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Urban logistics presents a series of challenges, as the interests of the different stakeholders are not always aligned. The aim of this research is to explore the potential of applying Lean principles to reduce waste in urban logistics.

As a structure for “going to gemba,” the authors implemented the shadowing technique to better understand the perspective of companies distributing products in the city of Montevideo, Uruguay. Then, meetings were conducted to validate the observations by the people shadowed.

The results show that most of shipper's time is dedicated to waiting (59%), which is followed by driving (22%), and only a small section of time was dedicated to unloading and verification activities (19%). Although collaborative solutions are needed along with the different stakeholders, this research highlights how deploying Lean thinking can improve significantly urban logistics achieving up to 25% improvement in the number of stores served per shift.

From an academic point of view, this study emphasizes the importance of continue applying and evaluating the Lean practices into transportation contexts. From a company's perspective, the authors have presented a list of propositions that can be implemented for carriers in order to reduce waste and/or improve the efficiency of the urban transportation process.

Based on the literature review carried out, the subject study of Lean and its application to urban logistics remains mostly unexplored in the scientific literature.

This paper aims to outline the barriers in introducing Lean in health care and to asses which of these have a greater impact in the Uruguayan health-care sector.

To uncover the barriers hindering Lean health-care implementation, a literature review was undertaken. Once identified, first-hand information was obtained from managers and professionals involved in managerial activities who evaluated each of the difficulties using a Likert scale.

In total, 17 barriers to the implementation of Lean health care were identified. Survey results show that the highest scores correspond to “controllable” barriers, those which can be overcome, almost exclusively, by the organization willing to implement the program.

Managers need to understand and ascertain the existing barriers before implementing Lean if they want to develop strategies to mitigate them. Although the exploratory study was conducted in the Uruguayan health-care sector, it could be replicated elsewhere.

An exhaustive list of barriers was synthesized and was later assessed by managers in the Uruguayan context. This is an important first step that could help foresee obstacles and develop strategies prior future implementation.

For the past 20 years, Latin American countries have gone from being a low-cost region to significant players in the world economy, with five of its countries ranked among the world’s 50th largest by gross domestic product. This paper aims to study the contribution of Latin American researchers in the field of supply chain management (SCM) to aid an understanding of the Latin American impact within global supply chains (SCs).

The authors present a study which includes a bibliometric analysis of the papers authored by Latin American researchers in the SCM field and which were exclusively published in journals included in the Journal Citation Reports. In addition, the authors conducted a survey to Latin American researchers and consultants to gain greater understanding of the main difficulties, which in their opinion, have negatively affected the SCM area in Latin America within the past five years, and identify possible misalignment between Latin American research and the challenges for SC in the region.

The results show that Latin American research on SCM in the past nine years is not significant for the field considering the number of papers, citations and the papers published in top journals. Another interesting finding is the lack of collaboration among researchers from different Latin American countries, as well as with corporate. Finally, survey results reveal significant differences regarding the main difficulties each country perceived as relevant.

Comparing results from both analyses, relevant misalignments stand out between published research and the main difficulties detected. These suggest a challenging opportunity for Latin America, emphasizing the need to increase research contribution of the scientific community, through collaboration and alignment toward overcoming the most troublesome difficulties for Latin America. Therefore, the authors suggest future regional research directions which could also help global companies to tackle the challenges faced and optimize performance of their Latin American SCs.

To the best of the authors’ knowledge, no previous research on the quality and impact of Latin American research in SCM has been conducted. Also, misalignments between researchers and practitioners in the region, which allow identifying weaknesses of Latin American SCs, have not been studied before.

The purpose of this article is to create a list of supply chain (SC)-related difficulties based on the existing SC literature. It also presents an exploratory survey concerning the main difficulties which Uruguayan managers consider to have the most negative impact on their SCs.

The survey was carried out within small- and medium-sized manufacturing and retailing companies in Uruguay, yielding 99 valid responses. A statistical analysis of the survey is introduced including a ranking of the difficulties and a grouping of those using factorial analysis. A difficulty, as understood throughout this paper, is any factor that significantly impacts, or has impacted in recent years, the performance of SCs.

Eighteen main difficulties hindering SC performance were identified. Moreover, an exploratory analysis of the survey showed that the main concerns to SC managers are related to workforce availability and government policies.

Difficulties encountered by SCs would not only be of interest to scholars but also to the managers who face the challenge of the day-to-day managing of a SC. Once the difficulties over the SCs are identified, strategies can be designed and implemented to attain desired benefits. Today’s intense competition requires firms to be more aware of their SC and to achieve excellence in many areas, especially at small- and medium-sized enterprises.

There is a growing body of literature concerning isolated issues that SCs have to face; however, an exhaustive list of difficulties is hardly available. Moreover, first-hand information of Uruguayan managers was ascertained to rank each one using a Likert scale.

The purpose of this research is to study the impact of perceived adoption of Lean principles on operational performance in Lebanese pharmaceutical industries.

A quantitative method was implemented using a questionnaire that targeted 253 respondents working in eight good manufacturing practices (GMP) certified Lebanese pharmaceutical companies. Reliability analysis was performed using SPSS, and the research hypotheses were tested using regression analysis.

The results demonstrated that Lean principles positively and directly affected operational performance. It also positively affected operational performance factors of quality, cost and time. However, the analysis of each of Lean principles impact on operational performance cost was analyzed perfection, value, and value stream mapping (VSM) significantly increased operational performance. In addition, pull only positively augmented the cost reduction, whereas flow did not show any effects on any of operational performance’s factors.

In addition to enhancing operational performance, the positive effect of the perceived adoption of Lean principles on performance is also explained by managers’ efforts in studying the flow of actions in their processes to reduce wastes. To face uncertainty, training and building a workforce that is able to implement Lean principles, equipping this workforce with needed artifacts, and promoting a high-performance culture are crucial for the successful implementation of Lean principles.

Lean approach has become a major pathway of improvement especially in pharmaceutical companies. Few studies analyzed the impact of each of the Lean principles on the operational performance in companies that operate in era of uncertainty. Furthermore, the perceived adoption of Lean principles is under investigated in the Middle East in general and in Lebanon in particular.

In Belgium, mentally ill offenders often spend extended periods in forensic psychiatric hospitals, where restrictive living conditions can affect their quality of life (QoL). QoL is a key factor in these settings, influencing both short- and long-term recidivism risks. Despite its significance, research on QoL in Belgian forensic psychiatry is scarce. Internationally, studies highlight that the sexuality domain tends to score lower than other QoL areas. This study aims to explore QoL in forensic psychiatry with a particular focus on the sexuality domain.

This cross-sectional, observational study involved 275 male forensic psychiatric patients, all found not guilty by reason of insanity and under court-ordered psychiatric treatment. Patients resided in either treatment units or long-term forensic care units. Data were analyzed using R Studio.

Patients in medium-security units in Flanders reported the lowest satisfaction in the sexuality domain compared to other QoL areas. Additionally, overall QoL declined with longer stays in forensic psychiatric care.

The study underscores the need for clear policies regarding sexuality in forensic psychiatric settings. Integrating sexuality and sexual health assessments into routine evaluations is recommended. Future research should explore long-term QoL changes while investigating the impact of sexuality policies and considering gender and cultural differences. Collaboration between forensic institutions is key to improving data collection, while staff training on addressing sexuality is essential. Including patients in policy development and promoting their sexual health rights will help create a more inclusive environment.

To the best of the authors’ knowledge, this is the first study to pool data from three forensic medium-security units in Flanders, providing new insights into QoL in Belgian forensic psychiatry.

This paper investigates how food supply chains (SCs) introduce sustainability standards (i.e. organic and/or Fair Trade labels). The authors combined the concepts of power and dependence with types of governance mechanisms to analyse for-profit and cooperative organisations. The authors explored nuances of how lead organisations are spreading sustainability standards.

Four cashew nut and honey SCs were investigated as case studies in Brazil, with data gathered through 15 interviews, secondary data and field visits. Data were examined through a content analysis process following a combined deductive and inductive approach.

Sustainability is spread driven by market pressure, mainly through the diffusion of technical information, either by lead organisations enablers or inter-organisational relations. The authors found that the type and structure of organisations impact the source of power (mediated or non-mediated) and level of mutual dependence between buyer and supplier. For instance, suppliers that hold a strategic position use direct governance mechanisms, which, in turn, lessens the power imbalance in regard to the lead organisation. The authors found in the analysis, a close relation between governance mechanisms and the spread of sustainability, which is ultimately based on strong SC relationships.

By recognising their role and the contingencies in spreading sustainability standards along the SC, managers of lead organisations can better design their relationships as well as create strategies to increase their supply chain sustainability (SCS) performance.

This paper contributes to the underexplored issue of how sustainability standards are spread throughout SCs in Latin America. Also, it shows how different types of SC rely on governance mechanisms that foster SCS.