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| http://dx.doi.org/10.18632/oncotarget.28264 | DOI Listing |
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At its October 2024 meeting, the Advisory Committee on Immunization Practices* (ACIP) approved the Recommended Immunization Schedule for Adults Ages 19 Years or Older, United States, 2025. The schedule supports health care providers, as well as public health and other professionals, by providing a consolidated summary of current ACIP recommendations for adult vaccination. The 2025 schedule includes several updates to the cover page, tables, notes, and appendix.
View Article and Find Full Text PDFA commentary and an addendum to 'standardization of acid-base assessment': notes for standardized assessment.
J Nephrol
December 2024
Division of Nephrology, Department of Internal Medicine, Tokatsu-Clinic, 21-2 Hon-Cho, Matsudo, Chiba, 271-0091, Japan.
Research on the influence on the addendum-shortened-coefficient of the first-last teeth of incomplete driving gear to avoid interference.
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 PDF"It's Like Making Reflective Practice More of the Heart of Who We Are": An Exploration of Facilitators and Barriers to Implementing Reflective Supervision in State Pre-K.
Prev Sci
December 2024
Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
High-quality supervision for teachers in early care and education (ECE) is essential for building positive teacher-child relationships and enhancing ECE program quality, which in turn promotes healthy social-emotional and academic development in young children. Reflective supervision (RS) is a process-oriented and relationship-centered supervisory approach that has growing empirical evidence supporting its use. As the evidence base for RS continues to expand, and early childhood-serving settings-including ECE-increasingly consider this approach, understanding whether RS is likely to be routinely used in ECE settings and what helps or hinders use of this approach is critically important.
View Article and Find Full Text PDFEarly Operative Risk Assessment Using the Modified Mannheim Peritonitis Index in Patients With Generalised Peritonitis at a Tertiary Hospital in Abuja, Nigeria.
Cureus
September 2024
Department of Surgery, National Hospital Abuja, Abuja, NGA.
Introduction The use of validated prognostic scoring tools in resource-poor environments has been hampered by the cost of procuring and maintaining devices, such as arterial blood gas analysers, to measure critical physiological derangements. Attempts need to be made to adapt these applicable risk stratification tools so they can be easily adopted in developing countries like Nigeria. Aim This study assessed the usefulness of a modified Mannheim peritonitis index (mMPI) as a risk stratification tool in predicting surgical outcomes in managing patients with generalised peritonitis in Abuja, Nigeria.
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