Changes in soil pH on the Tibetan Plateau from the 1980 s to 2020 s by Lirong Zhao, Bo Pang, Jiangtao Hong, Xinxin Zhang, Jinmei Li, Xiaodan Wang

“…Our results showed that over the past nearly four decades, changes in soil pH on the Tibetan Plateau have not followed a unidirectional trend of either acidification or alkalization, but instead have been related to the initial pH. There is a significant negative correlation between the change in soil pH and the initial pH value (P < 0.01). …”
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Specific FAHFAs predict worsening glucose tolerance in non-diabetic relatives of people with Type 2 diabetes by Ismail Syed, Ken Sluis, Pratik Aryal, Zachary Solomon, Rucha Patel, Srihari Konduri, Dionicio Siegel, Ulf Smith, Barbara B. Kahn

“…There is a growing need for early biomarkers for Type 2 diabetes (T2D). …”
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How to establish and sustain a disease registry: insights from a qualitative study of six disease registries in the UK by Edmund Stubbs, Josephine Exley, Raphael Wittenberg, Nicholas Mays

“…Several registries have developed consent procedures that enable participants to be contacted for additional data collection. In some cases, the initial patient consent and data sharing permissions obtained had limited the flexibility to adapt the registry to changing data needs. …”
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Four-Year Follow-Up from a Prospective, Multicenter Study of Percutaneous 60-Day Peripheral Nerve Stimulation for Chronic Low Back Pain by Christopher A. Gilmore, Timothy R. Deer, Mehul J. Desai, Sean Li, Michael J. DePalma, Steven P. Cohen, Brandon D. Swan, Meredith J. McGee, Joseph W. Boggs

“…These results demonstrate that Percutaneous 60-day PNS can provide durable outcomes that are often sustained for multiple (4+) years by patients with chronic axial LBP who subsequently avoid the need for more invasive treatment interventions. Clinical Trial Registration The Clinicaltrials.gov registration number for the initial study is NCT03179202.…”
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A case report of complex acute coronary syndrome presentation: Plaque rupture and mild coronary artery ectasia presenting as de Winter T-waves morphing into anterior ST-elevation m... by Momena A. Daas, Maryam A. Almasaabi, Eman M. Abdrabou, Mohammed Elmahal, Abdul-Majeed O. Mahdi, Eva A. Tello, Ousama Mahdi, Abdulrahman E. Alayyaf, Ahmad J. Aladwani, Mahmoud M. Ramadan

“…It also emphasizes the need for familiarity with the de Winter ECG pattern to facilitate timely reperfusion therapy and mitigate adverse outcomes. …”
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Clinical and endoscopic analysis of gastrointestinal bleeding during COVID-19 full-blown pandemic: a retrospective cohort study by Jing-Wei Liu, Yue Sui, Jun-Hui Lu, Jin-Nan Ren, Jing-Wen Gong, Cui-Ping Xu, Yi Zhao, Xing Chen

“…Comeparing the differences in the 30 days mortality, the need for intensive care unit (ICU) level of care, laboratory examination, blood transfusion and anticoagulant therapy, use of non-steroidal anti-inflammatory drugs (NSAIDs), frequency of endoscopy, and examination results between the two groups.Results Compared to GIB patients in initial stage of COVID-19 pandemic, prothrombin time (PT) (15.45 s vs 13.84 s, p = 0.003), activated partial prothrombin time (APTT) (33.13 s vs 27.28 s, p = 0.001), d-dimer (mg/L) (730.44 vs 507.22, p = 0.041), and prothrombin activity (PTA) (75.79% vs 76.61%, p = 0.001) were higher in GIB patients during COVID-19 pandemic. …”
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NEGATIVE PRESSURE THERAPY IN COMPLEX PROGRAM FOR TREATMENT OF PANCREATOGENIC SEPSIS by A. Yu. Anisimov, R. A. Yakubov, D. A. Beketov, I. V. Halturin

“…The data obtained in the course of literature search and analysis of our own clinical experience using the method of negative pressure therapy, indicate the need to confirm the initial clinical results in further comparative randomized controlled trials.…”
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A rare case of primary signet‐ring adenocarcinoma of anorectal region in a young patient: Diagnostic challenges and therapeutic outcomes by Bisma Shaikh, Areeba Gul, Ajeet Singh, Hamza Irfan, Tooba Ali, Riyan Karamat, Aymar Akilimali

“…This case underscores the diagnostic and therapeutic challenges posed by primary signet‐ring cell carcinoma of the anorectal region, highlighting the need for a high index of suspicion and comprehensive diagnostic workup in atypical presentations. …”
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Primary pineal alveolar rhabdomyosarcoma in an adult patient: a case report and literature review by Tao Chang, Chang Ding, Yanhui Liu, Yuan Yang, Qing Mao

“…Abstract Background The rarity of adult primary cerebral rhabdomyosarcoma (PCRMS) cases has necessitated the adoption of pediatric rhabdomyosarcoma (RMS) therapeutic protocols, highlighting a critical need for expanded treatment experiences to enhance prognoses. …”
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Persistence patterns among secondary STEM teachers: a comparative study of Noyce scholar cohorts in face-to-face and blended learning environments amid the pandemic by Terri L. Kurz, Tirupalavanam Ganesh, Jason Covert, Marcia L. Nation

“…Recommendations for practice include the need for more traditional, face-to-face initial teaching experiences and a cohort model for new teachers. …”
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An Evaluation of the Precision of Ocular Trauma Score and Factors for Poor Visual Outcomes in Open Globe Injury: A Retrospective Analysis of Resourcelimited Hospital Settings by Takarn Oughtkaew, Siwatus Puangrab

“…Severe cases often lead to better visual outcomes, emphasizing the need for cautious management and counseling by ophthalmologists. …”
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The implementation of self-explanation strategy to develop understanding proof in geometry by Samsul Maarif, Fitri Alyani, Trisna Roy Pradipta

“…However, in the process of learning proof, students have the difficulty of being able to explain the proof that has been compiled using good arguments. So we need a strategy that can put students in the process of clarifying proof better. …”
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Flexural behaviour of bamboo-based bamboo cement slab panels with GGBFS (Ground Granulated Blast Furnace Slag) by Hylga Rohman, Sri Murni Dewi, Lilya Susanti

“…Recently, in response to the problem of global warming and the need for a sustainable society, production using natural materials has begun to increase. …”
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A hurdle and negative binomial model approach to analyzing the gender differences in diagnostic imaging utilization under high-deductible health plans by Qingyu Hu, Sarah Zheng

“…Specifically, the likelihood of initial ultrasound utilization among males dropped by 8.2% more than among females. …”
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EVALUATION OF DISCHARGE READINESS IN A PATIENT WITH SECONDARY STROKE: A CASE STUDY by Afrizal Nur Kadir, Yurike Septianingrum, Lono Wijayanti

“… Background: Early readmission in stroke survivors remains a critical issue, particularly in patients with mild initial symptoms but who experience early recurrence within a short period. …”
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Elephant reintroductions to small fenced reserves in South Africa by Marion Garaï, Rob Slotow, Richard Carr, Brian Reilly

“…However, the health and welfare of such herds in the long terms is yet to be determined and there have been a number of behavioural problems particualry those linked to disrupted social structure which need to be studied further and taken into account in management. …”
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Encryption of sensor data using the Lorentz attractor in embedded systems by Akbota Kulzhanova, Sholpan Jomartova, Talgat Mazakov

“…The increasing threat of cyber-attacks and the need to protect embedded system data require the development of energy-efficient cryptographic methods. …”
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Evaluation of odontometric methods in immature permanent teeth: Research for a better practise by Vicko Kristina, Nikolić-Ivošević Jelena, Petrović Bojan

“…Inclusion criteria were: a need for endodontic treatmant, young permanent teeth, teeth with incomplete apex formation according to Demirijans stages F and G determined on radiography. …”
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Detection of AI-Generated Texts: A Bi-LSTM and Attention-Based Approach by John Blake, Abu Saleh Musa Miah, Krzysztof Kredens, Jungpil Shin

“…This underscores the urgent need for robust detection mechanisms to ensure information quality, maintain trust, and preserve the integrity of research publications. …”
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“It’s like nursing a butterfly—so delicate, difficult, and unpredictable” – challenges of nurses in caring for patients with epidermolysis bullosa: a qualitative study by Parivash Karimi, Moloud Radfar, Yaser Moradi

“…These findings highlight the need for targeted training programs and systemic support to address the unique difficulties inherent in caring for patients with EB.…”
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