bluuebunny/crossref_metadata_2025 huggingface dataset:
Sumbangan Konsep Otentisitas Martin Heidegger bagi Praksis Dialog Interreligius: Upaya Mendukung Moderasi Beragama di Indonesia
Authors: Ilham Kristoforus Juliano , Riyanto F.X. Eko Armada
Published: December 2024

Martin Heidegger's concept of authenticity, which is the focus of this article, has made a significant contribution to the practice of interreligious dialogue and religious moderation in Indonesia. The reason is because this concept offers authentic humans in every religion in Indonesia. An authentic human being is identified as a person who is able to see himself as a whole, is able to take responsibility for his existence, and is able to understand himself as a human being who truly lives in the world without being dominated and determined by other people. The aim to be achieved in this research is to form and develop authentic religious subjects in every religion in Indonesia. By using a qualitative descriptive method in the form of reviewing various scientific sources that are in accordance with this discourse, this paper succeeded in finding that Martin Heidegger's concept of Authenticity is important to instill in every religion in Indonesia in forming and developing religious subjects who take part in dialogic interreligious dialogue and support moderation. religion in Indonesia. The novelty of this article is that Martin Heidegger's concept of Authenticity is relevant to religious life in Indonesia, both in the practice of interreligious dialogue and in supporting religious moderation in Indonesia.
Kerjasama Orang Tua dan Guru dalam Memotivasi Anak Menghafal Al-Qur’an di Rumah Tahfidz Nurul Qur’ani
Authors: Ajnaimah Siti , Ibrahim Duski , Oviyanti Fitri
Published: December 2024

Parents and teachers have the responsibility to introduce and teach religious knowledge to children. In the process of memorizing the Koran, the role of parents and teachers in motivation is a very important dynamic aspect. With inner motivation, the memorization process will be maximized. Many children's lack of achievement is not due to their lack of ability, but because they lack motivation to learn. This research aims to analyze the strategies of teachers and parents in motivating children to memorize the Al-Qur'an. The research method used is qualitative with a case study approach. The results of this research show that 1) the teacher uses strategies by memorizing verses sequentially, deposits, Talaqqi and Muroja'ah methods. Apart from that, the teacher does not move on to another verse, before the verse is completely memorized, repeats the memorized memorization, muroja'ah when students deposit their memorization; 2) parents use strategies by listening to children's memorization, and Muraja'ah; and 3) there are several types of collaboration between parents and teachers, namely parenting; communication between parents and teachers either directly or indirectly; and volunteerism.
Pemimpin Yang Adil Dalam Al-Qur’ān (Studi Komparasi Ayat-Ayat Kepemimpinan Menurut Tafsīr Ibnu Kaṡīr dan Tafsīr Sayyid Quṭhb)
Authors: Fauzi Muhammad , Harahap Mardian Idris , Nasution Muhammad Roihan
Published: December 2024

Leadership is a very urgent matter in the Islamic view. This can be seen in surah al-Mā’idah verse 59 which talks about the command to obey Allah, His Messenger and leaders. In the mechanism for selecting a leader, Islam does not provide implementation and technical instructions in the regulations on the procedures for appointing and dismissing a leader. A country that has diversity of religions, ethnicities, races, languages, cultures and natural riches certainly needs leaders who are not only physically strong, but also capable of solving problems that occur. This research aims to explore just leaders in the Al-Qur’ān and analyze the views of Ibn Kaṡīr and Sayyid Quṭhb regarding the Al-Qur’ān verses about just leaders. This research is descriptive-analytic in nature where the author compares Tafsīr Al-Qur'ān al-'Aẓīm and Fī Ẓilāl Al-Qur’ān about just leaders. This study found that just leadership in the Al-Qur'ān can be applied into seven parts including: Khalīfah, imāmah, ulu al-‘Amr, sulṭān, mulk, qawwāmah, wilāyah/auliyā. As for a just leader, according to Ibn Kaṡīr and Sayyid Quṭhb, a leader must be fair to everyone, whether they are known and still have a kinship relationship or not at all. Justice is the right of all humans, so it is their identity as a human that makes them entitled to justice.
Peran Kegiatan Ekstrakurikuler Lembaga Pengembangan Tilawatil Quran (LPTQ) dalam Meningkatkan Prestasi Siswa di Madrasah Aliyah Swasta Muallimin UNIVA Medan
Authors: Aminy Aisyah , Sinaga Ali Imran , Sumanti Solihah Titin
Published: December 2024

Implementing This research aims to analyze the program, implementation of the Al-Quran Tilawatil Development Institute (LPTQ), the role of the madrasa head, deputy madrasa head, supervisors, trainers and teachers in LPTQ extracurricular activities as well as analyzing the supporting and inhibiting factors of the Development Institute's extracurricular activities (LPTQ). The method used in this research uses a qualitative method with a descriptive/analytic type. Data collection techniques used include interviews, observation and documentation studies. The data analysis techniques used include data collection, data reduction, data presentation, and drawing conclusions. The research results show that; 1) The extracurricular activities program of the Tilawatil Quran Development Institute which was developed at the Private Madrasah Aliyah Muallimin UNIVA Medan which consists of 4 branches, namely syarhil Quran, fahmil Quran, tilawatil Quran and khattil quran includes planning, implementation and evaluation of extracurricular activities. 2) The extracurricular activities of the Al-Quran Tilawatil Development Institute at the Muallimin Private Madrasah Aliyah UNIVA Medan are carried out once a week and last for two hours. 3) The role of the madrasa head, deputy madrasa head, supervisors, trainers and teachers in the extracurricular activities of the Tilawatil Quran Development Institute in improving student achievement at the UNIVA Medan Muallimin Private Madrasah Aliyah is to provide motivation, direct supervision and evaluation of existing extracurricular activities. 4) Supporting factors in the extracurricular activities of the Tilawatil Quran Development Institute at the Private Madrasah Aliyah Muallimin UNIVA Medan are human resources which include the head of the madrasa, deputy head of the madarsah, supervisors, trainers and teachers, facilities and infrastructure, as well as the interests and talents of each student. The inhibiting factors in the extracurricular activities of the Tilawatil Quran Development Institute at the Muallimin Private Madrasah Aliyah UNIVA Medan are the time factor and the curriculum factor in the madrasah.
Konsep Keadilan Islam Pada Ranah Spesifik Poligami (Ta’adud Al-Zaujāt) Dalam Alquran Perspektif Mufassir Wahbah Al-Zuḥailī
Authors: Asmu’i Asmu'i , Nasution Muhammad Roihan , Harahap Mardian Idris
Published: December 2024

Issues surrounding polygamy in Islam are still a topic of debate among Islamic scholars and the Muslim community. Some of the main problems that are often discussed include the issue of justice which is the main requirement for polygamy. Especially in Indonesia, polygamy is a serious problem in family law, quite a few divorce problems are caused by polygamy. This research aims to explore the concept of Islamic justice in the specific realm of polygamy in the Koran and analyze Wahbah al-Zuḥailī's interpretation of the Koranic verse about justice in polygamy. This research uses qualitative methods with descriptive-analytic data analysis techniques. The results of this research show that in the Koran, polygamy is permitted and limited to four wives, provided that a husband must be able to act fairly. Meanwhile, in the Koran, the word adat is mentioned 28 times in 28 verses in 11 surahs. Furthermore, the concept of justice in polygamy according to Wahbah al-Zuḥailī's interpretation is justice in the material, not immaterial, sphere. Material justice means being fair in taking turns and being equal in providing material support to the wife. Immaterial justice is that which is related to matters of the heart, this justice is impossible to achieve by human ability.
Peran Recovery Kemualafan Yayasan Mualaf Center Indonesia Kota Pematang Siantar
Authors: Muhaimin Rizky Akbar , Harahap Indra , Siregar Husna Sari
Published: December 2024

The issues of this research are based on the lack of guidance for converts, who are new to Islam and are still vulnerable in their faith. The purpose of this research is to find out the extent of the development of converts to Islam and to see the guidance implemented by the Mualaf Center Foundation in implementing their programmes. This research uses a qualitative method with a fielld relselarch. Data were collected through direct observation and in-depth interviews with converts who participated in the coaching programme at the Indonesian Mualaf Center Foundation in Pematang Siantar City. The purposive sampling technique was used to select informants who are relevant and have significant experience in the coaching programme. The data obtained were then analysed using thematic analysis to identify patterns and main themes that emerged related to the effectiveness of the converts' coaching program. The results of this study indicate that the Indonesian Mualaf Center Foundation in Pematang Siantar City has successfully fostered converts through various structured programmes. The converts reported improved ability to read the Quran and a better understanding of the teachings of Islam. The coaching programme includes religious classes, Quran reading training, and social support. The foundation's success is also evident from the high level of satisfaction among converts, who feel more integrated and supported within the Muslim community. Challenges faced include the need for more resources and trained teaching personnel.
Analisis Kondisi Moral Remaja yang Bermain Judi Online di Desa Dolok Sagala
Authors: Qomariah Laili , Abdurraman Zulkarnain
Published: December 2024

The background to this research is the viral online gambling that occurs in society, especially among teenagers in Dolok Sagala Village. There are many losses caused to online gamblers. The aim of this research is to analyze the moral condition of teenagers who play online gambling in Dolok Sagala Village regarding the impacts caused by playing online gambling, namely that it can harm themselves and others. The research method used is qualitative with a case study approach by conducting an interview with a teenager to be used as a research subject by exploring sources related to the moral condition of teenagers who are online gamblers in Dolok Sagala Village. Deviant behavior such as online gambling can be found in people's lives and is usually carried out by teenagers. Initially, teenagers played online gambling out of curiosity but ended up being addicted to the point that it was difficult to give up because playing online gambling can make money from the winnings they get. The results of this research relate to the moral condition of teenagers who play online gambling which has impacts in terms of material, social and mental and spiritual health. The material impact is that perpetrators who are already dependent on online gambling spend more of their money by committing theft to get more money. The social and mental health impact is an attitude of indifference to the surrounding environment because they prefer to focus on online gambling, which results in stress and depression when they experience defeat and have to earn more money to be able to play again. The spiritual impact is that someone who is addicted to online gambling tends to abandon their religious practices such as praying, fasting, disobeying their parents' orders and lying because of the impact of playing online gambling.
Implementasi Program Kegiatan Organisasi Rohis Terhadap Pengetahuan Al-Qur’an Peserta Didik Di SMAN 1 Medang Deras Kabupaten Batu Bara
Authors: Tambunan Siti Rahayu , Dawud Faza Abrar M. , Yuzaidi Yuzaidi
Published: December 2024

This study is motivated by the low level of student participation in Rohis activities because there are some students who have limited knowledge about the Qur'an, not only in reading skills, but also in memorisation, and understanding the content. Rohis (Rohani Islam) is a platform that facilitates the development of students' knowledge and understanding of Islamic teachings, especially the Qur'an, through various activity programmes. The purpose of this study is to find out how the Rohis programme at SMAN 1 Medang Deras helps students understand the Qur'an better. Through descriptive qualitative approach, this research observed various Rohis activities, including tafsir study, tahfizh and Islamic discussion. Data were collected through observation techniques and in-depth interviews with Rohis students, as well as document analysis. The results showed that activities such as tafsir discussions, memorising verses, and active participation in positive groups deepen students' understanding of the Qur'an. In addition, students' active participation in Rohis also plays a role in strengthening their spiritual and moral values. This can be seen from the students' significant improvement in their ability to understand, memorise, and apply the teachings of the Qur'an after joining Rohis. It can be concluded that the Rohis programme succeeded in creating a conducive environment for the improvement of understanding of the Qur'an and the formation of students' religious character at SMAN 1 Medang Deras. It is hoped that the Rohis programme at SMAN 1 Medang Deras will continue to be expanded and enriched with various activities that support the understanding and practice of the Qur'an for students as a whole.
Pendidikan Bencana Dalam Perspektif Islam
Authors: Kusuma Bukhori Brata , Muzani Muzani
Published: December 2024

Misunderstanding of the teachings of Islam where people cannot distinguish between predestination and fatalistic attitudes, so that people ignore steps to reduce the risk of disaster. Predestiny attitude is an attitude that believes that every individual already has its own provisions, however, it can be changed through effort. While fatalistic is an attitude that believes that every individual already has provisions that cannot be changed. This research aims to provide a view on disaster education in an Islamic perspective and Islamic education in disaster risk reduction. Understanding the Islamic perspective on disasters is expected to be an effective approach to predestination and eliminating fatalistic attitudes. The research method used is the study of the library. Data collection is done by understanding and studying theories from various literatures related to this research. The findings from this literature review reveal that Islamic discourse sees disaster as a test from God. There is not a single verse in the Al-Qur'an and the hadith of the Prophet Muhammad that commands humans to surrender without any efforts to mitigate (fatalistic) but orders muslims to make efforts to mitigate themselves in disasters (predestination). The results of this research, namely fatalistic and predestini, are two concepts that often overlap, but have important differences in the meaning and concept of use. Fatalistic can cause apathy and predestination causes enthusiasm. Then this research offers three Islamic principles that can be used in disaster risk reduction, namely Al-Ilmu (knowledge), Ikhtiar (effort) and Tawakkul (trust in God) with these three concepts it is hoped that the Community can mitigate themselves and also those around them, so as to minimize the fall of victims in a disaster.
Small Micro Enterprises
Authors: Wahyuningsih Sri , E Sotya Partiwi , Marlini Wenny , Alwi M. Takhiyuddin
Published: December 2024

Walik Ahjib Tofu is one of the MSEs located at Manunggal Gombong Square. Walik Ahjib Tofu's strategic location and delicious variant flavors make it a popular dish, but its service leaves consumers feeling less satisfied due to the lengthy queues. This study aims to determine how satisfied MSEs Tahu Walik Ahjib Manunggal Gombong consumers are with the services provided. The study employed a descriptive quantitative method, utilizing a g.form questionnaire, which was completed by 98 respondents. The results showed that customer satisfaction was influenced by service quality factors (physical evidence variables): reliability, responsiveness, assurance, and empathy, which had a positive effect based on the f-square test and were significant based on statistical tests. The results of this study indicate that the five service quality variables have a significant impact on customer satisfaction with Walik Ahjib Manunggal Gombong Tofu MSEs. The most influential factor is responsiveness.
Evaluación del riesgo ergonómico y su relación con trastornos musculoesqueléticos en personal auxiliar de limpieza de la sala de hemodiálisis
Authors:   Universidad Iberoamericana del Ecuador, Arias Vizcaino Francisco , Coyago Puente Joselyn Lizeth
Published: December 2024

La manifestación de lesiones musculoesqueléticas presenta una relación con la edad y está
directamente ligada con la actividad laboral, produciendo dolor y limitación de movilidad debido
a procesos inflamatorios. Las cuales, con el tiempo, pueden degenerar tejidos blandos
como músculos, tendones y ligamentos. En 2017, la Estrategia Iberoamericana de Seguridad y
Salud en el Trabajo evaluó las condiciones laborales en diversos países, revelando que el 37%
de los encuestados perciben un impacto negativo de sus actividades laborales en la salud. Los
síntomas más frecuentes fueron en la espalda (49,7%), cuello (40,5%) y/o miembros superiores
(26,2%). La falta de estudios estandarizados en Ecuador sobre la relación entre movimientos
repetitivos (Índice de Ocra >3.5), manipulación manual de cargas (MMC) y posturas forzadas
en el personal de limpieza resalta la necesidad de investigar estos factores para mejorar las
condiciones laborales y reducir las presuntas enfermedades profesionales.
Consentimiento informado en la atención de pacientes en cuidados paliativos: Una revisión sistemática
Authors:   Universidad Iberoamericana del Ecuador, Hurtado Enríquez María Gabriela , Mendoza Panta Diego Alexander , Fernández Lidys Padrón
Published: December 2024

Introducción: El consentimiento informado (CI) es un principio ético fundamental en la relación
médico-paciente y se vuelve crucial en el contexto de la atención paliativa (CP), donde la
toma de decisiones puede ser compleja y delicada, impactando directamente en la calidad de
vida y el bienestar de los pacientes y sus familias. Objetivo: Identificar las barreras percibidas
por los profesionales de la atención médica que limitan la implementación efectiva del CI de
pacientes en CP. Método: se realizó una revisión sistemática, en las bases de datos: LILACS,
ScienceDirect, Pubmed y The Lancet, utilizando descriptores MeSh, se incluyeron estudios
centrados en las barreras de aplicación del CI en pacientes paliativos; utilizando un enfoque
temático inductivo. Resultados: La búsqueda arrojó 229 artículos, de los cuales se incluyeron
20. Se identificaron diversas barreras las cuales se estructuraron en cuatro categorías: (1) sociales
y económicas, (2) de lenguaje o culturales, (3) relación médico-paciente y (4) clínicas.
Conclusiones: existen múltiples barreras y desafíos en la implementación del CI. Incluyen falta
de conciencia y alfabetización sobre el tema, complejidad del lenguaje técnico, resistencia de
pacientes y familiares, falta de tiempo y recursos, y falta de capacitación adecuada del personal
de salud.
Protocolo de enfermería para la atención de las pacientes con Hemorragia postparto Ingresadas en UCI
Authors:   Universidad Iberoamericana del Ecuador y Universidad Técnica de Ambato, Chávez Carrión Andrea Johana , Masache Novillo Yessenia del Cisne , Mejías de Duarte Marianela
Published: December 2024

La hemorragia obstétrica representa un riesgo vital para las mujeres especialmente la hemorragia
postparto (HPP), es una de las principales causas de mortalidad materna a nivel mundial y
en Ecuador. Esta puede ocurrir en cualquier etapa del embarazo, durante el parto o, con mayor
frecuencia en el posparto. La HPP se clasifica como primaria si ocurre entre las 24 horas, y
como secundaria si sucede después de las 24 horas y las 12 semanas posparto. A pesar de los
avances médicos, muchos protocolos existentes para su manejo están desactualizados, lo que
limita su efectividad. El objetivo de esta investigación es determinar el protocolo de enfermería
para la atención de las pacientes con Hemorragia postparto Ingresadas en UCI. Este estudio se
centró en la revisión exhaustiva de 19 documentos, incluidas guías, protocolos clínicos, tesis
y otros textos relacionados con el objetivo de proponer un protocolo actualizado basado en la
evidencia más reciente en el manejo de HPP en unidades de cuidados intensivos (UCI). Los hallazgos
resaltan la importancia de estandarizar las prácticas de enfermería, lo que permitiría mejorar
la atención, prevenir complicaciones y reducir las tasas de mortalidad asociadas a la HPP.
Abordaje Integral para prevenir alteraciones mentales en pacientes de la Unidad de Cuidados Intensivos (UCI)
Authors:   Universidad Iberoamericana del Ecuador, Coyago Joselyn , Imbaquingo Katherine , García Beracierto Juleiky
Published: December 2024

Introducción: La Unidad de Cuidados Intensivos (UCI) es un entorno complejo que genera
un gran impacto psicológico en los pacientes, lo que puede desencadenar alteraciones mentales
como delirium, depresión, ansiedad y estrés agudo o postraumático. Objetivo: Analizar el
abordaje integral para la prevención de alteraciones mentales en los pacientes en UCI. Metodología:
Se realizó una revisión sistemática descriptiva, no experimental y cualitativa, utilizando
bases de datos como PubMed, SciELO, Scopus y ScienceDirect. Resultados: Se identificaron
12 artículos que detallan herramientas actuales utilizadas por diversos profesionales de salud
para prevenir alteraciones mentales en UCI. Intervenciones como el control del dolor, la respiración
espontánea, la participación familiar, la música y el sueño saludable demostraron ser
efectivas para reducir el delirio en pacientes críticos. La estimulación cognitiva, auditiva y
sensorial, junto con la movilización temprana, también fueron eficaces en la disminución del
delirio y la ansiedad. La terapia de desensibilización y reprocesamiento mostró una reducción
significativa de la ansiedad, mientras que los diarios en UCI no fueron útiles para prevenir el
estrés postraumático. Conclusiones: Aunque muchas intervenciones son efectivas, es crucial
seguir investigando para desarrollar nuevas estrategias que reduzcan estas patologías y mejoren
la calidad de vida de los pacientes.
Competencias en la administración de medicamentos de alto riesgo en los estudiantes de enfermería del séptimo semestre de una universidad privada
Authors:   Universidad Iberoamericana del Ecuador, García Beracierto Juleiky , Calle Ruiz Janeth Alexandra , Paillacho Anchali Nathaly Estefania
Published: December 2024

Introducción: La comprensión de los medicamentos de alto riesgo es esencial para los estudiantes
de enfermería, ya que estos fármacos pueden provocar efectos adversos graves si no
se manejan adecuadamente. La formación en este ámbito permite a los futuros profesionales
identificar, evaluar y mitigar los riesgos asociados con su administración, garantizando así la
seguridad del paciente. Objetivo: Analizar el nivel de conocimientos teórico práctico en la
administración de medicamentos de alto riesgo en los profesionales de enfermería, también
determinar los conocimientos sobre precauciones en la administración de medicamentos de alto
riesgo en los estudiantes de enfermería del séptimo semestre. Metodología: Se realizó la investigación
con enfoque cuantitativo, de nivel descriptivo, de tipo no experimental – transversal y
de campo. Resultados: Más del 70% de los estudiantes encuestados poseen los conocimientos,
habilidades y capacidades en la administración de medicamentos de alto riesgo. Conclusiones:
la formación de los estudiantes de enfermería en el manejo de medicamentos de alto riesgo es
crucial para asegurar la seguridad del paciente y la calidad de la atención en el ámbito clínico.
Los resultados positivos en el conocimiento de estos medicamentos entre los estudiantes de
séptimo semestre destacan la efectividad de los programas educativos actuales.
Protocolo de cuidados con Cánula Nasal de Alto Flujo en unidades de cuidados intensivos pediátricos
Authors:   Universidad Iberoamericana del Ecuador, García Rivera Nicole Astrhid , León Lagos Jairo Santiago , Figuera Ávila Paolina Antonieta , Gallard Muñoz Figuera Ávila
Published: December 2024

Introducción: la cánula nasal de alto flujo (CNAF) se trata de una modalidad ventilatoria que
es no invasiva, se usa en pediatría y posee beneficios sobre la oxigenación, ventilación y confort
del paciente, así que, conocer los protocolos más efectivos, resulta de interés. Objetivo: analizar
los protocolos de cuidados más efectivos para la terapia con CNAF en unidades de cuidados
intensivos pediátricas (UCIP). Metodología: estudio cualitativo, tipo revisión sistemática, se
utiliza el formato PICO y el método de revisión documental PRISMA 2020. Resultados: los
protocolos de CNAF que tienen en cuenta el peso están vinculados con un menor uso de la
UCIP cuando se compara con los que utilizan la edad. La CNAF se muestra superior al suministro
de oxígeno terapéutico y a la ventilación no invasiva si se considera la reducción del
riesgo de escalamiento del tratamiento y la mejora de los parámetros clínicos. Conclusión: la
utilización de protocolos estandarizados favorece la reducción de la duración del uso del CNAF
y la duración de la estancia en la UCIP. Sin embargo, la eficacia de estos protocolos varía, por
lo que es importante evaluar su impacto en diversos entornos clínicos.
Estrategias de Prevención del Síndrome de Burnout en Enfermería de Cuidados Intensivos
Authors:   1Universidad Iberoamericana del Ecuador, Romero Maila Carmen Elizabeth , Nagua Sallo María Rocío , Alvarado Chacón Roberto Enrique
Published: December 2024

El síndrome de burnout es un problema significativo en la enfermería de cuidados intensivos,
afectando tanto el bienestar de los profesionales como la calidad de la atención al paciente. Este
estudio tuvo como objetivo determinar las estrategias de prevención del síndrome de burnout
en Enfermería de cuidados intensivos este ámbito. Se realizó una revisión sistemática de la
literatura, analizando los factores de riesgo, las estrategias actuales de prevención y proponiendo
mejoras basadas en los hallazgos. Los principales factores de riesgo identificados fueron la
sobrecarga de trabajo, la falta de apoyo organizacional y la exposición prolongada a situaciones
críticas. Las estrategias más efectivas incluyeron intervenciones psicosociales, programas de
resiliencia y mejoras en las condiciones laborales. Se concluyó que es necesario un enfoque
más holístico y personalizado para abordar este síndrome, integrando apoyo emocional y organizacional
en las UCI.
Prevención de riesgos laborales físicos en el Instrumentador Quirúrgico
Authors:   Instituto Superior Tecnológico Universitario Libertad, Guamán Yaguana1 Jéssica Lorena , Sánchez Pérez Elena Elizabeth , Pallo Fueres Nelly Margarita
Published: December 2024

La investigación tuvo lugar en el área quirúrgica de un centro clínico privado ubicado en la ciudad
de Quito-Ecuador. Este espacio cuenta con una clasificación de restricción dentro del entorno
hospitalario, debido a la complejidad de los procesos que se efectúan y el nivel de riesgo al
que se expone el personal de salud. Objetivo: Analizar los riesgos laborales físicos que afectan
a los instrumentadores dentro del área quirúrgica. Metodología: tuvo un enfoque cuantitativo,
con un diseño observacional de campo que abordo siete profesionales de instrumentistas de las
Clínica Santa María, a quienes se les administró el cuestionario sobre riesgos físicos. Resultados:
Existe un alto riesgo de peligro ante el contacto agentes biológicos (36%). Se evidencia
una ejecución ocasional de medidas de evaluación de vibraciones (39%) y medidas deficientes
de control del equipo y los dispositivos ruidosos adecuadamente (39%). La necesidad de
intervención inmediata se recomienda sobre los riesgos a la exposición a peligros biológicos,
radiaciones, evaluaciones de riesgos auditivos y de vibraciones. Conclusión: Las evaluaciones
periódicas de riesgos laborales son esenciales en los entornos clínicos para garantizar la seguridad
y el éxito de las intervenciones quirúrgicas. La realización periódica de estas evaluaciones
ayuda a identificar y mitigar los riesgos potenciales, lo que contribuye a un entorno más seguro
tanto para los pacientes como para los profesionales sanitarios.
Limitaciones legales en los cuidados paliativos en Ecuador
Authors:   Universidad Iberoamericana del Ecuador, Suárez Venegas Ramiro Javier
Published: December 2024

Este estudio analiza las deficiencias legales en la provisión de cuidados paliativos en Ecuador.
Objetivo: Analizar las limitaciones legales en los cuidados paliativos en el Ecuador. Metodología:
Se realizó un análisis documental de la legislación ecuatoriana relacionada con los cuidados
paliativos y entrevistas semiestructuradas con profesionales de la salud y pacientes. Los
datos recopilados fueron analizados cualitativamente para identificar los principales obstáculos
legales y regulatorios que limitan la prestación de estos servicios. Resultados: La investigación
muestra que la falta de políticas claras y de financiamiento adecuado afecta negativamente
el acceso a los cuidados paliativos. Además, se identificó una capacitación insuficiente del
personal médico y un desconocimiento de derechos entre los pacientes, lo que incrementa las
barreras en el acceso a una atención adecuada. Conclusión: Las deficiencias legales en Ecuador
generan una cobertura limitada de cuidados paliativos, afectando la calidad de vida de los pacientes
y su entorno familiar. Se recomienda una reforma legislativa que establezca directrices
claras y financiamiento para garantizar el acceso universal a estos servicios.
Efectividad y seguridad en la práctica de enfermería en la colocación de catéteres percutáneos en neonatos: una revisión sistemática
Authors:   Universidad Iberoamericana del Ecuador, Andrade Guamán Andrea Maricela , Mina Curay Mayra Alejandra , García Beracierto Juleiky
Published: December 2024

La colocación de catéteres percutáneos en unidades de cuidados intensivos neonatales (UCIN)
es crucial para proporcionar un acceso venoso seguro y prolongado en recién nacidos, especialmente
en prematuros o con condiciones médicas complejas. Este procedimiento, realizado
por profesionales de enfermería con formación especializada y educación continua, minimiza
la morbilidad y el estrés al reducir la necesidad de múltiples venopunciones. Sin embargo,
existen riesgos significativos, como infecciones y trombosis, exacerbados por la falta de protocolos
uniformes y formación avanzada específica. Este estudio analizó 19 artículos sobre los
procedimientos de colocación de catéteres percutáneos para reducir complicaciones y mejorar
los resultados clínicos en neonatos. Se concluye que la integración de teorías de enfermería, la
educación continua, el uso de ultrasonido para guiar la inserción y el desarrollo de protocolos
claros son fundamentales para optimizar el manejo de estos dispositivos. Asimismo, es esencial
un enfoque integral en el cuidado neonatal que combine conocimientos técnicos avanzados,
habilidades prácticas precisas y una comprensión profunda de la anatomía neonatal.
Fenomena Teknologi Virtual Digital Di Dunia Arsitektur Dalam Proses Perencanaan dan Desain Perancangan Arsitektur
Authors: Ibadi Raden Mohamad Wisnu , Doloksaribu Hendrik Poltak
Published: December 2024

In the architectural planning and design process, the use of virtual digital technology is a necessity in the world of architecture today. The digital virtual technology used in the architectural planning and design process in this scientific paper is virtual reality, augmented reality and artificial intelligence. This technology is a further development after the era of digital architectural drawings on computers with special programs such as AutoCAD, ArchiCAD and the like. The process of planning and designing two-dimensional designs using a drawing table machine and paper media in the past, can now be directly created and viewed in three dimensions on a computer screen or via virtual digital technology tools. This study aims to study the potential and influence of digital virtual technology using qualitative-descriptive research methods through literature study. With this study, it is hoped that it can become a reference in distinguishing between the three digital virtual technologies, selected and used according to user needs in the architecture planning and design process.
Advances in gastrointestinal vascular bleeding disorders: Successful sirolimus treatment in colonic angioectasia
Authors: Sun Qi , Wang Xiao-Ying , Li Dong-Hao , Li Bai-Rong , Tu Xin-Zhuo , Jiang Zhi-Meng , Ning Shou-Bin , Sun Tao
Published: December 2024

BACKGROUND

Gastrointestinal (GI) vascular bleeding disorders pose significant clinical challenges due to their complex pathogenesis and varied treatment responses. Despite advancements in diagnostic and therapeutic techniques, optimal management strategies remain elusive, necessitating further research.

AIM

To assess research trends and clinical advancements in GI vascular bleeding disorders, highlighting key themes and therapeutic progress.

METHODS

A bibliometric analysis was conducted using the Web of Science Core Collection database, reviewing publications from 2000 to 2024 to identify trends, high-frequency keywords, and key contributions from leading research institutions. In addition, a case study highlighted the effective application of sirolimus in managing colonic angioectasia in a patient with recurrent GI bleeding who had not responded to previous treatments.

RESULTS

The analysis reviewed 470 scholarly articles from 203 countries, involving 2817 authors across 1502 institutions. The United States led in publication contributions, with strong collaborations with countries like China, England, and Germany. A significant trend was observed in the shift from traditional endoscopic interventions to pharmacological therapies, particularly highlighting the successful use of sirolimus in treating colonic angioectasia. High-frequency keywords such as “angiodysplasia”, “colon”, and “management” were identified, indicating key research themes. The study also noted a growing interest in drug therapies, as evidenced by the increasing prominence of keywords like “thalidomide” since 2018.

CONCLUSION

This study links bibliometric analysis and clinical insights, highlighting the shift to pharmacological management in GI vascular bleeding disorders to improve patient outcomes.
Imaging characteristics of brain microstructure and cerebral perfusion in Crohn’s disease patients with anxiety: A prospective comparative study
Authors: Yue Ke-Cen , Zhu Ying-Yin , Sun Jing-Wen , Wu Xin-Tong , Liu Wen-Jia , Shi Hai-Feng
Published: December 2024

BACKGROUND

Anxiety is a common comorbidity in patients with Crohn’s disease (CD). Data on the imaging characteristics of brain microstructure and cerebral perfusion in CD with anxiety are limited.

AIM

To compare the imaging characteristics of brain microstructure and cerebral perfusion among CD patients with or without anxiety and healthy individuals.

METHODS

This prospective comparative study enrolled consecutive patients with active CD and healthy individuals who visited the study hospital between January 2022 and January 2023. Anxiety was measured using the Hospital Anxiety and Depression Scale-Anxiety. The imaging characteristics of brain microstructure and cerebral perfusion were measured by diffusion kurtosis imaging and intravoxel incoherent motion.

RESULTS

A total of 57 participants were enrolled. Among the patients with active CD, 16 had anxiety. Compared with healthy individuals, patients with active CD demonstrated significantly lower radial kurtosis values in the right cerebellar region 6, lower axial kurtosis (AK) values in the right insula, left superior temporal gyrus, and right thalamus, and higher slow and fast apparent diffusion coefficients (ADCslow and ADCfast) in the bilateral frontal lobe, bilateral temporal lobe, and bilateral insular lobe (all P < 0.05). Compared with patients with CD without anxiety, patients with CD and anxiety exhibited significantly higher ADCslow values in the left insular lobe and lower AK values in the right insula and right anterior cuneus (all P < 0.05).

CONCLUSION

There are variations in brain microstructure and perfusion among CD patients with/without anxiety and healthy individuals, suggesting potential use in assessing anxiety-related changes in active CD.
Elafibranor, a dual PPARα and PPARδ agonist, reduces alcohol-associated liver disease: Lessons from a mouse model
Authors: Pirola Luciano
Published: December 2024

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a highly prevalent liver pathology in need of novel pharmacological treatments to complement lifestyle-based interventions. Nuclear receptor agonists have been under scrutiny as potential pharmacological targets and as of today, resmetirom, a thyroid hormone receptor b agonist, is the only approved agent. The dual PPAR α and δ agonist elafibranor has also undergone extensive clinical testing, which reached the phase III clinical trial but failed to demonstrate a beneficial effect on MASLD. As alcohol-associated liver disease and MASLD can be interconnected, whether elafibranor might be affective against liver disease caused by alcohol consumption is worth investigating. Writing recently in the World Journal of Gastroenterology , Koizumi et al reported using a mouse model of alcohol-associated liver disease and found that hepatic steatosis, liver fibrosis, and hepatocyte apoptosis were alleviated by administration of elafibranor. Although preclinical in nature, these data support the potential beneficial action of elafibranor in alcohol-induced MASLD, warranting the testing of this molecule in patients with steatotic liver disease caused by alcohol consumption.
Unlocking the potential of Calculus bovis: A breakthrough in liver cancer treatment via Wnt/β-catenin pathway modulation
Authors: Benmediouni Farouk
Published: December 2024

Liver cancer remains a significant global health challenge, characterized by high incidence and mortality rates. Despite advancements in medical treatments, the prognosis for liver cancer patients remains poor, highlighting the urgent need for novel therapeutic approaches. Traditional Chinese medicine (TCM), particularly Calculus bovis (CB), has shown promise in addressing this need due to its multi-target therapeutic mechanisms. CB refers to natural or synthetic gallstones, traditionally sourced from cattle, and used in TCM for their anti-inflammatory, detoxifying, and therapeutic properties. In modern practice, synthetic CB is often utilized to ensure consistent supply and safety. This article aims to discuss the findings of Huang et al , who investigated the anti-liver cancer properties of CB, focusing on its ability to inhibit M2 tumor-associated macrophage (TAM) polarization via modulation of the Wnt/β-catenin pathway. Huang et al employed a comprehensive approach integrating chemical analysis, animal model testing, and advanced bioinformatics. They identified active components of CB using UPLC-Q-TOF-MS, evaluated its anti-neoplastic effects in a nude mouse model, and elucidated the underlying mechanisms through network pharmacology, transcriptomics, and molecular docking studies. The study demonstrated that CB significantly inhibited liver tumor growth in vivo , as evidenced by reduced tumor size and weight in treated mice. Histological analyses confirmed signs of tumor regression. CB was found to modulate the tumor microenvironment by inhibiting the polarization of M2 phenotype-TAMs, as shown by reduced expression of M2 markers and downregulation of mRNA levels of C-C motif chemokine 22, arginase-1, transforming growth factor-beta 2, and interleukin-10. The study further revealed that CB’s antineoplastic activity involved the downregulation of Wnt5B and β-catenin and upregulation of Axin2, thus inhibiting the Wnt/β-catenin signaling pathway. These findings highlight the therapeutic potential of CB in liver cancer treatment through its modulation of the Wnt/β-catenin pathway and suppression of M2 phenotype-TAM polarization. This study underscores the value of integrating TCM with modern therapeutic strategies to develop novel effective treatments for liver cancer.
Clinicopathological features and treatment of gastrointestinal schwannomas
Authors: Zhang Peng-Cheng , Wang Shu-Hui , Li Jun , Wang Jing-Jie , Chen Hong-Tan , Li Ai-Qing
Published: December 2024

BACKGROUND

Gastrointestinal schwannomas (GIS) are rare neurogenic tumors arising from Schwann cells in the gastrointestinal tract. Studies on GIS are limited to small case reports or focus on specific tumor sites, underscoring the diagnostic and therapeutic challenges they pose.

AIM

To comprehensively examine the clinical features, pathological characteristics, treatment outcomes, associated comorbidities, and prognosis of GIS.

METHODS

The study population included patients diagnosed with GIS at the First Affiliated Hospital, Zhejiang University School of Medicine, between June 2007 and April 2024. Data were retrospectively collected and analyzed from medical records, including demographic characteristics, endoscopic and imaging findings, treatment modalities, pathological evaluations, and follow-up information.

RESULTS

In total, 229 patients with GIS were included, with a mean age of 56.00 years and a male-to-female ratio of 1:1.83. The mean tumor size was 2.75 cm, and most (76.9%) were located in the stomach. Additionally, 6.6% of the patients had other malignant tumors. Preoperative imaging and endoscopy frequently misdiagnosed GIS as gastrointestinal stromal tumors. However, accurate preoperative diagnosis was achieved using endoscopic ultrasound-guided fine-needle aspiration combined with immunohistochemical analysis, in which S100 and SOX-10 markers were mostly positive. Smaller tumors were typically managed with endoscopic resection, while larger lesions were treated with surgical resection. Follow-up results showed that most patients experienced favorable outcomes.

CONCLUSION

Preoperative diagnosis of GIS via clinical characteristics, endoscopy, and imaging examinations remains challenging but crucial. Endoscopic therapy provides a minimally invasive and effective option for patients.
Improving gastrointestinal scoring systems for predicting short-term mortality in critically ill patients
Authors: Moore Shane , Donlon Noel E
Published: December 2024

Shen et al ’s retrospective study aims to compare the utility of two separate scoring systems for predicting mortality attributable to gastrointestinal (GI) injury in critically ill patients [the GI Dysfunction Score (GIDS) and the Acute Gastrointestinal Injury (AGI) grade]. The authors note that this study is the first proposal that suggests an equivalence between the ability of both scores to predict mortality at 28 days from intensive care unit (ICU) admission. Shen et al retrospectively analysed an ICU cohort of patients utilising two physicians administering both the AGI grade and GIDS score, using electronic healthcare records and ICU flowsheets. Where these physicians disagreed about the scores, the final decision as to the scores was made by an associate chief physician, or chief physician. We note that the primary reason for the development of GIDS was to create a clear score for GI dysfunction, with minimal subjectivity or inter-operator variability. The subjectivity inherent to the older AGI grading system is what ultimately led to the development of GIDS in 2021. By ensuring consensus between physicians administering the AGI, Shen et al have controlled for one of this grading systems biggest issues. We have concerns, however, that this does not represent the real-world challenges associated with applying the AGI compared to the newer GIDS, and wonder if this arbitration process had not been instituted, would the two scoring systems remain equivalent in terms of predicted mortality?
Governance Structures: Comparing Presidential and Parliamentary Systems on Accountability, Efficiency, and Economic Outcomes
Authors: Mahmuluddin
Published: December 2024

This study provides a comparative evaluation of two dominant governance structures—presidential and parliamentary systems—focusing on their institutional efficiency, accountability, and economic outcomes. Through a review of existing literature and case studies, the research identifies key distinctions between these systems. Presidential systems, characterized by strong centralized executive authority, often struggle with transparency and accountability, leading to bureaucratic inefficiencies. In contrast, parliamentary systems typically foster greater decentralization and consultation, promoting higher levels of accountability and transparency. Economically, countries under presidential governance tend to experience slower GDP growth, higher inflation, and increased income inequality, with growth rates averaging 0.6 to 1.2 percentage points lower than those under parliamentary governance. This is partly attributed to policies that often favor elite interests. Using a qualitative comparative approach, the study analyzes a range of case studies and policy outcomes, concluding that parliamentary systems, despite some challenges, offer superior institutional efficiency, greater accountability, and better economic performance. As a result, parliamentary systems are suggested to be a more favorable governance model in terms of transparency, decentralized governance, and economic outcomes.
AGAMA, MEDIA, DAN MASYARAKAT DI ERA DIGITAL
Authors: Andriyana Putri , Adrian Bob
Published: December 2024

In the digital age, digital media, particularly the internet and social media, have significantly changed the landscape of communication and social interaction. The ease of access to information, the ability to participate in discussions, and the formation of virtual communities are some of the positive impacts of this technological development. In addition, digital technology shapes worship practices and enhances communication and connectivity among individuals. The role of digital technology brings a variety of benefits in terms of access to information and social interaction. It is important to continue to pay attention to and ensure that the use of digital technology is responsible and provides benefits to society as a whole. This research examines the correlation between religion, mass media, and society. The research results showed that the correlation between technological progress, especially mass media, and human life has both good and bad sides. Mass media plays an important role in spreading religious messages and increasing public understanding, but it can also have negative impacts, such as the spread of false information. It is important to use mass media wisely and monitor them to minimize their negative impacts.