bluuebunny/crossref_metadata_2025_split huggingface dataset:
A (in) Exigibilidade do IPI Sobre Operações de Aquisição de Veículos Importados para Uso Próprio
Authors: De Lima Lívia Ignes Ribeiro , Rodrigues Victor Fróis 
Published: November 2017

O fisco federal não admite que sobre as operações de aquisição de veículos automotores importados para uso próprio não seja cobrado o imposto sobre produtos industrializados - IPI, razão pela qual o tributo é exigido no desembaraço aduaneiro. Os contribuintes, por sua vez, buscam junto aos tribunais pátrios a declaração de inexigibilidade de tal exação sobre essa modalidade de operação, argumentando não realizarem o fato gerador da incidência do tributo, bem como que a sua exigência afronta o princípio da não cumulatividade. Recentemente, o Superior Tribunal de Justiça STJ, no julgamento do Recurso Especial nº1.396.488/SC submetido à sistemática do rito dos recursos repetitivos (art. 543-C do Código de Processo Civil), posicionou-se a favor dos contribuintes. No âmbito do Supremo Tribunal Federal STF, a questão fora afetada por repercussão geral no bojo dos autos do Recurso Extraordinário nº 723.651/PR, o qual ainda não teve seu julgamento concluído, mas já possui voto favorável à exigência do tributo prolatado pelo relator. Haja vista a controvérsia que circunda a questão, por meio do presente estudo busca-se analisar a regra matriz de incidência tributária do IPI e as características a ele inerentes para, na sequência, concluir-se ou não por sua exigência nesse tipo de operação. Para tanto, será realizada pesquisa doutrinária e jurisprudencial, em obras de autores brasileiros e decisões dos tribunais pátrios, visando a revisão bibliográfica acerca do tema proposto com o intuito de identificar as contribuições científicas produzidas e, a partir do método dedutivo, formular o nosso entendimento sobre a questão.
Kəskin insultun müayinə və müalicəsinin əsasları
Authors: Seyidov Nabil Z , Şabanov Denis , Nəbiyev Vagif 
Published: November 2017

İnsult keçirmiş xəstələrin kəskin və uzun müddətli qiymətləndirilməsi və müalicəsi mütləq şəkildə fiziki terapiya və gələcəkdə təkrar insultun başverməsinin qarşısını almaq üçün insultun etioloji səbəbinin müəyyən edilməsi üçün müvafiq diaqnostik testlərin aparılmasını özündə ehtiva edir. İnsultun kəskin dövrdə müalicəsinin əsas məqsədi beyinin zədələnməsinin minimuma endirilməsi, tibbi ağırlaşmaların müalicəsi və xəstənin simptomlarının patofizioloji əsaslarının müəyyən edilməsindən ibarətdir.
İşemik insultun kəskin dövründə (ilk bir neçə saat) xəstənin müayinəsi və müalicəsi daha ətraflı bu məqalədə təsvir edilir. Trombolitik terapiyanın tətbiqi, trombolitik terapiyaya namizəd olmayanların müalicəsi, müxtəlif insult növlərinin klinik diaqnostikası digər məqalələrdə təsvir edilir.
Charismatic Leadership in Bengkulu City Harsallakum Al-Quran Islamic Boarding School
Authors: Mulyadi Mus 
Published: November 2017

Charismatic leadership involves determination, authority, openness, and the optimism of the leaders in Bengkulu City Harsallakum Pesantern (Pesantren = Islamic Boarding School). This research uses descriptive method, as well as qualitative case study. The processing of data is done by data reduction, serving of the next, as well as doing the valid checking using triangulation technic, followed by concluding the findings. The result of the research, has swon that the leadership of Pesantren leaders has been a model for the people around. Being an example or a role model has created a harmonic relationship between Santri (cultural 'stream' of people within the population of Javanese who practice a more orthodox version of Islam) with the Usthad (Islamic leader). The prestige of the Pesantren leaders has created an awareness for their subordinates, that to accept, prestige has to rise from the bottom going upwards. The openness of the Pesantren leaders acts truthfully, humble, just, as well as open in accepting opinions and critics from others. The openness of Pesantren leader shows the clearliness in taking decisions, planning process that gives a chance to all subordinates. Optimism of the Pesantren leaders are behaviors that is born or created inside of the leaders in perceiving their problem, facing hardship, and thinking optimistic. So that the biggest strength is giving enery and directions in reaching the destination.
EVALUATION OF POLICY IMPLEMENTATION OF FREE EDUCATION ON SENIOR SECONDARY EDUCATION IN PALEMBANG CITY
Authors: Suherman Suherman 
Published: November 2017

The research aim is to find out policy formulation process, policy implementation; and the policy results on free education financing policy in Dompu Regency This research applied evaluation method by using Stake Countenance model
The data were collected through questionnaires, interview, observation and documents. The result shown that policy formulation was based on (1) the rough enrollment rate of senior secondary education (2) the income per capita of the people Dompu; and (3) it was also supported by relevant regulations All of the steps in formulating the policy were followed as well as The policy contents contained stra tegic issues and actions, procedure, and goals or objectives The policy implementa tion process were based appropriately on method and guideline required The result of policy implementation, such as improvement of rough enrollment rate of senior secondary education was effectively achieved Before the implementation of the policy, the rough enrollment was 50,28% (2007) and it was 88,56% (2011)This per centage exceeded the national target 64,6% (2011); (2) it is decidable that the policy is responsive because since the policy is applied the parents pay nothing for the school fees; (3) the free of charge education policy implemented appropriately for all senior secondary students; (4) the policy is ineffective to the improvement teachers and staffs competencies, performance, and welfare, ineffective to the improvement students motivation and achievement, and parents participations became lower.
Ultrasound guided simultaneous adductor canal and sciatic nerve block for intractable pain following below knee amputation
Authors: Shrestha Babu Raja , Khatiwada Shikshya , Shrestha Ujma 
Published: November 2017

Ultrasound guided combined adductor canal and sciatic nerve block provides superior analgesia in extremity surgery. Prolongation of analgesia can be achieved by addition of adjuncts like dexmedetomidine. Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, Page: 32-34
Solar ALMA Observations: Constraining the Chromosphere above Sunspots
Authors: Loukitcheva Maria A. , Iwai Kazumasa , Solanki Sami K. , White Stephen M. , Shimojo Masumi 
Published: November 2017

Abstract
We present the first high-resolution Atacama Large Millimeter/Submillimeter Array (ALMA) observations of a sunspot at wavelengths of 1.3 and 3 mm, obtained during the solar ALMA Science Verification campaign in 2015, and compare them with the predictions of semi-empirical sunspot umbral/penumbral atmosphere models. For the first time, millimeter observations of sunspots have resolved umbral/penumbral brightness structure at the chromospheric heights, where the emission at these wavelengths is formed. We find that the sunspot umbra exhibits a radically different appearance at 1.3 and 3 mm, whereas the penumbral brightness structure is similar at the two wavelengths. The inner part of the umbra is ∼600 K brighter than the surrounding quiet Sun (QS) at 3 mm and is ∼700 K cooler than the QS at 1.3 mm, being the coolest part of sunspot at this wavelength. On average, the brightness of the penumbra at 3 mm is comparable to the QS brightness, while at 1.3 mm it is ∼1000 K brighter than the QS. Penumbral brightness increases toward the outer boundary in both ALMA bands. Among the tested umbral models, that of Severino et al. provides the best fit to the observational data, including both the ALMA data analyzed in this study and data from earlier works. No penumbral model among those considered here gives a satisfactory fit to the currently available measurements. ALMA observations at multiple millimeter wavelengths can be used for testing existing sunspot models, and serve as an important input to constrain new empirical models.
Constraints on Physical Conditions for the Acceleration on Ultra-high-energy Cosmic Rays in Nearby Active Galactic Nuclei (AGNs) Observed with the Fermi Large Area Telescope
Authors: Kagaya Mika , Katagiri Hideaki , Yoshida Tatsuo , Fukuda Arisa 
Published: November 2017

Abstract
We investigated the possibility of acceleration of ultra-high-energy cosmic rays (UHECRs) in nearby active galactic nuclei (AGNs) using archival multi-wavelength observational data, and then we constrained their physical conditions, i.e., the luminosity of the synchrotron radiation and the size of the acceleration site. First, we investigated the spatial correlation between the arrival directions of UHECRs and the positions of nearby AGNs in the Fermi third gamma-ray source catalog. We selected 27 AGNs as candidates of accelerators of UHECRs. Then, we evaluated the physical conditions in the acceleration regions of these AGNs via the Pe’er and Loeb method, which uses the peak luminosity of synchrotron radiation and the peak flux ratio of inverse Compton scattering to synchrotron radiation. From the evaluation, we found that six AGNs have the ability to accelerate ultra-high-energy (UHE) protons in the AGN cores. Furthermore, we found that the minimum acceleration size must be more than a few kpc for acceleration of UHE protons in the AGN lobes.
Dystopie de l’évolution dans "Songes de Mevlido" et "Terminus radieux" d’Antoine Volodine : une épopée mélancolique
Authors: Mercier Claire 
Published: November 2017

L’article présent réalise une approximation analytique à l’univers post-exotique d’Antoine Volodine au travers de deux de ses derniers romånces : Songes de Mevlido et Terminus radieux. Ces œuvres mettent en scène un espace dystopique en lien avec l’effondrement d’un régime politique de type communiste : une épopée traumatique des vaincus, qui a pour conséquence un phénomène involutif dans un temps post-apocalyptique : mélancolie de l’existence. Cependant, demeure le chuchotement des écrivains de la post-humanité comme dernier rempart face à la prison que représente l’aliénation du réel.
The Significance of Subendocardial Hemorrhages Detected in Forensic Autopsies
Authors: İnanır Nursel Türkmen , Çetin Selçuk , Eren Filiz , Eren Bülent 
Published: November 2017

Introduction:In our study, our aim was to reveal the relationship between subendocardial hemorrhage (SEH) which can be seen macroscopically immediately beneath the endocardium, and emerge secondary to many conditions from direct cardiac, head, and abdominal traumas to hyperemia, and its location with cause of death, its diagnostic value (if any), and whether it can be evaluated as a vital finding.Material and Method :285 autopsy cases diagnosed as SEH which were brought to the Group Presidency of Morgue Specialization Department of the State Institute of Forensic Medicine of Bursa were included in the studyResults: Study population consisted of 229 (80.4 %) male, and 56 (19.6 %) female patients. Thity-one cases of death were related to natural causes, while the most frequently detected pathological causes of death were isolated abdominal traumas (32.9 %), followed by isolated head traumas (31.9 %). While traffic accidents ranked first (35.1%) among the events leading to death. Among evaluated cases, SEH was mostly located on septum.Discussion: To fully understand the yet inadequately elucidated pathogenic mechanisms of SEH , it should be accurately defined by histopathological analysis. Even though various causes of death seen in association with these lesions suggest more than one underlying pathogenic mechanism, because of their nonspecific characteristics, their possible roles as indicators of vitality (if any) should be reinforced by further studies.
GENETSKI DEJAVNIKI V POVEZAVI Z AMIOTROFIČNO LATERALNO SKLEROZO
Authors: Vrabec Katarina , Ravnik-Glavač Metka 
Published: November 2017

Amyotrophic lateral sclerosis (ALS) is a rare complex neurodegenerative disease characterized by degeneration of motor neurons in the cerebral cortex, brainstem and spinal cord. The disease mainly occurs in adults, typically between 50. and 60. years and presents with symptoms like muscular weakness, atrophy and later on paralysis which lead to death due to respiratory failure within 2-5 years from onset and remains incurable. The symptoms typically start in the muscles of arms or legs (spinal onset) or bulbary (bulbar onset). Most ALS cases are sporadic although about 5% are familiar. Genetic factors contribute to the disease in sporadic form as well as in familial form. Mutations have been found in 116 genes among which SOD1, TARDBP, FUS and C9ORF72 are represented in highest frequencies. Besides those four genes we are also describing 13 other genes involved in the disease process. Oligogenic model has been proposed for ALS that considers mutations in two or more genes in one patient. We emphasize the convergence between hereditary and sporadic form, which are clinically inseparable, and other neurodegenerative diseases that share with ALS genetic and clinical characteristics. Because about 2/3 of familial cases and only about 11% of sporadic cases are explained by mutations the research have been aimed at discovering new candidate genes using genome –wide association studies and at the epigenetic causes of the disease. We have recently completed the first representative genetic analysis of patients with ALS in Slovenia and research on methylation and microRNAs is currently in progress.
Predstavitev metode resekcije jeter ALPPS s prikazom primera
Authors: Sojar Valentin , Petrič Miha , Đokić Mihajlo , Stanisavljević Dragoje 
Published: November 2017

In patient with colorectal liver metastases only surgery is associated with a survival plateau. Main factors for resection are localizations of metastasis and functional liver remnant. To prevent liver failure after extended hepatic resection we perform two stage procedure with portal vein ligation or embolisation. In March 2012 was published first large study for new technique of two stage hepatic resection. In fisrt procedure surgeon performed in situ resection with perservation of arteries, vein and bile ducts. After one week CT was performed and if adequate hypertrophy of liver remain was observed final procedure with removal of transected liver was performed. Authors describe 100% hypertrophy of future liver remant in 1 to 2 week period. We will describe first procedure performed in Slovenia in our clinical department.
Slovenske smernice za obravnavo diseminiranega plazmocitoma 2015
Authors: Zver Samo , Mlakar Uroš 
Published: November 2017

Multiple myeloma is the second most common hematologic malignancy in western world. There are every year around 120 newly diagnosed patients in Slovenija and their survival is on the path of sustained improvement. After year 2006, we are presenting new 2015 uptodated new slovenian guidelines, dealing with diagnostics and treatment of multiple myeloma.
The impact of open access on the medical literature: a review of current literature
Authors: Turk Nana 
Published: November 2017

Background: the aim of the article is to conduct an overview of the impact of OA on the medical articles based on 3-part categorization.Methods: Data were identified by a search strategy with eight combinations of keywords (open access, citation impact, citation advantage, citation count, article download, article usage, social media attention, altmetrics) and searched in three diﬀerent databases.Results: the analysis was conducted on 107 studies dealing with citations, downloads and social impact. Sixty-seven of them simply employed the counting citations to OA and non-OA articles; nineteen articles compared the downloads and citations counts; and twenty-one articles investigated the social impact of OA articles. Twenty-five articles investigated the citations, download counts, and social impact of medical articles.Conclusions: The studies investigating the citation impact mostly showed citation advantages. Those that employed citation and download counts of medical articles using randomized controlled trials showed that OA articles were downloaded significantly more frequently, but found no evidence of a citation advantage for open access articles. The citation advantage from open access might be caused by other factors. Results of the studies comparing the social media attention and citations/downloads of the medical articles are often diametrically opposed.
Study of Equilibria in Cadmium Bromide Complexes Solutions From the Aspect of Their Quantitative Determination
Authors: Vujasinović Suzana , Vindakijević Jasna , Sladojević Slavica 
Published: November 2017

The study of equilibria established in cadmium bromide complexes solutions was performed voltammetrically, by applying the linear sweep technique on the hanging mercury drop electrode, HMDE. In the studied systems the initial cadmium-ion concentration was equal, and the concentration of ligands, bromide ion, was gradually increased along with maintaining the pH-value and ion force of the solution at the constant values. The resulting shifts of the voltammogram peak reduction potential, which come as a result of the change in the electroactive species concentration due to the increase of the ligand concentration, were treated by the method of DeFord-Hume. In this manner four cadmium bromide complexes species were detected and their stability constants were determined. All obtained stability constants matched the literature data in a satisfactory manner.
Strategies to Help Patients Navigate High Prescription Drug Costs
Authors: Lalani Hussain S. , Hwang Catherine S. , Kesselheim Aaron S. , Rome Benjamin N. 
Published: October 2024

ImportanceIn the US, many patients struggle to afford prescription drugs, leading to adverse health outcomes. To improve cost-related medication nonadherence, prescribers and clinical staff must understand how to assist patients in overcoming high prescription drug costs.ObservationsWe reviewed the benefits and limitations of 7 strategies to help patients afford prescription drugs: co-payment cards, patient assistance programs, pharmacy coupons, direct-to-consumer pharmacies, public assistance programs, international online pharmacies, and real-time prescription benefit tools. We created an algorithm to help clinicians identify appropriate strategies based on a patient’s health insurance and the type of drug (brand-name vs generic). For example, co-payment cards can lower out-of-pocket costs for privately insured patients taking brand-name prescription drugs. For uninsured individuals or those with public insurance like Medicare Part D who meet financial eligibility criteria, patient assistance or public assistance programs may be available. All patients, regardless of health insurance, can forgo insurance and purchase drugs directly using pharmacy coupons or direct-to-consumer pharmacies, which sometimes offer lower prices for generic drugs compared to insurance. For insured patients, such purchases do not count toward insurance deductibles or annual out-of-pocket maximums. Online international pharmacies provide a last resort for patients in need of brand-name drugs who lack affordable domestic options. Increasingly, prescribers can use real-time prescription drug benefit tools to estimate patient out-of-pocket costs and identify alternative lower-cost treatments for insured patients, but these tools can be inaccurate or incomplete.Conclusions and RelevanceThe current patchwork of strategies to help patients manage high prescription drug costs highlights the structural and policy challenges within the US prescription drug market that impede affordable access for some patients. While these strategies provide tangible solutions for clinicians to help patients access medically appropriate but costly medications, they do not address the root causes of high drug prices.
Trends in Cancer Incidence and Potential Associated Factors in China
Authors: Li Mandi , Hu Meijing , Jiang Lin , Pei Jiao , Zhu Cairong 
Published: October 2024

ImportanceTimely analysis of cancer incidence trends is crucial for cancer prevention and control, which is a public health priority in China.ObjectiveTo estimate incidence trends for 32 cancers in China from 1983 to 2017 and project changes to 2032, assessing distinct changes due to risk factors and an aging population.Design, Setting, and ParticipantsThis population-based cohort study used data from the Cancer Incidence in Five Continents database (1983-2017). New cases of 32 cancers were collected. Data were analyzed from October 15, 2023, to May 23, 2024.Main Outcomes and MeasuresAge-standardized incidence rate (AIR) standardized to the World Health Organization World Standard Population, average annual percentage changes (AAPC) using joinpoint regression, and percentage change due to aging and risk factors, using Møller decomposition analysis, stratified by cancer and sex.ResultsA total of 3 677 027 new cancer cases (54.9% male, 45.1% female) were included in the analysis. Increased AIRS were observed for 11 cancers in males and 14 in females from 1983 to 2017, with trends expected to continue until 2032. Thyroid cancer showed the highest increase (AAPC: 7.82% in males; 95% CI, 6.92%-10.38%; 8.59% in females; 95% CI, 7.84%-10.42%), followed by prostate (4.71%; 95% CI, 3.12%-9.95%) and kidney (3.61%; 95% CI, 3.11%-5.82%) cancers in males, and cervical (4.43%; 95% CI, 3.36%-9.44%) and kidney (3.66%; 95% CI, 2.98%-6.86%) cancers in females. The AIRs of lung cancer tended to decrease in males but increase in females during 1983-2017. In contrast, the AIRs of stomach, liver, larynx, and nose and sinuses cancers decreased from 1983 to 2032. From 2018 to 2032, cancer cases were projected to increase primarily due to risk factors for 18 cancers in males and 11 in females, while aging would be associated with the increase in other cancers.Conclusions and RelevanceIn this population-based cohort study of incident cancer in the general population, the cancer landscape in China is evolving, with an increasing incidence primarily due to risk factors in 20 cancers and aging in others. Primary prevention efforts to reduce risk exposure are crucial, and further basic research is needed. Additionally, second prevention efforts are imperative to improve cancer survival, particularly among older individuals.
Toward Sustainable Lifelong Learning: Feedforward Effects of Challenge Recollections on Adult Learning Identity
Authors: Qi Ziyu , Lyndgaard Sibley F. , Melkers Julia E. , Kanfer Ruth 
Published: October 2024

ABSTRACTLittle research has examined how prior learning experiences influence adult learning attitudes and lifelong learning engagement. We adopted a person‐centric approach to examine past work‐related learning experiences and assessed the effects of recalled challenges on current learning attitudes, intentions, and behavior in the same domain. Surveying alumni from an online master's degree program, we found that recollected challenges from past learning entail multifaceted challenge foci (e.g., curriculum‐related vs. social obstacles). Learners reporting more challenges in curriculum and social dimensions reported less positive attitudes toward lifelong learning, supporting the notion that negative learning experiences may hinder the development of self‐identity as a lifelong learner. Limited support was obtained for predictions about relationships between past challenges and post‐graduation learning intentions and behavior. The person‐centric approach also permits the analysis of past learning experiences that are not well captured by standard assessments of “successful” adult learning.