Impaired Vigilance in Patients with Narcolepsy Type 1: A Psychomotor Vigilance Task Study by Yu J, Zhou Y, Han X, Li Z, Chen F, Zhang L

“…All patients were diagnosed with NT1 based on The International Classification of Sleep Disorders-Third Edition.Results: Patients with NT1 had a significantly higher body mass index and longer duration of education than healthy controls. …”
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Vacuum-assisted laparostomy with staged peritoneal lavage in management of secondary postoperative diffuse peritonitis: a prospective comparative non-randomised clinical trial by I. B. Uvarov, D. D. Sichinava, A. M. Manuilov

“…Cohort I included 157 staged-lavage VALs, cohort II — 107 RDs, cohort III — 49 operations. The mortality rate was 3/52 (5.8%), 24/78 (30.8%) and 7/11 (63.6%) in cohorts I, II and III (respectively, p < 0.001). …”
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The predictive role of inflammation indices derived from complete blood count in severe COVID-19 patients: a study from the United Arab Emirates by Rouba Karen Zeidan, Najlaa Al-Bluwi, Hamzah AlZubaidi, Hamzah AlZubaidi, Hamzah AlZubaidi, Manal Awad, Amal Hussein, Mohamed AlHajjaj, Basema Saddik, Basema Saddik, Basema Saddik

“…Complete blood count ratios and indices on admission were evaluated for COVID-19 severity using receiver operating characteristic curves, sensitivity, and specificity.ResultsMain complete blood count-based ratios and indices significantly predicting severe COVID-19 were elevated ratios index (optimal cut-off point ≥3; AOR = 2.8, 95% CI: 1.77–4.42), systemic immune-inflammation index (≥1259.95; AOR = 2.4, 95% CI: 1.53–3.87), systemic inflammation response index (≥3.96; AOR = 2.9, 95% CI: 1.79–4.72), aggregate index of systemic inflammation (≥949.02; AOR = 2.3, 95% CI: 1.43–3.77), platelet-to-lymphocyte ratio (≥188.91; AOR = 2.2, 95% CI: 1.39–3.53), derived neutrophil-to-lymphocyte ratio (≥2.91; AOR = 3.0, 95% CI: 1.84–4.87), and neutrophil-to-lymphocyte ratio (≥6.01; AOR = 3.2, 95% CI: 1.98–5.12).ConclusionIdentifying hematological markers’ predictive effects and their cut-off values can aid healthcare providers in risk classification and the development of tailored treatment plans. …”
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How to realize large-scale outdoor thermal comfort studies? A systematic review based on OTC characterization, methods and research trends by Yuan Li, Yuan Li, Yuan Li, Wenyi Fei, Wenyi Fei, Mengsheng Yang, Mengsheng Yang, Yingfeng Wang, Yingfeng Wang, Yanan Du, Yanan Du, Yaomei Wang, Yaomei Wang

“…However, previous OTC studies have been dominated by empirical case studies of regional sample points and have lacked systematic large-scale exploration within a certain region.MethodsThis study used the preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and bibliometric tools to statisticians the sources, keywords, content and highly cited papers of OTC studies.ResultsBased on the quantitative results, this study sorts and organizes OTC research from characterization, methods, and research trends, and summarizes the following results: (1) Universal thermal climate index (UTCI) is relatively suitable for large-scale OTC research; (2) The combination of subjectivity and objectivity with the application of Artificial Intelligence (AI) is the current cutting-edge research method of OTC; (3) Local climate zone (LCZ) classification system has a potential to be used in future large-scale OTC research has application potential.DiscussionBased on the collated results of previous studies, this study proposes a framework for large-scale OTC study to provide necessary theoretical support and practical guidance for future urban planning and construction, which will help optimize the urban environment and improve the thermal comfort and quality of life of residents.…”
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Cimiciato defect detection in hazelnuts: CNN models applied on X-ray images by Andrea Vitale, Matteo Giaccone, Antonio Gaetano Napolitano, Flavia de Benedetta, Laura Gargiulo, Giacomo Mele

“…Currently used methods for identifying insect damages (cimiciato) often rely on visual inspection, external imaging or require destructive testing.This study compared twelve different pretrained Convolutional Neural Network (CNN) architectures applied on hazelnut kernels X-ray radiographs for the automated detection of cimiciato defects.Through an extensive training and validation process, followed by testing on a separate dataset, InceptionV3 architecture showed the best overall balance across all performance metrics, including accuracy, sensitivity, and precision, while Xception demonstrated superior specificity and the lowest false positive rate. …”
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Long-term investigation of an open cluster Berkeley 65 by Tarak Chand, Tarak Chand, Saurabh Sharma, Koshvendra Singh, Jeewan Pandey, Aayushi Verma, Aayushi Verma, Harmeen Kaur, Mamta, Mamta, Manojit Chakraborty, Manojit Chakraborty, Devendra K. Ojha, Ajay Kumar Singh

“…We have presented the light curves and the classification of those variables. The periodic stars have periods ranging from ∼0.05 days to ∼3.00 days and amplitude ranges from ∼8 mmag to ∼700 mmag. …”
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Modeling coronary heart disease risk based on age, fatty food consumption and anxiety factors using penalized spline nonparametric logistic regression by Nur Chamidah, Budi Lestari, Hendri Susilo, Triana Kesuma Dewi, Toha Saifudin, Naufal Ramadhan Al Akhwal Siregar, Dursun Aydin

“…The proposed method gave results a percentage of model classification accuracy of 94.31 % and the value of area under the receiver operating characteristic curve (AUC) of 0.96. …”
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Debridement and bone graft fusion via the lateral extracavitary approach combined with lateral and posterior screw-rod fixation in the treatment of thoracic spinal tuberculosis: A... by Shuanhu Lei, Jianwei Zhou, Li Guo, Xiaoli Guan, Mingtao Zhang, Haiyuan Yue, Xuewen Kang

“…The average angle of kyphosis correction was 6.3 ± 4.7°, and the loss of correction was 1.4 ± 1.6°. …”
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Serum autoantibodies against a panel of 15 tumor-associated antigens in the detection of ovarian cancer by Hao Sun, Jian-Xiang Shi, Hong-Fei Zhang, Meng-Tao Xing, Pei Li, Li-Ping Dai, Cheng-Lin Luo, Xiao Wang, Peng Wang, Hua Ye, Liu-Xia Li, Jian-Ying Zhang

“…Conventional evaluation (mean + 3SD as the cutoff value to determine a positive reactivity), receiver operating characteristic curve analyses, and classification tree analysis were further used to evaluate the diagnostic performance of autoantibodies against these tumor-associated antigens (anti-tumor-associated antigens) in ovarian cancer. …”
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Optimizing ERAS protocols in robotic nephron-sparing surgery: a randomized trial by Yiqiang Wang, Mangmang He, Lulu Lou

“…Hospital stay was significantly reduced (6.2 ± 2.1 vs. 10.5 ± 3.3 days, MD − 4.3, 95% CI -5.0, -3.6; p < 0.001). …”
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Public Perception Against Women Education in Central Kalimantan province Katingan by Desi Erawati

“…Results show there is three classifications field public perception. The first group says that women must have high academic spirit in order to quality education d family, while the second shows that may be educated but also vice versa depending on the economic conditions were the pretty situation. …”
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Association of patient, physician and visit characteristics with inappropriate antibiotic prescribing in Japanese primary care: a cross-sectional study by Kao-Ping Chua, Michael A Fischer, Jeffrey A Linder, Atsushi Miyawaki, Yusuke Tsugawa, Kei Kitajima, Daichi Sato, Joseph B Ladines-Lim

“…Using a previously developed classification algorithm, we determined whether diagnosis codes occurring on or during the 3 days before the antibiotic prescribing date ‘always’, ‘sometimes’ or ‘never’ justified antibiotic use. …”
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Echocardiographic Changes in Dogs with Stage B2 Myxomatous Mitral Valve Disease Treated with Pimobendan Monotherapy by Andrew Crosland, Pablo Manuel Cortes-Sanchez, Siddharth Sudunagunta, Jonathan Bouvard, Elizabeth Bode, Geoff Culshaw, Joanna Dukes-McEwan

“…Some stage B2 dogs that received pimobendan no longer met the echocardiographic classification criteria for stage B2 MMVD and could have been misclassified as stage B1 and had their medication inappropriately withdrawn. …”
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Metagenomic exploration and computational prediction of novel enzymes for polyethylene terephthalate degradation by Donya Afshar Jahanshahi, Mohammad Reza Rezaei Barzani, Mohammad Bahram, Shohreh Ariaeenejad, Kaveh Kavousi

“…These enzymes were further validated through active site analysis, amino acid composition analysis, and 3D structure comparison. Additionally, we isolated bacterial strains from contaminated soils and extracted plastizymes to demonstrate their potential for environmental remediation. …”
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Updated Guidelines for the Diagnosis and Treatment of Endometrial Carcinoma: The Polish Society of Gynecological Oncology (2025v) by Jacek J. Sznurkowski, Lubomir Bodnar, Anna Dańska-Bidzińska, Andrzej Marszałek, Pawel Blecharz, Anita Chudecka-Głaz, Dagmara Klasa-Mazurkiewicz, Artur Kowalik, Agnieszka Zołciak-Siwinska, Aleksandra Zielinska, Mariusz Bidziński, Włodzimierz Sawicki

“…A 2025 update was initiated in response to new evidence, particularly regarding systemic therapies for metastatic, advanced, or recurrent EC, and the introduction of an updated FIGO classification. A targeted literature review identified relevant phase III clinical trials and systematic reviews, including RUBY, GY-018, AtTend, and DUO-E. …”
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Software Defect Prediction through Neural Network and Feature Selections by Mutasem Shabeb Alkhasawneh

“…Also, for testing the proposed system, fourteen NASA data sets were used including CM1, JM1, KC1, KC2, KC3, KC4, MC1, MC2, MW1, PC1, PC2, PC3, PC4, and PC5. …”
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Medium- and long-term results of high tibial osteotomy in patients with primary and secondary knee osteoarthritis with varus deformity by V. E. Byalik, S. A. Makarov, L. I. Alekseeva, E. I. Byalik

“…The results were assessed at one (n=31), 3.5±0.6 (n=28), and 8.5±1.3 (n=10) years.Results and discussion. …”
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The agitated pediatric patient located in the emergency department: The APPLIED observational study by Matthias M. Manuel, Sing‐Yi Feng, Kenneth Yen, Faisalmohemed Patel

“…Methods We reviewed records of patients aged ≤18 years with MBH needs who visited the pediatric ED of a tertiary care hospital during a 3‐year‐period. We identified and ascertained agitated/aggressive patients using documented signs/symptoms, International Classification of Diseases, Tenth Revision codes, and Behavioral Activity Rating Scale scores. …”
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What happens between first symptoms and first acute exacerbation of COPD – observational study of routine data and patient survey by Alex Bottle, Alex Adamson, Xiubin Zhang, Benedict Hayhoe, Jennifer K Quint

“…Around three-quarters were diagnosed in primary care, with a slight fall in cohort 3. …”
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Analysis of risk factors affecting the prognosis of external fixation in the treatment of unstable pelvic fractures in children: a retrospective study of 96 patients by Hanwen Zhang, Ronghao Zhao, Danjiang Zhu, Wei Feng, Baojian Song, Qiang Wang

“…Results The study included 96 patients (62 males, 34 females) with an average age of 95.7 ± 50.3 months. Injury mechanisms were mainly traffic accidents (82.3%) and falls (14.6%). …”
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