Outcomes and surgical technique of laparoscopic hysterectomy using an articulating laparoscopic instrument: a prospective observational study by Jun-Hyeong Seo, Won-Ji Kim, Chel Hun Choi, Tae-Joong Kim, Jeong-Won Lee, Byeong-Gie Kim, Kazuyoshi Kato, Yi-Liang Lee, Yu-Li Chen, Yoo-Young Lee

“…The surgeries were performed by two surgeons, both experienced in laparoscopic hysterectomy. Data on patient demographics, clinical outcomes, as well as pathological and postoperative results, were collected prospectively for analysis.ResultsOf the 100 patients enrolled in this prospective observational study utilizing the articulating laparoscopic instrument for gynecologic surgery, 45 underwent hysterectomy with this instrument. …”
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Transthoracic Lung Ultrasound in Systemic Sclerosis-Associated Interstitial Lung Disease: Capacity to Differentiate Chest Computed-Tomographic Characteristic Patterns by Cinzia Rotondo, Giuseppe Busto, Valeria Rella, Raffaele Barile, Fabio Cacciapaglia, Marco Fornaro, Florenzo Iannone, Donato Lacedonia, Carla Maria Irene Quarato, Antonello Trotta, Francesco Paolo Cantatore, Addolorata Corrado

“…Of these, 25% had the UIP pattern and 75% the NSIP pattern (46 with GGO, 28 with GGO and reticulations). By receiver operating characteristic (ROC) curve analysis, higher values of accuracy, sensitivity, specificity, and negative clinical utility index (CUI) were found for pleural line irregularity (0.84 (95% CI: 0.75–0.91), 96%, and 73.6%, <i>p</i> = 0.0001; 0.72), and pleural line thickness (0.84 (95% CI: 0.74–0.91), 72%, and 96.4%, <i>p</i> = 0.0001; 0.85) for detecting the UIP pattern. …”
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Coastal Storm – Surge Combination Risk Identification and Resilience Planning Based on Supply and Demand Assessment of Flood Regulation Ecosystem Services: A Case Study of Fujian D... by Jian TIAN, Tianyu XIU, Suiping ZENG

“…By integrating multisource data, the research establishes a dual assessment system — employing a “water conservation + soil retention” framework for the supply side and a “hazard + vulnerability” framework for the demand side. …”
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Association between systemic immune-inflammation index and trimethylamine N-oxide levels in peripheral blood and osteoporosis in overweight and obese patients by Lingling Li, Lingling Li, Jinyang An, Jinyang An, Jia Bai, Jia Bai, Yangyang Zhang, Yangyang Zhang, Xinsai Li, Xinsai Li, Haihong Lv

“…A corrected regression model analyzed the association of SII, TMAO, BMD, and osteoporotic fractures incidence in patients with central obesity. Receiver operator characteristic (ROC) curves assessed the predictive ability of SII and TMAO for OP screening.ResultsBaseline data showed that patients with VFA ≥ 100 cm² had lower whole body (WB) and lumbar spine (LS) BMD, but higher SII and TMAO levels compared to those with VFA &lt; 100 cm² (p &lt; 0.05). …”
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Updating AFP Level in Chronic Hepatitis B to Evaluate the Risk of Hepatocellular Carcinoma Occurrence by Juferdy Kurniawan, Jane Andrea Christiano Djianzonie, Edi Mulyana, Dicky Levenus Tahapary, Andri Sanityoso Sulaiman, Ika Prasetya Wijaya, Sally Aman Nasution, Siti Setiati

“…Determination of the AFP cut-off value was carried out using the receiver operating characteristics (ROC) method.  Results: For HCC surveillance caused by hepatitis B virus, ROC curve analysis resulted in an area under the curve (AUC) of 0.792 (95% CI, 0.719-0.866), and the cut-off value with the highest Youden index was 8.7 ng/ml, with 58% sensitivity, 94% specificity, positive predictive value (PPV)  56.14%, negative predictive value (NPV) 94.43%, positive likelihood ratio (LR+) 10.08, and negative likelihood ratio (LR-) 0.46. …”
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Development and validation of a novel risk assessment model for accurate prediction of intraoperative hypothermia in adult patients undergoing different types of surgery: insights... by Bingbing Cao, Yongxing Li, Xiangnan Chen, Yong Liu, Yao Li, Haihua Shu, Qiang Wu, Fengtao Ji

“…This study aims to develop and validate a model in adult surgical patients to improve outcomes.Methods This retrospective cohort study utilized data extracted from electronic medical records and anaesthesia information management systems between June 2022 and August 2023. …”
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Shedding Light on the Italian Mesophotic Spongofauna by Margherita Toma, Marzia Bo, Marco Bertolino, Martina Canessa, Michela Angiolillo, Alessandro Cau, Franco Andaloro, Simonepietro Canese, Silvestro Greco, Giorgio Bavestrello

“…An analysis of 483 remotely operated vehicle (ROV) dives carried out along the Italian coast on hard substrata at mesophotic depths (40–200 m) allowed an overview of the rich sponge diversity (53 taxa) of the deep continental platform to be obtained for the first time. …”
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A Delphi-based needs assessment to identify and prioritise procedural skills through consensus for simulation-based learning in neurosurgery by Adam F. Roche, Dara O. Kavanagh, Darach Crimmins, Vincent Healy, Gulam Zilani, Lars Konge, Leizl Joy Nayahangan, Danyal Z. Khan, Daniel Murray, Javier Francisco Cuello, Caitriona Cahir, Niamh Murphy, Claire M. Condron

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Occult Node Detection With Lobectomy Versus Segmentectomy for Stage IA NSCLC by Yota Suzuki, MD, Rajeev Dhupar, MD, Inderpal S. Sarkaria, MD, MBA, Ian G. Christie, MD, Summer N. Mazur, BS, Arjun Pennathur, MD, James D. Luketich, MD, Ryan M. Levy, MD, Rodney J. Landreneau, MD, Matthew J. Schuchert, MD

“…Objective: Besides the discussion on parenchymal margin, data on the extent of lymph node (LN) dissection are scarce, especially in segmentectomy. …”
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Comparative evaluation of hybrid and individual models for predicting soybean yellow mosaic virus incidence by Yunish Khan, Vinod Kumar, Amel Gacem, Anurag Satpathi, Parul Setiya, Kumari Surbhi, Ajeet Singh Nain, Dinesh Kumar Vishwakarma, Ahmad J. Obaidullah, Krishna Kumar Yadav, Ozgur Kisi

“…Specifically, six multivariate models Stepwise Multiple Linear Regression (SMLR), Artificial Neural Networks (ANN), Least Absolute Shrinkage and Selection Operator (LASSO), Ridge Regression (RR), Elastic Net (ELNET), and SMLR_ANN both direct and with Principal Component Analysis (PCA)-were developed using 20 years of data (2001 to 2020) to predict the severity of soybean disease in Pantnagar, Uttarakhand. …”
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Effectiveness and safety of an emergency department-based rapid response system by Fanny Delfanti, Guido Bertolini, Giovanni Nattino, Giulia Acquistapace, Daniela De Palma, Piergiuseppe Ferrari, Sara Martinenghi, Stefano Maiandi, Marco Rossi, Anna Lilia Ruocco, Maria Teresa Spina, Benedetta Chiodi, Stefano Paglia

“…The MET, consisting of an emergency physician and one nurse, operates from 8:00 PM to 8:00 AM. Data from 2014-2019, divided into PRE (2014-2016) and POST (2017-2019) periods, were analyzed. …”
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Updating AFP Level in Chronic Hepatitis B to Evaluate the Risk of Hepatocellular Carcinoma Occurrence by Juferdy Kurniawan, Jane Andrea Christiano Djianzonie, Edi Mulyana, Dicky Levenus Tahapary, Andri Sanityoso Sulaiman, Ika Prasetya Wijaya, Sally Aman Nasution, Siti Setiati

“…Determination of the AFP cut-off value was carried out using the receiver operating characteristics (ROC) method.  Results: For HCC surveillance caused by hepatitis B virus, ROC curve analysis resulted in an area under the curve (AUC) of 0.792 (95% CI, 0.719-0.866), and the cut-off value with the highest Youden index was 8.7 ng/ml, with 58% sensitivity, 94% specificity, positive predictive value (PPV)  56.14%, negative predictive value (NPV) 94.43%, positive likelihood ratio (LR+) 10.08, and negative likelihood ratio (LR-) 0.46. …”
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Stakeholder perspectives on the demand and supply factors driving substandard and falsified blood pressure lowering medications in Nigeria: a qualitative study by Lisa R Hirschhorn, Mark D Huffman, Dike Ojji, Olutobi Adekunle Sanuade, Grace Shedul, Eugenia N Ugwuneji, Tunde M Ojo, Aishwarya Vijay, Patrick Ponzing, Inuwa Okpe, Gabriel Lamkur Shedul

“…Between August 2020 and September 2020, we conducted 11 in-depth interviews and 7 focus group discussions with administrators of health facilities, major manufacturers and distributors of BP lowering medications, pharmacists, drug regulators, patients and primary care physicians purposively sampled from the Federal Capital Territory, Nigeria. Data were analysed using directed content analysis, with the aid of Dedoose.Results We found that demand for SF BP lowering medications in Nigeria was driven by high out-of-pocket expenditure and stockouts of quality-assured BP lowering medications. …”
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Location of capture sufficiently characterises lifetime growth trajectories in a highly mobile fish by Joshua S. Barrow, Jian D. L. Yen, John D. Koehn, Brenton Zampatti, Ben Fanson, Jason D. Thiem, Zeb Tonkin, Wayne M. Koster, Gavin L. Butler, Arron Strawbridge, Steven G. Brooks, Ryan Woods, John R. Morrongiello

“…Understanding the environmental drivers of growth variation in mobile organisms such as fishes can be challenging because an individual’s growth expression integrates processes operating at different spatial and temporal scales. …”
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Learning curve of transanal minimally invasive surgery for rectal neoplasm by Xingwang Li, Xingwang Li, Shaoqing Guo, Kunhou Yao, Zheng Ge, Zheng Ge, Yuewei Li, Junhong Hu, Hongping Xia, Hongping Xia, Hongping Xia

“…TAMIS belongs to single-port endoscopic surgery, and the operation is complex. Analyzing the learning curve of TAMIS aims to facilitate its better clinical promotion.MethodsA retrospective cohort study analyzed the clinical data of 58 patients who underwent TAMIS by the same surgeon from January 2018 to October 2024. …”
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Efficacy and safety of Le Fort colpocleisis in the treatment of stage III-IV pelvic organ prolapse by Leqi Liang, Shan Ao, Su Wang, Zugen Chen, Lei Peng, Liquan Chen, Lizhen Xu, Xiaowei Zhang, Tuo Deng

“…Results A total of 54 patients with complete pre- and postoperative data completed follow-up and were included in our study. …”
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“Pi of the Sky” Detector by Katarzyna Małek, Tadeusz Batsch, Henryk Czyrkowski, Mikołaj Ćwiok, Ryszard Dąbrowski, Wojciech Dominik, Grzegorz Kasprowicz, Ariel Majcher, Agnieszka Majczyna, Lech Mankiewicz, Krzysztof Nawrocki, Robert Pietrzak, Lech W. Piotrowski, Maria Ptasińska, Małgorzata Siudek, Marcin Sokołowski, Janusz Użycki, Piotr Wawer, Roman Wawrzaszek, Grzegorz Wrochna, Marcin Zaremba, Aleksander F. Żarnecki

“…A crucial element of the detector is an advanced software for real-time data analysis and identification of short optical transients. …”
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Co-detection of respiratory pathogens in children with Mycoplasma pneumoniae pneumonia: a multicenter study by Xiaoyan Dong, Rui Li, Yingxue Zou, Lina Chen, Hailin Zhang, Fangfang Lyu, Wenhao Yang, Yanhua Niu, Haojie Wang, Run Guo, Xu Wang, Li Li, Zihao Lin, Li Luo, Danli Lu, Quan Lu, Hanmin Liu

“…Severe cases were further subdivided into an MP alone group and a multi-pathogen co-detection group. Receiver operating characteristic (ROC) curve analysis was performed to assess the predictive performance of inflammatory biomarkers for multi-pathogen co-detection.ResultsA total of 266 children were enrolled. …”
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Comment on ‘Egypt’s water budget deficit and suggested mitigation policies for the Grand Ethiopian Renaissance Dam filling scenarios’ by Ahmed Eladawy, Tirusew Asefa, Saker El Nour

“…The Grand Ethiopian Renaissance Dam (GERD) filling and operation is a highly sensitive issue for Egypt and Sudan. …”
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The correlation and predictive value of Hb, RDW and their association for short-term and long-term mortality in patients with acute aortic dissection by Peng Hou, Peng Hou, Lin Xia, Fangran Xin, Boxuan Sun, Guoxin Zhang, Liming Yu, Huishan Wang

“…BackgroundThis study examines the relationship between Hb, RDW and their association and both short-term and long-term mortality in patients with acute aortic dissection (AAD), aiming to establish combined effect between Hb and RDW as a potential prognostic biomarker for AAD outcomes.MethodsWe extracted clinical data from the Medical Information Mart for Intensive Care (MIMIC) databases for this analysis. …”
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