bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pollen-based reconstructions of Holocene climate trends in the eastern Mediterranean region
Authors: Cruz-Silva Esmeralda , Harrison Sandy P. , Prentice I. Colin , Marinova Elena , Bartlein Patrick J. , Renssen Hans , Zhang Yurui 
Published: November 2023

Abstract. There has been considerable debate about the degree to which climate has driven societal changes in the eastern Mediterranean region, partly through reliance on a limited number of qualitative records of climate changes and partly reflecting the need to disentangle the joint impact of changes in different aspects of climate. Here, we use tolerance-weighted, weighted-averaging partial least squares to derive reconstructions of the mean temperature of the coldest month (MTCO), mean temperature of the warmest month (MTWA), growing degree days above a threshold of 0 ∘C (GDD0), and plant-available moisture, which is represented by the ratio of modelled actual to equilibrium evapotranspiration (α) and corrected for past CO2 changes. This is done for 71 individual pollen records from the eastern Mediterranean region covering part or all of the interval from 12.3 ka to the present. We use these reconstructions to create regional composites that illustrate the long-term trends in each variable. We compare these composites with transient climate model simulations to explore potential causes of the observed trends. We show that the glacial–Holocene transition and the early part of the Holocene was characterised by conditions colder than the present. Rapid increases in temperature occurred between ca. 10.3 and 9.3 ka, considerably after the end of the Younger Dryas. Although the time series are characterised by centennial to millennial oscillations, the MTCO showed a gradual increase from 9 ka to the present, consistent with the expectation that winter temperatures were forced by orbitally induced increases in insolation during the Holocene. The MTWA also showed an increasing trend from 9 ka and reached a maximum of ca. 1.5 ∘C greater than the present at ca. 4.5 and 5 ka, followed by a gradual decline towards present-day conditions. A delayed response to summer insolation changes is likely a reflection of the persistence of the Laurentide and Fennoscandian ice sheets; subsequent summer cooling is consistent with the expected response to insolation changes. Plant-available moisture increased rapidly after 11 ka, and conditions were wetter than today between 10 and 6 ka, but thereafter, α declined gradually. These trends likely reflect changes in atmospheric circulation and moisture advection into the region and were probably too small to influence summer temperature through land–surface feedbacks. Differences in the simulated trajectory of α in different models highlight the difficulties in reproducing circulation-driven moisture advection into the eastern Mediterranean.
Warsztat pracy Redaktora
Authors: Sczaniecki Paweł 
Published: November 2023

Przedmiotem opracowania jest biblioteka ks. prof. Alfonsa Schletza, redaktora „Naszej Przeszłości” oraz to wszystko, co składa się na jego warsztat pracy. Zawiązkiem przyszłej biblioteki stała się klerycka półka, podczas gdy na archiwum składały się notatki z wykładów. W bibliotece udało się zgromadzić około 7 tysięcy druków. Osobiste notatki z lektury Redaktora dały początek zbiorom archiwalnym, bo z czasem warsztat naukowy wzbogaciły rękopisy zgodnie z zainteresowaniami gromadzącego.
STRATEGIES FOR DISSEMINATING IMMIGRATION INFORMATION AT THE CLASS I IMMIGRATION OFFICE OF TPI BENGKULU
Authors: Akbar Rasona S , Nurkumalawati Intan , Rahmawan Mizan Tri 
Published: November 2023

Based on the cultural factors of the people who prefer audio-visual rather than typography, and the majority of people already have smartphones making it easier to access information through social media, based on this phenomenon, the Immigration Office requires to implement new ideas in packaging immigration information using short films. This study aims to determine the strategy of disseminating immigration information using short films and the public's response to the strategy. The reason for doing this research is that researchers are interested in the strategy of disseminating information using short films because apart from being able to provide entertainment to the public, they also provide education on Immigration information. This type of research is a qualitative research with a descriptive analysis approach. The object of this research is the Functionary of Immigration Office Class I TPI Bengkulu and the people of Bengkulu Province. The results of interviews in this study show that the society prefers information that uses audio visuals rather than typography. The target in this strategy is people aged 18 years and over or already have an ID card. The content of the message conveyed is presented with light subjet so that it is easily understood by the public. By adopting local wisdom the use of regional languages in short films to attract attention and make it easier for the public to understand the message of the short film. The media used are also those that are familiar with the community, namely Instagram and YouTube. This is evidenced by the public response that the use of the short film is appropriate.
Analisis Faktor-Faktor Yang Mempengaruhi Length Of Stay (LOS) di Instalasi Gawat Darurat Rumah Sakit Hermina Ciputat
Authors: Purawijaya Handrian , Satar Yuli Prapanca , Andarusito Nurcahyo , Hadimuljono Erik , Ruahedi Rudi 
Published: November 2023

Latar Belakang : Faktor-faktor yang berhubungan antara pelayanan dan LOS di IGD harus teridentifikasi. Pada tahun 2021, rentang LOS IGD di Hermina Ciputat berkisar antara 3-5 jam, sementara itu target LOS IGD Hermina Ciputat kurang dari 2 jam
Metode : Penelitian ini adalah penelitian kuantitatif dengan menggunakan data sekunder. Desain penelitian menggunakan survey analitik dengan pendekatan cross sectional study dengan jumlah sampel 103 pasien.
Hasil Penelitian: Mayoritas pasien di IGD RS Hermina Ciputat Prioritas 3 dengan waktu assessment 11 menit, Pemeriksaan Penunjang IGD 90,5 menit, konsultasi DPJP 188,7 menit, proses transfer pasien IGD 237,8 menit dan waktu LOS IGD 502,66 menit. Faktor yang berhubungan signifikan terhadap LOS IGD adalah Triage dan Proses Transfer pasien
Kesimpulan : Keseluruhan proses di IGD baik triage pasien, assessment pasien, proses hasil Pemeriksaan Penunjang, proses konsultasi DPJP dan proses transfer pasien mempunyai hubungan signifikan terhadap peningkatan LOS IGD RS Hermina Ciputat

Kata Kunci : IGD, LOS
Analisis Pengaruh Pengetahuan, Kepatuhan Dokter dan Peran Rumah Sakit Terhadap Kelengkapan Pengisian Berkas Rekam Medis Rawat Inap RSIA Brawijaya
Authors: Sari Putri Indah , Hatta Gemala Rabiah , Nuraini Ani 
Published: November 2023

Menurut Permenkes RI No.24 Tahun 2022 Rekam Medis adalah dokumen yang berisikan data identitas pasien, pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien, sementara Rekam Medis Elektronik adalah Rekam Medis yang dibuat dengan menggunakan sistem elektronik yang diperuntukkan bagi penyelenggaraan. Rekam medis di RSIA Brawijaya menggunakan sistem elektronik rekam medis yang terintegrasi, mulai dari data assestment, hingga penginputan data atau hasil penunjang medis. Namun memang masih ada beberapa berkas assestment yang belum lengkap ada didalam sistem elektronik rekam medis. Tujuan tesis ini adalah untuk menganalisis pengaruh pengetahuan dokter, kepatuhan dokter dan peran rumah sakit terhadap kelengkapan pengisian berkas rekam medis rawat inap RSIA Brawijaya periode Januari - Juli 2022. Metode Penelitian menggunakan metode kuantitatif, dengan metoda survey yang digunakan untuk mendapatkan data dari tempat tertentu yang alamiah, tetapi peneliti melakukan perlakuan dalam pengumpulan data, misalnya dengan mengedarkan kuesioner, test, wawancara terstruktur, dan sebagainya (Sugiyono, 2016). Hasil penelitian menunjukkan bahwa secara simultan terdapat pengaruh antara pengetahuan, kepatuhan dan peran serta rumah sakit pada kelengkapan pengisian berkas rekam medis rawat inap di RSIA Brawijaya. Sementara tidak ada pengaruh antara pengetahuan sendiri dengan kelengkapanan pengisian berkas rekam medis rawat inap. Sebaliknya untuk kepatuhan dan peran rumah sakit, masing - masing dapat berpengaruh dalam kelengkapan pengisian berkas rekam medis rawat inap di RSIA Brawijaya. Dalam hal ini untuk meningkatkan angka kelengkapan, maka perlu peran serta manajemen RS dalam meningkatkan angka kepatuhan dokter dengan memberikan motivasi, aktif melakukan evaluasi dan monitoring terhadap pelayanan rekam medik di RSIA Brawijaya.
Kata kunci : Rekam medis, Dokter, Rumah sakit
War and Peace in the Elephant Mosaic from Huqoq: Synagogue Art, Classical Historiography, and Roman Imperial Monuments
Authors: Britt Karen , Boustan Ra‘anan 
Published: November 2023

ABSTRACT
Excavations in the late fourth-century synagogue at Huqoq in lower eastern Galilee have revealed a mosaic depicting a subject that is unparalleled in ancient synagogue art. In the view of the authors of this article, this panel (known as the Elephant Mosaic) portrays an episode of military conflict and diplomatic encounter between Jews and Greeks in the Hellenistic period. The memorialization of a non-biblical event in a late ancient synagogue indicates that Jewish knowledge of—and engagement with—the past was not circumscribed by the horizons of the biblical narrative. The article shows that the mosaic represents one localized iteration of a broad discourse of warfare that traversed the permeable boundaries between linguistic, literary, and religious traditions and between various artistic genres and media. This remarkable work thus attests to the degree to which the residents of even a modest rural village like Huqoq participated in the cosmopolitan literary and artistic trends of the broader Mediterranean world of late antiquity.
Addressing the Challenge of Spine Patient Triage: Development of a Simple Algorithm for Identification of Potential Surgical Candidates
Authors: Turcotte Justin J. , Brennan Jane C. , Johnson Andrea H. , Pipkin Karen , Patton Chad M. 
Published: November 2023

Introduction:
Given that most spine conditions do not require surgical intervention, using surgeons to manage the subset of patients potentially requiring surgery is the most efficient resource allocation strategy. The purpose of this study was to develop a simple algorithm for identifying patients most likely to require spine surgery that could be used to appropriately triage this population to surgeons.

Methods:
A retrospective review of 5,886 consecutive new patients presenting to a multidisciplinary spine clinic from March 2021 to September 2022 was conducted. The primary outcome was whether a patient underwent spine surgery during the study period. A total of 64 independent variables were recorded from patient intake and the first visit. A gradient boosted model was generated to identify the independent variables most associated with undergoing surgery. The five most important variables were entered into a multiple logistic regression model, and a simplified decision support tool was generated and assessed.

Results:
Overall, 440 of 5886 patients (7.5%) underwent surgery during the study period. The following variables were identified as the top five predictors of spine surgery: patient goal of interest in learning about spine surgery, history of spine injections, difficulty walking a mile, radicular symptoms greater than axial symptoms, and increased age. Each of these variables was confirmed to be independently associated with undergoing surgery (all P < 0.001). The decision support tool yielded a sensitivity of 60.0%, specificity of 76.6%, likelihood ratio of 2.56, positive predictive value of 17.2%, and negative predictive value of 96.0% for predicting surgery. An AUC of 0.683 was achieved.

Conclusion:
A simple 5-question algorithm incorporating patient demographics, symptoms, treatment history, physical function, and patient goals may improve the ability of practices to identify potential spine surgery candidates before their first visit. Prospective application and evaluation of the algorithm to evaluate whether it improves the triage of appropriate patients to spine surgeons is warranted.
Hubungan antara Regulasi Emosi dan Kontrol Diri dengan Perilaku Bullying pada Siswa Kelas X Sekolah Menengah Kejuruan di Kabupaten Lamongan
Authors: Sari Atik Kartika , Rohman Ujang , Prayogo Prayogo 
Published: November 2023

Penelitian ini bertujuan untuk mengetahui hubungan antara regulasi emosi dengan perilaku bullying, hubungan kontrol diri dengan perilaku bullying, dan kontribusi antara regulasi emosi dan kontrol diri dengan perilaku bullying. Desain penelitian yang digunakan yaitu desain penelitian korelasional. Populasi penelitian ini yaitu siswa kelas X Sekolah Menengah Kejuruan di Kabupaten Lamongan sebanyak 60 siswa. Sampel dalam penelitian diambil dengan menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan antara regulasi emosi dengan kecenderungan perilaku bullying dengan nilai signifikan sebesar 0,013 <0,05. Selain itu, hasil penelitian juga menunjukkan terdapat hubungan antara kontrol diri dengan kecenderungan perilaku bullying dengan nilai signifikan Sig. sebesar 0,000 < 0,05. Terakhir, terdapat hubungan antara regulasi emosi dan kontrol diri berpengaruh terhadap bulying sebesar 73 %. Hal ini dapat diartikan bahwa terdapat hubungan antara regulasi emosi dan kontrol diri dengan kecenderungan perilaku bullying, semakin tinggi regulasi emosi dan kontrol diri maka semakin rendah kecenderungan perilaku bullying siswa dan sebaliknya, semakin rendah regulasi emosi dan kontrol diri siswa, semakin tinggi kecenderungan perilaku bullying siswa.
Peran Panti Asuhan Al Aisyah Depok dalam Pemenuhan Hak Anak
Authors: Lenny Lelly , Janah Roudotul , Kaeksi Yuyun Tri , Watini Sri 
Published: November 2023

Orang tua memiliki tanggung jawab utama dalam menjaga dan mengarahkan perkembangan anak mereka. Pasal 26 UU Nomor 35 Tahun 2014 tentang perubahan atas UU Nomor 23 Tahun 2002 tentang Perlindungan Anak menegaskan bahwa orang tua memiliki kewajiban dan tanggung jawab dalam memelihara dan mendidik anak mereka. Dengan keadaan yang umum, hak anak wajib dipenuhi oleh orang tua. Fakta yang terjadi di masyarakat adalah terdapat anak-anak yang tidak dirawat dan diasuh oleh orangtua mereka, dengan berbagai alasan dan faktor tertentu. Salah satu usaha sosial Panti Asuhan Al Aisyah adalah menampung, menerima, menjaga dan memberikan arahan kepada anak-anak yang tidak memiliki orangtua lagi, terlantar, serta fakir agar dapat menjadi individu yang mandiri dan bermanfaat serta mandiri terhadap diri sendiri dan masyarakat di masa depan. Penelitian menggunakan metode kualitatif melalui observasi, wawancara dan dokumentasi sebagai teknik yang digunakan dalam pengumpula. Hasil penelitian menunjukkan bahwa Panti Asuhan Al Aisyah telah menjalankan fungsi-fungsi panti asuhan dengan memberikan hak-hak anak seperti pemenuhan kebutuhan makan, kesehatan, mental dan spiritual melalui program-progaram yang telah disusun oleh Panti Asuhan Al Aisyah Pondok Rajeg, Depok.
Peran Orangtua terhadap Anak Berkebutuhan Khusus (Speech Delay)
Authors: Kumari Rini , Sianturi Lilis , Rahayu Siti , Yunitasari Septiyani Endang 
Published: November 2023

Masalah dalam penelitian ini adalah speech delay yang mengarah pada autisme. Tujuan dari penelitian ini adalah untuk mengetahui perkembangan anak dengan speech delay dan peran orangtua bagi anak berkebutuhan khusus, speech delay. Penelitian menggunakan metode kualitatif dengan teknik pengumpulan data melalui observasi, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa siswa N di TK Holistik Kids, Manokwari mengalami keterlambatan bicara (speech delay), semakin bagus dan cepat respon dari orangtua yang anaknya mengalami speech delay yang mengarah ke Autis ini maka perkembangan Anaknya menjadi semakin baik.Orangtua yang berperan aktif dalam memberikan intervensi dan membawa ABK ini ke Dokter atau tenaga ahli membuat Perkembangan bahasa dan sosial Anak speech delay ini menjadi semakin cepat berkembang ke arah yang lebih baik.
Pengaruh Pola Asuh Orang Tua terhadap Kesantunan Berbahasa Anak Usia Dini
Authors: Anggrayni Rice , Winarsih Yayuk , Supriyadi Supriyadi 
Published: November 2023

Lingkungan memainkan peran penting dalam perkembangan kesantunan Bahasa anak usia dini. Berbagai hal terkait pola asuh orang tua akan berdampak pada perkembangan bahasan anak. Penelitian ini bertujuan untuk mengungkap Pengaruh Pola Asuh Orang Tua (X) terhadap Kesantunan Berbahasa Anak Usia Dini di Lingkungan RW 01, Kelurahan Harjamukti, Cimanggis, Depok (Y). Penelitian ini menggunakan jenis penelitian kuantitatif dengan pendekatan survei. Sampel penelitian ini menggunakan teknik random sampling. Jumlah sampel penelitian sebanyak 12 orang. Pengambilan data menggunakan instrumen yang valid dan reliabel. Analisis data menggunakan regresi sederhana. hasil penelitian mengungkapkan: (1) Persamaan Linear Regresi Y = 33,741 + 0,369 X (2) Pola Asuh orang tua berpengaruh positif terhadap kesantunan berbahasa anak. (3) Uji signifikansi didapat persamaan garis regresi F hit lebih besar dari 0,05 dengan demikian, regresi Y atau X adalah tidak signifikan atau Pola Asuh Orang tua tidak berpengaruh terhadap kesantunan berbahasa anak. (4) Koefisien korelasi (rxy) = 0,228 dan Fhit (Fchange) = 2,951, dengan p-value lebih besar dari 0,05. Dengan demikian, koefisien korelasi X dan Y adalah tidak berarti atau tidak signifikan. Koefisien determinasi 0,228, yang mengandung makna bahwa 22,8 % variasi variabel Kesantunan Berbahasa dapat dipengaruhi oleh variabel pola asuh orang tua.
Overview of Risk Factors for Stroke in Stroke Patients in Work Area at Technical Implementation Unit of the Linggang Bigung Public Health Centre
Authors: Karlina Nova , Tini Tini , Purwanto Edi 
Published: November 2023

Introduction: Stroke is one of the main health problems, not only in Indonesia but in the world. Stroke occurs when the brain's blood vessels experience a blockage or rupture which results in part of the brain not getting the blood supply that carries the necessary oxygen so that cell/ tissue death occurs. Objective: The purpose of this study was to determine the risk factors for Stroke in Stroke patients in the Linggang Bigung Health Center working area. Methods: This study used a descriptive retrospective research design, with a sample size of 22 respondents. Results and Discussion: The results of the study obtained as many as 7 respondents (32%) each with the latest education not in school and elementary school. The majority of 14 respondents (65%) were >55 years old, with the majority of 13 respondents (59%) being male, 16 respondents (73%) had no family history of Stroke, in this study all respondents had hypertension, 13 respondents (59%) had DM, 18 respondents (82%) each smoked and consumed alcohol, while 21 respondents (95%) were not obese. Conclusion: In this study most, respondents were aged >55 years, male gender, had smoking behavior and alcohol consumption and all respondents in this study had hypertension.
QUALIDADE SANITÁRIA E CARACTERÍSTICAS FÍSICO-QUÍMICAS DE SALSICHAS TIPO HOT DOG COMERCIALIZADAS A GRANEL EM MINIMERCADOS DE MANAUS – AM, BRASIL
Authors: Xavier Railson Gomes , Veloso Karem Monique Conceição , Barros Deborah Braz Vidal , Martim Salomão Rocha 
Published: November 2023

As salsichas são alimentos bastante consumidos no Brasil devido ao preço acessível e à versatilidade gastronômica. Na cidade de Manaus – AM, as salsichas tipo hot dog tem grande aceitação e são bastante utilizadas para a preparação do sanduíche “kikão”. Apesar do elevado consumo das salsichas tipo hot dog, há carência de estudos reportando as propriedades desses alimentos consumidos na capital amazonense. O objetivo desse trabalho foi avaliar a qualidade sanitária e características físico-químicas de salsichas tipo hot dog comercializadas na cidade de Manaus – AM, Brasil. Nesta pesquisa foram coletadas 18 amostras de salsichas tipo hot dog vendidas à granel foram obtidas em minimercados das zonas centro-sul (CS), centro-oeste (CO), leste (L), oeste (O), norte (N) e sul (S) da cidade de Manaus – AM, Brasil. Na avaliação da qualidade microbiológica foram verificadas as presenças de aeróbios mesófilos, Escherichia coli, Staphylococcus coagulase positiva, Salmonella sp., bolores e leveduras. Quanto às características físico-químicas, foram avaliados o pH, a umidade e a acidez titulável total. Um quantitativo de 100% das amostras estava contaminado por aeróbios mesófilos, bolores e leveduras. As salsichas coletadas nas zonas oeste (O2 e O3) e sul (S2 e S3) apresentaram contaminação por E. coli. Em todas as amostras obtidas na zona oeste (O1, O2 e O3) foram detectadas colônias de Staphylococcus coagulase positiva. Porém, em 100% das amostras não foi observada a presença de Salmonella sp. Entre as amostras analisadas, 22,22%, estavam fora do padrão exigido por lei para E. coli e 27,78% apresentaram contagem de Staphylococcus coagulase positiva superiores aos permitidos pela legislação vigente. Quanto às características físico-químicas, foi constatada a variação de valores máximos e mínimos: acidez (0,36% a 0,14%), pH (6,64 a 5,98) e umidade (64,40% e 57,92%). As características físico-químicas estavam de acordo com a legislação. Devido à elevada contaminação por bactérias e fungos, é recomendado a manutenção das boas práticas de manipulação e armazenamento das salsichas tipo hot dog vendidas em minimercados da cidade de Manaus-AM para evitar o surgimento de surtos alimentares na capital amazonense.
STUDENTS’ DEMOTIVATION FACTORS IN LEARNING ENGLISH at MTs NEGERI 1 BAUBAU
Authors: Mido La , Asmita Asmita 
Published: November 2023

This study aims to reveal the internal factors that cause student demotivation in learning English and to reveal the external factors that cause student demotivation in learning English. Data collection in this study was carried out using research instruments in the form of observation, interviews, and document study to find out the internal factors that cause students demotivation in learning English and the external factors that cause students demotivation in learning English, interviews were conducted to ensure the data obtained could be valid. The data obtained were analyzed with a descriptive qualitative approach and analyzed through three stages, namely data reduction, data display, and verification. The researchers saw that students were less enthusiastic and eager to learn English, this could be due to their low interest in learning English, besides that the researchers also saw that the teacher's teaching methods were still less creative, lack of appreciation to students and still lack of supporting facilities for learning English. Based on the results of interviews conducted with ten eighth-fourth grade students and teachers of English subjects researchers can conclude that there are several internal factors that cause students not to be motivated to learn English, namely their low interest in learning English, students also feel difficulty in learning English and they often feel bored when learning English and external factors that cause students to be unmotivated to learn English is the attitude of the teacher when teaching, lack of interaction between teachers and students in the school environment, students also feel that the teacher's teaching style is still less attractive, students' difficulty in doing assignments due to lack of English vocabulary, the influence of classmates who mostly do not like English, the lack of availability of library books and the low interest in reading students, and the last is the lack of support or attention from the family to the student's learning process