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Inhaler technique mastery and maintenance in healthcare professionals trained on different devices

Objective: Healthcare professionals (HCPs) are required to assess and train patients in the correct use of inhalers but are often unable to demonstrate correct technique themselves. We sought to assess the level of training required for HCPs to master and maintain device mastery when using two different dry powder inhalers (DPIs). Methods: We conducted a randomized, un-blinded, crossover study in

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Moving from the analysis of some Italian case law the article point out which are the limits of the employer’s power to control the workers with remote instruments following the Italian law, with specific attention on the notion of “remote control instrument” in the context of the contemporary digital society.

The Association of Lung Clearance Index with COPD and FEV1 Reduction in ‘Men Born in 1914’

Lung Clearance Index (LCI) provides an overall measurement of ventilation inhomogeneity. This population-based study examines whether LCI predicts pulmonary obstruction and incidence of chronic obstructive pulmonary disease (COPD) events over a long-term follow-up. Multiple breath nitrogen washout and spirometry were performed in 674 men from the cohort “Men born in 1914” at age 55 years. Subjects

ISA-2011B, a phosphatidylinositol 4-phosphate 5-kinase a inhibitor, impairs CD28-dependent costimulatory and pro-inflammatory signals in human T lymphocytes

Phosphatidylinositol 4,5-biphosphate (PIP2) is a membrane phospholipid that controls the activity of several proteins regulating cytoskeleton reorganization, cytokine gene expression, T cell survival, proliferation, and differentiation. Phosphatidylinositol 4-phosphate 5-kinases (PIP5Ks) are the main enzymes involved in PIP2 biosynthesis by phosphorylating phosphatidylinositol 4-monophosphate (PI4

Teleophthalmology image-based navigated retinal laser therapy for diabetic macular edema : a concept of retinal telephotocoagulation

Background: To determine the feasibility and efficacy of a retinal telephotocoagulation treatment plan for diabetic macular edema. Methods: Prospective, interventional cohort study at two clinical sites. Sixteen eyes of ten subjects with diabetic macular edema underwent navigated focal laser photocoagulation using a novel teleretinal treatment plan. Clinic 1 (King Khaled Eye Specialist Hospital, R

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Moving from some Italian case law the article analyses several aspect linked to the transfers of undertaking such as its legal notion (and its differences between the transfers of a plurality of goods), the right to raise a legal claim following the Italian civil procedure and the consequences of the violation of the information duty of the trade unions.

Den nya oljan - hanteringen av personuppgifter är en konsumentfråga

DEBATT - av STEFAN LARSSON, docent och föreståndare, Lunds universitets internetinstitut (LUii) och forskare vid tankesmedjan Fores samt JONAS LEDENDAL, jur.dr. i handelsrätt och forskare vid Institutionen för handelsrätt, Ekonomihögskolan, Lunds universitet. Forskarna skriver i Dagens Juridik om personuppgifter som en konsumentfråga, dvs till skillnad från att bara förstå och reglera data utifrån

TRMM-3B43 Bias Correction over the High Elevations of the Contiguous United States

Precipitation can be quantified using a rain gauge network, or a remotely sensed precipitation product. Ultimately, the choice of dataset depends on the particular application, the catchment size, climate and the time period of study. In a region with a long record and a dense rain gauge network, the elevation-modified ground-based precipitation product, PRISM, has been found to work well. However

Prognostic value of HER3 and HER2 alterations in colorectal cancer: Relationship with sidedness, KRAS and BRAF mutation status

Background Human epidermal growth factors 2 and 3 (HER2 and HER3) are members of the EGFR family that drives oncogenesis mainly through activation of the RAS-RAF-MEK-ERK pathway. While the prognostic value of HER2 and HER3 alterations in colorectal cancer (CRC) remains uncertain, KRAS and BRAF mutations confer resistance to targeted therapies and poor prognosis. Sidedness of the primary tumour has

Malaria, Immunity, and Immunopathology

Malaria is a disease spread by mosquitoes, and it is a major global cause of morbidity and mortality. Most of the deaths in malaria are caused by the Apicomplexan parasite Plasmodium falciparum. Immunity against the disease is dependent on repeated exposure, and it usually takes several years to develop. Antibodies against different antigens are an important part of immunity, but cellular immunity

Experimental Investigation on Effects of Central Air Jet on the Bluff-body Stabilized Premixed Methane-air Flame

Flame stabilized by a bluff-body is a common scene in many engineering applications due to the enhanced mixing characteristics, improved flame stability, and ease of combustion control. We recently designed a burner which has a conical bluff body with a central air injector. In the current work, effects of the central air jet on the heat load of the bluff body, the flame structures and the flame b

Law and Liberation : Critical Notes on Agamben's Political Messianism

Throughout history, Jewish notions of justice, hope and redemption have inspired political visions within as well as beyond the Jewish tradition. In the past century, examples can be drawn from Ernst Bloch to Walter Benjamin and Jacques Derrida. Also in the present politico-philosophical debate, a number of prominent voices draw explicitly on Jewish sources in their attempts to formulate radical v

Active Fault Isolation: A Duality-Based Approach via Convex Programming

This paper presents the mathematical conditions and the associated design methodology of an active fault diagnosis technique for continuous-time linear systems. Given a set of faults known a priori, the system is modeled by a finite family of linear time-invariant systems, accounting for one healthy and several faulty configurations. By assuming bounded disturbances and using a residual generator,

Flow-Inducing Networks

We consider flow-inducing networks, a class of models that are well-suited to describe important biochemical systems, including the MAPK pathway and the interactions at the trans-Golgi network. A flow-inducing network is given by the interconnection of subsystems (modules), each associated with a stochastic state matrix whose entries depend on the state variables of other modules. This results in

Multi-cored vortices support function of slotted wing tips of birds in gliding and flapping flight

Slotted wing tips of birds are commonly considered an adaptation to improve soaring performance, despite their presence in species that neither soar nor glide. We used particle image velocimetry to measure the airflow around the slotted wing tip of a jackdaw (Corvus monedula) as well as in its wake during unrestrained flight in a wind tunnel. The separated primary feathers produce individual wakes

Dissonance and abstraction: Cognitive conflict leads to higher level of construal

This study investigated the effects of cognitive conflict on abstract thinking. According to action-identification theory, an ambiguous and unfamiliar situation might propel an individual to a more abstract mindset. Based on this premise, cognitive conflict was hypothesized to put people in an abstract mindset. The induced compliance paradigm, in which participants are asked to write a counter-att

The Ideology of Heads of Government, 1870-2012

This Note introduces the Heads of Government dataset, which provides summary information about the ideological orientation of heads of government (left, center, or right, with separately provided information about religious orientation) in 33 states in Western Europe, the Americas, and the Asia–Pacific region between 1870 and 2012. The Note also describes some intriguing empirical patterns when it

Digitally Enabled Engagement and Witnessing: The Sichuan Earthquake on Independent Documentary film

This article builds on recent works on witnessing, socially engaged documentary filmmaking and studies on the role of new digital technologies for witnessing trauma, recording memories and enabling activism. In a devastating earthquake in Sichuan province on 12 May 2008, almost 90,000 people, at least 5000 of them being children, died. Parents and bystanders provided the first footage of the earth