Introduction Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that can impair posture, function, and quality of life. Schroth exercise, a physiotherapeutic scoliosis-specific exercise, has demonstrated benefits in reducing Cobb angle and improving patient-reported outcomes. Traditional Chinese Medicine (TCM) manipulation may modulate musculoskeletal asymmetry and pain, potentially exerting synergistic effects when combined with Schroth therapy. This study aims to evaluate whether TCM manipulation plus Schroth exercise is superior to Schroth exercise alone in improving spinal curvature, patient-centered outcomes, and paraspinal symmetry in AIS. Methods This is a single-center, randomized controlled, two-arm parallel-group superiority trial. Sixty adolescents (aged 10–18) with idiopathic scoliosis and Cobb angle 10°–45° will be randomized 1:1 to: (1) Schroth therapy alone (control) or (2) TCM manipulation combined with Schroth exercise (intervention). Primary outcome is change in Cobb angle measured by full-length standing anteroposterior spinal radiograph before and after the intervention. Secondary outcomes include Angle of Trunk Rotation (ATR), paraspinal thermal asymmetry assessed by infrared thermography, and health-related quality of life measured by the Scoliosis Research Society-22r (SRS-22r) questionnaire. Participants will be randomly allocated (1:1) using a computer-generated, stratified block randomization sequence with allocation concealed by sealed opaque envelopes. The analysis will follow the intention-to-treat (ITT) principle, and an ANCOVA adjusting for baseline measurements will be used for between-group comparisons. A total sample size of 60 participants (30 per group) was determined a priori to provide 80% power ( α = 0.05, β = 0.20) to detect a clinically meaningful difference in Cobb angle, allowing for a 20% attrition rate. Discussion If effective, the combined regimen could offer a non-invasive, integrative therapeutic option for AIS, with implications for conservative management guidelines. Ethics and dissemination The study protocol was approved by the Ethics Committee of Yibin Traditional Chinese Medicine Hospital [Approval No. KY2024 Review (016)]. The trial has been prospectively registered in the International Traditional Medicine Clinical Trial Registry (ITMCTR) on January 6, 2025. The study will be conducted in accordance with the principles of the Declaration of Helsinki (Edinburgh 2000 revision). The trial findings will be disseminated through publication in peer-reviewed journals. Trial registration The full trial protocol and statistical analysis plan can be accessed via the ITMCTR website (Registration No. ITMCTR2025000131). Any important modifications to the protocol will be submitted for approval by the institutional ethics committee and updated in the ITMCTR.

This study aims to analyze the development of publications on mathematical connections in Indonesia from 2020 to 2025. A total of 91 articles were analyzed using a bibliometric approach based on metadata obtained from Google Scholar, SINTA, and national journal databases. The analysis focused on annual publication trends, productive journals and their indexation status, research methods, educational levels examined, and dominant keywords. The findings show an increase in publications over the last five years, especially in 2023–2024. Most articles were published in national journals indexed by SINTA, while publications in international indexed journals remain limited. The dominant research method was qualitative-descriptive (52 articles), followed by quantitative (22 articles), mixed methods (5 articles), R&D (5 articles), and literature review (7 articles). Junior high school/MTs was the most researched education level, with 47 articles, followed by high school with 34, while research at the elementary and higher education levels was still limited. The most dominant keywords used were mathematical connections and mathematical connection ability, along with problem-solving and contextual learning. This study highlights mathematical connections as an important focus in mathematics education research in Indonesia and suggests further exploration across varied education levels and methodologies.

This study aims to analyze the development of educational animation based on Indonesian folklore as a medium for preserving local culture. The method used is a systematic literature review (SLR) of various national and international journal publications from 2021 to 2025 that discuss educational animation, local wisdom, and cultural preservation. Data were collected from ScienceDirect, ResearchGate, and SINTA databases using the keywords “educational animation,” “folklore,” and “cultural preservation.” The data were analyzed qualitatively using content analysis and thematic mapping techniques to identify key themes and recent research directions. The results show that educational animation based on folklore significantly contributes to enhancing cultural awareness, character education, and student engagement in learning. Most studies emphasize that digital media—especially animation—play an important role in transmitting cultural and moral values to younger generations. However, research gaps remain, as most existing studies still focus on the entertainment aspect rather than educational integration. In conclusion, the development of educational animation based on folklore has the potential to serve as a strategic medium for intangible cultural heritage preservation while promoting creative and contextual learning in the digital era.

To explore the competency of nursing graduates from the four dimensions of clinical practice, research ability, teaching ability and management ability, analyse its influencing factors and provide data support for improving the post ability of nurses with a master's degree. In September 2024, a convenience sampling method was used to administer a self-designed questionnaire regarding post-graduation post-competency to 330 nursing master's degree graduates from 68 tertiary hospitals and five medical universities across China. The average scores of clinical competence, research competence, teaching competence and management competence of nursing graduates were more than 7 (out of 10 points). Based on the Benner model, all the abilities of the participants were at the level of competent. Multivariate linear regression analysis indicated that marital status (p < 0.001), years since graduation (p < 0.001), major (p < 0.001) and etal., significantly influenced clinical competency. Furthermore, marital status, major, hospital rank and graduate type were key research competency factors. For teaching competency, major, training nature and professional title played a crucial role, whereas major, professional title, marital status and hospital rank were essential for management competency. Multivariate logistic regression analysis indicated that job position (χ2 = 11.375, p = 0.01) significantly influenced SCI publication, whereas the training nature and type of graduate school were independent factors affecting publication in Chinese core journals. Moreover, years since graduation and professional title were independent factors that influenced the publication of scientific core journals. The post-competency scores of nursing master's degree graduates in the four dimensions of clinical, research, teaching and management were moderate, indicating substantial potential for enhancement. Managers should develop personalised training programs based on different factors that influence the overall competency of nursing master's degree graduates, thereby improving nursing quality and ensuring patient safety.

Historically, epidemics have always posed a global threat to humanity not only in terms of health and its domains – physical, social, and psychological – but also in all spheres of human existence, including the economic, social, political, ethnocultural, and religious. Regardless of their cause or route of spread, the measures taken to limit the epidemics that have occurred have always aimed to restrict human activities in different ways and to varying degrees. The aim of this study is to determine the impact of anti-epidemic measures against the COVID-19 pandemic on health-related quality of life in a target group – students and PhD students. Materials and methods: We conducted a systematic review of scientific publications in journals referenced and indexed in world-renowned databases using keywords – a total of 90. We applied the criteria system of the PICOS tool to assess outcomes. Results and discussion: We found a high frequency of anxiety, depressive symptoms, stress, insomnia, and reduced quality of life in the observed population of 13,704 students and PhD students. The negative impact of the pandemic on the mental health and quality of life of students and PhD students is complex and multifactorial. The importance of the university environment, not only as an academic space but also as a social and health space, can play a key role in building resilience among young people in future crisis situations.

A neurocosmetic post-procedure cream (NPPC) was developed as a semi-breathable topical to provide relief and recovery following energy-based device treatments. The NPPC was investigated following hybrid fractional and fractional ablative laser resurfacing to assess tolerability, safety, and patient compliance and retention, as well as compare against a conventional post-procedure topical routine. Two randomized, double-blinded, split-face, controlled, procedure-pairing studies were conducted with healthy females aged 35-65 years with Fitzpatrick Skin Types I-III and moderate to severe photodamage. Subjects were randomized to apply the NPPC and a comparator moisturizer (CM) or comparator anhydrous formulation (CAF) three times daily for 7 days post-hybrid fractional laser (HFL) or 14 days post-fractional ablative CO2 laser (FACL), respectively. Tolerability evaluations, questionnaires, and clinical photography were conducted at baseline and post-baseline timepoints. Sixteen and twenty-two healthy female subjects completed the HFL and FACL studies, respectively. The NPPC was effective at improving erythema, edema, dryness, burning, itching, stinging, and discomfort as evidenced by tolerability evaluations, clinical photography, and questionnaires. There were no significant adverse events. Day 1 post-FACL treatment, 91% of subjects favorably agreed "the product calmed my skin." Patient relief and recovery were achieved with the NPPC. Across the two studies, the NPPC performed similarly or better than the conventional postprocedure topical routine investigated. The studies are limited to a small sample size, and the lack of a vehicle-only or untreated control arm is unethical. An NPPC developed to soothe skin following energy-based device procedures demonstrated patient tolerability, safety, and improved healing time following hybrid and fractional ablative laser treatments. Patients indicated favorable responses to the treatments, and there was high agreement that they would return for a second treatment, denoting patient retention. The NPPC achieved comparable outcomes versus the conventional postprocedure topical routine in both HFL and FACL studies. 1. HFL Study: ClinicalTrials.gov ID: NCT06436261 https://clinicaltrials.gov/study/NCT06436261?term=NCT06436261&rank=1 2. FACL Study: ClinicalTrials.gov ID: NCT06366503 https://www. gov/study/NCT06366503?term=NCT06366503&rank=1 ClinicalTrials.gov registration was completed after study completion for journal publication purposes.

Based on the analysis of publications of departmental journals “Zemsky Delo” and “Zemsky Worker”, the author of the article tried to reconstruct several stages of development of political ideas of zemstvo’s workers and employees in the period from June 1917 to June 1918. As a result, conclusions were drawn about the development of political ideas from the concept of non-partisan and “supra-class democracy” to attempts to justify the integration of zemstvos into the system of trade union and cooperative movement and Soviet authorities.

IntroductionAdolescent idiopathic scoliosis (AIS) involves three-dimensional structural spinal changes, frequently accompanied by scapular dyskinesis (SD) and proprioceptive dysfunction. Although physiotherapeutic scoliosis-specific exercises effectively correct spinal alignment, their efficacy in addressing SD and associated sensorimotor deficits remains underexplored. This randomised controlled trial (RCT) will evaluate whether integrating upper limb proprioceptive neuromuscular facilitation (PNF) with conventional physical therapy yields synergistic improvements in scapular kinematics and proprioceptive function in AIS.Methods and analysisThis single-centre RCT will be conducted at the Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. 48 adolescents with AIS will be randomly assigned to either a control group (n=24) receiving conventional physical therapy or an experimental group (n=24) receiving combined conventional therapy and upper limb PNF interventions. Both groups will follow a structured 60 min rehabilitation programme, administered five sessions per week for 8 weeks (including two outpatient sessions and three home training sessions per week). Follow-up assessments will be conducted at 12 weeks postintervention to evaluate the maintenance of therapeutic effects. Primary outcomes will include the scapular balance angle and the active relocation test for shoulder proprioception. Secondary outcomes will comprise the scapular index, the lateral scapular slide test, normalised surface electromyography (root mean square, %muscle activation degree) of the upper trapezius, lower trapezius, serratus anterior, posterior deltoid and infraspinatus during standardised tasks, posture analysis, Cobb angle, angle of trunk rotation and the Simplified Chinese version of the Scoliosis Research Society-22 questionnaire for health-related quality of life. Data will be analysed using Analysis of Covariance and linear mixed-effects models, adjusted for baseline values, following the intention-to-treat principle.Ethics and disseminationThe study protocol has been approved by the Ethics Committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (Approval No. TJ-IEB2025-018) and has been registered on ClinicalTrials.gov. The findings will be disseminated through peer-reviewed journal publications, conference presentations and media releases.Trial registration numberChiCTR2500099252.

Nursing students are at increased risk for sleep deprivation and adverse sleep outcomes, and this can have negative health consequences for students and safety risks for patients. To better understand where to place time, energy, and resources to improve sleep outcomes for prelicensure undergraduate nursing students, a scoping literature review was conducted to study the research question: What are the major contributing factors to adverse sleep outcomes in undergraduate nursing students? Through the literature review, eight articles met the inclusion criteria of a focus on sleep, study of nursing students, and publication in a peer-reviewed journal. Results were organized into four themes of contributing factors that influence sleep in undergraduate nursing students: 1) Stress and Mental Health, 2) Technology Use, 3) Health Behaviors, and 4) Obligations to Work and School. Sleep is increasingly recognized as important to health across the lifespan, and findings indicate coping strategies, digital addiction, lifestyle behaviors, and burnout as major areas for improvement among prelicensure undergraduate nursing students. These findings are relevant and timely for academic advisors, faculty, administrators, staff, and institutions seeking evidence-based strategies to improve sleep, success, and safety for their students and their patients. It is essential to explore these contributing factors as part of a larger effort to discover the most effective strategies for improving nursing students’ health and well-being as they prepare for the demanding field of nursing.

The article explores the perception of the Lithuanian poet and translator Jurgis Baltrušaitis by the Russian writer Aleksei Remizov. Communication between the two writers was sporadic, and the affinity of their artistic worlds went unnoticed by both contemporaries and later researchers studying their works. However, a series of narratives based on their interpretations of life’s conflicts, their status as writers, as well as motifs of their creative practices (publications in Symbolist journals, translations, the recording of dreams in literary texts) point to an existing lacuna in the study of possible connections between the two artists. Baltrušaitis is intriguing as a character in Remizov’s texts, most often in the form of a ‘dream’, a special genre that resonates with the oneiric themes in the poetic world of Baltrušaitis. Two perspectives emerge in relation with Baltrušaitis as a figure of both Remizov’s lived and artistic reality: the view from within the uncreative routine of literary life, and the view from the space of creative reality, filled with intricate arabesques and dreams, where the ‘happy Baltrušaitis’ dwells.

This review examines the complex terrain of health administration and policy in low-resource contexts, emphasising the particular difficulties and game-changing possibilities brought about by limited resources. Sources of information for the study included journal articles and publications, websites, case reports, and research databases. Financial constraints, a lack of workers, and unequal access to care exacerbate common health costs like infectious diseases, trauma, and infrastructure deficiencies. Global health systems can learn from the incredible endurance, inventiveness, and flexibility displayed by low-resource environments in spite of these limitations. The study critically looks at how multinational collaborations, political will, and governance shape successful health programs. Additionally, it recognises important avenues for advancement through the integration of digital and emerging technologies, such as open-source electronic health records, telemedicine, mobile health, artificial intelligence, and community-based treatments, as well as the strengthening of primary healthcare. The review illustrates scalable methods of success that give priority to equity, sustainability, and local context through comparative case studies from nations such as Rwanda, Brazil, Kenya, Bangladesh, and Ghana. In order to create resilient healthcare systems that satisfy the demands of vulnerable populations in developing countries, the study ultimately promotes strategic investments, inclusive governance, and cross-border cooperation.

This editorial introduces a specialized web application (Advanced Journal Analysis Tool) for comprehensive bibliometric analysis of scholar journals to address limitations in accessing commercial scientific databases. This program designed by the team of the CTA journal provides an open and free alternative for analyzing journal performance using Crossref and OpenAlex APIs through an intuitive Streamlit-based interface. Its core innovation lies in implementing a three-tier analytical framework that examines relationships between referenced sources (A), target journal publications (B), and citing works (C), enabling complete tracking of scientific communication flows. The application features sophisticated functionality for calculating diverse bibliometric indicators including traditional metrics (such as h-index and JSCR) along with advanced statistics such as citation velocity, collaboration patterns, and thematic diversity indexes. Technical implementation incorporates multithreaded data processing, adaptive rate limiting, and robust caching mechanisms to ensure reliable operation with large datasets. The interface supports multiple languages and offers interactive visualizations, while export capabilities facilitate further data analysis. Designed for researchers, journal editors, and science administrators, the program enables monitoring of journal effectiveness, comparative analysis across publications, identification of research trends, and assessment of international impact. Its development represents a significant contribution to open science initiatives by democratizing access to professional bibliometric analysis and enhancing transparency in research evaluation methodologies. The software is designed as a practical instrument for supporting evidence-based decisions in the realms of editorial policy and scientific management. It is also intended to promote reproducibility in bibliometric studies through its open architecture and standardized analytical approaches.

This systematic review aimed to evaluate the clinical and functional outcomes of anterior cruciate ligament reconstruction (ACLR) using various graft types, based exclusively on studies with Level I-II evidence published in Q1-Q2 journals. The goal was to synthesise high-confidence data that can guide graft selection in orthopedic practice. A comprehensive literature search of PubMed and Embase was conducted in accordance with PRISMA guidelines. Inclusion criteria were: (1) Level I-II study design, (2) publication in Q1-Q2 journals, (3) comparison of graft types (e.g., BPTB, HT, QT and allografts), and (4) reporting of outcomes including graft failure (GF), return to sport (RTS), anterior knee laxity, and patient-reported outcome measures (PROMs). Eighteen studies met all inclusion criteria. BPTB autografts demonstrated the lowest failure rates (2%-6%) and highest RTS (~81%) but were associated with higher anterior knee pain. Hamstring autografts showed higher failure rates (11%-17%) and lower RTS (~52%) but favourable PROMs. QT autografts had low failure rates (2%-3%), good stability, and reduced donor-site morbidity, with RTS ~ 64% based on limited data. Allograft results were variable: BPTB allografts demonstrated good function in selected populations, while hamstring and tibialis posterior allografts showed higher failure rates (6.2%-13.8%), particularly in younger patients. BPTB and QT autografts appear to offer the best combination of Failure rate and functional outcomes for high-demand patients. Hamstring autografts remain a practical option but may be less suitable for younger athletes. Allografts-particularly tibialis posterior-should be used cautiously due to elevated failure risk. N/A. (Systematic Review Abstract).

Digitalization as an emerging trend of improving organizational efficiency and value creation, presents enormous opportunities and challenges to the business world. This study seeks to uncover predominant and emerging trends in digitalization in both developed and emerging economies based on data from scopus database over a five (5) period from 2018 to 2022. A comprehensive bibliometric analysis was made by analyzing contributions and relationships among authors, institutions, countries and journal publications on digitalization. A total of 1,171 journal publications were obtained from scopus database and bibliometric analysis was performed with VOSviewer 1.6.18 and R 4.2.1 tools. It revealed that 3420 Authors have authored documents with an annual growth rate of 28.78% with international co-authorships collaborations of 25.7%. Authors “Parida V” and “Sjödin D” were the most publishers and made most bibliographic coupling, “Russian Federation”, “Germany”, and “United Kingdom were the top publishing and collaborated countries. The most co-cited authors and journals were “Parida, V.” and “Brynjolfsson, E.” and “Journal of Business Research” and “Industrial Marketing Management” respectively. The publications have proven interdependency and strong network across different jurisdictions and economies indicating their strong impact on digitalization drive across the world and the need to collaborate more effectively as the surest way for achieving a globally digitalized economy in the future as a collective goal.

IntroductionThe objective of this scoping review is to elucidate contexts in which Flexible Assertive Community Treatment (FACT) has been utilised, which populations it has served, how it has been adapted and what outcomes it has achieved. FACT is a model of mental healthcare where patients are transitioned along a continuum of high-intensity outreach-based treatment and lower-intensity case management, according to need. Despite being adopted globally, a review of the evidence on the FACT model has not been conducted since 2014.Methods and analysisThis study will follow the Joanna Briggs Institute’s (JBI) methodology for scoping reviews and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. A structured search of several electronic databases (MedLine, CINAHL, PsycINFO, Psychology & Behavioural Sciences, Embase, Scopus, Sociological s and ASSIA Social Sciences Index s) will be conducted to locate relevant studies addressing models of care that adhere to the core components of the FACT model and that were published in English or Dutch from 2003 (model conception date) to the present day. To explore the range of populations served by FACT, we will not limit participant populations by age or diagnosis. With respect to FACT adaptations, we will include articles that explore modifications to the structure of FACT such as staffing complement, caseloads or interface with other health and social services. Articles identified from our structured searches will be screened independently by two reviewers. Data from included articles will be extracted, analysed and presented on tables and visual graphs, and summarised in a narrative report.Ethics and disseminationOur scoping review does not require ethics approval as it does not involve human subjects and will draw evidence from published peer-reviewed articles. Our findings will be disseminated through journal publication, presentations at relevant conferences and distribution across our networks and those of our partners, including healthcare providers, researchers and other key stakeholders.

Background: Despite progress in the representation of female cardiology trainees and physicians over time, women remain underrepresented in published cardiology literature. Research Question: Our study investigates whether gender disparities exist in authorship among the leading interventional cardiology publications over a recent ten-year period. Methods: Using interventional cardiology-associated PubMed-MeSH terms, we conducted a bibliometric analysis of publications indexed in PubMed from 2013 to 2022, focusing on the top eleven cardiology and interventional cardiology journals by impact factor. First authors and last authors were identified, and their genders were determined from a database of name-to-gender mappings ( Gender API; gender-api.com ). Binomial and chi-square tests were performed. Results: We identified 13,449 articles on PubMed which met the inclusion criteria. Female authors represented 16.1% of all first authors and 12.5% of all last authors, which was significantly different from the proportion of male authors (p&lt;0.001). Interventional cardiology journals demonstrated a greater bias towards male first and last authors (84.9% and 88.8%, respectively) compared to general cardiology journals (81.5% and 84.4%; p&lt;0.001). Between 2013-2017 and 2018-2022, the proportion of female first authors significantly increased over time (p&lt;0.001), while no significant change was observed in gender representation among last authors (p=0.306). Publications with a female last author were more likely to have a female first author compared to those with a male last author (22.7% versus 15.2%, respectively, p&lt;0.001). Conclusions: We analyzed the first and last author genders of interventional cardiology publications in high-impact cardiology journals over a decade and found that women remain underrepresented in both authorship positions. This effect was more pronounced in publications from interventional cardiology journals and in those with male last authors. The increase in female first authorship over time suggests progress at the early-career level, but the lack of change in last authorship reflects ongoing gaps in senior academic representation. Additional work is needed to address these disparities and identify strategies to increase female representation in interventional cardiology research, which may help elucidate barriers to gender diversity in cardiology leadership, recruitment, and academic advancement.

ABSTRACTIntroductionDespite significant global advancements, the past decade has seen stagnation in Maternal, Neonatal and Child Health (MNCH) service coverage and a concerning high under-five and maternal mortality rates, which have been worsened by COVID-19 pandemic-related disruptions, particularly in sub-Saharan Africa. This scoping review protocol will support the comprehensive mapping, evaluation and assessment of the application, impact, effectiveness and adaptability of health-resilient frameworks in maintaining these services during pandemics, while also identifying gaps in the literature and areas for further research.Methods and analysisFollowing the Joanna Briggs Institute guidelines, a literature search across databases such as PubMed, Scopus and African Journals Online for studies published from the inception of the databases to 2024 will be conducted. Covidence will facilitate the iterative screening process by two independent reviewers. Data extraction will employ the Population, Intervention, Comparison, Outcomes and Healthcare Contexts framework to categorise information. The thematic synthesis will integrate the findings to comprehensively evaluate the framework’s application, impact, effectiveness and adaptability in the context of routine immunisation and MNCH services.Ethics and disseminationThis is part of a broader study approved by the evaluation committee of the Faculty of Health Sciences at the University of the Free State, and ethical clearance was granted by the university’s Human Research Ethics Committee with registration number UFS-HSD2025/0102/2705. The findings will be shared with relevant stakeholders through publications in peer-reviewed journals and presentations at meetings, conferences, seminars and professional forums.

IntroductionDespite increasing palliative care capabilities in the USA, utilisation rates remain low for patients with advanced cancer, particularly among African American patients. To address this gap, a theory-driven, stakeholder-informed community health worker (CHW) palliative care intervention for African American patients with advanced cancer and their informal caregivers is currently being assessed through a hybrid type 1 effectiveness-implementation trial at four cancer centres across the USA. To improve the quality and efficiency of palliative care delivery, inform resource allocation and guide broad-scale implementation, it is essential to generate evidence on the economic value of palliative care programmes. The objectives of this study are to evaluate the cost-effectiveness and estimate the social value of a CHW palliative care intervention for African American patients with advanced cancer and their caregivers.Methods and analysisWe will conduct cost-effectiveness analyses (CEAs) and a social return-on-investment (SROI) analysis to assess the value of the CHW palliative care intervention compared with enhanced standard of care. Standard, extended and distributional CEAs will be performed from the perspectives of an adopting organisation or payer (eg, Medicaid), the US healthcare sector and society. An SROI analysis will also be conducted to assess the social value of the intervention. These analyses will focus on estimating the costs, health and distributional impacts of the intervention.Ethics and disseminationThis study protocol was approved by the Johns Hopkins Medicine Institutional Review Board (IRB00372476). All methods will be carried out in accordance with relevant guidelines and regulations. Written informed consent will be obtained from all subjects prior to study participation. This manuscript does not contain participant-level data. The full protocol will be available from the corresponding author on reasonable request. The dissemination of findings from the clinical trial and accompanying economic evaluation outlined in this manuscript will be multifaceted to maximise reach and impact. Research findings will be presented at relevant scientific conferences, submitted for publication in peer-reviewed journals and shared with community stakeholders, including hospital leaders and administrators, providers, CHWs and patient advocacy groups.Trial registration numberNCT05407844.

ABSTRACT In celebration of the 40th anniversary of Quality and Reliability Engineering International (QREI), we present a comprehensive retrospective analysis of the journal's publications from 1985 to 2024. We highlight how QREI has influenced the evolution of quality and reliability engineering through key contributions and emerging research themes over four decades. Our bibliometric review of 3726 articles reveals significant trends, including a shift from classical quality control and reliability topics toward advanced data‐driven methodologies and increased interdisciplinary collaboration. The findings underscore QREI's growing impact on both theory and practice, and also discuss future directions for the journal in the context of new technological challenges and opportunities.

Scientific co-authorship is a natural reflection of the scientific collaboration. Multiple foreign studies based on Web of Science and Scopus data show that there has been an increase in the number of co-authors of scientific publications in international journals in various scientific areas over the recent decades. Obviously, it is rather difficult to perform an analysis of co-authorship in Russian journals using Web of Science and Scopus data. This paper examines trends in the number of co-authors of Russian scientific journal articles in the following five thematic areas: chemistry, history, mathematics, medicine, and physics. The data source of our investigation is the national bibliographic database Russian Science Citation Index (RSCI). We show a steady increase in the average number of co-authors per publication and an increase in the proportion of co-authored articles for the period from 2000 to 2020, and we notice differences in different scientific areas.