Postoperative Pain and Opiate Requirement is Increased Following Second-Side Surgery Among Patients Undergoing Staged Total Knee Arthroplasty by Vivek P. Chadayammuri, MD, Shuvalaxmi D. Haselton, MS, Elizabeth Diaz, PA-C, Roger H. Emerson, MD

“…The optimal interval between staged procedures and effective strategies to minimize postoperative pain to enhance rehabilitation and mobility remain poorly understood. …”
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Case report: Monitoring consciousness with fNIRS in a patient with prolonged reduced consciousness following hemorrhagic stroke undergoing adjunct taVNS therapy by Fei Gao, Likai Wang, Likai Wang, Zhan Wang, Yaru Tian, Jingyi Wu, Mengchun Wang, Litong Wang

“…Behavioral improvements were evidenced by an increase in CRS-R scores from 2 to 14, marking the patient's transition from UWS to minimally conscious state plus (MCS+). Additionally, regions associated with auditory and sensory processing showed increased cortical engagement, supporting the positive impact of taVNS on cortical responsiveness. …”
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Genetic Determinants of Immune Cells and Hepatocellular Carcinoma Risk: A Bioinformatics and Bidirectional Mendelian Randomization Study by Tong WU, Fei GAO, Fei TENG, Qiaoli ZHANG

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Is Topical Tranexamic Acid Effective in Reducing Hematoma and Seroma in Breast Surgery? A Systematic Review and Meta-analysis by Ammar S.A. Hashemi, MD, Sara M. Hussein, MD, Zainab H. Alshehab, Abdullah A. Al Qurashi, MD, Lucas Kreutz-Rodrigues, MD, Basel A. Sharaf, MD, DDS, FACS

“…Topical tranexamic acid (TXA) has emerged as a promising intervention to minimize bleeding while reducing systemic adverse effects linked to intravenous administration. …”
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Evaluation of the Palatal Features in Relation to Graft Harvesting in the Saudi Population by Razan Alaqeely, Sumaiah Ajlan, Faisal Alsanqar, Abdulmahsin Alaqil, Abdulaziz Almansour, Mohammad A. Aldosari

“…Data on graft dimensions and palatal measurements will enable the exact planning of soft tissue harvesting to minimize surgical risks and optimize mucogingival surgery outcomes in the Saudi population.…”
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Interface Acoustic Waves in 128° YX-LiNbO₃/SU-8/Overcoat Structures by Cinzia Caliendo, Massimiliano Benetti, Domenico Cannatà, Farouk Laidoudi, Gaetana Petrone

“…Numerical analysis results showed the following: (i) an overcoat faster than the piezoelectric half-space ensures that the wave propagation is confined mainly close to the surface of the LiNbO₃, although with minimal scattering in the overcoat; (ii) the presence of the SU-8, in addition to performing the essential function of an adhesive layer, can also promote the trapping of the acoustic energy toward the surface of the piezoelectric substrate; and (iii) the electromechanical coupling efficiency of the IAW is very close to that of the surface acoustic wave (SAW) along the bare LiNbO₃ half-space. …”
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Adjusting on-scene CPR duration based on transport time interval in out-of-hospital cardiac arrest: a nationwide multicenter study by Daseul Kim, Jae Yong Yu, Minha Kim, Gun Tak Lee, Sang Do Shin, Sung Yeon Hwang, Daun Jeong

“…Determining this critical time period requires outweighing the potential risks associated with intra-arrest transport while minimizing delays in accessing definitive hospital-based treatments. …”
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On-farm diversity and production challenges in Ethiopian tef [Eragrostis tef ((Zuccagni) Trotter)] landraces from Arsi zone, Ethiopia: Implications for breeding and conservation by Fekadu Gadissa, Muhamed Adem

“…With the exception of Aruso Tef (D = 0.47), all the remaining landraces showed minimal or no (D = 0.00) genetic abundance. The extent of the Sorenson similarity index revealed a higher similarity (0.69 in Enkelo Wabe vs Arsi Robe to 0.77 in Shirka vs Arsi Robe) and the areas revealed a higher landrace richness (R) and evenness index (E). …”
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Blue light irradiation combined with low-temperature storage further enhances postharvest quality of strawberries through improving antioxidant defense and cell wall metabolic acti... by Wei Lu, Wanqing Li, Keke Zhao, Xiaofeng Bai, Yuchang Zhang, Qingyun Li, Zhanjun Xue, Xin-Xin Wang

“…Therefore, BL irradiation holds significant promise for minimizing quality deterioration in postharvest strawberries during cold storage.…”
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Toxicity and Availability of Manganese in the Growth of Tropical Grasses in Contaminated Soil by Enilson de Barros Silva, Willian Cleisson Lopes de Souza, Barbara Olinda Nardis, Luís Reynaldo Ferracciú Alleoni, Paulo Henrique Grazziotti, Lauana Lopes dos Santos, Iracema Raquel Santos Bezerra, Flávio Antônio Fernandes Alves, Wesley Costa Silva, Bento Gil Uane, Sandra Antunes do Nascimento

“…Phytoremediation is a technique with high viability due to its low cost and minimal environmental impact. However, there are a few results regarding the use of tropical grasses in the phytoremediation of manganese (Mn), and there is no clear definition of which extractor is more suitable for assessing Mn availability in soils. …”
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Sonographic Assessment of Intravascular Fluid Estimate (SAFE) Score by Using Bedside Ultrasound in the Intensive Care Unit by Keith Killu, Victor Coba, Dionne Blyden, Semeret Munie, Darlene Dereczyk, Pridvi Kandagatla, Amy Tang

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Rapid fabrication and dissolution of pressed 58Ni/Mg matrix targets for 55Co production by Jonathan Siikanen, Stefan Milton, Klas Bratteby, Wilson Lin, Jonathan W. Engle, Emma Jussing, Thuy A. Tran

“…Using Mg as a support metal is suitable due to its thermal conductivity, low activation, minimal impact on purification chemistry, softness, ductility, and rapid dissolution in acid.…”
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Managing Friends and Foes: Sanctioning Mutualists in Mixed‐Infection Nodules Trades off With Defense Against Antagonists by Camille E. Wendlandt, Saumik Basu, Angeliqua P. Montoya, Paige Roberts, Justin D. Stewart, Allison B. Coffin, David W. Crowder, E. Toby Kiers, Stephanie S. Porter

“…ABSTRACT Successful plant growth requires plants to minimize harm from antagonists and maximize benefit from mutualists. …”
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Examining the impact of probiotic Lactiplantibacillus pentosus 6MMI on inhibiting biofilm formation, adhesion, and virulence gene expression in Listeria monocytogenes ATCC 19115 by Behrooz Alizadeh Behbahani, Mostafa Rahmati-Joneidabad, Morteza Taki

“…In the next step of the study, the Gaussian Process Regression (GPR) model accurately predicted bile tolerance and acid parameters with a high R2 of 0.99 and minimal Mean Absolute Percentage Error (MAPE) values of 0.33 % and 0.21 %, respectively. …”
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Sistem Deteksi Dini Penyakit Preeklampsia Melalui Perubahan Warna Urine Berdasarkan Protein dengan Menggunakan Metode Naïve Bayes Classifier by Fakhrul Allaam, Barlian Henryranu Prasetio, Rizal Maulana

“…Therefore, a tool that can perform automatic analysis is needed to minimize errors in the process and take action on patients. …”
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Reliability and Validity of the ActivForce Digital Dynamometer in Assessing Shoulder Muscle Force across Different User Experience Levels by Christos Karagiannopoulos, Sean Griech, Brian Leggin

“… # Hypothesis/Purpose This study aimed to determine the AF intra- and inter-tester reliabilities, standard error of measurement (SEM), minimal detectable change (MDC), and criterion validity for assessing shoulder isometric force as compared to the microFET2 (MF2) across testers with different experiences…”
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Leveraging ChatGPT to Produce Patient Education Materials for Common Hand Conditions by George Abdelmalek, MD, Harjot Uppal, MBA, Daniel Garcia, BS, Joseph Farshchian, MD, Arash Emami, MD, Andrew McGinniss, MD

“…Two consistent questions were asked to minimize variability: 1. “Please explain [Condition] to a patient at a sixth-grade reading level, including details on anatomy, symptoms, doctors' examination, and treatment (both surgical and nonsurgical).” 2. …”
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Anterior Cruciate Ligament Mechanical Response to Load in the Setting of Changes to the Medial Meniscus by Angela Hussain, Muffaddal Madraswala, Jason Koh, Farid Amirouche

“…Conversely, transplantation procedures exhibited a mitigating effect, maintaining joint mechanics closer to intact conditions and minimizing alterations in ACL forces. These trends persisted at 30 degrees of knee flexion, where significant increases in ACL forces were observed in partial and complete HCT conditions. …”
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Non-Completely Displaced Traumatic Rib Fractures: Potentially Less Crucial for Pulmonary Adverse Outcomes, Regardless of Classification by Hongrye Kim, Su Young Yoon, Jonghee Han, Junepill Seok, Wu Seong Kang

“…Least absolute shrinkage and selection operator (LASSO) regression was conducted to select risk factors and minimize overfitting. Multivariable logistic regression (MLR) was performed after LASSO. …”
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An Analysis of Land Use Conflicts and Strategies in the Harbin–Changchun Urban Agglomeration Based on the Production–Ecological–Living Space Theory and Patch-Generating Land Use Si... by Xiaomeng Wang, Yanjun Zhang, Xiaoyan Li, Shuwen Cao

“…The results indicate the following: (1) From 2000 to 2020 and different scenarios in 2030, the PELS of the HCUA is dominated by forest ecological space (E1) and agricultural production space (P1), with no substantial alterations in the overall spatial distribution of the PELS. (2) Absolute and relative conflicts between 2000 and 2020 are mainly concentrated in the plains of the western regions, characterized by conflicts arising from the encroachment of living space on production space; however, absolute conflicts have declined annually, accompanied by a notable enhancement in ecological quality. (3) The spatial pattern of absolute conflicts in 2030 exhibits minimal variation, illustrating higher values in the western regions compared to the eastern parts, with living space surpassing ecological space and plains showing higher conflict values than mountains. …”
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