Wound care in the UK has long been challenging, clinically complex and economically burdensome. Wounds affect millions of patients annually, costing the NHS billions of pounds. Despite the scale of this problem, wound care services have historically been subject to fragmentation, variable clinical practice, delayed interventions, a lack of coordinated policy focus and poor data collection. Between 2015 and 2025, this situation has persisted in the face of increasing pressure on NHS resources, rising patient demand and growing evidence of suboptimal outcomes, particularly for chronic wounds such as diabetic foot ulcers, pressure ulcers and venous leg ulcers. This article critically analyses the literature relating to clinical and financial outcomes of wound care in the UK from 2015 to 2025 published by Professor Julian Guest. Critically analysing Guest's publications on wound care is important for several reasons, especially in relation to clinical and policy-making contexts in the latest NHS plans; it is essential to understand what strategies have worked, what gaps remain and how future services should be designed. There is a pressing need to synthesise the decade of research and policy developments in wound care. This article serves to critically appraise the progress and effectiveness of recent efforts.

Since their early development in the 1980s, Simulated Allocation Models (SAMs) have helped policymakers forecast the impact of proposed allocation policy changes on patient outcomes before implementation. In the United States, models like the Kidney-Pancreas Simulated Allocation Model, Liver Simulated Allocation Model, and Thoracic Simulated Allocation Model have been instrumental in shaping organ allocation policies. Analogous models have emerged globally, including the ETKidney and Eurotransplant Liver Allocation System simulators for the Eurotransplant region, to address country and region-specific allocation challenges. This review categorizes and compares SAMs based on their core assumptions, data, and modeling approaches. We highlight challenges in model validation, the use of synthetic data, and model transparency. While simplifying assumptions are often necessary because of limited data, their influence on results should be clearly communicated to ensure policymakers can interpret model predictions accurately. Furthermore, model validation using both retrospective and prospective data is essential to assess performance under evolving policies. Greater transparency through open-source models, detailed reporting of assumptions, and validation efforts can enhance collaboration, reproducibility, and confidence in transplant research. By providing a global perspective on SAMs, this review aims to inform future research and policy development, promoting evidence-based policy development in organ transplantation.

ABSTRACT Entrepreneurship ecosystems facilitate knowledge sharing and exchange. However, this view eschews how, in a developing world entrepreneurship ecosystem, returnee entrepreneurs develop and acquire resources for their entrepreneurial endeavours. Accordingly, this study develops returnee entrepreneurship and entrepreneurship ecosystems theorisations based on the actions and behaviours of Ghana’s returnee entrepreneurs. An analysis of 15 returnee entrepreneurs indicated that they exploited informal social ties and underfunded national service schemes for human resources acquisition. Moreover, they nurtured individuals exhibiting traits that reflected their understanding of local cultural and social systems. Thus contributing to a new understanding of how self-organised and managed entrepreneurship ecosystems are a source for human resources in a developing world setup. Thus, despite the returnee entrepreneurs’ exposure to conventional entrepreneurship ecosystems in the West, situational factors supercede their strategy for developing and acquiring human resources in varied contexts. That has implications for research, practice, and policy development in entrepreneurship.

Although Greece is a leading olive oil producer, research on olive tourism (OT) remains limited, restricting the development of evidence-based policies and strategies. This study utilises primary data from 55 qualitative interviews conducted with OT visitors across Greece in 2023 to examine the sociodemographic characteristics, visiting behaviours, motivations, and expectations of domestic OT participants. These visitors are primarily mature, highly educated individuals with medium to high income levels. Their main motivations include acquiring specialised knowledge, cultivating a personal interest in olive-related culture, and seeking connections with local and familial heritage. They prefer experiences that highlight the sociocultural and culinary aspects of olives and olive oil, especially those that facilitate the practical application of new knowledge. Interactivity, experimentation, social engagement, and outdoor activities are highly valued. Comparative analysis with OT studies from Spain, Portugal, and Italy reveals similarities in visitor demographics but also identifies notable differences in motivations and expectations. By addressing a significant research gap, these findings offer policymakers, tourism operators, and producers strategic guidance for OT development in Greece, as well as transferable insights useful to other olive-producing countries. The study also demonstrates the potential for well-designed OT initiatives to promote sustainable rural development, preserve cultural and environmental heritage, extend the tourism season, and strengthen local economies.

Traumatic joint dislocations of the hip, knee, and shoulder (DOH, DOK, and DOS) significantly impact global healthcare. This study assesses the global burden of joint dislocations using the Global Burden of Disease (GBD) 2021 database, focusing on their association with the socio-demographic index (SDI). Data from the GBD 2021 are analyzed to determine the age-standardized rates (ASR) of incidence, prevalence, and years lived with disability (YLDs) for dislocations. We integrate the SDI with the concentration index, assessing disparities in the burden of these joint dislocations. Frontier analysis is performed to identify potential improvement areas and disparities among countries by development status. The age-period-cohort (APC) model projects the disease burden to 2045, with a focus on age and gender distributions and primary causes. From 1990 to 2021, the incidence, prevalence, and YLDs of DOH/DOK/DOS all increase, while ASRs decline, suggesting a deceleration in growth. YLDs of DOH, DOK, and DOS rise by 57.21%, 28.38%, and 15.48%, respectively. Men exhibit a higher burden, yet women show a steeper rise. Significant geographical variation exists, with lower SDI countries facing higher burdens. Falls and road injuries remain the main contributors to the burden, and lower-development countries demonstrate potential for reduction. Temporal trends vary by age, sex, and SDI, with projections indicating continued disparities to 2045. Traumatic joint dislocations show marked heterogeneity in age, sex, and SDI, with the most significant differences in low-income regions. Research should prioritize policy development and targeted prevention and treatment strategies for groups at high-risk for joint dislocation to effectively mitigate the disease burden.

This study highlights the state of research in the philosophy of education in Indonesia during the 2020–2024 period through a Systematic Literature Review (SRB) using the PRISMA framework. The analysis process included the identification, screening, and synthesis of primary literature from various major databases, such as Google Scholar, DOAJ, and Garuda, to obtain a comprehensive overview of the trends, themes, and evolution of contemporary educational philosophy discourse. The review results indicate that key thematic clusters include the revitalization of local thinkers, responses to the digital era, and character education, which have become dominant focuses in current research developments. Indonesian educational philosophy discourse is typically value-oriented and contextual, emphasizing the integration of Pancasila values, local wisdom, and social ethics into educational practice. However, significant gaps remain, such as the lack of analysis based on student age levels. The limited representation of Western philosophical schools and the fragmented research landscape, which has not yet comprehensively mapped the relationships between themes, underscore the need for more systematic, holistic, and multidimensional research to support the development of educational theory, practice, and policy that adapts to global challenges, digital transformation, and the need to develop an intelligent, critical, and character-driven generation. Therefore, this research not only contributes to the literature mapping but also serves as a foundation for innovative strategies in education in Indonesia.

The Risk of Bias in Vaccine Effectiveness (RoB-VE) project: introduction to a methodological initiative to improve risk-of-bias assessment and reporting in vaccine effectiveness research.

Outpatient Anterior Cervical Discectomy and Fusion on the Rise: Changing Economics and Utilization Patterns in U.S. Hospital-Owned Ambulatory Surgical Centers.

An overlooked source of marine plastic pollution: Depth-wise quantification of plastic emissions from offshore aquaculture mooring ropes.

Towards integrated palliative care for cancer patients: A qualitative study of case management using the Chronic Care Model.

Social jetlag in the city of São Paulo: A longitudinal study from the EPISONO cohort.

Cross-media transfer footprint control for sustainable environment management - a perspective from wastewater treatment.

This study examines the impact of strategic leadership styles and perceived supervisor support on employee engagement among faculty members in Indian higher education institutions. Given the rapid transformation of India’s higher education landscape, the research seeks to identify leadership behaviours that enhance faculty motivation, commitment, and engagement. A quantitative, cross-sectional survey design was adopted. Data were collected from 489 teaching professionals across diverse disciplines and institution types. The study analysed the influence of transformational, transactional, and laissez-faire leadership styles, alongside perceived supervisor support, on employee engagement using structural equation modelling (SEM). Results reveal that supervisor support has the strongest positive effect on employee engagement, underscoring the critical role of mentoring, recognition, and involvement. Transactional leadership, characterised by structured goal setting and reward-based motivation, also shows a significant positive impact. Transformational leadership contributes positively but to a lesser extent, while laissez-faire leadership demonstrates no significant influence on engagement. The findings are based on self-reported, cross-sectional data and are specific to Indian higher education institutions. Future studies should adopt longitudinal designs and incorporate multi-source data to validate and extend these results across different educational and cultural contexts. The study highlights the importance of supportive and structured leadership practices in fostering faculty engagement. Higher education institutions should prioritise leadership development initiatives that enhance supervisory support, effective communication, and performance-based reward systems to improve institutional outcomes. This research contributes to the limited literature on leadership and employee engagement within the Indian higher education context. By integrating leadership support alongside established leadership styles, the study offers a comprehensive framework for understanding faculty engagement and provides actionable insights for institutional policy and leadership development.

Spatio-temporal distribution of AOD and its response to regional energy consumption and air pollution factors in China.

Sleep science, the cultural authority of medicine, and school start times.

Romania's 2025 guide for health workforce attraction and retention: Bridging global strategies and local realities.

Fertility intention and its influencing factors among young people of reproductive age in China: A cross-sectional survey study.

Earthquakes severely disrupt health and rehabilitation services. However, little is known about the professional and personal experiences of speech-language pathologists (SLPs) in such disaster contexts. This study aimed to examine the professional and personal experiences of SLPs working in the provinces affected by the 6 February 2023, earthquakes in Türkiye. It explored challenges faced by SLPs, continuity of client services and psychosocial impacts. A phenomenological design was adopted. Semi-structured online interviews were conducted with 16 SLPs actively working in the disaster region. Data were analysed using reflexive thematic analysis with MAXQDA 2020. Interviews were recorded, transcribed with the AI-based Turboscribe program and verified by the researchers. Four main themes emerged as follows: (1) working conditions of SLPs after the earthquake (living conditions, professional performance, physical environment and support mechanisms), (2) status of clients after the earthquake (interruptions in therapy processes, new and increased speech and language difficulties), (3) psychological effects of the earthquake on SLPs and clients (anxiety, burnout, and grief among therapists, clients and families) and (4) post-disaster interventions and preparedness (short-term needs in the field, and long-term strategies such as digitalization, teletherapy and trauma-focused professional training). Findings indicated multi-dimensional challenges for SLPs, major disruptions in therapy access and psychological impacts directly reflected in therapy processes. This study highlights the critical role of SLPs in disaster conditions and emphasizes the need for policy development in this field. To ensure the continuity and effectiveness of speech and language therapy services, it is necessary in the short term to increase the number of specialists in the field and to strengthen psychosocial support mechanisms. In the long term, it is recommended to establish digital material and record systems, expand the use of teletherapy practices, develop programs to prepare families for disasters and integrate trauma-focused professional training into both undergraduate and in-service education processes of SLPs. What is already known on this subject Natural disasters such as earthquakes cause severe disruptions to health and rehabilitation services, often limiting both access to care and professional performance. Previous studies have examined the experiences of nurses, midwives, teachers and pharmacists in disaster contexts, showing that these professionals face significant challenges in maintaining service continuity under such conditions. However, there has been no systematic exploration of how speech-language pathologists (SLPs) are affected, despite the fact that individuals with communication disorders are among the most vulnerable groups during disasters. The lack of research on SLPs highlights an important gap, as interruptions in communication-based interventions can have profound and lasting consequences for clients and families. What this paper adds to existing knowledge This study qualitatively examines the experiences of SLPs during the 2023 Türkiye earthquakes. The findings reveal multidimensional challenges, including disrupted therapy processes, increased communication difficulties among clients and significant psychological strain on both SLPs and families. They also highlight the urgent need for SLPs in tent and container settlements, their potential role in search and rescue teams or in training such teams and the importance of long-term preparedness through trauma-focused training. What are the potential or actual clinical implications of this work? The study emphasizes that SLPs should be included in disaster management teams to ensure the continuity of communication and swallowing services during crises. Clinical practice can be strengthened by integrating disaster preparedness into undergraduate curricula and ongoing professional development.

Cross-cultural differences of leadership style and emotional intelligence level in physical education teacher's success of China and Ukraine.

Comparative effectiveness and cost-effectiveness of policies for provisioning rabies post-exposure vaccines.