bluuebunny/crossref_metadata_2025_split huggingface dataset:
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 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.
Time Trends in Opioid Use Disorder Hospitalizations in Gout, Rheumatoid Arthritis, Fibromyalgia, Osteoarthritis, and Low Back Pain
Authors: Singh Jasvinder A. , Cleveland John D. 
Published: October 2020

ObjectiveTo examine opioid use disorder (OUD)–related hospitalizations and associated healthcare utilization outcomes in people with 5 common musculoskeletal diseases (MSD).MethodsWe used the US National Inpatient Sample (NIS) data from 1998 to 2014 to examine the rates of OUD hospitalizations (per 100,000 NIS claims overall), time trends, and outcomes in 5 common rheumatic diseases: gout, rheumatoid arthritis (RA), fibromyalgia (FM), osteoarthritis (OA), and low back pain (LBP).ResultsOUD hospitalization rate per 100,000 total NIS claims in 1998–2000 vs 2015–2016 (and increase) were as follows: gout, 0.05 vs 1.88 (36-fold); OA, 0.68 vs 10.22 (14-fold); FM, 0.53 vs 6.98 (12-fold); RA, 0.30 vs 3.16 (9.5-fold); and LBP, 1.17 vs 7.64 (5.5-fold). The median hospital charges and hospital stays for OUD hospitalizations were as follows: gout, $18,363 and 2.5 days; RA, $17,398 and 2.4 days; FM, $15,772 and 2.1 days; OA, $16,795 and 2.4 days; and LBP, $13,722 and 2.0 days. In-hospital mortality rates ranged from 0.9% for LBP and FM to 1.7% for gout with OUD hospitalizations. Compared to those without each MSD, age-, sex-, race-, and income-adjusted total hospital charges (inflation-adjusted) for OUD hospitalizations with each rheumatic disease were as follows: gout, $697 higher; OA, $4759 lower; FM, $2082 lower; RA, $1258 lower; and LBP, $4944 lower.ConclusionOUD hospitalizations increased in all 5 MSD studied, but the rate of increase differed. Awareness of these OUD hospitalization trends in 5 MSD among providers, policy makers, and patients is important. Development and implementation of interventions, policies, and practices to potentially reduce OUD-associated effects in people with rheumatic diseases is needed.
Effect of Stem Cell Injections on Osteoarthritis-related Structural Outcomes: A Systematic Review
Authors: Gong Jennifer , Fairley Jessica , Cicuttini Flavia M. , Hussain Sultana Monira , Vashishtha Rakhi , Chou Louisa , Wluka Anita E. , Wang Yuanyuan 
Published: October 2020

ObjectiveTo systematically review the evidence for the efficacy of mesenchymal stem cell (MSC) injections in improving osteoarthritis (OA)-related structural outcomes.MethodsOvid Medline and EMBASE were searched from their inceptions to April 2020 using MeSH terms and key words. Independent reviewers extracted data and assessed methodological quality. Qualitative evidence synthesis was performed due to the heterogeneity of interventions and outcome measures.ResultsThirteen randomized controlled trials (phase I or II) were identified: 10 in OA populations and 3 in populations at risk of OA, with low (n = 9), moderate (n = 3), or high (n = 1) risk of bias. Seven studies used allogeneic MSCs (4 bone marrow, 1 umbilical cord, 1 placenta, 1 adipose tissue), 6 studies used autologous MSCs (3 adipose tissue, 2 bone marrow, 1 peripheral blood). Among the 11 studies examining cartilage outcomes, 10 found a benefit of MSCs on cartilage volume, morphology, quality, regeneration, and repair, assessed by magnetic resonance imaging, arthroscopy, or histology. The evidence for subchondral bone was consistent in all 3 studies in populations at risk of OA, showing beneficial effects. Sixteen unpublished, eligible trials were identified by searching trial registries, including 8 with actual or estimated completion dates before 2016.ConclusionOur systematic review of early-phase clinical trials demonstrated consistent evidence of a beneficial effect of intraarticular MSC injections on articular cartilage and subchondral bone. Due to the heterogeneity of MSCs, modest sample sizes, methodological limitations, and potential for publication bias, further work is needed before this therapy is recommended in the management of OA.
Preparing Nurse Practitioner Students to Practice in Rural Primary Care
Authors: Brommelsiek Margaret , Peterson Jane A. 
Published: October 2020

Background:
Gaps remain in rural primary care. To fill this gap, nurse practioner (NP) graduates may need additional training using a rural-specific curriculum framework to be ready to practice in rural primary care.

Method:
Ten NP students participated in a 16-week rural immersion. Preand postsurveys, online journaling, self-guided testing, simulation events, and postcourse focus groups were used to evaluate student progress using directed content analysis to identify key themes and to verify, organize, and categorize the collected data.

Results:
Students reported gains in rural culture competence, increased skills in health literacy and patient advocacy, improved communication and negotiating ethical issues with patients, and increased awareness of challenges in rural health care and the importance of resilience.

Conclusion:

An immersion learning experience with targeted didactic content and clinical practicum in rural primary care can help to enhance NP students' confidence and technical abilities for providing optimal rural primary care.

[
J Nurs Educ
. 2020;59(10):581–584.]