bluuebunny/crossref_metadata_2025 huggingface dataset:
Abraham Lincoln’s Most Famous Case
Authors: Dekle   Sr. George R.
Published: December 2023

Dispelling common myths and misunderstandings, this book provides a fascinating and historically accurate portrayal of the 1858 Almanac Trial that establishes both Lincoln's character and his considerable abilities as a trial lawyer.

Even after the mythical elements are removed, the true story of Abraham Lincoln and the Almanac Trial is a compelling tale of courtroom drama that involves themes of friendship and loyalty. Abraham Lincoln's Most Famous Case: The Almanac Trial sets the record straight: it examines how the dual myths of the dramatic cross-examination and the forged almanac came to be, describes how Lincoln actually won the case, and establishes how Lincoln's behavior at the trial was above reproach.

The book outlines three conflicting versions of how Lincoln won the Almanac Trial—with a dramatic cross-examination; with an impassioned final argument; or with a forged almanac—and then traces the transformation of these three stories over the decades as they were retold in the forms of campaign rhetoric, biography, history, and legal analysis. After the author exposes the inaccuracies of previous attempts to tell the story of the trial, he refers to primary sources to reconstruct the probable course of the trial and address questions regarding how Lincoln achieved his victory—and whether he freed a murderer.
The Affordable Care Act
Authors: Rawal Purva H.
Published: December 2023

This is the first reference book to provide a detailed assessment of the Affordable Care Act, explaining the realities and myths surrounding one of the most divisive political struggles in recent U.S. history.

The Affordable Care Act—also known as Obamacare—is one of the most controversial and politicized topics in the United States today. This timely book examines prominent claims about the legislation's drafting, debate, passage, and implementation, and discerns what is true and false about the law. Each of the text's eight chapters delves into the common beliefs, misinterpretations, and myths surrounding the act, tracing the history of the assertion and supporting or challenging its veracity through nonpartisan research and analyses.

Chapters begin with an objective look at the claim's origins—with a brief focus on the person or group that conceived it and why—then set about clarifying or debunking it using evidence from research studies and reports from authoritative sources. Entries feature primary documents, a further reading section, and tables and graphs. Topics include the impact on health care costs for families, states, and the federal government; the effect of the Affordable Care Act on employer-sponsored insurance; and the role of health status on coverage under the Affordable Care Act.
The American Political Party System
Authors: LeMay Michael C.
Published: December 2023

What historical factors transformed American politics into the institution we know today? This in-depth look at America's party system traces its efficacy, sustainability, and popularity through six influential presidencies spanning 1790 to the present day.

Did President Obama's election serve as the impetus to the development of a seventh political party system? This compelling text sheds light on the American political process as seen through the lens of six pivotal presidencies that shaped America's culture, politics, and society and considers how our current president may be the latest transformative leader in this lineage. Covering two centuries of politics, the work offers insight into the American political machine and reveals how and why the two-party system became so dominant in American politics. Topics include the media's focus on the horse-race aspect of elections, the declining importance of party identification, and the impact of the geographical split that results in swing-states and gerrymandered districts.

The work begins by dividing 200 years of politics into 6 periods influenced by a transformative president and discussing the profile of the party system in each era. The next section presents essays contributed by activists across a myriad of political parties and profiles leading political actors and organizations. The final section includes tables, primary source documents, reference lists, a detailed glossary, and a timeline of the development of American political parties that help elucidate the text and show the role political parties have played throughout history.
Anarchism Today
Authors: Amster Randall
Published: December 2023

With all of the provocative, sometimes highly destructive acts committed in the name of anarchy, this enlightening volume invites readers to discover the true meaning of anarchism, exploring its vivid history and its resurgent relevance for addressing today's most vexing social problems.

In Anarchism Today, an acclaimed scholar and one of the world's foremost advocates for the anarchistic tradition cuts through common misconceptions and caricatures to explore what is perhaps the most poorly understood of all political theories.

As author Randall Amster explains, rather than being an anti-everything rationale for defiance and destruction, anarchism is in fact a coherent set of values and practices with a rich history and contemporary relevance. Passionate and provocative, Amster's book offers readers an expert's perspective on what anarchism really means, including its relationship to other political approaches, its careful balancing of individual liberty and a functioning society, and its controversial image as a wellspring of violence. Along the way, Amster addresses a number of current issues from the perspective of anarchism, including corporate globalization, environmentalism, warfare, nationalism, education, technology, alternative economics, criminal justice, and even spirituality. He concludes with a frank assessment of anarchism's impact and the role it can play in building a more just, peaceful, and sustainable world.
Becoming God’s Children
Authors: Faber M. D.
Published: December 2023

M. D. Faber presents a meticulous, unremitting inquiry into the psychological direction from which Christianity derives its power to attract and hold its followers.

Becoming God's Children: Religion's Infantilizing Process was written, its author says, to alert readers to the role of infantilization in the Judeo-Christian tradition generally and in Christian rite and doctrine particularly. Because religion plays such an important role in so may lives, it is essential to understand the underlying appeal and significance of religious doctrines.

To that end, Becoming God's Children offers the reader an in-depth account of human neuropsychological development, while unearthing the Judeo-Christian tradition's explicitly infantilizing doctrines and rites. This compelling perspective on the nature and meaning of religious behavior explores issues such as: to what extent religious faith is grounded in the mnemonic recesses of the worshipper's brain, whether believers are predisposed by both genetic makeup and environmental prompting to adhere to their religious convictions, and why some individuals are powerfully drawn to religious faith while others reject it. A final chapter explores the implications of religion's infantilizing process vis-a-vis the role of reason and scientific thought in the contemporary world.
The Big Con
Authors: Hendley Nate
Published: December 2023

This book examines a broad range of infamous scams, cons, swindles, and hoaxes throughout American history—and considers why human gullibility continues in an age of easy access to information.

Covering American cons and hoaxes past and present, including the Great Moon Hoax of 1835, the controversy over “subliminal messaging” (do bands, filmmakers, and advertisers really put secret messages in their works?), the panic about “satanic” daycare operators in the 1980s, and recent Internet scams, this book provides a fascinating, fact-based look at infamous frauds across the centuries. Offering an engaging mix of history, sociology, and psychology, author Nate Hendley gives readers an appreciation of how prominent scams, cons, “confidence men,” and hoaxes have impacted American society, past and present.

Each entry details the scheme or hoax and the pertinent con artist/schemer involved, examining the sociological, cultural, political, and/or economic effect of the scams. Each topic is accompanied by a short bibliography of further reading selections. As the old saying goes, “There is a sucker born every minute”—and there has always been a keen-eyed swindler to take advantage of the situation. The Big Con: Great Hoaxes, Frauds, Grifts, and Swindles in American History explores this sordid underbelly of American civilization and invites readers to revel in the felonious experience.
The Buffalo Soldiers
Authors: Sheffer Debra J.
Published: December 2023

This riveting narrative focuses on the Buffalo Soldiers, tracing the legacy of black military service and its social, economic, and political impact from the colonial era through the end of the 19th century.

This fascinating saga follows the story of the Buffalo Soldiers as they participated in key events in America's history. Author Debra J. Sheffer discusses the impetus for the earliest black military service, how that service led to the creation of the Buffalo Soldiers, and how these men—and one woman—continued to serve in the face of epic obstacles. The work celebrates their significant military contributions to the campaigns of the American frontier and other battles, their fighting experiences, and life on the plains.

Starting with the American Revolution, the book traces the heroic journey of these legendary servicemen from the period when black Americans first sought full citizenship in exchange for military service to the integration of the military and the dissolution of all-black regiments. Several chapters highlight the special achievements of the 9th and 10th United States Cavalry and the 24th and 25th United States Infantry. The book also features the accomplishments—both of the unit and individuals—of the Buffalo Soldiers in battle and beyond.
Bureau of Indian Affairs
Authors: Fixico Donald L.
Published: December 2023

From 19th-century trade agreements and treatments to 21st-century reparations, this volume tells the story of the federal agency that shapes and enforces U.S. policy toward Native Americans.

Bureau of Indian Affairs tells the fascinating and important story of an agency that currently oversees U.S. policies affecting over 584 recognized tribes, over 326 federally reserved lands, and over 5 million Native American residents.

Written by one of our foremost Native American scholars, this insider's view of the BIA looks at the policies and the personalities that shaped its history, and by extension, nearly two centuries of government-tribal relations. Coverage includes the agency's forerunners and founding, the years of relocation and outright war, the movement to encourage Indian urbanization and assimilation, and the civil rights era surge of Indian activism. A concluding chapter looks at the modern BIA and its role in everything from land allotments and Indian boarding schools to tribal self-government, mineral rights, and the rise of the Indian gaming industry.
Chronology of Americans and the Environment
Authors: Magoc Chris J.
Published: December 2023

Covering the 17th century to the contemporary era, this chronological overview of the role of the environment provides many insights into one of the most important aspects of American history.

Environmental issues such as deforestation, water pollution, extinction of indigenous animal species, and climate change have long existed in the United States. Fortunately, the American people and their government have demonstrated a willingness to address environmental concerns.

Chronology of Americans and the Environment encompasses more than four centuries of dynamic and transformational environmental change that illustrate the central importance of the environment, natural resources, and "nature" throughout American history. The author provides a chronological overview of the significant events, major figures, and public policy developments throughout the history of our relationship with the environment, illustrating the sequence of historical events, cultural ideas, and trends that have led Americans to take action to protect the environment and public health. This book also touches upon prehistoric occurrences and events prior to the arrival of European explorers that provide context for Native American ideas and attitudes toward nature.
Civil Liberties in China
Authors: Li Xiaobing
Published: December 2023

This book examines civil liberties in China today, covering the topics of constitutional rights of citizens, rights of the criminally accused, the court and legal systems, and judicial conflicts between government regulation and personal freedoms.

The Constitution of the People's Republic of China was amended in 2004 to expressly include the protection of human rights, and the last revision of the Constitution in 1982 ostensibly guaranteed civil liberties such as freedom of speech, of the press, and of assembly. In actuality, China still resorts to suppressive actions such as strictly controlling accessible content on the Internet and censorship of the media, as well as silencing criticism of government or calls for political reform.

Civil Liberties in China explores both theory and practice by identifying key issues in Chinese ideology, government, and human rights. The book assesses historical evidence and empirical data, putting major legal cases in the context of Chinese traditions and culture. Abortion, the one-child policy, and privacy issues are given special attention.
Cloning
Authors: Newton David E.
Published: December 2023

This book provides a detailed introduction to the cloning of both plants and animals and discusses the important social, ethical, political, technical, and other issues related to the practice.

The history of cloning experiments dates back more than a century, but advances in technology in recent decades have multiplied the potential applications of cloning—and expanded the controversies surrounding these possibilities. Cloning: A Reference Handbook provides an accessible description of the development of plant and animal cloning from the early stages of human civilization to the present day and coherently covers the science and technology involved. It reviews the essential controversies that have arisen about cloning—particularly applications involving human DNA—as researchers have advanced and extended the tools for cloning organisms. Additionally, the book discusses public opinion about cloning and the legislative and administration actions that have been taken with regard to the practice.

This single-volume work provides a broad treatment of the subject, going back further in history than is the case with most texts, covering plant cloning and providing a thorough overview of the nature of animal cloning and related issues. Examples of the topics covered include the natural "cloning" processes of regeneration in plants and animals; crucial research breakthroughs on animal cloning by Robert Briggs and Thomas King, John Gurdon, Gail Martin, James Till and Earnest McCulloch, and others; and the laws that regulate which types of cloning are allowed and prohibited in the United States and in other countries.
Crisis in a Divided Korea
Authors: Matray James I.
Published: December 2023

This book provides scholars and students examining Korea's place in modern world politics with an invaluable resource for understanding the causes, course, and consequences of the ongoing crisis on the Korean Peninsula.

Why is Korea still divided into two nations? How does the decades-old tension between North Korea and South Korea affect all of Asia as well as influence several of the world's major powers, including Japan, the People's Republic of China, Russia, and the United States? This book provides answers to these questions and more, presenting readers with descriptions of historical developments in Korea's past and supplying the necessary context for understanding why the Korean Peninsula remains split at the 38th parallel.

Two comprehensive opening chapters present a broad overview of events in Korea's history from ancient times through the start of World War II. The subsequent chapters cover Korea's role in the Cold War, describing the Soviet-American sponsorship of two Koreas, the Korean War, Soviet and Chinese support for North Korea, the U.S. alliance with South Korea, South Korea's long struggle to achieve democracy, the Kim dynasty in North Korea, and moments of tension and cooperation between North and South Korea. Written in a clear, direct, and accessible style, the book will be valuable to high school, undergraduate, and graduate-level students.
Culture and Customs of Puerto Rico
Authors: Galván Javier A.
Published: December 2023

This exciting addition to the Culture and Customs of Latin America and the Caribbean series provides readers with an all-encompassing look at contemporary life in Puerto Rico. Having always been under the watchful eyes of other colonies and countries, Puerto Rico's own customs and traditions have managed to flourish throughout the ages, culturally uniting what is a politically divided island. In addition to gaining an understanding of Puerto Rico's political relationship with the continental United States, students can explore extensive narrative chapters that cover contemporary religion, cuisine, sports, media, cinema, literature, performing arts, and visual arts. An essential for high school and public library shelves, Culture and Customs of Puerto Rico is the perfect research resource for students and general readers.

This exciting addition to the Culture and Customs of Latin America and the Caribbean series provides readers with an exhaustive look at contemporary life in Puerto Rico. Having always been under the watchful eyes of other colonies and countries, Puerto Rico's own customs and traditions have managed to flourish throughout the ages, culturally uniting what is a politically divided island. In addition to gaining an understanding of Puerto Rico's political relationship with the continental United States, students can explore the small island nation's history with Spain during the colonial era. This fascinating volume provides illustrative narrative chapters on religious practices in Puerto Rico, as well as religious and secular festivals. Social customs, such as sports, cuisine, gender issues, family values, and nightlife, are discussed in depth. Extensive coverage on the media, performing arts, cinema, visual arts, and literature provides students with a solid foundation in Puerto Rican past and contemporary culture. An essential for high school and public library shelves, Culture and Customs of Puerto Rico is the perfect research resource for students and general readers.
Daily Life During the Reformation
Authors: Anderson James M.
Published: December 2023

This broad exploration captures the lives of ordinary people during the turbulent period that transformed early Modern Europe.

Organized thematically, Daily Life during the Reformation covers the hectic and tumultuous years between 1517 and 1648, allowing readers to discover what it was like for ordinary people during this critical period and to compare events and living conditions in early Modern Europe with those of today.

With the help of eyewitness accounts, the book focuses on the lives of the people, the conditions in which they lived and died, their roles in the unfolding events of the Reformation, and the Reformation’s effects on them. Leading protagonists are described, as are their beliefs and the impact of those beliefs on the population in general and in particular cases. The book also explores, for example, the medical practice of the time, which, while not considered black magic, was close to it.
Hippies
Authors: Issitt Micah
Published: December 2023

An insightful introduction to hippie culture and how its revolutionary principles in the 1960s helped shape modern culture.

This title explores how hippies, and 1960s counterculture in general, developed and influenced popular culture in America. Covering the years between 1961 and 1972, this is the first volume focused exclusively on the emergence, growth, and lasting legacy of hippie culture, on everything from clothing, hair styles, and music to attitudes toward sex and drugs, and anti-war, anti-establishment activism.

Hippies includes a chronology, topical chapters on hippie culture, biographies, primary documents, and a glossary. Coverage ranges from an examination of hippie involvement in drug use, politics, sexual behavior, and music, and a contemporary perspective on lasting impact of hippies on modern American life. Readers will encounter famous icons of the era, from Abbie Hoffman to Timothy Leary, while getting a real sense of what life inside the hippie counterculture was like.
The History of Russia
Authors: Ziegler Charles E.
Published: December 2023

An updated edition of the acclaimed history of Russia, this new volume includes a wealth of material on events of the last decade.

When first published, Charles Ziegler’s The History of Russia was acclaimed as a source of information not easily found elsewhere, and as “clear, balanced, and insightful,” by Rajan Menon of Lehigh University. Now Ziegler’s remarkable volume returns, fully updated to be the work of choice for readers looking for an introduction to the history of the world's largest country.

The History of Russia: Second Edition moves from the 10th-century founding of Kievan Rus to the czars to the Communist Era to the present, with particular emphasis on the fall of the Soviet Union and the leadership of Mikhail Gorbachev, Boris Yeltsin, and Vladimir Putin. In addition to a new chapter on the tumultuous last decade, this edition features an updated introduction and an expanded chapter on the Yeltsin Era.
Lethal Encounters
Authors: Cave Alfred A.
Published: December 2023

This in-depth narrative history of the interactions between English settlers and American Indians during the Virginia colony's first century explains why a harmonious coexistence proved impossible.

Britain's first successful settlements in America occurred over 400 years ago. Not surprisingly, the historical accounts of these events have often contained inaccuracies. This compelling study of colonial Virginia is based upon the latest research, shedding new light on the tensions between the English and the American Indians and clarifying the facts about storied relationships.

In Lethal Encounters: Englishmen and Indians in Colonial Virginia, the author examines why the Anglo settlers were unable to establish a peaceful and productive relationship with the region's native inhabitants. Readers will come to understand how the deep prejudices harbored by both whites and Indians, the incompatibility of their economic and social systems, and the leadership failures of protagonists like John Smith, Powhatan, Opechacanough, and William Berkeley caused this breakdown.
Modern Piracy
Authors: Marley David F.
Published: December 2023

This reference text explains what modern piracy is, where and why it happens, and what measures are being taken to combat it.

While piracy today typically occurs in specific areas—such as Somalia and Southeast Asia—a single pirate attack can involve and affect many different countries. For example, a supertanker traveling in the South China Sea might be owned by a Saudi Arabian oil company, built in South Korea, registered in Liberia, captained by an Italian, and crewed by Filipinos. And, as reports of attacks on commercial vessels and cruise liners become more common, the topic of modern piracy receives ever-increasing international scrutiny.

This chapter-based reference handbook examines modern piracy from the mid-1970s to today. The subject is addressed from a global perspective, covering both the causes and consequences of present-day piracy and evaluating its impact on a number of related issues, including international law, commercial shipping, and terrorism.
Hope and Kinship in Contemporary Fiction
Authors: Bauer Gero
Published: December 2023

Explores the emphasis that contemporary novels, films and television series place on the present, arguing that hope emerges from the potentiality of the here and now, rather than the future, and as intimately entangled with negotiations of structures of belonging.

Taking its cue from an understanding of hope as connoting an organizing temporality, one which is often presumed to be in the future, Hope and Kinship in Contemporary Fiction challenges this understanding, arguing that hope emerges in practices of relationality in the present, disentangling hope from a necessary correlation with futurity.

Through close readings of contemporary works, including The Road, The Walking Dead, Cloud Atlas, Sense8 and A Little Life, Gero Bauer investigates how these texts explore structures of kinship as creative and affective practices of belonging and care that claim spaces beyond the heterosexual, reproductive nuclear family. In this context, the fictional figurations of the child – often considered the bearer of the future – is of particular interest.

Through these interventions into definitions of and reflections on fictional manifestations of hope and kinship, Bauer’s analyses intersect with queer theory, new materialism and postcritical approaches to literature and cultural studies, moving away from pessimistic readings of the present moment.
EDUKASI KANDUNGAN GIZI BAHAN PANGAN LOKAL UNTUK MEMBUAT MPASI DI DUSUN TOMPO BALANG, DESA JOMBE, KEC.TURATEA, KAB. JENEPONTO
Authors: Suarni  , Kamariana  , Esse Puji Pawenrusi  , Marice Popla
Published: December 2023

Latar Belakang; Stunting adalah kondisi gagal tumbuh dan berkembang yang dialami oleh anak.  MP ASI   adalah makanan yang diberikan kepada bayi sejak usianya 6 bulan sebagai pelengkap ASI. Pembuatan MP ASI dapat menggunakan bahan pangan local yang dihasilkan dari hasil pertanian keluarga karena lebih murah dari segi  biaya. Olehnya itu Ibu perlu diberikan  edukasi tentang pengolahan dan kandungan gizi pangan local yang dapat digunakan dalam pembuatan  MP ASI.

Tujuan; Tujuan kegiatan pengabdian masyarakat ini adalah untuk memberikan pengetahuan dan pemahaman  ibu tentang pentingnya MPASI, dan cara pembuatan MPASI yang tepat, murah, dan bergizi berbasis pangan lokal untuk mencegah terjadinya stunting pada anak.

Metode; Metode yang digunakan dalam kegiatan ini adalah metode penyuluhan, yang diberikan kepada 16 orang ibu di dusun Tompobalang, desa Jombe. Sebelum kegiatan ibu diberikan pre test, kemudian ibu diberikan  edukasi tentang MP ASI   dan pemanfaatan pangan lokal dalam membuat MP ASI. Setelah  penyuluhan, dilakukan evaluasi post-tes.

Hasil; Evaluasi pre test  menunjukkan ibu dengan pengetahuan cukup sebanyak 14 0rang (75 %) dan ibu dengan pengetahuan baik sebanyak 4 orang (25 %).  Setelah  penyuluhan dilakukan terjadi peningkatan pengetahuan dan pemahaman ibu yaitu ibu dengan pengetahuan baik sebanyak 14 orang (85 %) dan ibu dengan pengetahuan kurang 2 orang (15 %).

Simpulan; Edukasi tentang MP ASI dan pengolahan MP ASI dari bahan local perlu dilakukan secara rutin untuk menambah pengetahuan ibu dalam memilih dan memanfaatkan bahan pangan local yang tepat dalam menyiap kan MP ASI yang bergizi bagi anak.
„Chemische Recycling ermöglicht Produkte in Neuqualität“
Authors: Urbansky Frank
Published: December 2023

Interview mit Dr. rer. nat. Alexander Hofmann, Head of Department Advanced Carbon Conversion Technologies, Fraunhofer Institute for Environmental, Safety, and Energy Technology (UMSICHT)
Hitschler baut Online-Geschäft aus
Authors: Fries Tanja , Hebben Miriam
Published: December 2023

Rund 30 neue Produkte und ein Markenshop bei Amazon sollen Hitschler im kommenden Jahr zusätzlichen Rückenwind geben. In drei bis fünf Jahren will der Süßwarenhersteller die Umsatzmarke von 100 Mio. Euro knacken. Zehn Fakten über das Familienunternehmen und die Pläne für die Zukunft.
Pessimistischer Ausblick
Authors: Vetter Bernhard
Published: December 2023

Frankfurt a.M. Mit dem im Juni abgelaufenen Wirtschaftsjahr 2022/23 können die Landwirte laut Deutschem Bauernverband (DBV) überwiegend zufrieden sein. Doch für die laufende Periode sieht es nicht so gut aus.
The process of yak milk fermentation by polycomponent starter culture
Authors: USUBALIEVA Aigul , MUSULMANOVA Mukarama , SAALIEVA Altynai , OZBEKOVA Zhyldyzai , ARALBEK kyzy Anara , DEIDIEV Anarseit
Published: December 2023

The paper presents a comparative characteristic of the fermentation processes of yak and cow milk samples with a high fat content of 1.5% and 6% with a multicomponent starter culture, which includes Lactobacillus acidophilus, Bifidobacterium animalis subsp Lactis and Streptococcus thermophiles. Acid formation in the process of milk fermentation under the influence of the starter microflora was assessed by the dynamics of changing in titratable (Ac) and active (pH) acidity over time. The course of the formation of the structure of the resulting clot was monitored on a rheometer, fixing the viscosity characteristics of the fermented milk clot in dynamics. It has been established that the increase in acidity occurs more intensively in yak milk in comparison with cow's milk with a corresponding acceleration of the formation of a fermented milk clot. In conclusion, the resulting clots were subjected to sensory analysis with the identification of the best sample, which was fermented yak milk with a fat mass fraction of 6%.
An uncommon side effect: amiodarone-related hypothyroidism in a patient with negative thyroid autoantibodies.
Authors: Memiş Ali Can , Temiz Sultan Gözde , Macunluoğlu Atakan Beyza
Published: December 2023

Amiodarone is an antiarrhythmic drug frequently used in cardiac dysrhythmias. One of the most important side effects of amiodarone is thyroid dysfunction. Amiodarone-induced thyrotoxicosis (AIT) and amiodarone-induced hypothyroidism (AIH) can occur depending on individuals' iodine status and previous thyroid disease. In this case, we aimed to present the hypothyroidism that developed in a patient with negative thyroid autoantibodies after amiodarone use.
KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ UNG THƯ BIỂU MÔ DẠ DÀY 1/3 DƯỚI TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH
Authors: Phạm Tùng Lâm , Kim Văn Vụ
Published: December 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật điều trị ung thư biểu mô dạ dày 1/3 dưới tại bệnh viện đa khoa tỉnh Thái Bình. Đối tượng nghiên cứu: Gồm 143 bệnh nhân nhân ung thư biểu mô 1/3 dưới dạ dày được điều trị phẫu thuật tại bệnh viện đa khoa tỉnh Thái Bình từ 1/2019-1/2021. Kết quả: Tuổi trung bình: 64,9 ± 10 (35-89 tuổi); tỷ lệ nam/nữ = 2,18/1; thời gian từ khi có triệu chứng đến khi vào viện chủ yếu từ 6-12 tháng (46,2%), triệu chứng lâm sàng hay gặp: đau bụng thượng vị (74,1%), chán ăn gầy sút cân (55,6%), nôn (39,2%), hẹp môn vị (16,1%), không triệu chứng (7%); 30,1% có tiền sử viêm loét dạ dày mạn tính. Hình ảnh đại thể chủ yếu là thể loét và loét xâm lấn (88,1%), thể sùi và thể thâm nhiễm lần lượt là 4,9% và 7%. Thể mô bệnh học: UTBM tuyến biệt hóa vừa (44,7%), UTBM tuyến kém biệt hóa (30,9%), UTBM tuyến biệt hóa cao (5,6%), UTBM Tế bào nhẫn (13,9%), UTBM tuyến tuyến nhày (4,9%). Độ xâm lấn u đa phần là T4 (45,5%), T1, T2 (30,1%); 60,1% bệnh nhân có di căn hạch, số hạch trung bình vét được là 11,57 ± 4,8; số hạch di căn trung bình là 3,71 ± 4,5 hạch. Về kết quả phẫu thuật, thời gian có trung tiện: 3,85 ± 0,84 ngày, thời gian rút dẫn lưu: 7,1 ± 1,3 ngày, thời gian nằm viện: 9,6 ± 2,1 ngày; biến chứng sau phẫu thuật là 8,4% trong đó thường gặp là viêm phổi 2,8%, nhiễm trùng vết mổ 2,8%, chảy máu sau mổ 1,4%, rò miệng nối và toác vết mổ 0,7%. 3 bệnh nhân mổ lại chiếm 2,1%, 2 trường hợp chảy máu sau mổ và 1 trường hợp toác vết mổ; 97,9% bệnh nhân ổn định ra viện, 2,1% bệnh nhân tử vong hoặc nặng chuyển viện. Thời gian sống thêm toàn bộ là 40 ± 1,5 tháng, thời gian sống thêm không bệnh là 38,8 ± 1,6 tháng. Kết luận: Ung thư biểu mô 1/3 dưới dạ dày gặp ở nhiều độ tuổi khác nhau, diễn biến trung bình, mô bệnh học thường là ung thư biểu mô tuyến biệt hóa vừa, thường ở giai đoạn xâm lấn tại chỗ, tỷ lệ di căn hạch cao. Phẫu thuật điều trị ung thư biểu mô 1/3 dưới dạ dày tương đối an toàn, khả thi và ít biến chứng.
NGHIÊN CỨU SỰ BIẾN ĐỔI PHÂN SUẤT TỐNG MÁU, SỨC CĂNG DỌC THẤT TRÁI BẰNG SIÊU ÂM ĐÁNH DẤU MÔ CƠ TIM Ở BỆNH NHÂN BỆNH TIM THIẾU MÁU CỤC BỘ MẠN TÍNH TRƯỚC VÀ SAU CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA
Authors: Phan Thanh Hơn , Trần Đức Hùng
Published: December 2023

Mục tiêu: Đánh giá sự biến đổi phân suất tống máu, sức căng dọc thất trái bằng siêu âm đánh dấu mô cơ tim ở bệnh nhân bệnh tim thiếu máu cục bộ mạn tính (BTTMCBMT) trước và sau can thiệp động mạch vành qua da. Đối tượng và phương pháp nghiên cứu: 31 bệnh nhân được chẩn đoán xác định BTTMCBMT và được điều trị bằng phương pháp can thiệp động mạch vành (ĐMV) qua da tại khoa Can thiệp Tim mạch - Bệnh viện Quân y 103, thời gian từ 01/2023 đến 05/2023. Thực hiện siêu âm tim đánh dấu mô cơ tim trước và sau can thiệp ĐMV qua da. Kết quả: EF Biplane sau can thiệp 52,5 ± 8% cải thiện so với trước can thiệp 48,8 ± 9%, p < 0,05, sức căng dọc toàn bộ thất trái (Left ventricular global longitudinal strain - LVGLS) sau can thiệp -16,6 ± 2,3% có cải thiện so với trước can thiệp -15,1 ± 2,4% (p < 0,05). Sức căng dọc ở các vùng 7, 8, 9, 11, 12, 14, 15, 17,18 sau can thiệp có cải thiện so với trước can thiệp, p < 0,05. Kết luận: Phân suất tống máu thất trái, sức căng dọc toàn bộ thất trái trên siêu âm đánh dấu mô cơ tim sau can thiệp ĐMV qua da cải thiện so với trước can thiệp.
SỰ KHÁC NHAU TRONG NHẬN THỨC VỀ AN TOÀN TRONG ĐẠI DỊCH COVID-19 CỦA NHÂN VIÊN Y TẾ TẠI TRUNG TÂM Y TẾ HUYỆN GIỒNG RIỀNG, KIÊN GIANG NĂM 2021
Authors: Nguyễn Văn Mãi , Nguyễn Lương Hưng , Phạm Thị Hồng Hạnh , Hà Thi Hạnh Lan , Vũ Đình Huân , Bùi Thị Bích Ngọc
Published: December 2023

Nghiên cứu mô tả cắt ngang trên 432 nhân viên tại Trung tâm y tế Giồng Riềng với mục tiêu (1) mô tả nhận thức về an toàn của nhân viên y tế với đại dịch Covid-19 và (2) phân tích sự khác nhau giữa nhóm nhân viên y tế đã trải nghiệm chăm sóc, điều trị người bệnh với nhóm nhân viên chưa chăm sóc người bệnh. Kết quả cho thấy: nhận thức về điều kiện an toàn nghề nghiệp của nhân viên y tế khá thấp (23,7% ở nhóm trực tiếp điều trị và chăm sóc bệnh nhân Covid-19 và 37,1% ở nhóm không trực tiếp). Có sự khác biệt trong việc chuẩn bị sẵn sàng các điều kiện an toàn của cơ sở y tế và yêu cầu được chăm sóc giữa hai nhóm. Có hiện tượng cơ sở y tế càng quan tâm, nhân viên y tế càng cho rằng không an toàn. Kết luận: Trong dịch bệnh, nhân viên y tế nhận thấy mức độ an toàn thấp. Có sự phản ứng trái ngược giữa hai nhóm đã từng và chưa chăm sóc, điều trị trực tiếp người bệnh Covid-19 về mức độ chuẩn bị điều kiện an toàn của cơ sở y tế với nhận thức an toàn và nhu cầu được chăm sóc.
CHẤT LƯỢNG CUỘC SỐNG BỆNH NHÂN MỀ ĐAY MẠN TÍNH TỰ PHÁT VÀ ĐA HÌNH ĐƠN NUCLEOTIDE C5AR1 (RS11673309)
Authors: Trương Đức Hậu , Huỳnh Thị Xuân Tâm
Published: December 2023

Mục tiêu: Đánh giá điểm số chất lượng cuộc sống (DLQI) ở bệnh nhân mề đay mạn tính tự phát tại Việt Nam và mối liên hệ với đa hình đơn nucleotide C5AR1 (rs11673309). Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả 102 bệnh nhân CSU đến khám và điều trị tại bệnh viện Da Liễu thành phố Hồ Chí Minh từ tháng 03/2023 đến tháng 07/2023. Các bệnh nhân được thu thập bệnh sử và khám lâm sàng, sau đó lấy mẫu máu (2ml) và tiến hành xác định các biến thể đa hình đơn nucleotide C5AR1 (rs11673309) tại trung tâm nghiên cứu Y Sinh trường Đại học Y khoa Phạm Ngọc Thạch. Kết quả: 102 bệnh nhân mề đay mạn tính tự phát với 29 nam và 73 nữ, độ tuổi trung bình là 37,6 ± 12,5 tuổi. Nghiên cứu ghi nhận 3 kiểu gen TT, TG, GG. Kiểu gen TT chiếm tỷ lệ 32,4%, kiểu gen TG chiếm tỷ lệ 49,0%, kiểu gen GG chiếm tỷ lệ 18,6%. Không có sự khác biệt có ý nghĩa thống kê giữa các kiểu gen trong đa hình đơn nucleotide rs11673309 với điểm số UAS (p = 0,144). Điểm số chất lượng cuộc sống (DLQI) có trung vị là 13,0 [9,0;19,0] và có sự khác biệt có ý nghĩa thống kê giữa DLQI với các kiểu gen trong đa hình đơn nucleotide rs11673309 (p = 0,003). Kết luận:

Nhóm bệnh nhân mang đa hình đơn nucleotide C5AR1

-1330TG có chất lượng cuộc sống kém nhất. Nghiên cứu này là tiền đề để mở ra các hướng nghiên cứu lớn hơn trong tương lai về mối liên hệ giữa đa hình đơn nucleotide C5AR1 (rs11673309) và bệnh mề đay mạn tính tự phát tại Việt Nam
THỰC TRẠNG HUYẾT ÁP VÀ ĐẶC ĐIỂM NHÂN TRẮC, CẤU TRÚC CƠ THỂ Ở PHỤ NỮ THỪA CÂN BÉO PHÌ 20-45 TUỔI TẠI BẮC GIANG 2019
Authors: Đoàn Thị Ánh Tuyết , Nguyễn Song Tú , Lê Danh Tuyên , Trần Khánh Vân
Published: December 2023

Nghiên cứu cắt ngang tại Bắc Giang trên 279 phụ nữ 20-45 tuổi, có chỉ số khối cơ thể (Body Mass Index

-BMI) ≥23 kg/m2 nhằm xác định thực trạng huyết áp, đặc điểm nhân trắc, cấu trúc cơ thể. Đối tượng được cân, đo chiều cao, cấu trúc cơ thể, huyết áp và phỏng vấn bằng bộ câu hỏi soạn sẵn. Kết quả cho thấy đối tượng có trung bình cân nặng là 64,0±8,3 kg, chiều cao 153,5±5,1 cm, BMI 27,2±2,8 kg/m2. Huyết áp tâm thu (HATT) trung bình là 113,8±14,6 mmHg và huyết áp tâm trương (HATTr) là 74,4±10,3 mmg; HATT cao hơn ở nhóm tuổi ≥40 tuổi và học vấn dưới cấp 3 (p<0,05). Tỷ lệ tiền tăng huyết áp (THA) và THA của đối tượng lần lượt là 48,8% và 7,2% và cao hơn có ý nghĩa thống kê (YNTK) trong nhóm BMI ≥30 kg/m2 so với nhóm có BMI <30 kg/m2 (p<0,05). Đặc điểm nhân trắc, cấu trúc cơ thể không có sự khác biệt có YNTK theo nhóm tuổi, ngành nghề và học vấn; có liên quan tuyến tính giữa chỉ số BMI với chỉ số khối mỡ, khối lượng cơ ước tính (p<0,001). Sự thay đổi BMI trên đối tượng thừa cân béo phì (TCBP) có thể làm thay đổi nguy cơ mắc tiền THA và ảnh hưởng lên cấu trúc cơ thể.
NGHIÊN CỨU TÁC DỤNG ĐIỀU TRỊ CỦA KEM BERBERIN 1% TẠI CHỖ VẾT THƯƠNG MẠN TÍNH
Authors: Nguyễn Tiến Dũng , Nguyễn Thị Vân Anh
Published: December 2023

Mục tiêu: Đánh giá hiệu quả của kem Berberin 1% lên biến đổi tại chỗ vết thương mạn tính. Đối tượng và phương pháp nghiên cứu: 60 Bệnh nhân (BN) bị các vết thương mạn tính (VTMT), điều trị nội trú tại Trung tâm Liền vết thương, Bệnh viện Bỏng Quốc gia (BVBQG), từ tháng 5 năm 2021 đến tháng 4 năm 2022. Bệnh nhân (BN) được chia làm 2 nhóm, nhóm A: 30 BN đắp vết thương (VT) bằng Silvirin 1% do Ấn Độ sản xuất và nhóm B: 30 BN đắp VT bằng kem Berberin 1% do Khoa Dược - BVBQG cung cấp. Bệnh nhân được xác định một số đặc điểm lâm sàng , cấy khuẩn xác định loài vi khuẩn (VK) tại chỗ vết thương tại các thời điểm trước khi đắp thuốc, sau khi đắp thuốc 10 ngày và 20 ngày. Kết quả: Tiến triển tại chỗ vết thương mạn tính ở nhóm B tốt hơn nhóm A trên các chỉ tiêu theo dõi: Giảm tiết dịch, giảm viêm bờ mép vết thương, xuất hiện tổ chức hạt đỏ đẹp mềm mại và biểu mô thu hẹp kích thước vết thương. VK gặp ở bề mặt VT phong phú về chủng loại, gặp nhiều là P.aeruginosa và S.aureus, K. pneumonia. Sự xuất hiện các chủng VK này giảm theo thời gian ở cả hai nhóm A và B. Ở thời điểm ngày 20 sau điều trị tỷ lệ số mẫu (+) ở nhóm A cao hơn so với nhóm B. Kết luận: Kem Berberin 1% có tác dụng kháng khuẩn tại chỗ, và kích thích quá trình liền vết thương mạn tính tốt hơn so với Silvirin1%.
Implementasi metode fuzzy logic pada rancang bangun bak sampah buka tutup otomatis berbasis raspberry pi pico
Authors: Safitri Oktavia , Andriani Titi , Topan Paris Ali , Darmawan Indra
Published: December 2023

Kebersihan menjadi faktor penting di kehidupan sehari-hari, oleh karena itu kebersihan harus di jaga untuk terhindar dari penyakit dan pencemaran lingkungan. Sebenarnya sudah ada upaya pencegahan untuk mencegah masalah mengenai sampah, mulai dari penyedian bak sampah terbuka jika tidak dibersihkan akan menimbulkan bau begitu juga bak sampah tertutup masih belum efektif karena orang yang ingin membuang sampah harus membuka tutupnya secara manual terlebih lagi jika bak sampahnya kotor orang akan enggan untuk membuang sampah. Oleh sebab itu diciptakan sebuah alat tempat sampah yang dimodifikasi sehingga menghasilkan tempat sampah pintar untuk menarik minat orang yang hendak membuang sampah. Alat ini menggunakan Raspberry pi pico sebagai pengendali, sensor PIR sebagai pendeteksi keberadaan objek di sekitar tempat sampah, servo motor untuk menggerakkan tutup tempat sampah, buzzer sebagai indikator untuk mengetahui kondisi tempat sampah serta metode fuzzy untuk mengambil keputusan yang tepat untuk jarak yang akan ditentukan oleh ultrasonik untuk membuat buzzer menyala.
RANCANG BANGUN TURBIN AIR TIPE CROSSFLOW DAN PENGARUH KETINGGIAN AIR TERHADAP EFISIENSI TURBIN UNTUK PEMBANGKIT LISTRIK TENAGA PIKOHIDRO
Authors: Permana Yogi , Jaya Ahmad , Hidayatullah Muhammad , Aryanto Nova
Published: December 2023

Pembangkit Listrik Tenaga Piko Hidro (PLTPH) adalah salah satu inovasi untuk pemanfaatan energi alternatif sehingga dapat meningkatkan peran dan potensi sumber energi air yang ada pada suatu daerah dapat dimaksimalkan. Metode penelitian yang digunakan adalah metode eksperimen dengan melakukan rancang bangun turbin air tipe crossflow sebagai alat penggerak Mula Pembangkit Listrik Tenaga Piko Hidro skala Laboratorium. Ada 2 parameter keberhasilan dari penelitian ini yaitu dapat membuat turbin Air tipe crossflow dengan kecapatan putar turbin sebesar 100 Rpm dan memvariasikan ketinggian air untuk mengetahui kinerja dari turin air tipe crossflow. Adapun hasil dari rancang bangun turbin air crossflow dengan diameter 15 cm, jumlah sudu turbin tipe crossflow sebanyak 13 sudu, kecapatan putar turbin tanpa beban sebesar 299,5 Rpm sedangkan putaran turbin dengan beban generator AC sebesar 195,5 Rpm, daya yang dibangkitkan sebesar 0,509 Watt dengan efesiensi turbin sebesar 1,5%.
PERANCANGAN PEMANFAATAN ENERGI BARU TERBARUKAN BERBASIS TENAGA HIBRIDA UNTUK MENINGKATKAN RASIO ELEKTRIFIKASI (STUDI KASUS: KECAMATAN TULAKAN, KABUPATEN PACITAN)
Authors: Prahastono Sri Anggoro , Setiawan Ahmad Agus , Wilopo Wahyu
Published: December 2023

Salah satu daerah yang memiliki rasio elektrifikasi rendah terdapat di Kecamatan Tulakan, Kabupaten Pacitan, Jawa Timur. Padahal, potensi Energi Baru Terbarukan masih banyak yang dapat dimanfaatkan. Pada daerah tersebut, terdapat potensi energi surya, angin, dan biogas yang tinggi untuk dikembangkan agar penduduk sekitar mendapatkan aliran listrik yang sesuai dengan kebutuhan. Tujuan dari penelitian ini adalah untuk mensimulasikan Energi Baru Terbarukan berbasis tenaga surya, tenaga angin, dan biogas yang ada di Kecamatan Tulakan, agar dapat memperoleh kombinasi terbaik. Dengan melakukan simulasi menggunakan perangkat lunak HomerPro, didapatkan kombinasi konfigurasi yang bersifat Off-grid. Konfigurasi terbaik yang telah didapatkan terdiri dari kombinasi Panel Surya, Turbin Angin, dan Biogas. Konfigurasi ini memproduksi listrik hingga 11.590 kWh/tahunnya, dimana persentase produksi energi terbesar dari Turbin Angin sebesar 65,9%, Panel Surya sebesar 25%, dan biogas sebesar 9,1%. Konfigurasi ini menghasilkan emisi CO2 dari generator biogas sebanyak 1.324 kg/tahun dan membutuhkan biaya investasi awal sebesar Rp 2.317.119.450. Penerapan dari konfigurasi ini dapat meningkatkan rasio elektrifikasi hingga 100%
ANALISIS RUGI-RUGI DAYA AKIBAT SHADOW PADA PHOTOVOLTAIC DI PEMBANGKIT LISTRIK TENAGA SURYA (PLTS) SENGKOL, LOMBOK TENGAH
Authors: Rizki Aprizal , Jaya Ahmad , Aryanto Nova , Hidayatullah Muhammad
Published: December 2023

Pembangkit Listrik Tenaga Surya on grid Sengkol, Lombok Tengah, Nusa Tenggara Barat(NTB) tersusun dari kumpulan modul surya (photovoltaic), array, inverter, kabel string, danperalatan pengaman yang dirangkai dalam satu kesatuan sistem. Masing-masing darikomponen tersebut memiliki peran dalam menyalurkan energi listrik yang dihasilkanphotovoltaic ke PLN. Terdapat banyak masalah yang terjadi pada PLTS Sengkol, salah satumasalah yang sering terjadi adalah terjadinya losses atau rugi-rugi daya pada photovoltaicyang disebabkan oleh shadow (bayangan) yang menutupi photovoltaic. Lossesmerupakan kebocoran daya atau daya yang hilang di sepanjang jalur penyaluran tenagalistrik. Penelitian ini bertujuan untuk memaksimalkan daya listrik yang dihasilkan olehPLTS. Bayangan adalah suatu cahaya terhalang sesuatu benda, maka terbentuklah bayangbayang. Beberapa penelitian menunjukkan produksi listrik yang dihasilkan photovoltaicmengalami penurunan karena adanya efek bayangan, hal ini berlaku jika diamatai padaphotovoltaicKarena semakin kecil losses yang terjadi, maka semakin besar produksi dayalistrik yang dihasilkan. Bayangan disebabkan oleh terjadinya gerak semu matahari. Geraksemu matahari disebabkan oleh rotasi bumi berada pada porosnya dimana bumi berputar dariarah barat ke timur sehingga seolah-olah matahari bergerak dari timur ke barat. Metode yangdigunakan pada penelitian ini adalah adalah metode kuantitatif yaitu metode yangmenghitung dan menganalisa losses yang terjadi. Berdasarkan hasil perhitungan dan analisayang telah dilakukan diperoleh rugi-rugi daya akibat bayangan sebesar 1,98% yangdihasilkan oleh photovoltaic. Rugi-rugi daya sebesar 1,98% dinyatakan masih berada padanilai aman
ECONOMIC DISPATCH MENGGUNAKAN PENDEKATAN LAGRANGE MULTIPLIER STUDI KASUS PEMBANGKIT LISTRIK TENAGA DISEL (PLTD) PT. SUMBER REJEKI POWER
Authors: Alwi Tantowi , Darmawan Indra , Andriani Titi , Aryanto Nova
Published: December 2023

PT Sumber Rejeki Power merupakan salah satu industri pembangit yang memasok ketersediaan energi listrik di kepulauan sumbawa yang memiliki 3 mesin disel yang masing masing mesinnya dapat menghasilkan daya listrik sebesar 7 sampai 8 MW, sedangkan bahan bakar yang digunakan Pembangkit Listrik Tenaga Disel (PLTD) PT. Sumber Rejeki Power menggunakan bahan bakar termal berjenis marine fuel oil (MFO). Namun biaya produksi energi listrik pada PLTD relatif lebih mahal. Oleh karena itu, optimalisasi dalam pengaturan produksi dan penggunaan bahan bakar pada PLTD sangat diperlukan untuk mengurangi biaya operasional dan meningkatkan efisiensi pembangkitan. Dalam Penelitian ini peneliti menggunakan metode Lagrange Multiplier, Hasil economic dispatch menggunakan metode lagrange multiplier maghasilkan total biaya peroduksi yang lebih mahal sebesar Rp 1.216.566.690 jika di bandingkan dengan hasil biaya peroduksi Real sistem sebesar Rp 1.126.714.500 selama periode waktu 24 jam pada tanggal 14 Mei 2023. Hal ini di sebabkan perhitungan economic dispatch menggukan metode lagrange multiplier menghaslkan biaya yang lebih mahal karena pada lagrange multiplier menggunakan syarat optimum yang mengoptimalkan output pembangkit tiap blok unit pembangit.
ANALYSIS OF THE INFLUENCE OF NON-LINEAR LOADING CHANGES ON GENERATOR PERFORMANCE ALTERNATING CURRENT (AC) THREE PHASE
Authors: Baya Nurbaya  Harun , Andriani Titi , Darmawan Indra , Aulia Masyitah
Published: December 2023

used quantitative methods, namely, analytical, experimental methods where researchers used a software PSIM where the loads used are three-phase capacitors, three-phase RC loads, three-phase RL loads and three-phase RLC loads, so that the lowest efficiency results are obtained at three-phase capacitor loads, namely 40%, and the highest efficiency is 98%. , at three-phase RC load the highest efficiency is 95% and the lowest efficiency is 54%, at three-phase RL load the highest efficiency is 92% and the lowest is 30%, while at three-phase RLC load the highest efficiency is 94% and the lowest is 49 %. This efficiency can show that the performance of the generator can produce energy in accordance with its efficiency from the total energy used so that it does not convert into heat in a system or circuit. Where for the voltage THD on the three-phase capacitor load the highest is 23% and the lowest is 4%, while the highest current THD is 12% and the lowest is 1%, on a three-phase RC load with the highest voltage THD is 18% and the lowest is 1 %, while the highest current THD is 9% and the lowest is 1%, for a three-phase RL load with the highest voltage THD is 12% and the lowest is 1%, while the highest current THD is 7% and the lowest is 1%, and for RLC three-phase with the highest voltage THD of 18% and the lowest of 1%, while the highest current THD is 12% and the lowest is 1%.