bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Promosi, Harga dan Inovasi Produk Terhadap Keputusan Pembelian Pada PT. Kedaung Medan
Authors: Azulaidin Azulaidin 
Published: September 2022

Kegiatan promosi yang dilakukan PT. Kedaung Medan Industrial Tanjung Morawa dinilai masih belum efektif. harga yang ditawarkan, konsumen merasa bahwa harga yang ditawarkan PT. Kedaung Medan Industrial Tanjung Morawa dengan harga di pasaran tidak ada perbedaan. Inovasi produk yang ada di di PT. Kedaung Medan Industrial Tanjung Morawa. Para konsumen merasa bahwa produk yang disediakan tidak mengalami perkembangan dari mulai bentuk maupun desain produk. Penelitian ini bertujuan untuk mengetahui dan menganalisis apakah promosi, harga, dan inovasi produk secara parsial dan simultan berpengaruh positif dan signifikan terhadap keputusan pembelian pada PT. Kedaung Medan Industrial Tanjung Morawa. Penelitian ini menggunakan metode penelitian kuantitatif. Populasi penelitian ini adalah konsumen PT. Kedaung Medan Industrial Tanjung Morawa dan memiliki sampel sebanyak 90 orang. Teknik analisis yang digunakan adalah analisis regresi linier berganda. Hasil penelitian diperoleh nilai f hitung adalah 956.709 dengan tingkat sig 0,000 oleh karena itu nilai sig 0,000 < 0,05 dan nilai F hitung 956.709 > F tabel 2.71 hal ini menunjukkan bahwan Ho ditolak sehingga dapat disimpulkan bahwa variabel independen X1, X2 dan X3 secara simultan berpengaruh positif dan signifikan terhadap variabel dependen Y.
Analisis Keputusan Pembelian Emina Cosmetics Di Kota Medan ditinjau Dari Produk Involvement Dan Word Of Mouth
Authors: Nasution Amrin Mulia , Isnaniah Isnaniah , Sabrina Hesti 
Published: September 2022

Penelitian ini bertujuan untuk menganalisisKeputusanPembelian Emina Cosmetics di kota Medanditinjau dariroduk Involvement dan Word Of Mouth.Metode penelitian yang dilakukan adalah penelitian asosiatif, dimana variabel diukur dengan skala likert. Metode pengumpulan data dilakukan dengan wawancara (interview), dengan daftar pertanyaan (questionnaire) dan studi dokumentasi. Populasi dalam penelitian ini adalah seluruh Konsumen produk Emina Cosmetics di kota Medan. Adapun sampel yang digunakan sebanyak 114 orang.Pengolahan data menggunakan perangkat lunak SPSS versi 23, dengan analisis deskriptif dan pengujian hipotesis analisis regresi berganda. Hasil penelitian menunjukkan bahwa: (1) secara parsial variabel Produk Involvement mempengaruhi Keputusan Pembelian Emina Cosmetics di kota Medan.(2) secara parsial variabel Word Of Mouth mempengaruhi Keputusan Pembelian Emina Cosmetics di kota Medan.(3) secara simultan terdapat pengaruh yang positif dan signifikan antara variabel Produk Involvement dan Word Of Mouth mempengaruhi Keputusan Pembelian Emina Cosmetics di kota Medan
ANALISIS PENGARUH PELATIHAN DAN DISIPLIN KERJA TERHADAP PENINGKATAN KINERJA KARYAWAN PADA PT. MEGA DUTA NIAGA MEDAN
Authors: Tampubolon Rhoni Ilham 
Published: September 2022

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh dan disiplin kerja terhadap kinerja karyawan PT. Mega Duta Niaga Medan. Jenis data dalam penelitian ini adalah penelitian asosiatif yang bersifat untuk mengetahui pengaruh atau hubungan variabel bebas dengan variabel terikat. Populasi dari penelitian ini adalah karyawan dari PT. Mega Duta Niaga Medan dengan sampel sebanyak 52 karyawan. Teknik pengambilan data berupa penyebaran kuesioner kepada karyawan kantor pada PT. Mega Duta Niaga Medan. Berdasarkan hasil uji t dapat dilihat bahwa t hitung pada variabel pelatihan sebesar 3.368 lebih besar dari ttabel 2,009 dengan probabilitas t yakni sig 0,001 lebih kecil dari batasan signifikansi sebesar 0,05. Berdasarkan nilai tersebut maka variabel pelatihan berpengaruh positif dan signifikan terhadap variabel kinerja. Pada variabel disiplin kerja sebesar 2,100 lebih besar dari t tabel 2,009 dengan probabilitas t yakni sig 0,041 lebih kecil dari batasan signifikansi sebesar 0,05, maka variabel disiplin kerja secara parsial mempunyai pengaruh positif dan signifikan terhadap variabel kinerja. Berdasarkan hasil uji F maka diperoleh nilai Fhitung 24,683 lebiha besar dari Ftabel 3,19 dengan signifikan sebesar 0.000 < 0,05, berarti pelatihan disiplin kerja secara serempak berpengaruh secara positif dan signifikan terhadap variabel kinerja . Nilai R Square yang diperoleh sebesar 0,502 Angka tersebut menunjukkan bahwa sebesar 70,8% kinerja (variabel terikat) dapat dijelaskan oleh pelatihan dan disiplin kerja. Sisanya sebesar 49,8% dipengaruhi oleh faktor-faktor lain yang tidak dijelaskan dalam penelitian ini.
PENGARUH MARKET ORIENTATION TERHADAP MARKETING COMPETENCY PADA PT. PERDAGANGAN INDONESIA
Authors: Budhiartini Dewi 
Published: September 2022

Penelitian ini dilandaskan pada pemikiran bahwa setiap perusahaan harus memiliki kompetensi dalam penjualan sehingga dapat meningkatkan kinerja pemasarannya. Kompetensi pemasaran merupakan usaha manajer untuk mengembangkan strategi pemasaran dengan menanamkan kualitas perilaku pemasaran, seperti pada persentasi penjualan. Meningkatkan kompetensi kompetensi pemasaran, diharapkan dapat meningkatkan kinerja penjualan. Untuk meningkatkan kinerja pemasaran dan kompetensinya sehingga dapat melakukan persentasi yang baik terhadap konsumen, perusahaan perlu memberikan pelatihan kepada karyawannya baik melalui sentra pendidikan, training manajemen, peningkatan pengetahuan produk melalui media dan sebagainya. Untuk memperoleh data dalam penyusunan skripsi ini, penulis menggunakan metode pengamatan (observasi) dan wawancara (interview).
Hasil penelitian yang diperoleh dan sekaligus menjadi kesimpulan penelitian ini antara lain bahwa faktor daya tanggap, jaminan, empati dan bukti fisik berpengaruh positif dan signifikan terhadap kompetensi pasar, daya tanggap merupakan yang paling dominan dalam mempengaruhi kompetensi pemasaran. Secara parsial dari variabel bebas yang diteliti ternyata hanya dimensi variabel daya tanggap dan jaminan yang mempunyai pengaruh positif dan signifikan terhadap kompetensi pasar. Melalui identifikasi determinan, didapat bahwa nilai R2 sebesar 0,410 berarti variabel bebas mampu menjelaskan terhadap variabel terikatnya yaitu kompetensi pasar sebesar 41.0% dan sisanya sebesar 59.0% dipengaruhi oleh faktor lain yang tidak dimasukkan seperti gaya hidup, motivasi, infrastuktur, dan lain-lain.
ANALISIS KEPEMIMPINAN DAN MOTIVASI TERHADAP PRODUKTIFITAS KERJA KARYAWAN
Authors: Chairy Putra 
Published: September 2022

Tujuan penelitian ini adalah untuk melihat pengaruh Kepemimpinan Dan Motivasisecara parsial dan simultan terhadap Produktifitas Kerja Karyawan PT. Sukses Cipta Abadi Medan. Populasi dalam penelitian ini adalah semua Karyawan PT. Sukses Cipta Abadi Medan dengan menggunakan sampel sebanyak 60 orang. Untuk memperoleh data dalam penyusunan penelitianini, penulis menggunakan instrumen; studi dokumentasi dan wawancara (interview), serta angket (kuesioner). Dalam menganalisis data menggunakan regresi linier berganda, uji t, uji F dan uji determinasi. Berdasarkan hasil uji hasil uji F untuk variabel Kepemimpinan Dan Motivasi, dapat disimpulkan bahwavariabel Kepemimpinan Dan Motivasisecara bersama-sama berpengaruh secara signifikan terhadap Produktifitas Kerja. Berdasarkan hasil uji t dapat disimpulkan bahwa variabel Kepemimpinan Dan Motivasi secara parsial mempunyai pengaruh yang signifikan terhadap Produktifitas Kerja
Competências do enfermeiro no cuidado ao paciente com Covid-19 em ventilação mecânica invasiva na assistência hospitalar: revisão de escopo
Authors: Frisanco Fernanda Menegatti , Barbieri Melina Renata Blascke , Gorla Bruna Caroline , Afonso Maria Gabriela , Assalin Ana Carolina Belmonte , Orlandi Fabiana de Souza , Girão Fernanda Berchelli 
Published: September 2022

Objetivo: mapear sistematicamente as competências necessárias para a atuação dos enfermeiros no atendimento aos pacientes com Covid-19 em suporte ventilatório invasivo. Metodologia: estudo de Scoping Review realizado a partir de um conjunto de técnicas para mapear sistematicamente a produção de conhecimento conforme o Reviewer's Manual for Scoping Reviews desenvolvido pelo Joanna Briggs Institute. Resultados: para a seleção dos estudos seguimos conforme o protocolo criado e anexado na plataforma OSF de acordo com as orientações e critérios do JBI; foram identificados pela busca nas bases de dados, um resultado de 2.104 estudos, esses foram enviados para o software gerenciador de bibliografias Endnote®, para organização das referências e remoção das referências duplicadas, identificando um (N) de 28 estudos duplicados e no Rayyan um (N) de 32 estudos duplicados, totalizando 60 estudos. Em seguida iniciou-se o processo de leitura de título e resumo apresentando um resultado de (N) de 2.044 estudos, foram excluídos um (N) de 1977, quantificando um (N) de 67 estudos para a leitura e análise na íntegra, após excluídos um (N) de 52 estudos, obtendo um resultado final de (N) de 7 estudos selecionados. Conclusão: Por se tratar de uma Scoping Review, esse método atende às demandas de sintetizar evidências de questões de pesquisas amplas e a confiabilidade dos seus dados. Apesar dessa metodologia não avaliar a qualidade das evidências e assim limitar-se a fornecer uma narração ou relato descritivo, acredita-se que possa contribuir com a tomada de decisões clínicas e melhoria assistencial frente a pandemia Covid-19.
Estado da arte sobre a educação ambiental na educação básica no contexto de (pós) pandemia de Covid-19: desafios e novas perspectivas de pesquisa
Authors: Sobrinho Alexsandro Carlos Guimarães , Reis Antônio Cláudio Andrade dos 
Published: September 2022

O artigo apresenta o estado da arte a respeito das publicações sobre a educação ambiental na educação básica de forma crítica trazendo reflexões sobre os impactos da Covid-19 na educação básica, assim como questões que permeiam o contexto (pós) Covid-19, através de uma metodologia teórica e conceitual desenvolvida no ano de 2022, utilizando a técnica de coleta de dados por meio de sistematização de pesquisas bibliográficas na base de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Google Scholar e Scopus, sendo que para a base de dados da Scopus foi feito um mapeamento por títulos, resumos e palavras-chave, dos descritores “Educação Ambiental” e “Educação Básica” e “Covid-19”, no recorte temporal de 2019 a 2022 com análise bibliométrica utilizando o software VOSviewer. Os resultados do estudo apresentaram um panorama de estudos atuais relacionados a temática, com eixos norteadores a Covid-19, Sistema Climático Global, Condições Globais, Educação Ambiental, População Vulnerável, Laboratório de Informática, Implementação de Políticas e Currículo. Pode-se concluir que a escola é um espaço de potencialidades para a produção de novos conhecimentos e a Educação Ambiental na Educação Básica deve apresentar caráter colaborativo e coletivo devendo ser ativa as necessidades ambientais proporcionando transformações nas relações socioambientais.
Coronary access following ACURATE neo implantation for transcatheter aortic valve-in-valve implantation: Ex vivo analysis in patient-specific anatomies
Authors: Khokhar Arif A. , Ponticelli Francesco , Zlahoda-Huzior Adriana , Chandra Kailash , Ruggiero Rossella , Toselli Marco , Gallo Francesco , Cereda Alberto , Sticchi Alessandro , Laricchia Alessandra , Regazzoli Damiano , Mangieri Antonio , Reimers Bernhard , Biscaglia Simone , Tumscitz Carlo , Campo Gianluca , Mikhail Ghada W. , Kim Won-Keun , Colombo Antonio , Dudek Dariusz , Giannini Francesco 
Published: September 2022

BackgroundCoronary access after transcatheter aortic valve implantation (TAVI) with supra-annular self-expandable valves may be challenging or un-feasible. There is little data concerning coronary access following transcatheter aortic valve-in-valve implantation (ViV-TAVI) for degenerated surgical bioprosthesis.AimsTo evaluate the feasibility and challenge of coronary access after ViV-TAVI with the supra-annular self-expandable ACURATE neo valve.Materials and methodsSixteen patients underwent ViV-TAVI with the ACURATE neo valve. Post-procedural computed tomography (CT) was used to create 3D-printed life-sized patient-specific models for bench-testing of coronary cannulation. Primary endpoint was feasibility of diagnostic angiography and PCI. Secondary endpoints included incidence of challenging cannulation for both diagnostic catheters (DC) and guiding catheters (GC). The association between challenging cannulations with aortic and transcatheter/surgical valve geometry was evaluated using pre and post-procedural CT scans.ResultsDiagnostic angiography and PCI were feasible for 97 and 95% of models respectively. All non-feasible procedures occurred in ostia that underwent prophylactic “chimney” stenting. DC cannulation was challenging in 17% of models and was associated with a narrower SoV width (30 vs. 35 mm, p &lt; 0.01), STJ width (28 vs. 32 mm, p &lt; 0.05) and shorter STJ height (15 vs. 17 mm, p &lt; 0.05). GC cannulation was challenging in 23% of models and was associated with narrower STJ width (28 vs. 32 mm, p &lt; 0.05), smaller transcatheter-to-coronary distance (5 vs. 9.2 mm, p &lt; 0.05) and a worse coronary-commissural overlap angle (14.3° vs. 25.6o, p &lt; 0.01). Advanced techniques to achieve GC cannulation were required in 22/64 (34%) of cases.ConclusionIn this exploratory bench analysis, diagnostic angiography and PCI was feasible in almost all cases following ViV-TAVI with the ACURATE neo valve. Prophylactic coronary stenting, higher implantation, narrower aortic sinus dimensions and commissural misalignment were associated with an increased challenge of coronary cannulation.
A case series of rare pathologies of the aorta and the aortic arch in adolescents and younger adults: Transfer of experience for an individualized approach
Authors: Carrel Thierry , Sharipov Islamjan , Jalilov Adham , Sromicki Juri , Vogt Paul Robert 
Published: September 2022

ObjectiveWhile aneurysm of the aortic root, interrupted aortic arch, and aortic coarctation are the most frequent aortic diseases in adolescents and younger adults, there are a number of rare pathologies of the thoracic aorta that need individualized treatment.PatientsWe present a small case series of unusual aortic pathologies in patients presenting with a broad spectrum of symptoms: tiredness, dysphagia, dyspnea, arterial hypertension, renal failure, and claudication. (1). Segmental agenesia of the descending aorta. (2). Balanced double aortic arch with complete vascular ring. (3). Right descending aortic arch, left lusorian artery with Kommerell diverticulum. (4). Large patent ductus (2.5 cm) and ventricular septal defect. (5). Aneurysm of the aortic arch in the presence of tuberous sclerosis. (6). Pseudo-aneurysm of the proximal descending aorta following coarctation patch plasty. (7). Supravalvular aortic stenosis combined with severe aortic valve stenosis. (8). Pseudo-aneurysm following ascendens-to-descendens bypass because of recurrent coarctation. (9). Takayasu arteriitis with severe stenosis in the thoraco-abdominal aorta.ResultsThe following procedures were performed, using individualized cardiopulmonary bypass, canulation and cerebral protection strategies. (1). Ascending to supraceliac extra-anatomic bypass. (2). Division of the ductus ligament and of the anterior aortic arch distally to the left subclavian artery. (3). Excision of the Kommerell diverticulum and translocation of the left subclavian artery. (4). Patch closure of the aorto-pulmonary window (patent ductus) and closure of the ventricular septal defect. (5). Complete aortic arch replacement combined with debranching of the supra-aortic vessels. (6). Graft interposition of the proximal descending aorta. (7). Enlargement of the ascending aorta and aortic valve replacement. (8). Exclusion of the pseudo-aneurysm, end-to-side graft interposition. (9). Ascending aorta to infrarenal aorta or ascending to bi-iliac artery bypass (planned). All patients were operated on without operative mortality. One patient died in-hospital from pulmonary complications one week after surgery. One patient is still awaiting surgery. All other patients recovered very well from the operation and did not show any residual symptoms.ConclusionRare pathologies of the thoracic aorta in younger patients may cause a broad spectrum of unusual symptoms; in some of them, diagnosis is delayed. Cross-sectional imaging is mandatory for optimal operative planning Surgical treatment can be performed with very satisfying results. The prognosis of these patients is usually favorable following surgery.
Impact of P2Y12 inhibitors on cardiovascular outcomes of Korean acute myocardial infarction patients with baseline thrombocytopenia
Authors: Oh Seok , Jeong Myung Ho , Cho Kyung Hoon , Kim Min Chul , Sim Doo Sun , Hong Young Joon , Kim Ju Han , Ahn Youngkeun 
Published: September 2022

BackgroundAntiplatelet therapy is crucial for managing acute myocardial infarction (AMI) and reducing adverse ischemic events after percutaneous coronary intervention (PCI) with drug-eluting stents. However, the ideal P2Y12 inhibitor for patients—particularly East Asians—with AMI and low platelet levels remains unknown. We evaluated the impact of various potencies of P2Y12 receptors on major cardiovascular outcomes of AMI patients with thrombocytopenia in Korea.MethodsWe analyzed the clinical and outcome data of 800 AMI patients with baseline platelet counts &lt;150 × 103/μL who underwent PCI between November 2011 and June 2015. All patient data were obtained from the Korea Acute Myocardial Infarction Registry–National Institutes of Health registry. Subjects were allocated to group A (n = 244; treated with potent P2Y12 inhibitors) or group B (n = 556; treated with clopidogrel). The primary endpoint was major adverse cardiac and cerebrovascular events (MACCEs).ResultsAt the 3-year follow-up, clinical outcomes appeared better in group A than in Group B. However, after propensity score weighting-adjusted analysis, these findings were statistically attenuated, showing a similar incidence of MACCEs between the two groups.ConclusionsClopidogrel may be reasonable for patients with low platelet counts and is associated with comparable outcomes to potent P2Y12 inhibitors for Korean AMI patients.
Prognostic relevance of left atrial function and stiffness in heart failure with preserved ejection fraction patients with and without diabetes mellitus
Authors: Zhu Shuangshuang , Lin Yixia , Zhang Yanting , Wang Guohua , Qian Mingzhu , Gao Lang , Ji Mengmeng , Xie Mingxing , Li Yuman , Zhang Li 
Published: September 2022

BackgroundAlthough the left atrium (LA) plays a key role in the pathophysiology and disease progression of heart failure with preserved ejection fraction (HFpEF), the impact of type 2 diabetes mellitus (T2DM) on LA function and stiffness in HFpEF patients remains unclear. Furthermore, the prognostic value of different phases of LA function and stiffness is less well-established in HFpEF patients.MethodsThis study prospectively enrolled 164 HFpEF patients who were in sinus rhythm at the time of echocardiography, including 61 (37%) HFpEF patients with T2DM. LA reservoir, conduit, and pump function were assessed using two-dimensional volume indices and speckle tracking echocardiography. The LA stiffness was calculated as the ratio of early mitral inflow velocity-to-early annular tissue velocity (E/e’) and LA reservoir function. The primary end point was a combined outcome of heart failure hospitalization or death.ResultsLeft atrium reservoir function [measured by peak LA strain (LAS-peak)] and LA pump function (measured by LAS-active) remained significantly lower in the HFpEF patients with T2DM compared with those without T2DM, even after adjustment for potential confounders. In addition, the LA stiffness of HFpEF patients with T2DM was higher than those without T2DM. After a median follow-up of 13.7 months, 46 patients (28.1%) reached the composite end point. LAS-peak (hazard ratios: 0.88; 95% confidence interval: 0.81–0.95; P = 0.001) was significantly associated with the risk of heart failure hospitalization or death after adjusting for demographic and clinical characteristics, LV global longitudinal strain, E/e’, and LA volume index. In contrast, other LA function and stiffness parameters did not independently predict the risk of adverse events. Kaplan-Meier analysis showed that HFpEF patients with T2DM and low LAS-peak (&lt;27.2%) had a significantly increased risk of heart failure-related hospitalization or death (log-rank P &lt; 0.001).ConclusionLeft atrium reservoir and pump function are impaired, whereas LA stiffness is increased in HFpEF patients with T2DM compared with those without T2DM. LAS-peak is a powerful predictor of adverse clinical outcomes and may be crucial for risk stratification in HFpEF patients with and without T2DM.
Case report: Ultrasound-Assisted endovascular therapy for carotid artery floating thrombus
Authors: Wang Peng , Wang Zhenzhen , Pan Jie , Lu Kefeng , Sun Litao , Geng Yu 
Published: September 2022

BackgroundCarotid free-floating thrombus (CFFT) is a rare but sometimes emergent condition. There has been controversy over the optimal treatment strategy. Emerging evidence suggests that endovascular thrombectomy (EVT) may be an alternative to surgery. Accurate alignment of the aspiration catheter and thrombus during EVT is critical but has, so far, remained unresolved.Case summaryThis is a rare case of CFFT presenting with acute right-sided facial droop and moderate dysarthria in a 77-year-old man. He was in sinus rhythm with a blood pressure of 110/82 mmHg. Both non-contrast CT (NCCT) and head CT angiography (CTA) were unremarkable, while whole-brain CT perfusion (WB-CTP) suggested left hemisphere core infarction. Delayed imaging of the left internal carotid system by 4D-CTA suggested severe proximal obstructive disease, as confirmed by carotid CTA and ultrasonography. The initial two aspirations under DSA were invalid due to the challenging anatomical angle between the thrombus and the catheter. The success of CFFT removal was achieved with a pressure-assisted ultrasound-guided approach that helps to compress the catheter tip toward the thrombus.ConclusionWe innovatively report a successful ultrasound-guided EVT for CFFT. Ultrasound assistance can provide quick and effective guidance and may guide tailored aspirations during EVT.