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[Abstract] Role of vehicle assistive devices for safe return to driving after severe acquired brain injury

Abstract

Background: Driving is a complex activity that requires a wide range of cognitive, behavioural, sensory and motor competences that are often impaired in cases of severe acquired brain injury (sABI). A safe return to driving is an objective significantly correlated with recovery of personal independence and social- occupational role.

Aim: The study investigated elements predictive of the possibility of a safe return to driving after sABI, concentrating on motor disability and the need to prescribe vehicle assistive devices.

Design: Retrospective study.

Setting: Out-patients of a rehabilitation centre for sABI.

Population: A series of 217 patients with stable sABI, well reintegrated at family and social level, were enrolled between January 2006 and June 2019.

Methods: The subjects were assessed for residual competences. Those who passed assessment of cognitive-behavioural and visual impairment were assessed for motor disability and the need for vehicle assistive devices to enable a safe return to driving.

Results: 79% of the population were judged suitable for a return to driving. More than 50% of the latter were only able to return to driving with the aid of vehicle assistive devices. Aetiological and demographic variables were not predictive of assessment outcome, whereas the various Griffith motor disability categories were correlated with need for vehicle assistive devices, which are most needed in non-traumatic subjects.

Conclusions: Although the literature on return to driving after brain injury focuses mainly on cognitive- behavioural impairment, in a significant percentage of cases it is also necessary to carefully analyse and manage motor disabilities that may result from sABI.

Impact of clinical rehabilitation: Evaluation of the competences necessary for a return to driving after sABI requires a multiprofessional team that must also assess motor disability and know the possible vehicle assistive devices that can enable most candidates to overcome the limits imposed by their disability.

Source: https://www.researchgate.net/publication/341576459_Role_of_vehicle_assistive_devices_for_safe_return_to_driving_after_severe_acquired_brain_injury

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[WEB SITE] 20 Memory Tips to Improve Your Learning

Improving memory

Source: https://custom-writing.org/#improving-memory

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[BLOG POST] 5 Disability-Inclusive Sex Positions to Spice Up the Bedroom

By Jordan Davidson 

Sex is for every body — as long as the person you are being intimate with is a consenting adult. People with disabilities account for 20 percent of the population, but aren’t represented nearly as much as they should be when it comes to advertising, media and even pornography. Representation is important because everyone is entitled to a healthy and fulfilling sex life.

“The biggest myth is that people with disabilities are asexual or cannot have sex,” Eva Sweeney, host of “Cripping Up Sex With Eva,” told The Mighty. “I think this myth stems from the infantilization of people with disabilities. While some people with disabilities are asexual, the majority want and have sex.”

Just like most things in life, sex too can be modified. Whether you have a disability, your partner does or both of you do, there are plenty of ways to get creative in the bedroom. 

“Disability can affect sex but not in a bad way,” Sweeney said. “Different kinds of bodies might need to be more creative in the bedroom but this only spices things up and creates more conversation which is good for any relationship.”

Here are five poses Sweeney recommends for couples looking to spice things up in the bedroom — or any room, really.

1. Laying Down Side Straddle

When it comes to oral sex, Sweeney recommends having the person with a disability lie on their side and have their partner stimulate them orally from behind. “This position is great for people with spastic hips,” Sweeney added.

2. Modified Doggy-Style  

Doggy-style is a fun position for couples looking to switch things up. If you need to sit and can’t be the one doing the thrusting, ask your partner to back themselves on to you, moving back and forth.

Sweeney recommends talking to your partner before getting started. “Ask questions, respectful questions, and listen to your partner,” she said. “Also, you might want to feel your partner’s body before you get into the sexy time so you have a better understanding of how your partner’s body works.”

3. 69

Another oral sex position Sweeney recommends is “69.” “I would recommend 69, where one partner lays on his back and the other partner backs himself up on top,” she explained.

4. Modified Missionary

This modified missionary position is a great option if one person is able-bodied. Have the able-bodied partner stand at the bedside while the disabled partner lays at the edge of the bed. Add some pillows to the mix to help position yourself comfortably.

If it’s your first time with a new partner and a position requires you to move out of your wheelchair before you get into “sexy mode,” walk your partner through the transfer. Alternatively, Sweeney said, you can ask your aide to show them how to do the transfer.

5. Giving Oral Sex From Your Wheelchair

If you want to give oral sex from your wheelchair, ask your partner to lie on the edge of the bed and place the lower half of their body on your lap.

If you aren’t a fan of oral sex or want to explore your sexuality on your own, Sweeney recommends looking into toys. “There are so many toys to help you explore your sexuality,” she said. “Most people can find something that works for them.”

Illustrations for The Mighty by Jessica Oddi, co-creator of “The Disabled Life.” 

Jordan Davidson is The Mighty’s Managing Editor. Follow her on twitter @JA_Davids or email her at jordan@themighty.com.jordan-davidson

Souece: https://themighty.com/2018/02/disability-wheelchair-sex-positions/?utm_source=newsletter_disability&utm_medium=email&utm_campaign=newsletter_disability_2020-01-03&deep_link=true

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[WEB PAGE] It’s a myth that suffering makes you stronger

Oct 24, 2017 / Lidia Yuknavitch

Monica Ramos

Suffering is not beautiful, nor is it a state of grace. But you can swim to the wreckage at the bottom and bring something back to the surface that can help others, says writer Lidia Yuknavitch.

The truth is, suffering sucks and it can take you to a place of wanting to kill yourself, and there’s nothing beautiful about that. Suffering is not a state of grace. Suffering, from my point of view, is about a real place in a real body where you face the other side of living. How you choose to understand that story probably determines how you’re going to live the rest of your life.

I feel kindred with fellow sufferers, not because they suffer, and not because of some absurd vortex of victimhood camaraderie, and not because sufferers are in a state of grace, but because they go on, they endure. And because sometimes, the sufferer reinvents themself — and this kind of reinvention is what misfits are so good at. Misfits not only know a great deal about alternate and varied definitions of suffering, but misfits are also capable of alchemizing suffering, changing the energy from one form to another.

Here is the thing I want to say loudest of all: I haven’t transcended anything. No great revelation has come my way. I haven’t “moved on.”

So let me tell you a different suffering story that cannot be corralled by a culture that asks you to process your suffering in ways that make you a good citizen in an ever-churning economy of productive people. My daughter died the day she was born. I am not the only person who has experienced the suffering that comes from such a loss. But I am one of those who is willing to stand up, tell the story out loud, admit that I have carried that profound loss, that birth-death crisis, for more than thirty years now.

Here is the thing I want to say loudest of all: I haven’t transcended anything. No great revelation has come my way. I haven’t ascended into some magical wisdom. I haven’t “moved on.” At least not without her — my daughter I mean. And my suffering is not a state of grace. It’s just a part of me. Like my heart. When her birth-death first happened, here is what I did: I lost my marbles. It did not happen instantly.

At the hospital I could feel myself disintegrating a molecule at a time, but I didn’t say anything. I drank the water they gave me, though I didn’t eat the food. I held my swaddled lifeless daughter several times. I kissed her, I cradled her, I sang to her. I let the nurses give me a hot towel “bath” in the bed the second night, which remains on my list of top five most phenomenal physical experiences of my life. I thought I might be dead, but the heated wet towels reminded my skin that I was in fact alive, even if I was deadened.

It was my sister who brought me back to life, slowly, feeding me bits of saltine crackers to lure me back, and then one day an egg, and eventually, a milkshake. The milkshake made me smile.

By the time they released me and sent me home, I wasn’t speaking at all, to anyone. And I wouldn’t let a single human touch me. I felt . . . mammalian. Back to some animal past of pure instinct and wariness of everything around me. The hair on my legs and arms grew long, like white fur, which sometimes happens when someone stops eating.

It was my sister who brought me back to life, slowly, feeding me bits of saltine crackers to lure me back, and then one day an egg, and eventually, a milkshake. The milkshake made me smile. It was my sister who stepped fully clothed into the shower with me when she would hear me sobbing. She held me tight like a mother would, and her clothes, I began to feel the texture of her clothes against my skin.

It took almost a year. Partway through that first year, I did something unethical. I lied. I lied more than you can imagine. I went back to college, and I had a part-time job at a daycare center, which in retrospect may have been a tragic error. I lied to everyone who asked me about my daughter. I told anyone and everyone that she was alive, she was beautiful, such long eyelashes. I lied about where we were living, I lied about the classes I was barely attending. I’d throw my head back and laugh and say, “Motherhood!”

What I’m telling you is that in the face of people who came toward me with their regular-person questions about my pregnancy and birth story, I broke into fictions because I could not make what happened come out of my mouth. My story didn’t fit the other mothers’ stories. Misfit. My lying started out as me telling people I was staying at a friend’s house, which was a story line that passed quite well. But I wasn’t living with a friend. In the tapestry inside my head and heart a new weaving emerged that made a kind of “sense” given how it felt to be me.

My daughter’s death was so alive in me it felt like we were two people walking around. I mean she felt that present to me — like a second body.

What it felt like to be me was that I was among the walking dead, and I lived at the bottom of a very dark ocean. A ghost person living in some sea wreckage. And so I gravitated toward other ghost people, at night, and I started sleeping under an overpass just at the edge of town, near a bus stop where buses would take me back to the normalcy of a college campus during the day. I read books. I wrote a paper or two. I passed a test here and there.

My daughter’s death was so alive in me it felt like we were two people walking around. I mean she felt that present to me — like a second body. As present as when she swam her days and nights away inside the world of my belly. I “passed” in every sphere of regular life I entered, but I entered those spheres less and less and spent more and more time under the overpass. I was never alone. My daughter was with me.

Some people will understand this kind of ghost life. I had a notebook in which I wrote pages and pages of crazy lady gibberish, or seeming gibberish. I read all kinds of books. Inside the books I again saw stories that I recognized, because, well, literature is filled with characters whose lives are so broken they can barely breathe.

Literature is the land of the misfitted. Inside that notebook filled with what may have looked to an outside observer like strange hieroglyphics, in between the lines, there were glimpses of actual stories. The stories were about strange girls filled with rage or love or art that came shooting out of them, almost violently. And as I stepped back toward the world, I saw that the lies I’d been telling weren’t lies at all. They were precise fictions about living inside a woman’s body and the journey I’d just made to the bottom of an ocean, the journey to death and back. What other people called lies were actually portals to finding my ability to invent stories.

The other side of destruction is always the possibility of self-expression. Creativity. The mistake we make with teens and young adults and broken adults is to forget that.

Ten years later, the quality of my suffering took on a different form. My suffering became hunger. Hunger for ideas, hunger for sex, hunger for danger, hunger for risk. I read every book I could get my hands on, then I’d research the books the author had read and I’d read all of those. I slept with teachers, with students, with drunks and junkies, men and women, with anyone who had a glint of fire or danger in the corner of their eye. There wasn’t a drug I wouldn’t try.

What I no doubt do not need to explain is how dangerous my hunger and subsequent behavior were. That’s a story line we are all trained to understand. What I do want to explain is what my hunger was generative of. What looks from the outside like self-destruction isn’t always so. The other side of destruction is always the possibility of self-expression. Creativity. The mistake we make with teens and young adults and broken adults is to forget that. All creativity has destruction as its other, just like the beyond beautiful dead infant I held in my arms.

What I saw in literary books was a possible path from suffering and self-destruction to self-expression. I went back to the nutso gibberish I wrote down in that notebook under the overpass, and I began to cull the stories. Once I started writing, I never stopped. For this reason I would say that the death of my daughter and entering a real place called psychosis and being homeless were not just tragic. They were generative. Those experiences put writing into my hands.

Twenty years later, the quality of the suffering took shape and form on pages. The girl I lost became the girl I found inside stories where girls nearly die but then don’t, where girls with their hair on fire invent ways to save themselves, where girls who are incarcerated by family or violence or love or social norms break out of culture and into journeys no one has ever imagined before. What I’m saying is, the more I wrote, the more I understood that my so-called traumas — the death of the daughter, the abuse in my childhood, the rage I carried and acted out as a teen and young adult — were places of storytelling. Realms of expression.

In this sense, to be a misfit means to be willing to dive into the waters of one’s life, swim to the wreckage at the bottom, and bring something back to the surface.

Thirty years later the quality of my sadness has changed so radically that I can only understand it as pure creativity. In every book I have ever written there is a girl. And there always will be. My grief and my daughter’s death and my suffering were not something to “get over” or medicate or counsel out of me. They were generative of the most important forms of self-expression I’ll ever create in my lifetime. And that doesn’t just matter for my career as a writer, or even for my mental and emotional health as a woman. It’s also the path I took to learn love, so that when my son came, sun of my life, I was able to give it with abandon and joy.

Death, grief, trauma are alive in our actual bodies. We carry them our whole lives, even if we act like it’s possible to “step out of them.” Writing, making stories, drawing and painting, and making art doesn’t release me from loss or grief or trauma, but it does let me re-story my self and my body. In this sense, to be a misfit means to be willing to dive into the waters of one’s life, swim to the wreckage at the bottom, and bring something back to the surface.

When I tell you that literature and writing have saved my life, perhaps you can believe me when I say they came into my body and lodged in the space that my daughter left open. If you are one of those people who has the ability to make it down to the bottom of the ocean, the ability to swim the dark waters without fear, the astonishing ability to move through life’s worst crucibles and not die, then you also have the ability to bring something back to the surface that helps others in a way that they cannot achieve themselves.

You are not nothing. You are vital to your culture. We misfits are the ones with the ability to enter grief. Death. Trauma. And emerge. But we have to keep telling our stories, giving them to each other, or they will eat us alive. Our suffering is not the Christ story. Our suffering is generative of secular meaning. We put ordinary forms of hope into the world so that others, scruffy or graceful, might go on.

Excerpted from the new book The Misfit’s Manifesto by Lidia Yuknavitch. Reprinted with permission from TED Books/Simon & Schuster. © 2017 Lidia Yuknavitch.

ABOUT THE AUTHOR

Lidia Yuknavitch is the author of the bestselling novels “The Book of Joan,” “The Small Backs of Children” and “Dora: A Headcase,” as well as the memoir “The Chronology of Water.” She is the recipient of two Oregon Book Awards, a Willamette Writers Award, and she was a finalist for the 2017 Brooklyn Public Library Literary Prize and the 2012 Pen Center Creative Nonfiction Award. She writes, teaches and lives in Portland, Oregon.

Source: https://ideas.ted.com/its-a-myth-that-suffering-makes-you-stronger/?utm_campaign=social&utm_medium=referral&utm_source=facebook.com&utm_content=2020-8-07&fbclid=IwAR1XvwQCDECCHQ_E1w6acb_9o9daR4PERRpV7HkxEUnlhuiQWPM2wsm0EO8&fbclid=IwAR28wIiBH9ZThIcX9_SaWSNlRbkzON052Bdj_tC0WUWFRceLlg2P20bFg8A

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[BLOG POST] Nutritional psychiatry: Your brain on food

Contributing Editor

 

Think about it. Your brain is always “on.” It takes care of your thoughts and movements, your breathing and heartbeat, your senses — it works hard 24/7, even while you’re asleep. This means your brain requires a constant supply of fuel. That “fuel” comes from the foods you eat — and what’s in that fuel makes all the difference. Put simply, what you eat directly affects the structure and function of your brain and, ultimately, your mood.

Like an expensive car, your brain functions best when it gets only premium fuel. Eating high-quality foods that contain lots of vitamins, minerals, and antioxidants nourishes the brain and protects it from oxidative stress — the “waste” (free radicals) produced when the body uses oxygen, which can damage cells.

Unfortunately, just like an expensive car, your brain can be damaged if you ingest anything other than premium fuel. If substances from “low-premium” fuel (such as what you get from processed or refined foods) get to the brain, it has little ability to get rid of them. Diets high in refined sugars, for example, are harmful to the brain. In addition to worsening your body’s regulation of insulin, they also promote inflammation and oxidative stress. Multiple studies have found a correlation between a diet high in refined sugars and impaired brain function — and even a worsening of symptoms of mood disorders, such as depression.

It makes sense. If your brain is deprived of good-quality nutrition, or if free radicals or damaging inflammatory cells are circulating within the brain’s enclosed space, further contributing to brain tissue injury, consequences are to be expected. What’s interesting is that for many years, the medical field did not fully acknowledge the connection between mood and food.

Today, fortunately, the burgeoning field of nutritional psychiatry is finding there are many consequences and correlations between not only what you eat, how you feel, and how you ultimately behave, but also the kinds of bacteria that live in your gut.

How the foods you eat affect how you feel

Serotonin is a neurotransmitter that helps regulate sleep and appetite, mediate moods, and inhibit pain. Since about 95% of your serotonin is produced in your gastrointestinal tract, and your gastrointestinal tract is lined with a hundred million nerve cells, or neurons, it makes sense that the inner workings of your digestive system don’t just help you digest food, but also guide your emotions. What’s more, the function of these neurons — and the production of neurotransmitters like serotonin — is highly influenced by the billions of “good” bacteria that make up your intestinal microbiome. These bacteria play an essential role in your health. They protect the lining of your intestines and ensure they provide a strong barrier against toxins and “bad” bacteria; they limit inflammation; they improve how well you absorb nutrients from your food; and they activate neural pathways that travel directly between the gut and the brain.

Studies have compared “traditional” diets, like the Mediterranean diet and the traditional Japanese diet, to a typical “Western” diet and have shown that the risk of depression is 25% to 35% lower in those who eat a traditional diet. Scientists account for this difference because these traditional diets tend to be high in vegetables, fruits, unprocessed grains, and fish and seafood, and to contain only modest amounts of lean meats and dairy. They are also void of processed and refined foods and sugars, which are staples of the “Western” dietary pattern. In addition, many of these unprocessed foods are fermented, and therefore act as natural probiotics.

This may sound implausible to you, but the notion that good bacteria not only influence what your gut digests and absorbs, but that they also affect the degree of inflammation throughout your body, as well as your mood and energy level, is gaining traction among researchers.

Nutritional psychiatry: What does it mean for you?

Start paying attention to how eating different foods makes you feel — not just in the moment, but the next day. Try eating a “clean” diet for two to three weeks — that means cutting out all processed foods and sugar. See how you feel. Then slowly introduce foods back into your diet, one by one, and see how you feel.

When some people “go clean,” they cannot believe how much better they feel both physically and emotionally, and how much worse they then feel when they reintroduce the foods that are known to enhance inflammation.

via Nutritional psychiatry: Your brain on food – Harvard Health Blog – Harvard Health Publishing

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[BLOG POST] Accessible Sex Toys for People With Disabilities or Chronic Pain

Sex is a basic human need, yet often people with mobility challenges or physical differences are left out of the conversation, from depictions in popular media to the design of sex toys. When considering the latter, most people view sex toys as a naughty bonus. For people with a disability or chronic illness, however, sex toys aren’t “just” for fun — they’re an empowering way to make sex accessible.

“Sex toys can not only give us pleasure but they are assistive technology just like a cane or a shower chair,” Eva Sweeney, sex educator and host of “Cripping Up Sex With Eva,” told The Mighty. “They allow us to explore and enjoy our bodies like everybody else. So many times toys are viewed as novelties or optional when they are necessary for many people with disabilities or chronic illness (and without).”

It’s easy to find enticing sex toys if you’re able-bodied, but it’s more of a challenge to find affordable options that people with mobility challenges or even chronic pain can use comfortably. “Most sex toys are very expensive and as we all know people with disabilities are more likely to live in poverty,” Sweeney said. “That’s the major barrier keeping people with disabilities from getting the toys they need.”

We gathered 15 accessible sex toys, wearables and devices that might just fast-track you to the big “O,” whether you’re looking for solo fun or a partnered encounter. And here’s a little extra advice from Sweeney: “Explore! Try different toys. Everybody is different.”

1. Tongue Star Pleasure Tongue by Hott Products ($5.65)

Tongue Star Pleasure Tongue by Hott Products

This toy lets your tongue do the talking during sexy times with this hands-free vibrator you can wear. It looks a little like a mouth guard, and that’s exactly how you’ll use it. The design reduces the vibrations you feel on your teeth when the vibrator is on. A small vibrator attached to the outside of the mouthpiece, meanwhile, lets you deliver what Hott Products calls “toe-curling thrills” to a partner.

2. Thigh Strap-On by SportSheets ($23.99; $15.36 on Amazon)

Thigh Strap-On by SportSheets

SportSheets’ thigh strap-on lets you give a partner an intimate experience with penetration even if your mobility restricts your pelvic movement. It’s hands-free for you, so while your partner grinds, you get to explore. The strap-on harness is sturdy and comfortable and can be a great solution for accessibility. “Harnesses can be really helpful for keeping toys in place,” Sweeney said. “There are harnesses for every body part and can be custom made,” so let your imagination run wild.

3. Mage Flexible Massager Vibrator by Intimate Melody ($29.95)

Mage Flexible Massager Vibrator by Intimate Melody

“I really like flexible toys because you can mold them in whatever shape you want and they usually stay like that so you don’t have to use your hands as much,” Sweeney told The Mighty. The Mage flexible massager vibrator delivers on this sex toy ideal. Made by Intimate Melody, this vibrator isn’t hands-free, but it’s completely flexible so you can customize the toy to what works best for you. That includes bending, twisting and folding the Mage and exploring its six massage modes at three strength levels.

4. Hollow Strap-On by Adam & Eve ($29.95)

Hollow Strap-On by Adam and Eve

A hollow strap-on can bring new energy into your sexual life if penetration is important to your routine. The hollowed dildo can accommodate an erect or resting penis, and if you live with erectile dysfunction, a hollow strap-on can provide the sensation of giving penetrative sex for you and a partner. The rippled shell will feel great for both parties. It’s a flexible investment because it can be used by any gender thanks to an adjustable, sturdy harness and an easy-to-clean dildo. You can also invest in a vibrating version of this hollow strap-on ($49.95).

5. Sex Stool by Kinkly ($60.99 on Amazon)

Sex Stool by Kinkly

Sometimes, you just need a little extra support. Enter the sex stool, a sturdy metal frame with elastic straps to support your body weight that gives you amazing access to a partner or sex toy mount. With a sex stool, you’ll use less energy and be able to focus more on pleasure and less on strain. It’s easy on the knees, and some users have reported extra tingles thanks to increased compression in your glutes as you use the stool.

6. HelixSyn by Aneros ($69.95)

HelixSyn by Aneros

For those who like to enter through the back door, Aneros’ HelixSyn prostate stimulator is the hands-free option you may be looking for. Advertised as having “velvet touch” silicone, the toy is comfortable for both beginners and advanced users. Its shape fits comfortably inside your body and causes friction in all the right spots as you contract and relax your muscles (a version of anal kegel exercises). HelixSyn’s design pivots as you move, so you’re in good shape no matter what position you choose. Plus, the handle won’t cause any pain and a comfort tab is designed to increase your pleasure.

7. Door Jam Sex Sling by SportSheets ($69.99; $35.11 on Amazon)

Door Jam Sex Sling by SportSheetsTo gain extra support and a lot of flexibility positioning with a partner, give this door jam sex sling by SportSheets a try. The sturdy sling has a seat, hand and foot straps, all of which are adjustable. At least one partner will need to stand. However, the sling can assist in bearing body weight as you try out new sex positions that might not otherwise be possible. Other sling options, like a simple sex sling ($35.99) or the Penetration Station that attaches to the mattress ($44.99), might also be worth checking out.

8. Fin Vibrator by Dame Products ($75)

Fin Vibrator by Dame Products

With Fin, Dame Products has taken the grip challenge out of vibrators. “Fin is a finger vibrator…that’s much easier to hold than most bullets because it has little fins almost that goes between your two fingers,” Dame co-founder, Alexandra Fine, told The Mighty. “It also has a detachable tether that can really tie the product to your hand in a way that a lot of people either with disabilities or arthritis or any challenges gripping something really like….The way it works with your hand, it feels more like a natural extension of your body.” Introduced in 2016 by Fine and Dame co-founder Janet Lieberman, Fin offers dual sensations and three speeds all in the palm of your hand. Also check out Dame Products’ flagship hands-free vibrator you can wear during sex, Eva II ($135).

9. Wearable by Ohnut ($75)

Ohnut Wearable

The first intimate wearable, Ohnut’s creator and founder Emily Sauer wanted to address painful sex for people with a vagina. “I had been experiencing painful sex myself for my entire sexual life and when I had asked doctors for advice they really didn’t want to offer any help,” Sauer told The Mighty. “It finally got to a point where I had felt so isolated by my experience because I was too embarrassed to talk about it and [so I] came up with this crazy idea.”

Ohnut — comprised of four stackable, adjustable linking rings “that allow you to modulate penetration depth” — aims to reduce pain and bring fun back into the bedroom. The squishy, comfortable silicone Ohnut is worn by the penetrating partner or placed on a toy, and you can add or remove rings to personalize penetration depth. Orders placed on Ohnut’s website are scheduled to ship in early November.

10. BonBon Sex Toy Mount by Liberator ($85; $68 on Amazon)

Liberator BonBon Sex Toy MountA variety of pillows can make sex more comfortable and accessible. There are tons of pillow options out there, from wedges to ramps, lifts, sex toy mounts and center stages. From master sex-friendly pillow company Liberator, the BonBon sex toy mount pillow is a versatile investment. You can insert a toy into the mount for solo fun or you can use the BonBon on its own to find a comfortable sex position with a partner. It’s a two-in-one pillow combination for whatever you’re in the mood for.

11. Jive by We-Vibe ($119; $93.92 on Amazon)

Jive by We-Vibe

For a wearable, hands-free vibrator that delivers maximum G-spot sensation, We-Vibe’s Jive has you covered. Easy to manage, the Jive’s design prioritizes user comfort. Once it’s in place, you can deliver 10 modes of self-pleasure. Kick your fun up a notch because the Jive connects to a controllable app via Bluetooth, so you or a partner can control the toy from anywhere, and you can create custom vibes. It’s on the expensive side, and for any toy in a higher price range, Sweeney advised finding a cheaper version for testing before investing in the higher quality version.

12. Pulse III Solo by Hot Octopuss ($119)

Pulse III Solo by Hot Octopuss

Vibrators aren’t just for people with vaginas. The Pulse III Solo by Hot Octopuss brings hands-free vibration to those of you with a penis. It’s expensive, but this “guybrator,” as they call it, delivers oscillating stimulation backed by science to give you an orgasm without lifting a finger. You can adjust the Solo’s speed, and the expandable silicone wings wrap around comfortably for maximum sensation. In addition, Hot Octopuss’ research found that an erection isn’t required to use the Solo: “Tests have shown that used static, Pulse can lead to orgasm even while the user remains flaccid.”

13. Bi-Stronic Fusion by Fun Factory ($220)

Bi-Stronic Fusion by Fun Factory

Check out Fun Factory’s Bi-Stronic Fusion for hands-free penetration. It’s a multidimensional tool, providing thrusting, pulsing and vibrating all in one. Once inserted, it does the work for you. The Fusion is shaped to reach the G-spot and provide clitoral stimulation all at the same time, though some reviewers have said the toy’s larger size makes full insertion (required for the external vibrator to reach the clit) uncomfortable for some people. You can also test-drive the Fusion through 64 pulsation and vibration options.

14. Sex Machine by Humpus ($258)

Humpus Sex MachineHumpus, a U.K.-based company working to revolutionize hands-free pleasure, is nearly ready to release their Humpus sex machine. Made for any gender (or couple), the compact machine is worn around the waist with either a penetrative or sleeve attachment. With the click of a button, Humpus will do the stroking or thrusting, and you have the ability to adjust the speed or the attachment. They’re on the pricey side, and, according to a recent press release, the Humpus won’t be available until the holidays this year at the earliest.

15. Sex Chair by IntimateRider ($329)

IntimateRider Sex ChairDesigned by a person with C6-7 quadriplegia to add more choice to sexual movement, the IntimateRider chair smoothly glides to provide thrusting action. The seat of the chair is short so it doesn’t get in the way of the action, and its design makes it easy to transfer into and find the optimal position. IntimateRider swings into action with movement from your upper torso, or with assistance from your partner. You can also add a RiderMate ($169) or RiderMate Deluxe ($315) for additional positioning and support options for you and a partner.

Looking for some disability-inclusive sex positions? Check out our illustrated list

via Accessible Sex Toys for People With Disabilities or Chronic Pain | The Mighty

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[Abstract] Machine Learning for Brain Stroke: A Review

Machine Learning (ML) delivers an accurate and quick prediction outcome and it has become a powerful tool in health settings, offering personalized clinical care for stroke patients. An application of ML and Deep Learning in health care is growing however, some research areas do not catch enough attention for scientific investigation though there is real need of research. Therefore, the aim of this work is to classify state-of-arts on ML techniques for brain stroke into 4 categories based on their functionalities or similarity, and then review studies of each category systematically. A total of 39 studies were identified from the results of ScienceDirect web scientific database on ML for brain stroke from the year 2007 to 2019. Support Vector Machine (SVM) is obtained as optimal models in 10 studies for stroke problems. Besides, maximum studies are found in stroke diagnosis although number for stroke treatment is least thus, it identifies a research gap for further investigation. Similarly, CT images are a frequently used dataset in stroke. Finally SVM and Random Forests are efficient techniques used under each category. The present study showcases the contribution of various ML approaches applied to brain stroke.

via Machine Learning for Brain Stroke: A Review – ScienceDirect

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[BLOG POST] Trista McGovern’s Photo Series De-stigmatizes Disability and Sexuality – The Mighty

Dismantling What We’ve Been Told About Disability and Sexuality

 

I thought it was Just Fine. The ingrained issues with being ~born~ very different, as well as developing more or having chronic conditions.

I thought it didn’t matter because I knew myself, and nothing phases me. I had a sound mind and a calm heart; logic and grit have always propelled me.

But every now and then, it jumps out at me.

It reminds me how much I know it infected my roots, discolored my branches and stunted my growth.

Disability is the largest minority, and the only one that can suddenly become an attribute to anyone at any point in their life. But it seems to be the one talked about the least; sexuality being the least discussed topic.

I’ve seen both persons with disabilities and/or visible differences as either objects to examine or as tokens for inspiration, but never ~just~ as humans within the umbrella of sexuality. Not in movies, photos, shows or even in your general damn conversations.

It seeps in without having to ever be blatantly named or shown. The carbon monoxide of disability.

I knew it was an issue when I was younger and couldn’t speak even to join a conversation. I knew it was an issue when my “friend” groped me and I was too frozen to stop it. I knew it was an issue when I had no fear, yet tensing up or shaking from intimacy was involuntary. I knew it was an issue when a partner affectionally traced my scars and I didn’t realize I reacted with crying.

I knew it was an issue when I simply retold the notions the world gave me with a blank face, but it caused my friend to sob.

I can’t speak for everyone with disabilities and/or major differences, but I know of some who can relate. I know it’s up to every individual to figure things out for themselves and how they relate to those around them — but how are we supposed to put ourselves in the conversation when we’re left in the other room? How do we get/feel invited to the circle when we seem covered in red flags? How can we rectify the twisted connotation that disabled means nonsexual when you perpetuate it? How can we process our layers of trauma when we’re too busy putting you at ease? How do we put ourselves out there when people with disabilities are three times more likely to be assaulted than literally anyone else? How can we expect healthy relationships when you’ll either love us or fuck us but rarely both?

How could I have discussed attraction, desire, sexuality or literally intimately using my body when people have shouted, “What the fuck is that?” at me for just physically existing at a bus stop? How could I tell a crush I liked them after they cried because they felt bad for my condition? How could I tell you how I like it when you assume I completely don’t? How could I believe your generic compliment when yesterday a friend called me repulsive? How can I pretend it’s not still a problem when a stranger makes a video post mocking my old Tinder profile on the internet? How could I bring these things up when you give me that look on your face?

This is not about my personal gritty details, or my various private relationships.

I’ve already done the work. I’ve ripped off the bandaids. I’ve soothed the once debilitating hyperawareness of how I’m perceived and treated. I’ve dismantled the machine to rebuild it correctly and discarded the parts not useful to me. I’ve translated the twisted, ingrained language so I could decipher what’s real and what’s not. I’ve walked across the coals and consoled you for watching.

I thought it was fine to just keep my progress and life private. Because it is what it is, right? But it’s not just about my lifetime of invisible obstacles I hid under the rug.

It’s less about stepping in the light and more about pointing out the lion. It’s less about me and more about why you might feel uncomfortable right now.

It’s about people who look different. The people who have been “othered.” The people who are wrongly infantilized. The people who have felt broken or lacking. The people who might be the most insatiable queer sluts you’ve ever met but get silenced into amicable pals.

It’s for anyone subtly forced into the dark corners under the impression that they don’t belong and are definitley not welcomed.

It’ll always be an issue in some form, but like with all things, I’ll keep trying to unlearn for myself and to show up for others.

Fuck that, fuck you, fuck me.

Photography: Emma Wondra Photography @emmawondra 

Models: Brian Pepinski @browniethunder + Trista McGovern @tristamariemcg

Writing and concept: Trista McGovern @tristamariemcg

LEAD IMAGE CREDIT: EMMA WONDRA PHOTOGRAPHY

via Trista McGovern’s Photo Series De-stigmatizes Disability and Sexuality | The Mighty

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[Infographic] “get over it” – PTSD

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[Survey] Driving with an intracranial tumor

EAN Scientific Panel Neuro-oncology invites you to take part in their survey

https://www.surveymonkey.com/r/38MG6YR?embedded=1

Meningeomas and brain tumors may interfere with the ability to drive a vehicle in a number of ways. Seizures, cognitive impairment, motor dysfunction and visual field defects may all impair safe driving. Intracranial tumors are highly heterogenous, ranging from benign meningeomas that nevertheless may cause seizures, to high grade gliomas and brain metastasis. The clinician always considers seizure frequency, compliance and focal deficits when assessing the ability to drive for neurological patients. However, oncological prognosis, risk of recurrence and effects of treatment are factors unique to patients with intracranial tumors. These factors must be evaluated when deciding if or when a patient with a brain tumor or a meningeoma may drive. In addition, different medical professions may differ in awareness of the driving dilemma as well as in practice policy concerning this issue.

Clinical studies and reviews that address driving ability in patients with brain tumors are sparse. Most countries do not have national guidelines concerning this issue, and general as well as specific driving legislations vary between countries. In the absence of guidelines or legislation, most clinicians probably prohibit or allow driving on a case-by-case basis, or by adhering to legislation concerning epilepsy or neoplastic disease in general. The use of neuro-psychological evaluation or practical testing is unknown.

The EAN Scientific Panel of neuro-oncology wants to address this issue by performing a survey of national legislations and practice patterns among European neurologists. As a start, we aim to do a survey among the members of the Scientific Panels of Neuro-Oncology and Epilepsy.

The answers will be a guidance for whether there are inconsistences in clinical practice and reason to do a more extensive survey.

References

Thomas S1Mehta MPKuo JSIan Robins HKhuntia D. Current practices of driving restriction implementation for patients with brain tumors.
J Neurooncol.
 2011l;103(3):641-7. doi: 10.1007/s11060-010-0439-7.

Louie AV, D’Souza DP, Palma DA, Bauman GS, Lock M, Fisher B, Patil N, Rodrigues GB.

Fitness to drive in patients with brain tumours: the influence of mandatory reporting legislation on radiation oncologists in Canada.

Curr Oncol. 2012;19(3):e117-22. 

Chan E, Louie AV, Hanna M, Bauman GS, Fisher BJ, Palma DA, Rodrigues GB, Sathya A, D’Souza DP.

Multidisciplinary assessment of fitness to drive in brain tumour patients in southwestern Ontario: a grey matter.

Curr Oncol. 2013;20(1):e4-e12. doi: 10.3747/co.20.1198

Louie AV, Chan E, Hanna M, Bauman GS, Fisher BJ, Palma DA, Rodrigues GB, Warner A, D’Souza DP. Assessing fitness to drive in brain tumour patients: a grey matter of law, ethics, and medicine. Curr Oncol. 2013;20(2):90-6.

Mansur A1,2Desimone A2Vaughan S2Schweizer TA1,2,3Das S. To drive or not to drive, that is still the question: current challenges in driving recommendations for patients with brain tumours. J Neurooncol. 2018;137(2):379-385. doi: 10.1007/s11060-017-2727-y.

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