Multimedia digital solutions from image and range based models for ancient landscapes communication

The paper presents the results of an interdisciplinary project which aimed at the dissemination of some archaeological remains producing multimedia contents from multisensor surveyed 3D data. The scope of this application pertained to the use of 3D detailed models as a base for some video-installations with the aim to arouse the visitors’ emotions and improve their museum experience. This work has been applied to the Arch of Augustus located in the archaeological site of Susa and to two ancient Roman marble statues, found in the city of Susa in 1802 and now displayed in the Archaeological Museum of Turin. The Arch of Augustus is in a remarkable state of conservation. Its decorated frieze tells about the peace between the Romans and the Celts but it is difficult to see for visitors at the ground level. A multisensor 3D survey, by means of laser scanning technique and photogrammetric method, made it possible to process a detailed 3D textured model, which provided the base for the creation of a life-size model to be placed in the Museum of Susa on which a designed didactic video map is projected, which explains the meaning of the frieze. The two statues, known as ‘busti loricati di Susa’ and representing two Roman emperors, were surveyed with a photogrammetric method with the aim of processing two 3D models representing the statues before the 19th century restoration, on the basis of archival sources. These models provided the base for a video installation for the museum which simulates a holographic projection and explains the different armour parts highlighting them in sequence. Nowadays modern metric survey technologies allow us to collect and process very detailed 3D models able to satisfy a wide variety of applications field, from specialized representation to didactic final uses in museums exhibitions

Evaluating Patient Engagement and User Experience of a Positive Technology Intervention: The H-CIM Case

The present chapter will provide an example of an intervention evaluation from the joint viewpoints of patient engagement and user experience. The authors evaluated H-CIM, a technological platform for the intelligent monitoring of physiological data of elderly patients performing physiotherapy exercises. Descriptive quantitative measures, behavioral observation, and qualitative interviews are integrated to evaluate H-CIM ability in (1) guaranteeing a positive experience to its users and (2) supporting them in advancing through a patient engagement development. This contribution would constitute a practical example of how these fundamental factors should be considered and evaluated when implementing positive technology for healthcare

Compositional and microstructural characterization of Celtic silver coins from northern Italy using neutron diffraction analysis

Abstract The silver coinage of Celtic tribes settled in northern Italy (IV–I century B.C.) is a topic characterized by several issues, such as chronology, attributions and relationships between emissions produced in different periods. In order to provide numismatists with new data, several specimens, belonging to different typologies, have been analysed with neutron diffraction technique to overcome surface alteration and to provide bulky compositional and structural information of the coins. Measurements performed with the INES diffractometer at the ISIS facility provided essential data for numismatics research. A clear silver debasement occurring between the first and latter emissions has been traced, due to inflation processes which can be related with the increasing power of Roman Republic in the Cisalpine region. Moreover, compositional data enabled for the first time to identify internal evolutions inside typologies defined by numismatists. The silver loss has also been used to establish a relative chronology between different emissions. Other parameters such as texture index, residual strains and grain dimensions have been useful to understand technical aspects of minting procedures during Iron Age

Neurological assessment with validated tools in general ICU : multicenter, randomized, before and after, pragmatic study to evaluate the effectiveness of an e-learning platform for continuous medical education

BACKGROUND: International guidelines recommend systematic assessment of pain, agitation/sedation and delirium with validated scales for all ICU patients. However, these evaluations are often not done. We have created an e-learning training platform for the continuous medical education, and assessed its efficacy in increasing the use of validated tools by all medical and nursing staff of the participating ICUs during their daily practice. METHODS: Multicenter, randomized, before and after study. The eight participating centers were randomized in two groups, and received training at different times. The use of validated tools (Verbal Numeric Rating or Behavioral Pain Scale for pain; Richmond Agitation-Sedation Scale for agitation; Confusion Assessment Method for the ICU for delirium) was evaluated from clinical data recorded in medical charts during a week, with follow-up up to six months after the training. All the operators were invited to complete a questionnaire, at baseline and after the training. RESULTS : Among the 374 nurses and physicians involved, 140 (37.4%) completed at least one of the three courses. The assessment of pain (38.1 vs. 92.9%, P<0.01) and delirium (0 vs. 78.6%, P<0.01) using validated tools significantly increased after training. Observation in the follow-up showed further improvement in delirium monitoring, with no signs of extinction for pain and sedation/agitation measurements. CONCLUSIONS: This e-learning program shows encouraging effectiveness, and the increase in the use of validated tools for neurological monitoring in critically ill patients lasts over time.BACKGROUND: International guidelines recommend systematic assessment of pain, agitation/sedation and delirium with validated scales for all ICU patients. However, these evaluations are often not done. We have created an e-learning training platform for the continuous medical education, and assessed its efficacy in increasing the use of validated tools by all medical and nursing staff of the participating ICUs during their daily practice. METHODS: Multicenter, randomized, before and after study. The eight participating centers were randomized in two groups, and received training at different times. The use of validated tools (Verbal Numeric Rating or Behavioral Pain Scale for pain; Richmond Agitation-Sedation Scale for agitation; Confusion Assessment Method for the ICU for delirium) was evaluated from clinical data recorded in medical charts during a week, with follow-up up to six months after the training. All the operators were invited to complete a questionnaire, at baseline and after the training. RESULTS : Among the 374 nurses and physicians involved, 140 (37.4%) completed at least one of the three courses. The assessment of pain (38.1 vs. 92.9%, P<0.01) and delirium (0 vs. 78.6%, P<0.01) using validated tools significantly increased after training. Observation in the follow-up showed further improvement in delirium monitoring, with no signs of extinction for pain and sedation/agitation measurements. CONCLUSIONS: This e-learning program shows encouraging effectiveness, and the increase in the use of validated tools for neurological monitoring in critically ill patients lasts over time

an introduction to personalized ehealth

Personalized medicine can be defined as the adaptation of medical treatments to the specific characteristics of patients. This approach allows health providers to develop therapies and interventions by taking into account the heterogeneity of illnesses and external factors such as the environment, patients' needs, and lifestyle. Technology could play an important role to achieve this new approach to medicine. An example of technology's utility regards real-time monitoring of individual well-being (subjective and objective), in order to improve disease management through data-driven personalized treatment recommendations. Another important example is an interface designed based on patient's capabilities and preferences. These could improve patient-doctor communication: on one hand, patients have the possibility to improve health decision-making; on the other hand, health providers could coordinate care services more easily, because of continual access to patient's data. This contribution deepens these technologies and related opportunities for health, as well as recommendation for successful development and implementation

Complementary and alternative medicine (CAM) for children with special health care needs: A comparative usage study in Italy

Introduction: Complementary and Alternative Medicine (CAM) is widely used by families of children with special health care needs (CSHCN), mainly as an integrative approach with regards to conventional treatments. Nonetheless, studies comparing CAM usage among families of CSHCN with different pediatric diagnoses are sparse. The present study aimed at investigating features of CAM usage among Italian families of CSHCN with different common pediatric diseases. Methods: One-hundred and twenty-one families were interviewed about access to conventional treatments and CAM usage for the care of their children. Four groups were identified based on childrens' diagnosis: autistic spectrum disorder, cerebral palsy, genetic syndrome, and pediatric tumors. Main areas of investigation were pharmacological treatment, access to conventional rehabilitation programs, typology of CAM used, scopes of CAM usage, maternal perceived efficacy, CAM expenditure per month. Results: Access to traditional pharmacological treatment and conventional rehabilitation was unrelated to CAM usage. Mothers of children diagnosed with autistic spectrum disorders were found to use more CAM, with higher economic expenditure and lower perceived efficacy compared to the other groups. Conclusions: The present findings document different patterns of CAM usage among families of CSHCN with different diagnoses in Italy. Clinical and ethical insights for family-physician relationship are further discussed