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.

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.