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  • New
  • Research Article
  • 10.1016/j.crad.2026.107272
The value of 18F-fluorodeoxyglucose positron emission tomography/computed tomography in the diagnosis and evaluation of TAFRO syndrome: a review of cases and literature.
  • Apr 1, 2026
  • Clinical radiology
  • H Xian + 4 more

The value of 18F-fluorodeoxyglucose positron emission tomography/computed tomography in the diagnosis and evaluation of TAFRO syndrome: a review of cases and literature.

  • New
  • Research Article
  • 10.1016/j.ejso.2026.111462
Incidence and impact on survival outcomes of postoperative radiological evidence of residual disease in women with advanced stage ovarian cancer undergoing debulking surgery: a meta-analysis.
  • Apr 1, 2026
  • European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • Vasilios Pergialiotis + 7 more

Incidence and impact on survival outcomes of postoperative radiological evidence of residual disease in women with advanced stage ovarian cancer undergoing debulking surgery: a meta-analysis.

  • New
  • Research Article
  • 10.1111/inm.70237
Realising the Convention on the Rights of Persons With Disabilities With Mental Health Advance Directives.
  • Apr 1, 2026
  • International journal of mental health nursing
  • Sarah Gordon + 7 more

All countries that have signed the United Nations Convention on the Rights of Persons with Disabilities (CRPD) have obligations to align their national laws and policies with it. According to the General Comment on Article 12 prepared by the CRPD Committee, this entails operationalising systems and practices that support, rather than substitute, decision-making. The CPRD Committee has identified Mental Health Advance Directives (MHADs) as one mechanism to operationalise supported decision-making, and many jurisdictions have incorporated them into newly reformed mental health legislation. The purpose of this systematic scoping review was to assess whether any MHADs currently under investigation conform to the specifications outlined in the General Comment on Article 12 regarding advance directives. The results indicated that no MHAD under investigation in the international literature meets the specifications of the General Comment on Article 12 for advance directives. MHADs are an essential tool to ensure the human rights of people who experience psychosocial disability are protected in line with the requirements of the CRPD. Although there are projects examining the effectiveness of MHADs, none of these MHADs fulfil the specifications of the General Comment on Article 12. This raises questions for both policymakers and clinicians who will implement these MHADs, particularly as they feature in newly reformed legislation. Researchers should consider the implications of the CRPD Committee guidance when evaluating the effectiveness of MHADs, including whether their jurisdiction aligns with the requirements for tools that facilitate supported decision-making.

  • New
  • Research Article
  • 10.30574/ijsra.2026.18.3.0482
Flood Risk reduction using protective and boulder walls: A review with special reference to Afghanistan
  • Mar 31, 2026
  • International Journal of Science and Research Archive
  • Mohammad Ajmal Stanikzai + 4 more

Afghanistan faces progressively regular and severe floods that cause substantial loss of life, destroy the infrastructure, and interrupt livings. Structural mitigation measures mainly protective walls built from locally available boulders offer practical, low-cost solutions in this resource-constrained context. This review synthesizes national and international literature on flood risk reduction using protective walls, with special importance on boulder walls in Afghanistan's flood-prone provinces. We assess design considerations, efficiency, environmental impacts, and implementation challenges. Key results show that while boulder walls provide cost-effective, community-driven flood mitigation, they require technical design support and integration with non-structural measures such as early warning systems and land-use planning to attain sustainable risk reduction. This review offers evidence-based guidance for practitioners, policymakers, and communities working to improve flood resilience across Afghanistan.

  • New
  • Research Article
  • 10.18863/pgy.1685024
Parentification: Theoretical Framework, Risk Factors, and Psychosocial Outcomes
  • Mar 31, 2026
  • Psikiyatride Güncel Yaklaşımlar
  • Elif Işık

Parentification refers to the disruption of the hierarchical structure within the family, where parental duties and responsibilities are transferred to the child. Also known as a role reversal between parent and child, this situation can have detrimental effects when it is disproportionate to the child's developmental stage and abilities. However, when the child receives support from the parent and takes on responsibilities in a balanced way, parentification can also lead to positive psychosocial outcomes. The development of the parentification experience has been explained through certain theoretical perspectives, and various studies have been conducted on risk groups that may be affected by this experience. In this study, a narrative review method was used to examine national and international literature on parentification. Research findings were grouped under main themes such as types of parentification, risk factors, theoretical background, and its positive and negative psychosocial outcomes. Since parentification is still a relatively new topic in Türkiye, this review is one of the few studies that discusses the concept in a multidimensional way with support from recent literature. The aim of this study is to raise awareness about parentification in the field and to highlight areas that can be improved in future research. By synthesizing global and local perspectives, this review seeks to provide a comprehensive understanding of parentification’s impact on child development. Furthermore, it underscores the need for culturally sensitive interventions to address the challenges and leverage the potential benefits of parentification in diverse family contexts.

  • New
  • Research Article
  • 10.32750/2026-0120
MARKETING LOGISTICS AS AN INTEGRATED ENTERPRISE MANAGEMENT SYSTEM IN TRANSPORT ENTERPRISES
  • Mar 31, 2026
  • Європейський науковий журнал Економічних та Фінансових інновацій
  • Iryna Fedotova + 3 more

The article examines marketing logistics as an integrated management system within transport enterprises, emphasizing its role in creating sustainable competitive advantages through the effective management of flows and delivery of services that preserve consumer value. In modern economic conditions, traditional isolated application of marketing and logistics tools often fails to ensure the achievement of strategic objectives, particularly under circumstances of high uncertainty, resource limitations, and disruptions in supply chains, such as those experienced during martial law. Marketing logistics emerges as an integrative mechanism that combines market-oriented approaches with process- and flow-oriented logistics, aligning demand generation with the enterprise’s operational capabilities. A critical review of domestic and international literature reveals a lack of unified conceptual understanding of marketing logistics. Foreign studies tend to interpret it from a logistics perspective, emphasizing operational efficiency and physical distribution, while domestic research increasingly views it as a comprehensive, integrative system that coordinates marketing and logistics decisions to achieve long-term competitive advantages. The article classifies approaches to marketing logistics into three groups: functional-distributional, integration-oriented, and value-oriented (synthetic), reflecting its evolution from a narrowly operational function to a strategic management concept. The study offers a conceptual generalization of marketing logistics as an integrated management system under conditions of high uncertainty. The study identifies key objectives and tactical tasks of marketing logistics, including ensuring full and timely satisfaction of consumer demand, optimizing logistics costs, maintaining service quality, enhancing resilience, and supporting sustainable development and digital transformation. The article further delineates the core functions of marketing logistics — analytical, planning, organizational, coordination, control, and value-oriented — demonstrating their integrative nature in harmonizing marketing and logistics processes. Comparative analysis highlights that marketing logistics not only delivers physical products but also generates additional value for the consumer by balancing service levels with operational efficiency. The findings underscore the relevance of marketing logistics as a holistic management tool for transport enterprises operating in dynamic and uncertain environments. Prospects for further research include the development of digital, data-driven, and adaptive approaches to enhance efficiency, resilience, and sustainability in marketing logistics processes.

  • Research Article
  • 10.32479/irmm.22933
Leveraging Network Capital for Global Expansion: Evidence from Chinese High-tech SMEs
  • Mar 16, 2026
  • International Review of Management and Marketing
  • Hang Ju + 2 more

This empirical investigation examines the multidimensional influence of network capital on the internationalization performance of Chinese high-technology small and medium enterprises (SMEs), with government policy functioning as a critical moderating mechanism. Drawing upon the resource-based view, social capital theory, and institutional theory, we develop and test a comprehensive theoretical framework that disaggregates network capital into three distinct yet interrelated dimensions: availability of network resources, access to market opportunities, and access to collaborative partnerships. Employing a cross-sectional survey design, we collected primary data from 342 high-technology SMEs operating in Shenzhen, China's premier innovation ecosystem. Through structural equation modeling and multi-group moderation analysis, our empirical findings reveal that all three dimensions of network capital exert statistically significant positive effects on SME internationalization performance. Furthermore, government policy support demonstrates differential moderating effects, significantly amplifying the relationships between network resource availability and internationalization and between market opportunity access and internationalization, while exhibiting no significant moderation effect on the collaboration-internationalization nexus. These findings contribute to the international business literature by elucidating the boundary conditions under which network capital facilitates SME internationalization in emerging economies. The study offers actionable insights for policymakers designing targeted internationalization support programs and for SME managers strategically leveraging network resources for global expansion.

  • Research Article
  • 10.1080/13504509.2026.2643400
Exploring pro-sustainable tourists in nature-based destinations: a biosphere reserve case study
  • Mar 15, 2026
  • International Journal of Sustainable Development & World Ecology
  • Yaiza López-Sánchez + 3 more

ABSTRACT Nature-based destinations are increasingly regarded as appropriate contexts for advancing sustainable tourism; however, demand-side segmentation approaches that explicitly incorporate sustainability dimensions remain limited. This study examines how tourists’ knowledge, attitudes, behaviours, and willingness to pay in relation to sustainability can be combined within a multidimensional segmentation framework. Based on survey data from 1188 tourists visiting a UNESCO Biosphere Reserve in Southern Europe, a Two-Step Cluster Analysis identifies three distinct segments: sustainable supporter tourists, individualistic tourists, and critical tourists. The results reveal a persistent attitude – behaviour gap. Although sustainability awareness and favourable attitudes are widespread, more than 70% of tourists across all segments are unwilling to pay more for sustainable options. Socioeconomic characteristics – particularly education, income, and age – emerge as stronger predictors of willingness to pay than pro-sustainability orientations alone. Notably, the introduction of fiscal incentives significantly increases willingness to pay, especially among sustainability-oriented tourists, underscoring the importance of extrinsic mechanisms in shaping economic support for sustainability initiatives. By empirically demonstrating how sustainability-based segmentation can inform demand-driven management strategies, this study contributes to the international literature on sustainable tourism. The findings offer transferable insights for protected and nature-based destinations, highlighting the need for differentiated policy approaches that combine economic incentives with communication and behavioural strategies to engage heterogeneous tourist segments.

  • Research Article
  • 10.1186/s42836-026-00377-8
Safety and efficacy of day-case hip and knee arthroplasty in the NHS: a nationwide UK cohort study.
  • Mar 13, 2026
  • Arthroplasty (London, England)
  • Omar Musbahi + 6 more

In recent years, day-case hip and knee arthroplasty has emerged as a potential solution to the elective backlog within the NHS. While international literature on this topic is extensive, only a handful of single-centre studies have been conducted in the United Kingdom. This study aimed to examine the safety and efficacy of day-case hip and knee arthroplasty in the UK using a 20-year linked national NHS dataset. A cohort study was conducted using the Clinical Practice Research Datalink (CPRD), linked to Hospital Episode Statistics (HES) and the Office for National Statistics death registry. Adults undergoing primary hip or knee arthroplasty between 1998 and 2021 were included. Procedures were classified as day-case or inpatient, using two distinct approaches: patient classification and length of stay. Day-case is defined as discharge on the same day of the procedure, while inpatient procedures involve undergo at least one overnight stay in hospital. The primary outcomes assessed were A&E attendance, readmission, and critical care admission within 90-days post-operatively. Secondary outcomes included 90-day complication rates and survival analysis. Propensity score matching was implemented to adjust outcomes for age, gender, comorbidity burden, deprivation index, and ethnicity. In total, 1,822 (0.16%) procedures were classified as day-case, while 4,355 (0.37%) had a recorded length of stay of 0days. On average, patients undergoing day-case arthroplasty were younger, more often male, and had fewer comorbidities than their inpatient counterparts. Higher rates of A&E attendance (12% vs 9.1%; P = 0.001) and readmission (5.7% vs 3.7%; P < 0.001) were observed in the day-case cohort. In contrast, deep vein thrombosis (0.5% vs 0.9%; P = 0.010) and infection rates (1.0% vs 1.9%; P = 0.014) were lower in this patient group. Survival analyses demonstrated significantly higher adjusted survival probabilities associated with day-case arthroplasty (HR: 0.84; [95% CI: 0.72-0.99]; P = 0.034) over a 20-year follow-up period. Day-case hip and knee arthroplasty has been demonstrated to be safe andfeasible, with comparable complication rates to the traditional inpatient setting. However, within the context of the NHS, it is currently associated with higher rates of 90-day A&E attendance and readmission. While increasing day-case volumes may help address elective backlogs, it is important to ensure that the appropriate patient selection criteria, optimised peri-operative care, and post-discharge support are in place before this approach is expanded in the UK.

  • Research Article
  • 10.1080/02615479.2026.2641650
What can we learn about academic identity from allied care professions? Messages for the social work academy
  • Mar 13, 2026
  • Social Work Education
  • Joanna Santos-Petiot + 2 more

ABSTRACT Academic identity influences disciplinary contributions and professional development of individuals within those disciplines. Little is known about academic identity within the social work discipline. This paper presents the results of a modified systematic international literature review to investigate academic identity in social work, nursing and allied care professions. Papers (138) were initially retrieved for screening, 40 met the final inclusion criteria for review. Limited social work academic identity literature was identified, with only four papers specifically focused on social work. Results highlighted numerous barriers to establishing a distinct academic identity, with a multitude of challenges in transition from practice to academia and its dual identities of practitioner and scholar. The process of academic socialization requires adequate institutional preparation, collegial support, sense of community and relationality, and not least time. We discuss four key themes from this literature (1) temporality and dynamic nature of developing academic identity in the academy, (2) role of professional work culture and communities of practice, (3) legitimacy, visibility and dichotomies of professional, disciplinary and academic knowledge and skills and (4) strategic imperatives for supporting transitions for the helping professions. The implications for social work academic identity development, social work education and social work knowledge are discussed.

  • Research Article
  • 10.17116/rosakush20262601112
Modern methods of pre-induction of labor
  • Mar 11, 2026
  • Russian Bulletin of Obstetrician-Gynecologist
  • A.A Khaikin + 3 more

Objective — to study current understanding of various methods of pre-induction of labor and identify the most effective ones based on data from Russian and international literature. A literature search was conducted using the keywords “pre-induction of labor,” “programmed labor,” “cervical ripening,” “dinoprostone,” “Foley catheter,” “labor stimulation,” “mifepristone,” “misoprostol,” and “prostaglandins” in Russian and international databases: eLibrary, Medline/PubMed, Embase, and Crossref. In accordance with this objective, 54 literature sources were selected for analysis. Despite the large number of proposed methods for preparing the body for childbirth, there are currently no generally accepted algorithms for personalized selection of the most effective pre-induction method. Most often, the choice of the method used to prepare the body for childbirth is empirical. Therefore, improving the effectiveness of pre-induction of labor based on personalized selection of the optimal method for preparing the body for childbirth at term is a pressing issue in modern obstetrics.

  • Research Article
  • 10.18848/2329-1656/cgp/a173
The Relationship Between Gender and the Utilization of ICT by Greek Public School Principals with Transformational and Transactional Leadership
  • Mar 11, 2026
  • The International Journal of Educational Organization and Leadership
  • Paraskevi Galani + 1 more

This research aims to investigate the adequacy of knowledge and skills of principals in public primary schools in Greece. The application of new technologies in the management of school units is being investigated. Additionally, the research examines the relationship between the transformational and transactional leadership style adopted by managers, their gender, and the utilization of Information and Communication Technologies (ICT). Quantitative research was conducted using a data collection tool: the questionnaire consisting of closed-ended questions. It was based on previous research of international and Greek literature. A sample of 522 principals working in these schools during the school years 2021–2022 and 2022–2023 was utilized. The findings demonstrate that the leadership style of the participants (transformational and transactional leadership) has a positive correlation with skills and frequent use of ICT, while gender is not related to managers’ ability regarding the use of ICT. In addition, the transformational style is related to the gender of managers. Furthermore, the conclusions show that the introduction of ICT is required for effective management of school units. The results demonstrate that the principals are enthusiastic supporters of the use of ICT in the management of school organizations. At the same time, there is acknowledgment of their own importance in improving the educational and administrative process.

  • Research Article
  • 10.1080/26437015.2026.2637726
Institutional knowledge, organizational learning capabilities, and FTA utilization of South Korean exporting SMEs
  • Mar 11, 2026
  • Journal of the International Council for Small Business
  • Kyoung-Joo Lee + 1 more

ABSTRACT The evolution of international trade institutions significantly impacts firm competitiveness, requiring exporting firms to adapt to institutional changes. While some firms effectively leverage these opportunities, others struggle to do so. This study conceptualizes the institutional knowledge (IK) of exporting firms within the context of free trade agreements (FTAs) and examines its predictors and outcomes. Based on a survey of 152 exporting SMEs in South Korea’s agricultural and food sectors, this study reveals that IK facilitates greater FTA utilization, and that organizational learning capabilities (OLC) promote firms’ IK. These findings not only underscore the importance of IK for exporting SMEs to enhance competitiveness but also highlight the role of OLC in strengthening IK. Business leaders should recognize the importance of IK under dynamic trade institutional changes and advance OLC to foster internal IK. This research contributes to the international business literature by highlighting the role of IK and OLC in export competitiveness.

  • Research Article
  • 10.36962/etm33022026-10
WELL COMPLETION
  • Mar 10, 2026
  • ETM Equipment Technologies Materials
  • Elmir Garagozov Elmir Garagozov + 1 more

This article examines the technological aspects of oil and gas well completion and evaluates its impact on production efficiency and operational reliability. Well completion represents the final stage after drilling and plays a critical role in establishing a reliable connection between the productive formation and surface facilities, as well as ensuring safe, stable, and economically efficient hydrocarbon production. Inadequate or improperly designed completion operations may result in reduced well productivity, operational complications, and an increased risk of failures during field development. The main objective of this study is to provide a theoretical understanding of the well completion process, systematize the principal completion methods, and analyze their technological advantages. The research is based on a comprehensive review and comparative analysis of relevant domestic and international scientific and technical literature related to well completion technologies. The results of the analysis indicate that the selection of an appropriate completion method is governed by a combination of geological and technical factors, including reservoir structure, rock physical and mechanical properties, reservoir pressure, temperature conditions, and the overall development strategy of the field. Open-hole, cased-hole, and selective completion methods are identified as the most commonly applied approaches. Properly selected and well-designed completion technology contributes to improved hydrocarbon recovery, extended well service life, and reduced operational and safety risks. The findings of this study may be useful for students of petroleum engineering and professionals working in the oil and gas industry. Keywords: Well completion, oil and gas wells, production, well equipment, cementing.

  • Research Article
  • 10.3760/cma.j.cn112137-20251014-02639
Current status and controversies of thyroid stimulating hormone suppression therapy in low-risk differentiated thyroid carcinoma
  • Mar 10, 2026
  • Zhonghua yi xue za zhi
  • Z T Ma + 1 more

Thyroid-stimulating hormone (TSH) suppression therapy plays an important role in the postoperative management of patients with differentiated thyroid cancer (DTC). However, its role in low-risk DTC (LR-DTC) remains controversial. This article reviewed domestic and international guidelines and relevant literature on TSH suppression therapy, finding that current guidelines worldwide generally show a trend toward gradually relaxing TSH suppression targets for LR-DTC patients. The latest guidelines from the American Thyroid Association (ATA), the National Comprehensive Cancer Network Thyroid Carcinoma Guidelines, and the Japanese Guidelines for the Treatment of Thyroid Tumors advocate a more lenient TSH suppression strategy for LR-DTC patients, recommending no suppression for those with excellent response or those who have undergone lobectomy. The most recent European Society for Medical Oncology Clinical Practice Guidelines for thyroid cancer and the Chinese Guidelines for the Diagnosis and Treatment of Thyroid Nodules and Differentiated Thyroid Cancer primarily reference the 2015 ATA guidelines, currently adopting a mild suppression approach by recommending that the TSH levels be maintained at the low end of the normal range. Recent large-scale studies tend to support further relaxation of TSH suppression targets for LR-DTC patients. There has still been no consensus regarding the optimal duration of TSH suppression therapy, as well as its application during active surveillance and after thermal ablation. There is an urgent need for more large-scale, multicenter prospective studies to provide stronger evidence-based support for formulating TSH suppression strategies in LR-DTC patients.

  • Research Article
  • 10.65231/ijmr.v2i2.147
Standardization and Ecosystem Collaborative Development Strategies for Digital Industrial Platforms
  • Mar 9, 2026
  • International Journal of Multidisciplinary Research
  • Guo Fuqiang

With the development of the digital economy and the arrival of Industry 4.0, digital industrial platforms have become an important vehicle for promoting the transformation of the manufacturing industry. This paper uses a combination of literature review, case studies, and field investigation to explore the main factors in the standardization construction of digital industrial platforms and the mechanisms for ecological collaborative development. The results show that the current standardization construction of digital industrial platforms suffers from problems such as an incomplete standard system, poor interoperability between platforms, and inconsistent data formats, hindering the collaborative development of the platform ecosystem. Through in-depth research on typical digital industrial platforms both domestically and internationally, this paper systematically reviews the existing theoretical framework for the impact of climate change on agriculture, focusing on the potential mechanisms by which temperature fluctuations and changes in precipitation patterns affect wheat production. By integrating domestic and international literature from the past five years, this paper discusses the limitations and optimization directions of adaptive strategies, providing theoretical references for future research.

  • Research Article
  • 10.3390/jcm15052039
Can MyotonPRO Be Used to Assess the Muscles Surrounding the Shoulder Joint in Patients Who Have Undergone Arthroscopic Rotator Cuff Repair (ARCR) and Reverse Shoulder Arthroplasty (RSA)? A Review of the Current Evidence.
  • Mar 7, 2026
  • Journal of clinical medicine
  • Agnieszka Tomczyk-Warunek + 9 more

Background/Objectives: Arthroscopic rotator cuff repair (ARCR) and reverse shoulder arthroplasty (RSA) are among the most commonly used surgical treatment methods. A growing number of studies assess the changes in the biomechanical and viscoelastic properties of the muscles and tendons surrounding the shoulder joint. Therefore, the aim of this study was to review the literature to determine how the biomechanical properties of the muscles surrounding the shoulder joint change as a result of ARCR and RSA, and whether MyotonPRO was used in this group of patients. Methods: A review of the international scientific literature was conducted in September 2025. The study was based on searches of the following databases: Google Scholar, PubMed, Scopus, and Web of Science. A final total of 32 articles were included in the review. Results: In this article, we have shown that ARCR and RSA procedures cause changes in the biomechanical properties of the muscles surrounding the shoulder joint. We also demonstrated that MyotonPRO has been used in this group of patients in a limited number of studies. However, the studies confirm that it is a reliable tool for examining upper limb muscles. Conclusions: This literature review demonstrates a new direction in research using MyotonPRO. Using this device in muscle testing in patients after ARCR and RSA will allow for a better understanding of the changes that occur in muscles as a result of these procedures, as research in this area is new and incomplete.

  • Supplementary Content
  • 10.1108/jal-07-2025-0327
Income smoothing: a review of the international literature
  • Mar 6, 2026
  • Journal of Accounting Literature
  • Ying Liu + 3 more

Purpose We provide a systematic literature review of the determinants and consequences of income smoothing in an international context. First, we offer a theoretical discussion of income smoothing, which is motivated either by opportunistic or by informative reasons, followed by an examination of its measurement. Next, we review the determinants of income smoothing, categorizing them into financial reporting standards, firm characteristics, corporate governance, managerial characteristics and macro environment determinants. We then review the empirical literature on the consequences of income smoothing from the perspective of capital market and credit market consequences. We also provide some suggestions for future research. Design/methodology/approach We perform a systematic literature review using the Preferred Reporting Items for a Systematic Review of Meta-Analysis (PRISMA) guidelines to examine archival studies investigating the determinants and consequences of income smoothing. Using a Boolean search strategy on Scopus and PRISMA selection criteria, we review 111 published archival research articles from 2004 to the first quarter of 2025. Findings The implementation of reporting standards reduces income smoothing practices. Firm characteristics have varied effects on income smoothing, while governance reforms and internal corporate governance mechanisms are generally found to constrain smoothing behavior. Our review further reveals that managerial characteristics are associated with income smoothing practices. Furthermore, exogenous shocks also shape managerial incentives to engage in income smoothing. The capital market consequences of income smoothing reveal that income smoothing improves earnings informativeness, lowers both equity and credit investors' perceived risk, but increases future stock price crash risk. The credit market effect shows that income smoothing lowers the cost of debt capital. Originality/value Although there remains a high-quality review on earnings quality (e.g. Dechow et al., 2010), we lack a thorough coverage of the evolution of income smoothing research for the last two decades. We fill that void in the literature, highlight some research gaps, draw researchers' attention to measurement problems associated with existing smoothing measures, and offer some suggestions for future research.

  • Research Article
  • 10.17219/acem/217918
Social prescribing and health inequalities in LGBT+ populations: A narrative review.
  • Mar 5, 2026
  • Advances in clinical and experimental medicine : official organ Wroclaw Medical University
  • Michał Czapla + 9 more

Social prescribing (SP) has gained increasing attention as an approach to addressing non-medical determinants of health by linking individuals to community-based resources. While SP is frequently discussed in the context of health inequalities, its relevance to lesbian, gay, bisexual, transgender, and other sexual and gender minority (LGBT+) populations has not been systematically examined. LGBT+ populations experience multidimensional health challenges shaped by social, structural, and institutional factors, including unmet social needs and barriers within healthcare systems, which may render SP conceptually relevant but empirically uncertain. This narrative review synthesizes and critically examines the international literature on SP with a particular focus on its conceptualization, application, and limitations in the context of LGBT+ health. A structured narrative search of major biomedical databases was conducted, complemented by title-based screening and review of relevant policy and practice sources. Findings were synthesized thematically. The available evidence directly addressing SP in LGBT+ populations is sparse and limited. Existing studies are predominantly descriptive or qualitative, often embedding LGBT+ individuals within broader vulnerable groups without disaggregated analysis. While inclusive SP models and services exist in practice, particularly within the UK, their effectiveness has not been rigorously evaluated. Overall, the literature reveals a substantial gap between the theoretical relevance of SP for LGBT+ health and the availability of robust empirical evidence to inform its implementation.

  • Research Article
  • 10.2147/jmdh.s583880
Multidisciplinary Formulation of a Walking Rehabilitation Nursing Protocol for Patients with Lower Extremity Arteriosclerosis Obliterans: A Delphi Study
  • Mar 3, 2026
  • Journal of Multidisciplinary Healthcare
  • Qingmei Niu + 5 more

ObjectiveTo develop a contextually tailored walking rehabilitation protocol for Chinese patients with lower extremity arteriosclerosis obliterans (ASO), providing evidence-based theoretical and practical guidance for clinical nursing.BackgroundLower extremity ASO is a prevalent chronic vascular disease with rising incidence, high morbidity, and mortality. Exercise interventions effectively improve patients’ walking ability, and supervised walking programs are promising, yet standardized clinical guidelines remain lacking.MethodsAn evidence-based protocol was developed via systematic review of domestic and international literature. A preliminary draft was refined through two rounds of Delphi consultations with 20 multidisciplinary experts (vascular surgery, nursing, rehabilitation). Statistical analysis of expert agreement finalized the standardized protocol.ResultsBoth rounds achieved a 100% response rate. Expert authority coefficients were 0.918 (Round 1) and 0.945 (Round 2). Coefficients of variation ranged 0.00–0.21 (Round 1) and 0.00–0.10 (Round 2). Kendall’s concordance coefficients were 0.131 and 0.339 (p<0.05), indicating significant consensus. The final protocol includes 5 primary, 13 secondary, and 40 tertiary indicators.ConclusionThis Delphi-derived standardized walking rehabilitation protocol addresses gaps in current guidelines and provides an evidence-based foundation for standardized Lower extremity ASO interventions.

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