Implementation of a digital exercise programme in health services to prevent falls in older people.

Background: StandingTall uses eHealth to deliver evidence-based balance and functional strength exercises. Clinical trials have demonstrated improved balance, reduced falls and fall-related injuries and high adherence. This study aimed to evaluate the implementation of StandingTall into health services in Australia and the UK.Methods:Two hundred and forty-six participants (Australia, n = 184; UK, n = 62) were recruited and encouraged to use StandingTall for 2 h/week for 6-months. A mixed-methods process evaluation assessed uptake and acceptability of StandingTall. Adherence, measured as % of prescribed dose completed, was the primary outcome.Results: The study, conducted October 2019 to September 2021 in Australia and November 2020 to April 2022 in the UK, was affected by COVID-19. Participants’ mean age was 73 ± 7 years, and 196 (81%) were female. Of 129 implementation partners (e.g. private practice clinicians, community exercise providers, community service agencies) approached, 34% (n = 44) agreed to be implementation partners. Of 41 implementation partners who referred participants, 15 (37%) referred ≥5. Participant uptake was 42% (198/469) with mean adherence over 6 months being 41 ± 39% of the prescribed dose (i.e. 39 ± 41 min/week) of exercise. At 6 months, 120 (76%) participants indicated they liked using StandingTall, 89 (56%) reported their balance improved (moderately to a great deal better) and 125 (80%) rated StandingTall as good to excellent. For ongoing sustainability, health service managers highlighted the need for additional resources.Conclusions: StandingTall faced challenges in uptake, adoption and sustainability due to COVID-19 and a lack of ongoing funding. Adherence levels were lower than the effectiveness trial, but were higher than other exercise studies. Acceptance was high, indicating promise for future implementation, provided sufficient resources and support are made available

Assessment of SnO2-nanocrystal-based luminescent glass-ceramic waveguides for integrated photonics

For integrated photonics, waveguide structures based on rare-earth-activated glasses are potential candidates for implementing compact integrated light sources and amplifiers. However, rare-earth ions (REs) possess low absorption cross-section, and this limits the light emission and amplification efficiency. As long as the REs are involved, there are other phenomena detrimental to their luminescence quantum yield including ion-ion interactions and non-radiative relaxation processes. To solve such problems, photonic glass-ceramics can be strategic solutions. Transparent glass-ceramics combine interesting properties of both amorphous and crystalline phases and offer specific characteristics of capital importance in photonics. More important, photonic glass-ceramics can tailor and enhance the spectroscopic properties of the rare-earth ions depending on their compositions and nature. In this work, we studied SnO2-nanocrystal-based transparent glass-ceramic planar waveguides activated by rare-earths to give solutions for the problems mentioned above and enhance the rare-earth luminescence efficiency for integrated photonics. SiO2–SnO2:Er3+ planar waveguides containing 30 mol% SnO2 nanocrystals were fabricated by sol-gel method and dip-coating technique. The planar waveguides were assessed by various characterization techniques to ensure the applicability of such glass-ceramics for integrated photonics. The experimental assessment of the SiO2–SnO2:Er3+ planar waveguides focused on the key considered photonic characteristics including the structural, morphological, spectroscopic, and especially optical waveguiding properties. The photoluminescence measurements put in evidence the role of SnO2 nanocrystals as efficient Er3+ luminescence sensitizers. Moreover, the incorporation of Er3+ ions in SnO2 nanocrystals was demonstrated to reduce the effect of non-radiative relaxation processes on the luminescence of the Er3+ ions and thus led to higher luminescence efficiency. Majority of the Er3+ ions (97%) was confirmed to be imbedded in the SnO2 nanocrystals. The SiO2–SnO2:Er3+ glass-ceramic planar waveguides have confined propagation modes, step-index profile with high confinement of 82% at 1542 nm and especially, low losses of 0.6 ± 0.2 dB/cm at 1542 nm

Photonic glass ceramics based on SnO2 nanocrystals: advances and perspectives

Trabajo presentado al XVII Optical Components and Materials, celewbrado en San Francisco, California (USA) del 1 al 6 de febrero de 2020.SnO2-based glass-ceramics activated by rare earth ions have been extensively investigated because of the need to develop reliable fabrication protocols and clarify some interesting optical, structural, and spectroscopic features of the system. There is one important weakness in glass photonics when the rare earth ions are employed as luminescent sources. This is the low absorption cross section of the electronic states of the rare earth ions. A sensitizer is therefore requested. In the last years, we demonstrated that SiO2-SnO2 glass ceramics, presenting a strong absorption cross section in the UV range due to the SnO2 nanocrystal, are effective rare earth ions sensitizers. Another interesting property of the SiO2-SnO2 system is its photorefractivity. The high photorefractivity of sol-gel-derived SnO2-SiO2 glass-ceramic waveguides has been demonstrated in several papers published by our consortium. It has been shown that the UV irradiation induces refractive index change allowing the direct writing of both channel waveguides and Bragg gratings. The results presented in this communication not only demonstrate the viability and outstanding properties of the SiO2- SnO2 glass-ceramics for photonic applications but also put the basis for the fabrication of solid state and integrated lasers. The next steps of the research are the fabrication of the channels and mirrors exploiting the photorefractivity as well as to draw glass ceramic fiber, checking the lasing action and corresponding functional characteristics. Finally, it is worth noting that the dynamic of the energy transfer from the nanocrystals to the rare earth ions is still an exciting open question.This research is performed in the framework of the projects ERANet-LAC “RECOLA” (2017-2019), Centro Fermi MiFo (2017–2020) and NaWaGui (ANR-18-MRS1-0014). WB and MF acknowledge the support of CNR-STM - Short Term Mobility program 2019-2020.Peer reviewe