Physiotherapy management of nociplastic pain: A Delphi study of Italian specialists

Background and Purpose: Nociplastic pain due to central sensitization (CS) is common in people suffering from chronic pain, but no clinical practice guideline is available in rehabilitative settings for patients' management. The aim of this study is to achieve expert consensus on physiotherapy competencies in the management of people with nociplastic pain and suspected CS mechanisms. Methods: A web-based Delphi process was employed. Experts in the rehabilitation field were recruited following pre-defined eligibility criteria. Following completion of three Delphi rounds, the final list of competencies was generated. Results: In all, 23 participants were recruited. They all completed Round 1 (23/23, 100%), twenty Round 2 and Round 3 (20/23, 87%). Following Round 1, seven areas were identified by the panel as crucial for CS physiotherapy management; 19 competencies out of 40 reached the consensus between experts, and nine additional competencies were added to Round 2 following literary review. Round 2 identified the agreement for all the 29 competencies. During Round 3, all the experts confirmed the final list generated through the consensus process. Discussion: An agreement between experts was found for the final list of competencies that a physiotherapist should implement every time it approaches people with suspected CS mechanisms. Further research is needed to support the clinical utility of our findings and their applicability in daily practice

Perspectives of 2D and 3D mapping of atmospheric pollutants over urban areas by means of airborne DOAS spectrometers

tants, offering numerous advantages over conventional networks of in situ analysers. We propose some innovative solutions in the field of DOAS (Differential Optical Absorption Spectroscopy) remote systems, utilizing diffuse solar light as the radiation source. We examine the numerous potentialities of minor gas slant column calculations, applying the «off-axis» methodology for collecting the diffuse solar radiation. One of these particular approaches, using measurements along horizontal paths, has already been tested with the spectrometer installed on board the Geophysica aircraft during stratospheric flights up to altitudes of 20 km. The theoretical basis of these new measurement techniques using DOAS remote sensing systems are delineated to assess whether low altitude flights can provide 2D and 3D pollution tomography over metropolitan areas. The 2D or 3D trace gas total column mapping could be used to investigate: i) transport and dispersion phenomena of air pollution, ii) photochemical process rates, iii) gas plume tomography, iv) minor gas vertical profiles into the Planetary Boundary Layer and v) minor gas flux divergence over a large area

Sale operatorie. Studio dei fenomeni di inquinamento fisico, chimico e microbiologico

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Perspectives of 2D and 3D mapping of atmospheric pollutants over urban areas by means of airborne DOAS spectrometers

tants, offering numerous advantages over conventional networks of in situ analysers. We propose some innovative solutions in the field of DOAS (Differential Optical Absorption Spectroscopy) remote systems, utilizing diffuse solar light as the radiation source. We examine the numerous potentialities of minor gas slant column calculations, applying the «off-axis» methodology for collecting the diffuse solar radiation. One of these particular approaches, using measurements along horizontal paths, has already been tested with the spectrometer installed on board the Geophysica aircraft during stratospheric flights up to altitudes of 20 km. The theoretical basis of these new measurement techniques using DOAS remote sensing systems are delineated to assess whether low altitude flights can provide 2D and 3D pollution tomography over metropolitan areas. The 2D or 3D trace gas total column mapping could be used to investigate: i) transport and dispersion phenomena of air pollution, ii) photochemical process rates, iii) gas plume tomography, iv) minor gas vertical profiles into the Planetary Boundary Layer and v) minor gas flux divergence over a large area