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Penelitian ini bertujuan untuk menganalisa pengaruh omnichannel integration quality terhadap customer satisfaction yang dimediasi oleh omnichannel perceived value pelanggan klikIndomaret di JABODETABEK. Hasil penelitian ini menunjukkan omnichannel integration quality berpengaruh positif signifikan terhadap customer satisfaction. Dan omnichannel integration quality berpengaruh positif signifikan terhadap customer satisfaction secara tidak langsung saat dimediasi oleh omnichannel perceived value. Keterbatasan dalam penelitian ini yaitu penelitian ini hanya difokuskan pada omnichannel di sektor ritel dengan melalui metode survei untuk mengumpulkan data dalam 1 periode waktu. Kemudian penelitian ini hanya menekankan pada faktor perceived value, integration quality, dan customer satisfaction saja sebagai variable yang diuji. Implikasi teoritis dalam penelitian adalah pembuktian pengaruh omnichannel integration quality berpengaruh positif terhadap customer satisfaction yang dimediasi oleh omnichannel perceived value. Penelitian ini memberikan implikasi bagi industri ritel untuk dapat mengembangkan saluran distribusi kepada pelanggan dengan memperbanyak saluran yang terintegrasi. Dan bagi masyarakat dapat lebih sadar adanya saluran distribusi yang banyak sehingga dapat melakukan transaksi pembelian yang lebih efektif dan efisien sesuai kebutuhan masing masing.

There is a growing interest in lunar exploration fed by the perception that the Moon can be made accessible to low-cost missions in the next decade. The ongoing projects to set a communications relay in lunar orbit and a deep space gateway, as well as the spreading of commercial-of-the shelf technology for small space platforms such as the cubesats contribute to this perception. Small, cubesat size satellites orbiting the Moon offer ample opportunities to study the Moon and enjoy an advantage point to monitor the Solar System and the large-scale interaction between the Earth and the solar wind. We describe the technical characteristics of a 12U cubesat to be set in polar lunar orbit for this purpose and the science behind it. The mission is named Earth as an exoplanet (EarthASAP) and is submitted to the Lunar Cubesats for Exploration call in 2016. EarthASAP is designed to monitor hydrated rock reservoirs in the lunar poles and to study the interaction between the large Earth’s exosphere and the solar wind in preparation for future exoplanetary missions.

Resumen Objetivo Valorar los recursos disponibles en los hospitales comarcales catalanes para la asistencia urgente de la hemorragia digestiva alta. Metodo Se analiza una encuesta enviada a 32 hospitales, sobre la existencia, composicion y recursos del turno de guardia (TDG) de endoscopia, referida al ano 2009. Resultados Respondieron 24 centros, que cubrian la asistencia de 3.954.000 habitantes. Tenian TDG 12 hospitales. No disponian de TDG en su centro de referencia 1.483.000 habitantes. Los centros con TDG tenian mas camas y cubrian mas poblacion. Los TDG estaban formados por 4,5 endoscopistas (rango 2-11), que cubrian 82,1 (33,2-182,5) guardias/ano. Diecisiete centros reportaban 1.571 episodios (51 por centro, rango 3-280, 39,68/100.000 hab.). Los centros con TDG reportaban mas casos (76 vs. 43, p = 0,047). Los que no disponen de TDG derivaron mas pacientes (147 vs . 17, p= 0,001). Los pacientes en urgencias estaban a cargo de medicina interna en 4 centros, de cirugia en 14 y repartidos entre ambos servicios en 6. Si ingresaban, quedaron a cargo de Digestivo solo en 6 hospitales. Los recursos mas utilizados eran la ligadura en la hemorragia varicosa y las terapias de inyeccion en la no varicosa. Un 21% de centros no realizaban tratamiento combinado. Conclusiones Una proporcion significativa de la poblacion no dispone de endoscopista de guardia en su centro de referencia. La constitucion de TDG en hospitales comarcales supone importantes cargas asistenciales. La coordinacion entre profesionales y centros permitiria la aplicacion eficiente de los recursos terapeuticos y el establecimiento de TDG en centros que no tienen.

Objective The purpose of this study is to determine useful parameters for the early diagnosis of colonoscopic perforation and to select those who would require surgical treatment. Methods We retrospectively reviewed the demographics, clinical and colonoscopic data, diagnostic-surgical interval, operative findings, complications, and hospital stay of patients who developed postcolonoscopy iatrogenic colonic perforation between January 2002 and December 2008. Results A retrospective multicentric study of patients diagnosed of colonoscopic perforation was performed. Fifty-four patients were found for final analysis (mean age, 71 years (2691 years). Thirty-four were diagnostic and 20 were therapeutic colonoscopies. Most patients in whom the perforation was noticed during colonoscopy were treated surgically (p=0.032) within 24 h (p=0.004) and had a lesser degree of surgical peritonitis (p=0.033). Those with deficient bowel preparation had more interventions (p

To evaluate the resources available in Catalan regional hospitals for the emergency care of upper gastrointestinal hemorrhage.We analyzed a survey sent to 32 hospitals on the availability, composition and resources of a duty endoscopy service for the year 2009.Responses were obtained from 24 centers, covering 3,954,000 inhabitants. Duty endoscopists were available in 12 hospitals. A total of 1,483,000 inhabitants were unable to access a duty endoscopist in the referral center. Centers with duty endoscopists had more beds and had a larger catchment area. Duty services were composed of 4.5 endoscopists (range 2-11), covering 82.1 (33.2-182.5) duty shifts/year. Seventeen centers reported 1,571 episodes (51%, range: 3-280, 39.68/100,000 inhabitants). Centers with a duty service reported a greater number of cases (76 vs. 43, p=0.047). Centers without this service referred a greater number of patients (147 vs. 17, p=0.001). Patients in the emergency department were under the care of the internal medicine department in four centers, the surgery department in 14 centers and under the care of both departments in six. Admitted patients were under the care of the gastroenterology department in only six hospitals. The most widely used procedures were ligation of varicose bleeding and injection therapies in non-varicose bleeding. Twenty-one percent of centers did not perform combined treatment.A significant proportion of the population does not have access to a duty endoscopist in referral centers. Duty shifts represent significant workload in regional hospitals. Coordination among health professionals and centers would allow the efficient application of therapeutic resources and a duty endoscopy service to be established in centers lacking this resource.