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To obtain acceptable articles up to October 2022, a thorough search was conducted in databases including PubMed, ISI Web of Science, the Cochrane Library, and Scopus

They effectively block acetylcholine (Ach) binding and overstimulate cells at synaptic junctions, obstructing nerve impulse propagation and leading to cell and/or individual paralysis and death (Almeida et al

Then the field embraced process improvement, zeroing in on the need to implement evidence-based practice, engage in purposeful system design, and standardize work to attain failure-free operations over timeeven amid high levels of complexity and the constant threat of significant or catastrophic error

10.3389/fncel.2019.00585 134 ZhangQ.XiaoX.ZhengJ.LiM.YuM.PingF.et al (2018)