Development and validation of a screening tool for sepsis without laboratory results in the emergency department: a machine learning studyResearch in context by Shan Jiang, Shuai Dai, Yulin Li, Xianlong Zhou, Cheng Jiang, Cong Tian, Yana Yuan, Chengwei Li, Yan Zhao

“…The qSepsis was derived by three ML algorithms, including logistic regression (LR), random forest (RF), and extreme gradient boosting (XGB). To benchmark the existing clinical tools for assessing the risk of sepsis in the ED, qSepsis was compared with the Systemic Inflammatory Response Syndrome (SIRS), the Quick Sepsis-Related Organ Failure Assessment (qSOFA), and the Modified Early Warning Score (MEWS). …”
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Research on Carbon Sequestration Capacity of Urban Park Green Space in the Central Urban Area of Beijing and Driving Factors Thereof by Xiuping LIU, Songting ZHAO, Xinyu LI, Jiale LI, Xing WANG

“…While beautifying the environment, they play an extremely important role in ecological benefits and carbon sequestration. …”
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Exploring the effect of cold stress on the semen quality parameters of buffalo bulls by Karpenahalli Ranganatha Sriranga, Pawan Singh, Ravinder Singh, Tejeshwari Satpute, Prince Vivek, Tushar Kumar Mohanty, Pradeep Kumar, Ranjit Singh Kataria, Megha Pande, Manishi Mukesh

“…Fresh seminal attributes such as volume (2.86±0.20 vs. 2.73±0.15 ml, p=0.616), concentration (1181.94±71.32 vs. 1115.10±78.34 x 106/ml, p=0.529), mass activity (2.28±0.09 vs. 2.47±0.08, p=0.094), viability (81.95±1.07 vs. 82.13±0.89%, p=0.896), and acrosome integrity (86.17±0.86 vs. 87.53±0.75%, p=0.239), did not vary between the extreme winter and comfortable spring seasons. However, individual motility, HOST (66.75±1.41 vs. 71.13±1.25%, p=0.022), and discard rate (48.36±1.92 vs 36.44±5.51%, p=0.024) of semen were affected by cold stress. …”
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New Insights into Duckweed as an Alternative Source of Food and Feed: Key Components and Potential Technological Solutions to Increase Their Digestibility and Bioaccessibility by Krisztina Takács, Rita Végh, Zsuzsanna Mednyánszky, Joseph Haddad, Karim Allaf, Muying Du, Kewei Chen, Jianquan Kan, Tian Cai, Péter Molnár, Péter Bársony, Anita Maczó, Zsolt Zalán, István Dalmadi

“…Sustainability is becoming increasingly important in the world we live in, because of the rapid global population growth and climate change (drought, extreme temperature fluctuations). People in developing countries need more sustainable protein sources instead of the traditional, less sustainable meat, fish, egg, and dairy products. …”
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Farmers’ climate change perception, impacts and adaptation strategies in response to drought in the Northwest area of Bangladesh by J.M. Adeeb Salman Chowdhury, Md. Abdul Khalek, Md. Kamruzzaman

“…It is well known that the prospect and occurrence of such catastrophes is a significant impediment to progress and the improvement of human welfare.The frequency and the severity of extreme weather events due to climate change in South East Asia including Bangladesh is anticipated to intensify in the forthcoming years. …”
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Dynamics of CO₂ and CH₄ fluxes in Red Sea mangrove soils by J. Breavington, A. Steckbauer, C. Fu, M. Ennasri, C. M. Duarte

“…Mean fluxes offset 94.5 % of carbon burial, with a median of 4.9 % skewed by extreme variability. However, reported CO<span class="inline-formula">₂</span> removal by total alkalinity emission from carbonate dissolution greatly exceeded both processes and drives the role of these ecosystems as intense CO<span class="inline-formula">₂</span> sinks.…”
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Contribution à l’histoire de la boulangerie romaine : étude de « pains/galettes » découverts en Gaule by Andreas G. Heiss, Véronique Matterne, Nicolas Monteix, Margaux Tillier, Camille Noûs

“…Results from initial analysis reveal that the products studied were prepared from extremely pure flours and were very carefully ground and sieved. …”
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Features of surgical treatment for gunshot wounds of the heart and great vessels with migration of foreign bodies by I.A. Lurin, E.M. Khoroshun, V.V. Makarov, V.V. Nehoduiko, O.V. Buchnieva, I.V. Veryovkin

“…According to the location of the entrance hole during the migration of a foreign body of gunshot origin, the distribution was as follows: neck — 1 (9.1 %), chest — 4 (36.4 %), abdomen — 5 (45.5 %), extremity — 1 (9.1 %) case. According to the place of the beginning of the foreign body migration through the vascular bed, the distribution was as follows: left jugular vein — 1 (9.1 %), right subclavian vein — 1 (9.1 %), heart — 3 (27.3 %), portal vein — 1 (9.1 %), left renal vein — 1 (9.1 %), right renal vein — 1 (9.1 %), inferior vena cava — 3 (27.3 %), right superficial femoral vein — 1 (9.1 %) case. …”
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Understanding summertime peroxyacetyl nitrate (PAN) formation and its relation to aerosol pollution: insights from high-resolution measurements and modeling by B. Hu, B. Hu, B. Hu, N. Chen, N. Chen, R. Li, M. Huang, M. Huang, M. Huang, J. Chen, J. Chen, Y. Hong, Y. Hong, L. Xu, L. Xu, X. Fan, X. Fan, M. Li, M. Li, L. Tong, Q. Zheng, Y. Yang

“…The MCM model, with an index of agreement (IOA) value of 0.75, effectively investigates PAN formation, performing better during the clean period (<span class="inline-formula"><i>R</i>²</span>: 0.68; slope <span class="inline-formula"><i>K</i></span>: 0.91) than the haze one (<span class="inline-formula"><i>R</i>²</span>: 0.47; slope <span class="inline-formula"><i>K</i></span>: 0.75). Using eXtreme Gradient Boosting (XGBoost), we identified NH<span class="inline-formula">₃</span>, NO<span class="inline-formula"><math xmlns="http://www.w3.org/1998/Math/MathML" id="M13" display="inline" overflow="scroll" dspmath="mathml"><mrow><msubsup><mi/><mn mathvariant="normal">3</mn><mo>-</mo></msubsup></mrow></math><span><svg:svg xmlns:svg="http://www.w3.org/2000/svg" width="9pt" height="16pt" class="svg-formula" dspmath="mathimg" md5hash="a192f22c747584054322d55d69a940ca"><svg:image xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="acp-25-905-2025-ie00001.svg" width="9pt" height="16pt" src="acp-25-905-2025-ie00001.png"/></svg:svg></span></span>, and PM<span class="inline-formula">_2.5</span> as the primary factors for simulation bias. …”
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The American Society of Pain and Neuroscience (ASPN) Guidelines and Consensus on the Definition, Current Evidence, Clinical Use and Future Applications for Physiologic Closed-Loop... by Pope JE, Deer TR, Sayed D, Antony AB, Bhandal HS, Calodney AK, Chakravarthy K, Costandi S, Diep J, Durbhakula S, Fishman MA, Gilligan C, Goree JH, Guirguis M, Hagedorn JM, Hunter CW, Kallewaard JW, Kapural L, Lam CM, Li S, Mayrsohn B, Nijhuis H, Nikolic S, Petersen EA, Poree LR, Puri SK, Reece DE, Rosen SM, Russo MA, Shah JM, Staats PS, Verrills P, Vu CM, Levy RM, Mekhail N

“…This has proven to be extremely difficult. Recently, the Food and Drug Administration (FDA) released a guidance on physiologic closed loop controlled (PCLC) devices, highlighting the potential for these therapies to deliver accurate, consistent, real-time therapy, enhancing medical care and reducing variability. …”
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The effect of climate change on the simulated streamflow of six Canadian rivers based on the CanRCM4 regional climate model by V. K. Arora, A. Lima, R. Shrestha

“…The only exception is the Nelson River basin, for which the simulated runoff increases are extremely small. The hydrological response of these rivers to climate warming is characterized by their existing climate states. …”
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Leaf Water Potential in a Mixed Mediterranean Forest from Machine Learning and Unmanned Aerial Vehicle (UAV)-Based Hyperspectral Imaging by Netanel Fishman, Yehuda Yungstein, Assaf Yaakobi, Sophie Obersteiner, Laura Rez, Gabriel Mulero, Yaron Michael, Tamir Klein, David Helman

“…Three machine learning algorithms—random forest (RF), extreme gradient boosting (XGBoost), and support vector machine (SVM)—were used to model <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>ψ</mi></mrow></semantics></math></inline-formula>_leaf. …”
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Effect of ERAS Baduancao based on the integration of martial arts and medicine on perioperative negative emotion and sleep quality in patients undergoing surgery for gastrointestin... by CAI Hui (蔡晖), ZHOU Chen (周晨), WANG Qing (王青), QIN Mengying (秦梦颖), WANG Yan (王艳)

“…There was no significant difference in the incidence of postoperative falls, anastomotic bleeding, and development of lower extremity deep vein thrombosis between two groups (P>0. 05). …”
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Designing an educational model based on identity development with an Iranian-Islamic approach for primary school students. by Ali Oladhamzehzadeh, masoumeh oladiyan, Mahmoud Safari

“…The findings suggest that, under extreme conditions, individuals may adapt and find ways to mitigate the effects of a challenging society and other disadvantages. …”
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Is it Time to Recognize Political Anxiety as a Social Determinant of Health? by Brandon Ambrosino

“…This turns out to be a more than 3 percent increase in mortality rates “for extremely partisan counties.” In other words, the study suggests that Party Loss (PL) has deadly consequences. …”
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Analyzing the discourse of tourism development with a justice-oriented and moderate approach by Mostafa Ghodrati, Mehraban Hadipeykani, Reza Ebrahimzadeh

“…In this period, modal doubtful constructions are more than the period of moderation and less than the period of construction and reforms, and this is where the inefficiency of the managers of the tourism development sector is seen, because in this period, due to the improvement of the country's conditions compared to the previous periods and the absence of Corona and the increase in oil prices, this doubt is a sign of extreme weakness of the relevant managers. In the period of moderation, non-modal constructions of compulsion and obligation are at a higher level than average and indicate the existence of command management style and pressure from top to bottom. …”
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A Comparative study of Daiva's Sin and its Evolution in the Stories of Ancient Iran and Ta'ziehs of Daiva's Tying Thumb Based on Six Poetic Verses by Mahdi mohamadi, Adel Meghdadian, Abolfazl Tajik

“…"Ishma" (the demon of anger (Avestan) aēšma is the enemy of "Soroush") which means the demon of anger and extreme violence and is the embodiment of cruelty. …”
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Révision de l’espèce Homo erectus (Dubois, 1893) by Valéry Zeitoun

“…When there is different values between specimens and the standard, the differences are used to determine classes. From the extreme value observed (maximum or minimum) for the standard, gaps with an amplitude of one standard deviations are used to define the class. …”
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Data supporting the North Atlantic Climate System Integrated Study (ACSIS) programme, including atmospheric composition; oceanographic and sea-ice observations (2016–2022); and out... by A. T. Archibald, A. T. Archibald, B. Sinha, M. R. Russo, M. R. Russo, E. Matthews, F. A. Squires, N. L. Abraham, N. L. Abraham, S. J.-B. Bauguitte, T. J. Bannan, T. G. Bell, D. Berry, L. J. Carpenter, H. Coe, H. Coe, A. Coward, P. Edwards, P. Edwards, D. Feltham, D. Heard, J. Hopkins, J. Hopkins, J. Keeble, J. Keeble, E. C. Kent, B. A. King, I. R. Lawrence, I. R. Lawrence, J. Lee, J. Lee, C. R. Macintosh, A. Megann, B. I. Moat, K. Read, K. Read, C. Reed, M. J. Roberts, R. Schiemann, D. Schroeder, T. J. Smyth, L. Temple, N. Thamban, L. Whalley, L. Whalley, S. Williams, H. Wu, M. Yang

“…ACSIS ran from 2016 to 2022<span id="page136"/> and brought together around 80 scientists from seven leading UK-based environmental research institutes to deliver major advances in the understanding of North Atlantic climate variability and extremes. Here, we present an overview of the data generated by the ACSIS programme. …”
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Googling Patients by Emily Beer

“…The concepts and legal definitions of privacy and confidentiality are extremely important in health and medicine. Thus, it is crucial that privacy not be misconstrued to protect publicly available information. …”
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