bluuebunny/crossref_metadata_2025_split huggingface dataset:
Protocol for the implementation of a statewide mobile addiction program
Authors: Tschampl Cynthia A , Regis Craig , Johnson Nafissa E , Davis Margot Trotter , Hodgkin Dominic , Brolin Mary F , Do Elizabeth , Horgan Constance M , Green Traci C , Reilly Brittni , Duska MaryKate , Taveras Elsie M 
Published: March 2023

With overdose deaths increasing, improving access to harm reduction and low barrier substance use disorder treatment is more important than ever. The Community Care in Reach® model uses a mobile unit to bring both harm reduction and clinical care for addiction to people experiencing barriers to office-based care. These mobile units provide many resources and services to people who use drugs, including safer consumption supplies, naloxone, medication for substance use disorder treatment, and a wide range of primary and preventative care. This protocol outlines the evaluation plan for the Community in Care®model in MA, USA. Using the RE-AIM framework, this evaluation will assess how mobile services engage new and underserved communities in addiction services and primary and preventative care.
Exploring Intersectional Identities and Geographic Origins in Ancient Nubia at Tombos, Sudan
Authors: Buzon Michele , Guilbault Kari , Simonetti Antonio 
Published: March 2023

As part of an intersectional investigation of changes in identity and lifeways during sociopolitical changes in the ancient Nile Valley, strontium isotope analysis has provided a useful entry for understanding local practices. At the site of Tombos, human residential mobility was spurred through Egyptian imperial actions in Nubia during the New Kingdom period (~1450–1050 B.C.). During this period, immigrants and locals interacted and influenced cultural symbols displayed in burials with migration ending with Egyptian occupation. Through the examination of multiple overlapping identities and experiences, patterns emerge. Isotopically identified locals are exclusive in tumulus graves and flexed body position (all skeletally sexed as female), consistent with the surrounding region.
However, locals also used materials and practices associated with the colonizers, including pyramid, chapel, and shaft tomb types; extended body position; coffins; and artifacts. These variations provide evidence of simultaneous experiences of multiple social statuses at Tombos. The findings provide fruitful avenues to explore motivations for varying identity expression related to such ideas as family traditions, religious beliefs, gender dynamics, deliberate signaling, and the concept of foreignness. Theoretical and intersectional approaches to isotope analyses also necessitate a reassessment of methodological, analytical, and ethical issues associated with research.
What is the Profitability of a Photovoltaic Installation in France for an Individual?
Authors: Lagarde Quentin , Beillard Bruno , Mazen Serge , Leylavergne Julien 
Published: March 2023

The energy transition will require the use of renewable energy resources that will allow us to reach our decarbonization objectives. In addition to states and institutions, individuals have an important role to play in this transition, particularly with the installation of photovoltaic panels. But for individuals to use this source of energy, they must be guaranteed a financial return that encourages them to take the plunge. Several companies, in a commercial approach, guarantee returns on investment after 2–3 years for any installation. But is the financial profitability always guaranteed? In France, several types of photovoltaic installations are possible, total resale and self-consumption. For each one, the profitability will vary and depends on many parameters such as the initial and daily investment, the irradiation, the electricity buy-back price, and the consumption. This paper explains the calculation methodology for both typologies and shows that currently, in most cases, a self-consumption installation is more profitable than a full resale installation but is far from obtaining the returns on investment predicted by the commercials. If self-consumption is more profitable today, this is due to the fact that the investment (initial or annual) is less important, and that the price of electricity becomes more and more expensive while at the same time the price of resale decreases from year to year.
Geology of the Sacramento Mountains escarpment, Otero County, New Mexico
Authors: Pray Lloyd C. 
Published: March 2023

The Sacramento Mountains constitute a sharply asymmetrical cuesta at the eastern edge of the Basin and Range province in south-central NM. The escarpment rises abruptly for more than a mile above the desert plains of the Tularosa Basin. From the crest, near 10,000 ft, the surface slopes gently to the Pecos River, 100 mi to the east and 6,000 ft lower.The rugged west-facing escarpment has been carved in an uplifted fault block composed largely of sedimentary rocks having an aggregate thickness of about 8,000 ft. Tertiary sills and dikes of intermediate composition are of local importance. The bedrock strata range in age from late Precambrian to Cretaceous, but almost the entire sedimentary section is of Paleozoic age. The strata are largely the product of marine deposition on a stable shelf area. Most of the pre-Pennsylvanian formations are thin and laterally persistent across much of southern NM, and many are separated by disconformities. The Pennsylvanian and Permian units are thicker, and show greater lateral variability as a result of more tectonic instability and diastrophism than prevailed earlier.
Biomimicry: function and aesthetic of vacation home, Chonburi
Authors:   , Techaborikiti Suparuek 
Published: March 2023

This thesis entitled ‘BIOMIMICRY : FUNCTION AND AESTHETIC OF VACATION HOME IN CHONBURI’ is an attempt to add an architectural element named fah lai (ฝาไหล literally translated as "flowing wall" popularly translated as "breathing wall") of Thai traditional house to the category of 'biomimicry'. This attempt is problematic because the term 'biomimicry' in architecture was invented in the 1990’s much later than the Thai traditional houses. These two words, fa lai and biomimicry, belong to different cultures and different times. Moreover, the term ‘biomimicry’ itself has various interpretations. In this thesis, I will classify the uses of this word ‘biomimicry’ and its related terms in architectural discourse so that it is possible to explain why fah lai can fit into a particular category that exists between ‘biomimicry’ and ‘bioclimatic’ design. Therefore, Geoffrey Bawa’s houses become my case studies because of this reason. Known as ‘Bioclimatic Designer’, the studies of Bawa’s architectural drawings, his space composition, the use of local materials, the relations between the inside and the outside spaces of a house, are the valuable process of learning architecture. The analytical drawings of Bawa’s houses enable me to synthesize my own architectural composition for a vacation home in Chonburi. Function and aesthetic, in this sense, are based upon my own interpretation of biomimicry in crossed cultural studies between the U.S. and Thai cultures.
A VIGILÂNCIA EM SAÚDE SOB A PERSPECTIVA DA BIODEFESA UM DIAGNÓSTICO SITUACIONAL
Authors: Lodi Maria Luiza Lawinsky 
Published: March 2023

Este trabalho busca uma aproximação entre o conceito de Biodefesa e a atuação do Ministério da Saúde (MS) em vigilância à saúde, e sua relação com a atividade de inteligência no órgão, nos termos da Política Nacional de Inteligência – PNI. Métodos: Abordagem qualitativa, descritiva; revisão bibliográfica, na qual foram selecionados artigos que abordam saúde pública e biodefesa, e inteligência sanitária. Objetivos: Descrever a atuação do MS quanto ao monitoramento e resposta a eventos de importância para a saúde pública, e como se configura a atividade de inteligência no âmbito do órgão, sob um enfoque de Biodefesa. Resultados: o MS possui uma extensa e organizada rede de monitoramento e resposta a eventos de saúde pública, atuando como uma unidade de inteligência epidemiológica, contribuindo para a Biodefesa do país; todavia, mesmo com excelente estrutura de vigilância, a inexistência de uma estrutura formal de inteligência, nos termos da PNI, é uma fragilidade do órgão, com provável impacto no resultado das suas atividades. Conclusão: Fortalecer ações de inteligência estratégica no MS, adicionadas à já existente inteligência epidemiológica, pode contribuir para o assessoramento da alta gestão da Pasta; a criação de uma unidade de inteligência, é altamente recomendável; ademais, o fomento de uma agência independente de controle de doenças pode contribuir de forma significativa para a atividade de combate às ameaças ao país, fortalecendo as estruturas de biodefesa nacionais.
TINJAUAN HUKUM ISLAM TERHADAP PEMBERIAN HADIAH (BONUS) DALAM AKAD WADI’AH DI TABUNGAN iB HIJRAH BANK MUAMALAT INDONESIA CABANG TEGAL
Authors: Hidayat Roni , Abdullah Muhammad Ismail 
Published: March 2023

Salah satu produk tabungan di Bank Muamalat Indonesia Cabang Tegal adalah tabungan iB Hijrah yang menggunakan akad wadi’ah atau titipan. Dalam praktiknya bank bertindak sebagai penerima titipan dan nasabah sebagai penitip. Lalu dalam syarat dan ketentuan tertulis bahwa “Untuk tabungan dengan akad wadi’ah, bank dapat (tetapi tidak wajib) memberikan bonus. Besarnya bonus sesuai dengan kebijakan bank”. Kemudian rumusan masalah yang diambil dalam penelitian ini adalah bagaimana praktik pemberian hadiah (bonus) pada tabungan iB Hijrah dengan akad wadi’ah dan bagaimana tinjauan hukum Islam terhadap pemberian hadiah (bonus) pada tabungan iB Hijrah di Bank Muamalat Indonesia Cabang Tegal. Dengan tujuan penelitian ingin mengetahui bagaimana praktik pemberian hadiah (bonus) pada tabungan iB Hijrah dengan akad wadi’ah dan ingin mengetahui bagaimana tinjauan hukum Islam terhadap pemberian hadiah (bonus) pada tabungan iB Hijrah dengan akad wadi’ah di Bank Muamalat Indonesia Cabang Tegal. Metode yang digunakan dalam penelitian ini adalah metode kualitatif. Adapun jenis penelitian yang akan digunakan dalam penelitian ini adalah penelitian lapangan dengan metode pengumpulan data melalui metode wawancara, dan dokumentasi. Dengan analisis data deskriptif yaitu dengan cara memaparkan dan menjelaskan tentang permasalahan penelitian dan menggunakan alat hukum untuk membahas permasalahan kajian dalam penelitian ini yaitu hukum Islam. Hasil penelitian ini dapat disimpulkan bahwa pemberian hadiah (bonus) dalam akad wadi’ah di tabungan iB Hijrah Bank Muamalat Indonesia Cabang Tegal sudah sesuai dengan ketentuan syariat Islam. Karena dalam praktiknya tidak terjadi kesepakatan di awal.
Effect of gender on symptomatic gallstone
Authors: Shah S , Shrestha S , Adhikari S , Agrawal CS 
Published: March 2023

Introduction: Laparoscopic cholecystectomy (LC) is generally preferred over conventional open cholecystectomy (OC) for cholelithiasis. This study was conducted to analyze the effect of gender on the severity of symptomatic gallstone disease and difficulties in laparoscopic cholecystectomy.
Method: This was a cross-sectional study from February 15, 2007 to February 14, 2008 in the department of surgery at B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. All the patients with symptomatic gallstone disease who were underwent cholecystectomy were included in the study. Those patients, who underwent cholecystectomy in association with other abdominal surgery, were excluded from the study.
Result: The peak age of patients who underwent cholecystectomy for gallstone in male was 41 to 60 years and in female 21 to 40 years. Acute cholecystitis was common in male i.e. 28 (39.44%). Distended gallbladder, thickened gallbladder wall, adhesion to gallbladder, and frozen calotâ€™s triangle were common intraoperative findings in male. Duration of surgery, conversion, blood loss, and post-operative complications were similar in both gender.
Conclusion: Male are a risk factor for severe symptomatic gallstone disease which causes difficult dissection but we did not find increased morbidity or complications (intraoperative or post-operative).
Prevalence of Vitamin D Deficiency in Lalitpur Nepal
Authors: R.C Laxmi , Koirala Srijana 
Published: March 2023

Introduction: Sunlight exposure is the most important source of vitamin D for human beings. We can get vitamin D from other sources such as diet and dietary supplements as well. Human body synthesizes most of the vitamin D from exposure to direct ultraviolet sunlight. The deficiency of vitamin D is a major public health problem worldwide. It is deficiency of vitamin D level when blood serum which is below 30ng/ml. The deficiency is associated with various musculoskeletal diseases and autoimmune diseases. The early detection of deficiency plays an important role to prevent those diseases. The aim of the study is to find the prevalence of vitamin D deficiency.
Method: A retrospective study was conducted in Star Hospital Sanepa, Lalitpur, Nepal, from first January 2018 to 31 December 2018. All patients attended outpatient door with multiple complaints like; backache, muscle pain, leg pain was tested for Vit D3.
Result: A total of 786 patients had tested vitamin D levels, where 717 (91.2%) had deficiency and 69 had normal levels. Adult females were found to be vitamin D deficient than the adult male population.
Conclusion: Vitamin D deficiency was found to be higher in females than males in Lalitpur district Nepal.
Access to pre-hospital care among patients visiting emergency department of a tertiary hospital in Nepal: A Mixed Methods pilot study
Authors: Bhattarai Noney , Bhandary Shital , Thapa Pachya Ambika 
Published: March 2023

Introduction: Pre-hospital care covers assistance and immediate care to injured and seriously ill patients at the scene and during transfer to health facilities. Pre-hospital care demands skills and preparedness. Medical emergencies involve use of a range of transports other than ambulances in Nepal. The current pilot study aimed to explore the access to pre-hospital care and factors associated with it from both users and providersâ€™ perspective.
Method: Cross sectional concurrent parallel mixed method study was done in emergency department (ED) of Patan Hospital, Nepal. Semi-structured questionnaire and interview guides were used. Thirty patients and visitors arriving at ED and seven key informants participated. Permission was taken from ED and written informed consent was taken. Descriptive and inferential statistics was done using R software and thematic analysis was done using EZR package.
Result: Proportion of access to pre-hospital (PH) care was found to be 13.3% (4 out of 30). Concept of pre-hospital care itself is not popular among users. Limited PH care and service was found in the study site. Cost of transportation and distance between site and hospital were found to be associated with access. Further to it, barriers and facilitators were related with service delivery, workforce, financing, infrastructure, communication, coordination and information.
Conclusion: Access to pre-hospital services was found only in 4 out 30 patients. Awareness among the usersâ€™ and integrated governance of ambulances is recommended for improvement of pre-hospital services.
Keywords: Ambulance, emergency medical services, pre-hospital care, tertiary hospital, Nepal
COVID-19 Vaccine Hesitancy in Health Care Workers
Authors: Pradhananga Sneha , Shrestha Trishna , Hada Batajoo Kabita , Pandey K.C Bindu , Shrestha Roshan 
Published: March 2023

Introduction: Vaccination is one of the best ways to flatten the curve of COVID 19 infection and success of vaccination is achieved when vaccine hesitancy is minimal. The aim of this study is to analyze reasons for vaccine hesitancy among health care workers of a tertiary care hospital in Kathmandu Valley scheduled for COVID-19 vaccination.
Method: This is a descriptive cross sectional study conducted at KIST Medical College and Teaching Hospital from 25th February 2021 to 15th March 2021.This study included 156 health care workers of KIST Medical College who did not opt for the first dose of vaccination for COVID-19.
Result: The majority of health care workers hesitant for vaccination belonged to age group 18-29 years 67(42.9%)and females 117(75%) were more hesitant to vaccine than males. Helper and cleaning staffs 45(28.8%) were found to be more hesitant for vaccination followed by nursing staffs 29(18.6%). The reasons for vaccine rejection were due to safety issues 65(41.7%), followed by willingness to get vaccination at a later date 17(10.9%), misunderstanding the need of vaccination if already infected 14(8.9%), planning for pregnancy 14(8.9%), lactating mothers 14(8.9%) and pregnancy 11(7.1%).
Conclusion: This study emphasizes on the need of more advocacies in the safety of Covid19 vaccination. Its safety during pregnancy and lactation is to be addressed to increase the vaccination rate.
Keywords: COVID-19, health care workers, vaccine hesitancy
Quality improvement of triage accuracy in the Emergency Department
Authors: Adhikari Sunil , Rijal Suraj 
Published: March 2023

Introduction: Triage is the sorting of patients into priority groups according to their need and severity of clinical condition. The study aims to present outcome of complete audit cycle of triage by the triage nurse for quality improvement of triaging in Emergency.
Method: 150 patients were randomly selected over 2 weeks who were triaged by the Emergency triage nurse into Emergency (Red), Priority (Yellow) and Queue (Green) in the Emergency Department at Patan Hospital.We followed the WHO quick check triage and assessed those who were accurately triaged, over triaged and those who were under triaged.The necessary changes were done after analysis of data from first cycle and same process was repeated for second cycle. In the second cycle, 150 patients were selected randomly over 2 weeks who were triaged by the Emergency triage nurse. Plan-Do-Study-Act (PDSA) cycle was used for quality improvement cycle.
Result: Data were collected from 150 patients in the first cycle and 150 patients in the second cycle. In the first cycle, 48.7 % of patients were correctly triaged, 48.7% were over triaged and 2.7% were under triaged. After the second PDSA cycle, it was found that 65.3% of patients were correctly triaged, 33.3 % were over triaged and 1.3% were under triaged.
Conclusion: Accuracy of triage can be improved by continuous quality improvement audit and necessary interventions. Plan-Do-Study-Act (PDSA) cycle is a useful tool for quick detection of problems and acting on necessary interventions for improvement
“Integrative learning” promotes learning but not memory in older rats
Authors: Yin Bin , Wu Xiao-Rui , Lian Rong 
Published: March 2023

Background
We had previously advanced the concept of “Integrative Learning”, that is, “under the role of ‘meta-learning self’, learners actively integrate learning materials to achieve rapid and in-depth understanding of knowledge”, and designed an animal behavioral model to compare the effects of “Integrative Learning” (IL) vs. “Progressive Learning” (PL) in young rats. It was found that IL is more advantageous than PL. Here, we aim to examine whether the same phenomenon persist in older rats.

Methods
Fifteen 12-month-old male Sprague-Dawley (SD) rats were selected as subjects and randomly divided into the IL group and the PL group, and a 14-unit integrative T-maze was constructed for the study. Training and testing procedures contained three stages: the learning stage, the memory retention test stage and the Gestalt transfer learning stage. Data on young rats (1-month-old) from the previous study were also drawn here for comparisons on learning performance.

Results
(1) The 12-session learning stage can be divided into three sub-stages as each sub-stage represented the new opening of one third of the whole path in the PL group. There were significant interactions in total errors made between groups and sessions: the PL group had significantly fewer errors during Sub-stage One due to a much shorter path to be learned, however, the IL group’s errors made sharply dropped as learning progressed into Sub-stage Two and Three, and were maintained at a significantly lower level than the PL group during Sub-stage Three. (2) When compared with young rats, age had a main effect on the number of errors made—the 1-month-old groups learned overall better and faster than the older groups, whereas the pattern of group differences between the IL and PL learning modes remained consistent across young and older groups. (3) Unlike young rats, during the memory retention test stage and the Gestalt transfer learning stage, the IL group did not perform better than the PL group in older rats.

Conclusions
(1) “Integrative Learning” promotes learning but not memory in older rats. (2) Higher-order cognitive abilities that support meta-cognition, long-term retention and knowledge transfer might be deteriorating in older rats.
SINERGI KREATIVITAS PENGOLAHAN MATERIAL LIMBAH PADAT INDUSTRI PINTU BESI UNTUK PRODUK INTERIOR PT. VARIA CIPTA PRATAMA DI TROSOBO-KRIAN
Authors: Utomo Tri Noviyanto Puji , Ariyanto Yusuf , Purwoko Gervasius Herry 
Published: March 2023

Pengalaman yang panjang telah membentuk PT. Varia Cipta Pratama unggul di bidang produksi pintu lipat besi. Dukungan tenaga kerja dan fasilitas peralatan yang lengkap memungkinkan perusahaan dalam memperluas lini usahanya. Salah satu bidang yang paling memungkinkan adalah menciptakan produk subtitusi furnitur berbahan material besi. Di sisi lain Universitas Ciputra mempunyai tenaga yang ahli dan kompeten dalam bidang desain kreatif interior arsitektur. Sinergitas tenaga trampil antara Universitas Ciputra dan PT. Varia Cipta Pratama dalam program abdimas diharapkan akan memberi manfaat baik bagi kedua pihak maupun bagi masyarakat luas. Permasalahan utama perusahaan adalah tenaga kerja yang belum perpengalaman serta belum memiliki pengetahuan dalam membuat produk interior arsitektur. Pemecahan permasalahan dilakukan dengan pelatihan kreatifitas serta kerja bersama langsung untuk mengembangkan produk interior baru berbasis material limbah padat besi sisa produksi pintu lipat. Bentuk kreatifitas dilakukan dengan memberikan pelatihan dalam memilih, mengidentifikasi material yang akan digunakan serta menyusun pola-pola atau susunan material menjadi bentuk yang sesuai dengan gambar perencanaan. Kegiatan ini selain menghasilkan produk interior baru juga menumbuhkan daya kreativitas dan pengetahuan teknis produksi pembuatan produk interior. Metode penciptaan produk dilaksanakan melalui tahapan-tahapan formal perancangan produk seperti: explorasi, identifikasi, ideasi, prototipe dan uji fungsi. Hasil produk telah mendapatkan validasi dari masyarakat yaitu melalui keikutsertaan dalam beberapa pameran berskala nasional serta mendapatkan respon baik yaitu terjualnya beberapa produk oleh masyarakat.