Motor learning principles during rehabilitation after anterior cruciate ligament injury:Time to create an enriched environment to improve clinical outcome

Athletes who wish to resume high-level activities after an injury to the anterior cruciate ligament (ACL) are often advised to undergo surgical reconstruction. Nevertheless, ACL reconstruction (ACLR) does not equate to normal function of the knee or a reduced risk of subsequent injuries. A rising concern is the high rate of secondary ACL injuries, particularly in young athletes, with up to 40% of those returning to sport in the first year after surgery experiencing a second ACL rupture. Aside from the increased risk of secondary injury, patients after ACLR have an increased risk of developing early-onset osteoarthritis. Unfortunately, current ACLR rehabilitation programs may not be optimally effective in terms of addressing deficits related to the initial injury and the subsequent surgical intervention. Motor learning to (re)acquire motor skills and neuroplastic capacities are not sufficiently incorporated during traditional rehabilitation, attesting to the high reinjury rates. The purpose of this article is to present novel clinically integrated motor learning principles to support neuroplasticity that can improve patient functional performance and reduce the risk of secondary ACL injury. The novel motor learning principles presented in this manuscript may optimize future rehabilitation programs to reduce the risk of secondary ACL injury and early development of osteoarthritis by targeting changes in neural networks.</p

La qualit&#224; in sanit&#224;: ruolo dell&#8217;infermiere nel processo della customer satisfaction

Introduzione. La Customer Satisfaction (CS) \ue8 uno strumento importante nelle aziende sanitarie per poter avere un feedback concreto e reale sul servizio offerto, per identificare problemi da correggere attraverso azioni di miglioramento e dimostrare la qualit\ue0 delle prestazioni offerte. L\u2019obiettivo dello studio proposto \ue8 quello di verificare il soddisfacimento delle aspettative riguardanti esigenze e bisogni espressi dagli assistiti e dai cittadini in relazione agli items proposti dalla scheda di rilevazione per ridefinire la qualit\ue0 dell\u2019assistenza infermieristica e suggerire alcuni nuovi item di CS che maggiormente impattano sui processi assistenziali e che potrebbero essere assunti dalle ASST a livello di approfondimenti interni. Materiali e metodi. Studio di tipo osservazionale monocentrico, quantitativo. Fonte dati \ue8 il database aziendale della Customer Satisfaction dell\u2019ASST Rhodense. Sono stati oggetto di campionamento tutti gli assistiti che hanno utilizzato i servizi dell\u2019ASST Rhodense nell\u2019anno 2018, sia nell\u2019area ambulatoriale sia in quella di degenza. Risultati. Il campione oggetto della presente indagine \ue8 composto da un totale di 3.105 questionari rilevati di Customer Satisfaction, di cui 1.650 questionari per l\u2019area ambulatoriale e 1.455 per l\u2019area degenza. Area degenze: indicatori con valori di soddisfazione &gt;5 sono risultati: \u201cAssistenza ricevuta dal personale infermieristico\u201d e \u201cCure a Lei prestate\u201d seguiti dall\u2019item \u201cRispetto/Riservatezza Personale\u201d. Area ambulatoriale: \u201cAttenzione ricevuta dal personale infermieristico\u201d seguita da \u201cRispetto della Riservatezza Personale\u201d e \u201cChiarezza e Completezza delle Informazioni ricevute\u201d. Conclusioni. Il ruolo dell\u2019Infermiere nel processo di Customer Satisfaction \ue8 di primaria importanza poich\ue9 nel \u201cmettere al centro la persona\u201d, rinnova i fondamenti teorici secondo cui il tempo di relazione \ue8 tempo di cura. La relazione, e la conseguente presa in carico dell\u2019assistito, diventano fondamentali per rispondere ai bisogni del paziente e perseguire il miglioramento della qualit\ue0 delle cure. Erogare dunque un\u2019assistenza infermieristica di qualit\ue0 impatta fortemente sull\u2019esito positivo del grado di soddisfazione nei confronti N.32/2020 IJN del servizio erogato, definendone cos\uec una stretta relazione tra cure erogate ed esito del processo di cura

Optical NP problem solver on laser-written waveguide platform

Cognitive photonic networks are researched to efficiently solve computationally hard problems. Flexible fabrication techniques for the implementation of such networks into compact and scalable chips are desirable for the study of new optical computing schemes and algorithm optimization. Here we demonstrate a femtosecond laser-written optical oracle based on cascaded directional couplers in glass, for the solution of the Hamiltonian path problem. By interrogating the integrated photonic chip with ultrashort laser pulses, we were able to distinguish the different paths traveled by light pulses, and thus infer the existence or the absence of the Hamiltonian path in the network by using an optical correlator. This work proves that graph theory problems may be easily implemented in integrated photonic networks, down scaling the net size and speeding up execution times

Steps towards the hyperfine splitting measurement of the muonic hydrogen ground state: pulsed muon beam and detection system characterization

The high precision measurement of the hyperfine splitting of the muonic-hydrogen atom ground state with pulsed and intense muon beam requires careful technological choices both in the construction of a gas target and of the detectors. In June 2014, the pressurized gas target of the FAMU experiment was exposed to the low energy pulsed muon beam at the RIKEN RAL muon facility. The objectives of the test were the characterization of the target, the hodoscope and the X-ray detectors. The apparatus consisted of a beam hodoscope and X-rays detectors made with high purity Germanium and Lanthanum Bromide crystals. In this paper the experimental setup is described and the results of the detector characterization are presented.Comment: 22 pages, 14 figures, published and open access on JINS

First FAMU observation of muon transfer from \u3bcp atoms to higher-Z elements

Abstract: The FAMU experiment aims to accurately measure the hyperfine splitting of the ground state of the muonic hydrogen atom. A measurement of the transfer rate of muons from hydrogen to heavier gases is necessary for this purpose. In June 2014, within a preliminary experiment, a pressurized gas-target was exposed to the pulsed low-energy muon beam at the RIKEN RAL muon facility (Rutherford Appleton Laboratory, U.K.). The main goal of the test was the characterization of both the noise induced by the pulsed beam and the X-ray detectors. The apparatus, to some extent rudimental, has served admirably to this task. Technical results have been published that prove the validity of the choices made and pave the way for the next steps. This paper presents the results of physical relevance of measurements of the muon transfer rate to carbon dioxide, oxygen, and argon from non-thermalized excited \u3bcp atoms. The analysis methodology and the approach to the systematics errors are useful for the subsequent study of the transfer rate as function of the kinetic energy of the \u3bcp currently under way