bluuebunny/crossref_metadata_2025_split huggingface dataset:
Naturschutzfachliche Bewertung der Pflegemaßnahmen von Wiesen auf Steilflächen in Molln (Oberösterreich)
Authors: Preinstorfer Stephan , Stoeckl Nora , Bernhardt Karl-Georg 
Published: August 2023

Abstract
In the area around Molln (district Kirchdorf an der Krems) in Upper Austria, “Bergwiesn”, a private association with the objective of maintaining the cultivated landscape, takes care of more than 30 meadows in difficult and steep terrain. By annual mowing, they aim to keep the plots clear of encroachment and to remove nutrients. In the present study, 26 of those meadows were examined, in order to find out whether their vegetation matches that of nutrient-poor grassland on calcareous soil and whether the success of the maintenance measures can be statistically confirmed. Additionally, literature research was conducted on the feed quality of these meadows. The results show that more than a third of the plots match the vegetation of nutrient-poor grassland on calcareous soil, while the rest can be categorised as fertilised meadows. Yet, all meadows show key species of both vegetation types, and by continuous nutrient removal, fertilised meadows could be transformed into nutrient-poor grassland. Therefore, appropriate measures can contribute to the development of meagre meadows, which are particularly valuable in nature conservation terms. The statistical analysis yields no significant results. Looking at the feed value through conventional parameters, these meadows need to be given a rather low rating. Still, as an addition to conventional feed and for alternative uses (e.g. wellness purposes), hay from meagre meadows harbours some potential.
Künstliche Intelligenz – wo stehen wir in Deutschland?
Authors: Brühl Volker 
Published: August 2023

Abstract
Artificial Intelligence (AI) is widely regarded as a technology which will impact the future competitiveness of the German economy. Looking at the research productivity of German scientists and universities in AI, we find that Germany definitively belongs to the top performers in AI research globally, although the United States and China are somewhat ahead. This is not surprising taking into account the sheer size of their talent pools. Furthermore, the majority of promising AI startups are based in the United States, while Germany is clearly underrepresented in the group of excellent AI startups given Germany’s excellence in AI research. Hence, it is obviously more challenging for Germany to translate research excellence into successful entrepreneurship.
Künstliche Intelligenz in der deutschen Wirtschaft: Ohne Digitalisierung und Daten geht nichts
Authors: Engels Barbara 
Published: August 2023

Abstract
Artificial Intelligence (AI) holds immense potential for enhancing prosperity. However, the adoption of AI in German businesses remains limited, with only 19 % of companies utilizing AI in 2022. The successful implementation of AI relies on two key prerequisites: a company’s digitalisation and data economy readiness. The Digitalisation Index reveals slow progress in digitalisation across sectors, indicating a need for increased efforts. Additionally, companies must enhance their data economy readiness to efficiently utilize data for AI applications. Failing to tap into the potential of AI may result in significant competitive disadvantages in the future.
Finanzpolitische Zeitenwende – das Fundament für Wachstum schaffen
Authors: Lindner Christian 
Published: August 2023

Abstract
In this article, German Finance Minister Christian Lindner places the government’s draft of the 2024 federal budget and the fiscal plan up to 2027 in the context of his fiscal policy strategy and identifies the need for further action. In order to be able to set priorities for strengthening future-oriented spending, the federal government has reviewed all expenditure in the federal budget. Action is being taken to raise savings potentials and to curb expenditure trends. However, in view of challenges such as demografic change or the transition towards climate neutrality, further steps must follow in order to ensure that the federal budget’s composition and priorities are rigorously targeted towards future-oriented tasks, and to enhance the attractiveness of Germany as a business location through supply-side measures.
Unternehmen befürchten dauerhafte Kostenbelastungen
Authors: Grömling Michael , Bardt Hubertus 
Published: August 2023

Abstract
The high inflation rates as a consequence of the energy price crisis, which began with the Russian war of aggression on Ukraine, were associated with considerable problems not only for private consumers, but also for companies. For Germany, a high-cost country, further cost increases are problematic for its international competitiveness. Within the framework of the IW business survey, the burden of various cost categories was measured. The increase in wage costs in particular is perceived by almost 40% of the companies surveyed as at least a strong additional burden, which is seen by practically all companies as a permanent burden. Energy, natural resources and material costs, on the other hand, which have characterised the past year, are seen as a permanent burden for competitiveness by two-thirds of the companies. Together with a further increase in permanent regulatory burdens, there are fears of a permanent deterioration for Germany as a production location.
PERAN MOTIVASI KERJA MEMEDIASI PENGARUH PELATIHAN DAN PENGEMBANGAN KARIR TERHADAP KINERJA KARYAWAN RISATA BALI RESORT AND SPA
Authors: Anggreni Kadek Intan , Adnyani I Gusti Ayu Dewi 
Published: August 2023

Bali has many businesses engaged in hospitality services and the majority of people work in tourism, therefore, hotels need to pay attention to the performance of their human resources to always improve the quality of the company. The purpose of this study was to examine the role of motivation in mediating the effect of training and career development on employee performance. The basic theory used to explain the conceptual model in this study is Maslow's needs theory. This research was conducted at Risata Bali Resort and Spa. Respondents in this study were all employees with permanent status with a total of 76 employees. The data collection techniques used are questionnaires and interviews. The techniques used in this research are path analysis and sobel test. The results of data analysis show that training and career development have a positive and significant effect on work motivation, training, career development and work motivation have a positive and significant effect on employee performance, and work motivation is able to mediate the effect of training and career development on employee performance. Employee performance can be improved by optimizing training and career development so as to increase employee motivation and performance.
Keyword: training, career development, employee perfomance, motivation.
UJI EFEKTIVITAS EKSTRAK ETANOL DAUN CENGKEH (Syzygium aromaticum L.) TERHADAP PERTUMBUHAN METHICILLIN RESISTANT Staphylococcus aureus SECARA IN VITRO
Authors: Dewi Cokorda Istri Dyah Yustika , Ernawati Desak Ketut , Widhiartini Ida Ayu Alit 
Published: August 2023

ABSTRAK
Staphylococcus aureus merupakan salah satu patogen yang menjadi penyebab utama infeksi nosokomial. Staphylococcus aureus merupakan ancaman serius dikarenakan resistensinya terhadap antibiotik metichillin sehingga disebut juga sebagai Methicillin-resistant Staphylococcus aureus (MRSA). Namun obat pilihan saat ini menimbulkan efek samping yang tidak diinginkan, oleh karena itu perlu dikembangkan sumber lain untuk terapi MRSA. Salah satu tanaman yang potensial untuk MRSA adalah daun cengkeh (Syzygium aromaticum L.). Penelitian ini bertujuan untuk mengetahui aktivitas antibaketri esktrak etanol daun cengkeh (Syzygium aromaticum L.) terhadap pertumbuhan MRSA secara in vitro. Penelitian ini adalah True Experimental Post Test Only Group Design dengan metode disc diffusion untuk menilai zona hambat dari ekstrak dengan konsentrasi 10%, 20%, dan 50% yang dibuat terhadap bakteri MRSA dengan 6 kali pengulangan. Hasil penelitian menunjukan bahwa rerata diameter zona hambat yang dihasilkan oleh konsentrasi 10%, 20%, dan 50% secara berturut-turut yaitu 9,50 ± 0,54 mm, 12,33 ± 0,81 mm, dan 14,66 ± 1,50 mm. berdasarkan hasil penelitian ini, dapat disimpulkan peningkatan konsentrasi esktrak etanol daun cengkeh berpengaruh terhadap diameter zona hambat MRSA yang dihasilkan dari percobaan secara in vitro.
Kata kunci : Syzygium aromaticum L., zona hambat, MRSA
SKALA NYERI PADA PASIEN KANKER PAYUDARA YANG DIRAWAT DI RUMAH SAKIT UMUM PUSAT SANGLAH PADA BULAN OKTOBER 2019
Authors: Widyadari Kadek Santi Diahswari , Adiputra Putu Anda Tusta , Wetan Ni Gusti Ayu Agung Manik Yuniawaty 
Published: August 2023

ABSTRAK
Nyeri adalah suatu sensasi tidak menyenangkan yang dapat bersifat sensorik maupun emosional dan berkaitan dengan adanya kerusakan jaringan. Nyeri sering kali menjadi alasan utama seorang pasien, terutama pasien kanker untuk mencari pengobatan. Penelitian ini bertujuan untuk menentukan intensitas nyeri yang dialami pasien kanker payudara yang dirawat di Rumah Sakit Umum Pusat Sanglah. Penelitian ini merupakan penelitian dengan metode deskriptif cross-sectional. Penelitian ini melibatkan pasien yang telah terdiagnosis kanker payudara yang dirawat jalan di Poliklinik Bedah Onkologi Rumah Sakit Umum Pusat Sanglah pada bulan Oktober 2019. Sampel dipilih melalui metode consecutive sampling. Data diambil dari data primer berupa kuesioner yang berisi identitas pasien, diagnosis kanker payudara, dan skala nyeri berupa skala Numeric Rating Scale (NRS). Responden paling banyak berada direntang umur 41-50 tahun. Seluruh subjek adalah perempuan. Lebih banyak kanker berada pada sisi kiri payudara. Responden paling banyak berada pada stadium II. Hasil penelitian menunjukkan dari total 50 sampel, sebanyak 10 orang (20%) tidak mengalami nyeri, 6 orang (12%) mengalami nyeri ringan, 26 orang (52%) mengalami nyeri sedang, 6 orang (12%) mengalami nyeri berat, dan 2 orang (4%) mengalami nyeri sangat berat. Intensitas nyeri yang paling banyak dijumpai adalah nyeri dengan intensitas sedang.

Kata kunci : Skala nyeri numerik (NRS), intensitas nyeri, kanker payudara.
PROPORSI DAN KARAKTERISTIK AKNE VULGARIS PADA MAHASISWA PROGRAM STUDI SARJANA KEDOKTERAN DAN PROFESI DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA TAHUN 2019
Authors: Roxanne Joanne , Indira I Gusti Ayu Agung Elis , Adiguna Made Swastika , Karmila I Gusti Ayu Agung Dwi 
Published: August 2023

ABSTRAK
Latar Belakang: Akne vulgaris (AV) merupakan penyakit yang umum terjadi pada remaja dan merupakan penyakit multifaktorial.
Tujuan: Penelitian ini bertujuan untuk mengetahui proporsi dan karakteristik (jenis, distribusi, dan klasifikasi tingkat keparahan) serta beberapa faktor pencetus yang menyertai kejadian AV pada mahasiswa kedokteran yang sebagian besar dalam usia remaja
Metode: Penelitian ini merupakan penelitian potong lintang deskriptif. Pengambilan data dilakukan dengan menggunakan formulir pengambilan data dilanjutkan dengan pemeriksaan lesi oleh peneliti.
Hasil: Terdapat 87 (70,2%) dari 124 peserta penelitian yang terdiagnosis AV pada Mahasiswa Program Studi Sarjana Kedokteran dan Pendidikan Dokter Fakultas Kedokteran Universitas Udayana tahun 2019. Laki-laki lebih banyak mengalami AV (51,7%) dibandingkan perempuan (48,7%). Jenis lesi yang paling banyak ditemukan adalah komedo dengan tingkat klasifikasi ringan dan distribusi lesi paling banyak pada wajah. Komplikasi yang paling banyak terjadi adalah hiperpigmentasi. Diagnosis AV lebih banyak ditegakan pada subjek yang tidak memiliki riwayat keluarga, jarang membersihkan wajah (<3 kali sehari). Tercatat penggunaan masker bahan alami dalam penanganan AV yaitu spirulina, tomat, madu dan teh hijau
Kata Kunci: Akne vulgaris, Proporsi, Karakteristik, Faktor Pencetus
HUBUNGAN FAKTOR RISIKO DENGAN ANGKA KEJADIAN KELAINAN REFRAKSI MAHASISWA TAHUN PERTAMA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Pradnyandari Ni Wayan Jayanti , Juliari I Gusti Ayu Made , Kusumadjaja Made Agus , Siska S 
Published: August 2023

ABSTRAK
Kelainan refraksi merupakan gangguan penglihatan yang dapat menyebabkan gangguan pada kehidupan sehari-hari hingga kebutaan. Prevalensi kebutaan dan gangguan penglihatan di Indonesia yang disebabkan oleh kelainan refraksi sebesar 22,1% dan 15% diantaranya merupakan anak usia sekolah. Kejadian kelainan refraksi dapat disebabkan oleh berbagai faktor risiko seperti usia, jenis kelamin, riwayat keluarga, dan aktivitas melihat dekat seperti menggunakan laptop dan gadget. Tujuan dari penelitian ini adalah mengetahui hubungan faktor risiko dengan angka kejadian kelainan refraksi pada mahasiswa tahun pertama Program Studi Sarjana Kedokteran dan Profesi Dokter Fakultas Kedokteran Universitas Udayana. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional dengan menggunakan 218 responden sebagai sampel penelitian. Proporsi kejadian kelainan refraksi pada mahasiswa tahun pertama di Fakultas Kedokteran Universitas Udayana adalah sebanyak 139 dari 218 responden (63.8%). Kelainan refraksi yang paling banyak terjadi adalah miopia yaitu sebanyak 125 responden (57.3%). Berdasarkan hasil penelitian didapatkan adanya hubungan yang signifikan antara riwayat keluarga responden dengan angka kejadian kelainan refraksi (p=0,000;95% CI 1.683(1.270–2.230)), dan terdapat hubungan yang signifikan antara jarak membaca buku dengan angka kejadian kelainan refraksi (p=0.001;95% CI 1.411(1.127–1.765)). Sehingga dapat disimpulkan bahwa riwayat keluarga dan jarak membaca buku merupakan faktor risiko yang secara signifikan berpengaruh terhadap angka kejadian kelainan refraksi.
Kata kunci: kelainan refraksi, faktor risiko, mahasiswa tahun pertama
KARAKTERISTIK PENDERITA CACAR AIR (VARICELLA) DI RUMAH SAKIT UMUM PUSAT SANGLAH, DENPASAR PERIODE APRIL 2015 - APRIL 2016
Authors: Murtia Margha Ni Putu Tiza , Wardhana Made 
Published: August 2023

Varisella merupakan penyakit yang mudah menular pada manusia, manusia adalah satu-satunya inang pada penyakit ini. Hal ini disebabkan oleh Varicella Zoster Virus, virus yang termasuk bagian dari alpha-herpes yang merupakan jenis virus imunogenik. Sebagai penyakit endemik akut yang paling umum yang menyerang manusia. Hal ini merupakan masalah setiap orang tua hadapi pada anak-anaknya, dan varicella juga bisa terjadi di pada dewasa, varicella biasanya dikenal sebagai cacar air. Tujuan dari penelitian ini adalah untuk mengetahui pola varicella pada pasien pada periode Rumah Sakit Sanglah April 2015-April 2016. Pendekatan penelitian ini menggunakan studi deskriptif desain penelitian retrospektif. Sampel ditentukan dengan menggunakan teknik total sampling, dalam sampel penelitian ini yang digunakan adalah semua pasien pada Rumah Sakit Sanglah periode April 2015-April 2016 yang terinfeksi infeksi varicella. Data yang diperoleh dalam penelitian ini diolah secara deskriptif. Hasil penelitian secara deskriptif menunjukkan bahwa 56 orang yang terinfeksi varicella di Rumah Sakit Sanglah, mayoritas pasien yang terinfeksi dengan varicella berada dalam kelompok usia 0 sampai 15 tahun dengan total 30 orang (53,6%), berdasarkan perbedaan jenis kelamin menunjukkan bahwa pasien wanita memiliki insiden tertinggi yaitu 27 orang (48,2%) daripada laki-laki dan hampir mirip jumlahnya. Tidak ada komplikasi dari semua kriteria inklusi yang mana 56 orang (100%). Dan lokasi lesi tersering adalah pada kepala dan ektremitas bagian atas dengan jumlah 26 orang (46,4 %).
Kata kunci: varicella, umur, jenis kelamin, komplikasi, lokasi lesi.
CLINICAL CHARACTERISTICS OF SQUAMOUS INTRAEPITHELIAL LESION (SIL) PATIENTS AT SANGLAH RSUP DENPASAR 2015-2019
Authors: Patuan Jonathan Yoshua 
Published: August 2023

Cervical cancer is a malignant disease that attacks the cervix uteri. Before the cancer phase, it will begin with precancerous lesions or Squamous Intraepithelial Lesion (SIL), which often do not cause complaints or symptoms. Therefore, regular screening is needed to detect precancerous lesions. One of the most widely used screening programs is the Pap smear method. The purpose of this study was to determine the clinicopathological characteristics of SIL patients at Sanglah Hospital Denpasar in 2018 - 2019. This study was a descriptive study with a cross sectional study design. Total sampling was carried out by collecting secondary patient data recorded in the form archive and the results of the histopathological examination of uterine cervical biopsy at the Anatomical Pathology Laboratory of Sanglah Hospital Denpasar in 2018 - 2019. The patient data collected were in the form of age, biopsy indications, and the degree of SIL. The samples collected in this study were 177 samples of SIL patients, with the most cases in the 41-50 years age category, namely 73 people (41.2%). The mean age of LSIL patients was 41.5 years and HSIL patients were 39.7 years. The findings of the previous abnormal pap smear results as an indication of a biopsy were found to be the most, namely 73 people (41.3%), and the highest degree of SIL was HSIL as many as 94 people (53.1%).
Keywords: precancerous lesions, cervix, SIL, Sanglah Hospital Denpasar
KARAKTERISTIK KLINIKO HISTOPATOLOGI NODUL TIROID DARI 1 JANUARI 2016 – 31 DESEMBER 2017 DI LABORATORIUM PATOLOGI ANATOMI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA/ RSUP SANGLAH DENPASAR
Authors: Indriani Silvia Nuhyil , Dewi I Gusti Ayu Sri Mahendra , Sriwidyani Ni Putu , Ekawati Ni Putu 
Published: August 2023

ABSTRAK
Latar Belakang: Kelainan nodul tiroid cukup banyak ditemukan di masyarakat. Insiden nodul tiroid meningkat seiring usianya bertambah dan wanita memiliki kejadian lebih tinggi dari laki-laki.
Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran kliniko histopatologi nodul tiroid dari 1 Januari 2016–31 Desember 2017 di Laboratorium Patologi Anatomi RSUP Sanglah Denpasar.
Metode: Penelitian ini merupakan penelitian deskriptif crosssectional retrospective yang diperoleh dari data rekam medis pasien di Laboratorium Patologi Anatomi RSUP Sanglah. Data dianalisis dengan menggunakan program SPSS versi 22.0.
Hasil: Didapatkan penderita nodul tiroid sebanyak 330 orang. Distribusi perempuan lebih banyak (84,5%) dibandingkan laki–laki (15,5%), dengan rentang umur terbanyak terjadi pada usia 41–50 tahun dan 51–60 tahun yaitu masing-masing 89 (27,0%) kasus. Diagnosis terbanyak adalah penderita non neoplastik sebanyak 206 (62,4%) kasus, dengan lateralisasi terbanyak terjadi di seluruh bagian tiroid sebanyak 233 (70,6%) kasus.
Kesimpulan: kelainan nodul tiroid cenderung lebih banyak pada perempuan dengan usia 41-60 tahun, bersifat jinak dan terjadi pada seluruh lobus tiroid.

Kata kunci: Nodul tiroid, Kliniko histopatologi
The Description of Hormonal Risk Factors of Breast Cancer Patients in RSUP Dr. Mohammad Hoesin Palembang
Authors: Hutahaean Arekcsueng , Qodir Nur , Fadilah Mariatul , Umar Mulawan , Roflin Eddy 
Published: August 2023

Breast cancer is a multifactorial disease. Most of the breast cancer risk factors are hormonal risk factors that associated with the length of exposure to estrogen hormone. This study is aimed to know the description of hormonal risk factors of breast cancer patients in RSUP Dr. Mohammad Hoesin Palembang. This study is a descriptive-observational study with cross-sectional design. Samples in this study are medical records of breast cancer patients in RSUP Dr. Mohammad Hoesin Palembang during January 2019 – August 2020 that meet the inclusion and exclusion criteria. In this study, 97 breast cancer patients were included as participant. Most of the participants had menarche at the age of 12 – 14 (72.2%), menopause at the age of 45 – 54 (38.1%), first pregnancy at the age of 20 – 29 (48.5%), parity ? 3 times (46.4%), breastfed (76.3%), used hormonal contraception (71.1%), not used any menopausal hormone (96.9%), not consumed alcohol (100%) and normal nutritional status (56.7%).
A survey of flexible bronchoscopy practice at Kenyatta National Hospital, Kenya
Authors: Bashir Abdiweli M. , Mecha Jared O. , Achieng Loice , Owuor Andrew 
Published: August 2023

Objectives:
Flexible bronchoscopy (FB) is an essential diagnostic and therapeutic tool for managing respiratory diseases, and an audit of its practice is important; it enhances standardization of practice and improves outcomes and patient safety. This study aimed to describe the FB practice at Kenyatta National Hospital (KNH) regarding indications, peri-procedure practice, gross and histologic findings, and safety.

Materials and Methods:
This study was a quantitative and retrospective chart review of files of 282 patients who underwent flexible bronchoscopies over 5 years in KNH.

Results:
We reviewed 282 flexible bronchoscopies done between January 2016 and December 2020. There was a significant documentation gap (22%); 54 out of the 282 cases audited had incomplete documentation. The male-to-female ratio was 1:1, with a median age of 51 years. Most (58.2%) of the patients were residents of counties outside Nairobi. Despite a lack of evidence for routine evaluation, we noted significant rates (75.9%) of routine laboratory evaluations (International normalized ratio (INR), platelet count). The most common indication of bronchoscopy was the evaluation of a lung mass (100) 35.7%, pulmonary infiltrate 53 (18.9%), and assessment for interstitial lung disease 39 (13.9%). The most common gross bronchoscopic findings were visible tumors at 38.5% (107) and normal endoscopic findings at 29.5% (82). The practice was safe, with a complication rate of 3.2%. The most common diagnostic outcome was lung cancer (40.1%), with adenocarcinoma being the most common (45.1%) histologic subtype. The diagnostic yield for malignancy where there was a visible tumor was 87.2%.

Conclusion:
Our study showed that FB practice at KNH is safe and provides a good diagnostic yield, but a significant documentation gap and record keeping exist. Adenocarcinoma was the most predominant lung cancer histologic subtype among the mostly non-smoker population.
Japanese Women Language Politeness in Communication Interview: Sociolinguistic Study
Authors: Arfianty Rani , Mubshirah Dara , Pujiono Mhd. 
Published: August 2023

Abstract. This study aims to investigate and define Japanese women's language politeness in communication interviews. This study is descriptive, using a content analysis approach. This study collected Japanese women's words, phrases, and clauses from YouTube videos and used free-conversation listening and note-taking techniques to acquire data. The results showed three main types of Japanese woman’s polite language in communication interviews: teineigo, kenjougo, and sonkeigo. Sonkeigo is used when the speaker wishes to show respect for the other person and the person being discussed. In contrast, the phrase kenjyogo puts the speaker on a lesser level with the recipient. Teineigo is best described as a form of polite or formal speech. It is found that keigo is a method of Japanese women to express their politeness, etiquette and also emotional in the same time This finding also contributes to a greater understanding of social position and social status in Japanese society, as well as how Japanese women communicate to maintain their image in the eyes of others Keywords: Japanese Woman, Politeness Language, Communication Interview, Sociolinguistic