bluuebunny/crossref_metadata_2025 huggingface dataset:
Modeling and Numerical Simulation of the Turbulent Two-Phase Jet Confined in the Cylindrical Channel
Authors: Kazachkov Ivan V.
Published: October 2020

Mixing processes in the turbulent two-phase jet confined at some distance from the nozzle aremodeled and examined. Many natural and technical phenomena deal with the turbulent mixing and heattransfer in the jet of mutually immiscible liquids, which represent an important class of the modern multiphasesystems dynamics. The differential equations for axially symmetrical two-dimensional stationary flow and theintegral correlations in a cylindrical coordinate system are considered for the free heterogeneous jet confined atits initial or ground part in the cylindrical channel. Algorithm and the results obtained may be of interest for theresearch and industrial tasks, where the calculations of the turbulent mixing and heat transfer in multiphase jetdevices are of importance.
Analisis Kompetensi Profesional Guru
Authors: Yulmasita Bagou Dewi , Suking Arifin
Published: October 2020

Penelitian ini bertujuan untuk untuk memperoleh gambaran tentang Analisis Kompetensi Profesional Guru SMA Negeri 2 Gorontalo di Kota Gorontalo . Metode yang digunakan yaitu pendekatan kuantitatif dengan jenis deskriptif. Teknik pengumpulan data menggunakan angket. Teknik analisis data menggunakan analisis deskriptif dalam bentuk tabel frekuensi. Hasil penelitian ini menyatakan bahwa : (1) penguasaan materi, struktur, konsep dan pola pikir keilmuan yang mendukung mata pelajaran yang diampu oleh guru berada pada kategori amat baik, (2) penguasaan standar kompetensi dan kompetensi dasar pada mata pelajaran yang diampu oleh guru berada pada kategori amat baik, (3) pengembangan materi pembelajaran yang diampu secara kreatif oleh guru berada pada kategori baik, (4) pengembangan keprofesian secara berkelanjutan oleh guru berada pada kategori baik, dan (5) pemanfaatan TIK untuk pengembangan diri oleh guru SMA Negeri 2 Gorontalo berada pada kategori baik.
Deficiencia de Vitamina B12 relacionada al Uso de Metformina
Authors: Arauz Edwin , Cardoze Denise , Salehji Abdullah , Liguas Aillyn
Published: October 2020

Antecedentes: La Diabetes Mellitus (DM) es una enfermedad metabólica de etiología diversa y alta prevalencia a nivel mundial. Se estimaron 463 millones de casos en el 2019 y su tendencia va en aumento. La metformina es el medicamento más utilizado en estos pacientes. Es conocido que la deficiencia de vitamina B12 es un efecto adverso de este, pero muy poco estudiado. Factores como la edad, el sexo, dosis, duración del tratamiento, entre otros han sido relacionados al desarrollo de esta complicación.

 

Objetivo: Recopilar y sintetizar información actualizada acerca de la deficiencia de vitamina B12 secundaria al uso de metformina, de su mecanismo y factores de riesgo relacionados.

 

Diseño: Se recolectaron artículos de revisión, trabajos de investigación y metaanálisis de bases de datos científicas como PubMed, Scielo, Cochrane y Science Direct. Los artículos seleccionados fueron publicados entre 2010 a 2020.*

 

Conclusión: Las recomendaciones para tamizar por deficiencia de vitamina B12 a usuarios de metformina aún no son claras y no se encuentran en guías. Factores como el uso prolongado y la dosis del tratamiento están relacionados a su desarrollo. Esta población se beneficia de monitorizar e incluso suplementar, dependiendo del riesgo.
A reenvisioned agricultural system in Thailand: The growth in human capital experienced by agriculturalists after adoption of the sufficiency economic philosophy
Authors: Agard Alexis C. , Roberts Richie
Published: October 2020

Investments in human capital have been shown to positively influence the development of the agricultural industry in regions across the globe. After the Asian Financial Crisis of 1997, therefore, Thailand’s King Bhumibol Adulyadej (The King) adopted the Sufficiency Economic Philosophy (SEP) that empowered the country through critical investments in human capital, which led to a transformation of its agricultural system. In this case study, we examined Thai agricultural leaders’ reflections on the role of SEP in catalyzing such changes. Findings from this investigation emerged in the form of two investments that Thailand made in human capital through the SEP: (1) education, and (2) the establishment of the Royal Projects. Three outcomes also emerged that represent how growth was experienced in the nation’s agricultural system as a result of such investments: (1) individual development, (2) economic development, and (3) societal development. As a result, this investigation’s findings could help extension professionals diffuse agricultural innovations in ways that align better with the unique values of Thailand while also helping to improve the production of agricultural commodities.
The Tasks Of Tourism In Aesthetic Education: The Harmony Of Historicity And Modernity
Authors: Mirzarahimov Bakhtiyor Hoshimovich
Published: October 2020

The article analyzes such conclusions as the rational use of national values in the improvement of environmental ecology through tourism, the development of the current sphere of enlightenment with folk mythology, oral and written creativity. The tasks of tourism activity in aesthetic education is mentioned about the function of providing information (informative), regulating (regulative), entertaining, educational, communicative activities, making educated, enlightening. Also, the fact that tourism is a complex system that includes the emotional and mental abilities of a person, his imagination about life, not only natural necessity, but also the real thing that is created on the basis of the laws of beauty-together with phenomena, forms of behavior, the harmonization of historicity and modernity are dialectically analyzed.
The Role Of Islamic Values In The Social Protection Of Women
Authors: Abduqayumovna Karimova Muyassar
Published: October 2020

The article provides a philosophical analysis of the issue of treatment of women in Islamic sources. In particular, the spread of Islam around the world as early as the seventh century, in which women were respected. Promotion is based on sources. Islam, which existed during the pre-Islamic period, put an end to the burial of a girl alive. Indeed, all religions were practiced in the Arabian Peninsula at that time. In addition, women's rights and property relations are covered in depth. It has been scientifically studied that this spiritual heritage is of great importance in the development of the world in the XXI century.
Influence Of The Timurid Periods On Modern National Holidays
Authors: Ermatova Sadoqat
Published: October 2020

This article explores the significance, nationality, and spirituality of the celebrations and performances of Amir Temur and Timurids. The influence of celebrations and performances of the Timurid period on modern holidays has been studied, and the similarities and differences of the two periods' holidays are compared.
Lexical-Semantic Features Of Hyponymy In The Short Stories “The Voyage” And “Dunyoning Ishlari”( Deeds Of The World)
Authors: Otaxonovna Masharipova Nargiza
Published: October 2020

This article focuses on the semantic category hyponymy which is a word or phrase whose semantic field is included within that of another word, its hyperonym or hypernym or more shortly it is a term used to designate a particular member of a broader class in linguistics and lexicography. And current research is aimed at discovering the types of hyponymy category and their comparison in short stories “The Voyage” (in English) and “Deeds of the world” (in Uzbek).
Pedagogical Basis And Organization Of Distance Learning In Modern Education
Authors: Yunusalievna Eshnazarova Margubahon , Muhammadinovich Toshboev Sayfiddin
Published: October 2020

In this article, the pedagogical foundations of modern innovative technologies are justified, as well as the analysis of the research work carried out by scientists of the republic in the field of distance learning.
Similarities And Differences Of War Depiction In J.Heller’s Novel “Catch 22” And Shukhrat’s Novel “Shinelli Yillar”
Authors: Duskobil Kizi Suyunova Maftuna
Published: October 2020

This article is devoted to the similarities and differences of the American writer Joseph Heller’s novel “Catch-22” and prominent Uzbek writer Shukhrat (Gulom Aminov)’s novel “Shinelli yillar”. While comparing these two novels, we can see some similar war actions at the same time it is clearly evident the differences between works. As a member of the Beat Generation and the post-World War II era, Heller developed a very satirical approach towards institutions, particularly the national government and the military. He was deeply cynical of war, which was best exemplified by the "black humor" of Catch-22, and he explored the difficulties of Jewish experience in postwar America. However, Shukhrat’s involment in the Second World War, seeing the ruined cities and villages, defeat and victory, prompted him to record a great novel by “Shinelli Yillar” in 1958.
The Importance Of Military Traditions In Improving The Professional Training Of Military Servants
Authors: Abdukakharovna Abidjanova Mukhlisa
Published: October 2020

The army, as a social institution, plays an important role in ensuring the stability of society and maintaining peace. At the same time, it is important to study the genesis of the formation of military traditions, their further development and improvement. After all, the Armed Forces is manifested as a specific society, where there are specific military traditions that have been formed over a certain historical period of time. It is the military traditions that have a positive impact on the combat readiness of servicemen serving in the armed forces, as well as serve to increase their combat readiness. This article highlights the role of military and combat traditions, which have been formed and developed over the centuries in our national army, in increasing the combat readiness and combat readiness of troops as a phenomenon of military traditions.
Disección aórtica asintomática en una paciente con síndrome de Turner, válvula aórtica bicúspide y recoartación aórtica
Authors: Alejo Orellano Héctor , Casella Mirta , Vicente Spina Salvador
Published: October 2020

Se presenta el caso de una paciente de 47 años con síndrome de Turner, portadora de válvula aórtica bicúspide y antecedente de cirugía por coartación aórtica en la infancia, a quien se descubre durante un estudio de rutina una disección de la aorta ascendente asociada a insuficiencia aórtica severa secundaria a prolapso de dos de las valvas y a recoartación aórtica. El síndrome de Turner se asocia con complicaciones cardiovasculares potencialmente graves. El seguimiento clínico y con técnicas de imagen es fundamental para intentar prevenirlas
Actualización de las Recomendaciones sobre la logística de uso de la ecocardiografía durante la pandemia de COVID-19. Recomendaciones de la Sociedad Española de Imagen Cardíaca
Authors: García Fernández Miguel Ángel , Azcárate Agüero Pedro María , Cabrera Schulmeyer María Carolina , del Pozo León José Luis , Gómez de Diego José Juan
Published: October 2020

El virus COVID-19 (SARS-Cov-2) es una cepa de la familia de coronavirus que no se había identificado previamente en humanos. Los coronavirus provocan distintos tipos de procesos patológicos que van desde el resfriado común hasta enfermedades más graves, como insuficiencia respiratoria aguda grave. El miércoles 11 de marzo de 2020, el Director General de la Organización Mundial de la Salud, el Dr. Tedros Ghebreyesus, declaró la situación de COVID-19 como una pandemia global.

El virus se transmite fácilmente de persona a persona cuando se tiene contacto cercano con un enfermo o a través de fómites.
FFR-TC como herramienta útil para la detección de lesiones coronarias hemodinámicamente significativas
Authors: Caballeros Lam Fanny Meylin , Refoyo Salicio Elena , Bastarrika Alemañ Gorka
Published: October 2020

La coronariografía por tomografía computarizada (C-TC) es un método diagnóstico no invasivo para la valoración de enfermedad arterial coronaria. A pesar de su alta sensibilidad y valor predictivo negativo, su especificidad es baja, en especial para valorar la repercusión funcional de las lesiones obstructivas. El cálculo de la reserva fraccional de flujo mediante C-TC (FFR-TC) es un método innovador que permite, en un mismo estudio, la combinación de características anatómicas y hemodinámicas. Su uso en la práctica clínica habitual puede ser decisivo para orientar el manejo terapéutico, reducir la tasa de pruebas invasivas innecesarias y los costes en salud.
Transposición de grandes vasos y una rara asociación extracardíaca que cuestionará cuál es la mejor conducta a seguir
Authors: Condori Alvino Karen , Álvarez Murillo Carlos
Published: October 2020

La transposición de grandes vasos es una de las cardiopatías congénitas más comunes y severas, pero también una de las más misteriosas. Representa el 5% de todas las cardiopatías congénitas y el 34% de los defectos conotroncales con situs solitus. Sin tratamiento el 30% de los casos mueren antes del primer mes y el 90% antes del primer año.

Se presenta el caso de un paciente con esta cardiopatía, en quien las imágenes comunes no eran usuales, y en el que una rara asociación extracardíaca (agenesia pulmonar izquierda) cambiaría la conducta a seguir
Diagnóstico por imagen de la disección arterial coronaria espontánea
Authors: Ibero Valencia Javier | , De la Fuente Ana , Calabuig Nogués José , Gavira Gómez Juan José , Bastarrika Alemañ Gorka
Published: October 2020

La disección coronaria espontánea (DCE) es una causa infrecuente de síndrome coronario agudo (SCA) que precisa una aproximación diagnóstica y terapéutica específica. La coronariografía invasiva es la técnica de elección para el diagnóstico de la DCE. Sin embargo, la incapacidad para caracterizar la pared arterial hace necesario, en algunos casos, utilizar otras técnicas diagnósticas, como la imagen intracoronaria o la coronariografía por TC. Se presenta el caso de una mujer joven, puérpera, con diagnóstico de preeclampsia, que desarrolla un SCA secundario a una DCE donde se demuestra la utilidad de las distintas técnicas diagnósticas.
Pendampingan Peningkatan Efisiensi Biaya Produksi UMKM Heriyanto Melalui Analisis Biaya Kualitas
Authors: Rosdiana Yulia Maulidyanti , Iriyadi Iriyadi , Wahyuningsih Diah
Published: October 2020

In each production process, it is possible there will be a discrepancy between the product that has been produced and with the standard, which referred to a defective product or a damaged product. The defective product or damaged product will affect the increase in production costs because the defective product has absorbed production costs from the beginning and it can cause losses to the company. Thus the company must make quality improvements to make the quality of the products produced more consistent and so that there are no more defective products. Improvement of this quality is needed by the existence of expenditure which is called quality cost. Quality costs are part of the production costs. With the existence of defective products or damaged products, it will cause production costs to increase because the company must pay for the process of reworking or reproducing. Therefore, by improving quality through quality costs, it is expected that production costs will be reduced. Production processes that pay attention to quality will reduce the possibility of product defects. Thus the company's production costs will be more efficient but still pay attention to the quality of the products produced. The purpose of this report is to find out how to supervise quality costs of UMKM in improving production cost efficiency. The author conducts community service at the UMKM Heriyanto which is a UMKM engaged in the shoe industry, especially adult women's shoes located on Jl. E. Sumawijaya, Sindang Barang Village, Gang Jambekiuna, Pasir Eurih Village, Taman Sari District, Bogor Regency.The results of the study show that the quality cost component found in the UMKM Heriyanto consists of prevention costs, internal failure costs, and external failure costs. In UMKM Heriyanto there is no apprasial cost because there is no quality control or checking activity for the product. In addition, the calculation of production costs in UMKM Heriyanto is quiet basic and simple because it does not separate the cost of direct raw materials from indirect raw materials, direct labor with indirect labor, and there are some overhead costs that are not taken into account. Internal failure costs consisting of excess raw materials have a significant influence on the cost of producing shoes for UMKM Heriyanto for all types of shoes. Thus the excess of this raw material must be reduced because it can affect the amount of raw material costs directly on production costs. If UMKM Heriyanto can implement the calculation of this quality cost, then in the next production it can reduce the cost of excess raw materials and UMKM Heriyanto can make production cost efficiency of 15%.

                                             

Keywords: qualitycosts, production cost, cost effieciency
Penerapan Penyajian Laporan Keuangan Berdasarkan SAK-ETAP Untuk Mengetahui Kinerja Keuangan UMKM Toko Angka Wijaya
Authors: Kartika Aprilia , Nuraini Airin
Published: October 2020

Small and Medium Micro Enterprises are businesses that have an important role in the economy in Indonesia because micro, small and medium enterprises aim to grow and develop their business in order to build a national economy. SMEs are also able to open new jobs for domestic workers,SMEs provide income for the country in the form of foreign exchange. To get a better UMKM, so that SMEs can compete with large business institutions in terms of economy and empowerment, SMES actors must be aware of the importance of applying financial statements.  The purpose of this study was to find out how the application of financial statements based on SAK-ETAP on SMEs and how financial performance in SMEs was implemented. The author conducts research at the Wijaya Figures Store UMKM located on Jl. Endang Sumawijaya Kampung Sindang Barang, Bogor Regency. This research method uses a qualitative descriptive method. The results of the Angka Wijaya SMES research did not apply financial statement. This is because the SMES owner Angka Wijaya do not understand the financial statements based on SAK ETAP. During 2018 total assets, liability+equitycan be generated in the amount of IDR 386,558,000, profit of IDR 120,518,000 equity of IDR 366,229,000 and total net cash flow of IDR 261,238,000. The results of the wijaya store SMEs performance are calculated using profitability ratios based on profit from good sales and ussing on asset, meaning that the angka wijaya UMKMs are good in terms of sales and efficient in using assets, while SMES performance in capital usage is not good because of UMKM Angka wijaya is less efficient in capital

 

Keywords: application of financial statement presentation based on sak-etap to know wijaya's financial performance in figures shop smes
PKM Uji Kompetensi Bidang Keahlian Akuntansi Di SMK Bina Sejahtera Kota Bogor
Authors: Sudradjat Sudradjat , Djanegara Moermahadi Soerja
Published: October 2020

Uji Kompetensi Keahlian (UKK) merupakan proses penilaian melalui pengumpulan bukti yang relevan apakah seseorang kompeten atau belum kompeten pada suatu klasifikasi tertentu. UKK diikuti oleh siswa dan siswi Sekolah Menengah Kejuruan (SMK). UKK disusun berdasarkan skema sertifikasi sesuai dengan jenjang kualifikasi peserta UKK yang memuat kemampuan untuk melaksanakan pekerjaan spesifik, operasional dan penjaminan mutu.  Peraturan Menteri Pendidikan dan Kebudayaan Nomor 34 tahun 2018 tentang Standar Nasional Pendidikan SMK/MAK, tujuan penilaian hasil belajar adalah: (1) mengetahui tingkat capaian hasil belajar siswa; (2) mengetahui pertumbuhan dan perkembangan peserta didik; (3) mendiagnosis kesulitan belajar peserta didik; (4) mengetahui efektivitas proses pembelajaran; dan (5) mengetahui pencapaian kurikulum.  Sedangkan tujuan pelaksanaan Ujian Kompetisi Keahlian (UKK) adalah: (a) mengukur pencapaian kompetensi siswa SMK yang telah menyelesaikan proses pembelajaran sesuai kompetensi keahlian yang ditempuh; (b) memfasilitasi siswa SMK yang akan menyelesaikan pendidikannya untuk mendapatkan sertifikat kompetensi dan/atau sertifikat uji kompetensi; (c) mengoptimalkan pelaksanaan sertifikasi kompetensi yang berorientasi pada capaian kompetensi lulusan SMK sesuai Kerangka Nasional Indonesia; (d) memfasiliasi kerjasama SMK dengan dunia usaha/industri dalam rangka pelaksanaan uji kompetensi sesuai kebutuhan dunia usaha dan dunia industri. Kompetensi keahlian akuntansi adalah salah satu bagian dari bidang keahlian bisnis manajemen di SMK Bina Sejahtera yang mendapat minat dari masyarakat selain bidang keahlian bisnis manajemen yang lain seperti pemasaran dan administrasi perkantoran.

 

Kata Kunci : Kompetensi, SMK, Siswa
Pelaksanaan Pelatihan Strategi Kepemimpinan Bagi Pegawai BPR Mitra Daya Mandiri Bogor
Authors: Marpaung Annaria Magdalena , Marpaung Bintang Sahala
Published: October 2020

Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan pengetahuan dan pemahaman para pegawai BPR Mitra Daya Mandiri di Kota Bogor yang terkait dengan pengetahuan strategi kepemimpinan. Minimnya pengetahuan tentang strategi kepemimpinan bagi para calon pemimpin di BPR Mitra Daya Mandiri, menimbulkan kesulitan dalam mengembangkan usaha BPR karena tidak mengetahui dengan strategi kepemimpinan yang akan dijalankan oleh seluruh karyawan yang terlibat dalam kegiatan di BPR Mitra Daya Mandiri, tentu hal ini juga berdampak kepada terbatasnya perkembangan usaha di BPR Mitra Daya Mandiri. Untuk dapat membuat mengarahkan seluruh karyawan yang terlibat dalam aktivitas perusahaan, sebagai seorang pemimpin di BPR Mitra Daya harus memiliki strategi dalam menjalankan kepemimpinannya. Karena itu, pimpinan BPR Mitra Daya perlu memberikan pengarahan kepada seluruh karyawannya terkait dengan strategi yang akan dijalankan dalam pencapaian tujuan perusahaan, khususnya pencapaian tujuan di BPR Mitra Daya Mandiri. Melalui pelatihan ini diharapkan akan membuka wawasan para calon pemimpin di BPR Mitra Daya Mandiri terutama terkait dengan strategi kepemimpinan, seperti : pengertian kepemimpinan, pentingnya peran kepemimpinan, dan strategi kepemimpinan guna membantu karyawan untuk bekerja dan pencapaian tujuan organisasi. Hasil dari pelaksanaan pelatihan ini, diharapkan para calon pemimpin BPR Mitra Daya Mandiri di Kota Bogor akan mengatahui dan mempraktekan yang terkait dengan strategi kepemimpinan, guna membantu karyawannya agar bekerja dengan lebih baik, sehingga akan berdampak pada kemajuan dan perkembangan usaha BPR Mitra Daya Mandiri menjadi semakin berkembang dan semakin baik.

 

Kata Kunci: Strategi Kepemimpinan, Calon Pemimpin BPR Mitra Daya Mandiri
Pendampingan Penguasaan Table Manners Untuk Bisnis Bagi Karyawan BPR Mandiri
Authors: Cahyani Nani , Puspitasari Ratih , Syarif Rini
Published: October 2020

Kegiatan makan bersama kolega dalam rangka berbisnis menjadi bagian yang seringkali tidak terpisahkan. Kegiatan yang sederhana ini memiliki dampak besar terhadap keberhasilan suatu kerjasama bisnis. Adat istiadat ketimuran menunjukkan bahwa menjamu makan rekan kerja atau kolega bisnis menjadi bagian yang penting untuk menjalin komunikasi yang hangat dan cair. Untuk itu menjadi penting bagi pelaku bisnis untuk menguasai konsep dan teknik table manner dengan benar. Tujuan diadakannya pelatihan Table Manners adalah untuk memberikan tutorial secara langsung mengenai bagaimana mengaplikasikan tata cara makan secara formal sesuai dengan kaidah table manners. Metode pelatihan melalui tutorial secara langsung, dimana seluruh partisipan diberikan jamuan makan siang mulai dari appetizer, soup, main course hingga dessert. Pada setiap course jamuan, diberikan pemaparan terkait food knowledge dan juga table manners. Penyampaian materi diberikan secara oral dengan bantuan power point pada layar televsi di dalam restoran. Melalui pelatihan ini, diharapkan partisipan dapat mengaplikasikan bagaimana berperilaku dan bersikap serta memahami tata cara dalam jamuan secara formal

 

Kata Kunci: bisnis, komunikasi bisnis, table manner, kolega bisnis
Pengaruh Kualitas Pelayanan, Lokasi dan Harga Terhadap Kepuasan Pelanggan Hotel 101 Suryakencana Bogor
Authors: Donovan S. Raynaldo , Fadillah Adil
Published: October 2020

Untuk dapat meningkatkan kepuasaan Pelanggan,perusahaan dituntut untuk memiliki strategi yang tepat agar dapat membangun hubungan yang baik dengan pelanggan nya. Kualitas pelayanan,Strategi Lokasi,dan Harga dapat menjadi faktor bagi perusahaan untuk meningkatkan kepuasaan pelanggan. Tujuan dari penelitian ini adalah (1) untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasaan pelanggan Pada Hotel 101 di Suryakencana kota bogor,(2) untuk mengetahui pengaruh Strategi Lokasi terhadap kepuasaan pelanggan Pada Hotel 101 di Suryakencana kota  bogor,(3) untuk mengetahui pengaruh Harga terhadap kepuasaan pelanggan pada hotel 101 di Suryakencana kota bogor,dan (4) untuk mengetahui pengaruh kualitas pelayanan,Strategi Lokasi,dan Harga secara bersama-sama terhadap kepuasaan pelanggan Hotel 101 di Suryakencana kota bogor. Jumlah responden dalam penelitian ini berjumlah 100 responden yang diambil dari seluruh pengunjung di Hotel 101 Suryakencana kota Bogor.Data penelitian ini diolah menggunakan SPSS 2018. Hasil dari penelitian sebagai berikut : (1) Kualitas pelayanan mempunyai pengaruh yang positif dan signifikan terhadap kepuasaan pelanggan Hotel 101 di Suryakencana kota bogor dengan nilai signifikan 0,004,(2) Strategi Lokasi mempunyai pengaruh yang positif dan signifikan terhadap kepuasaan pelanggan Hotel 101 di Suryakencana kota bogor dengan nilai signifikan 0,003,(3) Harga mempunyai pengaruh yang positif dan signifikan terhadap kepuasaan pelanggan Hotel 101 di Suryakencana kota bogor  dengan nilai signifikan 0,000,(4) Kualitas pelayanan,Strategi Lokasi dan Harga secara bersama-sama berpengaruh positif dan signifikan terhadap kepuasaan pelanggan dengan nilai signifikan 0,000.(5) persamaan Regresi Y=3,330+0,158X1+0,147X2+0,231X3

 

KataKunci:Kualitas pelayanan,StrategiLokasi,Harga,dan Kepuasaan Pelanggan
Pengaruh Brand Image, Persepsi Harga dan Word Of Mouth Terhadap Keputusan Pembelian Konsumen The Highland Park Resort Hotel Bogor
Authors: Ling Tjong Su , Pratomo Anton Widio
Published: October 2020

Competition is now increasingly fierce, making the company put orientation on customer satisfaction and satisfaction as the main goal. With more and more companies offering the same products and services to consumers, more and more alternatives are owned by consumers, so companies always try to meet the satisfaction of their customers. A good company image will make prospective customers more confident with the goods or services they will choose. The image will eventually become good, when consumers have enough memorable experience. WOM is a promotional activity that the level of control by marketers is very low but has an extraordinary impact on the company's products or services. WOM is able to spread so quickly if the individuals who spread it also have a wide network, news that is spread can be positive and negative news depending on what they feel when they enjoy the products or services offered. The purpose of this study is To find out and analyze the influence of Brand Image on Purchasing Decisions, To find out and analyze the effect of Price Perception on Purchasing Decisions, To find out and analyze the influence of Word of Mouth on Purchasing Decisions and To find out and analyze the effect of Brand Image, Price Perception, and Word of Mouth together on Purchasing Decisions. The number of respondents in this study amounted to 100 respondents taken from guests who have stayed at The Highland Park Resort Hotel Bogor. Research data were processed using SPSS. The results of this study are as follows: Brand Image has a positive and significant effect on purchasing decisions at The Highland Park Resort Hotel Bogor with a regression coefficient of 0.370 and a significant value of 0.017. Price perception has a positive and significant effect on Purchasing Decisions at The Highland Park Resort Hotel Bogor with a regression coefficient value of 0.312 and has a significant value of 0.001. Word of Mouth has a positive and significant effect on Purchasing Decisions at The Highland Park Resort Hotel Bogor with a regression coefficient of 0.576 and a significant value of 0,000. Brand Image, Price Perception, and Word of Mouth have a positive and significant effect on Purchasing Decisions at The Highland Park Resort Hotel Bogor with a calculated F value of 48.507 and greater than the F table of 2.70 and a significance value of 0,000 .

 

Keywords: brand image, perceived price, WOM, Purchasing Decision
IMMUNOLOGICAL EFFICIENCY OF THE TETANUS TOXOID USE FOR THE URGENT SPECIFIC TETANUS PREVENTION IN PATIENTS WITH THE WOUND INFECTION
Authors: Hirka E. I. , Popov M. S.
Published: October 2020

Summary. Aim. The present study aimed to analyze the effectiveness of tetanus toxoid administration during the urgent specific tetanus prevention.

Materials and methods. The determination of tetanus immunity levels in patients with the wound infection before immunization, then 2 and 4 weeks after vaccination. Studies of blood sera of patients were carried out in dynamics by enzyme-linked immunosorbent assay using a set of test systems for determining IgG antibodies to tetanus toxoid «Clostridium tetani toxin IgG», ELISA, Nova Tec Immundiagnostica GmbH, Germany. Results of the study were measured in International Units per milliliter (IU / ml).

Results. The tetanus toxoid AP-Biolik using for the urgent specific tetanus prevention is induce protective tetanus immunity levels 2 weeks after vaccination and long-term specific immunity protection 4 weeks after vaccination.

Conclusions. The immunological efficiency of AP-Biolik using was established during its applying for urgent specific tetanus prevention in patients with the wound infection.
MODERN TRENDS IN THE TREATMENT OF ACUTE ADHESION IN INTESTINAL OBSTRUCTION
Authors: Lesnoy V. V. , Lesnay A. S.
Published: October 2020

Summary. Aim. To perform the modern tactics of acute adhesive obstruction (AAO) treatment.

Materials and methods. The basis of the work is the analysis of the results of treatment of 38 patients hospitalized in an urgent order to the surgical department with the clinic AAO.

Results. 20 (52.6 %) patients with the background of conservative therapy, the phenomenon of intestinal obstruction was regressed. Repeated hospitalization during the year with the hospital was required by AAO 2 (5.3 %) patients. Laparoscopic adhesion was performed 4 (10.5 %) patients whose average intestinal restoration time was (1.8±1.2) days, and the duration of postoperative inpatient treatment was (5.1±1.3) days. Open surgical interventions were performed 14 (36.8 %) patients, in whom the period of restoration of the intestine function was (3.8±1.5) days, and the duration of postoperative treatment was (10.1±1.2) days.

Conclusion. Conservative therapy is effective in 52.6 % of patients. Laparoscopic adhesion is indicated in the absence of peritoneal symptoms, if ≤ 2 laparotomies were noted in the history, with a peritoneal index of adhesion ≤ 9 points.
PREVENTION AND TREATMENT OF VENOUS THROMBOSIS AND THROMBOEMBOLISM IN SURGICAL TREATMENT PELVIC NEOPLASMS
Authors: Chikin A. V.
Published: October 2020

Summary. Venous thromboembolic complications — a collective concept that combines thrombosis of the saphenous and deep veins, as well as pulmonary thromboembolism. In the clinical practice of a doctor of any specialty, especially surgical, the possibility of timely diagnosis, treatment and preventive measures for deep vein thrombosis and pulmonary embolism are extremely important.

Purpose. To study the most informative measures for the prevention and treatment of venous thrombosis and thromboembolism in the surgical treatment of pelvic neoplasms.

Materials and methods. The analysis of the results of the examination and treatment of 112 patients observed for tumors of the pelvic organs and tumors of the retroperitoneal space is presented.

Results and discussion. When studying the initial state of the hemostasis system in 48 patients, a significant shortening of activated partial thromboplastin time (APTT), a 1.5-fold increase in the concentration of fibrinogen, which indicates activation of the procoagulant link, as well as an increase in platelet aggregation by 20.0 %, were established. Studies of the hemostatic system showed that surgical interventions and injuries contribute to increased hypercoagulation.

Conclusions. The most informative methods for determining thrombosis in the system of the inferior vena cava and the optimal examination algorithm are: ultrasonic dynamic angioscanning, determination of the amount of D-dimer, computer, magnetic resonance bolus venography and retrograde ileocavagography.

The use of unfractionated and low molecular weight heparins effectively prevents the development of thrombosis and thromboembolism before and after surgery and does not cause bleeding.

Nonspecific and specific prophylaxis of venous thrombosis and embolism allowed a 2.8-fold reduction in their number in patients of the main group.
OUR EXPERIENCE OF USING AUTOLOGICAL BLOOD SERUM IN COMPLEX TREATMENT OF BACTERIAL CORNEAL ULCERS IN PATIENTS WITH DIABETES MELLITUS DEPENDING ON THESEVERETY OF DIABETIC POLYNEUROPATHY
Authors: Zavoloka O. V. , Bezditko P. A. , Karliychuk M. A. , Bezega N. M.
Published: October 2020

Summary. Diabetic keratopathy, which develops against the background of diabetic corneal neuropathyshould be taken into account when choosing tactics for the treatment of bacterial corneal ulcers in patients with diabetes mellitus.

The aim of the study was to determine the effectiveness of treatment of bacterial corneal ulcers with the help of additional local use of autological serum eye drops in patients with type 1 diabetes depending on the severity of diabetic polyneuropathy (DPN).

Materials and methods. The results of observation of 10 patients (10 eyes) with bacterial corneal ulcer and type 1 diabetes mellitus, in which delayed healing of corneal ulcer defect were noted and the absence of microorganisms ware confirmed by repeated bacteriological examinations of corneal smears and scrapings,were analyzed. In addition to standard therapy, all patients 2 weeks after the start of treatment were additionally prescribed eye drops with autologous serum. Patients were divided into 2 groups according to the stage of severity of DPN: the first group consisted of 5 patients with symptomatic stage, the second - 5 patients with a stage of severe complications. In addition to standard, ophthalmic examination methods included bacteriological examination, fluorescein test, OCT of the anterior segment of the eye on the device TOPCON 3D OCT-2000, non-contact examination of corneal sensitivity.

Results and discussion. It was found that the threshold of corneal sensitivity in patients with bacterial corneal ulcer at the stage of severe complications of DPN was higher than that in symptomatic DPN by an average of 16.6 % during the observation. The degree of pericorneal injection and infiltration of the cornea, as well as the size and depth of the ulcerative defect of the cornea at the stage of severe complications exceeded the corresponding indicators of patients with symptomatic DPN during the observation. Normalization of conjunctival color and reepithelialization of the cornea in all patients with severe complications occurred 3 days later than in patients with symptomatic DPN.

Conclusions. The course of bacterial keratitis in patients with diabetes mellitus depends on the severity of DPN: a pronounced violation of corneal innervation at the stage of severe complications of DPN, manifested by a decrease in its sensitivity, leads to prolongation of treatment, even with additional use of eye drops with autologous serum.
THE CASE TREATMENT OF CYSTADENOMA OF THE PANCREAS
Authors: Gnatyuk M. G. , Shevchenko S. Yu. , Kryvoruchko D. Yu. , Bodyak V. Yu. , Petruk Yu. P. , Rayichuk S. I. , Lianskorunskiy M. V. , Chuprovskaya Yu. Ya. , Hovornian S. L.
Published: October 2020

Summary. Introduction. Cystadenoma of the pancreas is a benign tumor in the form of a cyst of epithelial origin, which in the absence of adequate treatment disrupts the function of the pancreas, due to compression on nearby tissues, and in 3 % of cases regenerates into cystadenocarcinoma.

Aim. Present a clinical case of surgical treatment of cystadenoma of the body of the pancreas, while preserving the caudal part of the latter to prevent the possible development of diabetes.

Material and methods. Patient M., 72 years old, who was hospitalized in the infectious department of the central district hospital, during ultrasound of the abdominal cavity and peritoneal space revealed a neoplasm of the retroperitoneal space in the body and tail of the pancreas, in connection with which she was transferred to the surgery department. After the appropriate examination, the patient underwent surgery — laparotomy. Removal of a neoplasm of the body of the pancreas. Distal pancreatojejunoanastomosis, entero-enteroanastomosis. Abdominal drainage.

Results. The postoperative period was without complications, drainage was removed, sutures were removed for 9-10 days, the wound healed with primary tension.

In the section of the drug, there is a capsule with a wall thickness of up to 2.0 mm, which contains mucopurulent masses in the form of flakes. The outer wall of the capsule is covered with joints and vessels, and the inner has a shiny matte surface. The histopathological examination indicates cystadenoma of the pancreas.

The choice to form a distal pancreatojejunostomy in contrast to the distal resection of the pancreas was due to the patient’s age and high probability of developing diabetes because it is in the caudal part of the pancreas is the lion’s number of islets of Langerhans.

Conclusion. When performing radical surgical interventions on the pancreas in elderly and senile patients, it is necessary to preserve the tissues of the latter, especially the tail, to prevent the development of diabetes.
Fen Bilimleri Öğretim Programları Alanındaki Bilimsel Çalışmaların Bibliyometrik Profili
Authors: DEMİR Ebru , ÇELİK Melahat
Published: October 2020

Bibliyometrik araştırmalar, bilimsel yayınların alandaki mevcut durumunun belirlenmesi ve alanda çalışan araştırmacılar için yol gösterici olması bakımından oldukça önemli görülmektedir. Bu çalışmada, fen bilimleri öğretim programları alanındaki genel yapının ortaya çıkarılarak alana katkı sağlanması amacıyla bibliyometrik analiz gerçekleştirilmiştir. Bu amaç doğrultusunda fen bilimleri öğretim programları ile ilgili 1970-2019 yılları arasında yayımlanan 1716 çalışma bibliyometrik açıdan incelenerek bu alandaki eğilim ve trendler ortaya koyulmuştur. Web of Science Core Collection (WoS) veri tabanında “Science Curriculum” anahtar kelime grubu kullanılarak tarama gerçekleştirilmiş ve çalışmalara ait bibliyometrik verilere ulaşılmıştır. Çalışmalar; yıllara göre yayın sayıları, yayın türleri, yayın dilleri, atıf analizleri, ülke işbirliktelikleri, ortak atıf ağları ile kavram-konu yönelimleri bağlamında incelenmiştir. İncelenen çalışmaların ortak atıfta  bulunduğu yazarlar ve eserler de çalışma kapsamında irdelenmiştir. Böylece dönemsel olarak araştırmacıların yoğun ilgisini çeken önemli yazarların ve eserlerin belirlenmesi ve de aralarındaki etkileşimlerin tespit edilmesi sağlanmıştır. Çalışmada ayrıca ülke işbirliktelikleri, atıf kaynağı dergiler, yazarlar, yayınlar ile kavramların ağdaki konumları değerlendirilmiştir. Araştırma sonucunda, 2010 yılından sonra alandaki yayın sayısında hızlı bir artış yaşandığı, en çok çalışmanın makale türünde ve İngilizce dilinde gerçekleştirildiği görülmüştür. Bununla birlikte ABD’nin ülke işbirlikteliklerinde kilit rol oynadığı, en fazla atıf patlamasına sahip derginin School Science Review, yazarın ise Rosalind Driver olduğu tespit edilmiştir. Alanda en çok çalışılan konulara bakıldığında ise öğrenci erişimi ve müfredat tasarımı konu başlıklarının ön plana çıktığı görülmüştür.
Covid-19 Krizi ve IMF Destekli Maliye Politikalarının Gerekliliği
Authors: FIRAT Meral
Published: October 2020

Bu makalede gelişmekte olan ülkelerin ve Türkiye ekonomisinin COVID-19 krizine hangi şartlarda yakalandığı ve kriz aşamasında Dünya’da nasıl bir maliye politikası uygulamasına gidildiği araştırılmıştır. Çalışmanın temel amacı, Türkiye’de uygulanan maliye politikalarının COVID-19 krizinin ekonomik etkilerini karşılamada yeterli olup olmadığının ve IMF destekli istikrar politikalarının gerekliliğinin araştırılmasıdır. Çalışmada gelişmekte olan ülkelerin krize yüksek kamu borcu, enflasyon, işsizlik, düşük büyüme oranları ve sermaye çıkışları ile yakalandığı görülmüştür. Pek çok ülkede olduğu gibi Türkiye’de de krizin ekonomik etkilerini hafifletmek için “Ekonomik İstikrar Kalkanı” adı altında genişletici maliye politikaları uygulanmıştır. Çalışmada, Türkiye’de krizin etkilerini hafifletmek üzere alınan önlemler önemli olmakla birlikte özellikle işsizlik sigortası ve gelir vergisi gibi otomatik istikrar sağlayıcıların bir maliye politikası aracı olarak kullanılması ve firmalara ve hane halklarına ek desteklerin sağlanması gerektiği tespit edilmiştir. Bu çerçevede dış kaynak ihtiyacının swap anlaşmaları ile sağlanamaması nedeniyle IMF’den alınacak krediler ile sağlanmasının uygun olacağı sonucuna varılmıştır.
COVID-19 Exposes Urgent Inequities: A Call to Action for Healthcare Reform
Authors: Bushana Priyanka , Seignemartin Brandy , Kaur Waraich Ravneet , W. Wood Whitney
Published: October 2020

The COVID-19 pandemic has exposed undeniable health inequities among marginalized communities (MC), including black, indigenous, and other people of color (BIPOC) in the United States (Forno and Celedón 2012, Kaiser Family Foundation 2017, US National Center for Health Statistics 2019, Glasgow 2020). The lack of centralized support for local health responses has jeopardized many MC/BIPOC (Baah, Teitelman, and Riegel 2019). We propose the Department of Health and Human Services (HHS) implement the following policy steps:

1. Centrally collect patient data on social determinants of health and equity and post-COVID-19 health outcomes (Paradies et al. 2015, Jones et al. 2009, Magnan 2017). Real-time data collection allows for real-time quality improvement and implementation of policies to mitigate inequities in the short-term.
2. Expand and implement Centers for Medicare and Medicaid (CMS) value-based care models (VBCM) to address inequities in the long-term. VBCMs institutionalize data collection initiated in Step 1 while concurrently implementing interventions.
3. Temporarily expand Medicaid coverage for individuals needing subsidized insurance. This provides a safety net for those suffering employment instability during the crisis, alleviating some root causes of health inequities.

These steps will centralize resources, empowering local health systems to control and contain outbreaks disproportionately occurring among MC/BIPOC. HHS is positioned to implement these policies and mitigate further damage from COVID-19. HHS agencies such as the Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) have successfully implemented centralization responses, such as the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in response to the HIV/AIDS epidemic, effectively targeting disparities (Valdiserri and Holtgrave 2020). These previous successful responses by the HHS should compel intervention in the present crisis.
Streamlining USDA Regulation of Gene Editing to Benefit US Agriculture
Authors: Hartman Sarah , Horner Wilson , Jackson Christopher , Kovak Emma , Velan Vetri
Published: October 2020

Feeding a growing world population and adapting agricultural production to a changing climate is a significant challenge that can be mitigated through the use of new gene-editing technologies in crops. However, current regulatory processes are overly burdensome and confusing, limit scientific innovation, and unduly hinder the widespread production of genetically engineered crops. To address these shortcomings, we propose the consolidation of federal regulatory communication into the United States Department of Agriculture and a unified and detailed web platform for commercial approval applications.
Inclusive Policymaking Tools: A COVID-19 Pandemic Case Study
Authors: Irfan Ans , Arora Ankita , Jackson Christopher , Valencia Celina
Published: October 2020

World Health Organization (WHO) estimates indicate the United States of America has the highest novel Coronavirus disease (COVID-19) burden in the world, with over 5 million confirmed cases and nearly 165,000 associated deaths as of August 14th, 2020 (WHO 2020). As the COVID-19 mortality and morbidity has disproportionately impacted populations who experience vulnerabilities due to structural issues such as racism (Laurencin and McClinton 2020; Lin II and Money 2020; Martin 2020; Kim et al. 2020), it has become increasingly necessary to take this opportunity and intentionally codify diversity, equity, and inclusion (DEI) practices in the policymaking process. To encourage and facilitate this, we synthesize existing literature to identify best practices that can not only be used to inform COVID-19-related public policy activities but will also continue to inform inclusive policymaking processes in the future. We identify specific tools for policymakers at all levels of government to better operationalize the DEI framework and enact inclusive, equitable public policies as a result.
Stem the Tide of Predatory Stem Cell Clinics: State and FDA Coordination to Protect Patients
Authors: McCutcheon Griffin , Malloy John F. , Hall Caitlyn A. , Barrett Cassandra
Published: October 2020

While stem cell therapies hold promise as regenerative treatments for combating a variety of conditions, the majority of these therapies remain in clinical trials without sufficient evidence for current clinical use. Predatory direct-to-consumer stem cell clinics (hereafter, DTC clinics), undeterred by a lack of clinical evidence, continue to offer unapproved stem cell injections to patients desperate to treat chronic conditions. These clinics can pose significant physical and financial harm to patients as their therapies are not without risks. Clinics rarely practice the requisite level of follow-up care required by clinical trials. To promote the safety and well-being of patients treated in stem cell clinics, we propose additional funding to support the Federal Food and Drug Administration (FDA) and state-level health departments’ oversight of DTC clinics. The FDA will likely experience a substantial financial burden from enforcing regulations, given that there are hundreds of DTC clinics in the U.S. This number is expected to continue rising, as evidenced by a 114% increase in DTC clinics between 2015 and 2017 (P. S. Knoepfler 2019). We propose that the FDA appropriate additional funding to support state level government enforcement and address this impending shortcoming. Additionally, we suggest state legislatures enact registry laws to prevent DTC clinics from avoiding federal regulations and enable local governments to address low-risk offenders as needed. These laws would enable states to take a more proactive role in patient protections, while also allowing the FDA to more effectively target its resources towards high-risk DTC business.