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Akt adjusts RSK2 to change phosphorylation degree of H2A.Times inside breast cancers.
The pandemic of coronavirus SARS-CoV-2 disease affected Northern Italy, spreading from the Bergamo province to the entire country. During reorganization of our emergency department to support patients presenting with coronavirus SARS-CoV-2 disease, we aimed to evaluate whether children play a role in intrahospital spread of the infection.Objective To evaluate the impact of a primary care-based, parent-directed intervention on changes in parent-teen communication, parental beliefs about adolescents, parent and adolescent well-being, adolescent distress, and adolescent positive affect from baseline to 2-month follow-up. Study design In this randomized controlled trial, 120 adolescents (13-15 years of age) scheduled for well visits and their parents were randomized to the strength intervention or control group. The intervention included a booklet highlighting 3 key messages about adolescence, instructions to have a discussion with their teen about each other's strengths, and clinician endorsement. Outcomes were assessed before the well visit and 2 months later. Results Adolescents were 61% female and 65% black. Parents were primarily female (97%); 72% had a 4-year degree or higher. The intervention had a positive impact on adolescent-reported open communication among adolescents with baseline low open communication scores (B = 3.55; P = .005; 95% CI, 1.07-6.03). Adolescents in the intervention group reported a decrease in distress (-1.54 vs 3.78; P = .05; partial eta squared [η2] = 0.038) and increase in positive affect (1.30 vs -3.64; P = .05; η2 = 0.04) compared with control group adolescents. The intervention did not affect parent-reported communication, parental beliefs, or adolescent well-being. Control parents demonstrated a marginal increase in well-being, whereas intervention parents did not (0.82 vs -0.18; P = .07; η2 = 0.029). Conclusions This study highlights the potential impact of primary care-based, universal, low-intensity interventions targeting parents of adolescents on parent-teen communication and important adolescent health outcomes. Trial registration Clinicaltrials.gov NCT03496155.Introduction Summaries of product characteristics (SmPC) of same-substance medications may feature content-related differences. This may cause difficulties regarding informed consent in the case of prescriptions of drugs in the context of the aut-idem regulation. A survey among family doctors (FD) and pharmacists (PH) was conducted in order to evaluate the usage behaviour of SmPCs, sources used to obtain information about drugs and the awareness of the existence of differences between SmPCs of same-substance medications. Methods An exploratory/non-representative, questionnaire- and telephone-based, semi-structured cross-sectional survey was performed (June to August 2018). Results Participation rate of FD and PH was 29.8 % (34/114) and 73.0 % (73/100), respectively. In the previous month, all PH and 82.4 % of FD said that they had used a SmPC at least once (p=0.001). FD used SmPCs 6.4±4.9 and PH 65.0±52.5 times a month (p less then 0.001). In both occupational groups SmPCs were used most frequently to obtain ts, particularly in cases of aut-idem prescriptions of substances for which many same-substance medications with different SmPCs are available. Conclusion Physicians should use SmPCs regularly and keep themselves informed about differences between SmPCs of same-substance medications.Robot-assisted cardiovascular surgery is used to avoid surgeon suffering from X-ray radiation and relieve fatigue caused by long-time standing wearing protective clothing. Its remote surgery can alleviate the lack of experienced doctors in remote areas. Due to the existence of time-delay phenomena, flexible deformation and nonlinearity of interventional instruments, it is difficult to ensure system transparency. This paper analyzes the evaluation index of system transparency. A generalized predictive control (GPC) is developed to suppress the effect of time-varying delay and parameter identification error. Moreover, a terminal sliding mode controller (SMC) is designed to improve the robustness of the system under consideration. Simulation results are provided to show that the proposed control strategy can improve transparency of the remote vascular interventional surgery system.The control performance can be worsened by actuator rate limit, which can result in amplitude attenuation and phase delay in process control. In some extreme situations, actuator rate limit may bring about the system non-convergence. This paper focuses on the control difficulties and solutions of first-order plus time-delay (FOPTD) systems caused by rate limit. The influence of rate limit on stability regions of proportional-integral (PI) controller is analysed. Results show that a small rate limit value can reduce stability regions of PI parameters greatly. The negative correlation between the integral gain and the onset frequency, and the positive correlation between the proportional gain and the onset frequency are conducted. Moreover, the control performance of different PI tuning rules such as Skogestad internal model control, integral gain maximization, delay robustness-constrained optimization and Tyreus-Luyben tuning rules is evidently affected by rate limit. Simulation and experiment results verify that the PI controller tuned by Skogestad internal model control (SIMC) method is less sensitive to the rate limit variation and is more suitable for processes (the normalized dead-time is from 0.03 to 1) which have severe actuator rate limit. Tyreus-Luyben tuning rule is another optional method. In addition, the reasons why SIMC is not sensitive to rate limit variation are analysed. These analytical results can offer a guideline for practical applications.This paper describes the design and implementation of a H∞-based robust controller for a commercial 2MW variable-speed variable-pitch wind turbine. The single controller is able to deliver specification performance for the entire full load region. Various aspects of modeling and design procedures including reduced order model validation, torsional mode damping of drivetrain and uncertainty estimation are explained in detail. To make the design more reliable and industrially attractive, simple routines for the derivation of required weighting functions are introduced. To investigate the benefits of the suggested design, its closed-loop performance is compared with the wind turbine's baseline controller and an alternative state-space controller proposed in the literature. selleck kinase inhibitor This is first evaluated using a FAST-based simulator under IEC-61400 compatible scenarios. It is then verified by a real-life hardware in the loop simulator using an industrial PLC.
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