Author

Zakhar A. Akulov

3 papers indexed here

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Review Open access Sep 2026

Bile Biochemistry as a Therapeutic Target in Biliary Surgery: Disease-Specific Evidence and Clinical Limits

Background/Objectives: Bile acid therapies have expanded treatment options for cholestatic disease, but their relevance to biliary surgery depends on the diagnosis and endpoint. This critical narrative review examines where molecular evidence changes care and where surgical applications remain untested. Methods: The ex...

Z. Berikkhanov, Zakhar A. Akulov, Mihail Emcev et al. · Metabolites · 0 citations

Review Open access Sep 2026

From Patient Voice to Organizational Adaptability: A Critical Narrative Review and Conceptual Model for Personalized Care

Hospital routines can elicit patients’ views without providing a reliable route for acting on them. The aim of this article is to develop a positive organizational model in which patient voice provides the basis for tailoring care, while professional responsibility remains with the clinical team and healthcare organiza...

Zakhar A. Akulov, Z. Berikkhanov, Maria A. Sukhanova et al. · Healthcare · 0 citations

Review Open access Sep 2026

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 theory-informed critical narrative review use...

Z. Berikkhanov, Zakhar A. Akulov, M. Pilipenko et al. · Healthcare · 0 citations