3,605 results on '"Ryan, P."'
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2. An Exploration of Business Librarian Participation in Knowledge Synthesis Reviews
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Premji, Zahra, Splenda, Ryan, and Young, Sarah
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Systematic reviews and other forms of knowledge synthesis are increasingly common in the social sciences, including in business and management research. We surveyed academic business librarians to determine the extent of their involvement, in any capacity, in knowledge syntheses. Of 71 eligible responses, 30 percent were involved in supporting knowledge synthesis, while others expressed an awareness of and interest in knowledge synthesis methods and have participated in training opportunities to support these types of projects in the future. While still nascent, knowledge synthesis support by business librarians presents potential as a new service area providing opportunities for deep engagement with faculty research.
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- 2022
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3. Preparing Counselors-in-Training for Private Practice: A Course in Clinical Entrepreneurship
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Reese, Ryan F., Young, J. Scott, and Hutchinson, Gerald A.
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To date, few scholars in counselor education have attended to the processes and impacts of introducing business related concepts within counseling curricula. The authors describe the development, implementation and evaluation of a graduate-level course titled Entrepreneurship in Clinical Settings wherein students were tasked with producing a business plan for their ideal clinical practice. Implications and recommendations are explored.
- Published
- 2013
4. Prospects for Prosperity: Rwanda and the Entrepreneurial Society
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Civic Enterprises, Hudson Institute, Streeter, Ryan, and McNaught, Mary
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Upon first examination, Rwanda does not seem an ideal place for business investment and development. It is a landlocked country, often described as the "land of a thousand hills," surrounded by neighbors at varying stages of socioeconomic progress and stagnation. Because of the underdeveloped transportation infrastructure and a lack of access to ports, doing business in Rwanda carries a remarkable cost. However, Rwanda has experienced 6.4 percent average growth in GDP between 1996 and 2006. It has seen an increase in foreign direct investment in the past several years, with $467 million in registered, planned investment across several sectors of the society in 2005, up from $232 million in 2004. Furthermore, in each of the interviews conducted for this report and according to accounts by additional thoughtful observers, Rwanda is heralded as a country where anti-corruption efforts, security and accountability are consistently at the forefront of the government's attention. Why, given the barriers to investing or conducting business in Rwanda, is the country showing such clear signs of progress? What does that progress mean for its prospects of attracting business investment from the United States? In an effort to answer that question, the authors conducted interviews with individuals both in Rwanda and the United States in both the private and public sectors, and they researched available literature and data related to the subject. The authors found that the reasons why many people are calling Rwanda a model are fairly straightforward: (1) The Kagame administration has a demonstrated commitment to cleaning up corruption and removing the usual barriers to private business investment in post-conflict and developing nations; (2) The country is intentionally promoting itself as an investment destination as a way to defy the typical donor-recipient relationship. Rwanda is clear that their own sustainable development depends not on foreign aid but on the private investment of companies in developed economies; and (3) The foregoing two factors are generating an enthusiasm among investors and businesses in developed countries that has sustained itself just long enough to signal that, if other developing nations behave similarly, investment is likely to follow. Appendices include: (1) Human Development Index; (2) Economic Indicators and Data; (3) Energy Consumption; and (4) Rwanda Interview Schedule. (Contains 24 footnotes.)
- Published
- 2008
5. Predictors of Behavioural Intention and the Mediating Effects of Hotel Virtual Reality Experience and Cognitive Absorption
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Ryan Joseph CALINAO and Ryan GAMOSO
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content quality ,system quality ,virtual reality ,ncr philippines ,pls-sem ,Hospitality industry. Hotels, clubs, restaurants, etc. Food service ,TX901-946.5 ,Business ,HF5001-6182 - Abstract
The study explores the influence of vividness, content quality, and system quality in virtual reality (VR) experiences on guests’ behavioural intentions in the hotel industry in the National Capital Region. It specifically examines how these factors affect guests’ engagement and decision-making processes. Using the Partial Least Square with Hierarchical Component Model Analysis, the results highlight the importance of immersive and high-quality VR content in enhancing guest experiences and influencing their future behaviours, such as revisiting or recommending the hotels. Additionally, the study underscores the role of system quality in ensuring a seamless and engaging VR experience. The findings through the use of the mediating effect, suggest that investment in superior VR technology can be a strategic tool for hotels to differentiate themselves in a competitive market and align with evolving consumer preferences as well as the cognitive absorption of the hotel guests.
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- 2024
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6. Pinning down the Constitution: Interactively Teaching Congress's Power, Federalism, and Constitutional Interpretation
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Emenaker, Ryan
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"Pin-the-Tail-on-the-Constitution" is an engaged-learning activity that has been conducted in 26 classes over the past four years. The activity teaches multiple themes commonly included in a variety of courses on American politics such as federalism, congressional powers, the role of the federal courts, and the relevance of the commerce clause. There are no complicated roles for students to adopt, and the activity can be completed in less than a full class session even if little preactivity preparation time is provided. This article (1) describes the simulation to allow immediate adoption by instructors teaching a variety of American politics courses, (2) explains the process of devising an engaged-learning activity, thus providing a narrative to help instructors devise their own, and (3) reports on student survey data that indicates a dramatic increase in student knowledge and understanding from participation in this activity.
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- 2014
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7. Implicaciones Éticas, Sociales y Ambientales de la Inteligencia Artificial para el Desarrollo Sostenible: Una Revisión de la Literatura
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Marena Vitola-Quintero, Nick J. Ballestas-Campo, Jonathan D. Pérez-Cerro, and Ryan N. Forbes-Santiago
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inteligencia artificial ,desarrollo sostenible ,social ,ambiental ,Military Science ,Business ,HF5001-6182 - Abstract
El presente artículo aborda el tema de la inteligencia artificial y sus implicaciones éticas, sociales y ambientales para el desarrollo sostenible y qué relación tiene entre sí. La metodología utilizada fue de tipo exploratoria con un enfoque cualitativo. En la cual se realizó una investigación exhaustiva en diferentes fuentes, artículos y base de datos cumpliendo con todos los parámetros de rigurosidad en la cual adentramos a conocer el tema ampliamente y los diferentes enfoques dados. Cabe resaltar que la inteligencia artificial ha sido una herramienta ampliamente utiliza en diversas áreas de la sociedad en cual ha tenido un impacto significativo en el desarrollo sostenible, social y ético, pero a su vez ha tenido grandes riesgos y desafíos que la humanidad ha tenido que afrontar legítimamente en el uso y paramentos en beneficio común para la sociedad. Por otro lado, es de mucha importancia cumplir las leyes y regulaciones para minimizar los riesgos éticos que puedan ocurrir en el desarrollo, implementación y usabilidad de esta tecnología de manera justa, responsable y transparente para evitar posibles amenazas. Por último, en términos ambientales la (IA) ha contribuido en la conservación de la biodiversidad con el objetivo de potenciar y gestionar la sostenibilidad ambiental en la mitigación de problemas ambientales a nivel mundial. Para lograr el desarrollo sostenible, estos impactos éticos, sociales y ambientales deben abordarse para garantizar que la inteligencia artificial se utilice de manera justa y responsable y contribuya al bienestar social y la protección ambiental.
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- 2024
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8. The Business of Art Education: Friend or Foe?
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Shin, Ryan
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Franchised art instruction businesses are not necessarily the enemy of the art educator, and can even provide a mutually beneficial way to enrich school art education programs. This article explores the status of art education businesses as creative enterprises that offer art curricula for children as clients, beyond the traditional school and non-profit museum contexts, and it specifically examines the intersection and relationship between the professional discipline of art education and the business of art education. The author focuses in greater depth on the new and emerging art education business service--art education franchises. The business model of art education franchises explored in this paper involves organizations or enterprises that develop their own art programs, recruit clients (children and adults), and deliver a standardized art curriculum while devising marketing strategies and regularly assessing their program's effectiveness via client surveys and testimonials. Art education services provided by these organizations or companies are gaining widespread attention and popularity within many U.S. communities, just as 3R tutoring services and other creative enterprises (dance, music, gymnastics, and martial arts) have increased in number and diversity. In particular, the author shares their educational content, discusses the significance of their success as art education partners, and identifies several concerns or cautions relevant to their strengths and weaknesses as providers of quality art education.
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- 2012
9. Business-IT Alignment Maturity: The Correlation of Performance Indicators and Alignment Maturity within the Commercial Airline Industry
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Ryan, Timothy K.
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During the period from 1978 to 2009, more than 200 commercial airlines were forced to merge, cease operations, or file for bankruptcy protection. The purpose of this quantitative study is to evaluate the global commercial airline industry from an IT-business alignment perspective and correlate the alignment maturity level of each airline with their respective performance metrics. The performance metrics selected as part of this study include (a) classical accounting and financial metrics, (b) operational metrics which are capable of acting as a proxy for customer satisfaction, and (c) airline characteristic measures. Eleven airlines were examined as part of this study using the constructs which were evaluated as part of previous research using the strategic alignment maturity (SAM) model survey. The SAM assessment instrument consists of five levels of maturity, each evaluated on six criteria. Findings were identified in two performance areas. In the area of financial performance, a statistically significant correlation was identified with the overall strategic alignment maturity level, as well as two of the six IT-business strategic alignment criteria: (a) communication maturity and (b) competency and value maturity. In addition, a statistically significant correlation was identified between an airline's average load factor and its strategic alignment maturity level, as well as four of the six IT-business strategic alignment criteria: (a) competency and value maturity (b) governance maturity, (c) partnership maturity, and (d) scope and architecture maturity. In conclusion, five of the six criteria indicated a positive correlation with either financial performance or average load factor. The lack of a demonstrated correlation between an airline's strategic alignment maturity and fleet size provides an opportunity for recommended future research. Future studies should consider controlling for fleet sizes within specific ranges. Finally, with 11 airlines representing four countries it is difficult to observe differences which might be present across national boundaries. These differences, if present, could have been a source of error in this study and is therefore recommended as an opportunity for further study. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]
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- 2010
10. Social Enterprise and the Measurement of Social Value: Methodological Issues with the Calculation and Application of the Social Return on Investment
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Ryan, Patrick W. and Lyne, Isaac
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This article considers the methodological challenge of quantifying the social value generated through social enterprise activity. It argues that in the context of increasing enthusiasm for social enterprise as a mechanism for delivering social services and for tackling social exclusion, it is increasingly necessary to be able to value social impacts. Further it will be necessary to be able to assess the potential creation of social value from different investments in social enterprise. Specifically, this article considers methodology of social return on investment (SROI). SROI has become increasingly promoted in both policy and practice in the United States and the United Kingdom. This article considers the development of this methodology and draws on lessons from international development to highlight the limitations of the current use of SROI. (Contains 1 figure, 2 tables and 10 notes.)
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- 2008
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11. Reaching the Promised Land: Can Social Enterprise Reduce Social Exclusion and Empower Communities?
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Toner, Anna, Lyne, Isaac, and Ryan, Patrick
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In the United Kingdom, social enterprise is promoted as a mechanism to capture the supposed innovation and dynamism of the private sector to (amongst other things) wean "Third Sector" organisations off their dependence on grants and to offer opportunities to "empower" socially excluded communities. In this article, we place current debate (on the potential of social enterprise to meet social needs) in the context of theoretical approaches to the role of the state. Whilst acknowledging some potential for social enterprise to play such a role, we examine the challenges that this entails. We draw on discussions from International Development, particularly in relation to microfinance and community-managed service delivery, in order to question some of the assumptions made in relation to the supposed transformative power of social enterprise, which in turn identifies issues of scale, sustainability, processes of inclusion/exclusion and appropriate external support as crucial factors.
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- 2008
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12. The Organizational Performance of Learning Companies: A Longitudinal and Competitor Analysis Using Market and Accounting Financial Data
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Goh, Swee C. and Ryan, Peter J.
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Purpose: A growing body of literature on organizational learning suggests that companies or organizations with a learning capability can gain a competitive advantage. The argument is that learning organizations are better at knowledge transfer and generating new knowledge to solve problems. The objective of this study is to examine empirically if learning companies are more competitive and better performers than their competitors. Design/methodology/approach: This study examines a portfolio of learning companies and a set of their competitors, looking at their financial performance over a significant period. Learning companies were selected based on content analysis of the published literature. Competitors were selected from an existing top 500 companies listing matched to the learning company's business domain. This study compares their performance using both market and accounting financial data. Findings: The data show that learning companies demonstrate strong performance in financial markets over time, beating the traditional market indexes in both bull and bear markets. The accounting data show similar results. On a majority of the financial measures, the long-term financial performance of learning companies is significantly superior to that of their closest competitors. Research limitations/implications: This study discusses and explores the implications of these results in studying the link between learning companies and organizational performance. A limitation of the study is the small sample size of learning companies in the study. Also some potential alternative explanations for their performance cannot be completely ruled out due to the longitudinal nature of the study. Originality/value: This study shows that there is a positive link between learning capability and competitive advantage, as measured by long-term market financial performance of a group of learning companies.
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- 2008
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13. An Inclusive Civil Society Dialogue for Successful Implementation of the EU HTA Regulation: Call to Action to Ensure Appropriate Involvement of Stakeholders and Collaborators
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Thomas Desmet, Elaine Julian, Walter Van Dyck, Isabelle Huys, Steven Simoens, Rosa Giuliani, Mondher Toumi, Christian Dierks, Juliana Dierks, Antonella Cardone, Francois Houÿez, Mira Pavlovic, Michael Berntgen, Peter Mol, Anja Schiel, Wim Goettsch, Fabrizio Gianfrate, Stefano Capri, James Ryan, Pierre Ducournau, Oriol Solà-Morales, and Jörg Ruof
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EUHTA ,health policy ,health technology assessment ,stakeholder involvement ,Public aspects of medicine ,RA1-1270 ,Business ,HF5001-6182 - Abstract
Objectives: Stakeholder involvement has long been considered a success factor for a joint European health technology assessment (HTA) process, and its relevance is now anchored in the EU HTA Regulation’s (EU HTAR) legislative wording. Therefore, we aimed to explore the roles, challenges, and most important activities to increase the level of involvement per stakeholder group. Methods: At the 2022 Fall Convention of the European Access Academy (EAA), working groups addressed the involvement of patients, clinicians, regulators, health technology developers (HTD), and national HTA bodies and payers within the EU HTA process. Each working group revisited the pre-convention survey results, determined key role characteristics for each stakeholder, and agreed on the most important activities to fulfill the role profile. Finally, the activities suggested per group were prioritized by plenary group. Results: The prioritized actions for patients included training and capacity building, the establishment of a patient involvement committee, and the establishment of a patient unit at the EC secretariat. For clinicians, it included alignment on evidence assessment from a clinical vs. HTA point of view, capacity building, and standardization of processes. The most important actions for regulators are to develop joint regulatory-HTA guidance documents, align processes and interfaces under the regulation, and share discussions on post-licensing evidence generation. HTDs prioritized scientific advice capacity and the review of the scoping process, and further development of the scope of the assessment report fact checks. The top three actions for national HTA bodies and payers included clarification on the early HTD dialogue process, political support and commitment, and clarification on financial support. Conclusions: Addressing the activities identified as the most important for stakeholders/collaborators in the EU HTA process (e.g., in the implementation of the EU HTA Stakeholder Network and of the guidance documents developed by the EUnetHTA 21 consortium) will be key to starting an “inclusive civil society dialogue”, as suggested by the European Commission’s Pharmaceutical Strategy.
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- 2024
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14. Factors influencing Fintech adoption for women in the post-Covid-19 pandemic
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Alghifari Mahdi Igamo, Ryan Al Rachmat, Muhammad Ichsan Siregar, Mohammed Ibrahim Gariba, Vivian Cherono, Andi Sri Wahyuni, and Budi Setiawan
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Fintech ,Digital financial literacy ,Post-Covid-19 pandemic ,Gender equality ,UNSDG5 ,PLS-MGA ,Management. Industrial management ,HD28-70 ,Business ,HF5001-6182 - Abstract
Understanding the factors influencing women in adopting and utilizing financial technology (Fintech) services will not only contribute to reduce the gender gap but will also accelerate financial inclusion. The main objective of this research is to examine the antecedents of behavioral intention and use behavior by extending the Technology Acceptance Model (TAM) of women in Indonesia, considering the mediating effect of government support, digital financial literacy and value of status quo in post-Covid-19 pandemic. Further, this study explores the potential differences in the determinants of use behavior between urban and rural respondents. By analyzing 403 Indonesian women respondents using Partial Least Square Structural Equation Modeling (PLS SEM), this study revealed that attitude has the most significant effect in explaining behavioral intention and value of status quo gained the greatest impact on use behavior in post-Covid-19 outbreak. Government support and digital financial literacy play a significant role with small effect size, while value of status quo has large effect size, in mediating the relationship between behavioral intention and use behavior. The finding also documented that the impact of government support on use behavior differs between urban and rural individuals. These findings highlight the need for a different government strategy to increase Fintech adoption for women residing in both urban and rural areas in Indonesia.
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- 2024
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15. Systematic literature review of Critical success factors on enterprise resource planning post implementation
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Zenfrison Tuah Butarbutar, Putu Wuri Handayani, Ryan Randy Suryono, and Wahyu Setiawan Wibowo
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enterprise resource planning ,ERP ,post-implementation ,success factor ,CSF ,systematic literature review ,Business ,HF5001-6182 ,Management. Industrial management ,HD28-70 - Abstract
AbstractFollowing the implementation of Enterprise Resource Planning (ERP) systems, a myriad of challenges and issues may manifest, leading to inefficiencies and resistance from users, thereby impeding the anticipated benefits. While previous researchers have predominantly directed their attention toward the implementation phase, it is imperative to recognize the significance of the post-implementation phase in the ERP adoption process. This study aims to ascertain the critical success factors (CSFs) that contribute to the seamless integration of an ERP system into an organization’s operational processes post-implementation. To achieve this objective, a systematic literature review (SLR) was conducted between September and December 2022, employing the Kitchenham approach (2007) as the guiding methodology. The SLR was meticulously structured and comprised three principal phases: planning, execution, and reporting. After thoroughly assessing 26 articles from reputable sources, we successfully pinpointed 13 CSFs relevant to ERP post-implementation and grouped into the Technology-Organization-Environment (TOE) framework. The three most pivotal CSFs emerged as continuous system integration, post-implementation training, and active user participation. Among these CSFs, a remarkable discovery surfaced, highlighting the predominance of environmental and organizational factors over technological ones. Consequently, this research offers both practical and theoretical implications for organizations, enabling them to proactively address potential challenges that may arise after ERP implementation.
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- 2023
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16. The role of stakeholder involvement in the evolving EU HTA process: Insights generated through the European Access Academy’s multi-stakeholder pre-convention questionnaire
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Lauren Van Haesendonck, Jörg Ruof, Thomas Desmet, Walter Van Dyck, Steven Simoens, Isabelle Huys, Rosa Giuliani, Mondher Toumi, Christian Dierks, Juliana Dierks, Antonella Cardone, Francois Houÿez, Mira Pavlovic, Michael Berntgen, Peter G.M. Mol, Anja Schiel, Wim Goettsch, Fabrizio Gianfrate, Stefano Capri, James Ryan, Pierre Ducournau, Oriol Solà-Morales, and Elaine Julian
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EUHTA ,Health policy ,Stakeholder involvement ,Health technology assessment ,Public aspects of medicine ,RA1-1270 ,Business ,HF5001-6182 - Abstract
ABSTRACTInvolvement of all relevant stakeholders will be of utmost importance for the success of the developing EU HTA harmonization process.A multi-step procedure was applied to develop a survey across stakeholders/collaborators within the EU HTA framework to assess their current level of involvement, determine their suggested future role, identify challenges to contribution, and highlight efficient ways to fulfilling their role. The ‘key’ stakeholder groups identified and covered by this research included: patients‘, clinicians‘, regulatory, and Health Technology Developer representatives. The survey was circulated to a wide expert audience including all relevant stakeholder groups in order to determine self-perception by the ‘key’ stakeholders regarding involvement in the HTA process (self-rating), and in a second, slightly modified version of the questionnaire, to determine the perception of ‘key’ stakeholder involvement by HTA bodies, payers, and policymakers (external rating). Predefined analyses were conducted on the submitted responses.Fifty-four responses were received (patients 9; clinicians: 8; regulators: 4; HTDs 14; HTA bodies: 7; Payers: 5; policymakers 3; others 4). The mean self-perceived involvement score was consistently lower for each of the ‘key’ stakeholder groups than the respective external ratings. Based on the qualitative insights generated in the survey, a RACI Chart (Responsible/Accountable/Consulted/Informed) was developed for each of the stakeholder groups to determine their roles and involvement in the current EU HTA process.Our findings suggest extensive effort and a distinct research agenda are required to ensure adequate involvement of the key stakeholder groups in the evolving EU HTA process.
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- 2023
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17. Sorghum Sticks (Sorghum bicolor) with Added Protein Source: Dumbo Catfish Meal (Clarias gariepinus)
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Endang Noerhartati, Ryan Rahardiantoro, and Tri Rahayuningsih
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Sorghum sticks, catfish meal dumbo, Protein sources, Selected treatment, and Financial Feasibility ,Business ,HF5001-6182 - Abstract
Purpose: The study aims to determine the combination of selected treatments in the proportion of sorghum flour: wheat and the amount of dumbo catfish meal and the financial feasibility of the sorghum stick business. Design/methodology/approach: The study used a Group Randomized Design (RAK) factorial pattern with factor (P) proportion of sorghum flour: wheat (P1 = 25:75, P2 = 50:50, and P3 = 75:25) and factor (K) concentration of dumbo catfish meal (K1 = 20% and K2 = 30%), with three repeats. Observations in the study include analysis of protein, fat, water, ash, total and carbohydrate levels, yield tests, developmental tests, and organoleptic tests, including preferences for colour, aroma, taste, crispness, and texture. Data processing of protein, fat, water, ash, carbohydrate, yield, and growth values is analyzed using fingerprints (ANOVA). If there is a fundamental difference, it will be continued with the Duncan test with a confidence level of 95%. Organoleptic test data uses the Friedman test. Alternative selection is done to determine the selected treatment using the Expected Value method. The Weight test method is carried out to determine the importance of the weight of each parameter. The financial feasibility of the sorghum stick business in this study uses the BEP (Break Even Point), NPV (Net Present Value), IRR (Internal Rate of Return), and PP (Payback Period) methods. Findings: Based on the study's results, the P1K2 treatment (proportion of sorghum flour: wheat flour 40:60 and dumbo catfish flour concentration 30%) became the selected treatment with an expectation value of 8.20. This treatment yields 74.92%, water content 12.59%, ash content 3.65%, protein content 8.99%, fat content 19.49%, carbohydrate content 55.28%, and development power 95.58%. It has a total percentage of liking for colour 96.7%, aroma 94.5%, taste 88.9%, and texture 98.9%. The results of the financial analysis of sorghum sticks are worthy of development, with BEP parameters of 20,623 packs equivalent to IDR 408,294,154.00, NPV of IDR 116,980,531.71, IRR reaching 17.79%, PP 3 years 3 months. Research limitations/implications: This research is specifically for the development of a sorghum stick product entrepreneurial with Added Protein Source: Dumbo Catfish Meal (Clarias gariepinus) Practical implications: The development of sorghum-based entrepreneurship products must continue to be promoted to continue to support food security
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- 2023
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18. Pengaruh Brand Awareness dan Persepsi Label Halal Terhadap Keputusan Pembelian Produk Personal Care Bagi Pria
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Irfan, Novi Safriani, Indri Puspita Sari, and Ryan Moulana
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Business ,HF5001-6182 - Abstract
The purpose of this study was to determine the effect of brand awareness and perceptions of halal label on purchasing decisions for personal care products among students at the Syiah Kuala University (USK). The research was conducted in July - October 2022. This research used a quantitative descriptive method, using a purposive sampling technique. The number of samples was 100 student respondents at USK who had used Kahf's personal care products. The instrument used is a questionnaire that has been tested for validity and reliability. The analytical method used is the classical assumption test analysis and multiple linear regression analysis. Data processing was carried out using SPSS software program version 25. The research data was normally distributed, and there were no symptoms of multicollinearity and heteroscedasticity. The results showed that brand awareness and perceptions of halal label have a posive and significant effect on purchasing decisions for personal care products, either partially or both simultaneously. Regarding the brand awareness variable, the existence of the product is realized mainly from advertising, easy to find, and because of its variety. Meanwhile, in the halal label perceptions variable, consumers trust the product because of the halal label, the guarantee of halalness and the guarantee of being free from the use of haram ingredients. The results of the coefficient of determination test show that the decision to purchase personal care products can be explained by brand awareness and perceptions of halal labels by 53.3%, while the remaining 46.7% is explained by other variables not examined in this study. Keywords: brand awareness, consumer perception, halal label, personal care, purchasing decisions
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- 2024
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19. Selling the Future : Community, Hope, and Crisis in the Early History of Japanese Life Insurance
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Moran, Ryan and Moran, Ryan
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- 2024
20. Mediation Role of Work Flexibility on the Linking of Work Family Conflict and Job Satisfaction
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Ryan Basith Fasih Khan
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job satisfaction ,work family conflict ,work flexibility ,Business ,HF5001-6182 ,Management. Industrial management ,HD28-70 - Abstract
This study investigates the direct and indirect effect of work family conflict on job satisfaction. As a novelty of the research, the researcher added the work flexibility variable as a moderating variable. This study uses quantitative analysis using a questionnaire as a research instrument which is distributed to as many as 113 respondents online. The sampling technique is purposive sampling. Respondents in this study were banking employees who were married. After the data is collected, then quality testing is carried out using validity and reliability tests. Furthermore, hypothesis testing using SEM-PLS with the smartpls program. The results showed that work family conflict can reduce job satisfaction, work flexibility can affect job satisfaction. As well as moderating work flexibility in the relationship between work family conflict and job satisfaction. It is hoped that further researchers can add the age control variable.
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- 2022
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21. Last-Mile Capacity Constraints in Online Grocery Fulfilment in Great Britain
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Ryan Urquhart, Andy Newing, Nicholas Hood, and Alison Heppenstall
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e-commerce ,capacity ,logistics ,grocery retail ,home delivery ,last mile ,Business ,HF5001-6182 - Abstract
Forecast growth in e-commerce home-delivery demand provides retailers with opportunities for expansion and increased levels of investment. To maximise these growth opportunities, retailers face operational and logistical challenges related to order fulfilment and the last mile. In contrast to other sectors, many grocers operate a store-based delivery model rather than a separate distribution channel. Under this model, orders are picked from store shelves and store-based fleets of delivery vehicles are used for last-mile fulfilment (delivery to the consumers’ home). With very rare access to commercial data from Sainsbury’s, the second largest grocer in Great Britain, we analyse the geographical variations of online groceries fulfilment capacity at store, region, and rural–urban geography levels, exploring the interrelated impact of capacity constraints related to storage and delivery in limiting the further growth of these services. The spatial extent of delivery service areas are found to considerably vary between stores and the existing store network presents barriers to further capacity expansion in some regions. We argue factors associated with the last mile are an important capacity constraint/enabler in the e-groceries sector and suggest that the effective expansion of these services requires further research into online service area delineation to maximise delivery efficiency and capacity. The approach used here is readily transferable to other online service delivery providers in both GB and elsewhere.
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- 2022
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22. Loyalitas Konsumen Plant-Based Meat Alternatives: Pengaruh Motivasi dan Subjective Well-Being
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Falih Ryan Dharmawan Putra and Yeshika Alversia
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Business ,HF5001-6182 - Abstract
In Indonesia, the number of vegetarians and vegetarian restaurants selling meat-free, plant-based alternatives, is growing. This is due to consumer encouragement and awareness of the benefits of eating healthier meals. There are, however, various more reasons why consumers should consume alternative meats. The aim of this study was to assess the influence of push and pull motivation on consumer loyalty by examining the subjective well-being of Indonesian vegetarian consumers who had ingested vegetable-based alternative meats. Quantitative research was conducted by delivering questionnaires online to 204 respondents. The study's findings indicate that both push and pull motivation have a positively significant influence on subjective well-being, with the push motivation component having a larger effect. Mood, that carries the highest loading factor value of 0.846, has the greatest influence on push motivation. Natural content, with a loading factor value of 0.808, is the dimension with the greatest influence on pull motivation. Loyalty is also significantly influenced by the two components of subjective well-being, perceived vitality, and affective well-being. The significance of this research is that it will serve as a reference for company management and marketers in developing a promotion strategy for plant-based meat products based on Indonesian vegetarian consumers. Keywords: loyalty, meat alternatives, motivation, plant-based, subjective well-being
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- 2023
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23. Faktor-faktor yang Memengaruhi Pengambilan Keputusan Terhadap Klaim Jaminan Hari Tua
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Ryan Ramanda Nasution, Ma’mun Sarma, and Anggraini Sukmawati
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Business ,HF5001-6182 - Abstract
The tendency of early claim insurance for old age benefit (JHT) causes concerns in the social security system in Indonesia because it can eliminate regeneration in old age and reduce the living standards of the elderly. This study aims to analyze the influence of participants regarding the perception of JHT policy, participants trust information intervention, social security literacy, and financial literacy on the decision to postpone JHT's claims. The design of this study is a quantitative and cross-sectional study to analyze various variables in the study. The sample was determined by random sampling, with 229 respondents being active participants of BPJS Ketenagakerjaan but were detected to have made JHT claims before. Google Form is used to collect questionnaire data that is further analyzed descriptively and using Structural Equation Modeling (SEM) with the help of SMARTPLS software. Analysis using SMARTPLS obtains findings that variables that significantly positively affect decisions to delay claims are perception variables regarding policies, trust, information interventions, and social security literacy. Whereas financial literacy has no significant effect on the decision to postpone claims. Furthermore, BPJS Ketenagakerjaan as Indonesian social security bodies needs to conduct massive socialization and education to increase participants' trust and knowledge about the benefits of the JHT program if deposited so that JHT can return to the proper philosophy. Keywords: decision making, employment social security, information intervention, policy perception
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- 2023
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24. Pengaruh profitabilitas, solvabilitas, likuiditas dan audit tenure terhadap audit report lag dengan komite sebagai pemoderasi
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Ryan Rich Tampubolon and Valentine Siagian
- Subjects
profitability ,solvability ,liquidity ,audit tenure ,audit report lag ,audit committee ,Business ,HF5001-6182 - Abstract
This study aims to examine empirical evidence regarding the effect of profitability, solvency, liquidity, and audit period on the audit report with the audit committee as a moderating variable. This research was conducted by a quantitative method with a descriptive approach. The population in this study are property, real estate, and construction companies listed on the Indonesia Stock Exchange (BEI) in 2016-2019. The sampling method used was the purposive sampling method. The sample in this study was 184 firm year observations. Data analysis used multiple linear regression analysis and moderated regression analysis with interaction test. The results of this study indicate that profitability has a significant negative effect on audit report lag, solvency has a significant negative effect on audit report lag, liquidity has a significant positive effect on audit report lag, and audit tenure has a significant positive effect on audit report lag. The audit committee as a moderating variable strengthens all independent variables on the dependent variable. For further researchers, it is recommended to increase the sample size and expand the object of research by researching sectors that have more companies and also increasing the period of research.
- Published
- 2020
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- View/download PDF
25. Citra Destinasi : Pengaruhnya terhadap Kepuasan dan Loyalitas Wisatawan yang Berkunjung ke Gunung Bromo
- Author
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Syarif Hidayatullah, Irany Windhyastiti, Ryan Gerry Patalo, and Ike Kusdyah Rachmawati
- Subjects
affective image ,cognitive image ,destination image ,loyalty ,satisfaction ,unique image ,Business ,HF5001-6182 - Abstract
The purpose of this study is to determine the effect of destination images consisting of cognitive images, unique images and affective images on loyalty through visitor satisfaction at Mount Bromo natural tourism destinations. This type of research is explanatory research and data collection techniques through questionnaires. The sampling technique uses the purposive sampling technique with the characteristics of people who have been to Mount Bromo. The sample in this study amounted to 110 respondents. The analysis technique uses hypothesis testing and the two model multiple regression test. Results of research show that cognitive imagery, unique imagery and affective imagery have a significant effect on visitor satisfaction, furthermore cognitive imagery and affective imagery have a significant effect on visitor loyalty while unique images have no significant effect on visitor loyalty. If seen from the indirect effect, the results of cognitive image and unique image have a significant effect on loyalty through visitor satisfaction, while affective image does not affect loyalty through visitor satisfaction.
- Published
- 2020
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26. PENGARUH KOMITMEN ORGANISASIONAL TERHADAP ORGANIZATIONAL CITIZENSHIP BEHAVIOUR DENGAN KEPUASAN KERJA SEBAGAI VARIABEL PEMODERASI
- Author
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Ni Kadek Ryan Krisjayanti and Wayan Gede Supartha
- Subjects
Business ,HF5001-6182 ,Finance ,HG1-9999 - Abstract
Penelitian ini bertujuan untuk menyelidiki peran moderasi dari kepuasan kerja pada pengaruh komitmen organisasi terhadap Organizational Citizenship Behaviour (OCB). Lokasi penelitian dipilih di Dinas Sosial Kota Denpasar. Teknik analisis data yang digunakan adalah Moderated Regression Analysis (MRA). Berdasarkan hasil analisis yang dilakukan, didapatkan hasil bahwa komitmen organisasional berpengaruh signifikan pada OCB. Demikian juga pada variabel kepuasan kerja berpengaruh pada OCB pada pegawai Dinas Sosial Kota Denpasar. Kepuasan kerja memperkuat pengaruh komitmen organisasi pada OCB. Hasil penelitian ini memberikan sebuah implikasi teoritis bagaimana pentingnya komitmen organisasional dan kepuasan kerja dapat mempengaruhi Organizational Citizenship Behaviour (OCB). Kata Kunci: Komitmen organisasi, organizational citizenship behavior, kepuasan kerja.
- Published
- 2020
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27. Relationship Between the Level of Farmer Knowledge and the Effectiveness of Farmer Card Program (Program Kartu Tani) Implementation in Semarang Regency)
- Author
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Ryan Satya Jorgi, Siwi Gayatri, and Tutik Dalmiyatun
- Subjects
effectiveness ,farmer card program (program kartu tani) ,fertilizer ,implementation ,knowledge. ,Agriculture ,Agriculture (General) ,S1-972 ,Business ,HF5001-6182 - Abstract
This research was motivated by the policies of the Central Java provincial government in overcoming the problem of distributing subsidized fertilizers through the farm card program, which in the implementation still had problems, especially at the farmer level. The study aimed to describe the implementation of Farmer Card Program (Program Kartu Tani) and to analyse the relationship between knowledge level of farmers and the effectiveness of Farmer Card Program (Program Kartu Tani) in Semarang Regency. This research was conducted from February to May 2018. Survey method was used in this study. Multistage random sampling method was used for determining respondents. Data collection was done by interview using a questionnaire. Data analysis were descriptive analysis and Rank Spearman correlation analysis using SPSS. This research showed the level of farmers knowledge about Farmer Card Program (Program Kartu Tani) was in the category of knowless. The level of effectiveness about implementation of the Farmer Card Program (Program Kartu Tani) was in the effective category. While the implementation of Farmer Card Program (Program Kartu Tani) at farmer level was effective because of the role farmer group in implementing program assisted by extension agent and related government institution although there were still face some obstacles that need to be improved to increase effectivity of farmer card implementation. There was a strong and significant relationship between the knowledge level and effectiveness of the Farmer Card Program (Program Kartu Tani), with the coefficient number 0.568.
- Published
- 2020
- Full Text
- View/download PDF
28. Faktor Keberhasilan Kritis Usaha Kuliner Berbasis Cloud Kitchen Dari Perspektif Pelaku Usaha dan Konsumen
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Christian Ryan Sugiarto, Joey Prakarsa Lastiawan, and Erlinda Nusron Yunus
- Subjects
Business ,HF5001-6182 - Abstract
Cloud kitchen is a food service business system that does not serve dine-in orders and only focuses on serving delivery. This study aims to identify the characteristics, challenges, and critical success factors of cloud kitchen-based culinary businesses. Critical success factors will be analyzed from the point of view of cloud kitchen’s tenants as well as from the consumer's point of view. The research method used is the mixed method. The research begins with a qualitative method, employing phenomenology approach. Characteristics found in the study were low cost, simpler operational activities, and unique branding. The challenges are dependency on the aggregator, profit margin, voice of customer, and branding. Meanwhile, the critical success factors identified in the study are sales promotion, food taste, brand reputation, online rating, packaging, and hygiene. Then, the research is continued by distributing questionnaires to determine the critical success factors from the consumer's perspective as the independent variable, repurchase intention as the dependent variable, and customer satisfaction as the intervening variable. The results showed a significant influence on repurchase intention of all critical success factors mediated by customer satisfaction. Critical success factors also affect repurchase intention directly except for the hygiene factor. Meanwhile, the importance of critical success factors according to the consumer's point of view from the most important factors are food taste, sales promotion, brand reputation, rating in applications, food hygiene, and product packaging. Keywords: cloud kitchen, characteristics, challenges, CSF, Mix Method
- Published
- 2023
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29. Increasing Medicaid enrollment among formerly incarcerated adults
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Burns, Marguerite E., Cook, Steven T., Brown, Lars, Tyska, Steve, and Westergaard, Ryan P.
- Subjects
Ex-convicts -- Health aspects ,Medicaid -- Usage -- Forecasts and trends ,Health services administration -- Service enhancement -- Demographic aspects ,Market trend/market analysis ,Business ,Health care industry - Abstract
Objective: To estimate the incremental associations between the implementation of expanded Medicaid eligibility and prerelease Medicaid enrollment assistance on Medicaid enrollment for recently incarcerated adults. Data Sources/Study Setting: Data include person-level merged, longitudinal data from the Wisconsin Department of Corrections and the Wisconsin Medicaid program from 2013 to 2015. Study Design: We use an interrupted time series design to estimate the association between each of two natural experiments and Medicaid enrollment for recently incarcerated adults. First, in April 2014 the Wisconsin Medicaid program expanded eligibility to include all adults with income at or below 100% of the federal poverty level. Second, in January 2015, the Wisconsin Department of Corrections implemented prerelease Medicaid enrollment assistance at all state correctional facilities. Data Collection/Extraction Methods: We collected Medicaid enrollment, and state prison administrative and risk assessment data for all nonelderly adults incarcerated by the state who were released between January 2013 and December 2015. The full sample includes 24 235 individuals. Adults with a history of substance use comprise our secondary sample. This sample includes 12 877 individuals. The primary study outcome is Medicaid enrollment within the month of release. Principal Findings: Medicaid enrollment in the month of release from state prison grew from 8 percent of adults at baseline to 36 percent after the eligibility expansion (P-value < .01) and to 61 percent (P-value < .01) after the introduction of enrollment assistance. Results were similar for adults with a history of substance use. Black adults were 3.5 percentage points more likely to be enrolled in Medicaid in the month of release than White adults (P-value < .01). Conclusions: Medicaid eligibility and prerelease enrollment assistance are associated with increased Medicaid enrollment upon release from prison. States should consider these two policies as potential tools for improving access to timely health care as individuals transition from prison to community. KEYWORDS adult, health policy, Medicaid, prisoners, substance use disorders, 1 | INTRODUCTION Formerly incarcerated adults bear a disproportionate burden of disease, including substance use disorders, (1) mental illness, (2) and HIV, (3) conditions that require timely and ongoing medical [...]
- Published
- 2021
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30. Qualitative comparative analysis: justifying a neo-configurational approach in management research
- Author
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Tobias Coutinho Parente and Ryan Federo
- Subjects
qca ,case knowledge ,causal complexity ,configurational theory ,Business ,HF5001-6182 - Abstract
Purpose – The purpose of this paper is to critically reflect and offer insights on how to justify the use of qualitative comparative analysis (QCA) as a research method for understanding the complexity of organizational phenomena, by applying the principles of the neo-configurational approach. Design/methodology/approach – We present and critically examine three arguments regarding the use of QCA for management research. First, they discuss the need to assume configurational theories to build and empirically test a causal model of interest. Second, we explain how the three principles of causal complexity are assumed during the process of conducting QCA-based studies. Third, we elaborate on the importance of case knowledge when selecting the data for the analysis and when interpreting the results. Findings – We argue that it is important to reflect on these arguments to have an appropriate research design. In the true spirit of the configurational approach, we contend that the three arguments presented are necessary; however, each argument is insufficient to warrant a QCA research design. Originality/value – This paper contributes to management research by offering key arguments on how to justify the use of QCA-based studies in future research endeavors.
- Published
- 2019
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31. PENGARUH KUALITAS PELAYANAN, KUALITAS PRODUK, DAN INOVASI PRODUK TERHADAP KEPUASAN UNTUK MENINGKATKAN LOYALITAS PELANGGAN
- Author
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Muhammad Ryan Fauzi and Kastawan Mandala
- Subjects
Business ,HF5001-6182 ,Finance ,HG1-9999 - Abstract
Kepuasan pelanggan merupakan faktor penting dalam menumbuhkan loyalitas pelanggan serta upaya yang tepat untuk menciptakan pengembangan perusahaan dalam jangka panjang. Kepuasan dapat tercipta ketika perusahaan berhasil memenuhi harapan dari konsumen yang kemudian akan menurunkan peluang keinginan pelanggan untuk beralih ke produk atau perusahaan lain, sehingga loyalitas pelanggan juga dapat terbentuk. Tujuan penelitian ini untuk menjelaskan pengaruh kualitas pelayanan, kualitas produk, dan inovasi produk terhadap kepuasan untuk meningkatkan loyalitas pelanggan. Penelitian ini dilakukan pada pelanggan CV. Bintang Harapan Kurnia di Kota Denpasar. Populasi sampel yang diambil sebanyak 100 responden, dengan metode purposive sampling. Pengumpulan data dilakukan melalui penyebaran kuesioner. Teknik analisis data yang digunakan adalah PLS versi 3.0. Berdasarkan hasil analisis, ditemukan bahwa kualitas pelayanan, kualitas produk, dan inovasi produk berpengaruh positif signifikan terhadap kepuasan pelanggan, dan kepuasan pelanggan berpengaruh positif signifikan terhadap loyalitas konsumen. Implikasi teoretis yang diperoleh adalah berupa kontribusi teori mengenai loyalitas pelanggan khususnya dalam hal komitmen, pembelian ulang, dan pemberian rekomendasi kepada pelanggan lain, sedangkan implikasi praktisnya untuk memberikan evaluasi terhadap perusahaan untuk dapat meningkatkan kualitas pelayanan, kualitas produk, serta inovasi produk agar dapat meningkatkan kepuasan pelanggan yang kemudian akan meningkatkan loyalitas pelanggan. Kata Kunci: kualitas pelayanan, kualitas produk, inovasi produk, kepuasan pelanggan, loyalitas pelanggan.
- Published
- 2019
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32. Toxicity Evaluation and Anthelminthic Property of Cebu Cinnamon (Cinnamomum cebuense Kosterm.) Leaf Extracts
- Author
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Genette Chile Bilbao, Michael Ryan Alimpoos, Jholvenjey Baguio, Stephen Sabal, Shiela Mae Ursal, and Jay P. Picardal
- Subjects
cinnamomum cebuense (kosterm.) ,toxicity study ,anthelmintic assay ,brine shrimp lethality assay ,philippine cinnamon ,Social sciences (General) ,H1-99 ,Technology (General) ,T1-995 ,Business ,HF5001-6182 - Abstract
Cinnamomum cebuense (Kosterm.) is widely known as stomachache remedy, but adverse reaction to varying amount of herbal extract has also been reported, thus, requiring toxicity-profiling studies. Here, the toxicity of C. cebuense leaf extract (CCLE) was evaluated using brine shrimp lethality assay (BSLA) and anthelminthic assay under a complete randomized design with equal replications. Results in BSLA revealed an LC50 value of 7.05 μg/ml (p≤0.05) which is considerably medium-toxic based on standard toxicity criterion. Influence on earthworm activity showed significant difference (p≤0.01) among the different concentrations of the extract (100 mg/ml, 75 mg/ml, 50 mg/ml, and 25 mg/ml) following a concentration-dependent response trend. Results suggest strong toxicity against earthworms at 75–100 mg/ml while having a moderate to weak toxicity at 25–50mg/ml. Both assays were able to elucidate toxicity of CCLE which may be due to the presence of cinnamaldehyde, the main phytochemical found in cinnamon leaves. CCLE is toxic at elevated dosages and thus warrants parallel studies using higher-vertebrate models.
- Published
- 2019
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33. Reference Check: Review of a Central Selection Method
- Author
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Johnson, Andrew F. and Terry, Ryan P.
- Subjects
Employee selection -- Methods ,Labor market -- Demographic aspects ,Hiring ,Business, general ,Business - Abstract
Introduction As workforce demographics evolve (Fry, 2018), organizations are faced with the challenge of understanding and responding to new value systems. While all generations in the workforce are similar in [...]
- Published
- 2020
34. Peran Sistem Informasi Pemasaran, Kualitas Pelayanan dan Entrepreneurial marketing serta Kepuasan Terhadap Loyalitas Generasi Milenial Berkunjung ke Tempat Wisata
- Author
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syarif Hidayatullah, ike Kusdyah Rachmawati, eko aristanto, abdul Waris, and Ryan Gerry Patalo
- Subjects
Marketing Information Systems, Entrepreneurial marketing, Loyalty and Millennial ,Business ,HF5001-6182 - Abstract
The diversity of tourist attractions in the Jatim Park Group is inseparable from entrepreneurial marketing that is applied by companies with the use of mature market research and in order to support Batu City to become an International Destination City. This study illustrates the influence of marketing information systems, service quality and customer satisfaction on customer loyalty. East Java park group with 6 reservoirs is the location of the study with a total sample of 120 people, with characteristics of millennial age samples (aged between 15-34 years). The results of the research show that the marketing information system does not directly influence loyalty but the marketing information system influences loyalty through the marketing information system, as well as the results of service quality which directly or indirectly affect customer loyalty. The entrepreneurial marketing also has a direct or non-slim influence on customer loyalty through customer satisfaction. This shows the existence of tourist attractions is very necessary the existence of product innovation and differentiation as well as informing customers with an updated marketing information system and still continuing to maintain services if visitors are already in the tourist attractions. Keywords: Marketing Information Systems, Entrepreneurial marketing, Loyalty and Millennial
- Published
- 2020
- Full Text
- View/download PDF
35. ¿De quién es la culpa? Un estudio exploratorio de las causas de la espera en los servicios Una mirada innovadora al problema persistente de la espera en el marketing de servicios
- Author
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Maria del Mar Pàmies, Gerard Ryan, and Mireia Valverde
- Subjects
tiempo de espera ,gestión de la espera ,causas de la espera ,metodología cualitativa ,Social Sciences ,Commerce ,HF1-6182 ,Business ,HF5001-6182 - Abstract
El propósito de este estudio es ofrecer una mirada innovadora al problema persistente de la espera, examinando las percepciones de los consumidores, con el fin de identificar cuáles pueden ser sus causas. La espera es un fenómeno común asociado a la provisión de bienes y servicios, que tiene unas consecuencias negativas tanto para las empresas como para los consumidores. De manera general, se ha pensado que las empresas son las culpables de la espera. Para ello, se utiliza una metodología cualitativa y los datos se han recogido a través de 19 entrevistas en profundidad y 7 diarios personales. Los resultados del estudio han demostrado que las empresas no son las únicas culpables de la espera, sino que en muchas ocasiones son los propios consumidores sus causantes, porque, por ejemplo, no están preparados para recibir el servicio o llegan todos al mismo momento. Además, se ha encontrado que cuando la espera es culpa de la empresa, esta puede deberse, por una parte, a una mala gestión (porque hay una falta de personal o porque la reducción del tiempo de espera no es la prioridad para la organización) o, por otra, a los trabajadores de la empresa (porque, por ejemplo, no están bien preparados o no están por el trabajo). Estos resultados tienen una serie de implicaciones prácticas para las empresas, ya que implican una complicación más en la gestión de la espera. Las empresas no solo tienen que esforzarse para gestionar y reducir la espera, sino que también tienen que preocuparse para que esta no se deba a causas que escapan de su control, como comportamientos o actitudes de sus trabajadores o de sus clientes.
- Published
- 2018
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36. PEMODELAN RESPON OPTIMAL KEBIJAKAN MONETER TERHADAP STABILITAS SEKTOR PERUMAHAN DAN INFLASI DI INDONESIA
- Author
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Ryan Juminta Anward, Handry Imansyah, Syahrituah Siregar, and Ruddy Syafruddin
- Subjects
Business ,HF5001-6182 ,Economics as a science ,HB71-74 - Abstract
Pengalaman krisis keuangan global yang telah terjadi menunjukkan kebijakan moneter perlu untuk memperluas tujuannya, yakni tidak hanya terpaku terhadap tujuan tradisional kebijakan moneter (inflasi) namun juga memperhatikan harga asset. Struktural Vector Autoregression (SVAR) dengan restriksi jangka pendek digunakan dalam penelitian ini untuk mengidentifikasi respon dan dampak kebijakan moneter terhadap harga perumahan dan inflasi termasuk juga variabel makro ekonomi lainnya (output dan nilai tukar) di Indonesia. Data yang digunakan dalam penelitian ini adalah data triwulan selama periode 2001Q1-2005Q4. Hasil simulasi dari model SVAR menunjukkan suku bunga kebijakan (BI Rate) berdampak signifikan terhadap harga perumahan dan tingkat inflasi. Kebijakan moneter yang dilakukan melalui perubahan BI Rate merespon secara cepat terhadap shock inflasi, output dan nilai tukar namun tidak memberikan respon terhadap fluktuasi harga perumahan. Model yang dikembangkan dalam penelitian ini juga mengindikasikan kurang efektifnya transmisi kebijakan moneter di Indonesia. Kata kunci: kebijakan moneter, harga perumahan, structural VAR
- Published
- 2017
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37. A Knowledge Concept Map: Structured Concept Analysis from Systematic Literature Review
- Author
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Philip Sisson and Julie J.C.H. Ryan
- Subjects
knowledge ,concept map ,knowledge concept map ,Management. Industrial management ,HD28-70 ,Business ,HF5001-6182 - Abstract
The purpose of this article is to present a mental model of knowledge as a concept map as an input to knowledge management (KM) investigations. This article’s extended knowledge concept map can serve as a resource where the investigation, development, or application of knowledge would be served with a broad mental model of knowledge. Previously unrelated concepts are related; knowledge concepts can sometimes be expressed as a range, i.e., certainty related states: view, opinion, sentiment, persuasion, belief, and conviction. Extrathesis is identified as a potential skill level higher than synthesis, and associated with the concepts: discovery, institution, insight (the event), revelation, or illumination that precedes innovation. Qualitative methods were used to gather and document concepts. System engineering and object analysis methods were applied to define and relate concepts. However, the theoretical sampling and theoretical saturation methods applied do not guarantee all appropriate concepts have been identified. Given the breadth, depth, and dimensionality of concepts of knowledge, later researchers may add additional concepts. This article provides evidence of additional things people know, an alternative to psychology’s acquaintanceship, understanding and placement of newer categorizations of knowledge in relation to older ones, and suggests that ranges for knowledge terms exist. This article extends the 2015 paper on this topic by: 1) taking a deeper look into epistemological terms and relationships, 2) providing contextual definitions, 3) suggesting extrathesis as an idea beyond synthesis, 4) updating the concept map; and 5) providing new insight on the overloaded knows including adding an eleventh know. It provides a much more solid basis for KM investigations than typical presentations, providing a broad understanding of knowledge that is beneficial.
- Published
- 2017
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38. Booze, Cigarettes, and Constitutional Dust-Ups : Canada’s Quest for Interprovincial Free Trade
- Author
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MANUCHA, RYAN and MANUCHA, RYAN
- Published
- 2022
- Full Text
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39. High-Throughput Measurement and Machine Learning-Based Prediction of Collision Cross Sections for Drugs and Drug Metabolites
- Author
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Dylan H. Ross, Ryan P. Seguin, Libin Xu, and Krinsky Am
- Subjects
Ions ,Databases, Factual ,business.industry ,Computer science ,Automated data processing ,fungi ,3d descriptors ,Machine learning ,computer.software_genre ,Collision ,Bottleneck ,Mass Spectrometry ,Machine Learning ,Identification (information) ,Structural Biology ,Molecular descriptor ,Ion Mobility Spectrometry ,Artificial intelligence ,business ,Throughput (business) ,computer ,Spectroscopy ,Drug metabolism - Abstract
Drug metabolite identification is a bottleneck of drug metabolism studies due to the need for time-consuming chromatographic separation and structural confirmation. Ion mobility-mass spectrometry (IM-MS), on the other hand, separates analytes on a rapid (millisecond) time scale and enables the measurement of collision cross section (CCS), a unique physical property related to an ion's gas-phase size and shape, which can be used as an additional parameter for identification of unknowns. A current limitation to the application of IM-MS to the identification of drug metabolites is the lack of reference CCS values. In this work, we assembled a large-scale database of drug and drug metabolite CCS values using high-throughput in vitro drug metabolite generation and a rapid IM-MS analysis with automated data processing. Subsequently, we used this database to train a machine learning-based CCS prediction model, employing a combination of conventional 2D molecular descriptors and novel 3D descriptors, achieving high prediction accuracies (0.8-2.2% median relative error on test set data). The inclusion of 3D information in the prediction model enables the prediction of different CCS values for different protomers, conformers, and positional isomers, which is not possible using conventional 2D descriptors. The prediction models, dmCCS, are available at https://CCSbase.net/dmccs_predictions.
- Published
- 2023
40. What Are the Risk Factors for Infection After Operative Treatment of Peritalar Fracture Dislocations?
- Author
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Henry Debell, Ryan P. McLynn, Clay A. Spitler, Michael D. Johnson, James B. Harris, Eli B. Levitt, and David A. Patch
- Subjects
medicine.medical_specialty ,Fracture Dislocation ,business.industry ,medicine.medical_treatment ,Risk of infection ,Fracture Dislocations ,Trauma center ,Retrospective cohort study ,General Medicine ,Talus ,Surgery ,Fracture Fixation, Internal ,Fractures, Open ,Treatment Outcome ,Risk Factors ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Calcaneus ,Level iii ,Fibula ,business ,Reduction (orthopedic surgery) ,Retrospective Studies - Abstract
OBJECTIVE To assess the risk factors associated with deep infection after operative treatment of peritalar fracture dislocations. DESIGN A retrospective study was performed to identify patients who had operative treatment of a peritalar fracture dislocation over an 11-year period (2008-2019). SETTING Level 1 trauma center. PARTICIPANTS Patients were identified by review of all surgical billing that included open reduction of peritalar dislocation. Minimum follow-up for inclusion was 3 months or the outcome of interest. A total of 178 patients were identified and 154 patients met inclusion criteria. MAIN OUTCOME The primary outcome was deep infection, defined as return to the operating room for debridement with positive cultures. RESULTS A total of 19 (12.3%) patients developed a post-operative deep infection. The most common associated fractures were talus (47%), calcaneus (33%), and fibula (9%). The infected group was significantly older (47.2 vs 39.5 years, p=0.03). Patients undergoing operative management for peritalar fracture dislocations with current smoking were found to have significantly higher odds of postoperative deep infection (74 vs 34%, aOR=7.4, 95% CI, 2.3-24.1, p=0.001). There was a significantly higher risk of infection in patients with a Gustilo-Anderson type 3 open fractures (32 vs 12%, aOR=5.7, 95% CI, 1.6-20.3, p=0.007). The infected group had high rates of below knee amputation when compared to the group without infection (47 vs 1%, p< 0.001). CONCLUSION In our retrospective study, risk factors for infection after peritalar fracture dislocation included older age, smoking, and Gustilo-Anderson type 3 open fracture. LEVEL OF EVIDENCE Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
- Published
- 2022
41. Racial Bias in Pulse Oximetry Measurement Among Patients About to Undergo Extracorporeal Membrane Oxygenation in 2019-2020
- Author
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Theodore J. Iwashyna, Ryan P. Barbaro, Robert P. Dickson, Valeria S.M. Valbuena, Thomas S. Valley, Dru Claar, and Michael W. Sjoding
- Subjects
Pulmonary and Respiratory Medicine ,ARDS ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,Retrospective cohort study ,Odds ratio ,Critical Care and Intensive Care Medicine ,medicine.disease ,Occult ,Hypoxemia ,Pulse oximetry ,Respiratory failure ,Internal medicine ,medicine ,Cardiology ,Extracorporeal membrane oxygenation ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background Pulse oximeters may produce less accurate results in non-White patients. Research Question Do pulse oximeters detect arterial hypoxemia less effectively in Black, Hispanic, and/or Asian patients than in White patients in respiratory failure and about to undergo extracorporeal membrane oxygenation (ECMO)? Study Design and Methods Data on adult patients with respiratory failure readings 6 h before ECMO from 324 centers, January 2019 to July 2020, were provided by the Extracorporeal Life Support Organization registry. Our primary analysis was of rates of occult hypoxemia—low arterial oxygen saturation (Sa o 2 ≤ 88%) on arterial blood gas measurement despite a pulse oximetry reading in the range of 92% to 96%. Results The rate of pre-ECMO occult hypoxemia, that is, arterial oxygen saturation (Sa o 2) ≤ 88%, was 10.2% (95% CI, 6.2%-15.3%) for 186 White patients with peripheral oxygen saturation (Sp o 2) of 92% to 96%; 21.5% (95% CI, 11.3%-35.3%) for 51 Black patients (P = .031 vs White); 8.6% (95% CI, 3.2%-17.7%) for 70 Hispanic patients (P = .693 vs White); and 9.2% (95% CI, 3.5%-19.0%) for 65 Asian patients (P = .820 vs White). Black patients with respiratory failure had a statistically significantly higher risk of occult hypoxemia with an OR of 2.57 (95% CI, 1.12-5.92) compared with White patients (P = .026). The risk of occult hypoxemia for Hispanic and Asian patients was equivalent to that of White patients. In a secondary analysis of patients with Sa o 2 ≤ 88% despite Sp o 2 > 96%, Black patients had more than three times the risk compared with White patients (OR, 3.52; 95% CI, 1.12-11.10; P = .032). Interpretation Compared with White patients, the prevalence of occult hypoxemia was higher in Black patients than in White patients about to undergo ECMO for respiratory failure, but it was comparable in Hispanic and Asian patients compared with White patients.
- Published
- 2022
42. Alimentary Tract
- Author
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William T.N. Culp, Ryan P. Cavanaugh, Earl F. Calfee, Paolo Buracco, and Tania A. Banks
- Subjects
business.industry ,Medicine ,business ,Alimentary tract - Published
- 2022
43. Association of preoperative smoking with complications following major gastrointestinal surgery
- Author
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Tiannan Zhan, Michael F. McGee, Tarik K. Yuce, David D. Odell, Ryan P. Merkow, Karl Y. Bilimoria, and Brian C. Brajcich
- Subjects
medicine.medical_specialty ,Logistic regression ,Patient Readmission ,Article ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Primary outcome ,Risk Factors ,Unplanned readmission ,Humans ,Medicine ,030212 general & internal medicine ,Digestive System Surgical Procedures ,Retrospective Studies ,business.industry ,Smoking ,General Medicine ,Surgical risk ,Acs nsqip ,Surgery ,Elective Surgical Procedures ,030220 oncology & carcinogenesis ,business ,Elective Surgical Procedure - Abstract
Background Understanding modifiable surgical risk factors is essential for preoperative optimization. We evaluated the association between smoking and complications following major gastrointestinal surgery. Methods Patients who underwent elective colorectal, pancreatic, gastric, or hepatic procedures were identified in the 2017 ACS NSQIP dataset. The primary outcome was 30-day death or serious morbidity (DSM). Secondary outcomes included pulmonary complications, wound complications, and readmission. Multivariable logistic regression was used to evaluate the association between smoking and these outcomes. Results A total of 46,921 patients were identified, of whom 7,671 (16.3%) were smokers. Smoking was associated with DSM (23.2% vs. 20.4%, OR 1.15 [1.08–1.23]), wound complications (13.0% vs. 10.4%, OR 1.24 [1.14–1.34]), pulmonary complications (4.9% vs 2.9%, OR 1.93 [1.70–2.20]), and unplanned readmission (12.6% vs. 11%, OR 1.14 [95% CI 1.06–1.23]). Conclusions Smoking is associated with complications following major gastrointestinal surgery. Patients who smoke should be counseled prior to surgery regarding risks.
- Published
- 2022
44. Treatment of intermediate-risk prostate cancer with Cs-131: Long-term results from a single institution
- Author
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Joshua L. Rodríguez-López, Ryan P. Smith, Ronald M. Benoit, Sushil Beriwal, and Ankur K. Patel
- Subjects
Male ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Brachytherapy ,Urology ,Prostatic Neoplasms ,Androgen Antagonists ,Prostate-Specific Antigen ,medicine.disease ,Androgen deprivation therapy ,Prostate-specific antigen ,Prostate cancer ,Oncology ,Cesium Radioisotopes ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,External beam radiotherapy ,Single institution ,business ,Intermediate risk ,Prostate brachytherapy ,Follow-Up Studies - Abstract
To evaluate our institutional outcomes utilizing Cs-131 prostate brachytherapy (PB) for the intermediate-risk (IR) group of prostate cancer patients.We reviewed a prospectively collected database of men treated with Cs-131 PB between 2006 and 2019. Patients with less than 24-months follow-up were excluded. Patients were classified as IR if they had one of the following factors: Gleason Score 7, prostate specific antigen10 but20 ng/mL, or T2b-c on clinical exam. We defined unfavorable-IR (UIR) as having either Grade Group 3,1 IR factors, or ≥50% positive core biopsies. The Kaplan-Meier method was used to estimate actuarial event-time probabilities for biochemical freedom from disease (BFD).A total of 335 patients with a median follow-up of 70.1 months (IQR 48.3-106.3 months) were identified. Androgen deprivation therapy (ADT) was used in 7.2% of patients. Favorable-IR (FIR) patients were commonly treated with PB alone (91.8%). FIR patients who underwent PB alone had a 5-year BFD of 98.1%. UIR patients were commonly treated with external beam radiotherapy plus PB (61.2%). These patients had 5-year BFD of 91.1%. The 5-year BFD for UIR patients treated without ADT was 90.9%, whereas it was 95.0% among UIR patients treated with ADT (log-rank p = 0.83).FIR patients have excellent outcomes when treated with PB alone. External beam radiotherapy plus PB is a reasonable treatment approach for UIR patients. Future studies may elucidate which IR patients would benefit from treatment intensification.
- Published
- 2022
45. Management of bipolar shoulder injuries with humeral head allograft in patients with active, uncontrolled seizure disorder: case series and review of literature
- Author
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Matthew W. Crozier, Michael W. Moser, Ryan P. Roach, Med Aimee M. Struk, and Thomas W. Wright
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Shoulders ,Elbow ,Diseases of the musculoskeletal system ,Epilepsy ,Shoulder dislocation ,medicine ,Bone graft ,Orthopedics and Sports Medicine ,In patient ,Shoulder instability ,Orthopedic surgery ,business.industry ,Anterior shoulder ,medicine.disease ,Seizure ,Surgery ,medicine.anatomical_structure ,RC925-935 ,Seizure Disorders ,Recurrent seizures ,Hill-Sachs lesions ,business ,human activities ,RD701-811 - Abstract
Background: The purpose of this study is to present surgical outcomes after humeral head allograft augmentation and glenoid-based procedures in patients with active, uncontrolled seizure activity and anterior shoulder instability. Methods: A retrospective review of a surgical database for patients with active seizure disorder and with recurrent shoulder instability managed with humeral head augmentation was performed. All patients underwent surgical intervention. Postoperative outcomes including Shoulder Pain and Disability Index, Simple Shoulder Test, American Shoulder and Elbow Surgeons questionnaire, and the Short Form Health Survey (SF-12) were recorded at a minimum of 2 years. We hypothesized that appropriate management of the bony defects in these bipolar injuries would result in low recurrence and satisfactory outcomes. Results: Ten patients including 8 males and 2 females (15 shoulders) with active seizure-related shoulder instability underwent surgical intervention including allograft bone grafting of the Hill-Sachs lesion for anterior shoulder instability. The average age was 27 years. All patients reported recurrent seizures postoperatively, but only one sustained a shoulder dislocation after surgery that was unrelated to seizure activity.Self-reported satisfaction was “much better” or “better” in 92% of shoulders. Average outcome scores were as follows: American Shoulder and Elbow Surgeons score = 67 (33-100), Shoulder Pain and Disability Index = 32.5 (0-83), Simple Shoulder Test = 9.4 (5-12), SF-12 PCS = 44.1 (21-65), and SF-12 MCS = 50.6 (21-61). The average follow-up was 4.8 years. Conclusion: Management of bipolar shoulder injuries with humeral head allograft augmentation and glenoid based surgery leads to low recurrence rates and good clinical outcomes in patients with uncontrolled, seizure-related shoulder instability.
- Published
- 2022
46. Incorporation of Whipstitch Suture in Tibial Interference Fixation Improves Pullout in Anterior Cruciate Ligament Soft Tissue Grafts
- Author
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Ryan P. Ponton, Kevin Taniguchi, Trevor Tompane, Ethan Bernstein, Lucas S. McDonald, and Hannah Kirby
- Subjects
Anterior cruciate ligament ,Screw fixation ,Tendons ,03 medical and health sciences ,0302 clinical medicine ,Suture (anatomy) ,Load to failure ,Humans ,Medicine ,Anterior Cruciate Ligament ,Fixation (histology) ,Orthodontics ,030222 orthopedics ,Sutures ,Tibia ,business.industry ,Tibial tunnel ,Public Health, Environmental and Occupational Health ,Soft tissue ,030229 sport sciences ,General Medicine ,Interference screws ,musculoskeletal system ,Biomechanical Phenomena ,surgical procedures, operative ,medicine.anatomical_structure ,business - Abstract
Introduction Interference screw fixation of soft tissue grafts is commonly used in anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to determine whether including suture material at the graft–screw interface affects ultimate fixation strength of soft tissue grafts using a tibialis anterior tendon allograft model. Materials and Methods Forty fresh-frozen human tibialis anterior tendon allografts were fixed to rigid polyurethane foam simulating the tibial tunnel. Twenty grafts underwent fixation with interference screws and 20 with interference bolts. Within each group, 10 grafts had suture in contact with either the screw or bolt. A load-to-failure test was then performed at a rate of 200 mm/min. Results The group of allografts with sutures in the tibial tunnel had significantly higher load to failure than the group without sutures. Using interference screw fixation, failure load of the grafts without sutures in the tunnel (535.2 ± 73.40 N) was significantly lower (P = .001) than with sutures in the tunnel (696.3 ± 110.0 N). Using interference bolt fixation, failure load of the grafts without sutures in the tunnel (613.0 ± 83.46 N) was significantly lower (P Conclusions In a biomechanical model, suture within the tibial tunnel enhances fixation strength with both interference screw and bolt fixation for soft tissue tibialis anterior allografts. Additionally, there was no difference in load to failure when comparing failure of a screw with suture in the tunnel with an interference bolt without suture. Due to improved biomechanical properties, incorporation of suture in the bone–graft interface should be considered when performing soft tissue ACL allograft reconstructions. Failure at the tibial bone–graft interface is a known complication of ACL reconstruction, and incorporation of suture within the interface should be considered for improved biomechanical properties.
- Published
- 2022
47. Improved Noise Performance of CMOS Poly Gate Single-Photon Avalanche Diodes
- Author
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M. Jamal Deen, Ryan P. Scott, and Wei Jiang
- Subjects
Physics ,Photon ,poly gate ,business.industry ,afterpulsing (AP) ,02 engineering and technology ,QC350-467 ,Optics. Light ,Atomic and Molecular Physics, and Optics ,TA1501-1820 ,guard ring ,Noise ,020210 optoelectronics & photonics ,CMOS ,dark count rate (DCR) ,0202 electrical engineering, electronic engineering, information engineering ,Optoelectronics ,Applied optics. Photonics ,Electrical and Electronic Engineering ,business ,Diode ,Single photon avalanche diode (SPAD) - Abstract
The noise performance of three types of n+/p-well single-photon avalanche diodes (SPADs) fabricated in a standard 180 nm CMOS technology is studied. The SPADs had different poly gate configurations: no poly gate (SPAD_NG), a dummy floating poly gate (SPAD_DG), and a field poly gate connected to the n+ cathode (SPAD_FG). The measurement results of dark count rate and afterpulsing showed that the SPAD_DG had better noise performance compared to the SPAD_NG. This is because the dummy poly gate pushed the shallow trench isolation away from the active region of the SPAD, thus reducing the dark noise generated from the Si-SiO2 interface. The measurement results also revealed that the noise performance can be further improved by connecting the poly gate to the n+ cathode. The voltage on the poly gate in SPAD_FG reduced the electric field in the n-well guard ring (GR) region, thus reducing the carriers from the GR region that can enter the active region of SPADs and initiate dark counts.
- Published
- 2022
48. The relationship between depression, anxiety, and pain interference with therapy referral and utilization among patients with hand conditions
- Author
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Shannon Cochrane, Ann Marie Dale, Ryan P. Calfee, and Macyn M. Stonner
- Subjects
030506 rehabilitation ,medicine.medical_specialty ,Referral ,Pain ,Hand therapy ,Physical Therapy, Sports Therapy and Rehabilitation ,Anxiety ,Logistic regression ,Article ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Patient Reported Outcome Measures ,Referral and Consultation ,book ,Depression (differential diagnoses) ,Retrospective Studies ,Depression ,business.industry ,Rehabilitation ,Retrospective cohort study ,Mental health ,Orthopedic surgery ,Physical therapy ,book.journal ,medicine.symptom ,0305 other medical science ,business ,030217 neurology & neurosurgery - Abstract
INTRODUCTION: Patients with upper extremity conditions may also experience symptoms of depression, anxiety, and pain that limit functional recovery. PURPOSE OF THE STUDY: This study examined the impact of mental health and pain symptoms on referral rates to therapy and utilization of therapy services to achieve functional recovery among patients with common hand conditions. STUDY DESIGN: This is a retrospective cohort study of patients from one orthopedic center. METHODS: Data extraction provided demographics, the International Classification of Diseases, 10th revision diagnoses, therapy referral, therapy visit counts, treatment goal attainment, and Patient-Reported Outcomes Measurement Information System (PROMIS) Depression, Anxiety, and Pain Interference scores. The chi-square test, t-test, and logistic regression analyses assessed associations between baseline PROMIS depression, anxiety, and pain interference to therapy referral, the number of therapy visits, and goal attainment. RESULTS: Forty-nine percent (172/351) of patients were referred to hand therapy. There was no relationship between three baseline PROMIS scores based on physician referral (t-test P values .32-.67) and no association between PROMIS scores and therapy utilization or goal attainment (Pearson correlation (r): 0.002 to 0.020, P > .05). Referral to therapy was most strongly associated with having a traumatic condition (P < .01). Patients with high depression, anxiety, and pain interference scores on average required one more therapy visit to achieve treatment goals (average visits: 3.7 vs 3.1; 4.1 vs 2.7; 3.4 vs 2.3, respectively). Fewer patients with high depression scores (50%) achieved their long-term goals than patients with low depression scores (69%, P = .20). CONCLUSIONS: Patients’ baseline level of depressive symptoms and anxiety do not predict referrals to hand therapy by orthopedic hand surgeons. There is some indication that patients with increased depressive symptoms, anxiety, and pain interference require more therapy with fewer achieving all goals, suggesting that mental health status may affect response to therapy. Therapists may address mental health needs in treatment plans. Future studies should examine if nonreferred patients with depressive symptoms achieve maximal functional recovery.
- Published
- 2022
49. High-Speed Active Quench and Reset Circuit for SPAD in a Standard 65 nm CMOS Technology
- Author
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Wei Jiang, Ryan P. Scott, and M. Jamal Deen
- Subjects
Quenching ,Materials science ,Avalanche diode ,business.industry ,Transistor ,02 engineering and technology ,Dead time ,01 natural sciences ,Atomic and Molecular Physics, and Optics ,Electronic, Optical and Magnetic Materials ,law.invention ,010309 optics ,020210 optoelectronics & photonics ,CMOS ,law ,0103 physical sciences ,0202 electrical engineering, electronic engineering, information engineering ,Optoelectronics ,Electrical and Electronic Engineering ,Photonics ,business ,Voltage ,Jitter - Abstract
A compact high-speed active quench and reset (AQR) circuit integrated with a p+/n-well single-photon avalanche diode (SPAD) is designed and fabricated in a standard 65 nm CMOS technology. The post-layout simulations showed that the quenching time for this AQR circuit is only 0.1 ns, and the smallest dead time is 3.35 ns which corresponds a maximum count rate of ~300 Mcps. The measurements showed that the SPAD pixel achieved a dark count rate of 21 kHz, a peak photon detection probability of 23.8% at a 420 nm wavelength and a timing jitter of 139 ps (using a 405 nm pulsed laser) when the excess voltage was 0.5 V. Also, due to the short quenching time, negligible afterpulsing was observed during the measurements.
- Published
- 2021
50. Barriers to Post-Discharge Monitoring and Patient-Clinician Communication: A Qualitative Study
- Author
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Rachel Hae Soo Joung, Cassandra B. Iroz, Jane L. Holl, Meagan L. Shallcross, Julie K. Johnson, Ryan P. Merkow, Karl Y. Bilimoria, and Brian C. Brajcich
- Subjects
Clinical team ,business.industry ,Post discharge ,Patient interviews ,media_common.quotation_subject ,Focus group ,Literacy ,Nursing ,Health care ,Medicine ,Surgery ,Health education ,business ,Qualitative research ,media_common - Abstract
Introduction As postoperative length of stay has decreased for many operations, the proportion of complications occurring post-discharge is increasing. Early identification and management of these complications requires overcoming barriers to effective post-discharge monitoring and communication. The aim of this study was to identify barriers to post-discharge monitoring and patient-clinician communication through a qualitative study of surgical patients and clinicians. Materials and methods Semi-structured interviews and focus groups were held with gastrointestinal surgery patients and clinicians. Participants were asked about barriers to post-discharge monitoring and communication. Each transcript was coded by 2 of 4 researchers, and recurring themes related to communication and care barriers were identified. Results A total of 15 patients and 17 clinicians participated in interviews and focus groups. Four themes which encompassed barriers to post-discharge monitoring and communication were identified from patient interviews, and 4 barriers were identified from clinician interviews and focus groups. Patient-identified barriers included education and expectation setting, technology access and literacy, availability of resources and support, and misalignment of communication preferences, while clinician-identified barriers included health education, access to clinical team, healthcare practitioner time constraints, and care team experience and consistency. Conclusions Multiple barriers exist to effective post-discharge monitoring and patient-clinician communication among surgical patients. These barriers must be addressed to develop an effective system for post-discharge care after surgery.
- Published
- 2021
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