Effectiveness and tolerability of lactic acid vaginal gel compared to oral metronidazole in the treatment of acute symptomatic bacterial vaginosis: a multicenter, randomized-contro... by Fiona Tidbury, Grégory Brülhart, Gabriela Müller, Elena Pavicic, Susanna Weidlinger, Gerrit Eichner, Michael von Wolff, Petra Stute

“…Conclusion Lactic acid vaginal gel was generally very well tolerated and showed mixed but promising results as a stand-alone treatment for acute BV. …”
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Application Study on Active Advanced Support Technology in Deep Roadway under Mine Goaf by Pengfei Jiang, Peng Xiao, Fanbao Meng, Suolin Jing, Jingkai Zhang, Ge Wang, Peng Zhao

“…The separation layer was generally distributed in the range of 0.73 m-2.49 m, and the fracture area was roughly distributed in the range of 0.01 m-0.62 m. …”
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Exploring the Connectivity Between Education 4.0 and Classroom 4.0: Technologies, Student Perspectives, and Engagement in the Digital Era by Kapil Joshi, Rajesh Kumar, Salil Bharany, Dilip Kumar Jang Bahadur Saini, Rajiv Kumar, Ashraf Osman Ibrahim, Abdelzahir Abdelmaboud, Wamda Nagmeldin, Mohammad Awad Medani

“…Further research in other worldwide contexts is required to generalize the findings. In the future, it is critical to investigate and build creative instructional practices that effectively synergize with Classroom 4.0. …”
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Immunogenicity of the 9-valent human papillomavirus vaccine: Post hoc analysis from five phase 3 studies by Anna R. Giuliano, Joel M. Palefsky, Stephen E. Goldstone, Jacob Bornstein, Ilse De Coster, Ana María Guevara, Ole Mogensen, Andrea Schilling, Pierre Van Damme, Corinne Vandermeulen, Misoo C. Ellison, Susan Kaplan, Jianxin Lin, Rachael Bonawitz, Alain Luxembourg

“…GMTs among 2599 males/females aged 9–15 years (studies 002 and 010 [NCT01984697]) were assessed 6 months after one, two, and three 9vHPV vaccine doses. 9vHPV vaccine immunogenicity was robust across populations. Month 7 GMTs were generally higher in participants aged 16–21 versus 22–26 years. …”
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Gasoline Direct Injection Engine Emissions of OC and EC: Laboratory Comparisons with Port Fuel Injection Engine by Jie Zhang, John Liggio, Tak W. Chan, Lin Huang, Jeffrey R. Brook

“…This is consistent with the OC forming characteristics for GDI and PFI engines, which are pyrolyzed particles from incomplete combustion and incomplete volatilization of fuel droplets, respectively. Generally, the particle phase OC emissions from gasoline engines are more volatile than other sources (e.g., biomass burning), supported by the very low level of pyrolyzed organic carbon (POC) and small differences among protocols in the current study. …”
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An Automatic Recognition Method of Microseismic Signals Based on S Transformation and Improved Gaussian Mixture Model by Kaikai Wang, Chun’an Tang, Ke Ma, Xintang Wang, Qiang Li

“…However, rock-fracturing signals are relatively slow, with low frequency and stable spectrum change, and their dominant frequencies are generally below 100 Hz. Then, combining with the microseismic data of Xiashinjie coal mine in Tongchuan, China, the feature dimension reduction is carried out by Manifold Learning (ML) method, and the processed feature vectors are automatically recognized by IBC-GMM. …”
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Epidemiological analysis of reported acute glyphosate poisoning in Malaysia: identifying risk factors and high-risk groups (2006–2023) by Yin-Hui Leong, Noor Afiza Abdul Rani, Mohd Fadhli Razali, Nurul Iffah Amir Shah Ruddin, Fahim Mohamed, Nurul Izzah Ahmad

“…From 2013 to 2023, 73.7% of cases were minor, 11.5% moderate, 0.8% severe and 0.1% fatal.Conclusions In Malaysia, the reported intentional glyphosate poisoning most commonly affects young adults, resulting in generally minor to moderate symptoms. The study highlights the need for stricter regulations on glyphosate use and improved mental health support, to mitigate poisoning risks. …”
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Abnormal Circadian Modification of Aδ-Fiber Pathway Excitability in Idiopathic Restless Legs Syndrome by Catello Vollono, Giacomo Della Marca, Elisa Testani, Anna Losurdo, Daniela Virdis, Diana Ferraro, Valerio Brunetti, Paolo M. Rossini, Domenica Le Pera, Salvatore Mazza, Massimiliano Valeriani

“…Restless legs syndrome (RLS) is characterized by unpleasant sensations generally localized to legs, associated with an urge to move. …”
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Child undernutrition and its association with household environmental conditions in Bangladesh by Md Mostaured Ali Khan, Md Arif Billah, Kaniz Fatima, M Mofizul Islam, Bidhan Krishna Sarker, Shimlin Jahan Khanam, Aduragbemi Banke-Thomas, Md Nuruzzaman Khan

“…We used a hierarchical multilevel mixed-effect generalized linear models (GLM) modified with a Poisson regression to explore the association between outcomes and exposures, adjusting for potential confounders. …”
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External validation of AI-based scoring systems in the ICU: a systematic review and meta-analysis by Patrick Rockenschaub, Ela Marie Akay, Benjamin Gregory Carlisle, Adam Hilbert, Joshua Wendland, Falk Meyer-Eschenbach, Anatol-Fiete Näher, Dietmar Frey, Vince Istvan Madai

“…Discussion External validation, although increasing, remains uncommon. Performance was generally lower in external data, questioning the reliability of some recently proposed ML-based scores. …”
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Perception of Loneliness in Adolescence: Role of Maladaptive Personality Traits and Trauma-Related Symptomatology by Fiorenza Giordano, Danilo Calaresi, Valeria Saladino, Valeria Verrastro

“…Background/Objectives: Loneliness is a heterogeneous phenomenon, generally defined as an emotional experience based on the perceived distance between an individual’s actual social relationships and those he or she would like to have. …”
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Effect of Aquaculture Wastewater And Zarrouk in Increasing Biomass, Protein, and Carotenoids levels of <I>Spirulina platensis</I> by Anisa Millah Taqiyyah, Yenny Risjani, Asep Awaludin Prihanto, Uun Yanuhar, Mohammad Fadjar

“…Inorganic fertilizers are nutrient sources, which are generally used in the culture of this organism on laboratory and industrial scale, but there are several drawbacks, including their high costs and limited availability. …”
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First Results from the JWST Early Release Science Program Q3D: The Fast Outflow in a Red Quasar at z = 0.44 by Weizhe Liu, Sylvain Veilleux, Swetha Sankar, David S. N. Rupke, Nadia L. Zakamska, Dominika Wylezalek, Andrey Vayner, Caroline Bertemes, Yuzo Ishikawa, Yu-Ching Chen, Jenny E. Greene, Timothy Heckman, Guilin Liu, Hsiao-Wen Chen, Dieter Lutz, Sean D. Johnson, Nicole P. H. Nesvadba, Patrick Ogle, Nadiia Diachenko, Andy D. Goulding, Kevin N. Hainline, Fred Hamann, Hui Xian Grace Lim, Nora Lützgendorf, Vincenzo Mainieri, Ryan McCrory, Grey Murphree, Lu Shen, Eckhard Sturm, Lillian Whitesell

“…The local instantaneous outflow rates generally decrease radially. We infer that the quasar is powerful enough to drive the outflow, while stellar processes cannot be overlooked as a contributing energy source. …”
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Sports behaviour and adherence to sports and exercise recommendations in patients with myocarditis by Matthias Wilhelm, Christoph Gräni, Catherine Gebhard, Jonathan Schütze, Benedikt Bernhard, Noah Greisser, Philippe Joss, Sarah Manser, Anselm W Stark, Isaac Shiri, Maryam Pavlicek

“…Self-reported adherence to recommendations was significantly lower in COMP (73%) compared with REC (92%, p&lt;0.001).Conclusion Although only half of the myocarditis patients received counselling regarding sports activity, adherence to these recommendations was generally high but varied by activity level. Women received fewer recommendations overall compared with men. …”
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Prediction of induction motor faults using machine learning by Ademola Abdulkareem, Tochukwu Anyim, Olawale Popoola, John Abubakar, Agbetuyi Ayoade

“…To enhance model performance in future work, potential avenues include refining the ANN and RF models, exploring transfer learning or ensemble methods, and incorporating diverse datasets to improve generalization.…”
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Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity by Shinichiro Takada, Hirotaka Nakashima, Keisuke Nakayama, Soshi Uchida

“…Subgroup analysis revealed good postoperative outcomes, regardless of the patient’s skeletal maturity or the presence or absence of generalized laxity. In conclusion, MPFL repair with suture tape augmentation is a safe and effective treatment for midterm follow-up.…”
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AC Fault Mechanism and Impact Analysis of Offshore Wind Power Connected to Flexible and Direct Systems by Wanli JIANG, Ruoyu WANG, Jiajing LI, Jingyi LIANG

“…In the case of asymmetric fault, the in-phase short-circuit current on both sides has a certain phase Angle difference, the negative sequence current on the soft straight side is the largest, and the short-circuit current on the wind side is generally small. There is only positive sequence current in the soft direct side and wind field side, and the phase of in-phase short-circuit current on both sides is almost the same, showing amplitude limitation.…”
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Exploring the antiviral potential of shikimic acid against Chikungunya virus through network pharmacology, molecular docking, and in vitro experiments by Jialiang Xin, Xingxing Song, Haohong Zheng, Wenjing Li, Yuyang Qin, Wei Wang, Wei Wang, He Zhang, Guangneng Peng

“…The molecular docking analysis revealed that SA could interact with multiple CHIKV-related targets, including EGF, with vina scores generally lower than −6, indicating a high propensity for stable complex formation. …”
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Spatial correlations and risk transmission of virtual water flow at city scale: A case study of the Yellow River Basin by Jingjing Yang, Zhong Ma, Weijing Ma, Xingxing Niu, Ting Mao

“…Notably, the Ningxia Urban Agglomeration (NUA) demonstrates significantly higher VW impact and sensitivity coefficients values than the remaining six urban agglomerations. First-tier cities generally display lower virtual water impact and sensitivity coefficients, whereas emerging cities exhibit the opposite trend. …”
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Novel Genomic Aberrations in Testicular Germ Cell Tumors by Array-CGH, and Associated Gene Expression Changes by Rolf I. Skotheim, Reija Autio, Guro E. Lind, Sigrid M. Kraggerud, Peter W. Andrews, Outi Monni, Olli Kallioniemi, Ragnhild A. Lothe

“…Introduction: Testicular germ cell tumors of adolescent and young adult men (TGCTs) generally have near triploid and complex karyotypes. …”
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