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  • Open Access

    ARTICLE

    Treatment patterns for genitourinary syndrome of menopause: a TriNetX analysis

    Anushka Ghosh, Maria J. D’Amico, Yash B. Shah, Whitney R. Smith, Mihir S. Shah, Costas D. Lallas, Alana M. Murphy*

    Canadian Journal of Urology, Vol.32, No.6, pp. 627-632, 2025, DOI:10.32604/cju.2025.067575 - 30 December 2025

    Abstract Background: Genitourinary syndrome of menopause (GSM) is a highly prevalent, underdiagnosed condition that can significantly impair quality of life (QoL). This study evaluates real-world treatment trends for GSM to better understand current management practices and highlight ongoing gaps in care. The background is in a different font than the rest of the abstract. Methods: We queried the TriNetX database for patients with a diagnosis of postmenopausal atrophic vaginitis (ICD N95.2) and treatment information from 2004–2024. A combination of RxNorm and International Classification of Diseases-10 (ICD) codes was used to classify disease and treatment type, including… More >

  • Open Access

    ARTICLE

    Characteristics of Food Packaging Bioplastics with Nanocrystalline Cellulose (NCC) from Oil Palm Empty Fruit Bunches (OPEFB) as Reinforcement

    Maryam1,*, Rahayu Puji2, Luthfi Muhammad Zulfikar2, Ikhsandy Ferry2, Nadiyah Khairun1, Hidayat3, Ilyas Rushdan Ahmad4, Syafri Edi5

    Journal of Renewable Materials, Vol.13, No.12, pp. 2431-2451, 2025, DOI:10.32604/jrm.2025.02024-0063 - 23 December 2025

    Abstract The development of the bioplastics industry addresses critical issues such as environmental pollution and food safety concerns. However, the industrialization of bioplastics remains underdeveloped due to challenges such as high production costs and suboptimal material characteristics. To enhance these characteristics, this study investigates bioplastics reinforced with Nanocrystalline Cellulose (NCC) derived from Oil Palm Empty Fruit Bunches (OPEFB), incorporating dispersing agents. The research employs a Central Composite Design from the Response Surface Methodology (RSM) with two factors: the type of dispersing agent (KCl and NaCl) and the NCC concentration from OPEFB (1%–5%), along with the dispersing… More >

  • Open Access

    ARTICLE

    Optimized XGBoost-Based Framework for Robust Prediction of the Compressive Strength of Recycled Aggregate Concrete Incorporating Silica Fume, Slag, and Fly Ash

    Yassir M. Abbas1,*, Ammar Babiker2, Fouad Ismail Ismail3

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 3279-3307, 2025, DOI:10.32604/cmes.2025.074069 - 23 December 2025

    Abstract Accurately predicting the compressive strength of recycled aggregate concrete (RAC) incorporating supplementary cementitious materials (SCMs) remains a critical challenge due to the heterogeneous nature of recycled aggregates (RA) and the complex interactions among multiple binder constituents. This study advances the field by developing the most extensive and rigorously preprocessed database to date, which comprises 1243 RAC mixtures containing silica fume, fly ash, and ground-granulated blast-furnace slag. A hybrid, domain-informed machine-learning framework was then proposed, coupling optimized Extreme Gradient Boosting (XGBoost) with civil engineering expertise to capture the complex chemical and microstructural mechanisms that govern RAC… More >

  • Open Access

    ARTICLE

    Enhancement of Medical Imaging Technique for Diabetic Retinopathy: Realistic Synthetic Image Generation Using GenAI

    Damodharan Palaniappan1, Tan Kuan Tak2, K. Vijayan3, Balajee Maram4, Pravin R Kshirsagar5, Naim Ahmad6,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 4107-4127, 2025, DOI:10.32604/cmes.2025.073387 - 23 December 2025

    Abstract A phase-aware cross-modal framework is presented that synthesizes UWF_FA from non-invasive UWF_RI for diabetic retinopathy (DR) stratification. A curated cohort of 1198 patients (2915 UWF_RI and 17,854 UWF_FA images) with strict registration quality supports training across three angiographic phases (initial, mid, final). The generator is based on a modified pix2pixHD with an added Gradient Variance Loss to better preserve microvasculature, and is evaluated using MAE, PSNR, SSIM, and MS-SSIM on held-out pairs. Quantitatively, the mid phase achieves the lowest MAE (98.76 ± 42.67), while SSIM remains high across phases. Expert review shows substantial agreement (Cohen’s More >

  • Open Access

    ARTICLE

    Multi-Domain Network Intent Policy Enforcement

    Ana Hermosilla1,2,*, Pedro Martinez-Julia3, Diego R. Lopez4, Antonio F. Skarmeta1,2

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 4279-4316, 2025, DOI:10.32604/cmes.2025.072607 - 23 December 2025

    Abstract In this study, we analyzed the processes involved in the resolution and enforcement of multi-domain network intent policies for intent-based networking (IBN). Previous studies on IBN analyzed the basis of the network intent resolution processes. These processes produce the artifacts required by network intent policy enforcement. Thus, we continued such studies with the inclusion of network intent policy enforcement in the analysis, for which we constructed a model that predicts the accuracy of a multi-domain network intent policy enforcement system. We validated the model by designing a new multi-domain network intent policy enforcement system, and… More >

  • Open Access

    ARTICLE

    A Comprehensive Numerical and Data-Driven Investigations of Nanofluid Heat Transfer Enhancement Using the Finite Element Method and Artificial Neural Network

    Adnan Ashique1,#, Khalid Masood2, Usman Afzal1, Mati Ur Rahman2, Maddina Dinesh Kumar3, Sohaib Abdal3, Nehad Ali Shah1,#,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 3627-3699, 2025, DOI:10.32604/cmes.2025.072523 - 23 December 2025

    Abstract This study outlines a quantitative and data-driven study of the mixed convection heat transfer processes that concern Cu-water nanofluids in a Γ-shaped enclosure with one to five rotating cylinders. The dimensionless equations of mass, momentum, and energy are solved using the finite element method as implemented in the COMSOL Multiphysics 6.3 software in different rotating Reynolds numbers and cylinder geometries. An artificial Neural Network that is trained using Bayesian Regularization on data produced by the COMSOL is utilized to estimate the average Nusselt numbers. The analysis is conducted for a wide range of rotational… More >

  • Open Access

    ARTICLE

    Enhancement of performance CdxPb1-xS / porous silicon heterojunction photodetector by chemical spray pyrolysis method

    S. I. Aziz, G. G. Ali*

    Chalcogenide Letters, Vol.22, No.3, pp. 239-253, 2025, DOI:10.15251/CL.2025.223.239

    Abstract This work investigates the photodetector characteristics of lead and cadmium sulfide thin films deposited on porous silicon heterojunction at composites (x=0,0.25,0.5,0.75,1). The characteristics of all deposited samples were estimated by X-ray diffraction (XRD), highresolution scanning electron microscope (FESEM), Energy-dispersive X-ray (EDX), I-V measurements, and photodetector properties. PbS and CdS thin films have been successful, and photodetector properties on the porous silicon surface have performed well using the chemical spray method. An X-ray confirmed that the prepared samples have a crystalline phase structure. Besides, the results indicate that the PbS and CdS thin films have cubic… More >

  • Open Access

    ARTICLE

    Synthesis of MoS2/Fe3O4 composites for the detection of liver cancer biomarker alpha-fetoprotein

    C. B. Cuia,b, G. C. Yangb, Z. Zhanga,, X. J. Wangc,

    Chalcogenide Letters, Vol.22, No.6, pp. 507-520, 2025, DOI:10.15251/CL.2025.226.507

    Abstract This research introduces an innovative aptasensor for detecting alpha-fetoprotein with exceptional sensitivity and specificity, employing a novel MoS2/Fe3O4 composite fabricated through an advanced in-situ growth methodology. The composite exhibited a hierarchical flower-like structure with uniformly distributed Fe3O4 nanoparticles, confirmed by SEM, XRD, and Raman spectroscopy. The MoS2/Fe3O4 composite demonstrated a 66% increase in surface area (7.16 m²/g) compared to pristine MoS2, enhancing aptamer immobilization and electron transfer efficiency. Electrochemical characterization revealed a significant increase in interfacial resistance upon AFP binding, with a detection limit of 0.3 pg/mL and a dual linear range of 0.001–0.1 ng/mL and 0.1–100 More >

  • Open Access

    ARTICLE

    HI-XDR: Hybrid Intelligent Framework for Adversarial-Resilient Anomaly Detection and Adaptive Cyber Response

    Abd Rahman Wahid*

    Journal of Cyber Security, Vol.7, pp. 589-614, 2025, DOI:10.32604/jcs.2025.071622 - 11 December 2025

    Abstract The rapid increase in cyber attacks requires accurate, adaptive, and interpretable detection and response mechanisms. Conventional security solutions remain fragmented, leaving gaps that attackers can exploit. This study introduces the HI-XDR (Hybrid Intelligent Extended Detection and Response) framework, which combines network-based Suricata rules and endpoint-based Wazuh rules into a unified dataset containing 45,705 entries encoded into 1058 features. A semantic-aware autoencoder-based anomaly detection module is trained and strengthened through adversarial learning using Projected Gradient Descent, achieving a minimum mean squared error of 0.0015 and detecting 458 anomaly rules at the 99th percentile threshold. A comparative… More >

  • Open Access

    ARTICLE

    Improving the Performance of AI Agents for Safe Environmental Navigation

    Miah A. Robinson, Abdulghani M. Abdulghani, Mokhles M. Abdulghani, Khalid H. Abed*

    Journal on Artificial Intelligence, Vol.7, pp. 615-632, 2025, DOI:10.32604/jai.2025.073535 - 01 December 2025

    Abstract Ensuring the safety of Artificial Intelligence (AI) is essential for providing dependable services, especially in various sectors such as the military, education, healthcare, and automotive industries. A highly effective method to boost the precision and performance of an AI agent involves multi-configuration training, followed by thorough evaluation in a specific setting to gauge performance outcomes. This research thoroughly investigates the design of three AI agents, each configured with a different number of hidden units. The first agent is equipped with 128 hidden units, the second with 256, and the third with 512, all utilizing the… More >

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