Zakhar A. Akulov

When Personalization Does Not Change Care: A Critical Narrative Review and an Organizational Decoupling Framework

Background/Objectives: Patient-centred practices do not by themselves show whether an individual’s priorities influence care. This review asks how organizational decoupling theory can inform a traceable response to those priorities and locate a loss of influence. Methods: A theor...

Muscle Dysfunction as the Missing Link in Ventral Hernia Pathogenesis: Toward a Functional Herniology Framework

This study aimed to perform a conceptual analytical synthesis of the available evidence on the functional state of the musculofascial system of the anterior abdominal wall in ventral hernia, to appraise the potential contribution of muscular dysfunction and neuromuscular discoord...