Purpose The study aims to offer a comprehensive overview of factors influencing financial innovation adoption and its role in promoting financial inclusion. It addresses three key questions: What do we know? How have we acquired this knowledge? Where should future research focus? By answering these, the study bridges gaps and resolves conflicting perspectives, providing a conceptual framework and highlighting future research areas. Design/methodology/approach A systematic literature review is conducted using the TCCM framework on 75 selected articles from 215 initially identified in the Scopus database. VOSviewer software pinpoints the most cited journals, articles and keywords to track trends. Findings The study presents a conceptual framework, highlighting the antecedents, outcomes and moderators of financial innovation adoption. It calls for more research on emerging innovations like CBDCs, AI and crowdfunding. Social implications The study offers insights for researchers, policymakers and strategists, suggesting the use of quantitative methods for more reliable results. Originality/value This paper connects financial innovation adoption with financial inclusion, mapping current research, and identifying key journals, countries and methodologies using VOSviewer.

Methotrexate (MTX) remains the first-line pharmacotherapy for rheumatoid arthritis (RA), yet gastrointestinal (GI) adverse events (AEs) are frequently reported. This systematic review and meta-analysis aimed to estimate the prevalence of GI AEs among RA patients treated with MTX. A comprehensive search of PubMed, Scopus, and Cochrane databases was conducted, including observational and interventional studies reporting GI AEs in adult RA patients receiving MTX. Risk of bias was assessed using the Newcastle-Ottawa Scale, JBI Critical Appraisal Tool, and Cochrane RoB 2 as appropriate. Pooled prevalence estimates with 95% confidence intervals (CIs) were calculated using a random-effects model. Thirty-seven studies involving 19,986 participants were included. Nausea and abdominal pain were the most frequently reported AEs, with pooled prevalence of 24.3% (95% CI: 16.7-34.0) and 19.6% (95% CI: 13.9-26.9), respectively. Substantial heterogeneity was observed across studies and persisted after stratification by MTX route or study design. Nine studies reported discontinuation due to GI AEs, with rates ranging from 1.7% to 23.4% and a pooled prevalence of 8.5% (95% CI: 5.0-14.3). Gastrointestinal AEs affect approximately one-fifth of RA patients receiving MTX, with nausea and abdominal pain being the most common symptoms. GI events leading to treatment discontinuation were relatively uncommon. Clinician awareness and timely management of GI AEs are important to prevent nonadherence and optimize MTX therapy.

Abstract In worldwide, climate change poses an increasingly serious threat to horticultural production and postharvest management, with rising temperatures, shifting rainfall patterns, and more frequent droughts and floods increasingly affecting crop performance and quality. The review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic search was conducted using Web of Science, Scopus, and other major databases. After screening, duplicate removal, and eligibility assessment, 140 studies were synthesized in this review. Horticultural crops particularly fruits, vegetables, and ornamentals are highly sensitive to these changes due to their perishability and narrow climatic tolerances. Induced abiotic stresses disrupt key physiological processes, fruit development, reduce yield, and increase the vulnerability to pests and diseases, while also compromise the nutritional value and market quality of produce. In addition to production-level impacts, climate change accelerates postharvest deterioration, shortens shelf life, and increases losses during storage, transport, and marketing. Beyond production losses, climate variability accelerates postharvest deterioration, shortens shelf life by increasing respiration, water loss, and microbial spoilage, leading to higher losses during storage, transport, and marketing. These impacts are especially severe in developing countries, where limited cold chain capacity and weak adaptive systems constrain resilience. These impacts pose serious threats to food security, livelihoods, and the global competitiveness of horticultural markets, particularly in developing nations where limited cold chain capacity and adaptive systems constrain resilience. This review synthesizes current evidence on the biophysical and socio-economic effects of climate change on horticultural systems, emphasizing its implications for food security, livelihoods, and market stability. It also highlights practical mitigation and adaptation strategies, including climate resilient varieties, improved agronomic and water management practices, efficient and energy smart postharvest technologies, and supportive policy measures. The review underscores the need for integrated, climate-smart approaches that strengthen institutional capacity, promote innovation, and enhance farmer awareness to sustain horticultural productivity and reduce postharvest losses under a changing climate.

Abstract Background It is estimated that following acute SARS-CoV-2 infection, about 10% of people experience persistent symptoms lasting more than 3 to 4 weeks, a condition known as long COVID syndrome. Amongst its various sequelae is impairment of physical function or functional ability. Given the growing social impact of this condition, the dissemination of knowledge in this area is essential. Bibliometric analysis provides valuable information on research trends and hotspots, helping to guide future studies and inform evidence-based interventions. Aims The aim of this study was to conduct a bibliometric analysis of research on long COVID syndrome and Physical Function. Method A total of 213 single documents indexed in the Scopus (205) and WOS core collection (181) database were analysed using the traditional laws of bibliometrics. Results It was found that annual publications have experienced exponential growth from 2020 to 2024, based on the data available at the time of the bibliographic search. Amongst the prolific authors, four production clusters were found, with Eleuterio A. Sánchez-Romero emerging as the most productive author. Spain and Brazil were the countries with the highest number of publications. The journals of the MDPI publishing house contributed the most papers to the object of study, especially the Journal of Clinical Medicine and the International Journal of Environmental Research and Public Health. Rehabilitation, fatigue, quality of life, and exercise were four of the main keywords used by the authors. Conclusions The observed growth in publications suggests increasing research attention to long COVID syndrome and physical function; however, further research is still needed to establish physical function assessment protocols, patient profiles, and effective exercise-based rehabilitation programmes.

Abstract Chronic lower back pain (CLBP) is a prevalent occupational problem among hospital workers, primarily caused by prolonged sitting and poor ergonomic posture. This condition contributes to reduced productivity, discomfort, and diminished quality of working life. Ergonomic chair interventions have been introduced as a potential preventive and therapeutic strategy to alleviate pain and improve workplace well-being. A narrative literature review was conducted by searching PubMed, Scopus, and Google Scholar databases from 2015 to 2025 using the keywords low back pain, chair intervention, and hospital workers. Selected studies discussed ergonomic chair modifications, posture correction, and work-related health outcomes. Most reviewed studies demonstrated that ergonomic chair interventions reduced pain intensity and disability scores, while improving posture stability and job satisfaction. Enhanced comfort and reduced fatigue were associated with better concentration and productivity. However, inconsistencies in chair design, user compliance, and study methods remain as limitations. A chair which is pivot adjustable and has adjustable backrest can reduce the muscle activity and also decreases the inter-vertebral disc pressure. Therefore, there is some support that adjustability of the chair can be directly associated with the function of the musculoskeletal system. Ergonomic chair interventions provide a promising approach to reducing CLBP and improving the quality of working life among hospital workers. Further high-quality studies are needed to develop standardized ergonomic recommendations for healthcare workplaces. Keywords: ergonomic chair, hospital worker, low back pain, quality of working life

The emergence of Listeria monocytogenes pathogen threatens the era of antimicrobial drugs commonly used in treating listeriosis. This study reviewed the prevalence and antibiotic resistance profiles of L. monocytogenes in South Africa. The random-effect model meta-analysis was used to determine the pooled prevalence estimates (PPE) of L. monocytogenes isolates and their antibiotic resistance (AR) profiles from humans, food and the environmental samples. Original peer reviewed articles published from January 1 1990 to March 23 2024, were searched from PubMed, ScienceDirect, Google Scholar, Scopus, and African Journal Online databases. Comprehensive meta-analysis version 4.0 (CMA) software was used to calculate the PPE. A total of 2,931 samples (n = 1150 from humans, n = 1631 from food, and n = 150 from the environment) derived from 32 articles were incorporated into the meta-analysis. The overall PPE of L. monocytogenes was 73.3%, 33.5% and 44.5%, from human, food, and the environment samples, respectively. The L. monocytogenes serotype 4b-4d-4e had the highest PPE (19.5%). The AR profiles were screened from 1806 L. monocytogenes isolates with the overall multi-drug resistance PPE was 26.3%. The sulII resistance gene, which encodes a drug-resistant dihydropteroate synthase enzyme conferring resistance to sulfonamides, exhibited the highest prevalence of PPE at 47.3%. Among the isolates of L. monocytogenes from South Africa, the inlJ and inlB genes had high PPE values of 83.5% and 80.5%, respectively. These observations clearly demonstrate that L. monocytogenes is pathogen of "One Health" importance, which should not be under estimated. Therefore, a deliberate, concerted effort to formulate joint control and management of this bacteria is required from the human, animal, and environmental health sectors in South Africa.

Background: Most ICU patients are in the terminal phase and require complex palliative care support and End-of-Life Care (EoLC). Nurses play a central role in symptom management, emotional support, and shared decision-making. However, evidence on nurses’ experiences in providing EoLC remains fragmented and lacks a comprehensive synthesis. Objective: This review aimed to identify, map, and synthesize global evidence on ICU nurses’ experiences in delivering EoLC, including challenges, coping strategies, and implications for critical care nursing practice. Methods: A scoping review was conducted following Arksey and O’Malley’s framework and PRISMA-ScR guidelines. Systematic searches were performed in the PubMed, Scopus, and EBSCOhost databases for studies published between 2015 and 2025. Thematic analysis was applied to the qualitative studies to identify patterns and key issues. Results: Twelve qualitative studies conducted in diverse countries met the inclusion criteria. Five major themes emerged: (1) emotional and moral challenges; (2) cultural and spiritual influences; (3) communication and interprofessional collaboration; (4) professional development and organizational support; and (5) resource constraints. These findings indicate that ICU nurses’ experiences with EoLC are multidimensional and shaped by the cultural context and institutional policies. Conclusions: ICU nurses’ experiences with EoLC reflect complex ethical, emotional, and organizational dimensions. Improving care quality requires structured training, organizational support, and culturally sensitive policies to strengthen critical care nursing practice.

In recent years, forest bathing has gained popularity worldwide due to its many positive effects on health. In the face of increasing urbanization and limited access to natural forests, digital forest bathing is a promising alternative. Digital forest bathing could also be an option for people with restricted mobility, which could be a way to make the health-promoting effects of forests more accessible. This systematic review examines the current state of research on digital forest bathing, considers the associated effects, and highlights the technical possibilities and thereby consolidates the currently limited evidence base in this emerging field. For literature identification, the databases APA, PsycInfo, PubMed, PubPsych, Scopus, and Google Scholar were searched. A total of four studies were included. The results indicate that digital forest bathing could have positive effects on relaxation and well-being that could be comparable to real-life forest bathing, and summarize how interventions were technically implemented across the included studies. As there are still a few studies on digital forest bathing, the implementation of the research varies greatly, and some studies have risks of bias; the results presented here should be interpreted with caution. In addition to a critical examination of the study designs and quality, suggestions for further research in this area are given, and key methodological constraints relevant for interpreting early effects are outlined.

Curcuminoids are dietary polyphenols that can improve health indices through various mechanisms, such as anti-inflammatory, antioxidant, and other clinical properties. Due to the lack of evidence on the efficacy of curcuminoids in critically ill patients, this meta-analysis was conducted. The aim of this study was to assess and quantify the influence of curcumin supplementation on markers of inflammation, liver function, and clinical outcomes in critically ill patients. In this study, relevant randomized clinical trials were identified via electronic database searches, including MEDLINE, Scopus, and Web of Science, up until January 2025. The Cochrane risk-of-bias tool was utilized to assess the quality of the studies. Standardized mean differences (SMDs) and risk ratio (RR) in changes between intervention and placebo groups were calculated. Both random-effects and fixed-effects models were applied, and pre-specified stratified analyses were performed to explore potential sources of heterogeneity. Out of a total of 691 studies screened, seven trials met the inclusion criteria, encompassing data from 571 participants. The pooled analysis demonstrated that curcumin supplementation significantly lowered alanine transaminase (ALT) levels (SMD: -0.4, 95% CI: -0.8 to -0.001, p = 0.03), total bilirubin levels (SMD: -0.4, 95% CI: -0.9 to -0.07, p = 0.01), Sequential Organ Failure Assessment (SOFA) scores (SMD: -0.8, 95% CI: -1.2 to -0.4, p < 0.001), the duration of intensive care unit (ICU) stays (SMD: -0.3 days, 95% CI: -0.6 to -0.1, p = 0.01), compared to placebo. Furthermore, curcumin supplementation was associated with significant increases in albumin (SMD: 0.3, 95% CI: 0.001 to 0.6, p = 0.004) and alkaline phosphatase levels (SMD: 0.4, 95% CI: 0.02 to 0.8, p = 0.01). This meta-analysis demonstrates that curcumin supplementation improves liver function, albumin levels, SOFA scores, and ICU stay duration in critically ill patients, suggesting its potential role in mitigating organ dysfunction in this population.

Background Artificial intelligence (AI) has fundamentally transformed tourism and hospitality marketing through enhanced data-driven decision-making, personalized customer experiences, and intelligent destination management. However, the field lacks a comprehensive synthesis of its intellectual landscape and thematic evolution, limiting understanding of research trajectories and emerging directions. Methods A systematic literature review following the SPAR-4-SLR procedure was conducted on 320 peer-reviewed papers published between 2003 and 2025, sourced from the Scopus database. Publication trends, leading journals, prolific authors, trending areas, and bibliographic coupling of documents and countries were visualized using bibliometric analysis tools (VOSviewer and Biblioshiny). Thematic analysis employed keyword co-occurrence networks to identify emerging research themes. Results Academic publications on AI in tourism and hospitality demonstrated a significant surge during 2017–2020, reflecting the industry’s growing emphasis on smart marketing applications. Thematic analysis identified four major research clusters: (i) Digital Influence and Tourist Behaviour Analytics; (ii) AI-Enabled Smart Tourism and Commerce Ecosystems; (iii) Technology-Driven Hospitality and Experience Innovation; and (iv) Data-Driven Decision Making in Predictive Tourism Modelling. Conclusions This bibliometric and thematic assessment reveals the evolving intellectual landscape of AI applications in tourism and hospitality marketing, documenting substantive research growth and the emergence of distinct thematic clusters that shape current and future research agendas in this dynamic field.

This study employs a bibliometric approach to examine global research trends on fairness and relationship marketing within food distribution systems from 2015 to 2025. Data were retrieved from the Scopus database using relevant keyword combinations and filtered to include English-language journal articles and conference papers, resulting in 173 documents. Bibliometric analyses were conducted using Bibliometrix and VOSviewer to map publication growth, leading journals, influential authors, collaboration networks, and thematic structures. The findings indicate a significant increase in research activity after 2020, dominated by contributions from the United States, China, and the United Kingdom. Major research themes include ethical marketing, sustainable supply chains, digital transformation, and fairness-driven governance mechanisms. This study contributes by providing an integrated intellectual map and proposing a conceptual framework linking fairness, relationship marketing, and sustainability within food distribution systems.

Democracy and freedom of press may affect how science is prioritized, produced, communicated and disseminated. We aimed to map the production of scientific publications worldwide in terms of democracy and freedom of press ratings of countries. This is a bibliometric study cross-linking global bibliometric data with democracy ratings and freedom of the press indices for countries around the world. Democracy ratings used the Democracy Index in 2024 and in 2006 (when first released by the Economist Intelligence Unit) and Freedom of Press ratings used the 2024 index by Reports Without Borders. The Scopus database was used for publications from each country. Fractional counts were assigned for publications co-authored by authors from different countries. Full articles, reviews, conference papers, books and book chapters were included. In 2024, countries characterized as full democracies produced only 22% (915,102/4,185,853) of the Scopus-indexed publications, versus 66% (1,157,842/1,757,310) in 2006. There was no correlation between the ratio of publications indexed in 2024 versus 2006 and the absolute or relative change in Democracy Index between 2006 and 2024 (r = 0.02 and r = 0.00, respectively). 78% of publications in 2024 (3,255,770/4,187,136) came from countries with problematic (including USA) or worse (including China) rating for freedom of press. Proportions of publications originating from countries with problematic or worse situations were 81% (n = 3,374,348), 91% (n = 3,820,811), 61% (n = 2,537,962), 62% (n = 2,608,802), and 63% (n = 2,650,819) for political, economic, legislative, sociocultural, and safety/security dimensions, respectively. Results were similar when limited to articles published in 2024 in journals with continuous annual presence in Scopus during 2006-2024. 87.1% (1,489/1,710) of the highly cited papers published in 2024 (with 150 or more Scopus citations by November 23, 2025) have at least one author from a country that is not full democracy and 98.8% (1,690/1,710) of these highly cited papers have at least one author from a country that does not have good freedom of press. Most published science originates from countries struggling or suffering in democracy and/or freedom of press. The deeper causes and implications of this emerging landscape require further study.

Review of treatment modalities and clinical outcome of giant saccular superior cerebellar artery aneurysms.

The needs of family caregivers of patients at the end-of-life stage: A scoping review.

Purpose This study reviews the economic consequences of firms' Environmental, Social, and Governance (ESG) practices. Unlike previous reviews that treat ESG as a monolithic concept, this paper employs the European Sustainability Reporting Standards (ESRS) framework to systematically examine how different ESG topics generate distinct economic impacts. Design/methodology/approach A three-stage systematic review was conducted using Scopus database searches combined with manual screening of top accounting journals. The search strategy incorporated topic-specific terms for nine ESRS categories (five environmental and four social topics) combined with economic consequence indicators. Quality screening based on the ABDC journal list yielded a final sample of 90 papers from 25 accounting journals spanning 2005–2025. Findings The review reveals substantial disparities in research attention across ESG topics. Climate change, consumers, and the own workforce dominate the literature, with these three dimensions accounting for the vast majority of studies examined. Critically, biodiversity and circular economy have received no empirical examination of economic consequences in accounting literature, while water, affected communities, and workforce in the value chain remain severely under-researched. The geographic concentration in U.S. studies and methodological limitations constrain generalizability. The mechanisms translating ESG practices into economic value remain largely unexplored. Originality/value This is the first systematic review to disaggregate ESG economic consequences using the ESRS framework, revealing differential impacts across specific sustainability topics. The study identifies critical research gaps, particularly in neglected topics, and provides a roadmap for future research as mandatory ESG disclosure expands globally.

Background: Critically ill patients, especially intubated, sedated, or delirious patients lying in ICUs, may not be able to express their care needs. For these specific patients, family participation in care has been recognised as a fundamental component of patient-centred care. Nonetheless, the effects of specific family participation approaches on these patients are a relatively unexplored area of research. Answering to these unsatisfied needs, family-centred care (FCC) frameworks have been elaborated on with the inclusion of family members in decision-making processes and emotional support in the care. Objective: This scoping review seeks to examine the family participation approaches researched in ICUs and their effects on patients’ outcomes, particularly on their mental and physical health. It aims to synthesise the existing knowledge, identify the evidence gaps, and propose directions for future studies. Methods: In accordance with the PRISMA-ScR protocols, a systematic search for the period between 2016 and 2025 was carried out in the PubMed, CINAHL, and Scopus databases. The search focused on peer-reviewed studies for the inclusion of family participation in the ICU care and family participation on health outcomes. Key themes, methodological approaches and gaps in the literature were identified through data charting and synthesis. Results: The strategies of family involvement in African ICUs were dominated by information sharing, involvement in decision making, emotional and psychosocial support, and closeness to the patients. Organised family practice was related to less anxiety, enhanced emotional stability, and enhanced care experiences. Implementation was, however, mainly informal and inconsistent, and there was little evidence to indicate how family involvement supported direct clinical outcomes. Conclusion: These results suggest that family engagement is useful to seriously ill patients largely via psychosocial mechanisms, yet its applicability in African ICUs is restricted by the presence of dysfunctional communication, subordinate care societal cultures, staffing issues, and formal frameworks of family-centred care. More studies are required to come up with context-appropriate models, as well as to evaluate their effects on psychosocial and clinical outcomes

With the focus on the growing concern of voltage instability and its inherent risks connected to blackouts, this study addresses the importance of Volt/VAR control (VVC) in maintaining voltage stability, optimizing power factor, and reducing losses. As such, this scientific article presents a review of the methodologies used to estimate the quantity of reactive power required to restore voltage in power grids. Although reviews exist on classical methods, optimization, and machine learning, a study unifying these approaches is lacking. This gap hinders an integrated comparison of methodologies and constitutes the main motivation for this study in 2025. This absence of a consolidated and up-to-date review limits both academic progress and practical decision-making in modern power systems, especially as DER penetration accelerates. This research was conducted using the Scopus database through the selection of articles that address reactive power estimation methods. The results indicate that traditional numerical and optimization methods, although accurate, demonstrate high computational costs for real-time application. In contrast, techniques such as Deep Reinforcement Learning (DRL) and hybrid models show greater potential for dealing with uncertainties and dynamic topologies. The conclusion reached is that the solution for reactive power management lies in hybrid approaches, which combine machine learning with numerical methods, supported by an intelligent and robust data infrastructure. The comparative analysis shows that numerical methods offer high precision but are computationally expensive for real-time use; optimization techniques provide good robustness but depend on detailed models that are sensitive to system conditions; and machine learning-based approaches offer greater adaptability under uncertainty, although they require large datasets and careful training. Given these complementary limitations, hybrid approaches emerge as the most promising alternative, combining the reliability of classical methods with the flexibility of intelligent models, especially in smart grids with dynamic topologies and high penetration of Distributed Energy Resources (DERs).

Fractional flow reserve (FFR) is an essential tool for evaluating coronary artery disease and directing percutaneous coronary intervention (PCI). The instantaneous wave-free ratio (iFR) has been validated as a non-hyperemic alternative with less procedural complexity and adverse effects, as no pharmacological induction of hyperemia is required. Nevertheless, iFR invasiveness limits the popularity of the technique in clinical practice. However, recent AI breakthroughs have led to improvements in the diagnostic accuracy of non-invasive iFR estimation via different imaging modalities such as X-ray coronary angiography (XCA) and coronary computed tomography angiography (CCTA). A systematic search was conducted in the Web of Science, PubMed, ScienceDirect, and Scopus databases without any date restriction. Only studies that resulted in the development of AI-based methods for the estimation of iFR were considered. Five studies met the inclusion criteria and used AI to estimate iFR from CCTA and XCA image data. The diagnostic accuracy reported varied from 58% to 90.2%, while sensitivity was between 37% and 87.2%, and specificity between 50% and 97.8%. Positive predictive value (PPV) and negative predictive value (NPV) ranged from 34% to 79% and 77% to 97.5%, respectively. The value of the receiver operating characteristic (ROC) curve ranged from 0.89 to 0.98. The QUADAS-2 tool was used to evaluate the quality of the study. AI models reported a promising improvement in the assessment of coronary artery disease based on accurate non-invasive methodologies. However, further research is needed to establish standardized practices and ensure the accessibility and applicability of these tools.

Electronic Customer Relationship Management (E-CRM) systems are a foundational strategic tool for organizations aiming to enhance customer engagement and competitive advantage in digital environments. Despite the widespread implementation of E-CRM, user adoption remains the primary challenge. This study employs a comprehensive Bibliometric Analysis and Topic Modeling approach on a corpus of 137 articles from the Web of Science and Scopus databases (2004–2025), to systematically map the field’s intellectual structure and evolution. The findings confirm E-CRM adoption as a mature and active field, conceptually bifurcated between the Technology Acceptance Paradigm and the Organizational Performance Paradigm. However, the structure is highly fragmented due to domestically oriented collaboration and exhibits a significant theoretical gap—the absence of integrated models that explicitly link technology acceptance factors to tangible commercial outcomes, such as Return on Investment (ROI). Future research must prioritize developing integrated value chain models and conceptualize Third-Generation E-CRM technologies (e.g., AI and automation) within existing adoption frameworks. This research provides essential, data-driven insights for scholars and practitioners seeking to enhance digital adoption strategies.

ABSTRACT Although tourism stimulates economic growth and employment, it often creates challenges in meeting the essential needs of residents, thereby undermining sustainable development. Tourism gentrification-neighborhood transformation driven by tourism-related activities, has become a critical area of enquiry within tourism research. Employing the Themes-Context-Methodology (TCM) framework, this systematic literature review critically synthesizes existing knowledge on tourism gentrification, with particular emphasizes on its impact, underlying processes, and management strategies. A systematic search of the Web of Science and Scopus databases was conducted between 23 July and 5 August 2024, yielding 790 documents, of which 66 studies met the final selection criteria after rigorous screening. Based on the review, a conceptual model of tourism gentrification is proposed. The findings provide valuable insights for policymakers, urban planners, and researchers to develop integrated strategies that reconcile economic benefits with social justice and cultural authenticity, thereby advancing sustainability in line with Sustainable Development Goal (SDG 11).