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Purpose: Aesthetic clinics have expanded dramatically in recent years due to social media trends. This study aims to examine the antecedents of patient experience: product quality, service encounter, servicescape, outcome quality, electronic word of mouth (EWOM) on cognitive experience (CE) and affective experience (AE), and its influence on revisit intention (RI) moderated by social media engagement (SME). Methodology: This study used a quantitative survey with a cross-sectional approach. Data is collected by purposive sampling using a self-report questionnaire from 280 patients who attended Youthology Aesthetic Clinic®, South Jakarta minimum of twice between July to August 2022 and followed the clinic’s social media account. Partial least square-structural equation modeling (PLS-SEM) was deployed for data analysis. Results: Electronic word of mouth is the most prominent antecedent influencing AE and CE, with more effect in CE than AE. Servicescape was found not significant to influence CE. Finally, AE has a slightly more substantial influence on RI than CE, but the moderating impact of SME was found insignificant. Practical implications: The findings of this study suggested that management should pay attention to all the mentioned antecedents, especially EWOM. The administration should develop a strategy to give the best experience to the patients visiting the clinic. This experience should prioritise the patient’s emotional response by patient-centric approach. Originality/value: This study used cognitive and affective mediation from the patient’s perspective, where these two variables mediate their antecedents to RI. Therefore, this study offers a more comprehensive functional service model such as service encounter and technical approach.

Background: The nursing environment has become a consideration for an organization in improving service quality, especially in the implementation of patient-centred care. The various dimensions make it necessary to know which sectors need to be prioritized. However, there is still limited research that is more specific in linking the dimensions to become more operational. Purpose: This study aimed to analyze the relationship between nursing environment dimensions and patient centricity through the Importance-Performance Map Analysis (IPMA). Methods: A quantitative survey with a cross-sectional approach was conducted in June 2022 to test the conceptual framework on the population obtained from non-managerial inpatient nurses who worked for above two years in a general hospital in East Java, Indonesia. The constructs were measured using a set of indicators in The Practice Environment Scale of the Nursing Work Index (PES-NWI) and Patient Centricity. During the data collection, a total sampling technique was performed, resulting in 89 respondents being acquired. The data were analyzed through partial least squared structural equation modelling (PLS-SEM). Results: At the construct level, the mean total effect and performance were 0.192 and 56.302, respectively. From the IPMA chart, it was found that the construct in the right lower quadrant with the largest total effect value but not having adequate performance was nursing manager ability (total effect: 0.294, performance: 34.563), making it a construct with the highest importance and requiring priority for improvement among all dimensions. Conclusion: The nursing environment dimensions have to get attention to achieve patient centricity in inpatient ward nurses, where nursing manager ability is the dimension that has the most vulnerable performance. Leadership development is needed for the head nurse of the inpatient unit to strengthen the ability to lead and change the culture in nurturing subordinates so that kinship between nursing professionals can be established.

Teaching Proficiency through Reading and Storytelling (TPRS) is quite essential to improve EFL learners’ speaking ability. It can be done successfully by means of the basic concept of TPRS known as comprehensible input in second language acquisition (SLA). This paper presents a study on learners’ speaking ability through TPRS making use of three important steps; Showing, Telling, and Reading. This is a quantitative study using quasi-experimental as the two intact groups are used; experimental and control group. The data are obtained from pre-test, post-test and questionnaires viewed from both students’ and teachers’ perspective. The data from pre-test and post-test are analyzed by using independent sample t-test. The experimental and control are ascertained to be homogenous in term of English performance from the pre-test analysis. The post-test are carried out from both groups after the treatment and the the result of the test are compared in order to prove if the null hypothesis is rejected indicating that there is significant difference performance between the two groups. The result of the study is expected to be beneficial for English teachers, EFL learners, and further researchers.

Introduction: Paraneoplastic leukocytosis is a rare manifestation of urological cancer. This condition is well associated with the poor prognosis in other solid tumors. Anemia is the most common hematological manifestation of cancer, affecting 40%–64% of patients with cancer. This condition is also well associated with a poor prognosis. The goal of this research is to determine the clinical presentation and fate of individuals with urothelial carcinoma who have persistent paraneoplastic leukocytosis and anemia. Methods: From January 2014 to December 2020, a retrospective cohort of patients with a histological result of urothelial carcinoma was collected. Data were extracted from a single National Cancer Center Hospital in Indonesia. Persistent leukocytosis is defined as a leukocyte count ≥20,000/mL on at least two occasions with a minimum interval of 30 days. Anemia is defined using the WHO definition of anemia. Urinalysis, chest X-ray, and other blood tests were performed to exclude other probable causes of leukocytosis. Results: Thirteen of 123 patients screened presented with persistent paraneoplastic leukocytosis and anemia. All patients presented with bladder cancer, with two patients (15.4%) presented with a mixed histological urothelial carcinoma. During the trial, all of the patients died, with a median survival of 20 days after the beginning of paraneoplastic leukocytosis with anemia. Conclusions: Persistent paraneoplastic leukocytosis and anemia in a patient with urothelial carcinoma are a rare condition that is associated to a poor prognosis and a lower median overall survival time.

The research aims to elaborate on the management of talent and interest development in students at Islamic High School (Madrasah Aliyah Negeri, MAN) 1 Tidore and identify the supporting and inhibiting factors in the management of developing interests and talents in students at MAN 1 Tidore. The results showed that talent and interest development management was managed by the deputy head of student affairs, extracurricular coaches, student organization coaches, and students council (OSIS). Management stages include planning, implementation, and evaluation stages. This research contributes to the management studies on developing students' talents and interests in Islamic schools integrated into the school system and elaborates on the supporting and inhibiting factors. The supporting factors for the implementation of the management of the development of student's talents and interests include the solid cooperation and performance of all madrasah parties, the effective and efficient use of funds through BOS funds, adequate facilities and infrastructure, and the figure factor of the principal of MAN 1 Tidore. The inhibiting factors include spreading Covid-19 and natural/weather factors, irregular (routine) extracurricular activities, and the absence of counselor teachers.

Orientation: Health facilities in underdeveloped regions present their challenges in terms of research, especially regarding the work engagement (WE) of health workers, in this case, emergency physicians. Adjustments to existing research models are needed to obtain accurate responses. Patient centricity (PC) as a new term in healthcare is the estimated variable in this study. Research purpose: This study aimed to examine the relationship between the antecedents of WE and PC in emergency physicians who worked at hospitals in underdeveloped regions in Indonesia, incorporating WE as a mediator. Motivation for the study: Studies linking WE to PC have never been established. Furthermore, studies regarding WE have never been carried out in underdeveloped regions, and most of them are only limited to job resources as a benchmark. Research design/approach, and method: A quantitative survey was conducted through a purposive sampling technique to collect data from emergency physicians in hospitals in East Nusa Tenggara. There are 183 eligible respondents, whose responses were analysed through partial least squares structural equation modelling (PLS-SEM). Main findings: The direct link to WE was found to be predominated by physician autonomy and public service motivation. It was found that WE positively and significantly connected to PC. The PLS-predict resulted in large cross-validated redundancy for this model. Practical/managerial implications: This study has implications for policymakers and hospital management in developing personal and job resources in optimising PC through WE. Contribution/value-add: This study will show a new approach where WE can estimate PC, and this model can be replicated and tested in a larger population of physicians.

The goal of this study was to analyse the influence of the antecedents of patient experience, namely staff appearance, laboratory staff attitude, information clarity, staff responsiveness, laboratory ambience, phlebotomy process, laboratory technology, and report results, which furtherly generate customer delight and drive favourable intentions such as revisit intentions to the laboratory and willingness to share and post on social media. By extending earlier studies and using data from a leading private clinical laboratory service, this study suggests a new insight. A quantitative study with a survey is used with a cross-sectional data approach. The sample was taken purposively from customers who have had laboratory services at the laboratory, particularly from customers who have undergone the phlebotomy process. The 186 samples that complied with the criteria were examined using the PLS-SEM method. The findings demonstrated that the eight antecedents show a high probability of influencing the patient experience, with the phlebotomy process found as the predominant antecedent, followed by laboratory staff attitude and patient perception of laboratory technology. Further, this study found strong evidence that patient experience could generate customer delight, which drives the revisit intention and willingness to share and post positive things on social media. Openness is found to strengthen that process. The results of this study revealed that the higher the patient’s experience through their journey, the higher the probability of delight could exist in the context of service provided in the private clinical laboratory. Thus, it is worth considering by the clinic management to develop a more effective business.

Background Radical cystectomy (RC) is the gold standard treatment for muscle-invasive bladder carcinoma. A predictive factor is needed for the aggressive approach as it could lead to overtreatment. Elevated blood cell count (BCC) markers are reported to have a significant association with poor outcomes in several types of malignancy. Neutrophil-to-lymphocyte-ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are well-known inexpensive and effective representative markers of inflammatory conditions. This study aimed to determine the BCC as a predictive factor of overall survival (OS) in patients with bladder carcinoma (BC) after RC. Methods A retrospective cohort study was conducted involving 26 patients who had undergone RC. The demographic characteristics and BCC markers such as hemoglobin (Hb). NLR, PLR and lymphocyte/monocyte ratio (LMR) were collected. The patients were categorized based on the BCC marker value (³ median and < median). Kaplan–Meier survival analysis was done to determine overall survival (OS) on BCC markers. The association between patient demographics and one-year survival was also determined using Mantel-Cox (Log-rank) method. Results Among the 26 patients, the mean age was 55.6 ± 12.9 years. On univariate analysis, none of the demographic characteristics was found to be a significant predictor of one-year and overall survival (p>0.05). Hemoglobin, NLR, PLR and LMR were not significant predictors of one-year survival and OS (p>0.05). Conclusions The BCC was not a significant predictive factor of survival in patients with bladder cancer after radical cystectomy.

Background: The COVID-19 pandemic represents a substantial threat to world health, economic stability, and civilization in general. In the COVID-19 era, health workers, particularly frontline nurses, face increasing pressure which further affects patient satisfaction. However, empirical studies that connected burnout, job satisfaction, and caring behavior toward patient satisfaction from the nurses' point of view are still scarce. Purpose: This study aimed to explore the relationship between nurse burnout with patient satisfaction mediated by work satisfaction and nurse caring behavior at a private COVID-19 referral hospital from the nurses' perspective. Methods: A quantitative survey with a cross-sectional approach was conducted from March to April 2021 to test the framework on the population obtained from full-time nurses who worked at a private COVID-19 referral hospital in Manado, North Sulawesi, Indonesia. The researcher analyzed the empirical data generated from purposive sampling resulting in 170 eligible respondents. Data were collected through a self-completed online questionnaire with the Likert scale. The data analysis deployed the PLS-SEM approach. Results: The findings indicate that nurse burnout is associated significantly (p<0.05 and CI 95%) with the delivery of patient satisfaction from the nurses' perspective, mediated by job satisfaction and nurses' caring behavior. The mediation relationship was found with β=0.021, while the direct relation from caring behavior to patient satisfaction was β=0.277 and from job satisfaction was β=0.582. The proposed model demonstrated adequate prediction of patient satisfaction as the dependent variable (R²=0.633). Conclusion: This study concluded that nurse burnout which consists of three dimensions mediated by job satisfaction and caring behavior had an association with patient satisfaction. Increased burnout will result in decreased job satisfaction and caring behavior. This study provides suggestions to the hospital manager to improve the quality of care by understanding nurse burnout and preventing it. [ABSTRACT FROM AUTHOR]

Background and Aim Mitomycin-C is a potent agent that plays an important role in tissue healing and scar formation. This study aims to investigate the efficacy of Mitomycin-C in treating anterior urethral stricture after internal urethrotomy. Methods Studies evaluating efficacy of mitomycin-c for anterior urethral stricture post urethrotomy were searched using Pubmed, Scopus, Sciencedirect, MEDLINE, and Cochrane Reviews as directory databases. The search was done in March 15th 2020. Terms being used in the searching process were “mitomycin-c” or “mitomycin”, “urethral stricture”, “urethral stenosis”, “internal urethrotomy”, “optical urethrotomy” and its synonyms. Every study with the design of retrospective or prospective clinical study being done in human subject was included. Study appraisal conducted in accordance to Oxford University Center for Evidence-Based Medicine. The conclusion of each study was summarized and the calculation of random effects from every study was conducted in meta-analysis. Random effects model is chosen because small number of studies and quite different. Results Three studies involving 311patients were included in this review, all of them reported less recurrence of in patients treated with mitomycin-c post urethrotomy (p Conclusion Mitomycin-C has the potential of efficacy in treating anterior urethral stricture post internal urethrotomy. Relatively few numbers of studies may impact in the strength of this review and further studies need to be done.

Background and Aim Mitomycin-C is a potent agent that plays an important role in tissue healing and scar formation. This study aims to investigate the efficacy of Mitomycin-C in treating anterior urethral stricture after internal urethrotomy. Methods Studies evaluating efficacy of mitomycin-c for anterior urethral stricture post urethrotomy were searched using Pubmed, Scopus, Sciencedirect, MEDLINE, and Cochrane Reviews as directory databases. The search was done in March 15th 2020. Terms being used in the searching process were “mitomycin-c” or “mitomycin”, “urethral stricture”, “urethral stenosis”, “internal urethrotomy”, “optical urethrotomy” and its synonyms. Every study with the design of retrospective or prospective clinical study being done in human subject was included. Study appraisal conducted in accordance to Oxford University Center for Evidence-Based Medicine. The conclusion of each study was summarized and the calculation of random effect from every study was conducted in meta-analysis. Random effect model is chosen because small number of studies and quite different. Results Three studies involving 311patients were included in this review, all of them reported less recurrence of in patients treated with mitomycin-c post urethrotomy (p Conclusion Mitomycin-C has the potential of efficacy in treating anterior urethral stricture post internal urethrotomy. Relatively few numbers of studies may impact in the strength of this review and further studies need to be done.

Background and Aim Mitomycin-C is a potent agent that plays an important role in tissue healing and scar formation. This study aims to investigate the efficacy of Mitomycin-C in treating anterior urethral stricture after internal urethrotomy. Methods Studies evaluating efficacy of mitomycin-c for anterior urethral stricture post urethrotomy were searched using Pubmed, Scopus, Sciencedirect, MEDLINE, and Cochrane Reviews as directory databases. The search was done in March 15th 2020. Terms being used in the searching process were “mitomycin-c” or “mitomycin”, “urethral stricture”, “urethral stenosis”, “internal urethrotomy”, “optical urethrotomy” and its synonyms. Every study with the design of retrospective or prospective clinical study being done in human subject was included. Study appraisal conducted in accordance to Oxford University Center for Evidence-Based Medicine. The conclusion of each study was summarized and the calculation of random effects from every study was conducted in meta-analysis. Random effects model is chosen because small number of studies and quite different. Results Three studies involving 311patients were included in this review, all of them reported less recurrence of in patients treated with mitomycin-c post urethrotomy (p

Penelitian ini dilakukan berdasarkan keinginan peneliti untuk mengetahui faktor apa saja dalam layanan sebuah aplikasi dompet digital yang dapat menumbuhkan minat pembelian impulsif khususnya bagi konsumen milenial di Tangerang. Faktor independen yang diteliti adalah Diskon (X) sedangkan faktor dependennya adalah pembelian impulsif (Y), dan pemilihan faktor diskon adalah karena maraknya diskon yang ditawarkan kepada konsumen yang terjadi sekarang ini. Berdasarkan hasil kuesioner yang diolah menggunakan SPSS 20 dengan alat analisis Korelasi diperoleh bahwa faktor yang diteliti memiliki hubungan yang tidak terlalu kuat, yaitu hanya 0,443 (dibawah 0.50). Untuk menjawab seberapa besar pengaruh yang terjadi digunakan alat analisis Regresi Linier Sederhana dan diperoleh hasil bahwa X berpengaruh positif terhadap Y, sedangkan berdasarkan hasil R2 hitung diperoleh nilai = 0,196 atau dengan kata lain variabel diskon hanya menjawab 19,6 % dari permasalahan yang terjadi. Pengujian hipotesis dengan menggunakan tabel t dan tabel F membuktikan bahwa Ho ditolak, dan H1 diterima atau dengan kata lain faktor Diskon TIDAK BERPENGARUH SIGNIFIKAN terhadap minat pembelian impulsif sehingga diperlukan penelitian lanjutan untuk mengetahui faktor-fakor lainnya. Kata Kunci : Diskon, Pembelian Impulsif, Dompet Digital

Background: Mitomycin-C is an agent that plays an important role in the tissue healing process and scar formation. This study aims to investigate the efficacy of mitomycin-C in treating anterior urethral stricture following internal urethrotomy. Methods: Studies evaluating the efficacy of mitomycin-c for anterior urethral stricture post urethrotomy were searched using PubMed, Scopus, ScienceDirect, EBSCOHost, Cochrane Reviews, and OVID as directory databases. Terms used in the searching process were “mitomycin-c” or “mitomycin”, “urethral stricture”, “urethral stenosis”, “internal urethrotomy”, “optical urethrotomy” and its synonyms. Every randomized controlled trial study conducted in human subjects was included. Study appraisals were conducted in accordance with Oxford University Center for Evidence-Based Medicine guidelines. The conclusion of each study was summarized and the calculation of fixed effect from every study was conducted in meta-analysis. Results: Included in this study were three studies involving 231 patients. All of them reported less recurrence of in patients treated with mitomycin-c post urethrotomy (p Conclusion: Mitomycin-C has efficacy in treating anterior urethral stricture after internal urethrotomy. However, the inclusion of relatively few studies may affect the strength of this review and further studies need to be done.