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HSD-Net: a dual-branch CNN-BiLSTM network with hybrid cepstral fusion for heart sound classification

Abstract: Cardiovascular diseases (CVDs) represent a major global health threat, making early detection crucial. While cardiac auscultation is cost-effective, its reliance on…

Date: 2026-08-18

Serum spexin levels in women with diminished ovarian reserve: a prospective case–control study

Abstract: Spexin is a recently identified neuropeptide that modulates the hypothalamic–pituitary–gonadal axis and has been shown to regulate granulosa cell function. Although…

Date: 2026-08-18

Long-term risk of incident autoimmune thyroid disease after COVID-19 in patients with type 2 diabetes: a multicenter propensity score–matched cohort study

Abstract: Viral infections have been implicated in thyroid autoimmunity, and COVID-19 has emerged as a possible trigger. However, current evidence is mostly limited to case…

Date: 2026-08-18

Sevoflurane is associated with reduced EGFR-VEGF-AKT signaling in glioma tissues relative to propofol: a bioinformatics and clinical pilot study

Abstract: This study aims to investigate the effects of sevoflurane on glioma-associated angiogenesis and to explore the potential mechanisms, providing preliminary experimental…

Date: 2026-08-18

Lactate-to-albumin ratio improves prediction of perioperative mortality in lung transplant patients

Abstract: Perioperative mortality remains elevated among lung transplant recipients. The lactate-to-albumin ratio (LAR) is a prognostic indicator, but its role in predicting…

Date: 2026-08-18

The Mental Health Literacy and Prevention Survey (mHELP): a brief measure for assessing gatekeepers’ mental health literacy in prevention research

Abstract: Mental health literacy (MHL) is a key target of prevention efforts to help gatekeepers such as teachers and other professionals recognize and respond to mental health…

Date: 2026-08-18

Cognitive impairment and associated factors among adults with type 2 diabetes mellitus in eastern Sudan: a cross-sectional study

Abstract: Cognitive impairment in patients with diabetes mellitus (DM) is one of the major global public health issues. However, data on this issue remain scarce in Sudan. This…

Date: 2026-08-18

Changes in horizontal and vertical peripheral refraction and their predictive value for myopia control after orthokeratology: a 2-year prospective study

Abstract: To investigate changes in peripheral refraction in both horizontal and vertical meridians after long-term orthokeratology and their correlation with axial elongation…

Date: 2026-08-18

B. burgdorferi infection alters synovial macrophage responses in a human ex vivo model of Lyme Arthritis

Abstract: Borrelia burgdorferi (Bb) infection can persist in protected sites like articular joints, presenting as migratory oligoarthritis characteristic of Lyme Arthritis (LA).…

Date: 2026-08-18

Integrating case-based learning into the ADDIE model for higher vocational rehabilitation nursing courses: a quasi-experimental study

Abstract: Traditional lecture-based instruction remains predominant in higher vocational rehabilitation nursing education and emphasizes the delivery of theoretical knowledge.…

Date: 2026-08-18