bluuebunny/crossref_metadata_2025_split huggingface dataset:
A novel tool-input-process-output (TIPO) framework for upgrading to lean 4.0
Authors: Koteswarapavan C. , Pattanaik L. N. 
Published: January 2024

For more than four decades, Lean Manufacturing (LM) has delivered in terms of waste reduction, productivity and sustainability for the benefit of manufacturers, customers and society at large. In the present era of Industry 4.0 (I4.0), the integration of physical and digital systems is providing huge scope for enhancing the performances of conventional lean tools and practices. Although recent literature has emphasized the integration of lean and Industry 4.0 as Lean 4.0, the mode of integration and basis for selecting technologies need to be explored more. The present paper aims to address this gap and presents a novel Tool-Input-Process-Output (TIPO) approach in which ‘Inputs’ required for the implementation of conventional lean tools are identified and mapped with core characteristics of I4.0 technologies to develop the ‘Process’ for the integration. Exemplified on three prominent lean tools; Just-In-Time (JIT), Jidoka and Heijunka to illustrate the proposed framework.
Provider attitudes and current practice regarding the prescription of opioid-containing pain medication for vaginal delivery
Authors: Atkinson Sarah , Whelan Anna R. , Litwiller Abigail 
Published: January 2024

Background: The epidemic of opioid misuse and abuse is rampant in the United States. A large percentage of patients who go on to misuse or abuse opioids were initially legally prescribed an opioid medication by their physician. One of the most common reasons patients of reproductive age seek medical care is for pregnancy and delivery. These patients are frequently prescribed opioids. Greater than one in 10 Medicaid-enrolled women fill an opioid prescription after vaginal delivery.
Objective: To assess the opioid prescribing patterns of obstetric providers following vaginal deliveries.
Study design: Obstetric physicians and certified nurse midwives (CNMs) from different practice backgrounds were administered a questionnaire regarding opioid prescribing practices for patients who undergo vaginal delivery. Providers were contacted via email and completed survey via REDCap.
Results: Ninety-nine providers completed the survey between October 2018 and January 2019. Eight percent of all providers reported prescribing opioids at discharge after vaginal deliveries. There was a statistically significant difference in the proportion of physicians who provided opioid prescriptions at discharge compared to CNMs (16.7 percent vs 1.8 percent, respectively, p < .05). Common reasons for prescribing opioids at discharge included post-partum tubal ligation (56.4 percent), third- and fourth-degree lacerations (59.6 and 73.4 percent, respectively), and operative deliveries (26.6 percent). Physicians were significantly more likely to prescribe an opioid after a second-degree laceration than CNMs (19.1 percent vs 5.3 percent, p < 0.05).
Conclusions: Practice patterns for opioid prescription vary by provider type as well as by delivery characteristics. Further study is necessary to delineate the optimal care while minimizing unnecessary opioid prescriptions.
Outpatient cross-titration to buprenorphine for chronic pain: A retrospective analysis
Authors: Ito Satoru , Welsh Mackenzie , Bockman Christina , Dale Rebecca , Pilkington David , Peperzak Katherin 
Published: January 2024

Objective: To determine the effectiveness and safety of the University of Washington's buprenorphine cross-titration protocol for chronic pain in the outpatient setting.
Methods: Retrospective chart review was performed on 150 patients transitioned from full μ-opioid agonist therapy to buprenorphine using the University of Washington Medical Center Pain Clinic's cross-titration protocol between September 1, 2020, and December 31, 2021, in an outpatient setting. Primary outcome was to determine the percentage of patients who completed the cross-titration and continued buprenorphine without full μ-opioid agonists 4 weeks after completion. Secondary outcomes included final buprenorphine dose, days needed to complete cross-titration, deviation rates from the protocol, and opioid-related adverse events.
Results: Fifteen of 31 (48.4 percent) included patients successfully converted to buprenorphine. Median duration of successful cross-titration was 29 days (interquartile range 19-57). Average end-titration dose for patients on buprenorphine/naloxone sublingual films was 7.9 ± 5.7 mg/day, while for buprenorphine transdermal (TD) patches, it was 11.9 ± 4.8 mcg/h. Morphine equivalent daily dose (MEDD) prior to induction varied widely. All patients transitioned to TD buprenorphine were taking ≤30 mg MEDD. Patients previously taking >120 mg MEDD stabilized on 8-16 mg/day buprenorphine. Most common reasons for cross-titration failure were inadequate pain control and intolerable adverse effects.
Discussion: The University of Washington's buprenorphine cross-titration protocol for chronic pain was successful in about half of included patients undergoing conversion from chronic full μ-opioid agonist therapy and generally well tolerated. Clinical responses were widely variable, and many required slower taper and higher end-titration buprenorphine dose than anticipated. Although protocols provide structure for cross-titration, each course should be monitored closely and individualized.
Pelatihan Internalisasi Karakter Positif untuk Menghadapi Tantangan Industri 4.0 Pada Mahasiswa Di Kabupaten Kudus
Authors: Ahmad Faqihuddin  , Kholifah Umi Sholihah  , Ruth Natalia Susanti  
Published: January 2024

Karakter positif merupakan bekal yang sangat penting bagi mahasiswa, terlebih pada era industri 4.0 yang menuntut manusia untuk selalu beradaptasi dengan teknologi pada kehidupan sehari-hari. Dalam bidang pendidikan misalnya, mahasiswa dituntut untuk beradaptasi dengan berbagai Artificial Intellegence dalam menunjang kegiatan belajar. Hal ini merupakan hal positif yang dapat mempermudah mahasiswa dalam mengakses informasi. Namun, tidak sedikit pula dampak negatif yang ditimbulkan seperti menurunnya ketekunan, keseriusan, dan kegigihan belajar mahasiswa. Oleh sebab itu diselenggarakan kegiatan internalisasi karakter positif guna membekali dan meningkatkan kualitas karakter mahasiswa. Kegiatan ini bertujuan membentengi dan mengedukasi Mahasiswa di Kabupaten Kudus mengenai tindakan tidak berintegritas di era industri 4.0. Adapaun target dari kegiatan ini diharapkan mahasiswa memahami konsekuensi dari tindakan tidak berintegritas, serta diharapkan mampu mengimplementasikan karakter positif dalam berperilaku sehari-hari. Metode yang digunakan yaitu penyampaian materi melalui ceramah, diskusi tanya jawab, form Johari Window dan focus group discussion (FGD). Kegiatan ini berlokasi di Aula Masjid Darul ‘Ilmi Universitas Muria Kudus, di ikuti oleh 115 Mahasiswa di Kabupaten Kudus. Hasil yang diharapkan yaitu peserta mampu memahami dan menginternalisasi karakter positif sebagai bekal untuk membentengi diri dari perilaku tidak berintegritas.
Proses Perampasan Aset Hasil Tindak Pidana Penjualan Narkotika yang Dilakukan Oleh Badan Narkotika Nasional Provinsi Aceh
Authors: Robby Dian  , Kartina Pakpahan  , Elvira Fitriyani Pakpahan  
Published: January 2024

Penelitian ini di latar belakangi oleh Pengungkapan sumber dana hasil penjualan narkotika sangat penting karena harta kekayaan merupakan titik terlemah dari kejahataan dengan prinsip krimonologi yang menyatakan bahwa uang merupakan darah dari kejahatan atau yang lebih sering dikenal dengan istilah Money is blood of the crime. Dana hasil kejahatan dalam hal ini narkotika seringkali digunakan kembali untuk menumbuhkan dan membiayai kejahatan itu sendiri sehingga kejahtaan tersebut semakin besar dan terorganisir dengan baik yang mengakibatkan dalam hal ini kejahatan narkotika itu sendiri menjadi organized crime Hasil dari penelitian ini adalah Proses Perampasan Aset Hasil Tindak Pidana Penjualan Narkotika yang dilakukan oleh BNNP Aceh dilakukan melalui proses tahap pemetaan Tahapan yang dilakukan selanjutnya adalah tahapan penyitaan setelah mendapatkan putusan yang telah berkekutan hukum tetap yang mana asset berupa uang tunai, maka langsung disetor ke kas negara oleh Kejaksaan sebagai penerimaan negara bukan pajak (PNBP). Sedangkan aset berupa surat berharga, barang bergerak maupun tidak, berwujud maupun tidak dikelola oleh Kementerian Keuangan Kendala yang dihadapi oleh BNNP Aceh dalam proses pengembalian Aset Hasil Penjualan Narkotika terbatasnya kemampuan sumber daya manusia penyidik tindak pidana pencucian uang pada BNNP Aceh dan terbatasnya anggaran penyelidikan dan penyidikan tindak pidana pencucian uangpenerapana MLA yang membutuhkan waktu lama dan belum maksimal karena adanya benturan antar sistem hukum. Upaya Pencegahaan yang dilakukan oleh BNNP Aceh dalam Penanggulangan Tindak Pidana Narkotika adalah melalui Hard Power Approach, Soft Power Approach, Smart Power Approach dan Co-Operation.
The Utilization of Three Writing Schemes (TWS) in Teaching Essay Writing to UBSI Students in English Department
Authors: Yuskar Bobby Octavia 
Published: January 2024

This research focuses on teaching essay writing utilizing Three Writing Schemes (TWS to students of UBSI from English Department. The subjects of this research are twenty students divided into two groups, ten male and ten female participants. Each student had to write an essay in classroom based on the instruction given by the lecturer. The method employed within this research is qualitative research that paid attention to the utilization Three Writing Schemes (TWS) as one of the techniques utilized by the researcher in teaching Essay Writing Class (EWC) to students of UBSI from English Department. Each scheme was interconnected to each other as unity that helped students to write an essay appropriately. The scoring was obtained according to the score from each method. This teaching technique was compiled by the researcher from a number of reliable resources, The Three Writing Scheme (TWS) as a solution to improve the writing skill when they write particular topic given in their essay class. There were numerous theories by the present study in order to have solid scientific background. The theories were taken from a number of scholars who already employed researches in teaching essay writing. The objective of this research is to provide applicable solutions to fellow lecturers in giving flexible schemes as an alternative in teaching essay writing to their students. Additionally, two previous researches were incorporated as significant contribution to enrich the quality of this research.
Keywords: Three Writing Schemes, Teaching Essay Writing, Essay Writing Class
EVALUATING THE EFFECTIVENESS OF IT PROJECT MANAGEMENT IN HEALTHCARE DIGITALIZATION: A REVIEW
Authors: Odunayo Josephine Akindote  , Abimbola Oluwatoyin Adegbite  , Adedolapo Omotosho  , Anthony Anyanwu  , Chinedu Paschal Maduka  
Published: January 2024

This research paper delves into the critical nexus of IT project management and healthcare digitalization, exploring current practices, challenges, and future trends. The paper begins by examining the landscape of healthcare digitalization, emphasizing the pivotal role of IT project management in orchestrating technological transformations. Comprehensive insights into key concepts, models, and success metrics are provided through an extensive literature review. Challenges such as interoperability, resistance to change, and data security are scrutinized alongside strategic solutions. The paper also outlines best practices, emphasizing stakeholder collaboration, agile methodologies, and continuous evaluation. Future trends, including AI integration and blockchain, are discussed, offering a forward-looking perspective. In conclusion, the research illuminates the essential dynamics of IT project management in healthcare, providing a roadmap for effective digitalization in the evolving healthcare landscape.
Keywords: Healthcare Digitalization, IT Project Management, Stakeholder Collaboration, Interoperability.
A digital twin solution for floating offshore wind turbines validated using a full-scale prototype
Authors: Branlard Emmanuel , Jonkman Jason , Brown Cameron , Zhang Jiatian 
Published: January 2024

Abstract. In this work, we implement, verify, and validate a physics-based digital twin solution applied to a floating offshore wind turbine. The digital twin is validated using measurement data from the full-scale TetraSpar prototype. We focus on the estimation of the aerodynamic loads, wind speed, and section loads along the tower, with the aim of estimating the fatigue lifetime of the tower. Our digital twin solution integrates (1) a Kalman filter to estimate the structural states based on a linear model of the structure and measurements from the turbine, (2) an aerodynamic estimator, and (3) a physics-based virtual sensing procedure to obtain the loads along the tower. The digital twin relies on a set of measurements that are expected to be available on any existing wind turbine (power, pitch, rotor speed, and tower acceleration) and motion sensors that are likely to be standard measurements for a floating platform (inclinometers and GPS sensors). We explore two different pathways to obtain physics-based models: a suite of dedicated Python tools implemented as part of this work and the OpenFAST linearization feature. In our final version of the digital twin, we use components from both approaches. We perform different numerical experiments to verify the individual models of the digital twin. In this simulation realm, we obtain estimated damage equivalent loads of the tower fore–aft bending moment with an accuracy of approximately 5 % to 10 %. When comparing the digital twin estimations with the measurements from the TetraSpar prototype, the errors increased to 10 %–15 % on average. Overall, the accuracy of the results is promising and demonstrates the possibility of using digital twin solutions to estimate fatigue loads on floating offshore wind turbines. A natural continuation of this work would be to implement the monitoring and diagnostics aspect of the digital twin to inform operation and maintenance decisions. The digital twin solution is provided with examples as part of an open-source repository.
Socialization of Ramp Check for Motorized Vehicles Transporting Goods in the Mount Batur Kitamani Tourism Area
Authors: Warsito Adi Bagas Purbo , Ahnaf Farhan Alifta , Wati Ni Wayan Melia , Mulyaningtyas Dinda One , Zulkarnain Akbar , Sasue Riz Rifai Oktavianus , Pradana Adrian , Nitiyasa I Gusti Bagus Eka 
Published: January 2024

Rampcheck is a vehicle feasibility test inspection activity that aims to find out early if there are vehicle components that are damaged and can be repaired immediately so as not to cause continuous damage and cause accidents The purpose of this community service activity is as follows, Providing education to the general public on the importance of ramp check testing related to the performance of motorized vehicles for the safety of motorists and road users, and Socializing Ramp Check Motorized Vehicles Transporting Goods in the Mount Batur Kintamani Tourism Area. This Community Service activity is considered to have succeeded in providing education to the general public on the importance of Ramp Check testing of Motorized Transport vehicles. The running of this PKM event can run there are supporting factors, namely both internal and external, internal support in the form of the active role of all Poltrada Bali Automotive Technology Lecturers and cadets. No less important, support is also provided by Poltrada Bali in the form of opportunities and support for funding allocations through P3M. External support for the achievement of PKM activities is also inseparable from the support of the community who enthusiastically welcomes socialization activities. This activity needs to be carried out regularly to increase public knowledge about driving safety.
ANALISA PERFORMA LOW TEMPERATURE SHITF CONVERTER DAN PERSEN KONVERSI BERDASARKAN PENGARUH KONDISI OPERASI PADA PERUSAHAAN X
Authors: Ardiansyah Dandy , Hamid Farid Alfalaki 
Published: January 2024

Ammonia adalah hasil reaksi hidrogen dan nitrogen dengan rasio 3 : 1. Gas hidrogen dihasilkan dari proses steam reforming. Proses steam reforming gas alam menjadi gas hidrogen menghasilkan gas carbon monooxide, dimana gas CO merupakan racun bagi katalis. Untuk mencegah hal tersebut perlu dilakukan proses pemurnian gas CO, salah satunya dengan menggunakan proses shift converter,yang mengkonversi CO menjadi CO2. Salah satu alat yang digunakan Low Temperature Shift Converter 104-D. Kandungan CO sangat dibatasi, maka itu performa Low Temperature Shift Converter harus selalu berada dalam keadaan prima, dengan cara menjaga kondisi operasinya. Untuk meninjau kinerjanya, maka dilakukan perkiraan efisiensi massa dan termalnya,persen konversi serta aktivitas katalis yang terdapat didalamnya. setelah dilakukan evaluasi maka diperoleh estimasi panas masuk pada kondisi desain sebesar 62.086.694,5 kj/hr dan panas keluar sebesar 69.401.553,1 kj/hr dengan panas reaksinya 8.404.860,9 kj/hr.Sedangkan pada estimasi panas masuk pada kondisi aktua sebesar 35.803.806,43 kj/hr dan panas keluar sebesar 39.962.429,09 kj/hr dengan panas reaksinya 4.832.413,47 kj/hr.adapun perolehan persenkonversi CO pada kondisi desain yaitu sebesar 95% dan pada kondisi aktualnya yaitu sebesar 92,08% dengan plant rate 60,07%Kondisi aktivitas katalis pada bagian atas,tengah serta bagian bawah secara berurut yaitu 8,66%,65,33%,dan 17,77%.Hail tersebut menunjukan bahwa aktivitas katalis dalam kondisi yang baik.
UPAYA PENINGKATAN PRODUK REAKTOR 101 BERBASIS KONDISI OPERASI DI GAS OIL HYDROTREATING UNIT PT. Z
Authors: Cahya Kevin Dwi , Furqon Zami 
Published: January 2024

Reaktor merupakan alat yang digunakan untuk tempat terjadinya reaksi kimia pada industri terkhususnya pada industri pengolahan migas. Pada penulisan penelitian ini peneliti memutuskan untuk melakukan upaya peningkatan reaktor 14-R-101 dengan cara menurunkan inlet temperatur pada reaktor. Reaktor 14-R-101 terletak di Distillation and Hydrotreating Complex terkhusus pada unit Gas Oil Hydrotreating Unit. Gas Oil Hydrotreating Unit memiliki tugas untuk mengolah Gas Oil dari unit Crude Distilation Unit dengan mentreating kandungan pengotor. Gas Oil Hydrotreating Unit menghasilkan produk diantaranya, Solar 51, Pertadex, dan Solar. Proses penghilangan zat pengotor dibantu dengan bantuan katalis. Perhitungan mencari kandungan sulfur produk Reaktor 14-R-101 menggunakan perhitungan regresi non linier polyomial, data kondisi operasi aktual di ambil selama 2 bulan, didapatkan kandungan sulfur yang diinginkan yaitu produk Solar51 dengan kandungan sulfur 49,27ppm dengan inlet temperatur 310,77°C, Pertadex kandungan sulfur 159,49ppm dengan inlet temperatur 278,08°C, dan Solar dengan sulfur 877,83ppm dengan inlet temperatur 246,74°C. Kemudian setelah dilakukannya upaya peningkatan temperatur inlet dengan penrunan sebesar 15,13°C untuk solar51 , 8,76°C untuk Pertadex dan 12,69°C untuk Solar. Sehingga kandungan sulfur pada produk meningkat hingga batas spesifikasi yang di izinkan. Dari upaya peningkatan yang dilakukan perhitungan keekonomisan peggunaan energi furnace alat sbelum reaktor dapat dihemat hingga rata rata 3863,83kcal/jam.
PENINGKATAN HASIL BELAJAR DAN KEAKTIFAN SISWA PADA PEMBELAJARAN MATEMATIKA MATERI BANGUN RUANG DENGAN METODE DRILL SISWA KELAS VI SD NEGERI LIMBANGAN 06 TAHUN PELAJARAN 2019/2020
Authors: Ineke Widiastuti 
Published: January 2024

Penelitian dilatar belakangi oleh nilai Matematika materi bangun ruang siswa kelas VI SDN Limbangan 06 pada kondisi awal rendah. Dari jumlah siswa 16 siswa, yang baru tuntas belajar hanya 6 siswa (37,5%) dan yang belum tuntas belajar ada 10 siswa (62,5%). Tujuan penelitian adalah untuk meningkatkan keaktifan dan hasil belajar siswa pada pembelajaran matematika materi bangun ruang pada siswa kelas VI SD Negeri Limbangan 06. Pelaksanaan perbaikan siklus I tanggal 27 September 2019 dan 28 September 2019 sedangkan siklus 2 tanggal 4 Oktober 2019 dan 5 Oktober 2019. Hasilnya keaktifan dan hasil belajar mengalami peningkatan. Hal ini dibuktikan keaktifan belajar dari 79% (baik) pada siklus satu naik menjadi, 85,25% (sangat baik) pada akhir siklus kedua. Ketuntasan belajar meningkat yaitu 6 orang siswa (37,5%) pada kondisi awal, menjadi 56,25% atau 9 siswa, dan pada siklus terakhir menjadi 87,5% atau 14 siswa dari 16 siswa. Kesimpulan penelitian bahwa penerapan model drill dapat meningkatkan keaktifan dan hasil belajar siswa pada mata pelajaran Matematika materi bangun ruang.
PENERAPAN MODEL PEMBELAJARAN TWO STAY TWO STRAY (TS-TS) DENGAN SISTEM BANTUAN GARIS KONVERSI SATUAN VOLUME UNTUK MENINGKATKAN KEAKTIFAN DAN HASIL BELAJAR MATEMATIKA MATERI SATUAN VOLUME DAN DEBIT PADA SISWA KELAS VI SD NEGERI SIDAMULYA 01
Authors: Indriana Ary Feny Dwi 
Published: January 2024

Latar belakang penelitian adalah nilai ulangan Matematika tentang satuan volume dan debit siswa kelas VI SDN Sidamulya 01 awalnya rendah. Siswa tuntas belajar 15 (45,45 %) sedangkan 18 ( 54,55%) belum tuntas. Aktivitas siswa juga perlu ditingkatkan. Tujuan penelitian adalah mendeskripsikan penerapan model pembelajaran Two Stay Two Stray (TSTS) dengan sistem bantuan garis konversi satuan volume dalam meningkatkan keaktifan dan hasil belajar siswa pada mata pelajaran Matematika tentang Satuan Volume dan Debit di Kelas VI. Pelaksana perbaikan siklus 1 tanggal 17 dan 18 Oktober 2018 sedangkan siklus tanggal 24 dan 25 Oktober 2018. Hasilnya menunjukkan keaktifan dan hasil belajar meningkat. Siklus 1 kekatifan 70,55% meningkat jadi 86,04 pada siklus 2. Ketuntasan belajar studi awal 45,45%, siklus 1 66,67% dan siklus 2 87,88%. Kesimpulan penelitian bahwa penerapan model pembelajaran Two stay Two Stray dengan sistem bantuan garis konversi satuan volume dapat meningkatkan keaktifan dan hasil belajar Matematika.
Study on the Construction and Implementation of Aesthetic Curriculum of Elementary Education based on Grand Aesthetic View
Authors: Guo Jingzhen 
Published: January 2024

As the launching of new educational curriculum standard of 2022, the innovation of aesthetic education has become an urgent task for the governors and teachers. Nowadays, the existing researches mainly emphasized on theoretical explorations and the study on curriculum construction and implementation is rare to see. So this thesis will explore the curriculum construction and the implementation strategies of aesthetic education in middle schools based on “ Grand Aesthetic View” . The first part is the theory and connotation analysis; the second part analyzes the significance of aesthetic education; the third part focuses on dilemma of current aesthetic education; the fourth part discusses curriculum construction strategies and the last part provides some practical suggestions to the innovation practice of aesthetic education in middle schools.