📄 other

Global warming increases lightning activity over Brazil regardless of the trend in cloud ice content simulated by a GCM

Using observational data and climate projections, this study demonstrates that global warming will significantly increase lightning density across Brazil by the end of the century—particularly in the Amazon—regardless of uncertainties in simulated cloud ice content, thereby heightening the risk of lightning-ignited wildfires.

Caio Lucas Texeira Ferraz De Oliveira, Kleber Pinheiro Naccarato2026-07-27
📄 other

Evidence of organic–metal decoupling in textile wastewater from Bangladesh's largest export processing zone

This exploratory study of six textile facilities in Bangladesh's Chattogram Export Processing Zone reveals a decoupling between organic and heavy metal compliance, where frequent exceedances of BOD, COD, and colour limits contrast with universal adherence to lead and chromium regulations, suggesting distinct pollutant sources and treatment pathways.

Sabbir Ahmed, Muhammad Saidur Rahman2026-07-27
📄 other

Factors associated with blips in people living with HIV on maintenance therapy with dolutegravir and lamivudine  

This retrospective cohort study of 501 patients in Brazil demonstrates that while dual therapy with dolutegravir and lamivudine maintains high overall virological effectiveness, viral blips occur frequently and are independently associated with female sex and longer treatment duration, yet remain transient events without significant clinical consequences.

MAXIMILIANO HELENO ALEXANDRE CUNHA, HELOISA RAMOS LACERDA, Ulisses Ramos Montarroyos, AMANDA VITÓRIA COSTA LIMA2026-07-27
📄 other

Association Between Emotional Labor Manual and Sleep Disorder by Organizational Support Environment: Focusing on the Combined Effects of Supervisor Support and Rest Autonomy

This study reveals that while the mere availability of emotional labor manuals does not significantly reduce sleep disorders overall, their effectiveness is critically dependent on organizational context, significantly lowering risk only when accompanied by high supervisor support and rest autonomy, whereas they may actually increase risk in environments lacking such support.

Da-Eun Moon, Eun-Mi Baek, Ji-Eun Park2026-07-27
📄 other

Personalized Radiotherapy Strategies and Prognostic Factors in Patients with Soft Tissue Sarcomas: A Retrospective Cohort Study

This retrospective cohort study of 101 soft tissue sarcoma patients in Uzbekistan identifies increasing age and metastatic disease as independent predictors of tumor recurrence while demonstrating that highly conformal radiotherapy techniques (IMRT and VMAT) reduce treatment-related toxicity compared to 3D-CRT, supporting the use of personalized strategies for improved oncological outcomes.

Otabek Agzamov, Bekzod Usmanov, Guli Mansurova, Kamola Saidova, Nargiza Karimova, Ekaterina Chen, Mukhayo Khayitboeva2026-07-27
📄 other

A Catchment Information System to Advance Systems-Based Management of Large Tropical River Basins

This paper introduces the Congo Basin Catchment Information System (CB-CIS), a unified digital hydrological infrastructure that integrates diverse data sources and a nested catchment framework to address information gaps and enable systems-based, adaptive water resources management across the data-scarce Congo River Basin.

Raphael M. Tshimanga, Landry N. Nkaba, Felly K. Ngandu, Genie K. Lutonadio, Augustin L. Likenge, Victor K. Kadiata, Chri (…)2026-07-27
📄 other

Overcoming immunization Gaps: Identifying Modifiable Barriers to HPV Vaccination in Chinese Patients with Autoimmune Inflammatory Rheumatic Diseases (AIIRDs)

A real-world survey of 562 Chinese female patients with autoimmune inflammatory rheumatic diseases reveals that while awareness and willingness to receive the HPV vaccine are high, actual vaccination and cervical cancer screening rates remain critically low, with systemic lupus erythematosus patients facing particularly significant gaps despite their heightened vulnerability.

Juan Zhao, Lan Mi, Hui Bi, Dai Zhang, Zhuoli Zhang2026-07-27
📄 other

Gluten free diet does not fully restore the faecal metabolome in paediatric coeliac disease

This study reveals that while a gluten-free diet partially normalizes the faecal metabolome in children with coeliac disease, distinct metabolic alterations in bile acid, sterol, and microbial pathways persist, suggesting ongoing gut dysfunction and offering potential non-invasive biomarkers for disease monitoring.

Nicholas Rattray, Patricia Kelly, Gillian farrell, Richard Russell, Richard Hansen, Christine Edwards, Peter Gillett, Ko (…)2026-07-27
📄 other

Machine Learning–Based Identification of Drug-Resistant Pathogen Infection in Patients With Sepsis: A Multicenter Cohort Study

This multicenter cohort study demonstrates that explainable machine learning models utilizing routinely available early ICU variables can accurately predict the risk of specific multidrug-resistant organism infections (MRSA, VRE, and CRPA) in patients with sepsis, offering a potential tool for early risk stratification to guide empiric antibiotic therapy.

Qiushi Feng, Hui Miao, Wentao Li, Yan Wu2026-07-27