bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does Hepatic Metastasectomy for Breast Cancer Oligo-Metastasis to the Liver Offer Survival Advantage? Systematic Review and Meta-Analysis
Authors: Garzali Ibrahim Umar , Sheshe Abdurrahman Abba , Suleiman Ibrahim Eneye , El-Yakub Amina Ibrahim , Abu Zeid Ez El Din 
Published: September 2024

Abstract

Background:
The impact of liver resection on survival in patients with hepatic metastasis from breast cancer has remained a controversial topic, with multiple studies reporting conflicting results.

Objective:
We perform this meta-analysis comparing metastasectomy to systemic therapy in terms of survival outcomes in cases of hepatic oligo-metastasis from breast cancer.

Materials and Methods:
A systematic search of PubMed, Embase, and Cochrane Library was conducted for relevant studies. The search terms used included “Breast Neoplasms,” “Liver,” hepatic” “Metastasis” “Hepatectomy,” “Metastasectomy” “resection,” and “surgery.” The primary outcome was overall survival (OS). Only studies published in English and studies that compared OS between patients that had metastasectomy and those that received systemic therapy were included.

Results:
Thirteen studies were included in the meta-analysis. The one year overall survival of patients who had surgery is superior to those who received systemic therapy only, with a risk ratio (RR) of 7.59 and P value of <0.00001. There is also a superior overall survival at 3 years after metastasectomy when compared with patients that received systematic therapy (RR = 2.83, P = 0.005). Five years is also superior, with RR of 2.78 and P value of 0.005.

Conclusion:
Hepatic metastasectomy in combination with systemic therapy is superior to systemic therapy alone in patients with breast cancer and oligo-metastasis of the liver.
Soft Tissue Reconstruction of Upper Limb Injuries in Southwestern Nigeria: Methods and Outcome
Authors: Michael Afieharo Igbigbia , Isamah Chinsunum Peace , Olawoye Olayinka Adebanji , Ademola Samuel Adesina , Iyun Ayodele Olukayode , Aderibigbe Rotimi Opeyemi , Ugwu Ifeanyichukwu Chinedum , Oluwatosin Odunayo Moronfoluwa 
Published: September 2024

Abstract

Introduction:
Upper limb injuries requiring soft tissue coverage are common in our environment. These reconstructions provide protection for vital structures and enable tendon gliding. Despite the frequency of these, there is a lack of data on the scope of soft tissue reconstruction and outcomes in our subregion.

Objectives:
To demonstrate the scope and outcome of soft tissue reconstruction of upper limb injuries, we conducted a study at a major plastic surgery service in Southwestern Nigeria.

Materials and Methods:
This study employed a cross-sectional analytic approach, focusing on all patients with upper limb injuries requiring soft tissue reconstruction between April 2022 and March 2023.

Results:
During the study period, a total of 49 patients underwent soft tissue reconstruction for upper limb injuries, with a mean age of 36.4 ± 11.3 years. The majority were male (n = 40, 81.6%). The methods of reconstruction included flaps (51%, n = 25) of cases, direct closure (36.7%, n = 18), and skin grafting (12.3%, n = 6). Among flap options, local flaps were utilized in 48% (n = 12), regional flaps in 32% (n = 8), and distant flaps in 20% (n = 5). The median time from injury to surgery, surgery to discharge, and length of hospital stay are 6 days, 6 days, and 13 days, respectively. Patients undergoing local flaps had a shorter injury-to-surgery time compared to those receiving regional and distant flaps (P = 0.026). Patients undergoing skin grafting, regional flaps, and distant flaps experienced longer hospital stays compared to those with direct closure and local flaps (P = 0.000). The in-patient complication rate was 14.3%.

Conclusions:
The methods of soft tissue reconstruction for upper limb injuries in our institution include flaps, skin grafting, and direct closure.
Perception and Attitude of First-Time Mothers Towards Caesarean Section in Secondary Health Care Facility (A Mixed-Method Study)
Authors: Olalude Olajumoke Ayisat , Lawal Olatunji O. , Morhason-Bello Imran O. 
Published: September 2024

Abstract

Background:
Despite the global rise in caesarean section (CS), Nigeria has a CS rate of 2.8%, which is far below the World Health Organisation recommendation of 10%–15%. Primigravida and/or first-time mothers constitute a cohort of women who are prone to obstetric emergencies such as cephalo–pelvic disproportion and obstructed labour.

Objectives:
To evaluate the first-time mothers’ knowledge, perceptions, and attitudes towards CS.

Materials and Methods:
This was a mixed-methods study conducted among first-time mothers (primigravids >28weeks and first-time CS-delivered) at Adeoyo Maternity Teaching Hospital, Ibadan, using questionnaires that assessed knowledge and attitude for the quantitative aspect and in-depth interviews for the qualitative aspect using a structured topic guide. Responses from the quantitative aspect were analysed using STATA 15, and each participant’s level of knowledge was scored and categorised as: Good knowledge >70%, fair knowledge 50%–70% and poor knowledge <50%. Content analysis was done for the qualitative aspect, and emerging themes on perception and interpretation in CS were summarised and presented as results for interpretation.

Results:
About 275 mothers (178 pregnant and 97 CS-delivered) were sampled. Only a few (13.45%) of the participants had good knowledge with an equivocal attitude towards CS. The majority (84%) believed that CS helped in saving lives. Also, there was a statistically significant difference between their knowledge and their educational level, occupation, religion, ethnicity, and family income (P < 0.05). The multinomial regression showed that gainfully employed Christian women significantly had more fair and good knowledge than Muslims (RR = 2.01, 95% CI = 1.13–3.57, P = 0.017) (RR = 2.71, 95% CI = 1.23–5.95, P = 0.013).

Conclusion:
Only a small number of the participants had good knowledge, and their perceptions about CS varied. The attitudes of participants towards CS appeared mixed, as nearly equal proportions of participants had positive and negative attitudes. Hence, there is a need to increase advocacy, antenatal education, and counselling during antenatal clinic visits. Also, first-time mothers need to be put on insurance to reduce the burden of costs.
Surgical Site Infections: Prospective Study in a Medical College Teaching Hospital at Port Blair, India
Authors: Snehaa Kandregula , Rafi Nagma , Sanjeev Hosdurg , Mustaqim Shahina , Patil Nilesh , Kumar Abhay , Mehrotra Manju 
Published: September 2024

Abstract

Objectives:
Surgical site infections (SSIs) continue to be a prevalent and pervasive issue, contributing to healthcare expenditures, extended hospital stays, and significantly increased morbidity and death. The purpose of the current study was to evaluate the risk factors and prevalence of SSIs amongst patients undergoing various surgical procedures at a tertiary care facility in Port Blair, India.

Materials and Methods:
This prospective study was conducted at a tertiary medical college hospital setting in Port Blair, India, within the Department of Microbiology. The study was conducted from January 2018 to June 2018.

Results:
During the study period, 776 individuals underwent various surgeries, including both elective and emergency procedures. The total prevalence of the SSI rate during the study period was 12.88% (n = 776) based on the documentation of approximately 100 SSIs. Amongst these, 44% were associated with obstetrics and gynaecology surgery. The category of post-lower segment caesarean section (LSCS) stitch line had the greatest prevalence rate of SSIs (34 patients out of 175 developed infections; LSCS approximately 19.42% of these patients developed SSIs).

Conclusions:
In Indian adult patients undergoing any form of surgical procedure, the SSI prevalence was 12.88%. SSIs occurred more frequently after obstetrics and gynaecology operations. Following any type of surgery, patients who are women, younger, had emergency surgery, have diabetes, and require a lengthy hospital stay are more likely to experience SSIs. The most commonly encountered pathogens were Staphylococcus aureus and coagulase negative Staphylococcus.
Traditional African Festival Theatre and Children’s Agitation: Ogene Nkirika Festival of Nkwessi in Oguta LGA, Imo State, Nigeria
Authors: Uzondu Ifeyinwa 
Published: September 2024

It could be right to assert that some African festival theatres have not recognised the significance and strategic roles of children. The adult participants dominate the whole processes, giving children less prominent roles, which relegate them to mere passive audience. This has led to agitations, loss of interest and discontinuity in many cultures in Africa. Cultural festivals embody the belief system and general philosophy of a people, which could be handed over from generation to generation through inclusive practice. Suffice it to say that, it is in the middle childhood and early adulthood that the search for identity and respect for traditional values are inculcated. Using the observational, historical and analytical methods, this paper focuses on the place of children in Ogene Nkirika festival of Nkwessi community in Oguta Local Government Area (LGA) of Imo State, Nigeria. Ogene Nkirika (mock new yam festival) marks the commencement of the new yam cultural activities. It is the children’s version of the Omere Ife (New Yam festival). Hence, children in the community are clamouring for inclusion into the main festival. Findings have shown that many children have drifted from the core values of African cultures for lack of inclusion. The paper views that this lack of inclusion of children will continually dampen the sustenance of African cultures and values. It concludes and recommends that children should rather be integral part of the main festival, and not restricted to a fragment of it, as is the case of Ogene Nkirika.
Intususcepción ileocolorrectal. Un caso inusual.
Authors: Cabrera Bustamante German Ernesto , Carballo Federico , Farina Pablo , Guckenheimer Sebastián 
Published: September 2024

La intususcepción es una patología infrecuente en adultos y puede ocurrir tanto en intestino delgado como en colon. Su presentación atípica hace complejo el diagnóstico, ya que carece de síntomas específicos. Habitualmente se manifiesta por síntomas suboclusivos o trastornos de la defecación, acompañado de hematoquecia y mucus por el recto. El diagnóstico preoperatorio sigue siendo un desafío para el cirujano y el tratamiento óptimo de esta condición es controvertido según la literatura. En los adultos se debe efectuar la resección sin reducción conservando un margen quirúrgico cuando existe la sospecha de neoplasia maligna.
Se presenta un caso de intususcepción ileocecal hasta la ampolla rectal por un adenoma túbulo velloso con progresión maligna a adenocarcinoma invasor bien diferenciado. El caso fue diagnosticado preoperatoriamente mediante tomografía multislice de abdomen. Se practicó una resección quirúrgica mediante un abordaje laparoscópico convertido realizando una hemicolectomía derecha con ileotransverso anastomosis latero lateral isoperistáltica.
Climate Change Doom Communication From a Fear Appeal Perspective
Authors: De Graaf Janna , Bal Michèlle , De Wit John , Stok Marijn 
Published: September 2024

In the context of climate change communication through mass media, doom framings emphasising negative consequences have become prevalent. While these framings hold the potential to influence both adaptive (such as sustainable intentions) and maladaptive responses (such as resistance), their specific effects in the context of climate change remain unclear. In two experimental studies (N = 154; N = 368), we examined the impact of high-threat communication compared to low-threat communication on a wide range of responses aimed at addressing climate change. No differences were found between high-threat and low-threat communication on adaptive responses (i.e., intentions, acceptance of policies, and motivation) or maladaptive responses (i.e., climate change scepticism, reactance, avoidance, rationalisation, or denial of guilt). The prolonged exposure to and frequency of climate change (doom) messages might be an explanation for why threat did not influence responses.
The Image of the Novosibirsk Region for Tourism and Recreation
Authors: Мытарева Е.А. , Черных С.А. 
Published: September 2024

Данная статья является результатом исследования туристско-рекреационного потенциала Новосибирской области, которое проводится авторами в течение нескольких лет. В статье рассматриваются определения понятия «туристско-рекреационный имидж», методологические подходы и практические возможности его использования в административно-территориальных образованиях Новосибирской области.
The Image of the Novosibirsk Region for Tourism and Recreation. P. 30. The article studies the tourist and recreational potential of the Novosibirsk region, discusses the definitions of the concept of "tourist and recreational image", methodological approaches and practical possibilities of its use in the districts of the Novosibirsk region.
MONDRAGON CORPORATION: CONTRIBUTION TO ECONOMIC AND SOCIAL DEVELOPMENT
Authors: Соловьёва В.Н. , Железова Т.А. 
Published: September 2024

В данной статье анализируется деятельность крупнейшей бизнес-группы в Баскском регионе Испании – Корпорации MONDRAGON. Эта кооперативная группа сосредоточилась на своих корпоративных ценностях сотрудничества, участия, социальной ответственности и инноваций. Данные мирового кооперативного монитора свидетельствуют об огромном потенциале корпорации. Несмотря на кризисы в мировой экономике, MONDRAGON сохраняет первенство более десяти лет в рейтинге ТОП-10 «Промышленность и коммунальное хозяйство». Цель исследования – определить вклад корпорации в экономическое и социальное развитие. Задачи исследования: рассмотреть эффективность хозяйственной деятельности корпорации, ее бизнес-модель, гарантирующую прозрачное принятие решений, эффективное управление и подотчетность для всех участников, актуальность проблемы сохранения приверженности кооперативным ценностям, реализацию на практике целей устойчивого развития. В процессе исследования авторами использовались методы сбора данных, предусматривающие обработку, обобщение и интерпретацию полученных данных, аналитический, графический и табличный методы. На основании проведенного исследования сделаны выводы о вкладе корпорации MONDRAGON в экономическое и социальное развитие общества и возможности использования опыта работы корпорации в кооперативных организациях различных типов.
This article analyzes the activities of the largest business group in the Basque region of Spain, the MONDRAGON Corporation. This cooperative group has focused on its corporate values of collaboration, participation, social responsibility and innovation. The data of the World Cooperative Monitor testify to the huge potential of the Corporation. Despite the crises in the global economy, MONDRAGON has retained its leadership for over 10 years in the TOP-10 Industry and Utilities rating. The purpose of the study is to determine the Corporation's contribution to economic and social development. Research objectives: to consider the efficiency of the Corporation's economic activities, its business model, which guarantees transparent decision-making, effective management and accountability for all participants, the relevance of the problem of maintaining commitment to cooperative values, and the practical implementation of the Sustainable Development Goals. In the course of the study, the authors used data collection methods that include processing, summarizing and interpreting the data obtained, analytical, graphical and tabular methods. Based on the study, conclusions were drawn about the contribution of the MONDRAGON Corporation to the economic and social development of society and the possibility of using the experience of the Corporation in cooperative organizations of various types.
An integrative review of parent-partnerships within neonatal care facilities in low- and lower-middle-income countries
Authors: Coghlan Tom , Mills Tracey , Bedwell Carol 
Published: September 2024

Background: Neonatal deaths in low-income countries account for a disproportionate percentage of all-mortality rates of children under 5. Parental-participation in neonatal care has been proven to improve outcomes for key developmental factors that influence morbidity and mortality of infants.
Objectives: This review aims to explore the current models of parent-partnership used in neonatal care facilities and identify factors that influence effective utilisation in low-resource nations.
Methods: This Integrative Review was performed by searching the databases of CINAHL, Medline and Global Health. The search was conducted using key-terms relating to Neonatology, Kangaroo Mother Care and Parent-Partnerships. Papers published between 2011 and 2021, from lower- and lower-middle-income countries, were included.
Results: The search identified 336 publications. Following screening and full-text review, 24 studies were identified that satisfied the inclusion criteria. Data were quality-appraised using the Mixed-Methods Appraisal Tool and extracted utilising the framework described by Whittemore and Knafl.
The analysis produced nine key themes – KMC as the predominant model of parent-partnership; the positive impact parent-partnerships have upon infants; the positive impact for parents; positive impact for nursing staff; enabling and limiting factors that influence implementation; pre-existing social and cultural barriers; task-sharing between staff and family; and how education influences perceptions.
Conclusions: Economic, social and cultural factors have been identified that strongly influence and inhibit the widespread use of parent-partnerships in neonatal care facilities. KMC is the predominant model of parent-partnership. A future or adapted form of healthcare in these facilities should include a structured approach of education, empowerment, enhanced male and community involvement that simultaneously accommodates to the psychosocial needs of the family unit.
Cross-functional team collaboration in agile product development
Authors: Temitope Oluwafunmike Sanyaolu  , Adams Gbolahan Adeleke  , Christianah Pelumi Efunniyi  , Lucy Anthony Akwawa  , Chidimma Francisca Azubuko  
Published: September 2024

Cross-functional team collaboration is a cornerstone of Agile product development, where diverse skill sets and perspectives converge to drive innovation and accelerate time-to-market. Agile methodologies prioritize adaptability, customer-centricity, and iterative progress, all of which are enhanced by effective cross-functional teamwork. This review explores the impact of cross-functional collaboration on Agile product development, highlighting its role in improving communication, enhancing problem-solving, and fostering a culture of continuous improvement. In Agile environments, cross-functional teams typically consist of members from various disciplines, such as engineering, design, marketing, and quality assurance. This diversity enables a holistic approach to product development, where different viewpoints contribute to more robust decision-making and innovative solutions. The collaborative nature of these teams ensures that potential issues are identified and addressed early in the development cycle, reducing the risk of costly delays or rework. Moreover, cross-functional collaboration in Agile fosters transparency and accountability, as team members work closely together to achieve shared goals. Regular stand-up meetings, sprint reviews, and retrospectives facilitate open communication and allow for real-time feedback, ensuring that the team remains aligned with the project’s objectives. This approach also empowers team members to take ownership of their contributions, leading to higher levels of engagement and productivity. However, the success of cross-functional collaboration in Agile product development is not without challenges. Differences in communication styles, conflicting priorities, and varying levels of experience can create friction within teams. To mitigate these challenges, organizations must invest in fostering a collaborative culture, providing training on Agile practices, and implementing tools that support seamless communication and project management. In conclusion, cross-functional team collaboration is integral to the success of Agile product development. By leveraging the strengths of diverse teams and fostering a culture of continuous improvement, organizations can enhance their ability to deliver high-quality products that meet customer needs. As Agile methodologies continue to evolve, the emphasis on cross-functional collaboration will remain a critical factor in driving innovation and achieving business success.
Keywords: Cross-Functional Teams, Agile Product Development, Collaboration, Innovation, Iterative Progress, Communication, Continuous Improvement.
The effectiveness of gap analysis in agile product development lifecycles
Authors: Temitope Oluwafunmike Sanyaolu  , Adams Gbolahan Adeleke  , Christianah Pelumi Efunniyi  , Lucy Anthony Akwawa  , Chidimma Francisca Azubuko  
Published: September 2024

Gap analysis is a strategic tool used to identify discrepancies between current performance and desired outcomes. In the context of Agile product development lifecycles, it plays a crucial role in aligning product deliverables with business goals and customer expectations. This review examines the effectiveness of gap analysis in Agile environments, focusing on how it enhances product development processes, drives continuous improvement, and facilitates strategic decision-making. In Agile product development, gap analysis involves assessing the difference between the current state of a project and the targeted objectives. This process helps teams identify areas where performance falls short, opportunities for enhancement, and potential risks. By integrating gap analysis into Agile sprints and retrospectives, teams can make data-driven decisions to address inefficiencies and align their efforts with evolving market demands. The effectiveness of gap analysis in Agile lies in its ability to provide actionable insights and foster a culture of continuous improvement. Agile methodologies emphasize iterative progress and adaptability, making it essential to regularly evaluate and address gaps in performance. Gap analysis enables teams to pinpoint specific issues, such as deviations from user requirements or technical constraints, and implement corrective actions in a timely manner. This proactive approach enhances product quality, reduces time-to-market, and ensures that the final product meets customer expectations. However, the application of gap analysis in Agile also presents challenges, including the need for accurate and timely data, potential resistance to change, and the risk of focusing too narrowly on identified gaps. To maximize its effectiveness, teams should integrate gap analysis with other Agile practices, such as user feedback loops and continuous integration, and maintain flexibility to adapt their strategies as needed. In conclusion, gap analysis is a valuable tool for enhancing the effectiveness of Agile product development lifecycles. By systematically identifying and addressing performance gaps, teams can improve their alignment with business objectives, deliver higher-quality products, and drive ongoing innovation. The integration of gap analysis into Agile practices supports a more responsive and adaptive approach to product development.
Keywords: Gap Analysis, Agile Product Development, Continuous Improvement, Performance Assessment, Strategic Decision-Making, Iterative Progress.