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SPINE20 recommendations 2025 : sustainable spine care for all
Vlok, Adriaan J.; Tamai, Koji; Alassiri, Suhail S.; Blattert, Thomas R.; Campello, Marco A.; Dunn, Robert N.; Kamra, Komal; Kitamura, Kazuya; Roberts, Lisa C.; Ruosi, Carlo; Theron, Francois; Tucci, Carlos; Yurac, Ratko; Bromfield, Bridget; Chihambakwe, Mufudzi; Louw, Quinette A.; Lubbe, Danella; Oosthuizen, Almero; Bussieres, Andre; Chhabra, Harvinder S.; Cote, Pierre; Costanzo, Giuseppe; Darwono, Bambang; Haldeman, Scott; Larouche, Jeremie S.; Muehlbauer, Eric J.; Van Lerbeirghe, Johan G.; Alsobayel, Hana I.; Franke, Joerg; Pereira, Paulo; Piccirillo, Michael; Wadhwa, Sanjay; Wiechert, Karsten; Andujar, Andre L.F.; Carelli, Luis E.; Cristante, Alexandre F.; Menezes, Cristiano M.; Meves, Robert; Rodrigues, Luciano M.R.; Risso-Net, Marcelo I.; AlEissa, Sami (Elsevier, 2026)
Spine disorders remain a leading cause of disability worldwide, affecting over 900 million people and creating profound social and economic burden. In response, SPINE20, a global alliance of 38 professional societies, presents its 2025 policy recommendations under the theme “Sustainable Spine Care for All”. Main recommendation; SPINE20 recommends G20 countries to implement sustainable evidence-based spine care models drawing on successful global programs considering particularly registries, incentivized health targets and public-private partnerships. Focused on “Public health”; SPINE20 recommends G20 countries to integrate spine health into public health and primary care health policies by addressing the prevention and management of both communicable and non-communicable diseases, and strengthening public–private partnerships to achieve sustainable spine care. Focused on “Occupational Health & Safety Policy”; SPINE20 recommends that G20 countries implement evidence-informed, work-focused interventions that address employee and workforce factors early, to reduce the social and economic impact of work loss and increase employability for people with spine disorders. Focused on “Capacity Building”; SPINE20 recommends that G20 countries prioritize building capacity in spinal cord injury care by adopting evidence-based interventions such as the global initiatives supported by World Health Organization (WHO) in low- and middle-income countries and aligned with the WHO Rehabilitation 2030 Call to Action. This paper serves as a summary of the recommendations. The complete set of SPINE20 2025 Recommendations, which is available in SPINE20 official web-site (https://spine20.net), was officially presented to Provincial Minister of Health and Wellness, Western Cape Government, during the SPINE20 Summit 2025. An official communication from the Western Cape Ministry of Health and Wellness subsequently confirmed formal acknowledgment of receipt of the recommendations. HIGHLIGHTS • SPINE20 recommends G20 to adopt sustainable, evidence-based spine care models. • Integrate spine health into public health, primary care, and prevention systems. • Implement work-focused interventions to reduce disability and improve employability. • Build national capacity for spinal cord injury care aligned with WHO initiatives. • Promote registries, public-private partnerships, and outcome-based health targets.
Feeding profit : how the food and drinks industry (FDI) is one of the key drivers of the global epidemic of childhood overweight and obesity
Spencer, Nick; Mercer, Raul Gerardo; Rajmil, Luis; Lake, Lori; Kraus De Camargo, Olaf; Ezeonu, Thecla; Olatunya, Oladele Simeon; Oguda, Lulu; Tsitsika, Artemis; Iwamoto, Azusa; Rohloff, Peter (BMJ Publishing Group, 2026-01)
No abstract available.
Implementation strategy for data-driven surgical systems : a South African perspective
Kluyts, Hyla-Louise; Biccard, Bruce M.; Chu, Kathryn; Maswime, Salome; Crisp, Nicholas (BMJ Publishing Group, 2026-01)
Surgical care is essential to achieving universal health coverage, yet many African low-income, lower-middle-income countries (LMICs) and upper-middle-income countries - including South Africa-struggle to harness healthcare data for surgical system strengthening. Despite global advocacy efforts and the adoption of surgical indicators such as perioperative mortality rate and surgical volume, fragmented routine health information systems, limited human resource capacity and siloed data architecture hinder effective, data-informed planning and policy. Drawing on a South African case study, this high-level perspective highlights institutional momentum for integrating routine perioperative data into strategic health planning, while also identifying key technical and operational challenges. The study demonstrated the inability of clinician-led initiatives to generate routine perioperative health information to guide practice at an institutional level. To close the implementation gap, a context-adapted approach, that includes participatory network weaving, stakeholder-driven data use cases and collaborative planning for interoperable data systems, is proposed. These elements are positioned within an implementation framework designed to support policy development, guide clinical practice and improve access to safe, high-quality surgical care across African countries. We propose taking advantage of opportunities for concurrent implementation assessment and adaptation of a clinical health information system module for South African surgical patients.
Digital entrepreneurship and gendered boundaries : technology, work-life conflict, and well-being
Doargajudhur, Melina; Hosanoo, Zuberia; Rughoobur-Seetah, Soujata; Lichy, Jessica (Wiley, 2026)
This study explores how women entrepreneurs in a resource-constrained setting adopt and experience personal technology for business purposes within the broader context of digital transformation. Drawing on the technology acceptance model (TAM) and work–life border theory (WLBT), qualitative data were collected through 32 semi-structured interviews with women entrepreneurs operating micro and small enterprises in Mauritius. Findings reveal that perceived usefulness, ease of use, and institutional support drive the adoption of personal devices, enabling flexibility, cost savings, and improved responsiveness to clients. However, constant connectivity also blurs boundaries between work and family life, heightening stress, emotional fatigue, and security concerns, particularly in the absence of technical support. These dynamics unfold in gendered contexts shaped by cultural expectations and caregiving responsibilities, with technology simultaneously supporting business needs while intensifying work–life conflict. Building on these insights, this study proposes a conceptual model highlighting personal technology's dual impact on business performance and well-being, as well as the moderating and mitigating roles of gender norms, structural constraints, and support systems. The findings contribute to scholarship on gender and digital entrepreneurship, offering implications for gender-sensitive policies that promote equitable and supportive technology adoption in similar Global South (GS) contexts.
Tackling sexual harassment in the workplace—lessons to be learned
Lichy, Jessica; Bousquet, Carole; Middleton, Karen (Wiley, 2026-01)
This paper examines the impact of the hashtag social movement #BalanceTonPorc on women in France who have experienced workplace sexual harassment. The study aims to explore the extent to which the movement has inspired targets to report incidents of harassment and to seek justice, as well as to evaluate its influence on their self-awareness of harassment. Moreover, it identifies factors within the movement that may have limited its effectiveness in achieving positive outcomes. Drawing on interview data, the findings reveal that although participants expressed awareness of and appreciation for the movement, they perceived it as ineffective in driving meaningful change in their daily lives, workplace practices, or societal recognition of their rights. These results challenge the perception of hashtag activism as a definitive solution to workplace sexual harassment, underscoring the need for more comprehensive strategies and systemic efforts to address this pervasive issue.