Results 191 to 200 of about 113,448,228 (255)

Investigating the Impact of El Niño–Southern Oscillation on Rangeland Productivity in the Limpopo Province, South Africa

open access: yesInternational Journal of Climatology, EarlyView.
This study investigated ENSO effects on rainfall variability and rangeland productivity across Limpopo Province, South Africa, using DMP and ONI data for 1999–2024. Productivity was higher in eastern and southern regions and lower in northern and western regions.
Phumzile Maluleke   +2 more
wiley   +1 more source

Hybrid Machine Learning–Geostatistical Modeling of Soil Quality in Saline–Sodic Soils Under Arid Agroecosystems of Northwestern Peru

open access: yesJournal of Plant Nutrition and Soil Science, EarlyView.
ABSTRACT Background Soil fertility management in mango and banana production systems in northern Peru is limited by marked spatial heterogeneity, driven by chemical imbalances, particularly salinity, alkalinity, and sodicity. Aim This study developed a spatial predictive framework to assess soil quality across the agricultural area of Morropón Province,
Sebastian Casas‐Niño   +4 more
wiley   +1 more source

Inside the Black Box: Understanding Organizational Decision Making Processes in VC Funds

open access: yesStrategic Change, EarlyView.
ABSTRACT Organizational decision making within venture capital (VC) funds remains an unexplored “black box” despite its critical role in navigating investment uncertainty. This paper develops a conceptual framework that integrates established theories of organizational decision making and adapts them to the VC context. By synthesizing Buying Center (BC)
Anna Khoroshylova   +2 more
wiley   +1 more source

Timing Matters: A Meta‐Analysis of BREAST‐Q Administration in Tissue‐Expander and Implant‐Based Breast Reconstruction

open access: yesJournal of Surgical Oncology, EarlyView.
ABSTRACT Background BREAST‐Q is the most widely used patient‐reported outcome measure following breast reconstruction, yet no consensus exists on optimal timing or duration of administration. We analyzed BREAST‐Q follow‐up after implant‐based reconstruction, comparing direct‐to‐implant (DTI) and two‐stage tissue expander (TE), to determine how outcomes
Emanuella M. Brito   +8 more
wiley   +1 more source

Rethinking Age Limits in Oncoplastic Breast Surgery: Long‐Term Outcomes of Oncoplastic Surgery in Elderly Patients

open access: yesJournal of Surgical Oncology, EarlyView.
ABSTRACT Background and Methods Although OBS is a well‐established approach, evidence regarding its long‐term safety and outcomes in older women remains limited. We performed a retrospective analysis to identify patients ≥ 60 years who underwent OBS for breast cancer between 2001 and 2014.
Francesca De Lorenzi   +9 more
wiley   +1 more source

Understanding the Concept of Self‐Performed Ultrasound: A Scoping Review

open access: yesJournal of Ultrasound in Medicine, EarlyView.
Self‐performed ultrasound is an emerging technology that facilitates adept self‐scans in untrained hands. Inspired by self‐performed imaging in space for more prompt diagnosis and therapy, it has the potential to accurately monitor chronic conditions remotely. However, the lack of supervision and physical restraints can hinder its usability.
Vy Do   +3 more
wiley   +1 more source

Eczema‐Like Amelanotic Melanoma: A Diagnostic Challenge

open access: yesJEADV Clinical Practice, EarlyView.
ABSTRACT Amelanotic melanoma (AM) is a rare and aggressive variant of cutaneous melanoma characterised by the absence of pigmentation, often leading to delayed diagnosis due to its ability to mimic benign inflammatory or neoplastic conditions. We report the case of a 68‐year‐old woman presenting with a slowly enlarging, erythematous, mildly scaling ...
Agata Janowska   +8 more
wiley   +1 more source

Reflectance Confocal Microscopy Features of Nevoid Melanoma: Case Report and Literature Review

open access: yesJEADV Clinical Practice, EarlyView.
ABSTRACT Nevoid melanoma (NM) is a rare melanoma variant that often mimics benign compound or intradermal nevi, both clinically and histopathologically. Due to its deceptively benign appearance, diagnosis is frequently delayed, resulting in advanced Breslow thickness at presentation.
Umberto Santaniello   +6 more
wiley   +1 more source

Development of a Nomogram‐Based Clinical Estimation Model for Pathological Upstaging in Patients With Preoperative Ductal Carcinoma In Situ

open access: yesThe Kaohsiung Journal of Medical Sciences, EarlyView.
ABSTRACT Preoperative diagnosis of ductal carcinoma in situ (DCIS) may be followed by pathological upstaging to invasive ductal carcinoma (IDC) upon surgical excision, a discrepancy that significantly impacts surgical planning and decisions regarding sentinel lymph node biopsy (SLNB).
Yu‐Hua Chen   +5 more
wiley   +1 more source

A Data‐Driven Threshold for Extreme Hyponatremia in the Emergency Department and Its Association With 28‐Day Mortality

open access: yesThe Kaohsiung Journal of Medical Sciences, EarlyView.
ABSTRACT Hyponatremia is a common electrolyte disorder in the emergency department (ED), but its clinical burden is not evenly distributed across the sodium spectrum. We conducted a retrospective observational cohort study of adult ED encounters at a tertiary referral hospital between July 2019 and July 2024 to identify a data‐driven threshold for ...
Yalcin Golcuk   +6 more
wiley   +1 more source

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