bluuebunny/crossref_metadata_2025 huggingface dataset:
Multidisciplinary teams in healthcare
Authors: Janković Slobodan , Nikolić Ljubinka , Marković Srđan , Kastratović Dragana
Published: May 2024

Introduction: Making good teams are the base of management in general. A multidisciplinary medical team (MDT) is a group of health and care staff who are members of different professions and organizations (e.g. GPs, social workers, nurses), that work together to make decisions regarding the treatment of individual patients and service users. MDTs are engaged in both health and care settings. Methods: In this paper, the authors present information and views from valid professional-scientific sources (papers, books, brochures) about the basic principles and development of teams for medical healthcare that contribute to the development of the implementation of new concepts in health management (MH) for and against teamwork in this areas. Topic: A successful team relies on a well-composed human resource. Each of the member of team added their knowledge and skills to the prescribing process, so that decisions about the best therapy option, for example choice of antibiotics and dosages were made based on more evidence from the medical literature than if they were made by just one person. Clinical pharmacologists will certainly be necessary participants in such teams, because their knowledge of pharmacokinetics, side effects and efficacy of the selected drug is required. For successful personnel management in a team that is able to handle all the challenges and obstacles that multidisciplinary teamwork brings, appropriate education and professional skills of the main manager are required. An example of MDT in a modern therapeutic approach is the collaboration between hospital pharmacology and hospital transfusion. Teamwork has its advantages and disadvantages that a good leader can use or overcome. Conclusion: Multidisciplinary health teams often have the problem of immeasurable investments in order to achieve satisfactory therapeutic results. The formation of multidisciplinary teams in healthcare is a mandatory type of work in a successful healthcare institution. In addition to continuous medical education, it is desirable to introduce education for work in all positions in the health team. The most important goal of MDT is the well-being of the patient, which requires high ethical and professional qualities of the staff.
Management of peritoneal dialysis related infections
Authors: Bulajić Jelena , Knežević Violeta
Published: May 2024

Introduction: Patients with end-stage renal disease who start active treatment with peritoneal dialysis have an increased risk of developing infections. Methods: This paper will present information from relevant professional/scientific sources regarding modern diagnostic and therapeutic modalities for the treatment of infections in patients on peritoneal dialysis. Topic: Infections associated with peritoneal dialysis are: peritoneal catheter exit site infections, tunnel infections and peritonitis. The symptoms of the mentioned infections vary from mild ones such as erythema and secretion at the exit point of the peritoneal catheter to pronounced symptomatology in the development of peritonitis accompanied by abdominal pain and elevated body temperature. The most common cause of peritonitis is infection of the exit site of the catheter, and the two main causes of infection are Staphylococcus aureus and Pseudomonas aeruginosa. If the existence of an infection is suspected, it is necessary to sample the dialysate for cytological examination and culture and to take a swab of the exit site of the catheter. Treatment begins with empiric antibiotic therapy, then it is corrected according to the antibiogram, and the exit site is treated locally with an antibiotic. If there is no therapeutic response after five days of intraperitoneal therapy in peritonitis, it is recommended to remove the catheter. Conclusion: According to the current guidelines of the International Society for Peritoneal Dialysis (ISPD), timely prevention of infections, diagnosis and treatment of peritoneal dialysis-related infections are necessary to prolong patient survival.
The role of prediction models in the classification of adnexal mass
Authors: Vilendečić Zoran , Stefanović Aleksandar
Published: May 2024

Prediction models play an important role in adnexal mass assessment since they allow clinicians to reliably differentiate adnexal mass as malignant or benign. The models use clinical and ultrasound features to generate a numerical score or probability of malignancy. The use of prediction models in adnexal mass assessment can have several benefits. For example, they can help clinicians identify patients at higher risk for malignancy and thus candidates for surgical treatment. They can also help to guide decision-making regarding the need for additional imaging and the extent of surgical procedures. One commonly used prediction model in adnexal mass assessment is the Risk of Malignancy Index (RMI), which incorporates menopausal status, ultrasound features of an adnexal mass, and serum levels of cancer antigen 125 to classify a lesion. The Simple Rules model is an easy and reproducible prediction model that uses selected (benign and malignant) ultrasound features to determine the likelihood of malignancy. Assessment of Different NEoplasias in the adneXa (ADNEX) model uses clinical and ultrasound features to calculate the probability of different types of malignancy. The malignancies are divided into border-line tumors, invasive ovarian cancer stage I, invasive ovarian cancer stage II - IV and secondary ovarian malignancies. This feature of the ADNEX model offers clinicians a more individualized approach to patients with an adnexal mass. In general, the use of predictive models in the evaluation of adnexal masses can be useful in daily clinical practice, but the decision on further diagnostic or therapeutic procedures should be made following the clinical context, respecting the wishes of the patient.
Vanadium compounds: New potential antidiabetic drugs
Authors: Dinčić Marko , Todorović Jasna , Čolović Mirjana
Published: May 2024

The general goals of diabetes treatment are to maintain optimal individualized glycemic targets and to prevent complications. Today, there are significant barriers to successful diabetes therapy, such as parenteral drug administration, decreased therapeutic efficacy after an initial improvement in glycemia, inaccessibility of new medicines in lower-income countries, and high drug prices. Accordingly, significant research attention has been devoted to the development of a cheap and comfortable antidiabetic agent, which demonstrates success in lowering blood glucose levels as well as fewer toxicity properties. In recent years, the effects of inorganic and organic vanadium compounds have been investigated in diabetes treatment. These studies have found the low bioavailability of orally administered inorganic vanadium salts; thus, effective doses to reduce blood glucose levels to normal may cause serious adverse events. In addition, the only study with an organo-vanadium compound (bis(maltolato)oxovanadium(IV)), which has reached Phase IIa clinical trial, was terminated after three months due to renal complications. Moreover, despite a growing interest in polyoxovanadates for treating diabetes in the last few years, the toxic potentials of these compounds are still unknown. However, the precise mechanism of their antidiabetic actions remains unclear. A broad spectrum of possible mechanisms and hypotheses, such as enhancement of insulin secretion and enhanced sensitivity to insulin, as well as suppression of hepatic glucose production and decrease of intestinal glucose absorption, have been presented. In conclusion, besides the promising results obtained in animal and human studies, no vanadium compound has successfully reduced blood glucose with acceptable safety and tolerability. More studies of vanadium benefit-risk could lead to a new era in vanadium biomedicine.
Endoscopic mucosal resection techniques for colorectal polyps
Authors: Mandić Olga , Maksimović Nataša , Tošković Borislav
Published: May 2024

ndoscopic mucosal resection (EMR) is a therapeutic technique developed for the resectioning of sessile and flat lesions localized in the mucosa of any part of the gastrointestinal tract. It is easy to learn and allows the resection of large polyps that would otherwise require radical surgery. For early detection of neoplasia of the gastrointestinal tract, the screening program for colorectal cancer proved to be the most important, and its wide acceptance led to a decrease in the incidence and mortality rate. This article reviews EMR techniques and focuses on large colorectal polyps, representing the most common indication for EMR. Before starting resection, the endoscopist should carefully and thoroughly examine the lesion and differentiate between resectable lesions and those potentially affected by the submucosal invasion. There are different methods of evaluating polyps; more recently advanced techniques are also used. The characteristics of colorectal lesions, including location, size, morphology, and histology, influence the choice of the optimal method of removal. The EMR removes part of the wall of the colorectum that contains the mucosa, the muscularis mucosa and partially or completely, the submucosal layer. In addition to removing benign adenomas of varying degrees of atypia, mucosectomy enables the treatment of early colorectal cancer where the risk of metastasis to the lymph glands is minimal. The primary goal of EMR is the complete and safe removal of colorectal lesions and the complete prevention of CRC. Techniques for performing EMR include conventional EMR with submucosal solution injection, hot loop, and electrocautery removal of colorectal lesions, as well as alternative EMR techniques such as cold loop EMR and "underwater" EMR. Major adverse events associated with EMR include bleeding and perforation after mucosectomy. Because of the risk of polyp recurrence regardless of the EMR technique, as well as the risk of metachronous polyps, control colonoscopies are necessary, especially in patients with the highest risk of recurrence.
Bone metastases of breast cancer: The influence of hormone receptors and human epidermal growth factor receptor 2
Authors: Rajković Stanislav , Sopta Jelena
Published: May 2024

Breast cancer is the leading cause of cancer-related deaths among women worldwide. While significant progress has been made in the prophylaxis, diagnosis, and management of breast cancer, around 90% of deaths occur due to metastatic disease, which is still incurable. The bone has been identified as one of the predominant metastatic sites, accounting for around 80% of patients with metastatic breast cancer. The paper aims to summarize the hallmarks of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) influence on breast cancer bone metastases development and their further biological and clinical behavior. Various clinicopathological characteristics have been identified as risk factors for the development of metastases. In particular, the status of ER, PR and HER2 is crucial for making clinical decisions as an important tool for predicting the spread of breast cancer and choosing a therapeutic protocol. Patients with any hormone receptor-positive status, particularly those with ER+, PR+/HER2-, are more likely to develop bone-only-metastatic (BOM), whereas those with hormone receptor-negative status, especially those with so-called triple-negative (HR-/HER2-) or HER2+ breast cancer, have a predilection for visceral metastases. The paper highlights that while bone metastases of breast cancer are much less investigated than primary tumors, more studies are needed to understand the complex, multi-step process involved in the development and behavior of bone metastases.
The influence of single nucleotide polymorphisms on the therapeutic effect of antiretroviral drugs
Authors: Obradović Božana , Milošević Ivana , Dragović-Lukić Gordana
Published: May 2024

The availability of combined antiretroviral therapy (cART) has significantly improved the prognosis of HIV infection. To control the infection, patients chronically take different groups of antiretroviral drugs, which can lead to numerous unwanted and toxic effects, as well as potential interactions with other co-administered medications and food. Most available antiretroviral drugs are metabolized by cytochrome P450 enzymes and excreted through various transport proteins, which can undergo multiple genetic changes. Single nucleotide polymorphisms (SNPs) have been research subjects in various fields, including HIV infection. Variations in the genetic makeup of metabolic enzymes and transporters are particularly noteworthy. Objective: This research aimed to provide a review and analysis of the most common gene polymorphisms encoding metabolic enzymes and transporters that are essential for the pharmacokinetics of antiretroviral drugs. Methodology: A literature review was conducted by searching the PubMed and Medline databases from 1998 to 2022. The search was performed using appropriate keywords such as "cytochrome", "antiretroviral", "genotype", "polymorphism", "pharmacogenetic", "pharmacogenomic", "pharmacokinetic", "variant", and "single nucleotide polymorphism" in combination with "human immunodeficiency virus" and "acquired immunodeficiency syndrome". The identified literature was then reviewed and analyzed. Results: The clinically most relevant polymorphisms affecting the therapeutic efficacy of antiretroviral drugs include HLA-B5701, CYP2B6 polymorphisms corelated with high plasma concentrations of efavirenz, and UGT1A1*6 and *28 responsible for individual variations in the pharmacokinetics of dolutegravir. Conclusion: Genetic variations, including variations in individual nucleotides, as well as other factors such as gender, coexisting medical conditions, and patient-related factors, play a significant role in therapeutic response. Understanding these factors is of crucial importance for personalized approaches to the treatment of HIV infection and the optimization of therapeutic outcomes.
Isolation and Identification of Helicobacter Pylori from RTE Foods
Authors: Almashhadany Dhary A. , Mayas Sara M.
Published: May 2024

This study was designed to determine the prevalence of H. pylori in RTE foods at Dhamar Governorate from January until June 2021. Two hundred and eighty (280) samples were collected in this works; these samples included (85) chicken sandwiches, (80) Red meat sandwiches, and (115) Salad. Our result indicates that the total prevalence and isolation percentage of H. pylori from all collected samples was 37/280 (13.2%). The highest rate of pollution with H. pylori was found in Salad 17/115(14.8%), then in red meat sandwich 11/80(13.8%), while the lowest rate of occurrence was found in Chicken sandwich 9/85(10.6%). There is no significant difference between the isolation of Hp from different types of RTE foods and months. When we study the relationship between months and incidence of Hp during the research period, the results show that the highest rate of isolation of Hp from different kinds of RTE foods was found in April (18.6 %), approximately close to this rate in May (17.0 %). But the isolation rate was seen decrease whenever moved away from these three months and in both directions. There is no significant difference between the isolation of Hp from red meat and months (p>0.05).
Anatomical Study and Antimicrobial Activities of Ammimajus
Authors: Fathulla Chnar N. , Kamel Fouad H. , Rahman Shaho I. , Othman Abdulkareem S. , Sadeq Tariq W.
Published: May 2024

Ammimajus is a plant species in the family Apiaceae, The purpose of this study was to assess anatomical and antibacterial and antifungal activities of Ammimajus, which taken from collage of Sciences/Salaheddin University/Erbil. Anatomical studies by the using paraffin method, have shown that the outline of stems, petiole lamina, and margin, they contain secretary canals with presence unicellular glandular and unicellular non glandular trichomes. The antimicrobial activity prepared by extract using ethanol (95%) method from stem, leaf and flower, then provide the different concentration of extract, which shown the exhibit antibacterial effects on some microorganisms as Staphylococcus aureus,Acinetobacterbaumannii, Pseudomonasaeruginosa and Candida albicans.
Cancer Prevention by Epigenetic Modulation of Phytochemicals
Authors: Mohammed Hero I. , Hassannejad Sahar , Ali Hoshyar S.
Published: May 2024

"Epigenetics," which emphasizes the impact of active dietary agents on the function of epigenetics, has become an exciting new field of study in recent years. Focusing on aberrant epigenetic alterations during earlier carcinogenesis has been considered in cancer chemotherapy research since, unlike genetic mutations, these differences are reversible. Genes that operate as signal transducers, nuclear receptors, cell cycle regulators, and transcription factors, among others, can be silenced by abnormal epigenetic processes such as DNA promoter methylation, histone changes, and post-transcriptional modifications mediated by miRNA. DNA, gene product maintenance, apoptosis-inducing, and ultimately result in carcinogenesis. An analysis of several natural phytochemicals has been performed on food and medicinal plants to recognize potential and develop anticancer agents that cause the minor lesion to normal cells and effectively destroy cancer cells. A study of several natural phytochemicals found in food and medicinal plants was conducted in order to identify potential and develop anticancer agents that cause a minor lesion in normal cells while effectively destroying cancer cells. According to this study, plant phytochemicals may be involved in the targeted epigenetic modulation of miRNAs, DNA methyltransferases, histone altering enzymes, and carcinogenesis.
A Service Blueprint Approach in Ship Building Activity Mapping
Authors: Kim Yong Se , He Junsong , Seppälä Ludmila
Published: May 2024

In the evolving landscape of shipbuilding, the confluence of innovative methodologies and advanced technologies is reshaping paradigms in ship design and production. The industry's quest for multidisciplinary methods that elaborate representing diverse ship building activities and boost efficiency in managing these activities has unveiled the potential of the service blueprint, a tool used in service design, which addresses design of activities and determining who does what activities when in collaboration with whom. Our proposition centres on the structured activity mapping representation, a novel activity map that utilizes service blueprint with detailed description of activities with rich and structured representation of context. The framework offers a comprehensive perspective, illuminating intricate processes such as concept design, detailed design and production stages as well as service and operation stages. This mapping would ensure alignment of each activity with overarching project objectives, encapsulating values, interactions, collaborations. This paper illustrates the approach of service blueprint in representing ship building activities with discussion on improvement potential of current activity mapping through the service blueprint approach as being conducted in the SEUS EU Horizon project.
A time-dependent ice accretion model for trap-setting fishing vessels with filigree structures
Authors: DeNucci Thomas , Brahan Daniel , McGonagle Peter , Schofield Colman , Aplin-Patterson Delaney
Published: May 2024

This paper describes a time-dependent methodology for calculating the rate of ice accretion on vessels with filigree structures. It combines Newton’s Second Law for spray droplet trajectories with time varying flow velocities determined using computational fluid dynamics (CFD). The mass flux of ice is determined by solving a set of partial differential equations describing the conservation of mass, heat, and salt in the boundary layer of brine near the ice surface. Icing predictions numerically generated by this approach areevaluated against current stability regulations for fishing vessels.
An optimisation-based approach to reduce fuel consumption and emissions from shipping navigation
Authors: Ribeiro e Silva S. , Bento Moreira M.
Published: May 2024

This study presents an optimisation-based approach to reduce fuel consumption and emissions from shipping navigation. The main objective is to improve energy efficiency and simultaneously turn a case-study vessel compliant with Carbon Intensity Indicator (CII) proposed by IMO. This optimisation module has been devised as part of a new robust integrated real-time digital solution that will involve a significant number of both technical and operational measures in practice aiming to optimise operational efficiency (duringnavigation and port calls). Namely, the tool will be capable of situational awareness and decision support to reduce fuel consumption and Green House Gas (GHG) emissions from shipping and must be combined with intrinsic vessel systems to improve vessel hydrodynamic performance, resulting also in improved vessel safety and widening of the operational weather window
Application of Sampling Methods for Constrained Space in Hull Form Optimization
Authors: En-long HOU , Hai-chao CHANG , Bai-wei FENG , Zu-yuan LIU , Chengsheng ZHAN , Xi-de CHENG
Published: May 2024

Use of approximation models instead of direct application of CFD tools plays a crucial role in hull form optimization to enhance efficiency. The selection of sample points directly impacts the accuracy and cost of approximation models, and the effectiveness of hull form optimization. This paper presents a sampling method based on constrained space. The distribution pattern of the constrained space is initially analyzed, and its boundary is subsequently extracted by the Support Vector Machine (SVM), providing guidance for the subsequent sample selection. To ensure effective sampling within the constrained space, the maximum minimum distance criterion is employed. The proposed methodology is validated via a case study involving a 13,000DWT inland twin-screw bulk carrier. The Kriging approximation model is constructed to optimize the hull form while adhering to specific constraint conditions, thereby demonstrating the feasibility and efficacy of the proposed approach.
Entrenamiento de fuerza y pliometría para un rendimiento óptimo en futbolistas juveniles
Authors: Magallanes-Braudakis Adrián , Parodi-Feye Andrés Santiago , González-Ramírez Andrés , Magallanes-Mira Carlos
Published: May 2024

En el fútbol juvenil, el entrenamiento sistemático de fuerza puede mejorar significativamente el rendimiento. Con frecuencia, este tipo de entrenamiento se lleva a cabo durante el período preparatorio y se interrumpe o reduce su énfasis en el período competitivo. El objetivo del presente estudio fue evaluar la eficacia de tres mesociclos consecutivos de entrenamiento combinado de fuerza (levantamiento de pesas y pliometría en los dos primeros, pliometría y cambios de dirección en el tercero) para lograr mejoras continuas en el rendimiento de sprint, salto vertical y cambios de dirección en jugadores de fútbol juvenil masculino. Dieciocho jugadores de fútbol, con una edad de 14,1 ± 0,3 años y sin experiencia previa en entrenamiento estructurado de fuerza, fueron los sujetos del estudio. Antes y después de cada mesociclo, se evaluó a los deportistas en salto con contramovimiento (CMJ), sprint de 5m, sprint de 10m, sprint de 15m, sprint de 20m y cambio de dirección (test 505). Además, se evaluó el rendimiento en ejercicios específicos utilizados en cada mesociclo, que incluyeron sentadilla, sentadilla búlgara, empuje de cadera unilateral y bilateral, y saltos horizontales unilaterales y bilaterales (simples y múltiples). Se observaron mejoras en el rendimiento en los tres mesociclos para todas las variables analizadas (p ≤ 0,05), excepto para el CMJ (p > 0,05) en el último mesociclo. Dado que las mejoras de rendimiento se lograron con magnitudes de carga relativamente bajas, en comparación con las reportadas en intervenciones similares en esta población, se infiere que esta estrategia tiene el potencial de generar mejoras sostenidas a lo largo de todo el año de entrenamiento en futbolistas jóvenes sin experiencia previa en entrenamiento de fuerza.
ANÁLISE DE INVESTIGAÇÕES BRASILEIRAS QUE DISCUTEM A FORMAÇÃO INICIAL DE PROFESSORES EM UMA PERSPECTIVA INCLUSIVA
Authors: Borges Fábio Alexandre , Cyrino Márcia Cristina de Costa Trindade
Published: May 2024

O objetivo do presente artigo é discutir aspectos que reverberaram a inclusão em investigações que têm como foco a formação inicial de professores numa perspectiva inclusiva publicadas em periódicos científicos brasileiros. O corpus constituído reúne 49 artigos, que têm, como foco, a formação inicial de professores numa perspectiva inclusiva, inventariados em 74 periódicos científicos brasileiros qualificados na Plataforma Sucupira com Qualis A1, A2 e B1 (no quadriênio de avaliação 2013 a 2016). Já o período de publicação dos textos é de 2009 a 2019. Na análise dos artigos observam-se aspectos associados: i) às concepções de (futuros) professores acerca de aspectos de uma educação inclusiva; (ii) à organização dos cursos de formação e as mudanças dos currículos em favor da inclusão; (iii) ao desenvolvimento de ações formativas em prol da inclusão; e (iv) aos conhecimentos dos futuros docentes acerca da inclusão possibilitados pela formação inicial. Esses aspectos revelam que, nos cursos de formação inicial de professores, há reflexos de políticas favoráveis a uma concepção de educação inclusiva. Destaca-se a importância da formação dos formadores acerca da temática inclusão para que esse tema se dê de maneira mais transversal e menos isolada em todos os momentos dos cursos de licenciatura.
Pattern of presentation and experience with incisional hernia repair at the Abia State University Teaching Hospital, Aba, Nigeria
Authors: ELEWEKE N , OKOCHA OU , OZOEGWU JN , ONWERE S , CHIGBU B
Published: May 2024

Background: Incisional Hernia (IH) is a preventable cause of morbidity and mortality, yet they are commonly  encountered in our locale.  
Objective: This study was undertaken to determine the pattern of presentation of incisional hernia in our setting. Patients and methods: Consecutive patients aged 18 years and above, who presented with incisional hernia over  a 5 year period (1st January 2010 to 31st December 2014) at the Surgical Out-Patient Clinics and Accident and  Emergency Department of ABSUTH were studied. 
Results: Thirty five adult patients with IH were seen. Five (14.3%) patients were males and 30 (82.9%) were females.  The age range was 24–79 years with a mean age of 50.1 years. Nineteen patients (54.3%) presented within 5 years  of the pre-hernia surgery while 4 patients (11.4%) presented 15 or more years following the surgery. Thirty two  (91.4%) patients presented with abdominal swelling, pain, unsightly abdominal wall singly or in combination, while  3(8.6%) patients presented with features of intestinal obstruction. All the patients had midline incisions. Obstetric  and gynaecological operations in 29 patients (82.9%) were the leading pre-hernia operations. In 21 patients (60%),  the pre- hernia surgeries were emergency surgeries. The pre-hernia operation wounds were infected in 25 patients  (71.4%). Twelve (34.3%) patients had a single fascial defect, while 23 (65.7%) patients had multiple defects. The Body  Mass Index (BMI) in 32 patients was more than 32Kg/m2. Fifteen (42.9%) patients have had multiple abdominal  surgeries including previous unsuccessful repairs of the incisional hernia. The size of the defects on the fascia ranged  between 6cm2 and 148cm2. Repair was by use of mesh in on lay technique in 33 cases ( Polypropylene mesh) and  fascial closure in 2 cases. 
Conclusion: Obstetric and gynaecological operations using midline incisions were the commonest causes of  incisional hernia in this study.
Post-partum eclampsia complicated by HELLP syndrome
Authors: Koigi P.K , Kamau R.K
Published: May 2024

Introduction: HELLP syndrome is a variant of pre-eclampsia with severe features that presents with haemolysis,  elevated liver enzymes and low platelets. It is associated with significant morbidity and mortality.
Case presentation: A 24 year old Para 3+0 Gravida 4 at term with prolonged labour and severe pre-eclampsia  presented from a peripheral facility without a referral letter. She delivered before arrival and had one convulsion  prior to admission. Magnesium sulphate and antihypertensives were initiated at admission. A few hours later,  she convulsed two more times, her level of consciousness deteriorated; she developed a bleeding diathesis and  went into renal shutdown. At this point, magnesium sulphate was stopped in favour of phenytoin. Steroids were  administered and acute haemodialysis was performed. Her neurological status and renal function improved and  the HELLP syndrome resolved over the next five days. She was observed for three more days and was discharged in  good condition, with no adverse sequelae noted during follow up. 
Result: Prompt diagnosis and timely conscientious treatment were the keys to the good outcome in this patient. 
Conclusion: A high index of suspicion of HELLP syndrome is essential in all patients with hypertensive disorders of  pregnancy in order to enable early diagnosis and prompt management.
Kualitas Layanan Dan Nilai Pelanggan Untuk Meningkatkan Loyalitas Pelanggan Di PT. Horti Jaya Lestari
Authors: Febria Fulvia , Ciamas Elserra Siemin , Sutarno Sutarno
Published: May 2024

Kualitas layanan adalah perbandingan antara layanan yang dirasakan (persepsi) pelanggan dengan kualitas pelayanan yang diharapkan pelanggan dengan indikator wujud fisik, empati, keandalan, daya tanggap dan jaminan. Nilai pelanggan adalah selisih antara penilaian pelanggan prospektif atas semua manfaat dan biaya dari suatu penawaran terhadap alternatifnya dengan indikator adalah nilai produk, nilai pelayanan, nilai Personil, nilai citra, harga moneter, biaya waktu dan biaya praktis. Sedangkan loyalitas pelanggan adalah komitmen pelanggan terhadap suatu merek, toko, atau pemasok, berdasarkan sikap yang sangat positif dan tercermin dalam pembelian ulang yang konsisten dengan indikator adalah melakukan pembelian berulang, membeli antar lini produk atau jasa, mereferensikan kepada orang lain dan menunjukkan kekebalan terhadap tarikan dari pesaing. PT. Horti Jaya Lestari adalah perusahaan yang bergerak dalam bidang pertanian. Perumusan masalah pada penelitian ini, “Adakah pengaruh Kualitas Layanan Dan Nilai Pelanggan Terhadap Loyalitas Pelanggan di PT.Horti Jaya Lestari”. Tujuan yang ingin dicapai dalam penelitian ini adalah untuk mengetahui pengaruh kualitas layanan dan nilai pelanggan terhadap loyalitas pelanggan di PT.Horti Jaya Lestari. Metode penelitian yang digunakan deskriptif kuantitatif. Jumlah responden/sampel sebanyak 71 orang konsumen dari populasi sebanyak 250 konsumen bulan Februari sampai Mei 2023 dengan teknik pengambilan sampel adalah simple random sampling. Besar kualitas layanan dan nilai pelanggan mampu menjelaskan loyalitas pelanggan dapat dilihat pada hasil uji determinasi (R2) secara persentase adalah sebesar 52,1%. Dengan hasil koefisien determinasi ini, maka dapat disimpulkan bahwa loyalitas pelanggan pada PT Horti Jaya Lestari sebesar 52,1% dipengaruhi oleh kualitas layanan dan nilai pelanggan sedangkan sisanya 47,9% merupakan sumbangan faktor lain yang dapat dijelaskan oleh variabel lain diluar model.
Pengaruh Self Efficacy Dan Locus Of Control Terhadap Komitmen Organisasional Di Fortunate Coffee Cemara Asri
Authors: Law KimHong Bodhi Dharmawan Onggo , Fauzi Fauzi , Lisa Lisa
Published: May 2024

Penelitian ini bertujuan untuk menguji pengaruh self efficacy dan locus of control terhadap komitmen organisasional di Fortunate Coffee Cemara Asri, Medan. Objek pada penelitian ini yakni pelayan Fortunate Coffee Cemara Asri, Medan. Dasar dari pemilihan sampel ini adalah metode non-probabilty sampling menggunakan teknik sampel insidental. Data yang diterapkan dalam penelitian ini yaitu data primer, data yang diperoleh dari kuesioner yang dibagikan kepada 30 responden. Metode analisis yang dipakai ialah regresi linear berganda dengan bantuan spss 26. Diperoleh hasil korelasi sebesar 0.290 yang memiliki arti bahwa self efficacy dan locus of control memiliki hubungan yang kurang terhadap komitmen organisasional. Dari hasil uji koefisien determinasi yang memberikan nilai sebesar 6.1% yang menyatakan kecilnya pengaruh self efficacy dan locus of control terhadap komitmen organisasional di Fortunate Coffee Cemara Asri, Medan, dan sisanya 93.9% dipengaruhi oleh faktor-faktor lain yang tidak diteliti dalam penelitian ini. Dari perhitungan analisis regresi maka diperoleh persamaan regresi Komitmen oganisasional = 29.781 – 0.112 self efficacy + 0.346 locus of control. Hasil uji hipotesis ditemukan bahwa secara simultan self efficacy dan locus of control terhadap komitmen organisasional di Fortunate Coffee Cemara Asri, Medan. Hasil uji hipotesis ditemukan bahwa secara parsial self efficacy dan locus of control berpengaruh negatif dan tidak signifikan terhadap komitmen karyawan pada karyawan Fortunate Coffee Cemara Asri, Medan. Dengan demikian dapat disimpulkan bahwasanya tidak terdapat pengaruh yang signifikan antara self efficacy dan locus of control terhadap komitmen organisasional di Fortunate Coffee Cemara Asri, Medan.
Pengaruh Promosi Dan Harga Terhadap Keputusan Pembelian Di PT. Universal Indofood Product
Authors: Utomo Evangeline , Susanto Susanto , Djali Irwansyah , Anggraini Dewi
Published: May 2024

Promosi adalah cara mengkomunikasikan barang dan jasa yang ditawarkan supaya konsumen mengenal dan membeli dengan indikator adalah periklanan, diskon atau potongan harga, publisitas dan hubungan masyarakat, promosi penjualan dan pelayanan. Harga adalah sejumlah uang (satuan moneter) dan ukuran lainnya (termasuk barang dan jasa lainnya) yang ditukarkan agar memperoleh hak kepemilikan atau pennggunaan suatu barang dan jasa dengan indikator adalah keterjangkauan harga, penentuan harga, pertumbuhan harga pesaing, penetapan harga jual, harga moneter, biaya waktu dan biaya praktis. Sedangkan keputusan pembelian adalah pengambilan keputusan pembelian meliputi proses yang dilalui konsumen dalam mengenali masalah, mencari solusi, mengevaluasi alternatif, dan memilih diantara pilihan-pilihan pembelian mereka dengan indikator adalah pengenalan kebutuhan, pencarian informasi, evaluasi alternatif kepada orang lain, keputusan pembelian dan perilaku pasca pembelian. PT. Universal Indofood Product adalah perusahaan yang bergerak dalam produksi biskuit bermerek Unibis. Perumusan masalah pada penelitian ini, “Adakah pengaruh promosi dan harga terhadap keputusan pembelian di PT. Universal Indofood Product”. Tujuan yang ingin dicapai dalam penelitian ini adalah untuk mengetahui pengaruh promosi dan harga terhadap keputusan pembelian di PT. Universal Indofood Product. Metode penelitian yang digunakan deskriptif kuantitatif. Jumlah responden/sampel sebanyak 96 orang konsumen dari populasi adalah Konsumen PT. Universal Indofood Product dengan teknik pengambilan sampel adalah accidental sampling. Besar promosi dan harga mampu menjelaskan keputusan pembelian dapat dilihat pada hasil uji determinasi (R2) secara persentase adalah sebesar 12,30%. Dengan hasil koefisien determinasi ini, maka dapat disimpulkan bahwa keputusan pembelian pada PT. Universal Indofood Product sebesar 12,30% dipengaruhi oleh promosi dan harga sedangkan sisanya 87,7% merupakan sumbangan faktor lain yang dapat dijelaskan oleh variabel lain diluar model.
The Meaning of Wayang Wong Ramayana at Taman Pule Temple, Mas Village As An Inspiration for Painting
Authors: Suartana I Made , Gulendra I Wayan , Utami Ni Made Purnami
Published: May 2024

This independent study TA thesis raises the theme of the Meaning of Wayang Wong Ramayana at Taman Pule Mas Village temple as a source of painting creation. Departing from an illustration idea of Wayang Wong Ramayana and the procession carried out by the local community has a very deep meaning both from the Wayang Wong itself and at the time. ritual procession is performed. From this it sparked the author's desire to raise the meaning of Wayang Wong by combining certain techniques and references to achieve the desired meaning. The problem faced is how to visualize the meaning and techniques used in the embodiment of the work so that it looks attractive. The purpose and benefits of this creation are that first, in general, the author wants to embody the meaning of Wayang Wong Ramayana at Taman Pule Mas Village temple into painting, and to be able to embody the meaning or values of Wayang Wong in a symbolic form that reflects the identity of the author.To answer what is the goal in creating this work, the method used by the author in realizing this method is by exploring, improvising, forming, and finalizing the process and combining it with ideas to create 6 works. In realizing the author's work using several references related to techniques from the works of other artists, it is then processed according to the needs of the author to support the meaning to be conveyed and can produce quality work and become the identity of the author.
Managerial Finance Tactics in the Era of Enhanced Regulation Following Financial Scandals
Authors: Muslim Muslim
Published: May 2024

Purpose: This study examines the impact of enhanced regulation on managerial finance tactics following significant financial scandals. It aims to explore how financial managers navigate increased regulatory scrutiny and integrate ethical considerations into their strategic decision-making processes.
Research Design and Methodology: Employing a qualitative systematic literature review, this research synthesizes insights from academic journals, books, and reputable sources. The study uses thematic analysis to identify key themes, patterns, and gaps related to managerial finance practices in a regulated environment.
Findings and Discussion: The findings reveal that financial scandals have led to stricter regulatory frameworks, compelling financial managers to prioritize compliance and ethical conduct. Integrating advanced technologies like blockchain and AI has enhanced regulatory compliance processes, while a culture of integrity and transparency within financial institutions has become crucial for rebuilding stakeholder trust. These strategies are essential for mitigating regulatory risks and ensuring long-term organizational stability.
Implications: The research underscores the necessity for financial institutions to adopt proactive compliance strategies and foster a culture of ethical conduct. Policymakers and practitioners are encouraged to leverage technological innovations to streamline compliance processes and maintain regulatory adherence. Future research should focus on the effectiveness of specific compliance strategies and the interplay between regulatory frameworks, technological advancements, and ethical considerations in managerial finance.
Enhancing Machine Learning Performance: The Role of GPU-Based AI Compute Architectures
Authors: Chopra Bhuvi
Published: May 2024

This paper advances the field of GPU-based embedded intelligence (EI) by providing a comprehensive review of current and emerging architectures and applications. It covers key paradigms in GPU-based EI, focusing on architecture, technologies, and practical applications. The paper is structured as follows: (1) An overview and classification of GPU-based EI research, providing a broad perspective and concise summary of the paper's scope; (2) An in-depth discussion of various architectural technologies for GPU-based deep learning techniques and applications; and (3) A detailed examination of architectural technologies for GPU-based machine learning techniques and applications. This paper aims to offer valuable insights into the research area, encouraging further development of GPU-based EI for practical deployment and applications.
Effects of chemical treatments on morphological, physical and chemical properties of okra bast fibers
Authors: Ersoy Mahmut , Yilmaz Nazire Deniz
Published: May 2024

In this study, bast fibers have been obtained from okra (Abelmoschus esculentus) plant stems via biological degumming process. The obtained fibers were subjected to some textile pretreatment processes such as scouring, alkalizing, oxygen bleaching and chlorine bleaching which are also utilized in cellulose nanoparticle production. Effects of these processes on their physical and chemical characteristics have been investigated and statistically analyzed. Treatments have been found to statistically affect physical properties of the fibers. They led to decrease in fiber linear density but increase in moisture content and water absorption capacity. Linear density reduction took place by fibrillation and elimination of impurities. Fibrillation has been evidenced by microscopy images. Prolonged submerging resulted in increment in water absorption. FT-IR spectra, SEM images and mass loss analysis present evidence for removal of lignin, hemicelluloses and vaxes upon chemical treatments. The ranges of the linear density, moisture content and water absorption of okra bast fibers are 6.3-20.1 tex, 2.9-6.0%, and 5.80 g/g to 11.8 g/g, respectively. Properties of okra bast fibers show similarities to conventional bast fibers such as flax, hemp and jute.
Implementasi Kebijakan Penyaluran Pupuk Bersubsidi Dalam Upaya Peningkatan Produksi Padi di Subak Kabupaten Bangli
Authors: Sriwulandari Komang , Wirantari I Dewa Ayu Putri , Prabawati Ni Putu Anik
Published: May 2024

The agricultural sector is an important sector in providing food and has a direct impact on the basic needs of the Indonesian people. The role of farmers and government is needed to increase the amount of rice production. Increasing the amount of rice production by farmers is carried out by continuing to plant rice and increasing the amount of rice production. Due to this, the government issued a policy of distributing subsidized fertilizer in an effort to help farmers increase rice production. Bangli Regency is a district that has land that has the potential to produce rice. In this regard, in efforts to implement the subsidized fertilizer distribution policy, the Department of Agriculture, Food Security and Fisheries of Bangli Regency has the task of assisting farmers in efforts to increase rice production. The purpose of this research is to find out how the Subsidized Fertilizer Distribution Policy is implemented in an effort to increase rice production in Subak, Bangli Regency, using qualitative methods and using research indicators proposed by George C. Edwards III (2009), namely communication, resources, disposition and bureaucratic structure. The results of this research show that communication, resources, disposition and bureaucratic structure are still not running optimally. Thus, the Department of Agriculture, Food Security and Fisheries of Bangli Regency needs to make improvements to each indicator. extension and improving the scheduling of extension and assistance to farmers.
Evaluación del Bienestar Cardiovascular: Incentivar la Actividad Física Laboral dentro del Programa de Salud Corporativa
Authors: Aguirre Chávez Juan Francisco , Franco Gallegos Leticia Irene , Montes Mata Karla Juanita , Ponce de León Alejandra Cossío , Ivett Robles Hernández Guadalupe Simanga
Published: May 2024

El estudio cuasiexperimental de la Ciudad de México confirma el impacto positivo de los programas corporativos de actividad física en la salud cardiovascular de los empleados. Se observaron mejoras sustanciales en la presión arterial y la frecuencia cardíaca en reposo, lo que evidencia los beneficios de incorporar rutinas de ejercicio en el entorno laboral. Estas intervenciones promueven no solo la salud física, sino que también mejoran la satisfacción y la productividad, contribuyendo a una cultura organizacional saludable. El éxito de estas políticas demuestra su eficacia frente al sedentarismo y destaca la relevancia de integrar la actividad física como un elemento crítico para el fortalecimiento del capital humano en las empresas contemporáneas. Al realizar inversiones en bienestar laboral, las organizaciones pueden obtener beneficios tangibles en la salud mental y emocional de sus trabajadores, además de ganancias económicas y una ventaja competitiva sólida. Este estudio inspira la creación de entornos de trabajo inclusivos y respalda la inversión en programas de bienestar como estrategia esencial para el desarrollo sostenible empresarial y la mejora de la calidad de vida laboral.
Application of ultrasonic diagnostics in the study of urogenital organs of birds
Authors: Dikikh A. A. , Pervenetskaya M. V. , Rusakov V. V. , Sukach L. I. , Slapovskaya O. I. , Komarov A. Y. , Makarova Y. S.
Published: May 2024

Ultrasound examination is one of the most accessible and having a high probability of competence of research of diagnostics of diseases of internal organs, which are carried out mainly in small pets. The aim of the study is to obtain information about parenchymatous organs in birds in norm and in case of pathologic changes for making or confirming clinical diagnosis. Material and methods. Ultrasound diagnostics of avian oviduct was carried out on ultrasonic diagnostic scanner ETS-D-05 "Raskan", ~ 220V, 50 Hz, 100 VA, class 1. The transducer is microconvex 7.5 MHz. Results. At ultrasound examination of the kidneys in the chicken, it was noted that the kidneys had smooth, clear boundaries. The echostructure of cortical and brain layers in the median plane is heterogeneous, echogenicity of parenchyma corresponds to the norm. The capsule is not visualized. The presence of lighter and darker areas in the parenchyma is clearly visible, which is associated with filtration of mineral substances contained in the blood. Ultrasound examination of the genitalia in the chicken was carried out in several stages. At the first stage, the presence of a mature follicle was noted. Localized volumetric formations of rounded shape - follicles at different stages of development were revealed. They have homogeneous echogenicity and echostructure of hyperechogenic character, giving a weak acoustic shadow. In the second stage of the study we noted the presence of yolk covered with vitelline shell, which is located in the central part of the albumen section of the oviduct, has a high density and good echogenicity. In the third stage, the yolk is located in the caudal part of the albumen section. At its periphery, the albumen with several layers is located. Protein section is displaced somewhat to the left, has strongly tortuous loops. The wall of the albumen is well structured, the expression of layers is weakly marked. In the cavity of the oviduct, the content of the oviduct is homogeneous with a small amount of content of liquid consistency. At the fourth stage of the study in the uterus of the oviduct, an anechogenic formation - an egg - is visualized on the echogram. In its center, a hypoechogenic structure with indistinct contours - yolk is detected. The contours of the egg are smooth, borders are indistinct. The egg completely fills the uterine cavity, the lumen between the egg and the uterine wall is absent, the uterine wall contours are clear and even with homogeneous echogenic structure, no nodular formations are detected, uterine vessels are not dilated.