Locked Doors Research Articles

"My life isn't my life, it's the systems": A qualitative exploration of women's experiences of day-to-day restrictive practices as inpatients.

WHAT IS KNOWN ON THE SUBJECT?: Sometimes someone needs to be in hospital because they are struggling with their mental health and need some extra support but being in hospital can also be a difficult experience. There are a lot of restrictions in place in hospital, like locked doors, rules to follow and not much choice about what happens to you. Other research has found that these restrictions can feel difficult and stressful for people and so more research is needed about this. We wanted to know what being in hospital felt like for women in particular. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: We interviewed women who were in hospital because of their mental health about what it was like for them in hospital. The women told us that they felt powerless while they were in hospital. They sometimes felt like they were being punished and this could affect their mood and could lead to them hurting themselves. They also said that they were not always listened to by staff, and they found it difficult being away from their family and friends while they were in hospital. The women also told us that being in hospital could sometimes help them to feel safe. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Women should be looked after in hospital in a way that helps them to feel in control of what happens to them. They should be supported to be able to go outside the hospital on leave, to keep in touch with their family and friends, and they should be listened to by staff. A project called "safewards" has suggested some ways for helping to make hospital wards safer. They have suggested that everyone should be clear about what the rules are when they go into hospital and ways that staff could communicate more clearly with the people they are working with. Our research supports using these techniques. ABSTRACT: Introduction Inpatient care often involves restrictive interventions such as seclusion and restraint and restrictive practices that limit the person's freedom, rights and daily activities. Restrictive practice has not been the explicit focus in previous research; however, it often appears as an important theme, with participants identifying it can have a detrimental effect on their well-being. More research specifically on this topic in an inpatient setting is, therefore, needed. Women might be particularly vulnerable to adverse effects of restrictive practices compared to men as women generally occupy less powerful positions in society and more often experience abuse. Aims The study aimed to explore women's experiences of routine restrictive practices in mental health inpatient settings. Methods Twenty-two women who were currently inpatients on mental health wards were interviewed about their experiences of restrictive practices in hospital. Interviews were analysed using thematic analysis. Results An overarching theme emerged of powerlessness. Four key sub-themes were also identified: restrictions perceived as punitive, having no voice, impact of restrictions on relationships and restrictions providing safety and support. Discussion Although restrictive practices were found to provide the women with a sense of safety, they were also found to impact upon the women's well-being, leading to increases in self-harm and over-reliance on restrictions. Implications for practice This research highlights the importance of gender-informed inpatient services for women that foster independence, empowerment and allow women to have their voices heard. Safewards interventions such as clear mutual expectations and soft words could contribute to mitigating the impact of restrictive practices.

Secret Rooms, Locked Doors and Hidden Stories: Retelling “Bluebeard” as a Holocaust Narrative in Michèle Roberts’s "Ignorance"

One of the most grisly European fairy tales, “Bluebeard” is also a story that has proved immensely productive, spawning numerous variants, adaptations and rewritings. This essay offers a reading of Michèle Roberts’s Ignorance (2012) as one such retelling. Roberts employs “Bluebeard” to construct a story that utilises the format of a dual coming-of-age novel but is gradually revealed as a Holocaust narrative. Set in a provincial town in Vichy France, Ignorance makes repeated use of “Bluebeard” motifs to explore the complicity of individuals in Nazi crimes against their Jewish neighbours. Featuring secret rooms, forbidden chambers, locked doors and embedded narratives, the novel tells the story of Jeanne Nérin as she comes to terms with her Jewish identity and accepts her responsibilities as a Holocaust survivor. This account is complemented by several other stories, the most important of which is that of Jeanne’s childhood companion, Marie-Angèle, whose Bildung ends in emotional and ethical failure. Fascinated with the life of bourgeois comfort and respectability, Marie-Angèle embraces what Nancy Tuana describes as “wilful ignorance,” and becomes increasingly complicit in the acts of injustice, exploitation and crime she witnesses.

A Prototype Design of Smart Quranic Garden System using ATmega328 and ESP8266 Microcontrollers

Medicinal plants are one of the leading plants cultivated by farmers in Parongpong District, West Bandung Regency. There are so many benefits of medicinal plants, especially the bidara plant which is the main commodity of a farmer group called the Quran Garden Foundation. The vision of this bidara cultivation is in addition to a health function, as well as an effort to implement the sunnah in Islam. Therefore, the authors initiated the Smart Quranic Garden System prototype which is based on green house system automation technology and Internet of Things (IoT) based security using the ATmega328 and ESP8266 microcontrollers. This research was conducted using experimental methods, namely design and testing. The system built on this prototype includes watering, weather and security. Based on the test results, the pump on the watering system works when the soil moisture sensor detects soil moisture at an ADC value of more than or equal to 700. Whereas in the weather system, the heater will work when DHT11 detects a temperature below 25oC and the blower will work when a temperature is detected above 30oC. . The security system also responds according to the program that is set, namely the relay for the solenoid lock door will open only when the password is correct and the virtual button on Blynk is pressed. It is hoped that the system in this prototype can be implemented so that the growth height of the bidara plant in Parongpong district can be optimized.

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

BackgroundThere is an increasing trend of door locking practices in acute psychiatric care. The aim of the present study was to illuminate the symbolic dimensions of doors in Greek mental health nurses’ experiences of open and locked working spaces.ResultsA sequential mixed-method designexplored the experiences of nurses working in both open and locked psychiatric acute care units. Participants experiences revealed four types of doors related to the quality of recovery-oriented care: (a) the open door, (b) the invisible door, (c) the restraining door, and (d) the revolving door. Open doors and permeable spacesgenerated trust and facilitated the diffusion of tension and the necessary perception of feeling safe in order to be involved in therapeutic engagement. When the locked unit was experienced as a caring environment, the locked doors appeared to be “invisible”. The restraining doors symbolized loss of control, social distance and stigma echoing the consequences of restrictingpeople’s crucial control over spaceduring the COVID-19 pandemicin relation toviolence within families, groups and communities. The revolving door (service users’ abscondence/re-admission) symbolised the rejection of the offered therapeutic environment and was a source of indignation and compassion fatigue in both open and locked spaces attributed to internal structural acute care characteristics (limited staffing levels, support, resources and activities for service users) as well as ‘locked doors’ in the community (limited or no care continuity and stigma).ConclusionsThe impact of COVID-19 restrictions on people’s crucial control of space provides an impetus for erecting barriers masked by the veil of habit and reconsidering the impact of the simple act of leaving the door open/locked to allow both psychiatric acute care unit staff and service users to reach their potential.

Образ открытых дверей в романе Ф.М. Достоевского «Преступление и наказание»

The article is devoted to the image of open doors, clearly present in the structure of Dostoevsky’s novel Crime and Punishment. This image indicates the author’s main intent, connected with the theme of resurrection. Being the boundary separating the external (real) and internal (metaphysical) worlds, the open door symbolizes the transition of the characters from one spiritual state to another. The material aspect of the image is also underlined: depending on the character’s inner state, the door may be unlocked wide open, ajar, locked with a hook, or tightly closed. In various episodes and scenes, these indications (as the intensity of the knocking on the locked door) are introduced into the text not accidentally, but to emphasize the dramatic nature of the action. The doors open to the characters at the highest points of the narrative, when they find themselves faced with a fateful choice, or when they become guides of higher meaning and are able to show the way from moral ruin to Resurrection. For example, Raskolnikov, the protagonist, overcoming all stages of moral torment, from being “off the hook” to the painful closure in himself and the timid hope of salvation, symbolizes Christ’s open gate, through which the other characters pass. Sonya Marmeladova performs the same function in the novel. After going through great suffering, she finds herself and becomes a spiritual example to others.

IoT Based Secure Lock/Unlock System Using Google Assistant Based English And French Languages

The user can utilise the voice acknowledgement in making it more straightforward for individuals with inabilities to get to entryway frameworks and give better security to lives and properties. In this paper, the advancement of the technology is used for opening any locking system. We are implementing this type of module where it can be of low cost, and even physically disabled persons can open the door without any assistance. The Blynk app and a Wi-Fi module can access the system by giving the input and output as a voice recognition speech command. Hence, in this paper, any person can just use google assistant from their smartphone to lock or unlock a secure system with just two controls, i.e., "Ok Google Lock Door one", "Ok Google Unlock Door one". This Project works seamlessly for three locks in one system that can be operated separately using only one main microcontroller, i.e., Node-MCU ESP8266, and relays drivers so that our Project can be quickly developed and deployed. The applications of this Project is endless as technology constantly evolves. Suppose the user is connected with the internet and operated using Google Assistant. In that case, the lock is operated only from one account, making it secure and available to all who use smartphones and have a google account. Even for people who are blind, this can be an excellent way to lock and unlock their resources just with their voice. Anyone can utilise this Project from their convenience, making it the easiest way for anyone to lock/unlock just by two words, i.e., "Ok Google Lock Door."

Marital Realism: Beauty and Pettiness inMiddlemarch

Marital Realism: Beauty and Pettiness in<i>Middlemarch</i>

Detained during a Pandemic: Human Rights behind Locked Doors

Every year, thousands of people are detained in United States immigration detention centers. Built to prison specifications and often run by private companies, these detention centers have long been criticized by academics and advocacy groups. Problems such as overcrowding and lack of access to basic healthcare and legal representation have plagued individuals in detention centers for years. These failings have been illuminated by the COVID-19 pandemic, which has disproportionately impacted detained migrants. Against a human rights backdrop, this article will examine how the U.S. immigration detention system has proven even more problematic in the context of the pandemic and offer insights to help avoid similar outcomes in the future.

A remote foaming experiment

The 2019 pandemic locked lab doors to students and guest colleagues, with an impoverishment for all. Inspired by the 2015 work on "cloud chemistry" at the University of Nottingham, we designed an experimental facility to go beyond doors and boundaries (Skilton et al., 2015). On December 16th, 2020, an entire class of grad students virtually entered the foamlab of the University of Naples Federico II and remotely performed a plastic foaming experiment. The autoclave design, the plastic granules-handling robot, the process control and the vision acquisition system were all engineered to allow easy control by inexperienced operators and to guarantee safety to the local instructor. The digitalization of the foaming process is an exhaustive and modern pedagogical activity whereby chemical engineering and materials science and engineering students test their knowledge of transport phenomena, thermodynamics and process control. Students' response was enthusiastic: each of them felt at the centre of the active learning process.

Dying in the Margins: A Literature Review on End of Life in English Prisons

This paper explores dying in English prisons. Whilst often conflated, death and dying are conceptually different. While there is increased attention given to the investigation of deaths in custody, and the impact of prison deaths on healthcare staff and custodial staff, little attention has been paid to the experience of dying people themselves. Post-death investigations tell us little about dying experiences of the dying. This paper reviewed the literature on dying in English prisons and highlights this clear gap in knowledge. Four types of dying will be discussed in this paper: (1) suicide, (2) dying in older age, (3) deaths post-release, and (4) COVID-19 deaths. The importance of providing good end-of-life care and palliative care in prison is acknowledged in the literature, but this only shows awareness of the needs of a particular part of the prison population. To understand the complexities and nuances of dying in prison, all voices need to be included in research, otherwise what is left post-death of a person who died in prison is a Fatal Incidence Report. More empirical research is needed to illuminate the diversity of prison deaths and the lived reality of those dying behind locked doors.

Procedural generation of dungeons’ maps and locked-door missions through an evolutionary algorithm validated with players

The present research introduces an evolutionary algorithm able to procedurally generate dungeon maps containing locked door missions. The evolutionary algorithm evolves a tree structure, which encodes dungeons, aiming to generate levels close to the input configuration provided by a game designer. The tree structure holds information about the number of rooms, connections between them, and their position within a 2D map. The proposed encoding also allows evolving semantic information about the narrative of the game. This is done by feasibly setting keys and locks throughout the dungeons for locked door missions. The generated dungeons are then evaluated computationally and as a proof of concept using an adventure game prototype. A total of 70 players evaluated the contents and the results show that the procedurally generated levels are perceived as more human-made, fun, and difficult than their human-made counterparts for most cases.

From open to locked doors - From dependent to independent: Patient narratives of participation in their rehabilitation processes.

The present study aimed to explore patients' experiences of participating in their rehabilitation process in the context of specialised rehabilitation in Norway. The rights of patients to participate in their care and treatment is an ideology that underlines newer international and Norwegian public documents. However, there is a gap between policy statements and clinical practice, and a discrepancy between patients' and professionals' statements about patient participation in rehabilitation. A qualitative approach with a narrative design. Eleven patients were individually interviewed to tell their stories about the rehabilitation processes. We utilised narrative analysis with a three-dimensional space narrative structure including temporality, sociality and spatiality. This study followed the COREQ checklist. The analysis identified two throughout plots: 'person-centred culture' and 'time', and three plots which constructed how the patients participate in change through the rehabilitation process: (a) dependent-'open doors'; (b) motivation from within; and (c) independence-'locked doors'. Patient participation in rehabilitation was dependent on person-centred cultures in the unit and on different aspects of time. The dialogue and the power balance between the patients and the health personnel changed as the rehabilitation progressed. Motivation for rehabilitation had to come from within patients. The paternalistic ideology did not seem to dominate the specialised rehabilitation unit in the present study. This study gives new insight into how patients participate in change in the rehabilitation process. This can be valuable for healthcare professionals and governments. Insight into how the lack of person-centred focus can harm the rehabilitation process, and a deeper understanding of the meaning of time in the rehabilitation process is essential. These results may provide a stimulus for discussions on how patients might participate in their rehabilitation process.

How Covid Flipped the Classroom: Learning from the Next Generation of Gerontologists

Covid laid bare the structural inequities and systemic challenges facing LTC, both in terms of risk and neglect. Lost in the daily tally of new cases and mortality rates are the stories of essential workers who have neither degree nor stature in the field, yet who fulfill an awesome responsibility—caring for older adults no longer visible behind locked doors. Suddenly, these full-time students and part-time workers found themselves employed in one of the most dangerous occupations in the country—providing direct care in nursing homes and assisted living communities. This award lecture highlights their voices and lessons learned.

Locked versus open ward environments and restrictive measures in acute psychiatry in Greece: Nursing students' attitudes and experiences.

To examine student nurses' attitudes and experiences of door policies and restrictive measures in acute psychiatric care. A mixed-method study with 274 third-year students. Participants' attitudes towards door locking and other containment measures appeared to be more a matter of custom, practice and tradition at particular units. The therapeutic benefits of open doors was the central organizing element in open units experiences while locked doors appeared to be "invisible" when the locked unit was perceived as a caring environment. Exploring student nurses' attitudes towards crucial and debatable aspects of mental health practice contributes in cultivating a critical and analytical attitude towards the service they provide necessary for supporting a recovery mental health model and building a strong professional identity.

Inzulinová rezistence, hyperglykemie a proteinový katabolismus u kriticky nemocných: hledání klíčů k uzamčeným dveřím

Inzulinová rezistence je u kriticky nemocných uniformní reakcí. Jejími průvodními jevy jsou hyperglykemie a proteinový katabolismus, jež jsou všeobecně spojovány s negativními dopady na organismus. Dosavadní snahy o ovlivnění inzulinové rezistence byly u kriticky nemocných neúčinné. Cílem této práce je podat přehled současného stavu poznání o příčinách, projevech a zdravotních dopadech inzulinové rezistence u kriticky nemocných a o současných možnostech ovlivnění katabolických procesů.

Management of Symptomatic Osteochondritis Dissecans of the Knee

AbstractOsteochondritis dissecans (OCD) is a focal lesion of the subchondral bone that can result in fragmentation, instability, and if untreated, loose body formation with progression to early degenerative changes. Particularly in adolescent male athletes, OCD of the knee is a common source of pain, effusion, and mechanical symptoms with sporting activities. Conservative treatment of athletes with OCD of the knee can entail several months of activity modification and non–weight-bearing restrictions, with varying degrees of healing and return to activity. For unstable OCD lesions not amenable to conservative treatment, previous studies have shown excellent outcomes in patients undergoing osteochondral fixation, with hardware placement and technique being critical determinants of patient outcomes. This infographic reviews the presentation and description of different types of OCD lesions, prognostic factors, surgical indications, and considerations for determining the optimal treatment algorithm. With unstable lesions showing either a “locked door” or “trapdoor” at the time of arthroscopy, subchondral bone preparation and arthroscopic-assisted or open fixation with dual-pitch metal or bio-composite screws can be successful in 67% to 100% of cases. Nonviable or chronically displaced lesions may undergo abrasion chondroplasty, marrow stimulation, or preferably, secondary cartilage restoration.

The Automatic Door Lock to Enhance Security in RFID System

This paper presents an automatic door lock as the classroom security system in the Electrical Engineering Department. This system use the ID Card (RFID) as the security key that connect to the server. ID Card as the input to trigger the microcontroller and send the data processing to the server. The server will give the instruction to the microcontroller as the input to the magnetic lock door. The aims of this study are to keep the security of the classroom based on arduino mega and verify the effectiveness of the classroom security door. The research method of this study are study of literature review, designing of the device and testing the system. The result show that the RFID card of classroom security door in Politeknik Negeri Sriwijaya based on arduino mega help the lectures improve the security, comfortability and the analysis descriptively found that the device can run effectively.

Preventing Suicide among Psychiatric Inpatients with Psychotic Depression.

To investigate which factors individuals with a psychotic depression experience as preventive of suicide while beeing hospitalized. Semi-structured qualitative interviews with nine inpatients, all hospitalized for a unipolar or bipolar depressive episode with psychosis, were conducted at time of discharge. For analysis we used systematic text condensation. Main outcomes were accounts of participants' experiences of suicide prevention measures and treatment, and how these affected suicidal ideation, plans, and attempts. Participants experienced (1) suicide attempts being physically interrupted or prevented; (2) receiving medical treatment to alleviate unbearable suffering; (3) finding refuge behind locked doors; (4) receiving guidance to redefine their identity and situation. They reported being protected from suicidal impulses and imagined persecutors in a secure environment with staff present. They described their autonomy as compromised by intense suffering and chaos. They retrospectively appreciated staff interventions, if these were performed compassionately and with empathy. Participants described that suicidal thoughts and actions were triggered by terrifying psychotic experiences, anxiety and sleeplessness, and felt that medication - and in one instance electroconvulsive therapy- alleviated suffering. At time of discharge, participants reported no psychotically motivated suicidal thoughts. They described a new, insightful self-view and acknowledged having been severely mentally ill. To prevent impulsive suicidal behavior, findings highlight the need for both security measures and a treatment approach focusing on modifying psychotic experiences and intense anxiety. Gaining anxious and paranoid patients' trust is essential to build motivation for medical treatment. Patients emphasize that having time to talk is crucial to this process.

My Locker : Loaning Locker System Based on QR Code

Locker is a place that people usually use to keep things. Commonly, lockers are found in campus hall, tourist site, or other public places. Lockers that we face in a daily activities usually still using a conventional keys that we can’t guarantee the security of it. The focus of this research is on online locker rental system that can be accessed through android smartphone and MyLocker application by scanning the QR code. Within this system, occurred website that can be used to see the filled locker or the unfilled locker and there’s admin page, to see the summary of data user and the agreement of top up request. The devices component that we used are NodeMCU, Relay, solenoid door lock and magnetic door switch. From the result of the test that done by system worked so well and delayed that we achieved while we did the QR code reading experiment with of lux, gap, and gradient slope with optimal condition is 1.45 seconds.

Austen Riggs Center: At the Intersection of Psychoanalysis, Psychiatry, and Social Sciences

Austen Riggs Center: At the Intersection of Psychoanalysis, Psychiatry, and Social Sciences