Nurses’ Use of Chiropractic for Relief of Back and Neck Pain

Purpose Because of the physical demands of the profession, nurses often experience back and neck pain. Chronic pain can affect productivity at work and push nurses to seek less taxing positions. With an increased demand for nurses, the wellbeing of these healthcare workers must be taken into consideration to maximize retention, patient care, and job satisfaction. However, few studies exist that describe nurses’ use of chiropractic therapy to manage back and neck pain. This study sought to fill that gap. Methodology The primary investigator had permission to recruit nurses from one chiropractic office in Greenville, North Carolina. Those sought for this study frequented a chiropractor when dealing with back or other areas of discomfort and had work-related musculoskeletal pain. Narrative inquiry was employed for the study and participants engaged in one face-to-face interview in the chiropractic office. Results Six women ages 45 to 70 were recruited by word of mouth and reference from the chiropractors. Participants had experience in the nursing field and a nursing degree, but not all were still in nursing practice. From the interviews, nurses’ experiences with back and neck pain before and after chiropractic were revealed. Chiropractic proved to be a beneficial treatment for those suffering pain who were both in and out of work. Nurses described the healing process as gradual, but all participants benefitted. The nurses still in practice mentioned that chiropractic improved their productivity at work; lifting and turning patients became easier. By going to a chiropractor, they received treatments ranging from adjustments to interferential therapy along with insights on nutrition and stretching. Discussion Nurses’ self-care is a frequent topic in current literature. However, use of chiropractic therapy as a strategy for self-care has received limited attention. Future research related to self-care by nurses should include chiropractic among the therapies nurses may find beneficial

PENGARUH E-SERVICE QUALITY TERHADAP E-CUSTOMER SATISFACTION DAN E-CUSTOMER LOYALTY (STUDI KASUS PADA KONSUMEN PEGIPEGI DI INDONESIA)

Pegipegi adalah salah satu biro agen perjalanan berbasis online terkemuka di Indonesia yang hadir untuk menawarkan ribuan pilihan Hotel dan perjalanan dari berbagai maskapai penerbangan untuk tujuan domestik dan internasional. Pegipegi.com didirikan pada tanggal 1 Januari 2012. Meskipun travel agen ini masih tergolong baru, akan tetapi pegipegi sudah memiliki begitu banyak afiliasi dengan hotel dan maskapai penerbangan di seluruh Indonesia. Pegipegi memiliki data lebih dari 700 hotel yang tersebar di 25 kota di seluruh Indonesia. Penelitian ini bertujuan untuk mengetahui e-service quality, e-customer satisfaction, e-customer loyalty, mengertahui pengaruh e-service quality terhadap e-customer satisfaction, pengaruh e-service quality terhadap e-customer loyalty, pengaruh e-customer satisfaction terhadap e-customer loyalty, serta mengetahui pengaruh e-service quality terhadap e-customer loyalty secara tidak langsung melalui customer satisfaction pada Pegipegi.com. Metode penelitian yang digunakan adalah metode kuantitatif. Tipe analisis yang digunakan adalah deskriptif. Sampel pada penelitian ini tidak diketahui, maka dari itu ditentukan dengan rumus yang hasilnya berjumlah 384 responden. Pemgumpulan data dilakukan dengan cara penyebaran kuesioner. Pengolahan data dilakukan dengan menggunakan software SmartPLS. Berdasarkan hasil pengolahan data, diketahui bahwa nilai e-service quality, e-customer satisfaction, dan e-customer loyalty berada pada kategori baik. Hasil keseluruhan menghasilkan bahwa secara tidak langsung e-service quality berpengaruh positif dan signifikan terhadap e-customer loyalty melalui e-customer satisfaction pada website Pegipegi.com. Berdasarkan hasil penelitian, perusahaan Pegipegi sebaiknya mempertimbangkan peningkatan kualitas layanan secara elektronik karena akan meningkatkan kepuasan pelanggan dan loyalitas pelanggan seiring dengan peningkatan kualitas layanan. Kata Kunci: E-Service Quality, E-Customer Satisfaction, E-Customer Loyalt

Singapore Investments in China: Implications from Projects During Early 1980s & Early 1990s

It is well known that foreign investments by the industrialized world are driven by the private sector leveraging its technological, management and marketing skills, and that those by developing countries arise because of geographic proximity, social and economic homogeneity, and cultural familiarity. In the case of Singapore, a unique characteristic is the direct participation by government-related corporations and their affiliates, and persuasion by statutory bodies such as the Economic Development Board and Trade Development Board for the corporate sector to venture abroad. Although Singapore is active in the property sector in China and elsewhere, its limited technological resource suggests that its future overseas manufacturing would rest on collaborations involving larger scales of operations and higher technologies from the developed world. In fact, as it is inevitable that host countries will require higher quality foreign investments, it is crucial that these alliances be created to take advantage of Singapore's present business experiences and cultural links in China and other Asian countries

Relationship between bull fertility and binding of 3H heparin to spermatozoa in Sahiwal-Friesian bull

A study was carried out to determine the effect of lyophilised heparin binding proteins (HBP) on the heparin binding ability of bovine epididymal spermatozoa and to determine the relationship between bull fertility and total binding of heparin to spermatozoa membrane. It was found that epididymal spermatozoa samples added with lyophilised HBP bound significantly higher (p 0.05) between post-thaw motility percentage of semen and heparin binding affinity of spermatozoa from the bulls. This showed that bulls with semen of high motility are not necessarily more fertile than those bulls with lower motility percentage

Randomised, double blind controlled trial on preoperative anxiety level between premedicated and nonpremedicated patients undergoing elective surgery

Patients should not suffer needless anxiety before surgery. This study was aimed to determine the level of anxiety that exist in patients undergoing elective surgical procedure from various departments. Comparison was also made within the various demographical data obtained with specific objective. Methods: This was a prospective randomized, double blind controlled clinical trial on preoperative anxiety levels. Patients completed the anxiety assessment scales both before and after intervention. The scale used was Hospital Anxiety and Depression Scale(HADS) The fourteen questions were subdivided to assess anxiety and depression separately. Paired T-test within groups and independent T-test for between groups were used during statistical analysis using SPSS 11.0. A p < 0.05 was considered to be significant. Results: One hundred and forty scale sets were obtained with no statistically significant difference in demographic characteristic. The interventional group had preintervention mean anxiety score of 8.3 ± 2.3 (mean± SD) and post- intervention mean anxiety score of 3.3 ± 1.8 with p = 0.000 where the placebo group had preintervention score of 8.9 ± 2.3 and post-intervention score of 10.24 ± 2.9 with p = 0.001. Differences were also seen in mean anxiety score with ethnicity, gender, ASA class (American Society of Anesthesiologist) and type of operation. xiv Conclusion: In this study, it was found that significant level of anxiety existed preoperatively and premedication reduced it's level significantly. The placebo group had the highest level of anxiety and its level increased even more immediately before surgery. In addition, female patient, ASA II and patients undergoing gynaecological surgery had higher level of anxiety