could be experienced as both enriching, with feelings of joy, satisfaction and creativity, and demanding, with feelings of concern, frustration and anger. In both cases this presence was, however, experienced as an asset and a tool in the therapeutic process.
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Chien, Yu-Hsuan, and 簡虞軒. "Developing the radiation-induced second cancer risk estimation module in proton therapy: considering the organs inside and outside radiation fields in treatment of pediatric brain tumors." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/mhz28n.

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碩士<br>國立清華大學<br>核子工程與科學研究所<br>106<br>Evaluating the risk of secondary cancer induction after radiation therapy is especially important in pediatric patients because the tissue of the child is in the growth phase and the survival period is longer after the cure, and the current proton therapy does not take into account the dose effects of proton-induced neutron radiation outside the field. In addition, there is also a lack of consideration in the literature to assess the conbination risk of induced cancer by inside and outside the field. Due to the above three points, the purpose of this study is to develop a suitable risk assessment module for different dose ranges inside and outside the field, using their respective risk assessment models, and to assess the secondary risk of pediatric brain tumors after wobbling proton therapy. After approval by Institutional Review Board(IRB), 11 patients' DICOM data were obtained. Patient information was extracted and the relative position between the Organ at risk (OAR) and the beam was reconstructed to define whether the OAR in the field or out of the field. Select the appropriate risk assessment model inside and outside the field respectively. For high-dose areas(in field), use the Organ equivalent dose(OED) method developed by Uwe Schneider. For low-dose areas(out-of-field) deposited dose by scattered photon, proton and second neutron, refer to the linear risk model established in the BEIR VII report. The OAR radiation-induced cancer risk inside and outside the field was weighted by the survival probability of Taiwan's Life Table, and the life attributable risk(LAR) accumulated to the average life expectancy of Taiwan was calculated as the risk analysis target. Finally, this risk calculation system was used to evaluate the secondary carcinogenic risk of 11 clinical pediatric brain tumor patients, respectively, compared with the secondary cancer risk under the treatment plan of wobbling proton and photon technology. After the construction of the clinical risk calculation system developed in this study, the feasibility of the system was verified based on the published literature, and the system was used to calculate clinical pediatric brain tumor cases. The calculation results show that the LAR of the pediatric brain OAR is between 0 % and 9 %. The LAR distribution in each case is related to the volume and location of PTV. For the risk assessment of pediatric brain tumor patients, the results of the proton and the photon treatment planning were compared. In the group which PTV locates in the out-of-center of the head or is smaller volume, the risk of wobbling proton therapy was significantly lower than that of photon therapy.
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Mangat, Ajitpaul Singh. "The Therapy of Humiliation: Towards an Ethics of Humility in the works of J.M. Coetzee." 2011. http://trace.tennessee.edu/utk_gradthes/896.

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This work asks how and for whom humiliation can be therapeutic. J. M. Coetzee, in his works Waiting for the Barbarians, Life & Times of Michael K and Disgrace, does not simply critique the mentality of Empire, an “Enlightenment” or colonialist mode of knowing that knows no bounds to reason, but offers an alternative through the Magistrate, Michael K and David Lurie, all of whom are brutally shamed and “abjected”. Each character, I propose, experiences a Lacanian “therapy of humiliation” resulting in a subversion of their egos, which they come to understand as antagonistic, a site of misrecognition. In doing so, these characters confront limitation, whether by means of a Lacanian “death drive” or the abjection of the self. I argue, this subversion of their egos necessitates a return to the humility of the body resulting in a new ethical openness to others and an engagement with the world through “care” or “love” or “beauty” which manifests as careful negotiation and attentiveness. Confrontation with death, thus, allows the Magistrate, Michael K and David Lurie to slough off “Enlightenment” values in favor of an anti-humanist way of living.
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Fortuin, Philene. "Re-performing trauma making use of outsider witnessing : a pastoral narrative approach." Diss., 2011. http://hdl.handle.net/10500/7040.

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The study focuses on women’s experiences of abuse resulting in trauma. This research performance was conducted within a practical theology framework guided by a de-centred participatory action research process. The study was conducted against a postmodern background and was informed by social construction discourse. Its aim was to explore whether and how narrative pastoral counselling using outsider witnessing could be helpful in finding new preferred ways of living, resulting in healing, resilience and hope for women who had experienced abuse and trauma. The outsider witness group explored practical ways of listening, observing and responding to the pain and suffering of others, resulting in a new performance of the self as valuable, competent, and enabling those who are witnessed to believe that they are survivors that have lived through and beyond the limited life span of abuse and trauma. The research report ends with a play, New Seasons, which is to be performed in front of live audiences in the course of 2012.<br>Practical Theology<br>M. Th. (Practical Theology with specialisation in Pastoral Therapy)
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Books on the topic "Outside therapy"

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The inner world outside: Object relations theory and psychodrama. Tavistock/Routledge, 1992.

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Inside out and outside in: Psychodynamic clinical theory and psychopathology in contemporary multicultural contexts. 3rd ed. Rowman & Littlefield Publishers, Inc., 2011.

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C, Curtis Rebecca, and Stricker George, eds. How people change: Inside and outside therapy. Plenum Press, 1991.

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The outside of a horse: A Novel. Dial Books, 2010.

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Moulton, Patrice, and Lin Harper. Outside Looking in: When Someone You Love Is in Therapy. Safer Society Press, 1999.

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Agoraphobia: Coming to Terms With the World Outside. Thorsons Pub, 1990.

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Wiffen, Philip, Marc Mitchell, Melanie Snelling, and Nicola Stoner. Therapy-related issues: miscellaneous. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735823.003.0027.

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This chapter is aimed at junior hospital pharmacists and steps outside the normal format of complementing the British National Formulary. It introduces a number of interesting clinical topics that will be introduced as the pharmacist’s training progresses. Subject topics include therapy-related topics encountered in intensive care units, supporting patients with alcohol dependence, interpreting blood gases, and other interesting specialist topics.
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(Editor), Rebecca C. Curtis, and George Stricker (Editor), eds. How People Change: Inside and Outside Therapy (The Springer Series in Social/Clinical Psychology). Springer, 1991.

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Ramsawh, Holly J., and Gary H. Wynn. Recreational Therapy for PTSD. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190205959.003.0010.

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There are currently several interventions for posttraumatic stress disorder (PTSD) that meet the definition of “evidence-based therapies” as outlined by the Institute of Medicine (IOM), including several forms of exposure-based behavioral interventions and pharmacotherapies the IOM has determined are efficacious and first-line treatments for PTSD. Although exposure-based therapies are efficacious, not all patients respond adequately to treatment. In some cases, behavioral therapies have been associated with high refusal and attrition rates. Furthermore, evidence-based behavioral interventions are not yet widely available, because relatively few practitioners are trained adequately outside of academic institutions, and there are few trained professionals outside of urban centers. Even when evidence-based behavioral or pharmacological treatments are available, veterans sometimes avoid seeking these treatments because of perceived stigma about receiving traditional forms of mental health care either from traditional mental health care providers or in traditional mental health care environments. Despite large numbers of returning veterans being diagnosed with PTSD since the start of the recent conflicts in Iraq and Afghanistan, there remains a large number of Americans who have limited access to evidence-based interventions for PTSD. Although efforts to expand access to these treatments should continue, there should also be an effort to investigate novel interventions for PTSD—particularly those that may require less training and/or may be associated with less stigma than conventional treatments.
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Metzner, Susanne. Psychodynamic Music Therapy. Edited by Jane Edwards. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199639755.013.8.

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The basic underlying assumption in psychodynamic music therapy is the existence of, and dynamic processes within, an unconscious part of the mind, which has an influence on intrapsychic and interpersonal processes within and outside of the musical activity between the therapist and patient. The therapeutic relationship is distinguished by the attentiveness of the music therapist to his or her own reactions, feelings, fantasies, and ideas, which are triggered by the patient’s transference. Psychodynamic music therapy proposes that, with the assistance of music, human beings can become aware of their inner states, and can communicate these through performed musical expression. From a psychoanalytic viewpoint, music is considered to portray meaning and to give the individual the feeling of being mirrored, accompanied, and even personally understood. This chapter explains how psychodynamic music therapy was developed and how it is practiced within the treatment context of mental health services.
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Book chapters on the topic "Outside therapy"

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LeVine, Peg. "Classic Morita therapy inside and outside Japan." In Classic Morita Therapy. Routledge, 2017. http://dx.doi.org/10.4324/9781315213088-1.

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Zanatta, Francesca. "Beyond the famil(y)ar: the construct of the self outside the dyad." In Intercultural Therapy. Routledge, 2019. http://dx.doi.org/10.4324/9780429459788-14.

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Goldfield, Joseph A. "Looking “Outside the Box” for Client Strengths 1." In Creative Therapy in Challenging Situations. Routledge, 2019. http://dx.doi.org/10.4324/9780429028687-8.

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Rüegg, Stephan, and Maria Rasenack. "Anticonvulsant Agents: Acute Drug Therapy Outside Status Epilepticus." In NeuroPsychopharmacotherapy. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-56015-1_374-1.

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Brooks, Gary R. "Therapeutic interventions outside the therapist's office." In Beyond the crisis of masculinity: A transtheoretical model for male-friendly therapy. American Psychological Association, 2010. http://dx.doi.org/10.1037/12073-003.

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Kry, Stephen F., Rebecca M. Howell, and Bryan P. Bednarz. "Dose Outside the Treatment Volume in External Beam Therapy." In Clinical 3D Dosimetry in Modern Radiation Therapy. CRC Press, 2017. http://dx.doi.org/10.1201/9781315118826-21.

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Glover, Ruth. "Working outside the therapy room in a therapeutic school." In Child Psychoanalytic Psychotherapy in Primary Schools. Routledge, 2021. http://dx.doi.org/10.4324/9781003185925-16.

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Waterman, Jill, Audra K. Langley, Jeanne Miranda, and Debbie B. Riley. "Module 6: Adoption and the outside world." In Adoption-specific therapy: A guide to helping adopted children and their families thrive. American Psychological Association, 2018. http://dx.doi.org/10.1037/0000096-009.

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Dryden, Windy, and Michael Neenan. "Seek Regular Supervision and Engage in Regular Continuing Professional Development (CPD) Activities Within And Outside REBT/CBT." In Rational Emotive Behaviour Therapy. Routledge, 2020. http://dx.doi.org/10.4324/9781003132493-107.

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Patterson, Nona L. "Cognitive therapy groups for weight management." In Earning a living outside of managed mental health care: 50 ways to expand your practice. American Psychological Association, 2010. http://dx.doi.org/10.1037/12138-014.

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Conference papers on the topic "Outside therapy"

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Taylor, Tanasha, Shana Smith, and Karljohan L. Palmerius. "A Virtual Harp for Therapy in an Augmented Reality Environment." In ASME 2008 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/detc2008-50034.

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The goal of this research study was to develop a music therapy tool using a computer-generated harp which could provide users with visual, audio, and haptic feedback during interaction with the virtual instrument. Realistic 3D visual and haptic feedback was provided through immersion in a portable augmented reality-based system composed of a video see-through head mounted display (HMD) and a Sensable Phantom Omni haptic device. Users play the virtual harp by using the Phantom Omni haptic device to pluck or strum the strings of the harp. Users can also freely move the harp in the augmented reality environment to provide a more realistic experience, similar to that of playing a traditional musical instrument. The system will be used to provide interactive musical experiences and to develop motor skills among individuals with disabilities through music therapy. A virtual therapist feature was developed which can be used by a therapist without musical knowledge to observe a user during therapy exercises or by a user to engage in self-motivated therapy exercises outside the therapy room. With the virtual therapy feature, users can follow a simple pre-determined sequence of notes using color-coded strings. User testing was completed to study usability, therapeutic effectiveness, and patients’ therapy motivation.
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Takayama, Shuichi, Dongeun Huh, Jonathan Song, Wansik Cha, and Yunseok Heo. "Micro- and Nanofluidics for Cell Biology, Cell Therapy, and Cell-Based Drug Testing." In ASME 2009 7th International Conference on Nanochannels, Microchannels, and Minichannels. ASMEDC, 2009. http://dx.doi.org/10.1115/icnmm2009-82151.

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Many biological studies, drug screening methods, and cellular therapies require culture and manipulation of living cells outside of their natural environment in the body. The gap between the cellular microenvironment in vivo and in vitro, however, poses challenges for obtaining physiologically relevant responses from cells used in basic biological studies or drug screens and for drawing out the maximum functional potential from cells used therapeutically. One of the reasons for this gap is because the fluidic environment of mammalian cells in vivo is microscale and dynamic whereas typical in vitro cultures are macroscopic and static. This presentation will give an overview of efforts in our laboratory to develop microfluidic systems that enable spatio-temporal control of both the chemical and fluid mechanical environment of cells. The technologies and methods close the physiology gap to provide biological information otherwise unobtainable and to enhance cellular performance in therapeutic applications. Specific biomedical topics that will be discussed include, in vitro fertilization on a chip, microfluidic tissue engineering of small airway injuries, breast cancer metastasis on a chip, electrochemical biosensors, and development of tuneable nanofluidic systems towards applications in single molecule DNA analysis.
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Park, Chan Yuk, Da Sol Kwon, Jin Ho Sung, and Jong Seob Jeong. "High Intensity Focused Ultrasound Transducer Using Inversion Layer Technique for Ultrasound Therapy." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3369.

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Recently, high intensity focused ultrasound (HIFU) has been used for non-invasive surgery of prostate, uterus, and brain. However, a HIFU therapy is suffered from relatively long surgical time mainly due to small focal area per each sonication. In order to solve this problem, a HIFU therapy using multi-frequency was suggested by several researchers, and they demonstrated that this technique can increase the area of the coagulated lesion due to enhanced cavitation effect compared to single-frequency HIFU [1–3]. To generate multi-frequency especially dual-frequency, dual-element and dual-layer HIFU transducers have been developed and provided an expanded lesion size [1–3]. In this study, we present an alternative technique of making dual-frequency HIFU transducer using inversion layer technique. Generally, a single layer piezoelectric element can excite the strong fundamental resonance (f0) and the weak odd-order harmonic resonance (3f0) [4]. In the inversion layer technique, on the other hand, a piezoelectric component consisting of two piezo-ceramic plates bonded together with opposite poling directions and different thicknesses can produce the relatively strong even-order harmonic (2f0) in addition to the fundamental resonance [5]. Additionally, only a pair of electrode at the outside of the each piezo-ceramic plate is required to stimulate dual-frequency ultrasound while two pairs of electrodes are typically required for conventional dual-element and dual-layer transducers [2,3]. A specially designed prototype HIFU transducer was built, and we verified that the dual-frequency ultrasound was successfully generated through electrical impedance and pulse-echo response measurements.
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Boggess, Brian M., Douglas R. Morr, Lee Phelps, et al. "Comparison of Minor Vehicle Impact Occupant Spinal Dynamics to Reported Spinal Manipulation Therapy Loading." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-24322.

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Abstract Motor vehicle impacts result in energy being transferred between the involved vehicles and subsequently to occupants within those vehicles. Similarly, when outside of a vehicle, humans constantly encounter energy transfers within their surrounding environment, inducing internal reactions within their bodies. A common method used by biomechanical engineers is to compare the exposure in a particular event to the general exposures during various activities of daily living (ADL). Such comparisons can be in terms of general inertial loading, such as accelerations, or in terms of specific joint loading (i.e., forces and/or moments). Regardless, to be comparable from the biomechanics standpoint, there needs to be sufficient correlation between the duration, magnitude and/or direction of acceleration or load application. An area of forensic science where such comparisons are common is when a biomechanical engineer is assessing an occupant’s exposure to a minor vehicle accident. In many of these events, the accelerations and loading present are found to be well below any published and accepted injury parameters and to be comparable to published exposures to various ADLs. In this study, spinal loading reported in the published literature during spinal manipulation therapy (SMT) is compared to published spinal exposures in minor vehicle accidents. Extensive research and associated publications regarding both accident reconstruction and biomechanical analyses have studied minor motor vehicle accidents. This current work does not attempt to provide a review of all the volunteer or surrogate studies of occupant exposures available. Instead, this work is the initial phase of a larger study to build on the body of literature that provides quantitative comparisons of human exposures to relatively minor real-world accidents and a wide variety of ADLs, including exposures during the application of common clinical therapies such as SMT. There is a relative lack of studies that quantify the loads applied to patients or develop within patients during various SMT inputs. However, the studies found that do provide quantification suggest that the spinal loading duration, magnitude and direction are similar to that shown to exist in many minor vehicle accidents. For example, Forand [4] reported that SMT inputs applied forces up to 1,000 Newtons (N) to a particular target site (i.e., disc) within a time duration of about 20 to 170 milliseconds (ms). By contrast, spinal loading durations in minor impacts have been shown in the biomechanics literature [9, 11 and 12] and publicly available testing [18] to have similar durations (50 to 250 ms) with distributed neck forces typically less than 500 N. This study has found that like many other ADLs, the spinal loading present during SMT may be comparable to that present in many minor vehicle impacts due to the similar duration, magnitude and direction of the joint loads.
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Ginter, Joanne. "EXPANDING PLURALISM IN THE AGE OF COVID." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact107.

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"Multiculturalism and growing diversity found within client populations encourages therapists to become pluralists in their work. Pluralism is the position, identified by Kenneth Pargament, that therapists take when the cultural story of both the client and therapist are acknowledged to be present in the session. These cultural stories provide the foundation for creative meaning making in the therapeutic process. The COVID pandemic has set a new bar for therapists in for extending themselves beyond what was once comfortable to being increasingly creative and diversified in meeting their clients’ needs. This has involved ways to navigate online or telephone sessions, which subsequently provided therapists with opportunities for interacting with clients outside their typical client base. Or in other words, the need for a broader and more diversified understanding of client needs and ways to promote healing and client resiliency. This workshop will review the foundational elements of pluralism and the building blocks of resiliency (self, mentor, and community of care) with reference to some of the early literature of the effects of the COVID pandemic on therapists and the therapeutic process. Participants will have an opportunity to identify their position on pluralism and the need for diversity in therapy and the effects of the COVID pandemic on their practice."
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Suo, Jin, Sheng Tong, Michael McDaniel, et al. "Numerical Simulation of Magnetic Nanoparticles Targeted at an Atherosclerotic Lesion in the Left Coronary Artery of Patient." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80029.

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A numerical investigation simulating feasibility of magnetic drug targeting (MDT) at an atherosclerotic lesion of the left coronary artery of a patient using iron nano-particles coated with a therapeutic agent is reported. Progression of a plaque in the left coronary artery over a six month period was previously determined by intravascular ultrasound (IVUS). The site where the progression is active is located on the leeward side of the plaque. The proximal segment of the left coronary artery including the lesion was reconstructed by our 3D IVUS technique, and a Doppler measurement provided velocity waveforms in the lumen. These data are used to simulate blood flow employing computational fluid dynamics (CFD). Wall shear stress (WSS) and flow pathlines show that few nanoparticles would reach the active lesion region of the plaque. Therefore, MDT is considered as a possible effective therapy. Numerical investigations are performed to examine the feasibility for treatment by modeling hypothetical magnet fields, iron nano-particles, and coronary artery flow conditions. The magnetic field in the lesion segment produced by a permanent magnet located outside the lumen is calculated. The motion of the nano-particles in the segment is a combined result of the velocities produced by hemodynamic and magnetic forces. Various particles and magnets are investigated in the simulations. Two kinds of results are presented: the distribution of the magnetic force produced by the magnets, and the quantity of captured particles at the lesion during various time intervals (number of heart beats).
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Hussain, Mozammil, and Rodger Tepe. "Effect of Traction Load on the Biomechanical Behavior of Cervical, Thoracic, and Lumbar Spinal Segments: A Finite Element Analysis." In ASME 2008 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2008. http://dx.doi.org/10.1115/sbc2008-193246.

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Degeneration in the spinal structures can be a major source of pain that increases with aging in a roughly linear progression. Pain has been further correlated with the regions of high stress and strain concentrations. Due to difference in the regional anatomy and physiology of the cervical, thoracic, and lumbar levels, their biomechanical response to physiological loadings is different. The fluid egresses outside in the radial direction from nucleus pulposus (NP) to annulus fibrosus (AF) under compression, which generates a hydrostatic pressure against an external applied load. The increased NP pressure, in many clinical cases, results into various abnormal disc pathologies such as protrusions and herniations. Chiropractic care in the management of these spinal dysfunctions uses manual manipulation therapies such as distraction techniques to relieve the disc from high pressure and radial bulging. Despite manual distraction therapy is a three-dimensional force application; major proportion of the load is exerted in the axial upward direction. Although few biomechanical studies have compared the segmental biomechanics under axial traction loads, to the best of our knowledge, there is no study that distinguishes between the behavior of cervical, thoracic, and lumbar segments to these loads. The objective of the present study, therefore, was to investigate that how the biomechanical stresses, that were developed under upper body weight (BW), changes in the various spinal segments (cervical, thoracic, and lumbar) and in the different spinal structures (top vertebra, superior endplate, and disc) when the traction forces were applied as the therapeutic modalities in the chiropractic interventions.
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Wachtel, SeanWolfgang, Breanna Hassett, Zhi Qiao, Prudhvi Tej Chinimilli, and Wenlong Zhang. "Design and Characterization of Shoe Embedded Pressure Sensors for Gait Analysis and Rehabilitation." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3424.

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In clinical gait therapy, the quality of gait analysis is critical for developing a training plan and monitoring patient progress. Ground contact forces (GCFs) are often recorded to estimate joint torques which can quantify a patient’s needs and strength development. They are also useful in designing and controlling rehabilitative and assistive devices. In clinical gait analysis, force plates are used to measure GCFs objectively and precisely [1, 2]. Currently, forces sensitive resistors (FSR) are often used as a mobile platform to measure GCFs. FSR based platforms exhibit considerable hysteresis and have low durability, some requiring replacement after only 5-hour long uses. As an alternative to FSR, a pair of sensor-embedded shoes (smart shoes) relying on air pressure sensors has been presented in previous research [3]. Some details regarding the precise characteristics of the sensing abilities were unknown, though, generating unanticipated errors during use. In this paper, the sensing units of wireless smart shoes are characterized and tested to verify their capability to provide real-time and accurate GCF measurements. For the prototype, silicon tubes were sealed on one end, wound into coils, secured to the underside of the shoe’s insole at four points of interest (heel, toe, the first and fourth metatarsophalangeal joint) routed outside the shoe, and their open ends are connected to air pressure sensors as shown in Fig. 1(a). The pressure sensors were placed on a circuit board along with a battery and microcontroller responsible for reading sensor outputs and wirelessly communicating data to a nearby device, as shown in Fig. 1(c). The sensing unit on the lateral side of the shoe is 1.2″ × 1.3″ × 3.95″. A series of calibration tests were first performed on the tube-insole subsystem in isolation to test linearity, repeatability, and hysteresis. Then practical experiments were performed on a healthy subject to determine the accuracy of GCF measurement. A previously presented hysteresis filter was implemented in practical testing [4].
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Soni, Priyanka, Shalini Mishra, Sandeep Jain, and Gauri Kapoor. "Malignant ovarian germ cell tumors in children: A single centre experience." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685314.

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Background: Germ-cell tumors (GCT) are the commonest ovarian neoplasm in the first two decades of life. Aim: To study the profile of ovarian GCT in children and their outcome. Methods: Retrospective study of all cases of malignant ovarian GCT in the pediatric age (up to 18 years) was done from January 2002 to December 2015. The medical records of all admitted cases during this period were reviewed and the data was analysed with respect to age at diagnosis, clinical presentation, tumor markers, surgical stage, tumor histology, therapy, clinical course, and outcome. Results: Girls with malignant ovarian GCT were seen at our institute during the study period. Out of these 25 underwent treatment. Mean age at presentation was 11.7 years (range: 3-18 years). Abdominal pain was the commonest presentation. Twelve (47.3%) had right sided disease, 11 (42%) had left sided disease and 2 had bilateral disease. Twelve cases (57.8%) were diagnosed as stage I disease, 5 (10.5%) as stage II, 7 (26.3%) as stage III and 1 (5.2%) as stage IV. Elevated AFP &gt;1000 was found in 9 (47.3%), elevated B-HCG (&gt;50) in 7 (42%) and elevated LDH (&gt;1000) in 7 (36.8%) patients at presentation. Twenty (73.6%) patients underwent surgery prior to chemotherapy out of which 4 (21%) patients presented after undergoing surgery at other centre. Fourteen (57.8%) patients received 4 cycles of BEP based chemotherapy, 6 (21%) received 3 cycles, 2 (10.5%) received 2 cycles and 1 patient did not receive any chemotherapy as it was mature teratoma. The most common histology was dysgerminoma in 8 (42%) patients followed by mixed germ cell tumor in 4 (21%), teratoma in 3 (15.7%), embryonal carcinoma in 2 (10.5%) and yolk sac tumor and mature teratoma in 1 patient each. Four (21%) patients had relapse on contralateral side which was salvaged. 1 patient presented with relapse who underwent only surgery outside, 1 patient had ovarian torsion. Median follow up is 27months. The event free survival rate was 78.9%. Conclusion: This study confirms an excellent outcome for girls with ovarian germ cell tumor. Patients with advanced surgical stage relapsed frequently. The mainstay of treatment is fertility preserving surgery and cisplatin-based chemotherapy.
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Andersen, Knut H., Lars Andresen, Hans Petter Jostad, and Edward C. Clukey. "Effect of Skirt-Tip Geometry on Set-Up Outside Suction Anchors in Soft Clay." In ASME 2004 23rd International Conference on Offshore Mechanics and Arctic Engineering. ASMEDC, 2004. http://dx.doi.org/10.1115/omae2004-51564.

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An important part of suction anchor design is the determination of the shear strength along the outside skirt wall. Previous work has suggested that when a suction anchor in clay is installed by applying underpressure inside the anchor, the external skin friction may be reduced compared to the skin friction expected for driven piles. The primary reason for this reduction is that the movement of soil at and beneath the caisson tip during installation will be influenced by whether the anchor is penetrated by weight or by underpressure. To further investigate the impact of installation by underpressure, additional finite element analyses have been performed where the skirt installation process has been better followed than in the previous analyses. The movement of soil around the caisson wall was studied for both a flat caisson tip and a tip with a tapered edge of 45° towards the outside of the anchor. The tapering was made to see if it would cause more of the displaced soil to move outside the anchor and thereby increase the mean total stresses and the shear strength along the outside anchor wall. The analyses were made with two separate wall roughness factors for a typical anchor in soft clay.
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