bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing Greenhouse Gas Emissions and Modifying Nitrous Oxide Delivery at Stanford: Observational, Pilot Intervention Study
Authors: Kraybill Eric P , Chen David , Khan Saadat , Kalra Praveen 
Published: December 2024

Background
Inhalational anesthetic agents are a major source of potent greenhouse gases in the medical sector, and reducing their emissions is a readily addressable goal. Nitrous oxide (N2O) has a long environmental half-life relative to carbon dioxide combined with a low clinical potency, leading to relatively large amounts of N2O being stored in cryogenic tanks and H cylinders for use, increasing the chance of pollution through leaks. Building on previous findings, Stanford Health Care’s (SHC’s) N2O emissions were analyzed at 2 campuses and targeted for waste reduction as a precursor to system-wide reductions.

Objective
We aimed to determine the extent of N2O pollution at SHC and subsequently whether using E-cylinders for N2O storage and delivery at the point of care in SHC’s ambulatory surgery centers could reduce system-wide emissions.

Methods
In phase 1, total SHC (Palo Alto, California) N2O purchase data for calendar year 2022 were collected and compared (volume and cost) to total Palo Alto clinical delivery data using Epic electronic health records. In phase 2, a pilot study was conducted in the 8 operating rooms of SHC campus A (Redwood City). The central N2O pipelines were disconnected, and E-cylinders were used in each operating room. E-cylinders were weighed before and after use on a weekly basis for comparison to Epic N2O delivery data over a 5-week period. In phase 3, after successful implementation, the same methodology was applied to campus B, one of 3 facilities in Palo Alto.

Results
In phase 1, total N2O purchased in 2022 was 8,217,449 L (33,201.8 lbs) at a total cost of US $63,298. Of this, only 780,882.2 L (9.5%) of N2O was delivered to patients, with 7,436,566.8 L (90.5%) or US $57,285 worth lost or wasted. In phase 2, the total mass of N2O use from E-cylinders was 7.4 lbs (1 lb N2O=247.5 L) or 1831.5 L at campus A. Epic data showed that the total N2O volume delivered was 1839.3 L (7.4 lbs). In phase 3, the total mass of N2O use from E-cylinders was 10.4 lbs or 2574 L at campus B (confirming reliability within error propagation margins). Epic data showed that the total N2O volume delivered was 2840.3 L (11.5 lbs). Over phases 2 and 3, total use for campuses A and B was less than the volume of 3 E-cylinders (1 E-cylinder=1590 L).

Conclusions
Converting N2O delivery from centralized storage to point-of-care E-cylinders dramatically reduced waste and expense with no detriment to patient care. Our results provide strong evidence for analyzing N2O storage in health care systems that rely on centralized storage, and consideration of E-cylinder implementation to reduce emissions. The reduction in N2O waste will help meet SHC’s goal of reducing scope 1 and 2 emissions by 50% before 2030.
Results of treatment of patients with HIV infection in Russia, 2016-2022
Authors: Tsybikova E. B. , Kotlovskiy M. Yu. , Murtazaliev H. H. , Lorsanov S. M. 
Published: November 2024

The aim. To study the results of treatment of patients with HIV infection in Russia and the subjects of the Russian Federation in dynamics for the period from 2016 to 2022.Materials and methods. Information from the Federal Statistical Observation Form No. 61 for 2016–2022. To ﬁnd correlations between the indicators characterizing the number of patients with HIV infection who were under dispensary supervision, covered by antiretroviral therapy (ART) and achieved virological suppression, data from 85 subjects of the Russian Federation (RF) for 2016–2022 were used.Jupiter Notebook interactive computing environment (6.5.2) was used to work with data from 85 subjects of the Russian Federation for the period from 2016 to 2022. Pandas software library (1.5.3) was used for data processing and analysis, compilation and work with structured dataset. The Scipy statistical function module (1.9.3) was used to ﬁnd the Spearman and t-Kendall correlation coeﬃcients. The Scikit-learn (1.0.2) and Statsmodels (0.13.5) software libraries were used to build a trend line and ﬁnd linear regression coeﬃcients.Results and discussion. The study of the relationship between the number of patients with HIV infection who were registered at the dispensary (HIV-infected contingents) and who received ART in 85 subjects of the Russian Federation in 2016–2022 showed that in 2016 the share of subjects of the Russian Federation with low coverage of ART of HIV-infected contingents was 38.8% of their total number. However, by the end of 2022, in all 85 regions of the Russian Federation, contingents with HIV infection were proportionally covered by ART.An analysis of the distribution of 85 subjects of the Russian Federation in 2016–2022, depending on the relationship between the natural logarithms of the number of HIV-infected contingents who achieved virological suppression (effective ART) with the number of contingents covered by ART, revealed 11 subjects of the Russian Federation in which the percentage change in the number of contingents with effective ART exceeded the calculated value and did not correspond to the percentage changes in the number of contingents covered by ART. The results indicated the presence of defects in assessing the effectiveness of the treatment, since in these subjects of the Russian Federation the number of contingents with effective ART exceeded the number of contingents covered by ART. In 18 subjects of the Russian Federation, on the contrary, the percentage change in the number of HIV-infected patients with effective ART was lower than the calculated value and did not correspond to the percentage change in the number of patients covered by ART, that is, the effectiveness of the treatment was insuﬃcient.Conclusion. Currently, there is an urgent need in Russia to develop a methodology and criteria for evaluating the results and effectiveness of treatment of patients with HIV infection.
Variability of Rev protein in HIV-1 sub-subtype A6 in patients with different stages of HIV infection
Authors: Kuznetsova A. I. , Kim K. V. , Antonova A. A. , Lebedev A. V. , Ozhmegova E. N. , Tumanov A. S. , Munchak Ya. M. , Orlova-Morozova E. A. , Pronin A. Yu. , Prilipov A. G. , Kazennova E. V. 
Published: November 2024

The aim of the study. The comparison of genetic diversity of Rev protein in HIV-1 sub-subtype A6 in people living with HIV (PLHIV) with different stages of the disease.Materials and methods. 227 whole blood clinical samples received from PLHIV who have not had previously treatment and observed in Moscow Regional Center for the Prevention and Control of AIDS and Infectious Diseases were analyzed. The extraction of proviral DNA, the ampliﬁcation of the ﬁrst and the second rev exons with the followed sequencing was carried out. Subtyping was conducted by analyzing the rev second exon. Then the conservatism and amino acid substitutions in Rev sequences were compared in patients from different groups.Results and discussion. 220/227 (96.9%) samples contained HIV-1 sub-subtype A6. In patients with IV stage of the disease the conservation in Rev was signiﬁcantly lower. There were found two substitutions (L13I, S113P) with a statistically signiﬁcant difference in occurrence in PLHIV with different stages of HIV infection.Conclusion. The results obtained conﬁrm the hypothesis of correlation between Rev structure and course of HIV infection and indicate the necessity for further research on this ﬁeld.
«Hadde lite forventninger, ble positivt overrasket»: Lærerstudenters erfaringer med Den kulturelle skolesekken i en kunstmuseumskontekst
Authors: Skregelid Lisbet , Illeris Helene 
Published: November 2024

I artikkelen undersøkes hva som karakteriserer lærerstudenters erfaringer fra en utstilling ved et kunstmuseum. Utstillingsbesøket var en del av studentenes grunnskolelærerutdannelse og hadde sitt utspring i en workshop i regi av Den kulturelle skolesekken (DKS), som er et offentlig initiativ i Norge som skal sikre at alle elever får oppleve kunst og kultur. Bakteppet for artikkelen er den spenningsfylte relasjonen mellom skole- og kultursektoren i DKS og det faktum at lærere ikke har noen særlige utdanningsbaserte forutsetninger for å kunne håndtere sin del av samarbeidet med DKS. Den kunstdidaktiske tilnærmingen i utstillingen la vekt på aktiv deltakelse og samhandling. I artikkelen vises det til at studentene setter stor pris på besøket og ikke minst på den åpenhet og uforutsigbarhet som karakteriserer den kunstdidaktiske tilnærmingen i opplegget. Flere av studentene ser mulighetene i å videreføre samme type frihet i sin undervisning for elever. Artikkelen gir grunnlag for å argumentere for viktigheten av lærerstudenters førstehåndserfaring med kunst både for å kunne ivareta sin rolle i samarbeidet mellom skole og DKS og for å kunne realisere kunstbaserte undervisningsformer. Videre gir den grunnlag for å argumentere for undervisning som legger likhet til grunn og som fremmer frihet både i og utenfor DKS og kunstmuseums rammen.
ENGLISH ABSTRACT
“Had Few Expectations, Was Positively Surprised”: Student Teachers’ Encounters with The Cultural School Bag in an Art Museum Context
The article investigates students teachers’ experiences from an exhibition at an art museum. The visit was part of the students’ teacher education and originated from a workshop by The Cultural Schoolbag (TCS), which is a public initiative in Norway securing pupils’ art and cultural experiences. The backdrop for the article is the tense relationship between the school and cultural sector in TCS and the fact that teachers do not have any education-based prerequisites to be able to conduct their part of the collaboration with TCS. The educational approach in the exhibition emphasized active participation and interaction. In the article, it is pointed out that the students greatly appreciate the visit and not least the openness and unpredictability that characterize the art educational approach in the workshop. Several of the students see the possibilities in continuing the same type of freedom in their teaching. The article provides a basis for arguing for student teachers’ first-hand experience with art to realize their role in TCS and to be able to carry out arts-based forms of teaching. Furthermore, it leads to arguing for an education that is based on equality and promotes freedom both inside and outside the TCS and art museum context.
Analysis of the Effectiveness of Digital Strategy in Increasing Product Sales with the EPIC Model Approach
Authors: Rozikin Rozikin , Mas'ud M. Imron 
Published: November 2024

This study aims to evaluate the effectiveness of digital strategy in increasing sales of hijab products at CV Age Group. This research uses market research methods to develop and implement a digital strategy focusing on social media and paid advertising campaigns without involving SEO (Search Engine Optimization) and SEM (Search Engine Marketing). Sales data was analyzed to assess the impact of this strategy on product visibility and sales performance. The results showed that the digital strategy successfully increased the visibility and sales of hijab products. Social media effectively reached a wider audience and improved customer interaction, while paid advertising increased sales. The findings of this implication confirm the effectiveness of digital strategies in marketing hijab products and the importance of strategy updates to maintain a competitive advantage. Keywords: Digital Strategy, Hijab Sales, EPIC Model, digital marketing, digital strategy effectiveness.
Designing A New Miruki Way Business Branch by Carrying Out A Feasibility Analysis
Authors: Sofie Kayla Fadiana , Chumaidiyah Endang , Suryana Nanang 
Published: November 2024

Miruki Way is a culinary business located at Jl. Sukapura No. 14, Dayeuhkolot District, Bandung Regency. It offers various sweet drinks and side dishes accessible to a broad audience. The business owner was planning to open a new branch and is considering various aspects such as market analysis, technical feasibility, and financial viability. Based on the design results, the NPV value obtained using the MARR value of 10.7% is $1,151,288, the IRR value is 44.09%, and the payback period is 4.02 years. Sensitivity testing shows that the new branch is sensitive to decreasing product demand, decreasing selling prices, increasing raw materials, and increasing labor costs. Considering the risk factor of 18.37%, the NPV value is $1,496,970, the IRR value is 44.09%, and the payback period is 4.30 years. In conclusion, the branch opening is deemed feasible based on the positive NPV, IRR exceeding MARR, and the payback period falling within the expected range. Keywords: Feasibility Analysis, Market Aspect, Technical Aspect, Financial Aspect, Sensitivity and Risk Analysis
EKSISTENSI TRADISI UPACARA PERANG SAMBUK DALAM PENGUATAN PENDIDIKAN KEAGAMAAN DI DESA ADAT BUDUK KECAMATAN MENGWI KABUPATEN BADUNG
Authors: Ni putu ayu candra Dewi , Lestawi I Nengah , Wulandari Ida Ayu Gde 
Published: November 2024

ASBTRACT
​The tradition of the Sambuk War Ceremony in the Buduk Traditional Village, Mengwi District, Badung Regency is a sacred ritual that is included in an earlier ancestral heritage that contains high noble values ​​in life. This tradition is carried out once a year, namely on the day of tilem kesanga. The formulation of the problems that will be discussed include; (1) How is the existence of the Sambuk War Ceremony Tradition in the Buduk Traditional Village, Mengwi District, Badung Regency? (2) What is the function of the Sambuk War Tradition Ceremony for the people of Buduk Traditional Village, Mengwi District, Badung Regency? (3) What are Hindu religious education values ​​are contained in the Sambuk War Ceremony Tradition in Buduk Traditional Village, Mengwi District, Badung Regency?
​This research uses religious theory, existential theory, structural functionalism theory, and value theory. The technique of determining purposive informants is where the person who becomes the informant is a figure from the community. The data analysis technique is done by sorting the data obtained through interviews and field observations to seek scientific validation of the analyzed data, so as to produce a logical conclusion that can be accounted for.
​The results obtained in the research entitled The Existence of the Sambuk War Tradition Ceremony in Strengthening Religious Education in the Buduk Traditional Village, Mengwi District, Badung Regency are; (1) Implementation of the Sambuk War TraditionCeremony which is carried out on the day of Tilem Kesanga, before the Tradition is carried out. The first series of ceremonies carried out are the Mekiis and Mecaru ceremonies. After performing the ceremony, the Sambuk War Ceremony Tradition can be carried out. (2) There are three functions of the Sambuk War Ceremony, namely the religious function, the harmony function, and the unity function. (3) Hindu religious education values ​​contained in the Sambuk War Ceremony Tradition are divine values, ethical values, aesthetic values, social values ​​and cultural values

Keywords: Existence of Sambuk War Ceremony Tradition, Hindu religious education
Teks Geguritan Dharmakerti (Kajian Nilai-Nilai Pendidikan Karakter)
Authors: Pradnyana Anggara I Putu , Linggih I Nyoman , Saputra I Made Dian 
Published: November 2024

Teks Geguritan Dharmakerti merupakan salah satu karya sastra Bali klasik yang kaya akan nilai-nilai moral spiritual yang berguna di dalam kehidupan. Hal ini sudah sepantasnya untuk diperhatikan dalam rangka melestarikan dan mengembangkan budaya bangsa terutama budaya lokal. Karya sastra geguritan diciptakan dalam bentuk kumpulan pupuh atau tembang-tembang yang beragam lengkap dengan aturannya masing-masing. Adapun masalah yang akan dibahas antara lain: (1) Bagaimanakah struktur dari teks Geguritan Dharmakerti (2) Apa fungsi teks Geguritan Dharmakerti dalam pendidikan karakter (3) Nilai-nilai pendidikan karakter apakah yang terdapat dalam teks Geguritan Dharmakerti. Penelitian ini bertujuan untuk mengetahui (1) Struktur dari teks Geguritan Dharmakerti (2) Fungsi teks Geguritan Dharmakerti dalam pendidikan karakter (3) Nilai-nilai pendidikan karakter apakah yang terdapat dalam teks Geguritan Dharmakerti. Teori yang digunakan untuk memecahan masalah dalam penelitian adalah teori struktural dari Teeuw, teori fungsi dari Robson dan teori pendidikan karakter dari Thomas Lickona. Subjek penelitian ini adalah orang-orang yang dipercaya sebagai informan. Metode pengumpulan data adalah studi kepustakaan, wawancara dan dokumentasi. Data yang telah terkumpul di analisis menggunakan metode analisis data hermeneutika yaitu dengan melakukan penafsiran. Hasil penelitian menunjukkan (1) Struktur dalam teks Geguritan Dharmakerti dibagi menjadi struktur formal yang terdiri dari bait, pupuh, skema wilangan wanda, karakter dari masing-masing pupuh, dan struktur naratif yang terdiri atas latar, tokoh, alur serta tema (2) Fungsi teks Geguritan Dharmakerti dalam pendidikan karakter yaitu fungsi didaktif (mendidik), fungsi moralitas, fungsi estetika dan rekreatif (3) Nilai-nilai pendidikan karakter yang terdapat dalam teks Geguritan Dharmakerti adalah nilai pendidikan karakter beriman-bertakwa dan berakhlak mulia, berkebhinekaan global serta gotong royong.
PERAN ACARYA DALAM MENINGKATKAN KARAKTER SISWA DI PASRAMAN WIDYA MARGA DESA MENDALANWANGI KECAMATAN WAGIR KABUPATEN MALANG PROVINSI JAWA TIMUR
Authors: Mistriani  , Sumantra I Nengah , Giri I Putu Agus Aryatnaya 
Published: November 2024

Pendidikan agama Hindu dapat dilakukan melalui pendidikan formal dan nonformal. Salah satu pendidikan nonformalnya ialah di pasraman, dimana Acarya sangatlah berperan penting dalam meningkatkan karakter siswa. Peran Acarya tersebut membentuk tingkah laku siswa yang sebelumnya kurang baik menjadi baik, dan yang sebelumnya sudah baik menjadi lebih baik lagi. Adapun masalah yang akan dibahas antara lain 1) Bagaimana proses pembelajaran oleh Acarya dalam meningkatkan karakter siswa di Pasraman Widya Marga?; 2) Bagaimanakah metode pembelajaran Agama Hindu dalam meningkatkan karakter siswa di Pasraman Widya Marga?; dan 3) Apakah kendala yang dihadapi dan upaya yang dilakukan untuk mengatasi kendala pembelajaran Agama Hindu dalam meningkatkan karakter siswa di Pasraman Widya Marga?. Penelitian ini bertujuan untuk mengetahui proses pembelajaran yang dilakukan oleh Acarya dalam meningkatkan karakter siswa di Pasraman Widya Marga, metode pembelajaran Agama Hindu dalam meningkatkan karakter siswa di Pasraman Widya Marga, dan kendala yang dihadapi dan upaya yang dilakukan untuk mengatasi kendala pembelajaran Agama Hindu dalam meningkatkan karakter siswa di Pasraman Widya Marga. Adapun karakter yang dimaksud ialah karakter religius, toleransi, peduli sosial, peduli lingkungan, tanggung jawab, dan jujur.
Teori yang digunakan untuk menganalisis masalah adalah teori belajar sosial dari Albert Bandura dan teori behavioristik dari Skinner Metode pengumpulan datanya ialah observasi non partisipan, wawancara tak berstruktur, studi kepustakaan, dan studi dokumen. Data yang telah terkumpul dianalisis dengan metode analisis deskriptif kualitatif dengan langkah langkah reduksi, penyajian data, dan penarikan simpulan.
Hasil penelitian menunjukkan bahwa peran Acarya dalam meningkatkan karakter siswa sudah berjalan dengan baik dimana Acarya sebagai sumber pengetahuan, teladan, dan motivasi. Acarya menggunakan beberapa metode dalam proses pembelajaran yakni metode Sad Dharma. Kendala yang dihadapi dalam meningkatkan karakter siswa meliputi faktor eksternal dan internal yang diantisipasi dengan melakukan inovasi membuat media secara mandiri dan menerapkan pendekatan secara personal (Upanisad).

Kata Kunci: Pasraman, Acarya, Karakter, Sad Dharma.
Upaya Peningkatan Hasil Belajar Peserta Didik Kelas VIII SMP PGRI 1 Denpasar Pada Mata Pelajaran Pendidikan Agama Hindu dan Budi Pekerti Melalui Penerapan Soal HOTS
Authors: Ni Kadek Hari Sitaresmi , I Gusti Ngurah Agung Wijaya Mahardika , Ni Nyoman Yunike Kurniarini 
Published: November 2024

Penelitian ini membahas tentang langkah-langkah terbaik untuk mengimplementasikan soal HOTS (Higher Order Thinking Skill) dalam upaya meningkatkan hasil belajar peserta didik kelas VIII SMP PGRI 1 Denpasar pada Mata Pelajaran Pendidikan Agama Hindu dan Budi Pekerti. Penelitian ini bertujuan untuk menerapkan penilaian berbasis soal HOTS (Higher Order Thinking Skill) sehingga mampu memperbaiki dan meningkatkan hasil belajar peserta didik kelas VIII SMP PGRI 1 Denpasar Penelitian ini merupakan Penelitian Tindakan Kelas (PTK) Partisipan, sehingga dalam penelitian ini peneliti berperan penuh dan terlibat secara langsung dalam proses penelitian dari awal hingga akhir. Model PTK yang digunakan pada penelitian ini adalah model PTK oleh Kemmis dan Mc. Taggart yang merupakan pengembangan dari model Kurt Lewin. Hasilnya, perolehan nilai rata-rata sebesar 63 dan persentase ketuntasan hasil belajar saat pra-siklus sebesar 33% mengalami peningkatan pada siklus I dengan langkah penerapan soal HOTS (Higher Order Thinking Skill) terintegrasi model pembelajaran saintifik dan metode diskusi berkelompok memperoleh nilai rata-rata sebesar 74 dan persentase ketuntasan hasil belajar sebesar 62%. Peningkatan terakhir pada siklus II dengan langkah penerapan soal HOTS (Higher Order Thinking Skill) terintegrasi model pembelajaran gamifikasi dan metode diskusi berkelompok memperoleh nilai rata-rata sebesar 85 dan persentase ketuntasan hasil belajar 86%. Kesimpulannya, langkah-langkah terbaik untuk mengimplementasikan soal HOTS (Higher Order Thinking Skill) dalam upaya meningkatkan hasil belajar peserta didik kelas VIII SMP PGRI 1 Denpasar, mata pelajaran Pendidikan Agama Hindu dan Budi Pekerti adalah penerapan langkah-langkah pada siklus II, yang mengintegrasikan soal HOTS (Higher Order Thinking Skill) dengan model gamifikasi dan metode diskusi berkelompok. Bagi peneliti selanjutnya disarankan untuk menganalisis keterbatasan dalam penelitian ini, sehingga penelitian ini dapat dikembangkan.