bluuebunny/crossref_metadata_2025_split huggingface dataset:
An International Study of Variation in Attitudes to Kidney Biopsy Practice
Authors: Toal Michael P. , Hill Christopher J. , Quinn Michael P. , McQuarrie Emily P. , O’Neill Ciaran E. , Maxwell Alexander P. 
Published: December 2024

Key Points

Attitudes on kidney biopsy practice vary significantly across the world.Male clinicians, younger clinicians, and individuals who perform biopsies more frequently had an increased propensity to recommend a kidney biopsy.Kidney biopsy was most often recommended in the setting of higher proteinuria levels and preserved kidney function.

Background
A kidney biopsy is an essential investigation for diagnosis but is invasive and associated with complications. Delaying or missing the opportunity to diagnose kidney disease could result in adverse patient outcomes. The aim of this study was to examine attitudes to kidney biopsy across the world.

Methods
An online questionnaire for nephrologists was designed on the basis of the existing literature with input from patients. Anonymized data were collected on individual and institutional demographics, indications and contraindications for biopsy, and attitudes and barriers to access. A propensity-to-biopsy score was generated from responses, which allowed clinicians to compare their practice with international colleagues. A higher score was associated with an increased likelihood of recommending biopsy. The questionnaire was disseminated through international nephrology societies, including the National Kidney Foundation, and by social media.

Results
Participants responding to the questionnaire included 1181 clinicians from 83 countries, making it the largest international study in this area to date. The propensity-to-biopsy scores were significantly different between the 13 countries with over 20 clinicians participating (P < 0.001) and was highest in Mexico and lowest in the Philippines. Kidney biopsy was most often recommended in patients with higher proteinuria levels and most often avoided in patients with small kidneys. An adjusted linear regression model demonstrated that a significantly higher propensity-to-biopsy score was found in male clinicians, younger clinicians, frequent performers of kidney biopsy, increased job seniority, and larger institution size (P = 0.05).

Conclusions
Kidney biopsy practice is varied internationally and is subject to human and systemic factors. Further research is required to understand the variances behind clinical decision making.
Menopausal Symptoms in Premenopausal Women Among the Cohort of Gynecological Patients Attending Outpatient Department of Dhulikhel Hospital.
Authors: Dongol Anjana , Deoju Shreya , Shikharakar Shreeja , Rayamajhi Sushil Jung , Pradhan Noora , Tripathi Priyanka 
Published: December 2024

Introduction: Perimenopause is the time when ovaries gradually produce less estrogen. The menopausal symptoms in perimenopausal women cause severe disturbance in the womenâ€™s life. This study aimed to identify menopausal symptoms in perimenopausal women. Methods: This was a hospital-based descriptive, cross-sectional study conducted among 243 women aged between 45 to 55 years. The categorical variables were presented as frequency and percentage. The associations between categorical variables were tested using Chi-square or Fisher exact test. Result: The total prevalence of menopausal symptoms was 91.8%. Physical symptoms were identified to be prevailing symptom(n=184, 75.7%) followed by psychological (n=167, 69.5%). There were 136 (55.5%) women experiencing poor memory and 148 (60.9%) women having genitourinary symptoms. Stress urinary incontinence (n=73, 30.04%) was predominant over urge (n=58, 23.8%), mixed (n=43, 17.6%) and prolapse (n=49, 20.1%) symptoms. Vasomotor symptoms were experienced by123 (50.6%). Excessive sweating (n=114, 46.9%) was leading over hot flush(n=113, 46.5%), night sweat (n=107, 44.03%) and palpitation (n=96, 39.5%). A total of 114 (46.9%) women were facing sexual symptoms. The common sexual symptom was dyspareunia 68 (27.9%). The Menopausal Rating Scale (MRS) rating of overall symptoms showed women mostly suffer from mild symptoms during the perimenopausal period. Conclusion: Physical symptoms were identified to be predominating followed by psychological, genitourinary, vasomotor, and sexual. However rating of symptoms using MRS showed the majority of symptoms were mild. This study signifies the need to use the tool for the assessment of the severity of menopausal symptoms from the perimenopausal group.
Dramatiske muligheter i språkhistoriedidaktikken
Authors: Berge Solveig , Bjellås Petter 
Published: December 2024

This chapter explores the use of drama as a teaching method through an investigation of practical-didactic opportunities for teaching language history in junior high school. The study aimed to answer two research questions: To what extent can dramatization of key language-historical events help engage students in the subject matter? And to what extent can drama facilitate students’ perception of the historical content as relevant and meaningful, allowing them to identify with the themes?
The researchers based their project on their own classroom experiences, along with theoretical insights from drama pedagogy and didactics in history education. Although drama-based teaching methods are not explicitly encouraged in the current curriculum, the researchers argue that they provide an innovative approach to enhancing students’ motivation and learning experiences.
The study employed action research methodology, combining classroom observations with student logs to gather data. The findings indicate that the use of drama can create an engaging learning process in which students actively participate and explore content through various forms of dramatization. Students reported positive experiences and increased understanding of the historical context, language development, and the relevance of language history in their own lives. However, technical challenges and time constraints during filming were identified as potential limitations.
By actively involving students in the learning process, drama fosters a sense of ownership and creativity, ultimately cultivating a deeper connection with the subject matter.
Transformations of the labor market of Ukraine in the conditions of war
Authors: Klymenko Olena , Chepak Valentina 
Published: December 2024

The article highlights the deep transformations taking place in the labour market of Ukraine under the influence of the war. The authors analyse new challenges for private enterprises, which, unlike public institutions, are faced with serious risks and an imbalance between labour requirements and available resources to reward employees.
The purpose of the article is to study the transformations that took place in the labour market of Ukraine during the war. The methodological base of the article is based on the data of several important sociological studies, which allow an in-depth analysis of the stated problem – the basis is the annual sociological monitoring «Ukrainian Society – 2024», which provides representativeness for the analysis of social attitudes of the adult population of Ukraine thanks to the CATI methodology and a carefully constructed sample population (N = 2767). The authors reveal the key risks and barriers that arose in the labour market as a result of the war, creating significant problems for labour mobility and disrupting the functioning of key institutions responsible for its regulation. As a result of the conducted sociological studies, it was recorded the limitation of employment opportunities, the decrease in the number of quality jobs, the strengthening of sectoral and professional-educational disparities, as well as the deterioration of the economic and security conditions for the development of entrepreneurship. The article analyses the problem of increasing demands on employees, caused by mobilization, relocation of factories and extreme working conditions, which leads to staff overload and is not accompanied by adequate remuneration. Special attention is paid to new forms of employment, in particular remote work, which, although it contributes to maintaining security, limits the social and economic opportunities of workers due to the lack of legislative support. The article emphasizes the need for active reforms and cooperation between the state and business to stabilize the labour market and ensure the appropriate level of protection of workers in the conditions of a long-armed conflict.
Studi Komparasi Pemikiran Tasawuf Imam Al-Ghazali dan Ibn Taimiyah Perspektif Pendidikan Islam
Authors: Fazlurrahman Akbar Idris , Yahya M. Slamet 
Published: December 2024

Terjadinya banyak tindakan penyimpangan sosial yang dilakukan oleh siswa, salah satunya karena kurangnya pendekatan kepada Sang Pencipta. Dari hal itu, perlu adanya motivasi spiritual yang ditanamkan oleh masing-masing pendidik. Tujuan penelitian ini adalah untuk membandingkan pemikiran tasawuf Imam Al-Ghazali dan Ibn Taimiyah dari perspektif pendidikan Islam. Jenis penelitian ini adalah studi pustaka dengan teknik pengumpulan data berdasarkan buku, artikel, atau sumber lain yang relevan dengan topik pembahasan yang kemudian peneliti analisis berdasarkan isi dan penarikan kesimpulan selanjutnya. Hasil penelitian menunjukkan bahwa pemikiran tasawuf Imam Al-Ghazali tidak jauh berbeda dengan pemikiran Ibn Taimiyah. Hanya saja perbedaannya terletak pada mahqamat dan ahwal kedua tokoh tersebut. Mahqamat Imam Al-Ghazali terdiri dari taubat, zuhud, sabar, tawakal, khauf, ar-raja', sedangkan Ibn Taimiyah terdiri dari taubat, tawakal, zuhud, ridha, kesabaran, ibadah, khauf dan ar-raja'. Ahwal Imam Al-Ghazali terdiri dari muraqabah dan mahabbah, sedangkan Ibnu Taimiyah hanya mencakup mahabbah. Dari beberapa mahabbah dan ahwal baik pemikiran Imam Al-Ghazali maupun Ibn Taimiyah berimplikasi pada pendidikan Islam yang sama-sama berusaha membentuk pembelajar yang sesuai dengan Al-Qur’an dan As-Sunnah
Contribution to Study of Competition Between Cork Oak Crowns in the Ouled Bechih Forest (Algeria)
Authors: Touafchia Boutheyna , Rached-Kanouni Malika , Zerrouki Alia 
Published: December 2024

Abstract
The discipline of silviculture is rapidly developing, based on stand structures or ecosystems, in which stands are managed according to species and structures. The objective of this study is to characterize the growth of cork oak dendrometric variables, and to determine and compare the different crown parameters and their effects on natural regeneration in the Ouled Bechih forest (Algeria). Eight plots of this forest were selected and they underwent a dendrometric study. The results obtained indicated that these plots were moderately dense. The analysis of dendrometric variables by variance analysis showed that there was a significant difference (p < 0.05). The distribution of individuals by height and diameter classes indicated a large representation of individuals with heights of 10–15 m and diameters of 27.5 < d ≤ 47.5 cm. The variables selected in the descriptive analysis have a low impact on the heterogeneity of this forest on height and diameter growth. The study of the different crown parameters showed that there was a difference between the plots, and indicated that cork oak trees have a large crown depending on their surface and diameter. These results show that the cork oak in the Ouled Bechih forest is characterized by trees of large diameter with medium heights, due to the predominance of older individuals with more developed crowns. This type of structure leads to strong inter-tree competition in the stand and a low rate of natural regeneration.
Passeriformes as Indicators of Biodiversity Conservation in the Frontline Zone of Sumy Region
Authors: Yarys Olena 
Published: December 2024

Abstract
Passeriformes are a sensitive group of birds that play a role as indicators of biodiversity, pollution, and environmental change. The military operations taking place in the Sumy region are the main threat to the region’s biodiversity. Undoubtedly, the consequences of these threats can be reflected in a decrease in numbers, phenological changes, and changes in trophic interaction. However, due to their properties and ability to adapt, I assume that birds of the Passeriformes can respond to these environmental changes in different ways. Given the mosaic of different vegetation types and the presence of many transitional areas between them, the study area was divided into five habitats: household plots, pine forest, Vorsklytsia River, pastures, and agrocenoses. During the research period, 48 species of birds belonging to 18 families and 36 genera were identified. This study allowed us to confirm the hypothesis that similar species of birds are found in the three biotopes (pastures, agrocenoses, and household plots) and that most of them may have similar food resources in their diet. The results of grouping in the space of projections of the principal components, PC1 and PC2, taking into account the measured indicators of the number of representatives of the Passeriformes in relation to different habitats, showed a strong positive relationship between the number of bird species of the Passeriformes in pastures and agrocenoses, and the average relationship was determined for household plots and the Vorsklytsia River. A negative correlation was found for the pine forest, which shows a fairly high number of species as well as the originality of the habitat. The basis of the Passeriformes population was formed by sedentary birds. The highest proportion of sedentary species was found in household plots (31.3%) and the pine forest (31.3%). Dendrophiles were the most numerous group: in the pine forest, 95.2% (of all species), household plots, 66.7%, pastures, 50%, and Vorsklytsia River, 37.5%. Hollow-nested species had a high proportion of 57.1% in the pine forest, crown-nested species 46.7% also in the pine forest, shrubs 50% in household plots, and ground-shrubs 60% near the Vorsklytsia River. The highest proportion of species was found for entomophagous birds (30.3%) and polyphagous birds (31.4%) in the pine forest, while the phytophagous bird group had the highest proportion of 50% in the household plots.
Demographic patterns and socio-economic drivers of salt production in the Philippines
Authors: Banicod Riza Jane S. , Montojo Ulysses M. , Tadifa Gezelle C. , Ramos Charlotte Ann M. , Peralta Deserie M. 
Published: December 2024

Abstract
The Philippine salt industry faces multifaceted challenges which led to high dependency on imports. This study deals with demographic characteristics and socio-economic factors driving salt production. Data collection was carried-out through semi-structured interviews, focus group discussions, and key informant interviews. Findings reveal a predominantly male workforce, with substantial family involvement, limited education, and an ageing demographic that threatens long-term sustainability. The industry is fragmented and dominated by individual, small-scale producers reliant on traditional methods, with limited collective bargaining power. While there is a wealth of experience in salt production, this does not translate into regulatory compliance and modernization. Land tenure issues, which are common among tenants, impedes long-term investments in infrastructure and technology. Salt distribution and logistics are largely influenced by the country’s archipelagic geography and regulations on non-iodized salt trade. In terms of economic returns, the cooking method exhibited highest profitability despite higher labour and cost intensity, attributed to year-round production. Solar salt production using clay tiles entails high capital investment but provides long-term returns. The use of PEP sheets offers short-term investments with lower entry barriers, making it suitable for small producers. The lack of access to formal financial institutions exacerbates producers’ plight due to the investment required for salt farm development. Strategic solutions, including comprehensive educational and training programs, enhanced regulatory support, improved access to technology and financial services, and fostering cooperative models, will attract younger generations, empower producers, and create a more resilient and competitive industry.
Land use and land cover change analysis using geospatial techniques a case study of the Dayet Aoua Watershed, Middle Atlas, Morocco
Authors: El Idrissi Mohammed Chrif , Saber Er-Riyahi , Al Mashoudi Ayoub 
Published: December 2024

Abstract
The Imouzzer Kandar plateau, located in the Middle Atlas of Morocco, has experienced significant land use changes over the past decades, characterized by the expansion of agricultural lands and the regression of forests and wetlands. This study aimed to detect these changes and assess their impact on the wetlands of the Imouzzer Kandar plateau. To achieve this, three Landsat satellite images from 1984, 1998, and 2018 were analyzed using the diachronic method, employing a supervised classification with the Nearest Neighbour Classifier within a Geographic Information System (GIS) framework. The classification accuracy for the three dates reached 92%, providing reliable and actionable insights. Over the 34-year period, approximately 44% of the study area, equivalent to 32,097 hectares, underwent land use changes. The confusion matrix revealed a substantial increase in agricultural and rangeland areas, coupled with a decrease in forest cover and lake area within the Dayet Aoua watershed. Most wetlands, approximately 152.37 hectares, have been converted into rangeland. The analysis further highlighted the irreversible expansion of agricultural land at the expense of areas of wetlands, with 33.34% of this expansion, about 88.20 hectares, being replaced by water-intensive agriculture.
Stress within local community on the Polish-Belarusian border – a case study of the town of Włodawa, Poland
Authors: Anisiewicz Renata , Michalski Tomasz , Brosz Maciej , Grabowski Jakub 
Published: December 2024

Abstract
Since mid-2021, the European Union’s border with Belarus has become a place of increased migration attempts. However, the specificity of the migration crisis on the border between the European Union and Belarus lies in the fact that it was artificially triggered by the Belarusian authorities in the early summer of 2021 in response to the sanctions imposed on Belarus by the EU earlier in that year. This situation means that local communities living near the border may feel especially threatened and experience inconvenience due the implementation of a state of emergency. The COVID-19 pandemic constituted an additional stress factor. Hence, the aim of the study was to analyse the level of stress among residents of the town of Włodawa caused by the situation on the Polish-Belarusian border and by the COVID-19 pandemic. The research was conducted in the period of 01 January 2022–21 February 2022 using a survey method, with paper questionnaires. A short questionnaire with a high level of standardization was used, which consisted of nine closed questions, including three scalograms (one covering ten questions concerning the sources of experienced anxiety, another one, also a 10-item PSS-10 (Perceived Stress Scale) test, and the third one concerning the assessment of events on the Polish-Belarusian border). During the period of the study, the inhabitants of Włodawa were subjected to double stress: related to COVID-19 and resulting from the situation on the Polish-Belarusian border. The conducted research shows that the stress was of medium intensity, and was higher among women, the elderly and the poorly educated. Among the concerns related to the COVID-19 pandemic, the exogeneous ones dominated, such as difficulties in accessing health services and the media coverage. As regards the events on the Polish-Belarusian border, respondents most often negatively perceived the arrival of large groups of migrants and the activities of Belarusian border services. Contrary to predictions, there were no synergic effects of anger at the authorities due to the imposition of restrictions (related to both COVID-19 and the situation on the Polish-Belarusian border).
The Effect of Auditors’ Tenure on Short-Term Financial Liquidity – A Conceptual Framework
Authors: Nyane Bokang M. 
Published: December 2024

Abstract
There is an alarming increase in audit scandals worldwide, negatively affecting financial statement users. These scandals happen soon after firms get an unqualified audit report, which would have confirmed their short-term financial liquidity. In most of these scandals, auditors have long associations with clients. The main question is whether auditors’ long association with a client affects a client’s financial liquidity. This paper aims to analyse the impact of auditors’ tenure on financial liquidity. The literature review and conceptual framework development approach have been applied as a methodology. The existing literature on the subject has been consulted, and the framework has been developed based on the reviewed literature. The paper has found no direct correlation between auditor tenure and short-term financial liquidity. Auditors’ tenure, short-term financial liquidity, company culture, board of directors, management/leadership, and mandatory rotations play a major role in the increasing audit scandals. The auditors and accountants of firms must closely monitor these variables. The audit scandal will continue if appropriate risk-mitigating strategies are not in place to control all these variables. Future research may use quantitative methodologies to further contribute to the existing literature to get the direct correlation between the auditor’s tenure and short-term financial liquidity
Leading Change by Design - Integrating Design thinking with Kotter’s 8 Step Process
Authors: Engmann Abena , Eluerkeh Eugene , Ngwakwe Collins 
Published: December 2024

Abstract
This paper presents a conceptual framework that facilitates a human-centered approach to implementing organizational change. It advocates for integrating design thinking with Kotter’s eight-step process for change management. Utilizing the double diamond framework, a process model developed by the Design Council (UK), in conjunction with Kotter’s eight-step process, the paper demonstrates how leaders can effectively employ a design led integrated approach to drive change. The authors’ review and juxtaposition of the design thinking framework and change process reveal that it can be applied to leading and implementing change, which, to the best of the authors’ knowledge, has not been explored in detail by previous authors. Hence, there is an opportune need to contribute to the change management process. The normative conceptual methodology for developing this extended framework shows how Kotter’s eight steps fit into the double diamond framework. Implementing change in organizations can be a daunting undertaking; however, a design-led approach facilitates a more successful execution. This paper’s key argument is that integrating design thinking with change management is a more effective approach because it allows the involvement of more stakeholders, iteration, and testing of more ideas to implement change successfully.