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Wise use of evidence to support efficient conservation action is key to tackling biodiversity loss with limited time and resources. Evidence syntheses provide key recommendations for conservation decision-makers by assessing and summarising evidence, but are not always easy to access, digest, and use. Recent advances in Large Language Models (LLMs) present both opportunities and risks in enabling faster and more intuitive systems to access evidence syntheses and databases. Such systems for natural language search and open-ended evidence-based responses are pipelines comprising many components. Most critical of these components are the LLM used and how evidence is retrieved from the database. We evaluate the performance of ten LLMs across six different database retrieval strategies against human experts in answering synthetic multiple-choice question exams on the effects of conservation interventions using the Conservation Evidence database. We found that LLM performance was comparable with human experts over 45 filtered questions, both in correctly answering them and retrieving the document used to generate them. Across 1867 unfiltered questions, LLM performance demonstrated a level of conservation-specific knowledge, but this varied across topic areas. A hybrid retrieval strategy that combines keywords and vector embeddings performed best by a substantial margin. We also tested against a state-of-the-art previous generation LLM which was outperformed by all ten current models - including smaller, cheaper models. Our findings suggest that, with careful domain-specific design, LLMs could potentially be powerful tools for enabling expert-level use of evidence syntheses and databases in different disciplines. However, general LLMs used 'out-of-the-box' are likely to perform poorly and misinform decision-makers. By establishing that LLMs exhibit comparable performance with human synthesis experts on providing restricted responses to queries of evidence syntheses and databases, future work can build on our approach to quantify LLM performance in providing open-ended responses.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080840 | PMC |
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0323563 | PLOS |
Cancer Metastasis Rev
September 2025
Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Ave, Room G018, Ann Arbor, MI, 48109-1078, USA.
Chronic inflammation and microbial dysbiosis have been implicated in the development of head and neck squamous cell carcinoma (HNSCC), particularly oral cavity squamous cell carcinoma (OSCC). Periodontitis is a common chronic inflammatory disease characterized by the progressive destruction of tooth-supporting structures. While periodontitis Has been associated with an increased risk of OSCC in epidemiological and mechanistic studies, the strength of this association is unclear.
View Article and Find Full Text PDFNurs Res
September 2025
Health Services Research Enterprise, Philadelphia, PA.
Background: Authentic leadership in nursing is associated with positive nurse outcomes globally. However, the last published systematic review, in 2018, showed no evidence from the United States and little evidence of effect on patient or health system outcomes.
Objectives: To systematically review, appraise, and synthesize evidence focused on the effect of authentic leadership on nurse, patient, and system outcomes in acute care hospitals in the U.
BMJ Public Health
September 2025
Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA.
Background: To synthesise recent empirical evidence for the prevention and management of respiratory function in children.
Methods And Findings: We searched the PubMed, Cochrane Library, Embase and Web of Science databases for studies published from inception to 16 September 2024. Two authors independently selected eligible studies, evaluated the quality of the included studies and assessed bias based on the Cochrane Collaboration tool for assessing the risk of bias.
Cureus
August 2025
Internal Medicine, Jaber Al-Ahmad Hospital, Al Jahra, KWT.
Heart failure (HF) remains a global health challenge with high morbidity and mortality, necessitating reliable biomarkers for risk stratification. The platelet-to-lymphocyte ratio (PLR), an emerging inflammatory marker, has shown prognostic potential in cardiovascular diseases, but its utility in HF remains inconsistently reported. This systematic review synthesizes evidence on PLR's prognostic value in HF, focusing on mortality, hospitalization, and its role in multimarker models.
View Article and Find Full Text PDFBMJ Open Sport Exerc Med
September 2025
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
Although horse riding is hazardous and injuries are common, young riders regularly engage in horse-related activities. To our knowledge, there have been no syntheses on youth horse-related injuries published during the past decade that employ a multi- and interdisciplinary research agenda (M-IDR) and that incorporate both quantitative and qualitative methods. Therefore, this scoping review aimed to (1) review studies on horse-related injuries among children and adolescents and (2) identify methodological and paradigmatic trends according to M-IDR.
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