bluuebunny/crossref_metadata_2025_split huggingface dataset:
« De l’arbre au radiateur » : vers de nouveaux opérateurs énergétiques territoriaux ?
Authors: Lepin Nicolas , Maillefert Muriel 
Published: December 2022

Dans le contexte énergétique et climatique actuel, de nouveaux opérateurs énergétiques territoriaux émergent, proposant une approche innovante de la production et de la gestion de l’énergie. Nous nous intéressons ici au cas des acteurs de la chaleur renouvelable au sein des territoires ruraux, et interrogeons leur capacité à contribuer à transformer le système énergétique. À partir du cas de la SCIC ERE43, nous mettons en évidence la dimension innovante de l’opérateur, à la fois sur le plan organisationnel et technique. Fortement ancré à son territoire, il active le bois local comme ressource énergétique en construisant des circuits-courts bois-énergie, « de l’arbre au radiateur », visant à intégrer les différentes parties prenantes au sein d’une gouvernance coopérative. Nous analysons ensuite le changement d’échelle, tant sur le plan de la taille de l’activité, que sur le plan social et spatial. Nous montrons les enjeux auquel fait face la coopérative à l’échelle organisationnelle (risques de dégénérescence coopérative), présentons la logique d’essaimage qui se structure à l’échelle nationale, avec la naissance de nouveaux opérateurs réinterprétant le modèle d’ERE43 en fonction de leurs spécificités. Regroupés au sein du collectif « Chaleur Bois et Territoire » et en lien à l’association Énergie Partagée, ces acteurs doivent structurer leur stratégie de changement d’échelle, qui conditionne la diffusion de leurs pratiques ainsi que leur impact sur l’évolution du modèle énergétique.
Déconstruire la nucléarité après le démantèlement d’une centrale : le cas de Fessenheim (France)
Authors: Erné-Heintz Valentine 
Published: December 2022

Cet article porte sur un cas concret, celui de la centrale nucléaire de Fessenheim (France). Après l’arrêt des deux réacteurs en 2020, un Projet d’Avenir du Territoire a été élaboré au moyen d’une structure créée ex-nihilo dont l’objectif était de définir des actions pour une transition territoriale. Cet article pose la question suivante : le processus mis en œuvre lors d’un démantèlement d’une centrale est-il un facteur facilitateur d’un dépassement de l’identité nucléaire du territoire ? Nos propos s’organisent en deux temps : nous montrerons que le processus mis en œuvre recherche l’efficacité de l’action publique en répartissant les différents axes à mener pour rendre plus légitime une certaine idée de la transformation du territoire. Ensuite, nous verrons que l’irruption de certaines tensions autour de la gestion de l’aval du cycle nucléaire démontre la difficulté à dépasser l’identité nucléaire du territoire.
A Study of Patient’s Perspectives Regarding the Adequacy of the Informed Consent Process before a Caesarean Section
Authors: Verma Mayuri , Rajaratnam Annie 
Published: December 2022

Background:
A better diagnosis, early referral, and greater health-care coverage have increased cesarean deliveries at tertiary care hospitals in India. While most cesareans are done in good faith, it does not escape the purview of consumer awareness and protection. Our study aims to audit the awareness, understanding, and adequacy among patients about informed consent (IC) before cesarean sections.

Materials and Methods:
This was a cross-sectional study. A detailed questionnaire was given to 150 postcesarean patients from July 2016 to July 2017. The questionnaire was then evaluated, and the inference was drawn based on the patients’ answers.

Results:
About 84.6% of patients knew the exact indication. About 79.3% were well explained the procedure. Ninety-six percentage were satisfied with the outcome of the procedure. Eighty-four percentage preferred the same institute for their subsequent delivery. Twelve percentage reported that consent was forcibly taken. Ninety-four percentage were unaware about the intraoperative complications. Only 4.6% were explained about the preferred mode of delivery for the next pregnancy. Ninety-two percentage wanted a vaginal delivery for the subsequent pregnancy.

Conclusion:
Thus, an adequate IC during antenatal visits brings about awareness about the risks and complications of cesarean section and helps better decision-making.
18F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography Interpretation Criteria for the Assessment of Therapeutic Response in Patients with Advanced Stage of Lung Cancer
Authors: Mazzoletti Angelica , Gazzilli Maria , Albano Domenico , Giubbini Raffaele , Bertagna Francesco 
Published: December 2022

Aim:

18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG-PET/CT) is useful in the evaluation of lung cancer (LC), both for staging and therapy assessment. However, for the evaluation of treatment response, shared criteria are not available. We proposed a 3-point score, similar to Deauville-score and compared its diagnostic accuracy with Hopkins criteria for the evaluation of treatment response in LC to validate a qualitative and simpler interpretation system.

Methods:
We retrospectively included 93 patients with advanced stage (III-IV) LC who underwent 18F-FDG-PET/CT after first-line treatment. Positron emission tomography/computed tomography (PET/CT) scans were interpreted according to a 3-point scale-like Deauville score criteria (score 1 = uptake lower than blood-pool activity; score 2 = uptake higher than blood-pool but lower than liver activity; score 3 = uptake higher than liver). Inter-reader variability was assessed using percent agreement and kappa statistics. Kaplan–Meier plots with a Mantel-Cox log-rank test were performed, considering death as the endpoint.

Results:
The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of like Deauville-like score criteria were 82,76% (95% confidence interval [CI] 70.5%–91.4%), 80% (95% CI 28.3%–99%), 97.9% (95% CI 89.2%–99.6%), 28.6%(95% CI 16.38%–44.9%), and 82.5% (95% CI 70.9–90.9%), respectively. Applying Hopkins criteria score we obtained sensitivity, specificity, PPV, NPV, and accuracy of 81% [95% CI 68.6%–90.1%), 100% (95% CI 47.2–100%), 100% (95% CI %), 31.3% (95% CI 21.0%–43%), and 82.5%(95% CI 70.9%–90.9%), respectively. There was a high agreement between the two readers both using Hopkins criteria (k = 0.912) and like-Deauville-score criteria (k = 0.956). Applying 3-point-scale criteria, patients with positive PET/CT after therapy had significantly shorter lower survival (P = 0.0021).

Conclusion:
The application of 3-point scale criteria for posttherapy assessment in patients with advanced stage of LC represents an easy and reproducible method with optimal inter-observer agreement and great PPV and accuracy.
Compression of 99mTc Methylene Diphosphonate Bone Scan Images using Discrete Cosine Transformation
Authors: Pandey Anil Kumar , Yadav Priya , Chaudhary Jagrati , Sharma Param Dev , Jaleel Jasim , Patel Chetan , Bal Chandra Sekhar , Kumar Rakesh 
Published: December 2022

Aims and Objectives:
The objective of this study was to find the optimum value of threshold for compression of 99mTc-methylene diphosphonate (MDP) bone scan images using discrete cosine transformation (DCT).

Materials and Methods:
DCT was applied to 51 99mTc-MDP bone scan images and then the image of logarithmic value of DCT coefficients was inspected to determine the threshold. After inspecting the number of images of DCT coefficients, we estimated the appropriate value of the threshold to be 10. After the application of threshold = 10, compressed image was reconstructed by applying the inverse DCT. Compression factor was calculated by dividing the nonzero element after thresholding to the nonzero element before thresholding DCT coefficients. Nuclear medicine physicians compared the compressed images with its input images and labeled them as acceptable or unacceptable. During comparison of input and compressed images, we considered points such as smoothening, blocking artifacts, body contour, gap between closely placed lesions, and detectability of lesion.

Results:
Forty-four compressed images (out of 51 images) obtained at threshold 10 were acceptable to Nuclear Medicine Physician (NMP). Compressed images were less noisy compared to its input image. Compression factor was found to be 13.03 ± (minimum = 2.71, maximum = 42.92).

Conclusion:
The optimum value of threshold for compression of 99mTc-MDP bone scan images was found to be 10, and the average compression factor achieved was equal to 13.03 (92.30%).
Renal Dynamic Image Compression using Singular Value Decomposition
Authors: Chaudhary Jagrati , Pandey Anil Kumar , Sharma Param Dev , Patel Chetan , Kumar Rakesh 
Published: December 2022

Aims and Objective:
The objective of this study was to evaluate the compression of renal dynamic (RD) study images using singular value decomposition (SVD) technique.

Materials and Methods:
4600 images of fifty RD study were compressed by using SVD technique. Two Nuclear Medicine (NM) Physicians compared compressed images with their corresponding input images and labeled these as acceptable or unacceptable. The SVD computation time and compression ratio were calculated for each image. The quality of compressed image was also assessed objectively using the following image quality metrics: Error, structural similarity (SSIM), Brightness, global contrast factor, contrast per pixel (CPP), and blur. The error in split function (i.e., the error between split function calculated from compressed image and split function calculated from original image) was computed for every RD study. Wilcoxon signed-rank test with continuity correction was applied to find a statistically significant difference in ROI counts on compressed and original image at.

Results:
As per NM physicians compressed image frames look identical to the original image frames. Objectively the compressed images were brighter, less noisy, and also have better CPP. Based on the visual assessment, time activity curve generated from original and compressed image frames was identical. There was insignificant difference of ROI counts between the input and compressed image frames of 99m-Tc LLEC RD Study. There was no significant difference between the split renal function estimated from original and its compressed RD study. The average SSIM value, average compression ratio, and SVD computation time were found to be 0.7521, 1.475, and 0.1200.

Conclusions:
Visually, compressed image was identical to the original image. The percentage compression achieved was found to be up to 58% (compression factor achieved = 1.57). The SVD computation time was approximately 0.12 s for 64 × 64 matrix size image frame.
Comparison of Block Characteristics in Continuous Spinal Anesthesia and Continuous Epidural Anesthesia for Lower Limb Orthopedic Surgeries
Authors: Shah Pratibha Jain , Shah Ketan , Vipul Nikita , Agrawal Pratiksha 
Published: December 2022

Background:
Continuous epidural anesthesia (CEA) is commonly used in routine practice even though it needs a higher dose of local anesthetics (LA) and is sometimes associated with a patchy or unilateral block. Despite advantages, continuous spinal anesthesia (CSA) is underutilized because of concern related to infection and postdural puncture headache. Our aim was to compare the block characteristics and hemodynamic changes following CSA and CEA in lower limb orthopedic surgeries.

Materials and Methods:
After approval from the Institutional Scientific and Ethics Committee and Registration with (Clinical Trials Registry of India/2021/02/031575), a prospective, double-blind, randomized study was conducted in 144 patients, American Society of Anesthesiologists I-II, aged 18–65 years, scheduled for lower limb orthopedic surgeries. Patients were randomly divided into two groups according to anesthesia technique used (n = 72), i.e., Group CSA and Group CEA. Block characteristics, hemodynamic variables, intraoperative LA requirement, and complications were recorded.

Results:
Demographic and surgical data, grade of sensory and motor blockade, and incidence of complications were comparable in both the groups. Induction time was significantly shorter in CSA (8.14 ± 0.88 min vs. 15.75 ± 3.29 min, P < 0.0001). Performance time (5.31 ± 0.92 min vs. 4.92 ± 1 min; P = 0.008), duration of blockade (68.3 ± 4.23 min vs. 65.54 ± 4 min; P < 0.0001), and analgesia (230.48 ± 40.76 min vs. 222.86 ± 39.79 min; P = 0.024) were significantly longer in CSA. A significant fall in diastolic blood pressure and mean arterial pressure occurred in CEA. LA requirement was significantly lower in CSA (11.62 ± 2.5 mg vs. 65.35 ± 7.71 mg; P < 0.00001).

Conclusions:
Considering shorter induction time, prolonged sensory blockade, and analgesia with greater hemodynamic stability, CSA could be preferred over CEA for lower limb orthopedic surgeries.
Endotracheal Tube Cuff Pressure Changes with Pneumoperitoneum and Steep Head Down Position in Patients Undergoing Robotic Urogynecological Surgeries – A Prospective Observational Study
Authors: Meghana Nagarapu Divya , Bharadwaj Manoj Kumar , Goel Nitesh , Shukla Seema 
Published: December 2022

Background:
The abdominal insufflation in the laparoscopic surgery has been reported to result in an increase in endotracheal tube (ETT) cuff pressure (Pcuff). However, the effect of Trendelenburg, lithotomy and pneumoperitoneum on the ETT Pcuff in robotic urogynaecology surgeries are not well established.

Aim:
Analyse the changes in ETT cuff pressure during robotic urognaecological surgery.

Primary Objective:
1. The changes in ETT cuff pressure after creation of pneumoperitoneum. 2. The changes in ETT cuff pressure after change in position of the patient.

Secondary Objectives:
1. To correlate the changes in ETT cuff pressure with airway pressure. 2. To correlate the changes in ETT cuff pressure with BMI.

Methods:
Sixty patients undergoing elective robotic urogynaecology surgeries were enrolled in the study. ETT Pcuff during different time points was measured and analysed. Also, the change in ETT Pcuff was correlated with the airway pressure (Paw).

Results:
The difference in ETT Pcuff, before and after lithotomy, pneumoperitoneum and the Trendelenburg position were 1.1 ± 0.7 cmH2O, 4.6 ± 1.0 cmH2O and 1.8 ± 0.8 cmH2O respectively and were statistically significant (probability: P < 0.05). Results obtained after reversing patient position from Trendelenburg position to supine, abdominal deflation and from lithotomy to supine respectively were -2.2 ± 1.4 cmH2O, -4.1 ± 1.0 cmH2O and -0.4 ± 0.8 cmH2O respectively (P < 0.05). The Karl Pearson coefficient of correlation (r) between Pcuff and Paw after lithotomy, pneumoperitoneum, and Trendelenburg position respectively were 0.606, 0.661 and 0.309. Freidman's nonparametric repeated-measures analysis of variance (ANOVA) was used to analyze differences between related Pcuff values over different time points. Overall P value was significant (P < 0.00001).

Conclusion:
An increase in ETT cuff pressure is seen in robotic laparoscopic surgeries after abdominal insufflation, Trendelenburg position and lithotomy position.
National government measures related to COVID-19 in Argentina: vulnerable populations, participation and mental health
Authors: Bang C. , Misischia B. , Ussher M. , Bottinelli M. M. , Nabergoi M. , Granja G. 
Published: December 2022

In March 2020, the first case of coronavirus was registered in Argentina and care measures were adopted. From different spaces, research initiatives emerged addressing various problems related to this pandemic. In this framework, a working group was formed to develop a network research project: “COVID-19, Health and social protection: contributions from territorial care practices for the strengthening of comprehensive community mental health policies in the new postpandemic scenarios.” Its main objective is to describe the practices and experiences of health/mental health care developed by territorial actors, analyzing their articulation with government measures during the year 2020. The methodology used is exploratory descriptive, founded on the triangulation of sources, instruments and qualitative quantitative indicators, based on the systematization of practices and experiences of territorial actors and the analysis of their relationship with national, provincial and local public policies.Various publications indicate that populations in situation of vulnerability are more exposed in relation to their health/mental health and it has also been analyzed that social participation is a central component in Community Health and constitutes, in cases of greater vulnerability, a condition to ensure survival.This article characterizes the national government measures related to COVID-19 in Argentina, with respect to these populations, and analyzes those that make explicit reference to social participation.
Exploring Factors that Serve as Predictors for Mathematics and Sciences Pre-Service Teachers to Use ICT in Teaching
Authors: Mosia Moeketsi , Matabane Mogalatjane Edward 
Published: December 2022

While the importance of incorporating technology in teaching and learning is acknowledged by several scholars, there are still serious challenges in using technology to enhance the teaching and learning of science and mathematics. In this quantitative study, the technological, pedagogical content knowledge (TPACK) framework was used to analyse factors that serve as predictors for pre-service mathematics and science teachers to use technology effectively in their teaching. The sample for this study consisted of 416 final year Bachelor of Education students from two South African universities. The sample included 243 (54%) females and 175 (42%) males. Questionnaires were used to collect data. The results of the study show that the content knowledge (CK), pedagogical knowledge (PK), pedagogical content knowledge (PCK), technological content knowledge (TCK) and technological pedagogical knowledge (TPK) were the significant predictors for pre-service teachers to incorporate technology in their mathematics and science classrooms.
The Effect of Organizational Communication and Work Environment on Employee Performance at PT. Kencana Sawit Indonesia (KSI)
Authors: Afriyeni Afriyeni , Sari Intan Permata 
Published: December 2022

The porpuse of this research is to examine the directives of organizational communication and work environment variables on employee performance at PT. Kencana Sawit Indonesia (KSI). The data was collected by distributing questionnaires to 50 respondents using a saturated sampling technique, where all members of the population were sampled, using multiple linear regression testing with the help of the SPSS application. The results of the study indicate that organizational commucation has a positive and significant effect on employee performance. The work environment has a positive and significant effect on employee performance
Hubungan Pengetahuan dan Sikap Perawat Dengan Pelaksanaan Metode Model Praktik Keperawatan Profesional (MPKP) di Tuang Rawat Inap Salah Satu Rumah Sakit Swasta Yogyakarta
Authors: Agustin Clara , Sri Oktri Hastuti Agustina , Marti Eva 
Published: December 2022

Latar belakang : Model Praktik Keperawatan Profesional ( MPKP) adalah suatu sistem (struktur, proses dan nilai-nilai profesional), yang memfasilitasi perawat profesional, mengatur pemberian asuhan keperawatan, termasuk lingkungan tempat asuhan tersebut diberikan.
Tujuan : mengetahui hubungan antara pengetahuan dan sikap perawat dengan metode Model praktik keperawatan profesional di ruang rawat inap Rumah Sakit Panti Rapih Yogyakarta.
Metode : Rancangan penelitian yang digunakan adalah penelitian korelasi dengan menggunakan pendekatan cross sectional. Pengambilan sampel dengan menggunakan total sampling. Populasi pada penelitian ini perawat yang bekerja di ruang rawat inap medical bedah Rumah Sakit Panti Rapih sampel penelitian ini berjumlah 66 perawat.
Hasil : diketahui bahwa pelaksanaan MPKP sebanyak 25,76 % ( 17 responden ) dengan kategori baik dan 74,24% ( 49 responden) dengan kategori kurang, sedangkan hasil tingkat pengetahuan perawat tentang MPKP sebanyak 18,18 % (12 responden) dengan kategori baik, 77,27 %(51 responden) dengan kategori sedang dan 4,55% (3 responden) dengan kategori kurang. Sedangkan hasil yang didapatkan dari sikap perawat sebanyak 63,64% (42 responden) kategori baik, 34,85 % (23 perawat) kategori sedang dan 1,52 % (1 perawat) kategori kurang. Hasil analisis bivariat terdapat hubungan antara pengetahuan perawat dengan pelaksanaan model praktik keperawatan profesional p value = 0,000 (p < 0,005), dan terdapat hubungan sikap perawat dengan pelaksanaan model praktik keperawatan profesional didapatkan hasil p value = 0,000 (p< 0,005).
Simpulan : terdapat hubungan antara pengetahuan perawat dengan pelaksanaan Model praktik keperawatan profesional ( p value 0,000) dan terdapat hubungan antara sikap perawat dengan pelaksanaan Model praktik keperawatan profesional (p value 0,000) di ruang rawat inap Rumah Sakit Panti Rapih Yogyakarta. Saran meningkatkan pengetahuan dalam pelaksanaan MPKP agar lebih baik lagi, salah satu cara untuk meningkatkan pengetahuan dengan banyak belajar, mengikuti pelatihan dan sosialisasi terkait dengan MPKP, sehingga menumbuhkan rasa tanggungjawab dalam pelaksanaan MPKP.
Implementasi Al-Mutaffifin Dalam Penerapan GCG Terhadap Pencegahan Kecurangan
Authors: Monalisa Natasha Sekar Ayu , Cahyana Alvinka Dewi , Djasuli Mohamad 
Published: December 2022

Islam mengajarkan bahwa manusia adalah makhluk sosial yang selalu terhubung dengan makhluk lain. Pada saat yang sama, manusia adalah khalifah yang memiliki amanah untuk memakmurkan kehidupan di muka bumi karena Allah SWT telah memberikan manusia kedudukan yang terhormat sebagai makhluk yang lebih mulia. Untuk menjadikan aktivitas manusia bernilai ibadah, manusia dapat melakukan aktivitas kehidupan dengan mengikuti nilai-nilai Islam yang terkandung dalam Al-Quran dan berpedoman sesuai yang diberikan oleh Rasulullah SAW dalam Sunnahnya. Dalam penelitian ini peneliti menggunakan jenis metode penelitian kualitatif deskriptif dimana cara kerjanya adalah peneliti menjadi instrumen penelitian tersebut untuk mengetahui bagaimana bertujuan untuk mengetahui implementasi Al-Mutaffifin dalam penerapan Good Corporate Governance terhadap pencegahan kecurangan. Sumber data yang digunakan peneliti dalam kajian implementasi Al-Mutaffifin dalam penerapan Good Corporate Governance terhadap pencegahan kecurangan adalah data primer, yaitu data yang diperoleh langsung dari responden sasaran penelitian dan data sekunder yaitu informasi yang membantu secara tidak langsung diperoleh data primer yang diperoleh dari sumber responden lain yang menjadi subjek penelitian. Dalam proses pengumpulan data dilakukan dengan teknik meliputi observasi dan wawancara.