5360 papers
This study introduces SY-CNN+, a hybrid learning framework that leverages GAN-based synthetic data augmentation to achieve high accuracy in classifying malignant versus benign eyelid tumors from clinical photographs, outperforming human clinicians in an exploratory comparison while demonstrating robustness across retrospective and prospective cohorts.
This qualitative study conducted in Nairobi, Kenya, identifies key facilitators and barriers affecting adolescents' access to public mental healthcare services, highlighting the urgent need for collaborative, community-anchored strategies to strengthen the region's underdeveloped mental health system.
This quasi-experimental study demonstrates that a six-week designed preceptorship program significantly enhances the clinical competency of novice intensive care unit nurses, as evidenced by statistically significant improvements in evaluations from head nurses and peers, though not from the nurses' self-assessments.
This mixed-methods study reveals that survivors of the April 2020 floods in Uvira, DRC, experienced exceptionally high rates of co-occurring anxiety and depression (over 70%), driven by a unique "compound vulnerability" of armed conflict, displacement, and bereavement that standard humanitarian frameworks fail to address.
This retrospective cohort study of 41,776 kidney cancer patients in North Carolina (2000–2022) found that a better county-level food environment, measured by the Food Environment Index, is significantly associated with improved survival rates and a reduced risk of death.
This mixed-methods study constructs a scientifically valid and clinically practical recertification evaluation index system for Advanced Practice Nurses in China, comprising 5 primary, 11 secondary, and 45 tertiary indicators based on the Magnet framework to address the current lack of a unified national standard.
This multicenter retrospective study from Ethiopia (2018–2025) demonstrates that while medulloblastoma patients show improved early survival compared to historical data, long-term outcomes remain poor, with gross total resection and older age predicting better survival, whereas brainstem compression, postoperative complications, and delayed radiotherapy significantly increase mortality risk.
This multicenter randomized placebo-controlled trial suggests that daidzein-rich isoflavone aglycones (DRIAs) offer a safe, non-hormonal therapeutic option for endometriosis-associated dysmenorrhea, demonstrating a statistically significant pain reduction at Month 3 and a consistent trend toward efficacy without suppressing ovarian function.
This case-control study in Alborz Province, Iran, identifies several significant modifiable risk factors for childhood acute lymphoblastic leukemia, including maternal imaging during pregnancy and exposure to high-voltage power lines, and quantifies their substantial population-level impact to inform targeted preventive strategies.
This study demonstrates that in postmenopausal women, the protective effect of appendicular skeletal muscle index on bone mineral density is significant only in non-overweight/obese individuals and is attenuated by high BMI, while the influence of body composition on bone density exhibits distinct site-specific differences between the lumbar spine and femoral neck.