bluuebunny/crossref_metadata_2025_split huggingface dataset:
Négocier les futurs d’un territoire nucléaire : le cas de La Hague
Authors: Gourain Youenn , Fassert Christine 
Published: January 2025

Cet article étudie les négociations sur l’avenir d’un territoire où prédomine la présence d’une usine nucléaire. Cet avenir est aussi remis en question par le projet d’extension de l’usine associé à l’implantation d’une piscine de stockage nucléaire qui stabilise l’identité industrielle du territoire aux dépens d’autres projections portées par d’autres acteurs. Nous interrogeons la conciliation et les frictions des projets de territoire issus d’acteurs variés (institutions publiques, maires, urbanistes, riverains, associations de lutte pour l’environnement, experts) ; ces projets concrets cohabitent plus ou moins avec l’usine déjà présente, ainsi le projet d’extension. L’analyse se découpe en trois temps : un premier explore l’insertion de l’usine nucléaire dans le territoire en montrant son enchâssement progressif dans ses différentes dimensions (sociales, économiques, matérielles, politiques). Un deuxième temps montre que des projets de territoire portant une vision alternative du territoire nucléaire émergent mais doivent composer avec l’usine dans le cadre d’une recomposition administrative du territoire. Enfin, un troisième temps questionne la cohabitation des projets dans un contexte de montée des incertitudes climatiques.
Comparing green customer citizenship attitudes and behaviours in South Africa and South Korea
Authors: Bisschoff Christo , Fullerton Sam 
Published: January 2025

Orientation: Green consumption is a popular topic of conversation and research. Green initiatives are characterised by considerations, attitudes and behaviours.Research purpose: This article compares Korean and South African customers on five constructs plausibly associated with green customer citizenship attitudes or behaviours.Motivation for the study: Korean consumers are favourably orientated to green consumerism and serve as valuable benchmark for South African consumers.Research design, approach and method: Independent samples of 513 consumers in South Africa and 292 consumers in South Korea responded to an invitation-only, Internet-based questionnaire that focussed on attitudinal and behavioural issues of green purchasing and green consumption.Main findings: Statistically significant differences exist on all five scales. The secondary data favoured South Korea from a green perspective; however, for all five constructs subjected to empirical scrutiny, the results from South Africa produced a significantly higher mean than what was in evidence in the sample of South Korean residents.Practical/managerial implications: South African consumers tend to possess a stronger green disposition (attitude) while concurrently embracing and engaging in anti-consumption, advocacy, consumer coaching and customer helping (behaviours) – all in a green context – more so than do their South Korean peers. This implies that local consumers value green initiatives and that businesses could capitalise on the favourable green consumer trend.Contribution/value-add: The study compares South Africa’s green attitudes and behaviour internationally. Also, a country benchmark will be established as a reference mark in future studies to determine if South Africa is progressing on green consumerism.
Divine aseity and the paradox of divine self-limitation
Authors: Antombikums Aku S. 
Published: January 2025

This article explores the paradox between the classical doctrine of divine aseity and the notion of divine self-limitation. Drawing from biblical narratives and theological concepts such as divine accommodation and kenosis, the article shows that God’s choice to enter into a temporal and relational interaction with creation affects God in such a way that God would not have been affected without the creation. Given the foregoing, open and relational theists conceptualised the notion of divine self-limitation in which, as a result of the creation and human libertarian freedom, God cannot maximally exemplify his great-making properties upheld in traditional theism. I argued in this article that although God seems to become vulnerable because of the act of creation, He nevertheless remains a se because He is not only the source of his existence, but the creation of significant others could not cause God to lose his essential attribute of independence. Therefore, God is still omnipotent, omniscient, eternal, immutable and the like because the possession of these divine attributes does not rule out the possibility that God can enter into a temporal relationship with the creatures. Divine self-limitation predicates real limitations of God contrary to the negating language of the Scripture and, therefore, undermines God’s Almightiness.Contribution: It is argued in this article that although it may be possible to speak about God’s vulnerability because of his act of creation, which seems like a hard choice because He is omniscient, a weaker version of divine aseity that ascribes real limitations to God is not viable.
Application of the International System for Reporting Serous Fluid Cytopathology in a Tertiary Care Center of North India
Authors: Rafey Mohd , Akhtar Kafil , Meraj Fatima , Ahmed Murad , Hassan Mohammad Jaseem 
Published: January 2025

Abstract

Background and Aim:
The International System for Reporting Serous Fluid Cytopathology was designed to standardize the reporting of serous fluid cytology, which we have applied for the reporting of serous fluid cytology in the present study.

Materials and Methods:
This retrospective study was conducted in the Department of Pathology, Jawaharlal Nehru Medical College, Aligarh Muslim University, from February 1st, 2021, to March 31st, 2023, on 966 cytospin smears of serous body cavity fluids from pleural, peritoneal, and pericardial cavity. The effusion findings were examined for gross morphological details, stained with hematoxylin and eosin and Papanicolaou stains, and reported according to The International System for Reporting Serous Fluid Cytopathology.

Results:
On review, 101 (10.5%) cases were in the nondiagnostic category, 682 (72.6%) cases were negative for malignancy, 31 (3.2%) cases were of atypia of undetermined significance, 41 (4.2%) cases were suspicious for malignancy, and 111 (11.5%) cases were malignant.

Conclusion:
The International System for Reporting Serous Fluid cytology for reporting serous fluid cytology is feasible and helpful for clinical correlation; it reduces interobserver bias and ultimately improves diagnostic yield, reproducibility, and standardization of serous body fluid cytology.
Self-esteem among Tertiary Institution Student-athletes in Ghana: Does Body Satisfaction and Body Composition Play Any Role?
Authors: Agbewu Emmanuella , Adams Caleb , Amoakoh Raymond , Akom Emmanuel , Baah Edmund Kwarteng , Deku Prince De-Gualle , Moses Monday Omoniyi 
Published: January 2025

Abstract

Background and Aim:
Although a study has shown that body image and body satisfaction of tertiary institution athletes (TIAs) play vital roles in their self-esteem during and after the academic environment, further study will provide evidence. This study establishes the role of body composition and body satisfaction on the self-esteem of TIA in Ghana.

Materials and Methods:
A descriptive study design was adopted. Three hundred and ninety-seven TIA (mean age = 22.70 ± 3.07, 244 [61.5%] males and 144 [36.7%] females) were recruited. Sports disciples of the participants are Athletics (54, 13.6%), Badminton (38, 9.6%), Football (88, 21.9%), Handball (77, 19.4%), and Volleyball (60, 15.2%). The Body-Esteem Scale for Adolescents and Adults and the Rosenberg Self-Esteem Scale were administered to measure body satisfaction and self-esteem, respectively. Body mass index (BMI), visceral fat, muscle mass, and percentage of body fat and weight were assessed.

Results:
There was an inverse relationship between body composition and body satisfaction (P > 0.05). Self-esteem had an inverse relationship with body fat (P = 0.001), positive with BMI (P > 0.05), and positive with body satisfaction (P = 0.003). TIAs with lower percentage of body fat had higher self-esteem.

Conclusion:
Self-esteem of TIAs in this study improves with reduced body fat, BMI, and increased body satisfaction. Sustainable lifestyle management techniques to reduce the body composition of TIAs are recommended.
Comparison between Fentanyl and Butorphanol as Epidural Adjuvants in Combined Spinal Epidural Anesthesia for Lower Limb Surgeries - A Prospective, Randomized Control Trial
Authors: Govindaswamy Sangeetha Gunasekaran , Chacko Robin Sajan , Thangarasu Krishna Prasad , Kalaiselvan Soundarya Priyadarshini 
Published: January 2025

Abstract

Background and Aim:
Additives are drugs that, when used with local anesthetic which increase the efficacy or potency of the action of other drugs. The purpose of this study was to improve the quality and duration of analgesia along with the dose-sparing effect with local anesthetics. We evaluated the quality, duration of analgesia, sedation, adverse effects, and hemodynamic stability of epidurally administered fentanyl and butorphanol when combined with bupivacaine.

Materials and Methods:
This study was a prospective, randomized control study conducted among 46 patients undergoing elective and emergency lower limb surgery with combined spinal-epidural (CSE) anesthesia with bupivacaine. They were divided into two groups receiving either fentanyl or butorphanolas adjuvants. Hemodynamic parameters were monitored intraoperatively and postoperatively. Sedation score, pain score, and time interval for the rescue analgesia were observed.

Results:
The butorphanol group had better hemodynamic stability (pulse rate, systolic blood pressure (BP), diastolic BP, mean arterial pressure, and respiratory rate), significantly lower pain scores, and significantly higher mean time for the requirement of rescue analgesia while fentanyl provided adequate sedation. Nausea was reported in some cases among the butorphanol group.

Conclusion:
Considering the hemodynamic stability and reduced pain scores, butorphanol can be preferred over fentanyl as an adjuvant to bupivacaine in CSE anesthesia.
Double Perforations in the Gut of a Child Following Magnet Ingestion
Authors: Thandar Paromita , Pal Pradyumna , Majumder Kaustav , Halder Pankaj Kumar 
Published: January 2025

Abstract
Magnet ingestion is a common incidence in the pediatric age group. Patients with single-magnet ingestion are managed conservatively; however, they need careful observation and sometimes endoscopic evaluation or surgical removal, especially for multiple magnets. The surgeons often found themselves on the horns of a dilemma if history contained incomplete or inaccurate information. Moreover, two attached magnets may appear as a single foreign body in an X-ray. Delayed intervention often leads to bowel obstruction, perforation, and peritonitis. Here, we present the management strategy of double perforation of the gut due to the ingestion of two magnets in a 7-year-old boy.
Social Media as a Tool for Oral Health Education in Early Childhood and Adolescents: Opportunities and Challenges
Authors: Antala Aishwarya V , Kariya Pratik B. 
Published: January 2025

Abstract
In this modern world, newer generation is always connected to the Internet with social media; they live in their own virtual world and are more comfortable there. To reach them is a difficult task for parents as well as teachers and health-care providers. Without proper guidance, the oral hygiene care and oral health can decrease significantly. In these children, the oral health education can be imparted through social media. Social media has a marked influence among its users. Hence, with its help, the awareness can be delivered to a greater number of individuals than delivering manually. Social media is also a double-edged sword. Its judicious use will certainly help one, but the content of it has to be validated thoroughly. Studies have shown that increased usage of smartphones among kids and teens has contributed to the increased growth of social media usage patterns and rates among older children during the recent years. Most kids using smartphones are always connected to the Internet and are addicted to these social media platforms. Artificial intelligence (AI) and AI-based chatbots are also useful in spreading oral health awareness among people. All these have led to reduced face-to-face communication and more FaceTime communication. The impact of social media is more among children; hence, it can be used as a tool in education and improvement of oral health status in children.
Perception of Clinical Teachers on Workplace-based Assessments in Post-graduate Training in a Tertiary Healthcare Setting: A Qualitative Study
Authors: Shaikh Rizwana Burhanuddin , Andanigoudar Kashavva B. , Joshi Anjana R. 
Published: January 2025

Abstract

Background and Aim:
Workplace-based assessment (WPBA) has become an essential part of postgraduate (PG) evaluation in many countries and India is catching up soon. The objective of the study was to assess the awareness among clinical faculty about WPBA and to assess the perception of clinical teachers on the implementation of WPBA in PG training.

Materials and Methods:
A qualitative study with focus group discussions (FGDs) was conducted among faculty from all clinical subjects at a Government Medical College in Karnataka. A pretest was done on awareness of WPBA among the participants. An orientation session was then conducted on WPBA for clinical teachers. Within 2 weeks, the FGD was conducted using a moderator guide. Data were organized and categorized. Notes and recordings of the discussion were coded, summarized, and grouped into themes and sub-themes. Participant quotes that summarize the key ideas were noted, and the most common responses were also identified.

Results:
The majority of the participants were familiar with log books and case-based discussions and were not familiar with DOPS, mini CEX, clinical encounter cards, and the mini-peer assessment tool. Four major themes that emerged from the FGDs were: weaknesses in the present PG assessments, willingness and ways to adopt WPBA, challenges in implementing WPBA, and feedback.

Conclusions:
Faculty were enthusiastic about adopting WPBA in the PG CBME curriculum, the major challenges observed were insufficient time for assessments, inadequate faculty training, and insufficient institutional commitment. With the competency-based PG curriculum in the anvil, WPBA was identified as the need of the hour.
Reirradiation with or without Bevacizumab for Recurrent or Progressive High-grade Gliomas: A Systematic Review and Meta-analysis
Authors: Aleid Abdulsalam Mohammed , Al Omireen Razan Mohammed , Aljohani Ammar Mohammed , Alzahrani Nawaf Jamaan S , Sindi Mase Abdulrahman , Almohiy Nadiyah Hussain , Alzahrani Asayel Matar H , Alharbi Abdullah Ahmed , Alhmeid Sukaina Esmail , Alghamdi Sahar Abdulrahman H , Alsubhi Mohammed Ahmed 
Published: January 2025

Abstract

Background:
High-grade gliomas are amongst the most aggressive primary brain tumours. Despite multimodal treatment, the prognosis remains dismal, highlighting the urgent need for novel therapeutic strategies. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of reirradiation (reRT) alone versus the combination of reRT and bevacizumab (BEV) in the management of recurrent or progressive high-grade gliomas.

Methods:
A comprehensive literature search was conducted in PubMed, Web of Science, Cochrane Library and SCOPUS from 2010 to April 2024. Eligible studies enrolled adult patients with recurrent or progressive high-grade glioma treated with reRT, with or without BEV.

Results:
Eleven studies were included in the meta-analysis. The pooled analysis demonstrated that the combination of reRT and BEV was associated with significantly improved overall survival (hazard ratio [HR] =0.50, 95% confidence interval [CI] [0.35–0.72], P = 0.0001) and progression-free survival (HR = 0.42, 95% CI [0.28–0.63], P < 0.0001) compared to reRT alone. The combination therapy also significantly reduced the risk of radiation necrosis (odds ratio = 0.12, 95% CI [0.03–0.44], P = 0.001). No significant difference was found between the two groups regarding grade 3–5 toxicities.

Conclusion:
The combination of reRT and BEV appears to be superior to reRT alone in improving the survival outcomes and reducing the risk of radiation necrosis in patients with recurrent or progressive high-grade gliomas. The reRT-BEV combination should be considered a viable treatment approach for this population. Further research, particularly well-designed prospective trials, is warranted to confirm the optimal treatment protocols and patient selection criteria.
The Role of Surgical Drainage System in Risk Modulation of Infection in Abdominal Surgical Procedures: A Systematic Review Meta-analysis
Authors: Algheffari Jumana Raied , Almukhlifi Ayman Shabab Mohammed , Albeheiri Latifah Abdulrahman , Alahmadi Raghad Abdullah , Almohammedsaleh Montadhar Mohammed , Al Qasim Yousef Yahya Yousef , Alnowaisser Lajeen Nasser , Alresheedi Abdullah Marji , Alshareef Nouf Hassan , Alawad Fatema , Aldanyowi Saud Nayef 
Published: January 2025

Abstract

Background:
Undergoing circumcision, a surgical intervention, frequently leads to distressing pain and discomfort for individuals. Efficient pain management is vital in the context of circumcision, as patients often experience discomfort both before and after the procedure. To alleviate this pain, medical professionals utilise caudal nerve block and dorsal nerve block techniques, which target specific nerves to deliver relief. The primary goal of this study is to assess and compare the efficacy of these two methods in managing circumcision-related pain, thereby assisting healthcare providers in selecting the optimal approach tailored to their patients’ needs.

Materials and Methods:
A thorough search of four electronic databases was conducted (Cochrane Central Register of Controlled Trials, PubMed, Scopus and Web of Science) up until April 2024. We focused on identifying studies that assessed and compared the effectiveness of caudal nerve block versus dorsal penile nerve block (DNPB). We used the Risk of Bias 1 tool to evaluate the quality of evidence from these trials. The data from the studies we selected were systematically extracted and compiled into a standardised online spreadsheet, and the analysis was performed using RevMan 5.4.

Results:
The search process revealed relevant nine articles of total sample size (n = 553). Baseline characteristics showed no difference between the arms of each included study. Results of the meta-analysis showed a statistically significant difference favouring DNPB as it showed longer periods until analgesia rescue dose compared to caudal nerve block (mean difference = −58.94, 95% confidence interval [CI] [ −113.82, −4.06]) but with significant unsolved heterogeneity. In addition, regarding the number of analgesics use 24 h post-operative meta-analysis showed no statistically significant difference between both interventions pooled effect (risk ratio = 1.03, 95% CI [0.76, 1.41]) indicated by a P = 0.83. Data showed marked heterogeneity (P = 0.04 and I
2 = 64%) that could be solved by sensitivity analysis.

Conclusions:
This systematic review and meta-analysis provide insights into caudal and DNPBs’ effectiveness in circumcision pain management. Both methods are comparable, but dorsal penile block offers faster analgesia and earlier walking. These findings help clinicians choose the best technique based on patients’ needs and potential benefits.
Arthroscopic Technique versus Mini-open Repair of Rotator Cuff Tears: A Systematic Review and Meta-analysis
Authors: Alshammary Alya , Asiri Abdulelah , Fallatah Alaa , Almatrafi Abdullah , Ogran Mohammed , Alismail Rayan , Alsanad Faisal Abdullah , Alawad Fatema Hani , Aldanyowi Saud Nayef 
Published: January 2025

Abstract

Background:
Rotator cuff injuries, which often result in shoulder pain and impaired functionality, are prevalent conditions. In our comprehensive analysis, we intend to compare the outcomes of arthroscopic and open surgical approaches for addressing these rotator cuff injuries.

Materials and Methods:
To examine the efficacy of arthroscopy compared to open surgeries for rotator cuff injuries, we conducted a thorough search within four databases: Cochrane Central Register of Controlled Trials, PubMed, ScienceDirect and Web of Science, up to March 2024. To assess the quality of evidence from the trials, we employed the risk of bias tool. The data obtained from the relevant studies were then meticulously transferred into a uniform online format. Finally, we utilised RevMan 5.4 software for the analysis of this data.

Results:
Our search identified six records with a total number of patients of 532 patients. The analysis showed no statistically significant difference between the arthroscopic and open repair methods in terms of pain reduction and functional outcomes for rotator cuff tears. Heterogeneity was deemed insignificant at 6 months and 12–24 months – P = 0.24, I
2 = 29% and P = 0.47, I
2 = 0%, respectively. Regarding the University of California, Los Angeles (UCLA) score, meta-analysis of rate of patients achieving excellent/good showed no statistically significant difference between open or arthroscopy (risk ratio [RR] =1.01, 95% CI [0.90–1.14], P = 0.86) with no heterogeneity (P = 0.86, I
2 = 0%). Results of rate of patients achieved fair/poor (RR = 0.85, 95% CI [0.18–3.99], P = 0.84) with no heterogeneity among results (P = 0.87, I
2 = 0%).

Conclusion:
To sum up, this in-depth systematic review and meta-analysis, which included six studies with 532 participants, reveals that arthroscopic and open surgical repair methods show no significant disparities in aspects such as pain management, patient satisfaction, retear rates and the Constant score. Although some initial results pointed to a shorter operation time for open surgery, the overall findings do not prefer one method over the other. This research offers crucial guidance for both medical professionals and patients to choose the best-suited procedure according to their unique requirements and conditions.