bluuebunny/crossref_metadata_2025 huggingface dataset:
Tourism and Hospitality Essentials (THE) Journal, Vol.II, No.1, 2012 - 291 PENGARUH PROGRAM GREEN MARKETING DI HOTEL SHANGRI-LA JAKARTA TERHADAP GREEN CONSUMER BEHAVIOR (Survei Pada Tamu yang Menginap di Hotel Shangri-la Jakarta)
Authors: Desliana Anasti , Andari Rini
Published: May 2019

Tourism holds an important role as a major contribution for economy of a country not least for Indonesia. Tourism activity can not be separated from the various tourism sectors are mutually supportive and integrated with one another so as to attract tourists to visit Indonesia. Hospitality industry is an important industry in tourism activity due to the hospitality industry is one industry that high contribute to the tourism sector particularly in Jakarta. Jakarta as the capital city of Republic of Indonesia has the potential to attract tourists to the fulfillment of needs in terms of lodging accommodations in great demand by the management of international chain hotels to expand its market share by establishing a network of hotels in Jakarta. The importance of the marketing strategy undertaken by the hotel a top priority with progress and about eco-friendly lifestyle imposed by the Hotel Shangri-La Jakarta. So in general the strategy undertaken by the Hotel Shangri-La Jakarta is the green marketing. Therefore, the research done in the hope that green marketing is a strategy of influence in the creation of green consumer behavior. In this study, the independent variable (X) is green marketing which has three sub variable are green value-Addition process, green management systems, and green products. Variable (Y) is green consumer behavior. The study was conducted during six months from September 2011 until February 2012 by using systematic random sampling as technique sampling. The results showed that green marketing significantly influence green consumer behavior. Factors of green marketing that gives a large effect is green management systems in Hotel Shangri-La Jakarta and the lowest factors in green marketing is green products in Hotel Shangri-La Jakarta.
PENGARUH STRATEGI REPOSITIONING HOLIDAY INN BANDUNG TERHADAP KEPERCAYAAN TAMU MEMBER
Authors: Shesarria Gina , Siswhara Gita
Published: May 2019

Hospitality industry has three classifications of the National Chain Hotel, International Hotel Chain and hotels that are managed independently. International Hotel Chain is standing in Bandung one of them is the Holiday Inn. Holiday Inn Bandung is one of the four-star hotel which has the highest actual share best among customary international chain hotel in the city of Bandung. One of the guests that must be maintained is a guest member. The effort to maintain it is to make changes or repositioning. The purpose of this study was to obtain findings on repositioning strategies undertaken, the level of trust and influence of repositioning strategies undertaken Holiday Inn Bandung guest member of the trust. Repositioning strategy used theory is Muzellec & Lambkin, whereas the theory of confidence used was Doney & Canon. Objects in this study was the guest of a member who stays good corporate member guest and guest of individual members. Independent variable (X) is a repositioning strategy that consists of three dimensions of brand logos, building renovation and staff performance. Dependent variable (Y), namely trust. This type of study is a descriptive verifikatif, and the method used is survey with stratified random sampling technique, the obtained sample size of 100 respondents to the division of 56 respondents for this type of corporate members and 44 guests respondents for this type of individual member guest. Techniques of data analysis and hypothesis test used is multiple regression. The results showed that the repositioning strategy did have an influence on trust. Dimensional result greatest value of the brand logo of amounting to 5.742, then the second highest value obtained through the staff performance of 5.363, while the building renovation is considered guest members have no influence because the guest member has not felt comfortable and familiar with the appearance and location of new facilities.
PENGARUH BRAND PERFORMANCE THE JAYAKARTA BANDUNG BOUTIQUE SUITE HOTEL & SPA TERHADAP KEPUTUSAN TAMU UNTUK MENGINAP
Authors: Agustiani Indah Nur , Barbo Anthony
Published: May 2019

The impact of hotel industries which is developing the high competition of hotel industries. The level of room residential is the important thing to view that the number of the room is sold. The guest decision to stay is the most important thing to the hotel industries. With the guest decision to hotel, then the level of guest residential will increase which is the main target of hotel industries. Therefore the Jayakarta Bandung Boutique Suite Hotel & Spa wants the guest decision to be enhanced. The one of effort to increase the guest decision to stay is maximize the brand performance which is do it by The Jayakarta Bandung Boutique Suite Hotel and Spa. The purpose of the study is to obtain findings the brand performance which has been done, the decision to stay in The Jayakarta Bandung Boutique Suite Hotel & Spa and the influence of brand performance towards the decision to stay. Kevin L. Keller is the theory of brand performance which is used. While the theory of post-visit behavior using the theory of Kotler and Keller. The object of the study is the visitor who stay in The Jayakarta Bandung Boutique Suite Hotel & Spa. This type of research is descriptive and verification, and the method used is explanatory survey stratified random sampling, hence obtained a population of 100 respondent. The data analysis technique and hypothesis test used is the path analysis (path analysis). The results show interesting findings, that the brand performace give the significant influence towards to the stay decision which consist of product, brand, reservation channel, lenght of stay,the number of room reservation and the payment method. The biggest impact of brand performance towards the stay decision is obtained from Product Reliability, Durability and Service Ability and the smallest influence is obtained from Service Effectiveness, Efficiency, And Empathy. As for suggestions for the company in improving the decision to stay at The Jayakarta Bandung Suite Boutique Hotel & Spa is a brand performance through the development of a more exciting, creative, innovative, effective and efficient.
PENGARUH EXPANDED MARKETING MIX TERHADAP KEPUTUSAN BERKUNJUNG (Survei pada Wisatawan Nusantara yang Berkunjung ke Museum Sonobudoyo Yogyakarta)
Authors: Mardhatillah Merliyani , Mulyadi Hari , Hidayat Marceilla
Published: May 2019

Indonesia is an archipelagic state which are rich in natural wealth as flora and fauna and cultural variety that is a potential tourist destinations capable of interesting motivation tourists to perform the activities in Indonesia, and especially in Daerah Istimewa Yogyakarta. Yogyakarta city is the big cultural area in Indonesia that is a potential in terms of development cultural tour through the museum. But now a lot of people remain to regard that museum is just the place for keeping and maintaining historic and cultural fosils. The low appreciation of the society can be seem from the data of visitors attendance Museum Sonobudoyo Yogyakarta which shows a low number from years 2009 – 2010. Museum Sonobudoyo Yogyakarta conduct various attempts to increase the visits. One of the ways is through expanded marketing mix, which consists is people, physical evidence, and process. Expanded marketing mix in Museum Sonobudoyo Yogyakarta is expected to help increase tourist visits and for society awareness about cultural which has existed since long ago by the presence of museum. The independent variable (X) is expanded marketing mix which consists of three dimensions which are People, Physical evidence, and Process. The dependent variable (Y), namely the decision to visit. The type of the study is descriptive and verificative, and the method used was survey systematic random sampling technique, so it obtains 90 respondents of samples. Techniques of data analysis and hypothesis test used was multiple regression. Based on the research hypothesis, expanded marketing mix has a significant influence amounted to 48,5% towards visiting decision.
PENGARUH BRAND POSITIONING PUSPA IPTEK SUNDIAL TERHADAP KEPUTUSAN BERKUNJUNG DI KOTA BARU PARAHYANGAN (Survei Pada Wisatawan Nusantara yang Berkunjung ke Puspa Iptek Sundial)
Authors: Atthauri Hibban , Purnama Ridwan
Published: May 2019

Tourism industries in Indonesia has developed very advanced, this is due to the increasing number of tourists both foreign tourists and domestic tourists. The development of the need for care and maintenance as well as improvement in various sectors, especially regarding the facility and to provide easy of accommodation for tourists visiting. Puspa Iptek Sundial is one of the tourist attraction located in the area Kota Baru Parahyangan West Bandung regency, it is easy to access and make it as a choice of tourist attraction to visit. The implementation of Brand Positioning in this study measured by the knowledge of respondents to Attributes, Benefits and Beliefs and Value. Respondents also being questioned on their perception about visiting decision to the Puspa Iptek Sundial. The results of this study indicate that the Brand positioning influence on decision to visit. This can be seen from the significantly high level of correlation and also the result shows the relationship between Brand Positioning and against visiting decision is in a strong relationship.
PENGARUH SERVICE RECOVERY TERHADAP KEPUASAN PENUMPANG DIBANDARA HUSEIN SASTRANEGARA
Authors: Siswhara Gita , Abdullah Taufik , Karina Fauzia Dwisti
Published: May 2019

Tourism is one of industries that is growing quite rapidly and cannot be separated from the roles of other sectors. One of those sectors is transportation. Air transportation service, as the most important transportation, needs assistance from airport that has one of tourism elements which is accessibility. One of the airports in Indonesia, which is Husein Sastranegara Bandung airport, always faces increase in the number of passengers in every year which cause over capacity. It makes PT Angkasa Pura II, as the maintainer of the airport, receive many complaints from the passengers. Those complaints will affect the passengers’ satisfaction. In order to decrease service failure, the airport management applies service recovery in the form of actions, efforts, or process to increase passengers satisfaction. In this study, service recovery that consists of procedural justice, interactive justice and outcome justice. In the other hand, passengers satisfaction which is obtained from the comparison result between the performance perceived by the passengers (perceived) and the passengers’ expectation (expected).The population of respondents in this study is 100 passengers who have ever made complaints and received service recovery at Husein Sastranegara airport. The method used in this study is descriptive- explanatory method with less than a year length of research (cross sectional method). The data analysis and hypothesis test technique used in this study is multiple linear regression. The purposes of this study are to gain and/or get the result about passengers satisfaction towards service recovery. The result of this study shows that the entire dimension of service recovery has significant influence towards passengers satisfaction.
PENGARUH CUSTOMER EXPERIENCE TERHADAP BEHAVIORAL INTENTION WISATAWAN DI SAUNG ANGKLUNG UDJO (Survey Terhadap Wisatawan Nusantara yang Berkunjung ke Saung Angklung Udjo)
Authors: Rahmi Mildayani , Andari Rini , Yuniawati Yeni
Published: May 2019

Saung Angklung Udjo is one of the tourist destinations in Bandung city, which has a complete cultural workshop contains performances, handicraft centers of bamboo and bamboo musical instrument workshop. Tourist of Saung Angklung Udjo comes from outside West Java even abroad. The researcher did a pre-research to Indonesian tourists on their behavioral intention at Saung Angklung Udjo. The result indicated that there was low intention to visit the destination. Saung Angklung Udjo provides a different experience to tourists, which implementing a customer experience strategy that consists of the physical environment and social interaction. The purpose of this study was to obtain findings on customer experience as the independent variable which consists of the physical environment and the social interaction. Moreover, the behavioral intention as a dependent variable which consists of repurchase intention, premium price and word of mouth were studied. The type of research was a descriptive and verification, using a questionnaire as the instrument that distributed to 100 respondents through systematic random sampling technique. The data were analysed using a multiple regression techniques. The results indicated that there was a partial and simultaneous influence of customer experience for the tourist behavioral intention. The physical environment resembled in the musical instrument was perceived as a high value by the respondents. The hospitality of the employee as the social interaction dimension has also perceived well by the respondents.
UPAYA MENINGKATKAN KEPUASAN TAMU MELALUI SERVICE ENCOUNTER QUALITY DI KOTA BUKIT INDAH PLAZA HOTEL PURWAKARTA
Authors: Pratiwi Yuri Puspita , Purnama Ridwan , Novelita Dewi Pancawati
Published: May 2019

The Hotel is one form of accommodation that supports the tourism activity. Kota Bukit Indah Plaza Hotel a four-star hotel in Purwakarta regency has a decrease at the level of customer satisfaction. To increase the customer satisfaction, Kota Bukit Indah Plaza Hotel implementation the service encounter quality is a focus of the performance of the employees by providing the best quality of service delivery currently underway, in the event of contact between employees and individual guest are referred to as the service encounters quality. The purpose of this study was to determine service encounter quality at Kota Bukit Indah Plaza Hotel, the satisfaction of guest who stayed at Kota Bukit Indah Plaza Hotel, and the effect's service encounter quality of the guest satisfaction. In this study, the independent variable (X) was the service encounter quality that consisted of professionalism, civility, friendliness, and competence, and the dependent variable (Y) was individual guest satisfaction. This type of research was a descriptive and verification. The systematic random sampling technique was used to distribute 100 questionnaires for the respondents. The data were analyzed by using path analysis method. The results showed that the variables of service encounter quality had a significant influence on the individual guest satisfaction.
Penilaian Wisatawan akan Atribut Pariwisata di Kota Batu
Authors: Abdullah Taufik
Published: May 2019

Batu City is one of the famous tourist destinations in Indonesia and has many tourism potentials. From 2011 to 2015 data on the number of domestic tourists who came to Batu City are fluctuated and leads to decline. Based on this phenomenon, this study was conducted. This study aimed to do the tourists’ assessment about tourism attributes in Batu City. This study is descriptive and qualitative. The number of respondents is 100 respondents who are domestic tourists in Batu City. The result of this study is hospitality attribute in Batu City got the highest average score among other attributes. Hopefully, this study could be a description for tourism stake holder in Indonesia especially Batu City to decide steps for planning tourism in the future.
UM ESTUDO DE REVISÃO SISTEMÁTICA DA LITERATURA NACIONAL ENTRE 2007 E 2016 SOBRE OS ADOLESCENTES EM CONFLITO COM A LEI
Authors: Bastos Liliana Paiva , Barreto Maria de Lourdes Mattos
Published: May 2019

As crianças e os adolescentes tem sido foco de políticas públicas e discussões em diversas áreas, principalmente no que refere-se a sua proteção. Esses sujeitos receberam atenção e tratamentos diferentes no decorrer da história da sociedade brasileira, pois diversas leis e projetos foram formulados. Dentre elas destaca-se o Estatuto da Criança e do Adolescente (ECA), Lei nº 8.069 de 1990, que reconhece as crianças e adolescentes como cidadãos de direitos e com prioridades absolutas. Para a coleta dos dados foi realizada a busca pelas teses e dissertações foram realizadas a partir de um levantamento bibliográfico na base de dados da Biblioteca Digital Brasileira de Teses e Dissertações (BDTD). Foram identificados dezenove dissertações de mestrado entre 2007 e 2016, havendo uma variação nos anos de publicação das dissertações. Em relação a quantidade de dissertações produzidas por instituição, destacou-se as Universidades Particulares e Estadual. A abordagem mais utilizada pelos pesquisadores, foi a qualitativa, sendo a técnica de pesquisa mais utilizada a entrevista. Já os autores mais referenciados nas publicações foram normas e diretrizes dispostas nas Leis Federais e Decretos Brasileiros. Por fim, entende-se, que questões relacionadas aos adolescentes em conflito com a lei representa uma importante temática para estudos e pesquisas. Assim, sugerimos a realização de mais pesquisas, em diferentes contextos socioculturais, com o intuito de compreender a vida desses adolescentes e de suas famílias.
MEDIDAS ASSECURATÓRIAS ATÍPICAS E O PODER GERAL DE CAUTELA NO NOVO CPC
Authors: Tavares Thiago Passos , Mota Marlton Fontes , Feldens Dinamara Garcia
Published: May 2019

O objetivo principal deste artigo é discutir aspectos preponderantes das medidas assecuratórias atípicas e do poder geral de cautela a partir do novo Processo Civil brasileiro. Para tanto, a metodologia utilizada na pesquisa, dar-se por meio de abordagem qualitativa de tipo bibliográfica, realizada em livros, periódicos e em sítios eletrônicos, que possibilitam apreciar as características mais importantes para o estudo das cautelares atípicas e do poder geral de cautela; é ainda de caráter descritivo e exploratório. Justifica-se pelo estudo das medidas assecuratórias atípicas e do poder geral de cautela, que são instrumentos para que se possa garantir a efetividade processual em uma ação judicial. Além disso, são valores constitucionalmente consagrados no novo Código de Processo Civil de 2015 e tem como finalidade precípua a simplificação do trâmite processual, a fim de que se possa garantir ao jurisdicionado eficácia e celeridade. A fusão entre o poder geral de cautela e as medidas cautelares atípicas, confere aos doutos magistrados um poder muito elevado para o desenvolvimento do trâmite processual, o que pode ser visto, tanto como um malefício, já que a tendência moderna é pelo aumento da autonomia das partes, como um benefício, tendo em vista que a busca por celeridade e simplicidade processual deve ter prioridade, se levarmos em consideração a exaustiva demanda atual ao Judiciário.
Идеологическое многообразие России: философские основания проблемы поиска инновационной стратегии
Authors: Албакова Фатима Юсуповна , Зиновьева Ольга Мироновна , Семедов Семед Абакаевич , Фридман Михаил Феликсович
Published: May 2019

Настоящая статья посвящена одному из наиболее важных, актуальных и значимых вопросов дальнейшего развития современной России — ее самоопределению в условиях идеологического многообразия. В статье анализируется текущее состояние общественной жизни в стране, выявляются противоречия между стратегическими ориентирами, декларируемыми официальными должностными лицами, нормативно-правовой базой, динамикой общественного мнения и статистическими данными, формулируется проблемное поле поиска инновационной стратегии. Статья представляет собой осмысление широкого философского контекста проблемы выбора концептуальных и методологических оснований для стратегического развития в условиях глобализации.
Акакий Стафеевич Воронцов. Заонежский крестьянин. Петербургский кондитер. Меценат
Authors: Афонина Людмила Борисовна
Published: May 2019

Статья посвящена Акакию Стафеевичу Воронцову, крестьянину деревни Воробьи Кижского прихода Олонецкой губернии, Санкт-Петербургскому кондитеру, поставщику двора его Императорского Величества, основателю известного заонежского рода Воронцовых.
Reseña del libro: Neurocomunicazione: applicazioni delle scoperte euroscientifiche alle scienze e all’industria della comunicazione
Authors: Rodríguez Fernández M.ª Magdalena
Published: May 2019

Reseña del libro: Neurocomunicazione: Applicazioni delle scoperte  euroscientifiche alle scienze e all’industria della comunicazione
Türkiye’de Yetiştirilen Holştayn Irkı Sığırlarda GHRH ve PRL Gen Polimorfizmleri ile Süt Verimi Arasındaki İlişkinin Araştırılması
Authors: AKKAYA Murat , AKYÜZ Bilal
Published: May 2019

Bu çalışmada, Türkiye’de yetiştirilen Holştayn ırkı sütçü sığırlarda
büyüme hormonu salgılatıcı hormon (GHRH)
ve prolaktin hormonu (PRL) genleri
ile 305 günlük süt verimleri arasındaki ilişkinin araştırılması amaçlanmıştır.
Çalışmada 150 baş sağmal Holştayn inek kullanılmıştır. GHRH genotiplerinin belirlenmesinde amacıyla yapılan PCR işlemi
sonunda elde edilen PCR ürünleri HaeIII enzimiyle, PRL genotiplerinin belirlenmesinde amacıyla yapılan PCR işlemi
sonunda elde edilen PCR ürünleri ise RsaI enzimi ile kesilmiştir. GHRH ve PRL genotipleri ile günlük
ve laktasyon süt verimleri arasındaki
ilişki varyans analizi ile değerlendirilmiştir. GHRH-HaeIII polimorfizmi yönünden incelenen örneklerinde iki allel
(A ve B) ile üç genotip (AA, AB ve BB) gözlenmiş, B allel frekansının (0.68), A
allel frekansından (0.32) yüksek olduğu görülmüştür. PRL-RsaI polimorfizmi yönünden incelenen ineklerde iki allel (A ve
B) ile üç genotip (AA, AB ve BB) gözlenmiştir. A allel frekansı 0.86, B allel
frekansı ise 0.14 olarak bulunmuştur. Çalışma sonunda incelenen Holştayn
ineklerde GHRH-HaeIII ve PRL-RsaI polimorfizmleri ile 305 günlük
süt verimleri arasında istatistiksel olarak önemli ilişki olmadığı
belirlenmiştir.
Book Review: Bad Blood – Secrets and Lies in a Silicon Valley Startup
Authors: Santander Emeril
Published: May 2019

This book review appraises John Carreyrou’s non-fiction book Bad Blood. The text provides penetrating insights on Theranos, an American laboratory diagnostics company that promised to revolutionize laboratory medicine. The author’s award-winning prose relays the events leading to the eventual discovery of fraud at Theranos as well as the subsequent collapse of the company. The book can be faulted for being unripe. Publication prior to a full resolution to the Theranos affair precludes analysis of the longer-term impacts of this fraud. Notwithstanding Bad Blood’s imperfect timing, the book remains a seminal text amidst journalistic chronicles of medical innovation gone wrong.
A cross sectional study on antipsychotic induced amenorrhoea in women attending a tertiary care centre in South India
Authors: Savarimuthu Monisha Kanya , Bhaskar Srisudha , Alexander Anu Mary , Kurian Suja
Published: May 2019

Background: Absence of menstrual period in a woman of reproductive age group could be physiological or pathological. Ascertaining the cause for this is a common clinical scenario faced by physicians. It is also a common clinical problem in women who are on treatment with antipsychotic medication. This cross-sectional study aimed to assess the occurrence of antipsychotic induced amenorrhoea among women aged 18-45 years, attending outpatient services of a tertiary care setting, the factors associated and to assess the effective strategies of treatment.Methods: Retrospective chart review of clinical details of women in the reproductive age group who fulfilled the inclusion criteria was carried out. They were divided into two groups: Group A included 84 women with antipsychotic induced amenorrhea and Group B included 94 women on antipsychotics and had normal menstrual cycles. Various factors and strategies which worsened or alleviated the symptoms were noted.Results: Women who were less than 35 years of age, on antipsychotic treatment for more than two years duration (52;83.9%) and those who were on treatment with Risperidone (69;73.4%) were identified as having the risk of developing antipsychotic induced amenorrhoea. The strategy of switch of medication to prolactin sparing antipsychotic was more effective in regularising the menstrual cycles (43;87.8%).Conclusions: In women presenting with amenorrhoea, a possible medication induced aetiology need to be considered, especially use of antipsychotics. Further understanding of the complexities of this relationship may help to guide the assessment and proper treatment of women with antipsychotic related amenorrhoea.
Angiosome study of the first digital feet space, for reconstruction of the digital tip
Authors: Ruiz Rodrigo Banegas , Alejandro Espejel Blancas José , Carlos Rubén Baca Domínguez , Gerardo Campos Angulo , Alejo Fuentes Luis Jesús , Gómez Mendoza Francisco Fabián , Espinoza Torres Juan Pablo , Carazo Quiroz Luis Rodrigo , Ramos Lojero Víctor Manuel , Isaac Valderrama Treviño Alan , Baltazar Barrera Mera
Published: May 2019

Background: The concept of angiosome explains the anatomical variations that exist between the vessels of different regions of the body and helps to understand the contributions of arterial blood supply to the skin and adjacent structures, dividing the human body into three-dimensional vascular blocks.Methods: This was an observational and descriptive study. In both lower extremities of 5 corpses with adequate tissue preservation in the operating room attached to the teaching area of the National Institute of Forensic Sciences in Mexico City. Angiosome study of the medial neurocutaneous flap of the second toe of both feet was performed.Results: The average, in centimeters, of the surface of the flaps was 1.57 cm x 2.47 cm, the average diameter of the inter-metatarsal digital artery was 1.1 millimeters and the average diameter of the veins draining the angiosome was 1.4 millimeters. The most constant anatomy was that of the nerve, which was present in all cases, with the digital nerve forming the neurosome of the flap.Conclusions: To obtain optimal results in microsurgery transfers, it is necessary to have a technique that is quick for harvesting the flap and with adequate systematization so as not to injure the neurovascular bundle, this is achieved through complete anatomical knowledge, without forgetting the main variants.
Iron deficiency anemia as a risk factor for simple febrile seizures in pediatric patients
Authors: T. Bharath Kumar , Thandapani Kanimozhi , S. Vinod Babu
Published: May 2019

Background: Febrile seizure (FS) is the most common cause of seizure in children, occurring between 6-60 months. It coincides with peak age of incidence for Iron deficiency anemia (IDA). Iron is required for optimal growth and development and its deficiency is associated with numerous problems including persistent cognitive and motor delays. The objective was to study the role of IDA as a risk factor for simple febrile seizure and its recurrenceMethods: A case control study was conducted among 90 febrile children - 45 cases with simple febrile seizure and 45 cases with febrile illness, between the age group of six months to five years of age at Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, between September 2013 and June 2015. The hematological parameters like Hemoglobin, Serum ferritin and RDW were compared between the two groups with respect to fever and different temperature intervals, recurrence of FS.Results: Hb and Serum Ferritin levels were found to be significantly associated with simple febrile seizure, with p value of <0.002 and 0.001 respectively. Similar association was found at different temperature intervals. However, there was no association of hematological parameters with FS recurrence.Conclusions: IDA is a significant risk factor for FS in children while same may not have any effect on the recurrence of FS.
Early veno-venous Extra Corporeal Membrane Oxygenation with prone positioning in the treatment of severe Acute Respiratory Distress syndrome in a pediatric patient: a case report
Authors: Azam Md Nawad , S. P. Senthil Kumar
Published: May 2019

Aim of the study was to discuss effectiveness and outcome of Extra Corporeal Membrane Oxygenation (ECMO) therapy with prone positioning while on ECMO in a child with severe Acute Respiratory Distress Syndrome (ARDS). Veno-venous ECMO (VV-ECMO) and prone position on ECMO are relatively newer modalities of treatment in severe ARDS in pediatric age group and to our experience very few cases has been reported in paediatric age group. A 5 year old male child presented with fever with respiratory distress. He deteriorated in next 48 hrs leading to severe hypoxemia with ARDS following which he was put on conventional ventilation. In view of worsening critical lung parameters, veno-venous ECMO was initiated. Child had persistent hypoxemia inspite on high positive end expiaratory pressure (PEEP), adequate flow and adequate Post oxygenator PO2. Recirculation and other possible causes were excluded. Prone positioning (PP) was done for 8 hrs a day with chest physiotherapy while on ECMO. Patient showed considerable improvement in next few days and ECMO was weaned on day 7 and child was discharged on day 16 with good lung recovery. Although studies on VV-ECMO with PP has proven effectiveness in severe ARDS in adult population, overall studies in paediatric ARDS are very limited. Prone positioning on ECMO may decrease duration of ECMO support. Prone positioning on VV ECMO is safe and can be considered in Persistent hypoxemia with poor respiratory compliance.
The effectiveness education of counseling of infant and young child feeding as intensive to improve counseling performance of Posyandu cadres in Bogor, Indonesia
Authors: Rahmawati Siti Mutia , Madanijah Siti , Anwar Faisal , Kolopaking Risatianti
Published: May 2019

Background: Cadres have an essential role in providing counseling in integrated health service post (Posyandu). Poor capacity cadres may affect information delivery to the mothers/caregivers of under-five children. This study aimed is to assess the effect education of counseling of infant and young child feeding (IYCF) as intensive on the performance of the cadres in providing IYCF counseling.Methods: The study was a quasi-experimental with a pre-post test controlled group. The subjects were 55 Posyandu cadres in Ciomas sub-district Bogor. The intervention was training for cadres using education of counseling of IYCF as intensive carried out in the classroom and the field. Data on knowledge, attitude, motivation and counseling performance of cadres before and after the training were collected using a validated structured questionnaire. The paired and independent T-test was applied to analyze the difference before and after the intervention, and analysis of covariance (ANCOVA) was applied to analyze the factors that influence cadre counseling performance.Results: Mean score of knowledge (p=0.00), attitude (p=0.00), motivation (p=0.04), and counseling performance (p=0.00) of cadres in intervention group significantly increased. There is an increase in the score of performance counseling indicators for cadre in the quantity and quality after the education of counseling of IYCF as intensive. All of the indicators of the counseling performance of cadres influenced by educational models, knowledge, attitudes and attended training (p<0.05).Conclusions: Training of cadres using the education of counseling of IYCF as intensive effectively improved the knowledge, attitude, motivation and counseling performance of IYCF practice with indicators of quantity, quality, concern, and character. The capacity building of the cadres should improve continuously through the development of various methods which are more specific and applicable.
Socio-demographic and socio-economic profile of tribal communities in East Godavari district, Andhra Pradesh
Authors: Gutta Sravana Kumar , Kothapalle Sowmyasudha , Goru Krishnababu , Kadali Satyanarayana
Published: May 2019

Background: Scheduled tribes live in unique physical, socio-economic and cultural environment isolated from general population. The tribal population is at a higher risk of under-nutrition and Malaria, because of the socio-cultural, socio-economic and environmental factors influencing health seeking behaviour. We made an attempt to study the socio demographic economic variables in the tribal communities of East Godavari district.Methods: A pre-tested questionnaire containing information on household socio-economic and demographic particulars like type of family, religion, caste, age, gender, income, literacy and occupation, was administered by paying house to house visits. All the data were entered into excel sheets and analyzed by using SPSS software 17.Results: 59.25% were literates. 56.25% belongs to monthly income less than 773 rupees i.e. class-5, 74.29% are living in nuclear families. 48.55% belongs to Konda Reddy community. 56.69% have access to mineral water supply. 89.78 – 98.94% does not have toilets in their houses. 43.39% of the respondents have cattle sheds near to their houses.Conclusions: More than half of the tribal’s needs to improve their socio-demographic and socio-economic conditions. Still it needs construction of community toilets or individual toilets in tribal areas.
Evaluation of short term outcome on distal femoral fractures using distal femoral nail: revisiting the technique
Authors: Kalia Sandeep , Sharma Shalini
Published: May 2019

Background: Distal femoral fractures account for 6 to 7% of all femur fractures. Ideal treatment of these fractures demands indirect reduction as well as stable fixation by implant which could tolerate the stress and strain forces till healing of fracture. Distal femoral nailing fullfils these demands.

Methods: Fifteen patients with seventeen fractures were treated by this method as a prospective study at the tertiary care institute in north india. Patients were evaluated  post operatively with average follow up duration of 45.59±15.99 weeks.

Results: 88% of the patients were having associated trauma. Male/female ratio was 9/8. Mean delay in surgery was 21.86±23.85 days (1-64 days). Reduction was satisfactory in all patients. Average hospital stay was 18.71±8.23 days (6-34 days). Clinical union was seen in 16 out of 17 fractures by the end of six months with average period of 4.19±0.83 months. Radiological union lagged behind clinical union with average of 5.14±0.44 months. Post operatively 5 patients with delayed union needed dynamization, 2 needed  bone grafting . One case of non union was seen. There were two cases of  infection requiring debridement. Average knee flexion was 90.35±22.95degree (50-130 degree). Average extension lag was 3.88±2.88 degree (0-10 degree). Sanders function evaluation scale at final follow up showed 11.8% excellent, 47.2% good, 23.6% fair and 17.6% poor result.

Conclusions: Distal femoral nailing has good results in distal femur fracture  as the fixation is more biological and stable allowing early healing and better outcome
Louise Colet et l'Italie des Italiens : le récit de voyage d’une vieille romantique
Authors: Poyet Thierry
Published: May 2019

Habituée des récits de voyage, Louise Colet révèle avec L’Italie des Italiens une sensibilité politique très progressiste : en s’emparant du Risorgimento, l’écrivaine se rêve en conscience politique. À la fois témoin et figure de l’intellectuel avant l’heure, elle développe cependant de nombreux partis pris qui attestent une culture romantique bien vivace. Le prétendu guide de voyage prend alors une dimension idéologique plus ou moins assumée tout en se teintant des couleurs vives du discours autobiographique. Œuvre foisonnante et complexe, L’Italie des Italiens s’impose comme un objet littéraire tout à fait singulier dans la production du XIXe siècle. Accustomed to travel stories, Louise Colet reveals with L’Italie des Italiens a very progressive political sensibility: in the spirit of the Risorgimento, the writer is dreaming in political conscious­ness. At the same time witness and figure of the intellectual before the hour, she develops however many biases which attest a very lively romantic culture. The so-called travel guide takes on a more or less assumed ideological dimension while tinting the bright colors of the autobiographical discourse. A prolific and complex work, L’Italie des Italiens stands out as a literary object quite singular in the literary production of the nineteenth century.
Wpływ lokalnej polityki przestrzennej na rozwój terenów mieszkaniowych – studium przypadku gminy Aleksandrów Łódzki
Authors: Rek Anna , Kowalski Rafał
Published: May 2019

Nadpodaż terenów mieszkaniowych występuje niemal w każdej gminie w Polsce, a w gminach sąsiadujących z dużymi miastami zjawisko to jest szczególnie zauważalne. Gminy podmiejskie, często stają się sypialniami dużych miast, przez co ich rozwój przebiega monofunkcyjnie. Przyczynami tego zjawiska są lokalna polityka przestrzenna oraz mankamenty samego systemu planowania przestrzennego w Polsce. Celem artykułu jest sprawdzenie, jak prowadzona od 2000 roku polityka przestrzenna gminy Aleksandrów Łódzki, wpłynęła na rozwój terenów mieszkaniowych na jej obszarze. W pracy przeanalizowano stosowane przez gminę narzędzia planistyczne, omawiając ich pozytywne i negatywne aspekty.
Modelos ajustados para biomasa de culmos de guadus (Guadua angustifolia Kunth) individuales en rodales manejados en el su de Costa Rica
Authors: Briceño-Elizondo Elemer
Published: May 2019

Este estudio tiene como objetivo ajustar datos de campo a modelos no lineares con el fin de predecir el crecimiento y estimar la acumulación de biomasa en plantaciones de bambú bajo manejo en sitios productivos. La plantación está ubicada cerca de la comunidad de Rio Claro en el distrito de Guaycará, Cantón de Golfito, Provincia de Puntarenas, Costa Rica. Cinco rodales fueron identificados para el estudio, con tres de ellos utilizados para la calibración y dos para la validación de modelos. Una estratificación por cohorte de altura fue necesaria para organizar la base de datos a un mejor ajuste; a saber H1: 0 a 4 m., H2: 4,01 a 7 m., H3: 7,01 a 10 m., H4: superior a 10,01 m. Los datos de inventario se ajustaron mediante regresión no lineal a tres modelos de biomasa seleccionados utilizados en estudios anteriores de biomasa de bambú. Las variables predictivas utilizadas fueron diámetro, altura y área basal.

La calidad de la predicción del modelo se probó mediante la prueba de Wilcoxon para muestras pareadas; la biomasa empírica de la base de datos usada en validación se emparejó a las predicciones modelo de los tres modelos. Las predicciones de los modelos Bm1, Bm2 y Bm3 no son significativamente diferentes de los datos empíricos (p = 0.7064, 0.7735 0.8822 respectivamente). Sólo Bm1 tiende a sobrestimar, pero el rango es aceptable para la predicción. Los resultados promedio obtenidos aquí son 12,49, 12,82 y 12,9 Mg ha-1 de biomasa en los modelos Bm1, Bm2 y Bm3 respectivamente, son mayores a los encontrados por otros autores en bosques de bambú Moso en el sur de China donde encontraron 8,13 ± 2,15 Mg ha-1 Año-1. Aunque la comparación es con otra especie y la edad máxima es diferente de la plantación (5 años en Moso en comparación con 3 años) se puede sugerir que, al igual que en árboles, se espera un rango de biomasa según edad, manejo y dimensiones.
Gestión y manejo de las aguas residuales no domésticas en la ciudad turística de La Libertad, El Salvador. Desafíos para alcanzar un desarrollo sostenible
Authors: Rosales-Ayala Francisco , Campos-Rodríguez Rooel
Published: May 2019

Esta investigación tuvo como objetivo caracterizar la gestión municipal de las aguas residuales no domésticas, generadas por el sector comercial y de servicios de la ciudad de La Libertad en El Salvador; lo que permitió identificar los desafíos para alcanzar un desarrollo sostenible.

Para desarrollar esta investigación se consultaron fuentes secundarias y se realizaron entrevistas semiestructuradas al personal técnico, y político de la Alcaldía Municipal.

La ciudad de La Libertad es emblemática del turismo nacional costero; sin embargo, presenta serios problemas ambientales: el 28% de los negocios son generadores de aguas residuales no domésticas; el sistema de alcantarillado es obsoleto, con una cobertura del 61,7%; mientas que la planta de tratamiento municipal se encuentra en malas condiciones, con una eficiencia depurativa del 50%. Fruto de la mala gestión de las aguas residuales y de los residuos sólidos, se producen colapsos tanto en el sistema de alcantarillado como de las aguas lluvias de la ciudad.

Todo esto genera deterioro en la imagen de la ciudad, mayor insalubridad, contaminación de ríos, quebradas y playas; dificultando el desarrollo turístico sostenible. Aunque la municipalidad tiene conciencia de la problemática, por el momento no cuenta con estrategias e instrumentos necesarios para hacer una gestión integral de las aguas residuales.

El ordenamiento territorial, la mejora de equipamiento e infraestructura sanitaria, la educación ambiental y el fortalecimiento de las capacidades locales para la aplicación de la legislación ambiental municipal, son desafíos claros para lograr el desarrollo sostenible de la ciudad.
Transient Myeloproliferative Disorder: An Update for Neonatal Nurses
Authors: Gallaway Larissa , Jnah Amy J.
Published: May 2019

Down syndrome (DS) is a well-known genetic disorder that affects 700–1,000 infants per year. One particular comorbidity of DS is transient myeloproliferative disorder (TMD), a disease characterized by leukocytosis with elevated blast counts. Approximately 10 percent of DS infants develop TMD, which usually manifests during the first week of life and can lead to an extended hospitalization in a NICU. In addition to hallmark hematologic findings, other manifestations include jaundice, conjugated hyperbilirubinemia, hepatomegaly, and pericardial or pleural effusions. TMD generally resolves spontaneously in the first three months of life with the provision of timely medical management; however, survivors are at increased risk of developing acute myeloid leukemia (AML). Neonatal nurses need to have knowledge of this disorder to facilitate screening of DS infants and optimize family education and coordination of care.
Calendrier pastoral et carte de transhumance des éleveurs exploitant les ressources pastorales de la commune de Djidja au Sud Bénin
Authors: Azalou Maximilien , Assani Seidou Alassan , Assogba Brice Gérard Comlan , Adjassin Josias Steve , Sanni Worogo Hilaire Sorébou , Baco Mohamed Nasser , Alkoiret Traoré Ibrahim
Published: May 2019

Djidja est l’une des plus grandes communes productrices agricoles du département du Zou au sud du Bénin. De par ses ressources fourragères et hydriques, elle est devenue une destination des éleveurs transhumants. Les mouvements des éleveurs transhumants continuent de s’étendre, de même que les séjours dans cette zone d’accueil s’allongent. L’étude a eu pour objectif global d’élaborer le calendrier pastoral et la carte de transhumance des éleveurs fréquentant cette commune. Des entretiens semi-structurés ont été conduits auprès de 300 acteurs de la transhumance. L’enquête a montré que la transhumance dans cette commune était surtout due à la recherche de ressources fourragères et hydriques (78,7 %). Sept périodes (Seeto, Nduungu Mawdo, Nduungu Pamarel, Jahol, Djaamdè, Dabuundè et Cheedu) ont été identifiées dans le calendrier des transhumants fréquentant cette zone avec une particularité de deux périodes de Nduungu (saison des pluies). Cette particularité est liée aux données climatiques de la zone qui comprend quatre saisons, dont deux pluvieuses et deux sèches. Le calendrier pastoral, l’itinéraire suivi et les temps de séjour dépendaient de la disponibilité des ressources pastorales des zones d’attache, de transit et d’accueil. Ainsi, la bonne connaissance des pistes empruntées, des points d’entrées et de sorties, et des périodes d’accueil des éleveurs transhumants serviront d’outils aux décideurs en matière de gestion durable de la transhumance et des ressources pastorales au sud du Bénin.
La promoción profesional de las mujeres en el mercado de trabajo español. Propuestas para reducir la segregación horizontal y vertical = Proffesional promotion for women at Spanish labour market. Proposals to reduce vertical an horizontal segretation
Authors: Nieto Rojas Patricia
Published: May 2019

Resumen. Las mujeres ocupan en menor medida puestos directivos y se enfrentan a un suelo pegajoso que dificulta su promoción en el trabajo (por existencia de estereotipos, criterios de ascenso sexistas, redes formales e informales que facilitan la promoción de los hombres, etc.). Para revertir esta situación, es preciso adoptar medidas ambiciosas, entre las que destacan las acciones positivas que pudiesen establecerse en la negociación colectiva o en los planes de igual­dad para permitir el acceso de más mujeres a puestos de responsabilidad en aquellas empresas donde estén subrepresentadas. De igual modo, se insta a aprobar una reforma normativa que garantice un mayor número de mujeres consejeras en las empresas cotizadas. Ahora bien, en el caso de las mujeres de responsabilidades familiares, la asunción de labores de cuidado y la repercusión de esta función en sus trayectorias laborales es sobradamente contrastada no solo en materia de brecha salarial sino en el acceso a categorías o grupos profesionales de mayor responsabilidad. Para mitigar este efecto, se ha de abogar por una modificación normativa que permita conciliar la vida personal y familiar mediante una gestión flexible del tiempo de trabajo.Palabras clave: promoción profesional, igualdad, mujeres, responsabilidades familiares, acciones positivas.Abstract. Women occupy to a lesser extent managerial and responsible positions, and face a sticky floor that hinders their promotion at work (due to the existence of stereotypes, sexist promotion criteria, formal and informal networks that facilitate the promotion of men, etc..). At the same time, women may be compeled to leave the labor market or look for par-time work, wich carry negative consequences for their earnings, skill development and rights to voice and social protection. Policies and measures by governments and social partners to help workers reconcile work and family can make a difference.To reverse this situation, it is neces­sary to adopt ambitious measures, among which stand out the afirmative actions that could be established in collective bargaining or equality plans to allow more women to access positions of responsibility in those companies where they are underrepresented. In the same way, more interventionist reform must be advocated to guarantee a greater number of female advisors in listed companies. In this paper, we analyze the arguments for increasing gender diversity on boards of directors through quotas.Keywords: equality, afirmative accions, women, professional promotion, family respon­sabilities.