bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH KUALITAS PRODUK DAN KUALITAS PELAYANAN TERHADAP LOYALITAS MELALUI KEPUASAN NASABAH BANK DANAMON CABANG AHMAD YANI MAKASSSAR
Authors: Lumangkun Merlin Maya , Daga Rosnaini , Samad Abdul , Razak Mashur 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui dan menganalisis Pengaruh Kualitas Produk, Kualitas Pelayanan Dan Emosional, Terhadap Loyalitas Melalui Kepuasan Nasabah Bank Danamon Cabang Ahmad Yani Makassar.Penelitian ini menggunakan metode deskriptif kuantitatif dengan menggunakan aplikasi SmartPLS 4.9 dalam proses pengolahan data selama periode penelitian. Populasi dalam penelitian ini adalah nasabah Bank Danamon Cabang Ahmad Yani Makassar dan sampel dalam penelitian ini menggunakan metode sampel purposive sampling. Metode analisis dalam penelitian ini menggunakan Analisis Path, Uji Goodness-of Fit Test dan Pengujian Hipotesis.Hasil penelitian ini menunjukkan bahwa secara parsial (1) Kualitas Produk berpengaruh positif dan signifikan Terhadap Loyalitas Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (2) Kualitas Pelayanan berpengaruh positif namun tidak signifikan Terhadap Loyalitas Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (3) Kualitas Produk berpengaruh positif dan signifikan Terhadap Kepuasan Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (4) Kualitas Pelayanan berpengaruh positif dan signifikan Terhadap Kepuasan Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (5) Kepuasan Nasabah berpengaruh positif dan signifikan Terhadap Loyalitas Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (6) Kualitas Produk berpengaruh positif dan signifikan terhadap Loyalitas Nasabah melalui kepuasan Nasabah Bank Danamon Cabang Makassar Ahmad Yani. (7) Kualitas Pelayanan berpengaruh positif dan signifikan terhadap Loyalitas Nasabah melalui kepuasan Nasabah Bank Danamon Cabang Makassar Ahmad Yani
Pengaruh Motivasi Kerja dan Budaya Kerja Melalui Moderasi Religiusitas Terhadap Kinerja Personel di Direktorat Reserse Kriminal Umum Polda Riau
Authors: Efriani Efriani , Romus Mahendra , Maria Maya 
Published: November 2024

Tujuan penelitian ini adalah 1) Untuk mengetahui pengaruh antara variabel motivasi kerja, budaya kerja, moderasi religiusitas dan kinerja personel kepolisian secara parsial. 2) Untuk mengetahui pengaruh variabel motivasi kerja, budaya kerja, dan moderasi religiusitas secara simultan terhadap kinerja personel kepolisian. 3) Untuk mengetahui kemampuan religiusitas dalam memoderasi dari kombinasi variabel motivasi kerja, dan budaya kerja, terhadap kinerja personel kepolisian. Penelitian ini melibatkan 229 personel kepolisian di Direktorat Reserse Kriminal Umum (Ditreskrimum) Polda Riau. Teknik pengambilan sampel dilakukan secara sensus dan pengumpulan data menggunakan instrumen kuesioner. Analisis pengujian regresi linear parsial, linear berganda, uji koefisien korelasi menggunakan software SPSS version 26. Hasil penelitian menunjukkan bahwa pengaruh motivasi kerja, budaya kerja, moderasi religiusitas dan kinerja personel yang dianalisis secara parsial dan simultan didapati nilai signifikansi p<0.05. Terdapat pengaruh yang signifikan dan positif semua konstruk yang diuji secara parsial dan simultan. Pengujian tanpa religiusitas sebagai variabel moderasi terhadap gabungan motivasi kerja, dan budaya kerja terhadap kinerja personel Kepolisian diperolah (r2= 0.629) 72,1% dan menggunakan variabel moderasi religiusitas diperoleh sebesar (r2=0,738) 73,8%. Terdapat peningkatan sebesar 1.7 % pengaruh menggunakan moderasi religiusitas terhadap kinerja personel. Motivasi kerja, budaya kerja, moderasi religiusitas meningkat, maka kinerja personel Kepolisian juga akan meningkat.
SYSTEMS THINKING APPROACH FOR ENERGYEFFICIENT MULTIPLEX HOUSING DESIGN: FOCUSING ON PASSIVE DESIGN STRATEGIES
Authors: Abdelkarim Lina , Burba Blake , Gardner Kenisha , Lyons Daron , Parker Landon , Ridenour Jacob , Traxler Caleb , Wood Robyn , Kim Seong Dae , Yang Sungwoo , Kim Eun Young 
Published: November 2024

ABSTRACT
This article presents an energy-efficient multiplex housing project proposed in response to a local affordable housing crisis among low-income urban neighborhoods in Chattanooga, TN, in the United States. The project adopted the systems thinking approach, which encouraged design students to think beyond individual components and consider the interconnections of various systems within and around the multiplex housing, including daylight analysis, market analysis, life cycle assessment, and energy performance evaluation. To respond to the local-specific housing market and climate conditions, the students from the multidiscipline collaboratively engaged in the design process to understand the project's environmental, social, and economic contexts and implement the passive design strategies into energy-efficient and affordable multiplex housing design to meet low-income families’ economic and social needs. The project site and design requirements were provided by a local nonprofit housing development organization that was a client of the project. This article highlights the significance of students’ systems thinking exercises in achieving energy-efficient affordable housing solutions in low-income urban neighborhoods through passive design strategies.
Quelle place pour les rivières dans la petite ville en changement ? Regards d’acteurs institutionnels sur les paysages de rivières urbaines en Maine-et-Loire
Authors: Imbert-Bossard Victor , Carcaud Nathalie , Beaujouan Véronique 
Published: November 2024

Au-delà du célèbre fleuve Loire, le département du Maine-et-Loire est traversé par un dense réseau de cours d’eau au bord desquels un grand nombre de petites agglomérations urbaines se sont implantées. Au fil des siècles, ces petites villes fluviales ont été un support d’activités sur et autour des rivières, avant que la plupart ne s’éteignent à l’aube du xxie siècle. Dans cet article, nous questionnons, au regard de ces évolutions, la place donnée aux rivières au sein de quatre petites villes. Un échantillon de 26 entretiens réalisés auprès d’acteurs institutionnels des villes et des rivières sert de base à l’analyse des rapports entre fabrique de la ville et gestion des cours d’eau. Les résultats soulignent l’inégale prise en compte de la présence de rivière dans la réflexion sur la ville, mais aussi la difficulté pour les acteurs de ces deux ensembles thématiques à faire projet. Le contexte institutionnel, la sensibilisation des élus locaux et les enjeux spécifiques aux petites villes sont discutés comme facteurs d’influence des rapports villes-rivières au même titre que leur contexte hydrographique. Pour conclure, l’évolution des échelles de réflexion et de montage de projets autour des rivières est discutée.
La Mission romande et l’invention d’une littératie tsonga
Authors: Denogent Jehanne 
Published: November 2024

L’ensemble de documents d’archives présentés dans cet article, tous liés aux activités de la Mission romande en Afrique, vise à mettre en lumière le rôle des missionnaires suisses dans la transcription de la langue et de l’« orature » (Ngugi 1998) tsongas au tournant du xxe siècle. Ils décrivent un double mouvement, du français au tsonga, et inversement, lié à la littératie et à la culture de l’imprimé. À partir de cet ensemble, il s’agira de réfléchir aux conditions matérielles de circulations textuelles.
L'e-santé en France : déclinaisons et implications territoriales
Authors: Raynaud Joy 
Published: November 2024

L’e-santé est synonyme de grandes promesses : améliorer l’accès, la qualité et l’efficience des soins. Observant un timide déploiement depuis les années 2000, l’e-santé, et plus précisément la télémédecine – un sous ensemble de l’e-santé –, s’est fortement répandue lors la crise de la Covid-19 conduisant les acteurs de santé à se coordonner et à proposer des innovations en matière de prise en charge des patients. Les professionnels de santé ont eu un recours massif à la téléconsultation, devenant ainsi une composante essentielle de l’offre de soins sur le territoire. Téléexpertises et télésurveillances ont également constitué des outils essentiels pour la gestion de crise. Ainsi l’e-santé interroge la place du territoire dans notre système de soins. La télémédecine facilite l’accès aux soins mais ne constitue pas une mesure pour compenser le déficit de médecins : l’ancrage territorial et la connaissance du tissu sanitaire et médico-social sont indispensables. Ces enjeux réaffirment l’importance de la gouvernance locale en santé qui s’appuie sur la responsabilité populationnelle et territoriale des professionnels de santé et sur leur capacité à se coordonner pour répondre aux besoins de santé de leur territoire.
Le portrait de Charite : transparence et opacité de la représentation (Sorel, Le Berger extravagant)
Authors: Leplatre Olivier 
Published: November 2024

Dans Le Berger extravagant, Charles Sorel, dont l’intérêt s’est constamment porté sur les questions de représentation, expérimente un cas, particulièrement retors, d’opacification descriptive d’une image gravée. Il s’agit d’une illustration qui reproduit une image (le portrait de Charite, l’amante de Lysis, le berger extravagant) conçue et exécutée par un personnage de la fiction ; on la trouve associée, dans le livre, à de très nombreuses procédures descriptives, polymorphes voire contradictoires. Composé d’une image narrative, une image matérielle (une gravure), un réseau de descriptions, le dispositif pourrait être homogène. Or, la fiction intègre cet ensemble « iconotextuel » pour mieux mettre en tension et même en crise ses composants. De là, dans le texte, toute une série d’agencements et de remontages qui subvertissent la relation du descriptif et du figural dans le double but d’en critiquer les codes et d’en réinventer les possibles.
Home visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis
Authors: Cooper Sara , Kallon Idriss I. , Mabetha Denny , Brand Amanda S. , Kredo Tamara , Pillay Shakti , Kali Gugu , Odendaal Willem 
Published: November 2024

Background: Prematurity and low birth weight (LBW) are the main causes of neonatal mortality in South Africa (SA). Home visits by lay health workers (LHWs) may be effective in addressing this.Aim: To inform a national guideline on LHW home visits as part of the Global Evidence, Local Adaptation (GELA) project, we conducted a rapid qualitative evidence synthesis exploring the acceptability, feasibility and equitability of this intervention for preterm and LBW babies.Setting: We included studies conducted in SA.Methods: We searched PubMed and Embase until 15 September 2023 and identified eligible studies independently and in duplicate. We synthesised evidence using thematic analysis, assessed study quality using an adaptation of the Critical Appraisal Skills Programme tool and assessed confidence in the review findings using GRADE-CERQual.Results: The 16 eligible studies included diverse settings and populations in SA. Factors facilitating mothers’ acceptance included the knowledge and skills gained, the psychosocial support offered and improved healthcare access and relationships with facility staff. Distrust in LHWs and stigma associated with home visits were barriers to acceptance. Lay health workers’ acceptance was facilitated by them feeling empowered. The emotional burden of home visits for LHWs, coupled with insufficient training and support, undermined the feasibility of home visits.Conclusion: A complex range of interacting contextual factors may impact on the implementation of home visit programmes for preterm and LBW infants in SA.Contribution: This country profile provides insights into how home visits for preterm and LBW infants in SA might be contextually tailored to increase local relevance and in turn effectiveness, with potential relevance for other African countries.
The garden city as a commons: Social-ethical perspectives on the new housing question
Authors: Meireis Torsten , Johrendt Lukas 
Published: November 2024

Europe faces a severe shortage in affordable housing. Even though the situation is less dire than in many cities of the Global South, rising rents and real estate prices affect the poorest hardest. Faith-based organisations, especially Christian churches, have monitored and tackled this problem for more than six decades.Intradisciplinary and/or interdisciplinary implications: The paper discusses this issue from a social-ethical perspective featuring the example of Germany. It depicts the role of the churches, scrutinises the causes of the shortage, explains the situation as a problem of justice and presents an urban vision inspired by Christian tradition, namely the garden city as a commons. In a mixed motives approach, it presents concrete policy suggestions to improve the situation.
Mobilisation of Berea Baptist Mission Church’s assets towards ‘Just housing’ in Johannesburg: An oikomissiological perspective
Authors: Mangayi Lukwikilu C. 
Published: November 2024

Housing is one of the greatest needs that African immigrants confront in Johannesburg’s inner city, South Africa. One of the reasons for the manifestation of shortage of housing correlates with the large-scale and uncontrollable migration, which has occurred over the past three decades or so. This mass migration, predominantly of black Africans, has drastically reconfigured the demographics of Johannesburg’s inner city. Unfortunately, most African migrants and refugees who happened to be foreigners find that they are excluded from the benefits of housing services. This reality brings into focus one of the socio-economic gaps and class realities of cities, that is, most of the urban migrants, specifically in the Johannesburg inner city are poor. Berea Baptist Mission Church (BBMC) ministers daily to this volatile vulnerable ’rightless‘ migrant community.Intradisciplinary and/or interdisciplinary implications: In this article, the author argues for ways that BBMC can mobilise its assets towards formulating and reimagining new conditions under which affordable, sustainable and aesthetically attractive housing in an urban environment such as Johannesburg’s inner city is feasible. Insights from the ‘oiko-missiological perspective’ are helpful in this process of formulation and reimagination of new conditions towards ‘just housing’ in Johannesburg’s inner city.
Effectiveness of Three-dimensional Cardiac Computed Tomography Scan in Congenital Heart Surgery–An Impact on Diagnostic Performance and Surgical Management
Authors: Kumar Alok , Ganguly Monalisha , Dhanalakshmi B , Chakrabarti Ritwik , Mishra Arvind , Tiwari Nikhil 
Published: November 2024

ABSTRACT

Background:
Recent advances in gated cardiac contrast-enhanced computed tomography (CECT) with anesthesia support, enhance the imaging performance in congenital heart disease (CHD). 3D reconstruction of the CECT image is a novel modality that could help manage pediatric cardiac patients.

Methods:
A retrospective study of children diagnosed with CHD presenting for surgical intervention (n = 139) was carried out at our cardiac surgical center. Primary diagnosis was established by transthoracic echocardiography. Analysis of all data and reports including echocardiography, cardiac CECT, operative notes, and medical documents were performed to determine the impact of cardiac 3D CECT concerning the following: supporting the primary diagnosis, providing relevant diagnostic information, prompting management changes, cardiac catheterization or interventions.

Results:
Forty-eight children underwent cardiac CECT scans and 3D reconstruction of the images over one year. The indications of 3D CECT included suspicion of extracardiac shunt, delineation of vascular anatomy, and intracardiac structure extent identification. With cardiac 3D CECT, every patient’s primary diagnostic question was answered with ease. Moreover, the accuracy of the diagnosis gave increased confidence among surgeons in the procedures they performed. 3D Cardiac CECT brought a change in the surgical management in 35.4% of scans, there was percutaneous intervention in 12.55% and surgery was abandoned and changed to medical management in 48%.

Conclusions:
For children reported with complex CHD, it was evident that cardiac 3D CECT in selected patients was accurate, supported the primary diagnostic questions in almost all cases, and aided in optimization that further had an impact on surgical intervention and management.
Clinical Benefits of Parasternal Block with Multihole Catheters when Inserted before Sternotomy
Authors: Eljezi Vedat , Jallas Crispin , Pereira Bruno , Chasteloux Melanie , Dualé Christian , Camilleri Lionel 
Published: November 2024

ABSTRACT

Background:
The aim of this study was to assess whether parasternal block with multihole catheters inserted before surgical incision enables to alleviate postoperative analgesia and opioid reduction in cardiac surgery patients with sternotomy.

Methods:
Twenty-six adult patients scheduled for cardiac surgery with sternotomy aged between 18 and 84 olds were included in this prospective, monocentric, open, single-group trial. Two parasternal multihole catheters were inserted on each side of the sternum before the surgical skin incision for cardiac surgery and 10 mL of ropivacaine 7.5 mg mL–1 was initially administered in each catheter. Local anesthetic administration followed by continued infusion at 3 mL hr–1 of ropivacaine 2 mg mL–1 per catheter for 48 h postoperatively upon patient arrival in the intensive care unit. The efficacy of the parasternal block was assessed according to a composite endpoint including pain score at rest, pain score during movements (dynamic pain), and morphine consumption over 48 hours.

Results:
The treatment failed in 11 patients and was considered effective in 15 patients. Sixteen patients out of 26 had a sternal pain score ≤≤3/10 on more than 75% of observations, and the treatment was considered successful. In 23/26 patients (88%), the mean pain score at cough was ≤≤3.5/10 and the treatment was considered successful. Morphine consumption over 48 h was significantly lower in the intervention group compared to the control group 7 mg [6; 21] versus 142 mg [116; 176] (P < 0.001).

Conclusions:
Parasternal block with multihole catheters inserted before the surgical incision is an effective technique for postoperative analgesia and opioid reduction.
Melioidosis in the head-and-neck region
Authors: Swain Santosh Kumar , Singh Vasudha 
Published: November 2024

Abstract

Burkholderia pseudomallei, an environmental saprophyte, causes an infection that results in melioidosis. A high case-fatality rate is linked to it. Melioidosis is becoming an increasingly global infection. It can present a wide spectrum of manifestations and can affect any part of the human being. The head-and-neck region is a major site of melioidosis infection. Melioidosis in the head-and-neck region is a potentially life-threatening infection. Careful clinical correlation and proper evaluation are needed to establish an early diagnosis of melioidosis. Early diagnosis and prompt treatment are very required. A high index of suspicion in susceptible patients should prompt assessment for melioidosis. The awareness of melioidosis and its clinical manifestations with early diagnosis are needed to avoid failure of treatment which may result in high morbidity and mortality. As melioidosis in the head-and-neck region is not so common, there is very less information available. Therefore, a review article on melioidosis in the head-and-neck region is written with consideration of epidemiology, aetiopathology, clinical manifestations, diagnosis, treatment and prognosis.
A qualitative ‘free-list’ analysis of the challenges in the implementation of competency-based medical education for MBBS students in a Government Medical College in Assam
Authors: Deka Chandana , Borah Madhur 
Published: November 2024

Abstract

Background:
In India, competency-based medical education (CBME) was introduced for the 2019–2020 batch of Bachelor of Medicine, Bachelor of Surgery (MBBS) students.

Methods:
The objective of this study was to identify the key challenges perceived by the medical college faculties in the implementation of the CBME curriculum for MBBS students. This was a qualitative cross-sectional study using the free-lists method to obtain data from 25 faculties about their perceptions of challenges regarding the implementation of CBME.

Results:
The most frequent items mentioned by faculty members were: less workforce, inadequate infrastructure, less training, assessment methodology and non-simplified curriculum. The challenge regarding the workforce had the highest Smith’s salience index score of 0.41, followed by inadequate infrastructure and inadequate time distribution for competencies in the curriculum.

Conclusions:
As the challenges related to the curriculum were identified, addressing them with the incorporation of local needs and aspirations is the need of the hour.
Endovascular management of Wunderlich syndrome
Authors: Mutnuru Phani Chakravarty , Devra Rahul , Dheeraj S. S. S. , Chinta Sridevi 
Published: November 2024

Abstract
Wunderlich syndrome (WS) is a spontaneous, non-traumatic retroperitoneal haemorrhage confined to the subcapsular or perinephric spaces. Various neoplastic and non-neoplastic pathologies can cause this entity, renal angiomyolipoma being the most common. Early accurate diagnosis and timely intervention are required for a favourable outcome. We present the case of a 37-year-old female with no previous comorbidities who developed severe pain in the left loin since 1 day after a fall from a chair. Ultrasonography abdomen done in outside hospital revealed massive splenomegaly with perisplenic haematoma and moderate haemoperitoneum. Contrast-enhanced computed tomography abdomen showed bilateral renal angiomyolipomas with intralesional aneurysms and active bleeding on the left side. In view of active contrast leak and fall in haemoglobin %, endovascular embolisation was done through right transfemoral arterial access. The patient was discharged in stable condition. During 1-month follow-up, the patient is asymptomatic.
A cross-sectional study on attitude towards online teaching versus classroom teaching in medical undergraduates during the COVID-19 pandemic
Authors: Reddy Gunapati Rama Mohan , Naganjani Chigurupati Venkata , Sulochana Pisipati Raja 
Published: November 2024

Abstract

Background:
The closure of educational activities in India due to the COVID-19 pandemic resulted in an unplanned shift from classroom teaching to online education. Hence, online education has become a key component in the continuity of education. Based on this, the present study aimed to explore the attitude towards online teaching versus classroom teaching amongst medical students at Siddhartha Medical College, Vijayawada.

Methods:
One hundred and thirty two 2nd year medical students participated in this online survey carried out in November 2020 after the completion of 4 months of online classes. A set of self-designed questionnaires were administered to the students, to assess their attitude towards online teaching versus classroom teaching on various parameters.

Results:
The study result shows that online classes (7.6%) were not superior to conventional classroom teachings (50.8%) and 41.7% opted for both.

Conclusions:
We could conclude from our study that students were not much satisfied with online teaching, but it was the need of the hour. Online teaching can supplement the process of present education, but it cannot be a substitute for the established system of education.