This study analyzes the relationship between teaching styles and student achievement across cognitive, non-cognitive, and subject-specific performance. The empirical strategy leverages on within-school, between-class variation by the random assignment of students to teachers. Results indicate that modern teaching styles are associated with significant improvements in both cognitive and non-cognitive abilities overall, while the effects of traditional teaching styles are relatively limited. Moreover, the effects of teaching styles are different across various subjects. Heterogeneity analyses indicate that female students and those from urban and high-income families experience greater improvements in cognitive abilities under modern methods, whereas traditional methods are more effective in fostering non-cognitive abilities among male students and those from rural or low-income families. Further analyses reveal that family education significantly moderates the relationship between teaching methods and student outcomes. Parents' participation and involvement (e.g., academic tutoring, parent-child communication, companionship, and parental educational expectations) amplify the positive effects of modern methods on cognitive abilities. Under traditional teaching practices, parental companionship and expectations also exert significant positive moderating effects on students' English study. These findings highlight that student achievements are shaped not only by teaching practices, but also by the family education. It is therefore essential to adopt teaching approaches that are aligned with student characteristics and family involvement, which in turn strengthens school-family coordination and promotes better educational outcomes.

Introduction Migraine and Multiple Sclerosis (MS) are chronic neurological conditions that predominantly affect women, especially during their reproductive years. These disorders are influenced by hormonal fluctuations, particularly estrogen, which plays a crucial role in immune modulation, neuronal excitability, and vascular function. Objective This review examines the relationship between migraine, MS, and female reproductive health, with a focus on hormonal influences throughout critical life stages: puberty, menstruation, pregnancy, postpartum, and menopause. Methods The review analyzes the hormonal interactions that impact migraine and MS, emphasizing the role of estrogen in disease modulation across different reproductive stages. Following SANRA guideline an online search was conducted in PubMed, Scopus, WOS, and Embase, the used keywords included: “Migraine,” “multiple sclerosis,” “women,” “hormones,” “estrogen,” “menstrual cycle,” “pregnancy,” “postpartum,” “contraceptives,” “menopause,” “reproductive health,” “obstetrics,” and “gynecology.” The included articles were English peer-reviewed studies from the last 20 years that addressed MS or migrant in women of reproductive age group, we excluded case reports, editorials, and non -relevant studies. The included articles were assessed for quality, clinical relevance, and recency. Extracted data were synthesized to reflect how hormonal changes across diverse women's life cycle influence the disease pattern and management. The key finding was organized thematically and presented to support evidence-based integration into obstetrician-gynecologists' (OB-GYNs) care. Results Estrogen withdrawal during the perimenstrual and postpartum periods exacerbates both migraine and MS activity. Stable high estrogen levels during pregnancy provide neuroprotection and reduce MS disease activity. The review also highlights the need for individualized treatment strategies involving contraceptives, hormone replacement therapies (HRT), and assisted reproductive technologies (ART). Menopause leads to increased disease activity in both conditions due to declining estrogen levels. Discussion The current study highlights the integral role of estrogen fluctuation in modulating disease activity in both migraine and MS, with steady hormonal states present a protective effect. it underscores the necessity of a tailored hormone-informed care strategy and multidisciplinary collaboration to enhance women's quality of life as well as neurological and reproductive health. Conclusion Despite advances in understanding hormonal modulation of migraine and MS, clinical practice often lacks integrated care strategies, particularly between neurologists and OB-GYNs. Collaborative care is essential for optimizing disease management and reproductive health outcomes. Enhanced awareness, preconception counseling, medication safety assessment, and lifestyle interventions are crucial for supporting women navigating the complex intersection of neurological and reproductive health.

Abstract Population ageing represents the definitive demographic shift of the 21st century, necessitating a systemic transformation of residential environments to support health and independence in later life. This review presents a comparative analysis of divergent strategies adopted by the United Kingdom (UK) and China to develop healthy, age-friendly housing ecosystems. Using a mixed-methods approach, the study integrates a systematic policy review with text mining techniques to map the evolutionary trajectories of 12 UK and 81 Chinese policy documents. The analysis reveals distinct developmental paradigms: the UK model has evolved from a foundational welfare framework (1990–2000) into a complex, evidence-based system anchored by the ‘Decent Homes Standard’ and advanced data infrastructure—including Health Data Research UK (HDRUK) and English Longitudinal Study of Ageing (ELSA)—yet continues to face challenges related to market fragmentation and an ageing housing stock. In contrast, China’s state-led model has transitioned rapidly from a passive response (pre-1999) to high-level strategic integration (2019–present), exemplified by the 2023 Law on the Construction of Barrier-Free Environments. While China demonstrates exceptional capacity for large-scale infrastructure deployment—such as the “9073” three-tiered care system—it encounters persistent issues in service consistency and regional equity. The review synthesises these findings into a mutual learning framework: China could benefit from adopting the UK’s robust, data-driven evaluation mechanisms to improve service quality, whereas the UK could emulate China’s ability to implement coordinated, cross-sectoral policies to accelerate housing retrofitting. The study concludes by proposing a globally adaptable, data-informed housing policy blueprint, designed for scalability across diverse economic contexts, including middle-income nations.

We conducted a narrative review of the Transitional Pain Service (TPS) to (1) synthesize current evidence on its effectiveness and (2) identify key prerequisites for future TPS implementation. Chronic post-surgical pain (CPSP) is a significant and potentially preventable postoperative complication following major surgery. Established at Toronto General Hospital in 2014, the TPS represents a novel multidisciplinary model designed to mitigate CPSP risk and reduce opioid dependence. A comprehensive search of OVID Medline, supplemented by manual hand-searching, was performed using terms related to transitional pain, postoperative pain management, opioids, and chronic pain. Searches were restricted to English language human studies published from 2014 onward. Fourteen articles met inclusion criteria. Across the literature, TPS interventions consistently demonstrated reductions in postoperative pain and opioid consumption, along with improvements in functional and psychological outcomes. The TPS provides an essential multimodal approach to postoperative care, supporting long-term reductions in opioid use and chronic pain burden. Key prerequisites are proposed to guide successful implementation in future clinical settings.

When we started teaching English in the university context, perhaps none of us expected to be teaching it online: in hybrid, hyflex, or asynchronous modes. But by the 2020s, this is where we find ourselves. Coming from a reading-rich discipline where classroom reading, often interpreting collectively, remains the core practice, many English teachers may have felt quite unprepared for what has happened next. This paper presents an investigation of teaching English in the asynchronous mode. It offers some reflections on ours and students’ experiences of teaching and learning English asynchronously. It provides evidence for how we might best respond to student needs for flexibility, while retaining our commitment to the core skills and practices of English Literary Studies.

Introduction Type 2 diabetes mellitus (T2DM) represents a global public health problem. In Ecuador, it is the second leading cause of death among women and the third among men. Digital health technologies, including mobile applications, messaging platforms, and web-based tools, have emerged as promising interventions for managing this condition, although a gap remains between their theoretical potential and their effective implementation in clinical practice. Objective To explore and synthesize the available evidence on the experiences, perceptions, barriers, and facilitators reported by adult users with type 2 diabetes mellitus regarding the use of digital health technologies for managing their disease in community or outpatient settings. Methodology An integrative systematic review of literature published between 2015 and 2025 was conducted in PubMed, Scopus, and Google Scholar. Qualitative, quantitative, and mixed-methods studies in English and Spanish involving adults using mobile applications for T2DM were included. Methodological quality was assessed using the Johns Hopkins Evidence-Based Practice model. Results A total of 66 studies were analyzed, with qualitative designs predominating (n=28), followed by randomized clinical trials (n=13) and experimental studies (n=14). Most studies were rated as high (n=35) or good quality (n=28). Experiences were grouped into three categories: positive (usefulness, satisfaction, empowerment, educational support), conditioning factors (individual, contextual, and design-related), and barriers (technological, usability, personal). Perceptions focused on usefulness, usability, and impact on self-care. Facilitators included simple design, personalization, professional support, cultural adequacy, and motivation. Conclusions Digital health technologies promote self-management and glycemic control, although barriers persist that limit their sustained adoption. Systematic Review Registration https://www.crd.york.ac.uk/prospero/ , identifier CRD420251241989.

Approaches for reporting and interpreting statistically nonsignificant findings in evidence syntheses: a systematic review.

To clarify the link between environmental pollution and diabetes risk by focusing on pancreatic β-cells as key targets of environmental insults, with emphasis on the role of endocrine-disrupting chemicals (EDCs) in pancreatic dysfunction and diabetes pathogenesis. This narrative review synthesises recent research on EDCs, focusing on their effects on β-cells. The literature search included studies in English on EDCs, diabetes, and β-cell function, utilising Boolean operators to refine the search. EDCs impair β-cell function through mechanisms such as oxidative stress, mitochondrial damage, and epigenetic changes. These pollutants disrupt insulin synthesis, secretion, and β-cell survival, which is distinct from their general metabolic effects. Additionally, EDCs may interact synergistically with traditional diabetes risk factors, such as high-fat diets, amplifying the risk of diabetes. Environmental pollutants play a significant role in β-cell dysfunction and diabetes, offering new directions for research and prevention.

The therapeutic functions of poetry in mental health: A systematic review and meta-analysis.

Patellar Clunk Syndrome: A Systematic Review of Risk Factors and Treatment.

Treatment outcomes for rotator cuff arthropathy: A systematic review of reverse total shoulder arthroplasty with or without augmentation.

Efficacy and safety of embolization of brain arteriovenous malformations in pediatric patients: A systematic review and meta-analysis.

Lichen planus pigmentosus (LPP) is a rare pigmentary disorder primarily affecting patients with skin of color. Currently, comprehensive evaluations for procedural interventions for LPP are limited in the literature. In this review, we assess current procedural options for LPP treatment, focusing on their efficacy, safety, and practical considerations. A comprehensive literature search using PubMed and Embase identified English studies published through December 2024 that examined cosmetic procedures for the treatment of LPP. Keywords included “lichen planus pigmentosus,” “laser,” “chemical peel,” “glycolic acid,” “salicylic acid,” “TCA,” “jessner,” “VI,” “cosmetic procedure,” “procedure”, and related terms. Articles without original data, sufficient results, or human participants were excluded. Data on study design, participant characteristics, procedural details, and clinical outcomes were extracted and reported in this descriptive review. A total of 16 studies were reviewed, which highlighted procedural approaches to managing LPP, including chemical peels (eg, phenol and glycolic acid), laser therapy (eg, Q-switched Nd:YAG, CO2 fractional, Picosecond Nd:YAG, erbium-doped fiber), and platelet-rich plasma therapy. Evidence was limited by small sample sizes, lack of randomized controlled trials, and reliance on case reports and series. Most studies included fewer than 20 participants, limiting the generalizability of findings. In conclusion, procedural interventions can serve as an alternative treatment option for LPP, especially for those unresponsive to standard treatments. Further research with larger cohorts and comparative trials are needed to further elucidate current findings. J Drugs Dermatol. 2026;25(2): doi:10.36849/JDD.9209.

Introduction: Bariatric surgery is a widely utilized intervention for the treatment of severe obesity; however, its effects extend beyond weight loss and may involve significant neurobiological and psychopathological alterations, potentially inducing or exacerbating psychiatric disorders. This article aims to analyze these phenomena by articulating physiology, neuropsychiatry, and psychopathology, grounded in contemporary research. Methodology: A literature review was conducted, encompassing studies in Portuguese and English, prioritizing research published within the last seven years without excluding seminal references pertinent to the conceptual framework. Results and Discussion: The findings indicate that bariatric surgery promotes significant modifications in gut-brain axis signaling, lipid and steroidal metabolism, and the absorption of micronutrients essential for neurotransmission. Furthermore, it alters the secretion of gastrointestinal neuropeptides and the regulation of the hypothalamic-pituitary-adrenal and gonadal axes. These changes may impact central serotonergic, dopaminergic, and GABAergic systems, fostering the onset or worsening of symptoms such as anxiety, depression, insomnia, affective lability, impulsivity, and increased vulnerability to addictive behaviors—particularly in individuals with pre-existing psychopathology or emotional self-regulation strategies based on hyperphagia. Conclusion: Bariatric surgery must be understood as a process of prolonged neurobiological transition, requiring continuous psychiatric monitoring, with individualized nutritional, psychotherapeutic, and pharmacological interventions to preserve psychiatric health and long-term quality of life.

Corpus linguistics has emerged as one of the most dynamic fields in English language studies, offering empirical insights into patterns of vocabulary, grammar, discourse, and variation across diverse contexts. Over the past three decades, the scope of corpus studies has expanded remarkably, moving beyond early text collections such as the Brown Corpus to vast learner corpora, multimodal resources, and real-time social media datasets. This review article examines the current trends shaping corpus research and highlights promising future directions. Current scholarship demonstrates an increasing interest in world Englishes, learner corpora, and corpus-assisted discourse analysis, particularly in political and media communication. At the same time, new applications in pedagogy, translation, and forensic linguistics illustrate the methodological versatility of corpus approaches. Advances in computational tools and natural language processing have further broadened possibilities for large-scale, automated analysis of language data. However, challenges remain concerning representativeness, ethical issues in digital corpora, and the balance between quantitative and qualitative methods. Looking ahead, corpus studies are expected to place greater emphasis on under-represented English varieties, including South Asian and African Englishes, as well as on the integration of multimodal data and artificial intelligence techniques. This review argues that corpus linguistics is not only consolidating its role as a central methodology in applied linguistics but also redefining how scholars conceptualize language use in global, digital, and multilingual contexts.

Background: Sacroiliac joint pain and disability is a significant and expensive condition that drives up healthcare expenses. Ten to twenty-five percent of people who suffer low back pain (LBP) have SIJ listed as a contributing factor. Objective: The purpose of this review is to investigate the use of manual therapy for the management of SIJ syndrome, identify any gaps in the literature on the topic, and offer suggestions for future research in the area. Methods: This study was conducted as a narrative review. A search for relevant studies in English has been conducted across several databases, including PubMed NCBI, Trip Medical Database as well as PEDro – Physiotherapy Evidence Database, for randomized controlled trials (RCTs) published from 1992 to July 2024. The search included the use of manual therapy in SIJ dysfunction and pain management. Results: Nine RCTs were included. Manual therapy was shown to be the preferable course of treatment for pain and function disability when compared to alternative forms of therapy Conclusion: All of the studies in this review demonstrated the effectiveness of manual therapy in treating SIJ patients' pain and improving their functioning.

Background: Most nurses report experiencing emotional exhaustion due to high job demands, a condition that not only affects individuals but also impacts the overall healthcare system. The utilization of health information systems offers significant potential in detecting, measuring, and managing emotional exhaustion among healthcare professionals through comprehensive data analysis, thus improving individual well-being and the quality of healthcare services. Purpose: The objective of this systematic review is to explore indicators of emotional exhaustion and strategies to address it. Methods: This review was developed based on the Joanna Briggs Institute (JBI) methodology and presented according to PRISMA. Three databases, PubMed, ScienceDirect, and ProQuest, were used as sources to search for studies in English. The research obtained with the criteria of discussing health information systems and emotional exhaustion, original research, full text, and published between 2019-2024. Out of 1,782 identified articles, 15 articles were selected for in-depth analysis. Results: Through this systematic review, it was found that HIS can be used to measure emotional exhaustion through behavioural, performance, and organizational dimensions. These indicators can be identified through the analysis of data stored in HIS. In addition, HIS can also support mitigation efforts through increased work efficiency, employee health management, and organizational support. Conclusion: Detecting the condition of emotional exhaustion and understanding how to mitigate it are competencies required to support the smooth and quality delivery of nursing care.

Frailty and oral health among middle-aged and older adults: findings from the English longitudinal study of ageing.

This study explores students’ and teachers’ perceptions and experiences of translanguaging practices in English and Bengali teaching classrooms at a large public university in Bangladesh. Qualitative research has been conducted to collect data which included classroom observations, focus group interviews with students and a semi-structured face-to-face interview with teachers. Following Braun and Clarke's framework, data was analysed thematically, in order to determine repeated patterns of language use, participation and learning impacts. Based on the findings, it can be said that translanguaging is perceived to support developing English language proficiency and enhancing student engagement and confidence, by supporting grammatical clarification, lexical knowledge and idea formulation. Along with English, Bengali was used, and the majority of the students were engaged and then felt confident, especially at the time of peer interaction and problem-solving activities, which is found by the classroom observation and interview data. Moreover, most of the students stated that they felt less anxious and more motivated to participate. However, the study finds several challenges as well, such as monolingual policy, lack of formal teacher training in translanguaging pedagogy and peer judgment related to the use of Bengali in English classrooms. The study reveals that translanguaging can create an inclusive learning environment where students feel more encouraged to participate in classroom activities, comprehend the topics clearly and increase their confidence, in tertiary-level English language classrooms. In the context of Bangladeshi higher education, translanguaging which is complemented by teacher preparation and structural flexibility, can lead to successful multilingual education, which is suggested by the findings.

To scope international evidence on educational interventions to support delegation practices of nursing students and newly graduated nurses. A scoping review was undertaken following the Joanna Briggs Institute methodology, reported using the preferred reporting items for systematic reviews and meta-analysis scoping reviews extension (PRISMA-ScR) checklist. CINAHL, ProQuest, Medline (Ovid), Scopus, EMBASE, Open grey and grey literature, from January 2014 to September 2024 were searched. Studies in English, empirical, evaluative, and available in full text were included. Eighteen studies were included in this review. Nine papers were evaluative. Fourteen of the papers were American. Educational interventions included role-play, case scenarios and peer learning. Three studies defined delegation, with four aligned to a delegation framework. Three studies were in clinical settings. This review highlighted heterogeneity in educational interventions to support delegation practices. Gaps in the evidence base were highlighted, limited interventions in the clinical setting, absence of evidence underpinning educational effectiveness and minimal long-term follow up. Students and new graduate nurses were able to demonstrate learning after an intervention, highlighting the benefit of case studies, peer learning and simulation. However, the long-term impact is unknown. Interventions need to support theory to practice transition. Professional standards, roles, responsibilities and scope of practice need to be incorporated, and educational interventions should occur more than once to support meaningful and ongoing learning. This scoping review highlighted variation in delegation educational interventions for nursing students and new graduate nurses, with limited interventions in the clinical setting. Knowledge acquisition regarding roles and responsibilities was not always evident within interventions. Given the evolving context of healthcare practice, interventions aligned to professional standards necessitate supporting the acquisition of knowledge regarding roles, responsibilities and scope of practice of healthcare workers registered nurses delegate too. No Patient or Public Contribution.