The paper presents an existing scenario related to the advanced integration of digital technologies in the field of house museums, based on the critical literature and applied experimentation. House ...museums are a particular type of heritage site, in which is highlighted the tension between the evocative capacity of the spaces and the requirements for preservation. In this dimension, the use of a seamless approach amplifies the atmospheric component of the space, superimposing, through hybrid digital technologies, an interactive, context-driven layer in an open dialogue between digital and physical. The methodology moves on the one hand from the literature review, framing the macro themes of research, and on the other from the overview of case studies, selected on the basis of the experiential value of the space. The analysis of the selected cases followed as criteria: the formal dimension of the technology; the narrative plot, as storytelling of socio-cultural atmosphere or identification within the intimate story; and the involvement of visitors as individual immersion or collective rituality. The paper aimed at outlining a developmental panorama in which the integration of hybrid technologies points to a new seamless awareness within application scenarios as continuous and work-in-progress challenges.
The complex nature of stroke sequelae, the heterogeneity in rehabilitation pathways, and the lack of validated prediction models of rehabilitation outcomes challenge stroke rehabilitation quality ...assessment and clinical research. An integrated care pathway (ICP), defining a reproducible rehabilitation assessment and process, may provide a structured frame within investigated outcomes and individual predictors of response to treatment, including neurophysiological and neurogenetic biomarkers. Predictors may differ for different interventions, suggesting clues to personalize and optimize rehabilitation. To date, a large representative Italian cohort study focusing on individual variability of response to an evidence-based ICP is lacking, and predictors of individual response to rehabilitation are largely unexplored. This paper describes a multicenter study protocol to prospectively investigate outcomes and predictors of response to an evidence-based ICP in a large Italian cohort of stroke survivors undergoing post-acute inpatient rehabilitation.
All patients with diagnosis of ischemic or hemorrhagic stroke confirmed both by clinical and brain imaging evaluation, admitted to four intensive rehabilitation units (adopting the same stroke rehabilitation ICP) within 30 days from the acute event, aged 18+, and providing informed consent will be enrolled (expected sample: 270 patients). Measures will be taken at admission (T0), at discharge (T1), and at follow-up 6 months after a stroke (T2), including clinical data, nutritional, functional, neurological, and neuropsychological measures, electroencephalography and motor evoked potentials, and analysis of neurogenetic biomarkers.
In addition to classical multivariate logistic regression analysis, advanced machine learning algorithms will be cross-validated to achieve data-driven prognosis prediction models.
By identifying data-driven prognosis prediction models in stroke rehabilitation, this study might contribute to the development of patient-oriented therapy and to optimize rehabilitation outcomes.
ClinicalTrials.gov, NCT03968627. https://www.clinicaltrials.gov/ct2/show/NCT03968627?term=Cecchi&cond=Stroke&draw=2&rank=2.
In 2015 the conference Between the Discursive and the Immersive: Research in the 21st Century Art Museum by Louisiana and Stedelijk Museum, identified these two terms, discussed mainly concerning ...exhibitions, as indicators of a shift in the contemporary method of offering culture. Discoursive refers to a new curatorial form of interdisciplinary and synesthetic programming, while immersive looks at the spectacularization of the exhibition. This article, in the first part, introduces the term narrative, in between them. Through a narrative system, exhibitions relate themself to the visitor no longer only in terms of appropriate reproduction of knowledge, but rather in terms of generation of knowledge. Narrative amplifies the meaning of discoursive and declines it as the communicative capacity of the complex relational system “collection-significance-visitor”, opening up to a critical review of the concept of immersive, which often, operatively, it is interpreted in a purely filmic way. The second part introduces the concept of the Post-digital Museum (Parry, 2013) as a construct that contextualizes the “narrative” instance within the recent discourse of museum digital transformation. Any reading of design practices (Mason & Vavoula, 2021) within contemporary museums cannot ignore a paradigm shift in Digital Cultural Heritage, in which digital has become naturalized in museums’ “way of thinking.” This integration “marks a continued development of the museum’s concept and practice” (Arvanities, 2015). The post-digitally discourse will allow us to set the theoretical context and conclude with some reflections and illustrative examples on the practice of visitor experience design (Mason, 2017) in post-digital museums, which is particularly associated with the “design of narrative environments” (Austin, 2020).
Ulysses, the hero of Greek mythology, spends ten years of his life in war and as many again to come back home. On the return journey, he crosses the entire Mediterranean area. The map of his ...pilgrimage for centuries has represented an ideal thread that weaved the image of the Mediterranean as a place of shared history. Today Ulysses does not come back home, he still travels along the same waters, but to escape from it. Another Omero has felt the need to design these new routes to testify, with the evocative power of art, a new topography of the Mediterranean Odyssey. These cartographies, experienced by anti-heroes whose name is “no one”, trace paths that intersect men, things and landscapes, in a meeting that generates changes. Art does not finish its role with the storytelling: while it follows the traces of these new journeys, it generates transformations. Artistic actions contribute to define the new identity of the places; they transform the memory of them and promote the construction of the sense of belonging of new community profiles. The paper wants to explore a wider role of the art in the urban and landscape transformations, by reading in a critical way different experiences.
To evaluate the prognostic utility of serial assessment on the Coma Recovery Scale-Revised (CRS-R) during the first 4 weeks of intensive rehabilitation in patients surviving a severe brain injury.
...Prospective cohort study.
An intensive rehabilitation unit.
Patients (N=110) consecutively admitted to the intensive rehabilitation unit. Inclusion criteria were (1) a diagnosis of unresponsive wakefulness syndrome (UWS) or minimally conscious state (MCS) caused by an acquired brain injury, and (2) aged >18 years.
All patients underwent clinical evaluations using the Italian version of the CRS-R during the first month of hospital stay.
Behavioral classification on the CRS-R and the score on the Glasgow Outcome Scale (GOS) at final discharge. Patients transitioning from UWS to MCS or emergence from MCS (E-MCS), and from MCS to E-MCS were classified as patients with improved responsiveness (IR).
After a mean ± SD hospital stay of 5.3±2.7 months, 59 of 110 patients (53.6%) achieved IR. In the multivariable analysis, a higher CRS-R score change at week 4 (odds ratio =1.99; 95% confidence interval CI, 1.49-2.66; P<.001) was the only significant predictor of IR at discharge. Fifty-three patients (48.2%) were classified as severely impaired at discharge (GOS=3). In the multivariable analysis, higher GOS scores were related to a higher CRS-R score at admission (B=.051; 95% CI, .027-.074; P<.001), a higher CRS-R score change at week 4 (B=.087; 95% CI, .064-.110; P<.001), and an absence of severe infections (B=-.477; 95% CI, -.778 to -.176; P=.002).
An improvement on the total CRS-R score and on different subscales across the first 4 weeks of inpatient rehabilitation discriminates patients who will have a better outcome at discharge, providing information for rehabilitation planning and for communication with patients and their caregivers.
Today we must definitively face the challenge of modified urban scenario, with a great presence of abandoned buildings that losing their stable function, often become reason of social tensions. The ...implementation of design processes to reverse this trend, called "architectural project for existing buildings", requires innovative methodological approaches with simultaneous input of multiple knowledge and new interaction between design and sustainability. This proposal means to trace the profiles of some recent experiences characterized by the experimentation of alternative design procedures where the active participation of civil society becomes crucial. These planning practices must re-find their roots in the teaching practice, reclaiming the critical role of the education for setting up a design for the new generations. In this way, the experience of LABZONE2 (Politecnico di Milano) is oriented to develop urban regeneration design by activating a social condensers network in the Town Hall 2 (the most multi-ethnic of the city of Milan).
To evaluate whether electroencephalographic (EEG) features recorded during the post-acute stage in patients with severe disorders of consciousness (DoC) after acute brain injury (ABI), contribute to ...neurological outcome prediction of these patients at discharge from the intensive rehabilitation unit (IRU).
We retrospectively evaluated all patients consecutively admitted to the IRU from August 2012 to December 2016. Inclusion criteria were: 1) age >18years, 2) patients with unresponsive wakefulness syndrome (UWS) or in a minimally conscious state (MCS), and 3) EEG and a coma recovery scale-revised (CRS-R) score available within the first week after admission. Clinical evaluation was performed using the Italian version of the CRS-R score. EEGs were classified according to American Clinical Neurophysiology Society (ACNS) terminology. Clinical state at final discharge was evaluated using the CRS-R score.
In total, 102 patients were included in the analysis. After a mean of five months of IRU stay, among the 61 UWS subjects, 19 transitioned to MCS and 11 recovered to exit-MCS (E-MCS); twenty-three of the 41 subjects in MCS progressed to E-MCS. Using logistic regression, consciousness level (UWS/MCS-OR=13.4), CRS-R score at admission (OR=1.33) and use of activating drugs (OR=4.7) were significant predictors of clinical improvement. Multivariable analysis showed that specific EEG patterns were independent predictors of improved consciousness at discharge in UWS patients.
EEG performed within the first week after IRU admission, classified according to ACNS-terminology in patients with UWS at admission, can provide useful prognostic contribution.
The present research tested the hypothesis that false recognition in confabulating patients results, at least in part, from sustained processing of irrelevant information about test items. Thus, we ...predicted that false recognition would be reduced if cognitive resources available for such a processing are experimentally reduced. Two experiments provided evidence consistent with this proposal. In Experiment 1, confabulating patients exhibited lower false recognition in a divided attention (DA) compared to a full attention (FA) retrieval condition. The opposite trend was observed in non-confabulating patients with comparable memory and executive deficits and normal controls. In Experiment 2, in a Deese–Roediger–McDermott paradigm, confabulating patients exhibited lower false recognition to lures that were unrelated to the studied words in the DA compared to the FA retrieval condition, but unvaried levels of false recognition to critical lures. In contrast, false recognition to both unrelated and critical lures increased in non-confabulating patients and normal controls in the DA compared to the FA condition. These results are consistent with the hypothesis that an excessive processing of task-irrelevant memories at retrieval may contribute to false recognition in confabulating patients.
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