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4741
Comprehensive computational analysis via Adverse Outcome Pathways and Aggregate Exposure Pathways in exploring synergistic effects from radon and tobacco smoke on lung cancer
Published 2025-07-01“…This approach also identified gaps in understanding joint exposure, particularly the lack of mechanistic studies on the precise role of certain KEs such as inflammation, as well as the need for studies that more closely replicate real-world exposure conditions. …”
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4742
Barriers and facilitators to housing and healthcare services for people experiencing homelessness with concurrent brain injury, mental health and substance use disorders: a qualita...
Published 2025-08-01“…Manifest content analysis revealed five barriers and five facilitators: Barriers included (1) Stigma, (2) Insufficient Investment, (3) Siloed Systems, (4) Generalized Approaches to Housing, and (5) Policies that do not Support Complex Needs, while facilitators included (1) Increasing Discourse on the Intersections of ABI, MHSU, and Homelessness, (2) Government Commitment to Systemic Change, (3) Collaboration Across Organizations, (4) Community-Based Services, and (5) Supportive Housing Models.ConclusionsThese findings highlight gaps in existing policies and services while identifying effective approaches to supporting individuals experiencing these intersections. …”
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4743
Urban morphology impacts on urban microclimate using artificial intelligence – a review
Published 2025-12-01“…By leveraging urban morphology indicators such as sky view factor, building density, and green space ratio, AI models can analyze complex interactions across various spatiotemporal scales. …”
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4744
Deep-Learning-Based Land Cover Mapping in Franciacorta Wine Growing Area
Published 2025-01-01“…This study addresses these gaps by presenting a methodology for semantic segmentation of land covers in agricultural areas using satellite images and deep learning models with pre-trained backbones. …”
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4745
Provider readiness and implementation barriers for lung cancer screening in a safety-net system
Published 2025-08-01“…Objective: Lung cancer screening (LCS) with low-dose computed tomography is a critical preventive strategy, yet implementation remains complex, particularly in safety-net settings. This study assessed provider knowledge, attitudes, and readiness to implement LCS, including shared decision-making (SDM) and smoking cessation, within a large urban safety-net healthcare system. …”
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4746
A comprehensive review of the pathogenic mechanisms of Pseudomonas aeruginosa: synergistic effects of virulence factors, quorum sensing, and biofilm formation
Published 2025-07-01“…Over the past decade, extensive research has elucidated its complex virulence repertoire, including exotoxins, proteases, and siderophores; the hierarchical Quorum Sensing (QS) networks; and its robust capacity for biofilm formation. …”
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4747
A Review of Soil Constitutive Models for Simulating Dynamic Soil–Structure Interaction Processes Under Impact Loading
Published 2025-06-01“…This paper addresses existing gaps in the literature by offering a structured basis for selecting and evaluating constitutive models in simulations of high-energy vehicular impact events involving soil–structure systems. …”
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4748
Fracture Risk in Chronic Kidney Disease: Addressing an Overlooked Complication
Published 2025-07-01“…The overlap between CKD-Mineral and Bone Disorder (CKD-MBD) and osteoporosis leads to complex bone changes that increase the likelihood of fragility fractures. …”
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4749
The impact of natural drivers and human activities on sediment flux in Hekouzhen-Longmen section of China over the last 100 years
Published 2025-06-01“…To fill these research gaps, this study has collated the hydrological and meteorological data over the past century. …”
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4750
Underwater SLAM Meets Deep Learning: Challenges, Multi-Sensor Integration, and Future Directions
Published 2025-05-01“…Autonomous underwater vehicles (AUVs) rely on simultaneous localization and mapping (SLAM) for real-time navigation and mapping in these complex environments. However, traditional SLAM techniques face significant obstacles, including poor visibility, dynamic lighting conditions, sensor noise, and water-induced distortions, all of which degrade the accuracy and robustness of underwater navigation systems. …”
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4751
Close-to-nature silviculture in eastern Quebec: Advances over the last decade
Published 2021-09-01“…Nevertheless, other close-to-nature silvicultural practices must be developed, as gaps between managed and unmanaged stands persist. …”
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4752
Small extracellular vesicles: messengers at the service of breast cancer agenda in the primary and distant microenvironments
Published 2025-07-01“…Abstract Breast cancer (BC) remains a leading cause of cancer-related mortality in women, with complex mechanisms driving its initiation, progression, and resistance to therapy. …”
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4753
5G Networks Security Mitigation Model: An ANN-ISM Hybrid Approach
Published 2025-01-01“…The advent of Fifth-Generation (5G) networks has introduced significant security challenges due to increased complexity and diverse use cases. Conventional threat models may fall short of addressing these emerging threats effectively. …”
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4754
A national perspective: integrating medical humanities to address burnout and stress in Chinese medical education
Published 2025-02-01“…Conclusion This study illuminated the complex relationship between medical education, burnout, stress, and students' perception of medical humanities issues. …”
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4755
Person-environment fit of formal and informal caregivers for older adults: a scoping review
Published 2025-08-01“…Abstract Background Caring for older adults is a dynamic and complex process, and analyzing personal and environmental factors separately fails to capture its full nature. …”
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4756
QIP approach to improving quality of diagnosis and initial management of heart failure for inpatients on general internal medicine wards
Published 2025-07-01“…Heart failure (HF) is a complex clinical syndrome that is associated with high levels of morbidity and mortality, and reduced quality of life.1 In 2014, the overall HF prevalence in the UK was 920,616 cases, accounting for 1.6% of the UK population.2 Accurate medical documentation is crucial for assessing adherence to national standards for HF diagnosis and management, as well as for capturing clinical indicators measured in the National Heart Failure Audit (NHFA), which are linked to improved patient outcomes.3 In this audit, we aimed to evaluate the completeness and accuracy of key performance indicators (KPIs) for HF documentation in general internal medicine (GIM) at Leicester Royal Infirmary (LRI).This prospective audit collected data over ∼1 month from inpatients diagnosed with HF on GIM wards at LRI. …”
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4757
Characterization and simulation of conglomerate reservoirs using core data of Triassic Baikouquan Formation, Mahu Depression
Published 2025-08-01“…This approach is expected to be valuable for similar complex conglomerate reservoirs worldwide.…”
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4758
Implementation of a Quality Improvement and Clinical Decision Support Tool for Cancer Diagnosis in Primary Care: Process Evaluation
Published 2025-06-01“…The Medical Research Council’s Framework for Developing and Evaluating Complex Interventions was used to analyze and interpret the data. …”
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4759
Development and Validation of a Predictive Model for Activities of Daily Living Dysfunction in Older Adults: Retrospective Analysis of Data From the China Health and Retirement Lon...
Published 2025-06-01“…ADL dysfunction encompasses both basic ADL (BADL) and instrumental ADL (IADL), which assess fundamental self-care and complex environmental interactions, respectively. …”
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4760
Innovative, Technology-Driven, Digital Tools for Managing Pediatric Urinary Incontinence: Scoping Review
Published 2025-05-01“…However, this review also identified gaps in research, highlighting the need for more rigorous research to better assess the tools’ effectiveness and address the complex, multifaceted challenges of pediatric urinary incontinence management. …”
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