bluuebunny/crossref_metadata_2025_split huggingface dataset:
27. U PHẾ BÀO XƠ HÓA: BÁO CÁO CA BỆNH
Authors: Hải Ngô Vi , Sơn Lê Hải , Hà Nguyễn Văn Xuân , Thắng Nguyễn Đức , Dũng Đặng Trung , Tưởng Nguyễn Mạnh , Huyên Đào Thị 
Published: January 2024

Đặt vấn đề: U phế bào xơ hóa (Pulmonary Sclerosing Pneumocytoma - PSP) là một tổn thương phổi lành tính, hiếm gặp, thường gặp ở phụ nữ châu Á, đặt ra thách thức trong quá trình chẩn đoán do tính hiếm gặp và đặc điểm lâm sàng mơ hồ.
Mục tiêu: Bài báo nhằm mục đích báo cáo chi tiết một trường hợp PSP, đánh giá chẩn đoán hình ảnh, sinh thiết, và phẫu thuật, đóng góp vào dữ liệu khoa học, và chia sẻ kinh nghiệm về quá trình chẩn đoán và điều trị.
Báo cáo ca bệnh: Bệnh nhân nữ 36 tuổi, phát hiện khối u phổi trái trong quá trình kiểm tra sức khỏe. Chẩn đoán bao gồm CT, PET/CT, sinh thiết lõi và phẫu thuật nội soi lồng ngực cắt u. Kết quả nhuộm hoá mô miễn dịch xác định đặc điểm của PSP.
Bàn luận: Bàn luận về đặc điểm chẩn đoán, sự khó khăn trong phân biệt với tổn thương ác tính, và chiến lược phẫu thuật. Nhấn mạnh sự hiếm gặp của PSP và tầm quan trọng của chẩn đoán chính xác.
Kết luận: Tổng hợp thông tin từ báo cáo trường hợp và bàn luận, kết luận về sự quan trọng của chẩn đoán đúng và phương pháp điều trị hiệu quả cho PSP. Khuyến khích nghiên cứu và theo dõi lâu dài để làm sâu rộng hiểu biết về loại tổn thương này.
WORST CHOICE FOR SCHOOL CHOICE: TUITION TAX CREDITS ARE A BAD IDEA AND DIRECT FUNDING IS WISER
Authors: Broyde Michael , Gabianelli Anna 
Published: January 2024

School choice is on the rise, and states use various mechanisms to implement it. One prevalent mechanism is also a uniquely problematic one: the tax credit. Tax credits are deficient at equitably distributing a benefit like school choice; they are costly, and they invite fraud. Instead of using tax credits, states opting for school choice programs should use direct funding. Direct funding will more efficiently achieve the goals of school choice because it can be regulated like any other government benefit, even if it ends up subsidizing religious private schools.
Tax credits’ prevalence is not inexplicable, of course. It is based on a prior legal understanding that states were constitutionally restricted from directly funding religious schools. Historically, states that wanted to include religious private schools in their school choice programs therefore felt pushed to use tax credits as their only constitutionally viable option. However, the landscape has changed. The Supreme Court held in 2022 that direct funding of religious private schools is not only constitutionally permissible, but it is required if a state funds non-religious private schools and provides no neutral basis for excluding religious ones. The initial reason for tax credits’ popularity therefore no longer exists; both tax credits and direct funding alike are constitutionally acceptable. It is time, therefore, to revisit the merits of tax credits and ask whether, knowing what we know now, it is worth disposing of them in favor of direct funding. This Article answers that question with a resounding yes. Tax credits carry significant disadvantages—specifically, inequitable distribution and difficulties in regulation—that direct funding does not. Now that the law is clear, states choosing to sponsor school choice should discontinue their use of tax credits in favor of direct funding.
Regulation of Chemical Processes by Phase Separation
Authors: Weber Christoph 
Published: January 2024

Phase-separated liquid condensates can spatially organize and thereby regulate chemical processes. The physicochemical mechanisms underlying such regulation remain elusive as intra-molecular interactions give rise to a coupling between diffusion and chemical reactions at non-dilute conditions. In this seminar, I will first show that the concepts of non-equilibrium thermodynamics can be applied to phase separation in living cells. Moreover, I will derive a theoretical framework that governs the coupling between the phase separation of molecular components and their chemical reactions. When components diffusive fast compared to chemical reactions, a powerful framework can be derived to understand chemical kinetics in non-dilute systems where chemical trajectories can be drawn in thermodynamics phase diagrams. This versatile framework can be applied to various chemical processes in systems biology and biological cells. It can also be used to experimentally quantify how condensed phases alter chemical processes and thus help unravel how biomolecular condensates regulate biochemistry in living cells.
Incidence and Time Course of Symptomatic Thromboembolic Outcomes After Lower Extremity Arthroscopic Surgery, Ankle Fracture Surgery, and Achilles Tendon Repair
Authors: Marder Richard A. , Danielsen Beate , White Richard H. , Meehan John P. 
Published: January 2024

Background:
The incidence and time course of acute venous thromboembolism (VTE) after ambulatory surgery for lower extremity orthopaedic conditions is not well-defined.

Hypothesis:
The purpose of this study was to analyze the incidence, the time course, and risk factors associated with clinically diagnosed acute deep vein thrombosis or pulmonary embolism within 3 months of surgery in patients undergoing specific operations for lower extremity injuries.

Methods:
Patients undergoing arthroscopic procedures of the knee, ankle fracture surgery, Achilles tendon repair, and ankle arthroscopy from January 1, 2005, to December 31, 2010, were identified in the California Ambulatory Surgery database with linkage to hospital discharge data, emergency department data, and a death registry. Outcomes were acute VTE and death within 90 days. Time courses were compared using Kaplan-Meier analysis, and risk factors were analyzed using proportional hazard modeling.

Results:
Analysis of data from 468,699 surgeries showed that the cumulative incidence of acute VTE was significantly higher after Achilles tendon repair (0.72%, P < 0.001) than ankle fracture surgery (0.33%), knee arthroscopy procedures (range, 0.29% to 0.41%), or ankle arthroscopy (0.24%). The time course of diagnosis of VTE was similar for all arthroscopic procedures (median postoperative day for diagnosis = 9 to 10; 80% by 22 to 36 days), whereas for Achilles tendon surgery, the time course was protracted (median postoperative day for diagnosis = 29 days; 80% by 51 days). Ninety-day mortality was low (<0.06%) after all procedures except ankle fracture (0.12%). Predictors of pulmonary embolism included age older than 60 years (HR, 3.1; 95% CI; 2.0 to 4.8, versus younger than 30 years), Achilles tendon repair (HR, 3.8; 95% CI; 2.8 to 5.3), and ankle fracture surgery (Hazard Ratio [HR], 2.1; 95% Confidence Interval [CI]; 1.5 to 2.8); Asian/Pacific Islander (HR, 0.3; 95% CI; 0.1 to 0.6) and Hispanic patients (HR, 0.5; 95% CI; 0.4 to 0.7) had significantly lower risk.

Discussion:
The incidence and time course of onset of acute VTE after lower extremity orthopaedic surgeries varies significantly depending on the surgical procedure. These findings have implications regarding the use and duration of pharmacologic thromboprophylaxis.
A Bibliometric Analysis of the 500 Most Cited Papers in Orthopaedic Oncology
Authors: Fanfan Dino , Larios Felipe , Gonzalez Marcos R. , Rodriguez Alexander , Nichols Domonique , Alvarez Juan C. , Pretell-Mazzini Juan 
Published: January 2024

Background:
Despite notable progress over time, broad insight into the scientific landscape of orthopaedic oncology is lacking. We conducted a bibliometric analysis of the 500 most cited papers in the field.

Methods:
We searched the Science Citation Index Expanded database of the Web of Science Core Collection to find the 500 most cited articles in the field.

Results:
Citation count ranged from 81 to 1,808. Articles were published from 1965 to 2018. Over half of all articles were published in the United States (53.6%). The 2000s was the most productive decade with 170 (34%) articles. All articles were written in English and were published across 29 journals. Female participation as first authors significantly increased from the 1960s to the 2010s (0% vs 14.6%, P = 0.0434). Similarly, female involvement as senior authors grew from the 1960s to the 2010s (0% vs 12.2%, P = 0.0607). Primary bone sarcomas were the most cited topic among articles from the 1970s to the 1980s. From studies produced in the 1990s up until the 2010s, reconstruction procedures were the most cited topic.

Conclusion:
Trends over the years have resulted in an emphasis on a surgical technique. Notable progress has been made regarding gender diversity, yet disparities still exist.
Controle de estoque no setor de materiais do instituto de saúde e biotecnologia (ISB) da Universidade Federal do Amazonas
Authors: Gonçalves Maurilho de Lima , Ferreira Márcio Antônio Couto , Medeiros Rafael Lima , Da Rocha Siomara Dias , Da Costa Eleonora Barbosa Santiago 
Published: January 2024

Este estudo busca sugerir a utilização de ferramentas de controle de estoque, no setor de materiais do instituto de Saúde e Biotecnologia (ISB) da Universidade Federal do Amazonas (UFAM), no município de Coari-Amazonas, com o objetivo de maximizar a utilização de materiais, promover a redução de custos e de tempo, evitar desperdícios e garantir a qualidade no controle dos materiais. Essas ferramentas visam melhorar o processo de manuseio de materiais no setor de materiais, nas etapas de recebimento, armazenamento, distribuição e controle de materiais, bem como auxiliar os administradores na tomada de decisões para futuras aquisições. O percurso metodológico usado para este estudo apoiou-se em estudos de caso onde os dados foram recolhidos através de pesquisa bibliográfica e documental, com observação participante e tratados, através da análise de conteúdo. O resultado da pesquisa corroborou para evidenciar a necessidade do uso da técnica de controle de estoque curva ABC para atender a rede de abastecimento da instituição com foco na redução de custos e melhoria do fluxo de materiais após análise do curso de materiais adquiridos em 2022. Estudos futuros poderão ser direcionados para uma sugestão de uso para outras unidades da UFAM, de acordo com o processo utilizado em cada unidade em relação ao controle de estoque.
The Readiness of Implementation of Universal Health Coverage Program in Soppeng Regency: A Qualitative Study
Authors: Ramlah Nur , Palutturi Sukri , Balqis  , Arifin Muhammad Alwy , Yahya  , Stang  
Published: January 2024

Objective: This study aims to determine the readiness to implement the Universal Health Coverage program in Soppeng Regency in 2023.

Theoritical Framework : This research was chosen based on theoretical views (George C. Edwards III, 1980) where the supporting variables in policy implementation that influence the success or failure of policy implementation are divided into four parts that mutually support each other, including communication, resources, attitudes and structure bureaucracy.

Method: The type of research used in this research is descriptive qualitative research with in-depth interviews using questionnaires and documentation. The research was conducted in July-August 2023 in Soppeng Regency. The number of samples used were 10 informants who were taken using a purposive sampling technique.

Results and Conclusion: The results of this study indicate that communication, the implementation of the Universal Health Coverage program in Soppeng Regency has been going well, the delivery of information from BPJS Kesehatan to the Regional Government has been conveyed clearly and consistently. Resources, the implementation of the Universal Health Coverage program in Soppeng Regency, in terms of the quantity of human resources, both policy makers and program implementer, are considered good and competent, accompanied by supporting facilities. The attitude/disposition, commitment and support of BPJS Kesehatan, Regional Government, related OPD to village government in implementing the Universal Health Coverage program in Soppeng Regency are considered quite good. The bureaucratic structure, the implementation of the Universal Health Coverage program has been going quite well where the mechanism for implementing the JKN-KIS program, in this case BPJS Kesehatan, with the coordination of the Health Office, has made every effort to provide the best service to the community and provide financial protection.

Implications of the Research: The implementation of Universal Health Coverage (UHC) in Soppeng Regency aims to ensure that everyone, everywhere can get quality health services without causing financial problems due to the disease they suffer from.
ӨЗГӨН ШААРЫНДАГЫ СЕЙИЛ БАКТЫН ДАРАК ЖАНА БАДАЛ ӨСҮМДҮКТӨРҮ
Authors: Мамасадык уулу Арстанбек 
Published: January 2024

Бул илимий макаланын максаты – Өзгөн шаарындагы Н.Азнабакиев атындагы сейил бакта кездешкен дарак жана бадал өсүмдүктөрүнүн түрлөрүн изилдөө жана аныктоо болду. Изилдөө ботаниканын жана морфологиялык анализдин заманбап ыкмаларын колдонуу менен жүргүзүлдү. Макалада сейил бакта басымдуулук кылган дарак түрлөрүнүн биологиялык мүнөздөмөлөрү боюнча маалыматтар берилди. Изилдөөнүн натыйжалары парктагы өсүмдүктөрдүн түрлөрүн так аныктоого мүмкүнчүлүк түзүп, экосистеманы жана анын иштешин жакшыраак түшүнүүгө мүмкүндүк берет.
МАТЕМАТИКА БОЮНЧА ЖОГОРКУ КЛАССТЫН ОКУУЧУЛАРЫНЫН ӨЗ АЛДЫНЧА ИШТЕРИН УЮШТУРУУГА ДИФФЕРЕНЦИРЛЕНГЕН МАМИЛЕ
Authors: Мадраимов Сапарбек , Белек кызы Чолпон , Балтагулова Айдана 
Published: January 2024

Мектептердин негизги максатын-окуучулардын жаш өзгөчөлүктөрүн эске алып, алардын шык жөндөмүнө жараша мамиле кылуу. Дифференцирлеп окутуунун негизги милдети индивидуалдыкты ачуу, анын өсүшүнө, өзүн көрсөтүүсүнө, тандалмалуулукка жана коомдук таасирлерге каршы турууга жарам берүү.
Бул макалада математика боюнча өз алдынча иштерди уюштурууга жана өткөрүүгө карата дифференцирленген мамиле жасоо иштерине арналган. Дифференцирленген окутуунун элементтерин математика сабактарында колдонуунун технологиялары каралган. Ошондой эле 11-класстын окуучулары үчүн “Көсөткүчтүү тендемелерди бирдей негизге келтирүү жолу менен чыгаруу” темасы каралып, өтүлгөн тема боюнча бышыктоо максатында үч деңгээлдеги өз алдынча иштер сунуш кылынган. Дифференцирленген окутуунун формаларын математика сабагынын кайсы гана этабында болбосун ийгиликтүү уюштурууга аракеттер жасалган.
ФИБОНАЧЧИ САНЫ ЖАНА АНЫН КОЛДОНУШТАРЫ
Authors: Маматова Замира 
Published: January 2024

Фибоначчи сандары деген эмне, бул сандарды кайдан көрүүгө болот, аларды биздин жашообузда кайдан тапса болот, эмне үчүн бул сандар удаалаштыгы биздин дүйнөдө кеңири таралган? Мындай суроолор математика боюнча факультативдик сабакта Фибоначчи деп аталган кызыктуу удаалаштыкты түзгөн “табигаттын сандарын” изилдегенибизде пайда болду.
Фибоначчи удаалаштыгы бизди курчап турган чындыктын ар кандай аймактарында кайдан табыла турганын көрсөткөн көптөгөн изилдөөлөр бар. Биз бул билимге таянып, өзүбүздүн изилдөөбүздү жүргүзгүбүз келди. Көрсө, бул сандар күн карама, ананас жана карагайдын конустарында, ийнеликтердин жана деңиз жылдыздарынын канаттарында, адамдын жүрөгүнүн ыргагында жана музыкалык ритмдеринде, адамдын дене түзүлүшүндө жана моллюскалардын түзүлүшүндө болот экен ошондой эле снаряддарда, океанда, космосто ж.б. кездешет.
ТУНГУЧ ВИЦЕ-ПРЕМЬЕРДИН ӨМҮР ТАРЖЫМАЛЫ МЕКТЕПТЕ МУЗЫКА САБАГЫНДА
Authors: Мурзабаева Салтанат , Жаныбекова Эльвира 
Published: January 2024

Бул макалада кыргыз элинин тунгуч вице-премьердин өмүр таржымалы мектепте музыка сабагында колдонуп, балдарга үлгү катары сабактарда жана класстан тышкаркы иштерде колдонууга болот. Көрүнүктүү партиялык ишмер Насирдин Исановдун өрнөктүү өмүрү турмушта келечектеги жаш муундарды тарбиялоодо үлгү катары колдонуунун бирден бир жолу. Учурда коомубуз, андагы тарбияланып жаткан балдарды тарбиялоого өзгөчө мамиле керек болуп жаткан мезгилде Насирдин Исановдун ар тараптуу өскөн инсан катары жаштарга таанытууну туура багыт катары кароого болот. Мектепте өтүлгөн ар бир сабакта б.а. өзгөчө гуманитардык сабактарда, кандай гана тема өтүлбөсүн ыңгайын таап, окуучуларды, студенттерди тааныштыруу абзел. Анын иштеген иши, музыкага болгон сүйүүсүн, кол ойноткон комуз күүсү, жазган ырлары, анын мазмунунун тарбиялык мааниси чоң.
Asuhan Kebidanan Ny ʻʻnʼʼ dengan Kehamilan Gemelli dan dicurigai Hydrocephalus
Authors: Ayu Nirmayanti  , Suharmi  
Published: January 2024

Pendahuluan: Kehamilan adalah pertumbuhan dan perkembangan janin intrauterine mulai sejak konsepsi dan berakhir sampai permulaan persalinan. Lamanya kehamilan mulai dari ovulasi sampai partus kira-kira 280 hari (40 minggu ), dan tidak lebih dari 300 hari (43 minggu). Proses kehamilan kembar dapat terjadi dari dua sel telur yang dibuahi (kembardizigotik/non-identik) maupun berasal dari sebuah sel telur yang setelah dibuahi mengalami pembelahan menjadi dua bagian yang masing-masing berkembang menjadi mudigah (monozigotik/identik), (Sofian, 179, 2011). Metode: Studi Pustaka dilakukan Penulis dengan membaca dan mempelajari buku – buku serta literal yang berhubungan dengan kasus retensio plasenta. Kemudian melakukan Studi Kasus dengan menggunakan teknik: anamneses, observasi, pemeriksaan fisik ,pengkasian psikososial dan studi dokumentasi. Melakukan anamneses langsung pada Ny “N” suami dan keluarganya, guna untuk mendapatkan data yang diperlukan untuk memberikan asuhan kebidanan pada Ny “N”. serta melakukan pengkajian status sosial emosional, pola interaksi ibu terhadap keluarga, tetangga, petugas kesehatan lingkungan, dan pengetahuan tentang kesehatan, serta respon terhadap keadaan yang dialaminya.Hasil Diagnosa: Inpartu Kala III dengan Retensio Plasenta dan Masalah Kecemasan karena plasentanya belum lahir setelah 30 menit lahirnya bayi Pembahasan : Sebelum menegakkan diagnose penulis melakukan pengkasian data kemudian di analisis untuk mendapatkan diagnose dan masalah setelah itu dalam pembahasan ini antara teoro dan asuhan yang diberikan di rumah sakit Umum Daerah Majene tidak terdapat kesenjangan. Kesimpulan Dari kasus retensio plasenta petugas harus memiliki keterampilan yang cukup dalam mengatasi kasus tersebut karena jika kasus tersebut tidak tertangani maka kasus pendarahan bisa terjadi pada ibu.
Asuhan Kebidanan pada Nyi‘’N’’ dengan Hiperemesis Gravidarum Tingkat I di Rumah Sakit Umum Daerah Majene
Authors: Dewianti  , St. Haira  , Nurfadilah  
Published: January 2024

Pendahuluan : Hiperemesis gravidarum adalah mual dan muntah berlebihan pada ibu hamil hingga mengganggu aktivitas sehari-hari karena biasanya diperparah dengan dehidrasi. estrogen dan hCG (chorionic gonadotropin) dalam serum. Biasanya wanita dapat beradaptasi dengan keadaan ini, meskipun gejala mual dan muntah yang parah dapat bertahan hingga 4 bulan. Akibatnya, pekerjaan sehari-hari terganggu dan kondisi kerangka semakin memburuk (Susanti, Firdayanti dan Haruna, 2019)
Metode : Studi Pustaka dilakukan Penulis dengan membaca dan mempelajari buku – buku serta literal yang berhubungan dengan kasus retensio plasenta. Kemudian melakukan Studi Kasus dengan menggunakan teknik : anamneses, observasi, pemeriksaan fisik ,pengkasian psikososial dan studi dokumentasi. Hasil Diagnosa: Hiperemesis Gravidarum dan Masalah Kecemasan dan ketidaknyamanan yang dirasakan pada ibu saat muntah. Pembahasan : Sebelum menegakkan diagnose penulis melakukan pengkasian data kemudian di analisis untuk mendapatkan diagnose dan masalah setelah itu dalam pembahasan ini antara teoro dan asuhan yang diberikan di rumah sakit Umum dan tidak ditemukannya adanya kesenjangan antara teoti dan praktik. Kesimpulan Dari kasus retensio plasenta petugas harus memiliki keterampilan yang cukup dalam mengatasi kasus tersebut karena jika kasus tersebut tidak tertangani maka kasus pendarahan bisa terjadi pada ibu.
USING CONTEXT CLUES OF NARRATIVE STRUCTURE TO IMPROVE THE STUDENTS VOCABULARY MASTERY
Authors: Umar A. Surya Kharisma , Saiful  , Firman  
Published: January 2024

This study aimed at finding out the influence of Using Context Clues of Narrative Structure to the Students Vocabulary Mastery of class VII A SMPN 1 Tombolopao. The method of this research was Pre-Experimental research. Data of the research were collected through Context Clue test (Pre-Test and Post-Test). The sample of this research was the VII A Class students of SMPN 1 Tombolopao. The sample was taken by using purposive sampling technique. Based on the results researcher found that context clue gave positive experience and effect in mastering the vocabulary. Result of research was found by the writer in context clue test from students. commonly described that context clue gave positive experience and effect in mastering the vocabulary. Students were able to put the correct word and get new knowledge in using vocabulary. The English teacher also gave supportive explanation about how this strategy implemented in her class, even there was still gap in teaching method when this strategy implemented in the classroom, but at least it gave them advantages in vocabulary learning. In observation the writer found commonly showed good category when context clue strategy. It gave improvement in teaching and learning activity in English class. Student seen to be attractive, gave participation and asking more often in the classroom as same as their vocabulary understanding.
LIFE INSURANCE DEVELOPMENT AND ECONOMIC GROWTH: A CASE STUDY OF NIGERIA (2000-2022)
Authors: FADUN OLAJIDE SOLOMON , OLUWALEYE TAIWO OLARINRE 
Published: January 2024

This research looked at the development of life insurance and economic growth using Nigeria as a case study from 2000 to 2022. Specifically, the authors examined the causal relationship between life insurance development and economic growth, analyzed the effect of life insurance penetration and life insurance density on real GDP growth rate. Data used for the study were collected from sources including the World Development Indicator database, Global Financial Development Indicator database, NIA digest database, and Central Bank of Nigeria statistical bulletin. Granger causality test and Autoregressive Distributed Lag (ARDL) co-integration were used in the investigation approach. The granger causality test result indicated that there is no causal connection between Nigeria's economic growth and the development of life insurance. According to ARDL estimate results, life insurance density and penetration had a negligible positive effect on the real GDP growth rate. Hence, this study established that life insurance development is yet to contribute to economic growth in Nigeria, due mainly to its low level and mode of operations. Therefore, this study recommended among others that life insurance institutions should also increase their scope of operations to be directly involved in business investments other than financial market investment to enhance their level of significance in the growth process of Nigeria.