1,250 research outputs found

    Kepuasan Pelangan Terhadap Program Customer Relationship Management (Crm) Novotel Surabaya Hotel and Suites

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    Program Customer Relationship Management (CRM) Novotel Surabaya Hotel and Suite terbagi dalam 2 kategori yaitu CRM tatap muka dan CRM non tatap muka. Pada penelitian ini peneliti mengangkat program CRM tatap muka dengan fokus pada program VIP Treatment dimana program CRM ini dilakukan untuk mempertahankan hubungan yang baik dan meningkatkan kepuasan dari tamu VIP. Terdapat 5 aktivitas program CRM VIP Treahment diantaranya welcome drink, welcome food, escort by Guest Relations Officers (GRO), easy check-in and Check-out process, dan special request. Dengan menggunakan analisa kuantitaif dengan penghitungan statistika, tingkat kesesuaian dan juga customer satisfaction index didapati bahwa tingkat kepuasan tamu VIP Novotel Surabaya Hotel and Suite sebesar 78,01 % dengan indikator kepuasan tergolong puas. Masih perlu inovasi dan evaluasi dalam pelaksanaan program CRM ini terutama pada aktivitas easy check-in and Check-out process yang memiliki tingkat pengukuran kepuasan paling rendah bila dibandingkan dengan 4 kativitas CRM VIP Treatment lainnya

    Oxidative addition of methyl iodide to [Rh(PhCOCHCOPh)(CO)(P(OCH2)(3)CCH3)]: an experimental and computational study

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    The reaction rate of the oxidative addition and CO insertion steps of methyl iodide with [Rh(PhCOCHCOPh)(CO)(P(OCH2 ) 3 CCH3 )] are presented. Large negative experimental values for the activation entropy and results from a density functional theory computational chemistry study indicated trans addition of the CH3 I to [Rh(PhCOCHCOPh)(CO)(P(OCH2 ) 3 CCH3 )]. A study of the molecular orbitals gives insight into the flow of electrons during the oxidative addition reaction. CO insertion leads to a square pyramidal [Rh(PhCOCHCOPh) (P(OCH2 ) 3 CCH3 )(COCH3 )(I)] acyl product with the COCH3 moiety in the apical position. The strong electron donation of the P(OCH2 ) 3 CCH3 ligand accelerates the oxidation addition step of methyl iodide to [Rh(PhCOCHCOPh)(CO)(P(OCH2 ) 3 CCH3 )] by ca. 265 times faster (at 35°C) than that of the Monsanto catalyst, but inhibits the CO insertion step

    'n Ekonomiese ondersoek van die sultana rosyntjie boerdery te Robertson, 1934-1935

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    Proefskrif (M. Sc. Agric.) -- Universiteit van Stellenbosch, 1937.AFRIKAANSE OPSOMMING: Die maak van Sulaana-rosyntjies is alleen beperk tot 'n paar streke in die Unie van Suid-Afrika o.a. Robertson, Worcester en Montagu, wat die vernaamste is in die Westelike en Suidwestelike distrikte van Kaapland. Sultana-boedery is ook later jare op intensiewe skaal voortgesit langs die Grootrivier en wel by Kakamas, Kenhardt en Gordonia. Robertson is egter die streek wat die meeste Sultana rosyntjies produseer, en derhalwe is die streek gekies om 'n studie te maak van die Sultana bedryf. In hierdie distrik maak dit 'n belangrike bedryfstaak van die landbou uit, nie alleen wat produksie en waarde betref nie; maar dit verskaf ook 'n lewensbestaan aan baie families

    Nuchal translucency as a method of first-trimester screening for aneuploidy

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    Objective. To determine the effectiveness of nuchal translucency (NT) screening in predicting aneuploidy and structural abnormalities in a South African population. Study design. Descriptive study. Setting. Chris Hani Baragwanath Hospital fetal medicine unit. Outcome measures. An adjusted risk was derived from the combination of maternal age-related risk and the risk derived from NT screening. A positive screen was denoted by an adjusted risk of more than 1/300 and a negative screen by an adjusted risk of less than 1/300. In order to determine the number of undiagnosed abnormalities in the group, all babies were examined by a paediatrician at birth to detect and describe dysmorphic features. Results. A total of 428 patients underwent first-trimester screening between July 2003 and July 2005. Three per cent were lost to follow-up. Of the 415 patients analysed, 59 screened positive and 356 screened negative. The mean age for both groups of patients was 30.1 years. Of the 57 patients who screened positive, 24 elected to have chorionic villus sampling (CVS). This resulted in the detection of 6 chromosomal abnormalities and 2 structural abnormalities. Among the remaining 356 patients, who had screened negative, 2 had an increase in the adjusted risk when the risk was compared with the background risk, and 1 chromosomal abnormality was detected in this group; 8 elected to have CVS because of a previous history of a chromosomal abnormality, and there were no abnormalities among them. Conclusions. The use of these screening methods has enabled prenatal karyotyping to become cost effective, and allows concentration on pregnancies at highest risk for chromosomal abnormalities, regardless of age.South African Medical Journal Vol. 98 (4) 2008: pp. 295-29

    HERBAL MEDICINES USED BY BAPEDI TRADITIONAL HEALERS TO TREAT REPRODUCTIVE AILMENTS IN THE LIMPOPO PROVINCE, SOUTH AFRICA

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    The current study focussed on documenting the ethnobotanical knowledge of herbal medicines used by the Bapedi traditional healers to treat reproductive ailments in the Limpopo Province, South Africa. Fifty one healers from 17 municipalities covering Capricorn, Sekhukhune and Waterberg districts of the Limpopo Province were interviewed between January and July 2011. Semi-structured interviews, observations and guided field surveys with the healers were employed. Thirty-six medicinal plant species belonging to 35 genera and 20 families were documented. The most used species were Zanthoxylum humile (25.5%), Catha edulis (21.6%), Ozoroa sphaerocarpa (15.7%), Hypoxis hemerocallidea (13.7%), Hypoxis obtusa (11.7%), Gomphocarpus fruticosus subsp. fruticosus and Gymnosporia senegalensis (9.8% each). The dominant growth forms among the reported medicinal plants were herbs (39%), followed by shrubs and trees with 33% and 28%, respectively. The preferred plant parts were roots (63.9%), followed by bark (13.9%), whole plant (11.1%), tubers (8.3%), bulbs (5.6%), fruits, leaves, stems and twigs (2.8% each). The majority of the species were used to treat gender specific reproductive ailments; while a minority were used for treating reproductive ailments of both genders. Twenty-two species (61.1%) are supported by reports of similar uses in other countries or have proven biological activity. This study illustrates that Bapedi traditional healers possess remarkable knowledge on medicinal plants used for treating and managing reproductive ailments

    Weather at Sierra Negra: 7.3-year statistics and a new method to estimate the temporal fraction of cloud cover

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    Sierra Negra, one of the highest peaks in central Mexico, is the site of the Large Millimeter Telescope. We describe the first results of a comprehensive analysis of the weather data measured in situ from October 2000 to February 2008 to be used as a reference for future activity in the site. We compare the data from two different stations at the summit considering the accuracy of both instruments. We analysed the diurnal, seasonal and annual cycles for all the parameters. The thermal stability is remarkably good, crucial for a good performance of the telescopes. From the solar radiation data we developed a new method to estimate the fraction of time when the sky is clear of clouds. We show that our measurements are consistent with a warm standard atmosphere model. The conditions at the site are benign and stable given its altitude, showing that Sierra Negra is a extremely good site for millimeter and high energy observations.Comment: Accepted, MNRAS, 17 pages, 26 figure file

    Transverse orange nail lesions following SARS-CoV-2 infection

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    We report the case of an 89-year-old woman in a nursing home who amid an outbreak of coronavirus disease 2019 (COVID-19) presented cough and asthenia

    Three Decades Single Center Experience of Airway Complications After Lung Transplantation

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    Post lung transplantation airway complications like necrosis, stenosis, malacia and dehiscence cause significant morbidity, and are most likely caused by post-operative hypo perfusion of the anastomosis. Treatment can be challenging, and airway stent placement can be necessary in severe cases. Risk factors for development of airway complications vary between studies. In this single center retrospective cohort study, all lung transplant recipients between November 1990 and September 2020 were analyzed and clinically relevant airway complications of the anastomosis or distal airways were identified and scored according to the ISHLT grading system. We studied potential risk factors for development of airway complications and evaluated the impact on survival. The treatment modalities were described. In 651 patients with 1,191 airway anastomoses, 63 patients developed 76 clinically relevant airway complications of the airway anastomoses or distal airways leading to an incidence of 6.4% of all anastomoses, mainly consisting of airway stenosis (67%). Development of airway complications significantly affects median survival in post lung transplant patients compared to patients without airway complication (101 months versus 136 months, p = 0.044). No significant risk factors for development of airway complication could be identified. Previously described risk factors could not be confirmed. Airway stents were required in 55% of the affected patients. Median survival is impaired by airway complications after lung transplantation. In our cohort, no significant risk factors for the development of airway complications could be identified.</jats:p&gt

    Mitral valve repair and redo repair for mitral regurgitation in a heart transplant recipient

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    A 37-year-old man with end-stage idiopathic dilated cardiomyopathy underwent an orthotopic heart transplant followed by a reoperation with mitral annuloplasty for severe mitral regurgitation. Shortly thereafter, he developed severe tricuspid regurgitation and severe recurrent mitral regurgitation due to annuloplasty ring dehiscence. The dehisced annuloplasty ring was refixated, followed by tricuspid annuloplasty through a right anterolateral thoracotomy. After four years of follow-up, there are no signs of recurrent mitral or tricupid regurgitation and the patient remains in NYHA class II. Pushing the envelope on conventional surgical procedures in marginal donor hearts (both before and after transplantation) may not only improve the patient’s functional status and reduce the need for retransplantation, but it may ultimately alleviate the chronic shortage of donor hearts
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