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Advancing Human-Robot Interactions in Healthcare

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When he isn’t investigating human motor control, the graduate student gives back by volunteering with programs that helped him grow as a researcher in the field of human-robot interactions in healthcare.

An accomplished MIT student researcher in health care robotics with many scholarship and fellowship awards, A. Michael West is nonchalant about how he chose his path.

Efficient and safe human-robot interaction is particularly important in clinical settings. Image credit: Olga Guryanova via Unsplash, free license

“I kind of fell into it,” the mechanical engineering PhD candidate says, adding that growing up in suburban California, he was social, athletic — and good at math. “I had the classic choice: You can be a doctor, a lawyer, or an engineer.”

Having witnessed his mother’s grueling residency when she was training to be a doctor and feeling like he didn’t enjoy reading and writing enough to be a lawyer, “That left engineer,” he says.

Luckily, he enjoyed physics in high school because, he says, “it gave meaning to the numbers we were learning in mathematics,” and later on, his major in mechanical engineering at Yale University agreed with him.

“I definitely stuck with it,” West says. “I liked what I was learning.”

Digital transformation in medicine – artistic impression. Image credit: geralt via Pixabay, free license

As a rising senior at Yale, West was selected to participate in the MIT Summer Research Program (MSRP). The program identifies talented undergraduates to spend a summer on MIT’s campus, conducting research with the mentorship of MIT faculty, postdocs, and graduate students to prepare program participants for graduate study.

For West, MSRP was an education in what “exactly grad school was, especially what it would be like at MIT.”

It was also, and most importantly, a source of validation that West could succeed in the higher levels of academia.

“It gave me the confidence to apply to top grad schools, to know that I could actually contribute here and be successful,” West says. “It very much gave me the confidence to walk into a room and approach people who obviously know way more than I do about certain topics.”

Engineers work with medical robotic equipment – illustrative photo. Image credit: ThisisEngineering RAEng via Unsplash, free license

With MSRP, West also found a community and made enduring friendships, he says. “It’s nice to be in spaces where you get to see a lot of minorities in science, which MSRP was,” he says.

Having benefited from the MSRP experience, West gave back once he enrolled at MIT by working as an MRSP group leader for two summers. “You can create this same experience for people after you,” he says.

His involvement as a leader and mentor in MSRP is just one way West has sought to give back. As an undergraduate, for example, he served as president of his school’s National Society of Black Engineers chapter, and at MIT, he has served as treasurer for the Black Graduate Student Association and the Academy of Courageous Minority Engineers.

“Maybe it’s just a familial thing,” West says, “but being a Black American, my parents raised me in a way that you always remember where you come from, you remember what your ancestors went through.”

West’s current research — with Neville Hogan, the Sun Jae Professor in Mechanical Engineering, in the Eric P. and Evelyn E. Newton Laboratory for Biomechanics and Human Rehabilitation — is also aimed at helping others, especially those who have suffered orthopedic or neurological injury.

“I’m trying to understand how humans control and manage their movement from a mathematical standpoint,” he says. “If you have a way of quantifying the movement, then you can measure it better and implement that to robotics, to make better devices to help in rehabilitation.”

In 2022, West was chosen to be an MIT-Takeda fellow. The MIT-Takeda Program, a collaboration between MIT’s School of Engineering and Takeda Pharmaceuticals Company, primarily promotes the application of artificial intelligence to benefit human health. As a Takeda Fellow, West has studied the ability of the human hand to manipulate objects and tools.

West says the Takeda Fellowship gave him time to focus on his research, the funding allowing him to forgo working as a teaching assistant. Although he loves teaching and hopes to secure a tenure-track position as a professor after earning his PhD, he says the time commitment associated with being a teaching assistant is significant. In the third year of his PhD, West devoted about 20 hours a week to a teaching position.

“Having a lot of time to do research is great,” he says. “Learning what you need to learn about and doing the research gets you to the next step.”

In fact, the type of research that West conducts is especially time-intensive. This is at least partly because human motor control involves much automatic, subconscious activity that is predictably difficult to understand.

“How do people control these complex, subconscious systems? Understanding that is a slow-going process. A lot of the findings build on each other. You have to have a solid understanding of what is known, what is a working hypothesis, what is testable, what is not testable, and how to bring the non-testable to testable,” West says, adding, “We won’t understand how humans control movement in my lifetime.”

To make progress, West says he has to carefully proceed one step at a time.

“What are the small questions I can ask? What are the questions that have already been asked, and how can we build upon those? That’s when the task becomes less daunting,” he says.

In September, West will begin a fellowship with the MIT and Accenture Convergence Initiative for Industry and Technology. Hoping to encourage and facilitate interaction between technology and industry, the corporation selects five MIT-Accenture fellows each year.

“What they’re looking for is someone whose research is translational, that can have impacts in industry,” West says. “It’s promising that they’re interested in the basic, fundamental research I’m doing. I haven’t worked on the translational side yet. It’s something I’d like to get into after graduation.”

While earning prestigious fellowships and advancing human-robot interactions in health care, West is still very much the laid-back guy who “fell into” engineering. He finds time to meet with friends on the weekends, took up rugby as a graduate student, and has a long-distance relationship with his fiancée, with a wedding date set for next summer.

Asked how he will counsel his future students when they approach complicated work, he has a predictably relaxed response.

“Don’t be afraid to ask for help. There’s always going to be someone who’s better at something than you are, and that’s a good thing. If there weren’t, life would be a little boring.”

Written by  Michaela Jarvis

Source: Massachusetts Institute of Technology

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Health & Society

Female circumcision in Russia – exists and is not punished

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Every year, millions of women and girls in the world are subjected to the procedure “female circumcision.” In the process of this dangerous practice, women have part or all of their external genitalia removed. Among the victims are also residents of the North Caucasian republics of Russia, and the Russian authorities do not punish the execution of the violent procedure.

How this violent religious-ritual tradition exists in modern Russia, do the authorities and the clergy try to fight it – reveals the Russian publication of Verstka.

What is “female circumcision”

Female circumcision is a procedure that is accompanied by either trauma or partial or complete amputation of the external genitalia. As a result of the procedure, sensitivity is reduced and the woman may lose the ability to have an orgasm.

Not for medical reasons

The procedure is not performed for medical reasons, but for ritual or religious reasons to suppress female sexuality. That is why in the international medical community this term is not used, but is called “female genital mutilation operations”. International law considers them an attack on the health of women and girls, a form of violence and discrimination.

Victims

Victims of female circumcision are girls up to the age of 15. According to data from the World Health Organization (WHO), in 2024, more than 230 million women in the world suffered from such operations. They are mostly carried out in African, Asian, Latin American and Middle Eastern countries. But there are also victims of female circumcision in Russia among the residents of the North Caucasian republics – Dagestan, Ingushetia and Chechnya.

Injuries

The procedure has serious negative consequences for women’s health – from serious injuries to death due to blood loss. In addition to physical trauma and the shock of pain, female circumcision disrupts the natural functioning of the body. Women and girls may suffer from infections, their genitourinary system may be damaged, they may experience pain during sexual intercourse, menstrual disorders may occur, and the risk of complications during childbirth and death of the mother and the newborn increases by 50%.

Why do they do it?

The “necessity” of such operations is justified by honoring traditions or religious motives. In some cultures, it is part of the rite of female initiation or entry into adult life. Female circumcision is often associated with Islam, including in the Russian Federation.

Prevents lust

In the words of Dagestan journalist Zakir Magomedov, “in the local religious press, which is issued by the official clergy, articles are published in which it is written that female circumcision has a beneficial effect on a woman and protects her from lustful thoughts and desires, and is even beneficial for a woman.”

Female circumcision is performed by people without medical training, and old pocket knives or cattle shears are used as tools.

Control over female sexuality

In almost all cases, the purpose of the procedure is defined as control over female sexuality: “not to be hoika”, “not to freak out”. The official clergy of Dagestan include female circumcision in religious duties, although it is not mentioned in the Koran. Some Muslims, in addition to the Koran, are also guided by the Sunnah – traditions from the life of the Prophet Muhammad and statements of authoritative religious figures. Therefore, in some cases, female circumcision among Muslims can be interpreted as permissible, desirable and even mandatory.

Officially, the Russian authorities are against it

“All women should be circumcised so that there is no debauchery on Earth, to reduce sexuality”, this is how the head of the Coordination Council of Muslims of the North Caucasus, Ismail Berdiev, reacted to the revelations of the “Legal Initiative” organization in 2016, which confirmed the existence of practice. Later, Berdiev clarified that “he did not call for female circumcision”, but only spoke about the “problem of debauchery”, with which “something must be done”.

The Russian Ministry of Health condemns the procedure, and the prosecutor’s office of Dagestan conducts an investigation and finds no confirmation of the facts presented in the report of “Legal Initiative.”

The deputy of the State Duma from “United Russia” Maria Maksakova-Igenbergs proposes to introduce the concept of “women’s discrimination on religious grounds” into the Penal Code, and that the punishment for “female circumcision” be 10 years in prison. The Ministry of Justice of Russia does not support Maksakova’s initiative, clarifying that the procedure falls under the Criminal Code of the Russian Federation, and more precisely under the paragraphs on “deliberately causing severe, medium and light harm to health, as well as causing harm to carelessness.”

North Caucasus

According to the “Legal Initiative” organization, in the middle of the last decade in Dagestan, at least 1,240 girls were subjected to the procedure annually. The majority of the men surveyed were categorically against the ban on female circumcision, explaining their motive not only with Islam, but also with local traditions and the desire to control the morality of women. Part of the respondents expressed an opinion against the procedure, arguing that the lack of sensitivity in women lowers the quality of sex in men as well.

And in Moscow

In 2018 one of the Moscow medical clinics announces the service of “female circumcision” for ritual and religious reasons for girls from 5 to 12 years old. On the clinic’s website, it was noted that “the operation should be performed not at home, but in a medical clinic.” After a wide public response, the clinic removed the information from its website, but an investigation was carried out, which found the existence of the procedure and other violations. A warning has been issued and the clinic is still open!

First conviction without penalty

Despite the fact that in its second report the organization “Legal Initiative” notes the disappearance of the practice in Chechnya and Ingushetia, the inhabitants of these regions remain in danger. In the spring of 2020, the father of a 9-year-old girl invited him to Magas (the capital of Ingushetia) for a visit and took him to a vaccine clinic. There, female circumcision was forcibly performed on the child. The value of the “service” is 2000 rubles. The little girl, in her bloodstained dress, was then put on a bus back to Chechnya, where she was hospitalized for severe blood loss. The father explains his motive as follows: “So that he doesn’t get excited.”

A criminal case has been opened against the gynecologist who performed the circumcision for intentionally causing minor harm to health. The case has been going on for a year and a half. The judge called on the parties to reconcile, adding that “the girl cannot be helped anyway”. In the end, the doctor was found guilty and fined 30,000 rubles, but was released from serving the sentence due to the statute of limitations. No criminal proceedings have been initiated against the clinic.

In the same year, the mufti of Dagestan issued a fatwa and recognized the removal of the external genitalia as forbidden in Islam, but clarified that “female circumcision” meant only hudectomy — the removal of the foreskin of the clitoris. This is also a crippling procedure, human rights defenders insist.

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Four executed for producing illegal alcohol in Iran

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Iranian authorities have executed end of October four people convicted of selling illegal alcohol, which poisoned and killed 17 people last year. More than 190 people who consumed the dangerous drink were hospitalized.

The death sentence against the accused in the case was carried out in the Karaj Central Jail.

According to human rights organizations including Amnesty International, Iran carries out the highest number of executions per year after China.

After the Islamic Revolution in 1979, Tehran banned the production and consumption of alcoholic beverages. Since then, the sale of illegal alcohol on the black market has flourished, leading to mass poisonings. The latest case, reported by Iranian media, has killed around 40 people in northern Iran in recent months.

Only Iran’s recognized Christian minorities, such as the country’s Armenian community, are allowed to produce and consume alcohol, but discreetly and only at home.

Illustrative Photo by Amanda Brady: https://www.pexels.com/photo/elegant-champagne-coupes-in-sunlit-setting-29157921/

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What is food neophobia – the fear of trying new dishes

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Everyone has heard of anorexia and bulimia. But these eating disorders are far from the only ones.

There are people around the world who can only eat certain colored foods. Still others are addicted to water. About 5% of women between the ages of 15 and 35 are affected by some type of eating disorder. Among them are those with neophobia – the inability to try a new type of food. This problem sometimes also affects young children. For them, experts advise parents not to force them, but to explain to them the benefits of a given product. It is also an option to put them on the table in the company of other children who will set a good example.

Neophobia usually disappears around the age of 6. For some people, however, it remains a problem for much longer.

A possible explanation for this condition could be something happening in the person’s life – like choking on food, for example. As a result, a person may begin to avoid a certain type of food and thus give his phobia a “field of expression”.

The reasons for neophobia may lie not only in the psyche, but also in physical features. This disorder is genetically transmitted.

Illustrative Photo by Chan Walrus: https://www.pexels.com/photo/white-and-brown-cooked-dish-on-white-ceramic-bowls-958545/

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