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Discussion Conducting research in a real-life setting is accompanied by methodological challenges. Using an Extended Selection Cohorts design provides a valuable alternative when a Randomized Controlled design is not feasible.Dual antifouling and antibacterial polysulfone(PSf)/polyethersulfone(PES) hybrid membranes were developed by the synergy of capsaicin-mimic N-(5-methyl acrylamide-2,3,4 hydroxy benzyl) acrylamide (AMTHBA) and vinyl triethylene (b-methoxy ethoxy) silane (VTMES). First, AMTHBA as a natural antimicrobial agent was inco