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Objective To determine the influence of cognitive functioning on gait recovery after total hip arthroplasty. Design Prospective cohort study. Setting Rehabilitation hospital. Participants Patients (N=40) who underwent a total hip arthroplasty, with normal cognitive functioning and without any other relevant medical condition, were recruited and studied before surgery and at the beginning and the end of the rehabilitation program. Main Outcome Measures Gait speed (10-Meter Walk Test [10MWT]) and gait functional mobility (Timed Up and Go [TUG] test), measured at the time of discharge from the rehabilitation unit, were the primary outcomes. The candidate predictors were the cognitive and psychological variables collected in the presurgery phase, together with other potentially informative measures such as age, education, perceived pain, body mass index, presurgical gait speed and functional mobility. Results Our results suggest the existence of a direct relationship between cognitive functioning, with specific reference to high-level frontal executive functions, and the postoperative gait progress: the better the cognitive functioning in the preoperative phase, the better the course of recovery in terms of gait speed and functional mobility. In particular, the performance of the Frontal Assessment Battery test, together with age, perceived pain. Presurgical gait speed and functional mobility, was the best predictor of recovery of walking measured by 10MWT and TUG. Conclusions The present study highlights the importance of cognitive functioning, together with clinical and demographic features, in the postsurgical recovery of walking, even in the absence of cognitive decline. In particular, these data show the crucial role of higher-order cognitive processes, such as executive functions, involved in the formulation of motor plans and their integration with proprioceptive and visual cues.

In reinforced concrete (RC) multi-storey buildings, the important role of the seismic interaction of structural frames with masonry infills has been revealed by several earthquakes and investigated by many authors. Recently, several innovative infill solutions have been proposed to mitigate such interaction, which could result in widespread damage in both the masonry and the RC structure and sometimes jeopardize the building stability and the occupants’ safety. One solution consists in the partitioning of the masonry infill into several sub-panels, relatively sliding along specific joints. This paper investigates the seismic assessment of this technological solution in the framework of performance based earthquake engineering. A two-dimensional five-storey RC seismic-resistant frame is selected as case study and the performance is assessed by comparing the responses of the same structure infilled with different solutions, made of sliding joints or traditional masonry, or in the bare configuration. Incremental Dynamic Analyses (IDA) is used for the probabilistic determination of fragility curves of the structures. Results show the seismic fragility and reliability of the different investigated structures, especially addressing the probabilities of occurrence of damage at different limit states and quantifying the associated expected annual loss.

Beach nourishments protected by submerged sand bag barriers have been largely used in Emilia Romagna (Italy), whose low and sandy coast faces the relatively mild Northern Adriatic Sea. The paper, after a brief description of the eight projects of this type realised in the last 25 years along the Emilia Romagna littoral, details the case study of Riccione Southern beach. The performance of the defence is described by means of cross-shore profiles, bathymetries, collection of sediment samples, underwater pictures, monitoring of environmental conditions and performed maintenance. The combined analysis of the available data suggests that the sand bag barrier may stabilise the position of the natural sandy bar and ultimately the beach profile.