Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.

Although much bibliometric research has been conducted to analyze publications on energy policy, a systematic investigation of the sustainability of nuclear energy use after the Fukushima nuclear accident is still lacking. Therefore, this study conducted a comprehensive bibliometric review of the sustainability of nuclear energy policy (NEP). This study discusses NEPs, highlighting their disadvantages; emerging research themes; and networks of the most productive authors, countries, journals, and institutions over the last 20 years (2002–2022). This timeframe was selected because of the Fukushima nuclear accident, which has been one of the largest environmental disasters in recent years. Bibliometric analysis was carried out by reviewing 1146 documents from the Scopus database using the keywords “energy policy” and “nuclear energy.” The OpenRefine software was used to deep-clean keywords with the same meaning, and VOSviewer was used to visualize them. The results show that over the past two decades, future research themes and trends in the study of NEP have focused on nuclear fuel, the Fukushima nuclear accident, risk perception, energy transition, and renewable energy. Bibliometric analysis has positively affected the development of NEP in countries that do not yet have nuclear power plants, such as Indonesia.

Lighting conditions in learning spaces can affect students’ emotions and influence their performance. This research seeks to verify the influence of classroom lighting on students’ academic performance under different conditions and measurement forms. The research method is based on the systematic review of research articles establishing case analyses characterizing lighting intensity and color temperature to determine ranges favorable to a higher level of attention and long-term memory. Also, this study shows relevant aspects of the cases representative of a sustainable solution and proposes a research model. The study found light intensity values between 350 and 1000 lux and color temperatures between 4000 and 5250 Kelvin that favor attention. Long-term memory reached the highest levels of measurement by analyzing different parameters sensitive to lighting conditions and questionnaires. In conclusion, it was demonstrated that an adequate light intensity and color temperature based on the greatest possible amount of natural light complemented with Light Emitting Diode (LED) light generates optimal lighting for the classroom, achieving energy efficiency in a sustainable solution and promoting student well-being and performance.

Gold nanoparticles (AuNPs) have been known to possess exceptional electric, biochemical, and optical characteristics and are ‘the topic of discussion’ these days, especially relating to the field of biomedicine. Several plants, bacteria, and fungi have been utilized for the generation of AuNPs, besides other physical and chemical methods. While some studies have been reported with gold nanoparticles, less are aimed at fungi and its optimization factors. These parameters can allow us to design AuNPs of our choice depending on the use. The present review focuses on and inspects AuNPs with green synthesis through fungus optimization parameters followed by applications, aiming specifically at their antibacterial activity. Their antibacterial characteristics can open new doors for the pharmaceutical industry in the future.

Currently, important efforts are being made to improve governability and governance by combining the monopoly of state decisions with the collaboration of diverse actors in public practice. Based on the above, the purpose of this article is to analyze the evolution of conceptual approaches to both terms over the last 23 years, examining scientific production by author authors, journals, and countries. The methodology was based on a bibliometric analysis: First, the WoS and Scopus databases were searched. Subsequently, scientometric techniques and the Science Tree methodology were used to identify patterns, structures, and trends, to understand the progress and behavior of scientific production, and to measure the quantity and quality of research that has addressed these issues from different perspectives. This study examined governability and governance publications and their annual citations to assess their impact and analyzed the total output of both datasets to identify similarities and differences in governability and governance research. The findings reveal that the number of publications and citations in this field is increasing, with the United States being the most academically influential country and the journal Marine Policy being the most prominent in ranking. These data provide key information for decision-makers, researchers, and academics for future debate and discussion toward operationalizing the concepts at the practical level of action, management, and the functioning of government structures.

In the process of global economy, in the face of increasing business competition, it is more difficult than ever for brands to approach consumers and persuade them to consume. In the commercial environment, the competition between enterprises is essentially the competition of brands, and the competition of brands must first carry out the competition of brand image. Brand image carries the mission of information dissemination and value creation and plays an important role in business behavior. How to improve customer purchase intention by optimizing brand image and greatly promote the development of business through brand image is the purpose of this study. The construction and application of brand image not only covers all the characteristics of the brand, but also the focus of consumers’ attention when choosing brands and products. This paper comprehensively uses the systematic theories and methods of art design, marketing and consumer psychology and behavior as support, and adopts research methods such as literature data to explore and study the field of brand image. This study finds that customer perception of brand image directly affects customer purchase intention. At present, there are relatively few researches on how brand image can empower business. Through the study of “optimizing brand image to improve customer purchase intention”, this paper focuses on the direction of brand image empowering business, broadens the research breadth and depth in the field of brand image, and enrichis the research achievements in the field of brand image.