OBJECTIVES:Discuss the current status of advanced practice providers (APPs) onboarding to headache medicine (HM) practices in the United States and present recommendations of the American Headache Society (AHS) APP Work Group to improve the onboarding process. BACKGROUND:A high demand for care, national shortage of specialists, and multiple advancements in HM have led to an increasing interest and presence of APPs of various backgrounds in the field, currently without a unifying onboarding process. Efforts to standardize and optimize the onboarding process for APPs in HM practices are necessary, to ensure high standards in quality of care. METHODS:The APP Work Group of the AHS Practice Management Committee developed comprehensive recommendations through literature review, survey of AHS members, and expert consensus. A modified Delphi protocol was used to establish key onboarding goals, definitions, and best practice recommendations. RESULTS:Recommendations are made regarding duration of onboarding, appropriate supervision, formal education and procedural skills, scope of practice, grading and documentation of competence, and reciprocal feedback. CONCLUSION:Currently, there are no standard onboarding and training guidelines for APPs in the field of HM. We provide recommendations for a more systematic approach to help develop qualified providers and enhance their retention in HM practices.
Ultra-processed foods (UPFs) have been linked to adverse metabolic and inflammatory profiles that may impair sleep, yet evidence in older adults is limited. The aim of this investigation was toevaluate the relationship between UPFs intake and sleep quality and quantity among community-dwelling older adults. In this community-based cross-sectional study, 368 community-dwelling older adults (mean age 67.11 ± 6.21 years; 55.2
Healthcare supply chain resilience is central to healthcare service delivery, as the COVID-19 pandemic demonstrated that traditional efficiency-focused supply chain models fail during crises, exposing vulnerabilities that compromise patient care and organizational sustainability. This review consolidates existing knowledge and identifies unrecognized patterns in supply chain strategy decisions by examining the shifting balance between just-in-time efficiency and just-in-case preparedness across crisis phases, revealing gaps in frameworks that overlook disaster preparedness as fundamental to supply chain design. The methodology used systematically reviewed English-language peer-reviewed literature published between 2015 and 2025, with concentrated focus on 2020-2025 sources capturing immediate pandemic responses and post-crisis adaptations, accessed through Google Scholar, ProQuest, and Ex Libris Primo databases, applying selection criteria emphasizing healthcare supply chain specificity, pandemic response documentation, and methodological rigor, then filtering sources assessing empirical evidence quality and theoretical contribution before inclusion. Implementation varies by organizational size, location, and existing technological infrastructure, with digitally mature organizations adapting faster than those requiring simultaneous technology adoption and process changes, indicating that supply chain resilience requires sustained pre-crisis investment. First, analysis reveals that healthcare facilities across the United States experienced widespread Personal Protective Equipment shortages during the early pandemic, forcing clinical staff to reuse disposable equipment due to pre-pandemic budget models that prioritized cost-efficiency over redundancy. Second, examination demonstrates that healthcare supply chains comprise a substantial portion of hospital budgets and operate under life-saving demands requiring immediate access regardless of cost, yet most frameworks were adapted from manufacturing and retail without recognizing that supply failures directly impact patient survival, causing catastrophic failure of just-in-time approaches when pandemic-driven patient surges overwhelmed capacity. Third, synthesis identifies that successful post-pandemic adaptations systematically integrate five strategic elements including hybrid just-in-time and just-in-case inventory systems balancing efficiency with redundancy, vendor diversification across geographic and organizational boundaries mitigating single-source dependencies, technology integration such as blockchain transparency and AI-driven demand forecasting, strategic regional alliances enabling resource sharing during localized crises, and contingency planning protocols embedded into routine operations. Based on this analysis, future research should evaluate long-term financial and operational outcomes of hybrid supply chain models across diverse healthcare settings to establish evidence-based benchmarks for optimal resilience investment levels, while prioritizing integration of advanced predictive technologies and regional collaborative networks to transform disaster preparedness into proactive organizational capability.
Established in 2002, Shanghai Hygloves Co., Ltd. was a Chinese manufacturing and trade company that had strategically transformed itself from a cost-focused exporter into a global supplier of specialized functional gloves. Through sustained investments in technology, international certifications, and the adaptation of various foreign direct investment (FDI) strategies, the company had built a strong position in specialized functional gloves worldwide. However, the environment had become increasingly uncertain. Rising geopolitical tensions, protectionist trade policies, and shifting global supply chains were reshaping the competitive landscape for Chinese manufacturers. Although Hygloves had already expanded production across multiple countries and strengthened its international presence, senior management needed to determine the next step in the firm's global expansion. Where and when should Hygloves invest next in order to sustain its competitive advantage while managing institutional risks and supply-chain uncertainty?
Scholar activism seeks to bridge academia with the communities it studies, yet scholarship often operates at a distance from the conditions it examines, limiting opportunities for direct action. This study explores how mutual aid can be embedded within academic conference structures to support scholar activism. Using Unified Outreach as a case study, we draw on unstructured interviews with organizers and volunteers, supplemented by autoethnographic reflections. An abductive thematic analysis examines how participants experienced service integration within conference settings. Findings indicate that participants viewed mutual aid as forwarding the importance of their academic work, fostering relational connections, and addressing concerns about extractive research practices. At the same time, barriers emerged, including limited institutional support, time constraints, and uneven visibility within conference programming. This study demonstrates how conference-based service can function as a replicable model of scholar activism and offers actionable strategies for embedding community engagement into academic spaces in sustainable, structured ways.
