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Effects of Laser Therapy and Grimaldi’s Muscle Shortening Maneuver on Motor Control of Subjects with Incomplete Spinal Cord Injuries (Auswirkungen von Lasertherapie und Grimaldis Muscle Shortening Maneuver (Muskelverkürzungsmanöver) auf die motorische Kontrolle von Patienten mit unvollständigen Verletzungen des Rückenmarks)

Diego Longo, PT, Leonardo Longo, MD, Paolo Lippi, PT, Giulio Cherubini, PT, Vanessa Mange, PT, Institut für Lasermedizin, Florenz, Italien Hintergrund: Seit 2003 behandeln wir 251 Patienten mit traumatischen Verletzungen des Zentralnervensystems (Traumatic Central Nervous System Injuries, TCNSI) mit der nicht-chirurgischen Lasertherapie (NSLT) und erzielen gute Ergebnisse in Bezug auf Sensibilität und Bewegung. Um die Muskelkraft zu steigern und neue Synergien weiter zu erforschen, haben wir begonnen, eine Physiotherapiemethode einzusetzen, die auf den neuesten Erkenntnissen über die motorische Steuerung basiert: Grimaldis Muscle Shortening Maneuver (Muskelverkürzungsmanöver, MSM). Jede TCNSI ist anders; es gibt keine zwei ähnlichen Verletzungen in Bezug auf den Verlust der Funktion und das Ansprechen auf die Behandlung. Aus diesem Grund ist ein statistisches Kriterium relativ, da zu viele Variablen gleichzeitig beteiligt sind. Das Ziel unserer Studie ist es, objektive Daten zu sammeln, die Rückschlüsse auf die tatsächliche Wirksamkeit des Zusammenhangs zwischen diesen beiden Behandlungen liefern. Studie: Im Jahr 2015 wurden 10 Patienten mit unvollständiger TCNSI, die die Patienten mindestens ein Jahr vor der Laserbehandlung erlitten hatten und die anhand NMR, ESSP und ESMP dokumentiert wurden, in die Studie aufgenommen. Gleichzeitig wurden weitere 10 Patienten mit den gleichen Merkmalen als Kontrollgruppe aufgenommen. Alle Patienten leiden an einer inkompletten sensorischen und motorischen Lähmung unterhalb der Läsionsebene. Die verwendeten Laser arbeiteten mit den Wellenlängen 808 nm, 10600 nm und 1064 nm, wobei ein erster Zyklus von 20 Sitzungen viermal täglich angewendet wurde. Die Patienten nahmen an einem spezifischen Physiotherapie-Training, Grimaldis MSM, zweimal täglich in insgesamt acht Sitzungen teil und arbeiteten selektiv an bestimmten Gelenken, Muskeln und Gliedmaßen. Vor der Behandlung unterhalb der Läsion wurde die Muskelaktivität mit Oberflächen-Elektromyografie (sEMG) getestet. Klinische Bewertungen umfassten die Untersuchung der oberflächlichen und tiefen taktilen und thermischen Sensorik unterhalb der Läsion. Die Muskelkraft bei bestimmten Gelenkwinkeln wurde durch elektronische Dynamometer und Goniometer evaluiert. Diese letztere Art der Evaluierung wurde auch vor und nach jedem MSM und am Ende der Laserbehandlung durchgeführt. Jeder Zyklus beider Behandlungen wurde jeden Monat wiederholt. Die Kontrollgruppen erhielten keine Behandlung, aber alle Variablen wurden für die Interventionsgruppe bewertet. Ergebnisse: Die Ergebnisse wurden als positiv gewertet, wenn bei einem sEMG-Verfahren Veränderungen der ZNS-Muskelführungsspitzen unterhalb der Läsion festgestellt wurden. Die objektive Beurteilung der Kraft, des Bewegungsumfangs des Rumpfes und des Gleichgewichts zeigte ermutigende Ergebnisse bei Patienten in der Interventionsgruppe. Bei inkompletten traumatischen Rückenmarksverletzungen zeigten die Patienten nach jedem Zyklus von 20 Sitzungen Verbesserungen der Motorik und der Willkürmotorik, was grafisch dargestellt wurde. Follow-up ist nach 3 Monaten positiv. Schlussfolgerung: Der Zusammenhang zwischen der Laserbehandlung und Grimaldis Muskelverkürzungsmanöver (Muscle Shortening Maneuver, MSM) scheint im Vergleich zu einer Kontrollgruppe in Bezug auf Muskelkraft und motorische Kontrolle von Patienten mit inkompletten Rückenmarksverletzungen wirksam zu sein.

Table of Contents

Laser Optical Engineer

Aerolase is the fastest growing medical laser company, serving the high growth dermatology and aesthetic laser market. Nestled in the picturesque Hudson Valley in Tarrytown, NY, the location is also ideal for access to NY City and other areas of the Northeast and Mid-Atlantic U.S. We are hiring in many areas and currently seek laser optical engineers with a passion for creating new things. The company offers a friendly, team-oriented work environment and competitive compensation including salary, bonus, stock options, 401k, and health/dental/life insurance plans.

About the Team:

  • We are a diverse team of friendly, creative hard-working people with a passion for achieving our objectives
  • We are creative, hands-on and innovative with a strong orientation toward high customer satisfaction
  • We have created a very team-spirited company culture and believe it is important to have open and effective cross-functional collaboration and communications – and enjoy our work!

About the Role:

We’re looking for an enthusiastic, creative and detail-oriented problem solver to help support the production, service and repair of our unique solid-state laser devices.

Must have expertise working with assembly and/or development of small, sensitive, high precision instruments, preferably solid-state laser technology, with a high caliber technology company.  We prefer design and hands-on experience in multiple laser technologies including solid state lasers, semiconductor lasers, non-linear optical materials and devices, optical benches, and beam directors. Experience with the technical aspects of developing laser and laser-based products is strongly preferred.

Candidates should have proven ability to address complex challenges with ingenuity and innovation, and capability to work independently to manage multiple simultaneous tasks, and see all tasks to completion. Also should have the ability to work well in a collaborative multidisciplinary team environment, define and analyze system performance specifications, and ensure adherence to those specifications in the application environment.

  • Perform sensitive manual optical assembly of lasers.
  • Test, troubleshoot repair and assemble lasers, subassemblies and various components, including high-voltage laser power supplies and other electronics.
  • Support the development and implementation of test fixtures, equipment, procedures and documentation for the engineering and operations functions.
  • Support product design and development activities related to new products and product improvements.
  • Support development and maintenance of quality and regulatory documents and procedures.
  • Provide customer technical support as needed including product service, maintenance, and troubleshooting.
  • With suppliers, act as a technical and operational liaison as needed.
  • Maintain thorough, complete and accurate written records; comply fully with the company’s quality system and any regulatory requirements.
  • Follow safety rules for working with high-voltages and high-power lasers.
  • Perform other duties as completion of responsibilities necessitates or as assigned by supervisor.
  1. Minimum 5 years of experience in an engineering role involving sensitive high precision instruments, preferably involving solid state lasers.
  2. Theoretical and practical knowledge and skills of adequate policies and procedures for the control of laser hazards and high voltage hazards, using relevant protective equipment, ensuring adequate safety education and training of other personnel.
  3. Understanding of system and component design, testing and troubleshooting.
  4. Enjoy working with your hands/mechanical ability.
  5. Strong analytical and problem solving skills.
  6. Proven technical and project management skills.
  7. Experience with manufacturing within a Quality Management System (especially medical).
  8. Strong interpersonal and communication skills.
  9. Self-motivated, detail oriented and well organized. Ability to make decisions and work independently Strong work ethic and desire to help the company successful by producing a reliable product.
  10. Not afraid to ask questions and make suggestions for improvement.
  11. Be able to work under pressure due to customer demands.
  12. Strong computer skills (Windows™ software).
  13. Ability to successfully manage multiple projects and daily responsibilities. Ability to discern and appropriately communicate sensitive issues.
  14. Ability to walk, stand, bend, reach, stoop/squat, and crouch. Ability to carry heavy items.
  15. Will require working indoors and outdoors – work environment includes the office, the production areas, mechanical rooms, and customer and supplier facilities. Also includes regular contact with high-voltage equipment and laser light emissions.

BS. in Physics, Mechanical or Optical Engineering, Master’s Degree preferred

  • We are a diverse team of friendly, creative hard-working people with a passion for achieving our objectives
  • We are creative, hands-on and innovative with a strong orientation toward high customer satisfaction 
  • We have created a very team-spirited company culture and believe it is important to have open and effective cross-functional collaboration and communications – and enjoy our work!

We’re looking for an enthusiastic, creative and detail-oriented problem solver to help support the production, service and repair of our unique solid-state laser devices.

Must have expertise working with assembly and/or development of small, sensitive, high precision instruments, preferably solid-state laser technology, with a high caliber technology company.  We prefer design and hands-on experience in multiple laser technologies including solid state lasers, semiconductor lasers, non-linear optical materials and devices, optical benches, and beam directors. Experience with the technical aspects of developing laser and laser-based products is strongly preferred.  

Candidates should have proven ability to address complex challenges with ingenuity and innovation, and capability to work independently to manage multiple simultaneous tasks, and see all tasks to completion. Also should have the ability to work well in a collaborative multidisciplinary team environment, define and analyze system performance specifications, and ensure adherence to those specifications in the application environment.

  • Perform sensitive manual optical assembly of lasers.
  • Test, troubleshoot repair and assemble lasers, subassemblies and various components, including high-voltage laser power supplies and other electronics.
  • Support the development and implementation of test fixtures, equipment, procedures and documentation for the engineering and operations functions.
  • Support product design and development activities related to new products and product improvements.
  • Support development and maintenance of quality and regulatory documents and procedures.
  • Provide customer technical support as needed including product service, maintenance, and troubleshooting.
  • With suppliers, act as a technical and operational liaison as needed.
  • Maintain thorough, complete and accurate written records; comply fully with the company’s quality system and any regulatory requirements.
  • Follow safety rules for working with high-voltages and high-power lasers.
  • Perform other duties as completion of responsibilities necessitates or as assigned by supervisor.
  1. Minimum 5 years of experience in an engineering role involving sensitive high precision instruments, preferably involving solid state lasers.
  2. Theoretical and practical knowledge and skills of adequate policies and procedures for the control of laser hazards and high voltage hazards, using relevant protective equipment, ensuring adequate safety education and training of other personnel.
  3. Understanding of system and component design, testing and troubleshooting.
  4. Enjoy working with your hands/mechanical ability.
  5. Strong analytical and problem solving skills.
  6. Proven technical and project management skills.
  7. Experience with manufacturing within a Quality Management System (especially medical).
  8. Strong interpersonal and communication skills.
  9. Self-motivated, detail oriented and well organized. Ability to make decisions and work independently Strong work ethic and desire to help the company successful by producing a reliable product.
  10. Not afraid to ask questions and make suggestions for improvement.
  11. Be able to work under pressure due to customer demands.
  12. Strong computer skills (Windows™ software).
  13. Ability to successfully manage multiple projects and daily responsibilities. Ability to discern and appropriately communicate sensitive issues.
  14. Ability to walk, stand, bend, reach, stoop/squat, and crouch. Ability to carry heavy items.
  15. Will require working indoors and outdoors – work environment includes the office, the production areas, mechanical rooms, and customer and supplier facilities. Also includes regular contact with high-voltage equipment and laser light emissions.

BS. in Physics, Mechanical or Optical Engineering, Master’s Degree preferred

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Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Duties:

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Duties:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

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