Systemic lupus erythematosus and epilepsy: A Mendelian randomization study by Yang Hu, Duo Lin, Dongmei Wu, Yuqing Zhang, Gongbo Li

“…However, this does not invalidate epidemiological evidence, and further exploration is needed to investigate factors influencing the relationship between the two.…”
Get full text

Seasonal groundwater quality analysis in a drought prone agricultural region using GIS and IWQI for nitrate contamination insights by Abdessalam Laoufi, Sabrine Guettaia, Abderezzak Boudjema, Abdessamed Derdour, Abdulrahman Seraj Almalki, Amanuel Kumsa Bojer, Khaled A. El-Nagdy, Enas Ali

“…These findings underscore the urgent need for comprehensive groundwater management strategies that address seasonal variability and anthropogenic influences on water resources.…”
Get full text

Clinical Insights and Future Prospects: A Comprehensive Narrative Review on Immunomodulation Induced by Electrochemotherapy by Martina Ferioli, Anna Myriam Perrone, Pierandrea De Iaco, Arina A. Zamfir, Gloria Ravegnini, Milly Buwenge, Bruno Fionda, Erika Galietta, Costanza M. Donati, Luca Tagliaferri, Alessio G. Morganti

“…Consequently, further research is needed to elucidate the underlying mechanisms, optimize treatment protocols, explore potential synergies, and decipher the parameters influencing the abscopal effect. …”
Get full text

Effects of traditional Chinese exercise on lung function and mental health in patients with COPD: a systematic review and meta-analysis by Shuning Liu, Debin Xu

“…These limitations highlight the need for complementary nonpharmacological interventions. …”
Get full text

Can digital storytelling improve health outcomes for immigrant and refugee populations? A scoping review by Sezer Kisa, Adnan Kisa

“…Healthcare practitioners may consider DST as a complementary strategy for education and behavioral support in specific areas, such as vaccination campaigns and chronic disease management. …”
Get full text

Medicinal plants and plant-based traditional medicine: Alternative treatments for depression and their potential mechanisms of action by Juwairiah Remali, Wan Mohd Aizat

“…Thus, there is an urgent need for developing a new anti-depressant with a distinct mode of action and manageable side effects. …”
Get full text

Why engagement matters in policy implementation: an examination of the engagement of policy actors in the implementation of a mental health and addictions strategy by Heather L. Bullock, John N. Lavis, Gillian Mulvale, Michael G. Wilson, Celine Mulhern

“…Methods We used a single case study design and partnered with the Ontario Ministry of Health. We used two complementary analytical methods: 1) stakeholder analysis, and 2) political landscape analysis. …”
Get full text

Analysing Lean 4.0 adoption factors towards manufacturing sustainability in SMEs: A hybrid ANN-Fuzzy ISM framework by Karishma M. Qureshi, Bhavesh G. Mewada, Alok Yadav, Naif Almakayeel, Saleh Y. Alghamdi, Mohamed Rafik Noor Mohamed Qureshi

“…Despite widespread recognition of the benefits of integrating L4.0 and I4.0, more studies need to address the practical challenges of this integration, especially the key factors that influence its successful implementation. …”
Get full text

Fire-Induced Changes in Daily Butterfly Assemblages in Mediterranean Forests: Insights from the Edough Massif, Algeria by Nariman Laref, Mehdi Boukheroufa, Rym Sakraoui, Feriel Sakraoui, Walid Dadci, Rached Hadiby, Oualid Sayah, Kaouther Bounnour

“…The study emphasizes the need for adapted management and restoration strategies to mitigate the effects of wildfires and promote the resilience of Mediterranean ecosystems. …”
Get full text

Comparative analysis of floristic richness and diversity in six central forest reserves of north eastern Uganda by Samuel Ojelel, Esther Katuura, Patrick Mucunguzi, James Kalema

“…Abstract As the extinction risk of plants increases globally, there is need to prioritize areas with high floristic richness and diversity to inform the design of evidence-based conservation interventions. …”
Get full text

Cross Attentive Multi-Cue Fusion for Skeleton-Based Sign Language Recognition by Ogulcan Ozdemir, Inci M. Baytas, Lale Akarun

“…This work shows that incorporating domain-specific hand topologies can single-handedly help reach state-of-the-art SLR performance. This motivates the need for fusing multiple visual cues to build robust and generalizable SLR frameworks. …”
Get full text

Evaluating eDNA metabarcoding for fish biodiversity assessment in Nigerian aquatic ecosystems: potential, limitations, and comparisons with traditional methods by Lotanna M. Nneji, Segun O. Oladipo, Ifeanyi C. Nneji, Olabisi T. Atofarati, Maame Kobe Asiamah, Kehinde M. Adelakun

“…Fishery resources in Nigeria are experiencing a rapid decline, underscoring the urgent need for effective biodiversity surveys and comprehensive species documentation to guide conservation and management efforts. …”
Get full text

Structural basis of a human antibody targeting SARS-CoV-2 nucleocapsid protein dimerization domain and interfering with RNA-binding by Shaojie Xue, Suhua He, Zhaoxia Huang, Mei Yang, Guowei Hu, Xiaoxue Chen, Qiuyue Chen, Wenying Zhou, Sixiao Lin, Shoudeng Chen

“…Abstract The transition of SARS-CoV-2 into a recurrent, seasonal pathogen has underscored the need for the induction of durable immune protection. …”
Get full text

«Flipped» class – innovative model of training by M. V. Voronina

“…In order to test the hypothesis of the study, a set of different methods, complementary to each other was used:– Theoretical methods: analysis of the teachers’ papers and psychologists on the research problem; analysis of methodological and educational literature; theoretical justification of the possibility of introducing the “Flipped Class”;– Empirical methods: observation, ascertaining, pedagogical experiment, questioning, testing. …”
Get full text

Neutrophil percentage-to-albumin ratio (NPAR) as a biomarker for asthma: a cross-sectional analysis of NHANES data by Lingge Bi, Jinguang Liang, Kai Hu

“…While NPAR offers a cost-effective and accessible tool for risk stratification, its moderate predictive performance underscores the need for complementary biomarkers to enhance clinical utility. …”
Get full text

Clinical education in undergraduate nursing in Ghana: a gap analysis by Kafui A. Hobenu, Anthonio O. Adefuye, Florence Naab, Champion N. Nyoni

“…To find solutions, there is a need for a critical analysis of the current clinical educational practices to inform the development of feasible and sustainable approaches for nursing education. …”
Get full text

Catalysts of regional innovation: incentive mechanisms for smart specialization by Pobedin Alexander

“…The relevance of the study is due to the need to adapt innovation policy tools to the challenges of digital transformation and the transition to Industry 6.0. …”
Get full text

Micronutrient fortification to improve growth and health of maternally HIV-unexposed and exposed Zambian infants: a randomised controlled trial. by Chilenje Infant Growth, Nutrition and Infection (CIGNIS) Study Team

“…<h4>Background</h4>The period of complementary feeding, starting around 6 months of age, is a time of high risk for growth faltering and morbidity. …”
Get full text

A structural–functional diagnostic of Mpumalanga’s agricultural education and training system by Tim Fry, Aldo Stroebel, Sarah Cardey

“…Whilst there are industry-led needs assessment structures, these operate in silos and lack public sector engagement that could enable organisations with complementary mandates, knowledge, and infrastructures to respond to common priorities. …”
Get full text

Acupuncture as an adjunct therapy for enhancing endometrial receptivity in female infertility: a literature review by Shike Zhang, Shike Zhang, Hui He, Jingyuan Wang, Li Ma, Xiaoyu Wei, Mingxing Zhang, Mingxing Zhang, Mingxing Zhang, Yi Guo, Yi Guo

“…Although promising, existing studies on acupuncture and ER often face limitations in sample size and methodological rigor, highlighting the need for larger, high-quality randomized controlled trials (RCT). …”
Get full text