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http://dx.doi.org/10.1038/s41467-023-35901-w | DOI Listing |
BMJ Open
July 2025
Nuffield Department of Primary Care Health Science, University of Oxford, Oxford, UK.
Objectives: To develop a behavioural intervention package to support non-allergist healthcare workers (HCWs) to remove incorrect penA records from medical and surgical adult inpatients. This paper describes the development of the penicillin allergy de-labelling (PADL) intervention and the implementation intervention that will support non-allergist-delivered PADL.
Design: We combined evidence-based, theory-based and person-based approaches.
Front Health Serv
April 2025
Geriatric Education & Research Institute, Singapore, Singapore.
Introduction: Older adults are at increased risk of experiencing multimorbidity and care dependency due to declines in their physiological reserves. Optimizing the intrinsic capacity and functional ability of individuals is important to enable healthy aging. We engaged potential implementers of an integrated, community-based model for frailty and intrinsic capacity care, adapted from the World Health Organization Integrated Care for Older People framework, to assess the anticipated barriers and enablers to implementation within Singapore's healthcare context.
View Article and Find Full Text PDFNat Neurosci
April 2025
Department of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.
Heliyon
January 2024
The Department of Mechanical Engineering, The University of Sheffield, Sheffield S1 3JD, UK.
In order to ensure the normal transmission of incomplete gears without interference during the process of gear meshing. This research first establishes the theoretical model to explore the influence of the reference circle pressure angle ( ), the addendum modification coefficient, and the number of teeth on the addendum-shortened-coefficient ( ) of the incomplete driving gear's first-last teeth, and then systematically explores the influence between the key factors and the decrease of . The results show that: (1) When the pressure angle of the driven gear addendum circle ( ) and the maximum critical value of the addendum radius of the driving gear to avoid interference ( ) increases with the increase of , decreases with the increase of ; (2) In the cases of high-modification gear transmission and angular-modification gear transmission, there are five conditions in which decreases due to the addendum modification coefficient of driving gear ( ) and the addendum modification coefficient of driven gear ( ): 1) High-modification gear transmission with one case:① , with the increase of , that is: and are opposite number; 2) Angular-modification gear transmission with other four cases: ② , with , that is: The driving and driven gears are negative-modified and standard gears, respectively; ③ , with , that is: The driving and driven gears are standard and positive-modified gears, respectively; ④ , , with the increase of , that is: The sum of and are negative and neither of them is zero, there exist three kinds of addendum modification gears for the driving and driven gear, which are positive-negative, negative-positive and negative-negative.
View Article and Find Full Text PDFMed Educ
March 2025
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Introduction: Medical training refers frequently to sex and gender, yet these terms are often used vaguely and interchangeably with little critical engagement. We aimed to better understand the key discourses around sex and gender in medical training.
Methods: All verbal and written instances of gendered/sexed language, occurring in lectures, slides and provided written materials, within 1 year of preclerkship medical education at a single institution in Canada were recorded autoethnographically by a medical student.