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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

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

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

Human responses in heat – comparison of the Predicted Heat Strain and the Fiala multi-node model for a case of intermittent work.

Two mathematical models of human thermal regulation include the rational Predicted Heat Strain (PHS) and the thermophysiological model by Fiala. The approaches of the models are different, however, they both aim at providing predictions of the thermophysiological responses to thermal environments of an average person. The aim of this study was to compare and analyze predictions of the two models a

Using Sociolinguistic Inspired Features for Gender Classification of Web Authors

In this article we present a methodology for classification of text from web authors, using sociolinguistic inspired text features. The proposed methodology uses a baseline text mining based feature set, which is combined with text features that quantify results from theoretical and sociolinguistic studies. Two combination approaches were evaluated and the evaluation results indicated a significan

Label retention and stem cell marker expression in the developing and adult prostate identifies basal and luminal epithelial stem cell subpopulations

Background: Prostate cancer is the second most frequent cancer among males worldwide, and most patients with metastatic disease eventually develop therapy-resistant disease. Recent research has suggested the existence of cancer stem-like cells, and that such cells are behind the therapy resistance and progression. Methods: Here, we have taken advantage of the relatively quiescent nature of stem ce

Elimination of Lateral Resistance and Current Crowding in Large-Area LEDs by Composition Grading and Diffusion-Driven Charge Transport

Gallium nitride based light-emitting diodes (LEDs) are presently fundamentally transforming the lighting industry, but limitations in the materials and fabrication methods of LEDs introduce substantial challenges to their future development. Among the remaining key bottlenecks of GaN LEDs are the resistive losses and current crowding that strongly increase the heat generation at high powers. In th

Partial drying accelerates bacterial growth recovery to rewetting

Fluctuations in soil moisture create drying-rewetting events affecting the activity of microorganisms. Microbial responses to drying-rewetting are mostly studied in soils that are air-dried before rewetting. Upon rewetting, two patterns of bacterial growth have been observed. In the Type 1 pattern, bacterial growth rates increase immediately in a linear fashion. In the Type 2 pattern, bacterial gr

Arthroscopic surgery for degenerative knee arthritis and meniscal tears : A clinical practice guideline

What is the role of arthroscopic surgery in degenerative knee disease? An expert panel produced these recommendations based on a linked systematic review triggered by a randomised trial published in The BMJ in June 2016, which found that, among patients with a degenerative medial meniscus tear, knee arthroscopy was no better than exercise therapy. The panel make a strong recommendation against art