bluuebunny/crossref_metadata_2025 huggingface dataset:
The Heart’s Secret Bridge: Ruptured Sinus of Valsalva Aneurysm Masquerading as a Gerbode Defect
Authors: Sawalha Khalid , Lopez-Candales Angel
Published: January 2025

Our case presents a 53-year-old male with type 2 diabetes and dyslipidemia presenting to the emergency department with symptoms of chest pressure, palpitations, dyspnea, and exercise intolerance. On initial imaging, an abnormal color flow signal was seen that was initially thought to be secondary to a Gerbode defect. However, using more detailed imaging, cardiac computed tomography angiography suggested the possibility of a noncoronary sinus of Valsalva aneurysm (SOVA) rupture into the right atrium, making the diagnosis challenging. Finally, transesophageal echocardiography confirmed rupture of a SOVA. This case report highlights the importance of maintaining a high index of suspicion when considering rare cardiac anomalies and emphasizes the significance of using different imaging modalities to reach an accurate diagnosis.
The Promising Role of Speckle-tracking Echocardiography in Detecting the Patchy Nature of Myocarditis, Insights from Case Series in the Largest Pediatrics Tertiary Center of UAE
Authors: AbdelMassih Antoine Fakhry , Khan Arshad , Majichian Zahra , Musleh Afnan , Goyal Ashutosh , AlDarmaki Sara M.
Published: January 2025

There is increasing evidence that myocarditis starts as a patchy process, accordingly, the detection of segmental affection is important for early recognition of the disease and proper initiation of anti-inflammatory treatment. We present our first experience here with using speckle-tracking echocardiography (STE) to detect subtle segmental involvement of the left ventricle in two cases with suspected myocarditis. STE consolidated the diagnosis and helped with the early initiation of intravenous immunoglobulins and subsequent control of the disease. STE was also able to show the specific topography of distribution of each pathogen linked to inflammation.
Congenital Tricuspid Valve Stenosis with Small Ostium Secundum Atrial Septal Defect and Ventricular Septal Defect Eisenmenger Complex
Authors: Krishna Abhay , Singhania Priti
Published: January 2025

Congenital tricuspid valve stenosis is a rare anomaly. Tricuspid stenosis in adults is almost always rheumatic in origin. Here, we report a case of organic tricuspid valve disease associated with ventricular septal defect Eisenmenger complex and a small ostium secundum atrial septal defect in an adult patient.
Extremely Unusual Coronary Involvement in Cardiac Sarcoidosis
Authors: Wasir Amanpreet Singh , Bansal Manish , Jaiswal Anand , Pande Surbhi , Thakur Abha , Sarin Haimanti , Bhargava Kartikeya
Published: January 2025

Left ventricular (LV) regional wall motion abnormalities are common in cardiac sarcoidosis but coronary occlusion is very rare. Here, we report a case of cardiac sarcoidosis with very unusual coronary involvement. A 43-year-old man presented with a persistent cough and a history of uveitis 6 months back with no other comorbidities. He was initially treated with empirical antitubercular treatment but continued to have an intractable cough and hence, underwent further evaluation. Echocardiography revealed global LV systolic dysfunction with inferior wall akinesia and LV ejection fraction 25%–30%. Cardiac magnetic resonance imaging confirmed these findings. It also showed subendocardial late gadolinium enhancement localized to the inferior wall segments with 50%–75% transmural extent. 18-fluorodeoxyglucose (FDG) positron emission tomography showed multiple FDG-avid lymph nodes all over the body along with intense myocardial FDG uptake confined to the inferior wall. Coronary angiography was performed which showed double-vessel disease with critical stenosis of the right coronary artery (RCA). Ultrasonography-guided fine-needle aspiration cytology from inguinal lymph nodes showed nonnecrotizing granulomas without any evidence of tuberculosis. He was started on steroids and appropriate heart failure medications and underwent percutaneous transluminal coronary angioplasty with stent to RCA. Later, he presented with hemodynamically stable ventricular tachycardia and received an implantable cardioverter defibrillator.
Evaluation of Noninvasive Diagnostic Techniques in Identifying Coronary Artery Disease: A Systematic Review
Authors: Alajmi Shahad Mubarak , Aljabbari Fahad Homoud , Alabdullah Hussain Abdullah , Alshehri Reema Mohammed , Rashid Hadi Abdulhakim , Alyami Ali Mohammad , Alahmadi Abdulrahman Ahmad , Almaqtouf Hussain Ammar , Alghamdi Mada Ali , Aldehniam Maream Abdulmohsen , Kadasah Norah Saeed , Aljizeeri Ahmed
Published: January 2025

Background:

Coronary artery disease (CAD) poses a significant global health burden, necessitating optimal diagnostic strategies for risk assessment and management. This study systematically reviews randomized controlled trials (RCTs) comparing different noninvasive imaging modalities for CAD evaluation, focusing on their subsequent invasive outcomes and major adverse cardiac events (MACEs).

Methods:

A comprehensive electronic search was conducted across multiple databases, identifying 24 relevant RCTs published between 2010 and 2023. Key outcomes assessed included downstream referral to invasive testing, MACE rates, cost-effectiveness, and hospitalization outcomes.

Results:

The majority of included RCTs focused on comparing coronary computed tomography angiography (CCTA) with alternative imaging techniques. While CCTA is often associated with increased invasiveness, it demonstrates slightly better MACE rates, cost-effectiveness, and hospitalization outcomes compared to other imaging modalities.

Conclusion:

Continued investigation into alternative noninvasive diagnostic methods for CAD is essential to advance clinical practice and optimize patient care. By exploring new strategies beyond CCTA and leveraging technological innovations, health-care providers can improve diagnostic precision, mitigate procedural risks, and ultimately enhance outcomes for individuals with CAD.
Impact of number of passes and futile reperfusion in basilar artery occlusion acute ischaemic stroke
Authors: Siow Isabel , Tan Benjamin Yong-Qiang , Lee Keng Siang , Yap Dominic Wei Ting , Sia Ching-Hui , Gopinathan Anil , Yang Cunli , Bhogal Pervinder , Lam Erika , Spooner Oliver , Meyer Lukas , Fiehler Jens , Papanagiotou Panagiotis , Kastrup Andreas , Alexandrou Maria , Kutschke Seraphine , Wu Qingyu , Mpotsaris Anastasios , Maus Volker , Anderson Tommy , Gontu Vamsi , Arnberg Fabian , Lee Tsong Hai , Chan Bernard Pak Li , Seet Raymond CS , Teoh Hock Luen , Sharma Vijay Kumar , Yeo Leonard Leong Litt
Published: January 2025

Introduction:

Mechanical thrombectomy (MT) is the standard of care in anterior circulation large vessel occlusion. A vital modifiable factor is successful reperfusion. While multiple passes improve the rates of successful reperfusion, previous studies have reported progressively diminishing returns. This study aimed to investigate the relationship between number of passes and outcomes in basilar artery occlusion (BAO).

Methods:

This multicentre retrospective cohort study included patients who were treated with MT for acute BAO from eight comprehensive stroke centres between 2015 and 2020. The primary outcome was favourable functional outcome (FFO) defined as modified Rankin Scale (mRS) 0–3 measured at 90 days. Secondary outcomes included spontaneous intracranial haemorrhage and mortality. Patients were stratified according to reperfusion status and the number of passes for further analysis.

Results:

The adjusted odds ratio (OR) for FFO 90 days for each additional pass of a thrombectomy device was 0.56 (P = 0.003). When ≤3 passes of the thrombectomy device were made, achieving reperfusion led to higher rates of FFOs. However, when >3 passes of the thrombectomy device were made, achieving reperfusion no longer led to higher rates of FFOs (FFO = 0% in patients who did not achieve reperfusion vs. FFO = 14.5 in patients who achieved reperfusion; P = 0.200). Notably, increasing number of passes was associated with a non-significant trend towards higher rate of parenchymal haemorrhage (OR 1.55, P = 0.055).

Conclusion:

Acute BAO patients treated with up to three passes of a thrombectomy device derived improved functional outcomes from reperfusion compared to those with more than three passes. Further prospective cohort studies are necessary to validate these findings.
Power, Knowledge, and Marginalization: A Foucauldian Analysis of Children from Low-Income Immigrant Households in Norway
Authors: Agyare Patrick
Published: January 2025

This study critically analyzes the discursive constructions of immigrant children from low-income households in Norwegian official publications between 2014 and 2024. The study uses Foucauldian discourse analysis to explore the representation of these children, the power dynamics and knowledge claims present in these discourses, and the implications for policy interventions and resource allocation. The analysis focuses on publications from key institutions, including the Directorate of Integration and Diversity, the Ministry of Children and Families, the Ministry of Labor and Social Inclusion, the Norwegian Labor and Welfare Administration, and Statistics Norway. The findings reveal that the portrayal of these children as vulnerable and socio-economically disadvantaged frequently exacerbates their challenges due to their immigrant background and poverty status. While such narratives drive targeted interventions aimed at alleviating poverty, they risk reinforcing hierarchical power dynamics and perpetuating the marginalization of immigrant families by focusing on remedial measures rather than addressing systemic inequalities. The study identifies a deficit-based framing that emphasizes dependency and vulnerability, which overlooks the potential, resilience, and agency of immigrant children. Instead, it advocates for a shift towards policies that address structural inequalities, promote social inclusion, and emphasize empowerment. A more comprehensive, intersectional approach to policy is recommended—one that not only provides economic support but also ensures equitable access to education, housing, and employment opportunities while dismantling systemic barriers. The findings underscore the necessity for transformative policies that challenge existing power structures and prioritize social justice, equity, and inclusive communities that better align with the host society’s values and social structure.
Eclectic Contexts of Xenophobic Workplace Discrimination in Post-apartheid South Africa
Authors: Duma Vusumzi , Kang'ethe Simon Murote
Published: January 2025

Today, a fresher look at social structures shows that the possibility of living in a socially homogeneous society has lost its credibility. When any workplace is considered, migrant workers are exposed to both intended and unintended forms of xenophobic workplace discrimination daily in many migrant-receiving countries.  Xenophobic workplace discrimination has pernicious and ramifying consequences for migrant workers. This article uses a review of the literature methodology. Xenophobic-driven workplace discrimination towards migrant workers in the workplace may manifest itself through the following forms: institutional discrimination at work, wage discrimination, discriminatory assignment to hazardous jobs, and discriminatory assignment to precarious and ‘ghettoized’ jobs. Because in the post-apartheid South African context, it is black African migrants who bear the brunt of xenophobic-driven workplace discrimination, these researchers recommend that: firstly, workplace ethics regulating the employment of labour migrants in the post-apartheid context should be guided by Article 1 of the ILO‟s (International Labour Organisation) Convention Discrimination (Employment and Occupation) of 1958. Trade union federations should utilise their bargaining power to shield migrant workers from forms of workplace discrimination that are xenophobically driven. Finally, the contribution of migrant workers, who are often victims of xenophobic-driven workplace discrimination, constitutes a significant economic dividend that could benefit the country’s economic productivity and growth.  For this reason, it is of paramount importance for the government, business, and labour to collectively work together to eradicate the scourge of xenophobia as a form of discrimination in the workplace.
Examining the Assistance Needed by Prison Students to Succeed in their Distance Education Studies
Authors: Mahlangu Vimbi Petrus
Published: January 2025

This study investigates the educational experiences of twelve jailed students in prison in Namibia, with a specific emphasis on identifying the factors necessary for their academic achievement. The study aimed to gain a deeper understanding of the jailed students' perspectives on the impact of education, utilizing audio-recorded interviews. The interviews were meticulously transcribed verbatim by an English-speaking transcriber to ensure the utmost accuracy and thoroughness in documenting the participants' narratives. The author employed an interpretive paradigm to analyze and delve into the subjective meanings and experiences of the pupils. This methodology enabled a comprehensive understanding of the influence of educational programs on the lives of jailed inmates, potentially aiding in their rehabilitation and successful reintegration into society. The findings offer unique insights into the significant influence that education may have in correctional settings, revealing the challenges and accomplishments encountered by incarcerated students. This study contributes to the broader discourse on education in prisons by focusing on the real-life experiences of prisoners. It highlights the need to provide jailed individuals educational opportunities to facilitate their personal and professional development. This study emphasizes the significance of tailored educational interventions in prisons to foster advantageous outcomes for incarcerated persons and society.
The Impact of Autonomy and Decision Making on the Morale and Motivation of Technical Vocational Education and Training (TVET) Lecturers in the Eastern Cape, South Africa
Authors: Nikisi Ernest , Mashologu Mabel Wendy , Bwowe Patrick W. , Masha Anthony Kambi
Published: January 2025

The study focused on the impact of autonomy and decision making on the morale and motivation of TVET college lecturers in the Eastern Cape Province of South Africa. The study also exposed the autonomy and decision-making factors affecting the lecturers and it gave possible ways to minimise the negative impact on the teaching and learning programmes of the colleges. The research sample comprised of 40 female and male participants whose ages ranged from 25 to 60 years and were drawn from two randomly selected colleges. The study followed a mixed methods approach where both questionnaire and interview instruments were used to collect data giving rise to both qualitative and quantitative data respectively. The findings uncovered that autonomy and decision making among lecturers is negatively affecting lecturers’ morale and motivation. Factors that are making autonomy and decision-making problematic include participation prohibition, leadership restrictions and reduced self-reliance at work.
Podcasts or Vodcasts? Exploring First-Year Students’ Preferences for Enhancing Academic Writing Skills
Authors: Mohale Ntshimane Elphas
Published: January 2025

First-year students in a distance learning institution face academic writing challenges arising from inadequate writing skills developed in high school, the need to adapt to new writing standards, and limited language proficiency. These challenges could potentially lead to higher dropout’ rates, increased failures, and delayed qualification completion. Specific writing challenges include producing suitable academic content, adhering to academic writing conventions, using one’s own voice, citation and referencing, and style. To aid these students, podcasts and vodcasts were introduced for a student body of approximately 30,000. Transactional Distance Theory and Community of Inquiry framework underpinned the study. In addition, the study collected data using online open-ended evaluation questions and focus group discussions. Vodcasts gained preference due to their visual-auditory approach, aligning with tech-savvy students’ preferences. Vodcasts effectively improve academic writing by demonstrating concepts visually. Vodcasts reduced transactional distance between students and lecturers, encouraging collaborative learning and reducing the isolation factor. While podcasts were less preferred, they enhanced listening skills and sparked interest in the subject matter. Based on the findings, the study proposed guidelines for impactful vodcast creation, showing vodcasts’ effectiveness in addressing distance learning writing issues, enhancing engagement, collaboration, and understanding.
Wartime and Online Education: A Bibliometric Analysis
Authors: Babalola Sunday Samson , Genga Cheryl Akinyi
Published: January 2025

This study sheds light on the existing void regarding wartime and online education in Africa. Over three-quarters of African nations have experienced various forms of conflict over the past three decades, resulting in a significant loss of life and immense suffering for African citizens striving for education. The African continent has witnessed nearly 88% of conflict-related fatalities worldwide. The widespread destruction of schools and universities, from primary to higher education, has worsened the problem of limited technology resources. This lack of technology makes it even harder for educational institutions to function effectively. Recent insecurity poses a formidable challenge to many African higher education institutions, impeding efficient administration and management, disrupting academic calendars, claiming student lives, and damaging the critical infrastructure for teaching and learning. In addition, African higher education institutions still lag behind their counterparts on other continents in embracing digital transformation. Using the Scopus database, this study conducted a bibliometric analysis of publications from 2000 to 2024, focusing on wartime and online education. The gathered documents were meticulously analysed using visualisation tools like VOS Viewer. The findings highlight a significant research gap regarding the intersection of wartime conditions and online education in African institutions, as there are no publications on wartime and online learning from the African continent. The findings highlight that the publications are mainly from a Western perspective, which has marginalised African higher education institutions in the global knowledge production and dissemination landscape. The paper identifies promising areas for further research on improving education during African conflicts to guide future efforts.
Effect of Delaying Urine at Room Temperature and Cold Temperature on the Number of Bacteria in Urinary Tract Infection Patients
Authors: Rini Chylen Setiyo
Published: January 2025

Urinary Tract Infection is an infection of the urinary tract, especially the kidneys, bladder, ureters and urethra which causes various microorganisms, generally bacteria. If urine is left for too long it will affect the validity of the examination results in supporting the diagnosis of an examination, especially UTI. The aim of this study was to determine the effect of delaying urine at room temperature and cold temperature on the number of bacteria in Urinary Tract Infection patients. The method used was Laboratory Experimental with Accidental Sampling sampling techniques in accordance with the inclusion criteria, totaling 5 samples. The results of the study at room temperature (20-25°C) (12.9 /ml). The data were analyzed statistically using the Friedman test, showing a significance value of P<0.05, namely 0.003, that there was an effect of delaying urine at room temperature and at cold temperatures on the number of bacteria in sufferers of Urinary Tract Infections (UTI).
The Effect of Habits of Type 2 DM Patients on Blood Cholesterol Levels
Authors: Setiawan Muh Azdar Setiawan , Ira Ira Indriasari Ruslan , Wenty Darmayanita Wenty
Published: January 2025

ABSTRACT
Teenagers tend to spend a lot of food at home and often choose fast food. This condition can lead to increased food intake, decreased activity, and increased blood sugar levels. As a result, levels interfere with glucose metabolism. This study aims to see the influence between the habits of type 2 DM patients on cholesterol levels. The research method used was an experiment using quantitative data retrospectively with an observational approach where the sample was selected incidentally and analysed using the SEM method with a total sample of 32 people. The results showed that the variable habits of type 2 DM patients had a P-value below 0.05 on the variable cholesterol levels with indicators of LDL levels and triglyceride levels. The conclusion of this study is that the habits of patients with type 2 diabetes have a significant influence on cholesterol levels.
Keywords : Diabetes Mellitus, Cholesterol level, SEM
PERBANDINGAN INDEKS ERITROSIT PADA PENDERITA TUBERKULOSIS YANG MENJALANI PENGOBATAN FASE AWAL DAN FASE LANJUTAN SEBAGAI MONITORING RISIKO ANEMIA
Authors: Yanti Sunaidi  , Imelda pongsimpin  , Nuramaniyah Taufiq
Published: January 2025

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. Tuberculosis can be treated by taking Anti-Tuberculosis Drugs (OAT). Tuberculosis treatment is divided into two phases, namely the initial phase and the advanced phase. Side effects of OAT use can cause hematological abnormalities in the blood such as anemia. The purpose of this study was to determine the comparison of erythrocytes in tuberculosis patients undergoing initial and advanced phase treatment as monitoring of anemia risk. This type of research was a comparative study. The research subjects were 30 subjects undergoing initial phase treatment and 30 subjects in advanced phase treatment obtained using the total sampling method. The results of this study obtained a normal erythrocyte index in the early phase of 21 (70%) subjects, normocytic hypochromic 6 (20%) subjects, and microcytic hypochromic 3 (10%) subjects. In comparison, the normal erythrocyte index in the advanced phase was 26 (87%) subjects and microcytic hypochromic 4 (13%) subjects. From the results of the statistical test study using the Mann-Whitney test, the Asymp. Sig. (2 tailed) value was obtained 0.000 (<0.05), which indicates that there is a comparison between the results of the erythrocyte index examination in TB patients undergoing early and advanced phase treatment so that in this study, the hypothesis H is accepted and Ho is rejected. This study concludes that more people experience anemia in the early phase of treatment than in the advanced phase of treatment.
Evangelical Sunday School and Character Building: A Study of Christian Education for Children of Pre-adolescent Level
Authors: Sopakua Samel , Leinatta Meilany S. , Matital Noni , Saimima Alexandra M.
Published: January 2025

SMTPI is a form of formal church education that also serves as a platform for Christian Religious Education services for children. At SMTPI, children have the opportunity to learn and receive various teachings. One of the primary goals of Christian Religious Education (CRE) at SMTPI is character building, a process where children undergo changes in inner attitudes that influence their thoughts, behavior, character, and overall human nature. The purpose of this study is to identify the factors that influence the character-building of SMTPI children at the pre-adolescent level and to evaluate how SMTPI contributes to their character-building, viewed from the perspective of CRE. Based on analysis conducted through observation, interviews, and literature review, two key factors are identified as influencing children’s character building: internal and external factors. Additionally, SMTPI contributes significantly to character building by employing various creative and innovative teaching methods in its learning process. These methods help reduce children’s boredom while studying, making it easier for them to grasp the meanings and messages conveyed by caregivers. This approach ensures that children experience a process of character building that aligns with Christian values, fostering the formation of better character traits by Christian principles.
Transformative Christian Education to Fight Against Human Trafficking
Authors: Kapu Enda Andriarto
Published: January 2025

This writing is driven by the increasing cases of human trafficking in Sumba, a serious crime against humanity and a violation of human rights. Many men and women working abroad, along with numerous women and children, have fallen victim to trafficking, where they are exploited without fair wages or forced into sexual labor. In recent years, many victims of trafficking have returned home with missing organs, or worse, have lost their lives. The author believes that the church must take action by raising awareness and resistance through transformative Christian education. Thus, this writing aims to analyze how transformative Christian education can play a role in combating human trafficking. The research is based on a qualitative methodology, using data collection methods such as literature review, observation, and interviews. The findings indicate that Christian education within the church has yet to address human trafficking, as it currently focuses solely on worship services. The author suggests that Christian education in congregations should be re-evaluated to include topics related to human trafficking. The Christian educational content should not only be drawn from the Bible but also from real-world experiences and social issues like human trafficking that affect the community. The goal of Christian education should be to inspire transformation and change within the congregation
Reforming Christian Religious Education: Integrating Spirituality and Critical Reasoning in the Digital Era
Authors: Gulo Rezeki Putra , Tapilaha Sandra Rosiana
Published: January 2025

This article adopts a qualitative approach, utilizing both library research and phenomenology. It aims to explore new approaches in Christian religious education that integrate spirituality with critical reasoning, addressing the challenges posed by the current digital era. The core issue examined is how to equip students with critical reasoning skills while simultaneously deepening their faith and spirituality in the context of digital technology, highlighting both the challenges and opportunities this presents. By reviewing a range of relevant literature, this research presents best practices for addressing the pedagogical needs of students in the digital era. Its originality lies in a holistic approach that integrates spiritual development with critical reasoning in the learning process, offering a new model for shaping Christian thinkers who are both critically minded and deeply committed to their faith in an era of rapid technological advancement. The research reveals that integrating digital technology into Christian religious education greatly improves student engagement in the learning process. Moreover, combining critical reasoning with spiritual development enables students to gain a deeper and more relevant understanding of Christian values in the context of the digital era.
Peran Gereja Dalam Peningkatan Mutu Pendidikan: Studi Kasus Di KB TK Bintang Nusantara Banyumanik
Authors: Nainupu Astrid Maryam Yvonny
Published: January 2025

Penelitian ini hendak menguraikan tentang bagaimana peran GKT New Life Semarang terhadap peningkatan mutu pendidikan di KB TK Bintang Nusantara Banyumanik. Metode yang digunakan adalah kualitatif dengan cara pengambilan data melalui penelitian pustaka, observasi, dan wawancara. Wawancara dilakukan kepada Badan Pelaksana Pendidikan (BPP) yang anggotanya adalah hamba Tuhan dan jemaat dari GKT New Life Semarang. Untuk validasi data maka wawancara juga dilakukan kepada kepala sekolah dan para guru di KB TK Bintang Nusantara. Hasil dari penelitian ini disajikan secara deskriptif. Penelitian ini penting untuk bahan evaluasi dan upaya peningkatan peran gereja yang dalam penelitian ini adalah pendiri dari KB TK Bintang Nusantara Banyumanik. Hasil dari penelitian ini adalah GKT New Life Semarang telah berperan dalam menfasilitasi biaya operasional untuk komponen peningkatan mutu guru, peserta didik dan fasilitas pendidikan. GKT New Life Semarang juga terlibat dalam pembekalan bagi guru dan siswa baik secara akademis dan kerohanian.
Revitalisasi Pelayanan Gereja di Era Society 5.0
Authors: Jeprianus Jeprianus
Published: January 2025

sekaligus tantangan bagi pelayanan gereja. Penelitian ini bertujuan untuk mengeksplorasi bagaimana gereja dapat memanfaatkan teknologi untuk merevitalisasi pelayanan tanpa kehilangan nilai-nilai spiritualitas Kristiani. Dengan menggunakan pendekatan studi literatur, penelitian ini menemukan bahwa adopsi teknologi seperti ibadah daring, media sosial, dan aplikasi gereja telah meningkatkan keterlibatan jemaat, menjangkau generasi muda, dan memperluas pelayanan ke wilayah terpencil. Temuan ini relevan dengan mandat teologis seperti Matius 28:19-20 dan 1 Korintus 9:22, yang menekankan pentingnya menjangkau semua bangsa dengan pesan Injil. Namun, penelitian ini juga mengidentifikasi tantangan yang meliputi keterbatasan sumber daya teknis dan finansial, resistensi terhadap teknologi di kalangan jemaat dan pemimpin gereja, serta kebutuhan untuk memastikan teknologi tidak menggantikan inti spiritualitas. Untuk mengatasi kendala ini, penelitian merekomendasikan pelatihan literasi digital, kolaborasi dengan komunitas teknologi Kristen, serta pengembangan pedoman etis untuk penggunaan teknologi dalam pelayanan gereja. Penelitian ini menyimpulkan bahwa dengan pendekatan strategis dan adaptif, teknologi dapat menjadi alat yang efektif untuk mendukung misi gereja di era Society 5.0, menciptakan pelayanan yang relevan dan berdampak di tengah dinamika sosial yang terus berkembang.
Orientasi Seksual Kaum LGBT Dalam Lensa Dogmatik-Etik: Upaya Meningkatkan Kualitas Manusia Kristen
Authors: Tanhidy Jamin
Published: January 2025

Isu mengenai Orientasi Seksual yang ramai diperdebatkan saat ini, sering dikaitkan dengan perilaku seksual yang dipraktikkan oleh Kaum LGBT.  Identitas dan praktik seksual kaum LGBT dianggap bertentangan dengan norma moral, sosial dan agama.  Namun kaum LGBT beranggapan bahwa  perilaku seksual tersebut adalah sesuatu yang wajar dan normal serta menjadi ciri pembentuk identitas kaumnya. Tulisan ini hendak menganalisis apa yang dimaksud dengan Orientasi Seksual yang dimaksud oleh kaum LGBT tersebut dalam lensa Dogmatik-Etik. Metode penelitian yang digunakan adalah studi pustaka dengan melakukan pengumpulan dan analisis data dari literatur online. Hasil penelitian menunjukkan bahwa apa yang dimaksud dengan Orientasi Seksual menurut kaum LGBT dalam kajian Dogmatik-Etik sesungguhnya adalah Disorientasi Seksual (Penyimpangan Perilaku Seksual) yang dilarang oleh Tuhan Allah dan bertentangan dengan ajaran Alkitab. Natur dosa manusia (sinful nature) menjadi penyebab utama perilaku penyimpangan seks. Upaya yang dapat dilakukan untuk mengantispasi perilaku LGBT adalah membentuk identitas diri anak dengan benar, memberikan pendidikan seks yang sehat pada anak, menerapkan pendidikan Kristen yang benar pada anak, memberi dukungan sosial-psikologis-spiritual kepada orang yang terpapar LGBT.
Peran Generasi Z Dalam Membangun Harmoni Di Tengah Keberagaman
Authors: William Harry , Martinah Martinah , Riniwati Riniwati
Published: January 2025

Generasi Z, yang mencakup individu yang lahir antara tahun 1995 hingga 2010, merupakan kelompok yang memiliki karakteristik unik yang membedakannya dari generasi sebelumnya. Generasi Z dikenal sebagai "digital natives" karena tumbuh dan berkembang di era teknologi informasi yang pesat, di mana akses terhadap internet dan perangkat digital menjadi hal yang umum. Tujuan Penelitian ini adalah untuk memaparkan tentang  pentingnya peran Generasi Z dalam membangun harmoni di tengah keberagaman. Rumusan Masalah apa saja peran Generasi Z dalam membangun harmoni di tengah keberagaman ? metode yang digunakan dalam penelitian ini adalah metode pustaka. ada beberapa hal yang bisa di lakukan oleh Generasi Z dalam membangun harmoni yaitu sebagai berikut: pertama, Meningkatkan Solidaritas Nasional, kedua Menggunakan Media Sosial untuk Edukasi dan Kampanye. Ketiga, Dialog antar Agama. Penelitian ini menegaskan peran penting Generasi Z dalam harmoni masyarakat Indonesia yang beragam. Sebagai "digital natives," mereka menyebarkan toleransi dan inklusivitas melalui media sosial, gerakan sosial, dialog antarbudaya, serta pendidikan politik. Meskipun menghadapi tantangan, Generasi Z berpotensi besar menjadi agen perubahan dalam membangun solidaritas dan kepercayaan lintas budaya.
Menggali Pontensi Gernerasi Z Sebagai Agen Perubahan Di Masyarakat Multikultural
Authors: Napriadi Napriadi , Emiyati Ayang
Published: January 2025

Generasi Z adalah generasi yang tumbuh di era teknologi digital dengan kesadaran sosial yang tinggi. Mereka aktif menggunakan media sosial untuk berkomunikasi, berbagi cerita, dan membangun komunitas. Selain terampil dalam teknologi, generasi ini menghargai keberagaman, mempromosikan inklusivitas, dan menunjukkan potensi besar sebagai agen perubahan di masyarakat multikultural. Tujuan penelitian ini bertujuan untuk menggali potensi Generasi Z sebagai agen perubahan dalam masyarakat multikultura. Rumusan masalah apa potensi Generasi Z sebagai agen perubahan dalam masyarakat multikultural? Metode yang digunakan dalam penelitian ini ialah metode kualitatif dengan pendekatan literatur. Hasil penelitian menunjukkan bahwa Generasi Z memiliki potensi besar dalam menginisiasi perubahan sosial melalui pemanfaatan teknologi digital untuk kampanye kesadaran, aksi kolektif, dan advokasi. Keterbukaan mereka terhadap pluralisme juga menjadi kekuatan untuk meredakan konflik antarkelompok dan menciptakan dialog yang produktif. Namun, tantangan seperti kurangnya pemahaman mendalam tentang nilai-nilai pluralisme dan minimnya dukungan pendidikan kontekstual menjadi hambatan yang perlu diatasi.
Membangun Strategi Misi Kontekstual Bagi Generasi Z: Memanfaatkan Teknologi Informasi dan Komunikasi
Authors: Suwin Suwin
Published: January 2025

Generasi Z, sebagai digital native, memiliki karakteristik unik yang membutuhkan pendekatan misi yang kontekstual dan relevan. Penelitian ini bertujuan untuk mengembangkan strategi misi kontekstual bagi Generasi Z dengan memanfaatkan Teknologi Informasi dan Komunikasi (TIK). Dengan pendekatan deskriptif-kualitatif berbasis literatur, penelitian ini menyoroti penggunaan media sosial, podcast, komunitas virtual, dan kolaborasi dengan key opinion leaders (KOL) dijadikan sebagai metode yang efektif dalam menjangkau generasi ini. Hasil penelitian menunjukkan bahwa strategi berbasis teknologi mampu meningkatkan keterlibatan dan daya tarik pesan Injil bagi Generasi Z, terutama melalui konten yang autentik, transparan, dan interaktif. Namun, tantangan seperti etika penggunaan teknologi, kecanduan media, dan kebutuhan akan literasi digital tetap menjadi perhatian utama. Penelitian ini merekomendasikan gereja dan organisasi misi untuk mengintegrasikan TIK secara bijaksana dalam pelayanan, sembari mendorong penelitian lebih lanjut untuk mengeksplorasi efektivitas pendekatan ini dalam berbagai konteks budaya.
ANALISIS BELANJA PEMERINTAH KOTA PEKANBARU PADA KANTOR SATUAN POLISI PAMONG PRAJA
Authors: Sutra Tessa Prima
Published: January 2025

Abstract: Pekanbaru City Government Expenditure Analysis Unit in the Office of the CivilService. This study aims to analyze the process of drafting the budget (RKA) and the allocationof development budget and actual expenditures in municipal police office Pekanbaru. The informantsis the Chief Financial Officer Pekanbaru City Government Secretariat and Head of Sub-Division of Finance Office of Pekanbaru City municipal police. The data collection technique isdocumentation and interviews. Data analysis techniques used measure of efficiency. Results ofresearch on pattern budgeting menunjuknn that still use the old method although there has beenan increase in status echelon head office. Budget and expenditure analysis Office of the municipalpolice in 2014 increased nearly 100% from 2012. As for the analysis of Actual Expenditure inmunicipal police offices with total regional expenditure in 2012 and 2014 amounted to 0.73%and 0.93%.
Effectiveness Of Amino Acid Formula For Management Of Cow's Milk Allergy In Infants And Children
Authors: Fadil Himawan Muhammad , Purnomosari Lupi
Published: January 2025

Cow's milk allergy is one of the significant health problems in infants and children that impacts their quality of life. As a solution, amino acid-based infant formula has become an innovative alternative to address this challenge. However, the effectiveness of their use requires further substantiation through previous studies. This study aims to evaluate the effectiveness of amino acid-based formula in the management of cow's milk allergy in infants and children. The results showed that amino acid-based formula is an effective solution in managing cow's milk allergy. It is completely allergen-free, easy to digest, and supports optimal growth and development of infants and children. The use of this formula significantly reduces allergy symptoms by avoiding exposure to cow's milk protein, while improving the quality of life of infants and children with cow's milk allergy. Thus, the results of this study confirm the importance of amino acid-based formulas as a safe and efficient treatment option for infants and children with cow's milk allergy.
Carbono - captura utilização e armazenamento
Authors: Borges Maria Isabel de Almeida , Dias Cristina Paula da Silva
Published: January 2025

As alterações climáticas e a emergência ambiental são um assunto premente na sociedade contemporânea. Dentro desta vasta temática, a poluição devida à emissão antropogénica de dióxido de carbono, tem recebido uma preocupação crescente, sendo fundamental a divulgação de conhecimento no que respeita à emissão, captação, utilização e seu armazenamento. A maioria das pessoas tem conhecimento sobre as alterações climáticas de um modo geral, mas muito pouco conhecimento sobre a literacia de carbono ou inclusive pouca consciência da sua pegada carbónica. Para que isso aconteça, é necessário ter consciência de que as atividades quotidianas têm custos e impactos em termos de emissões de dióxido de carbono (e outros gases com efeito de estufa), sendo necessário ter conhecimentos para reduzir essas emissões, a nível individual, comunitário e organizacional (UK Health Alliance on Climate Change, 2021). Este artigo responde de forma sumária às seguintes questões: em que consiste a captura de carbono, utilização e seu armazenamento; qual o seu papel na transição energética; qual a sua relação com a bioenergia e de que modo se processa o armazenamento geológico de carbono (Bashira et al., 2024). Faz-se ainda uma referência ao ponto de situação da captura de carbono, armazenamento e utilização a nível mundial e da união europeia (Itul et al., 2023).
Pemberdayaan UMKM Tempe Berbasis Keberagaman Produk Terhadap Keberlangsungan Usaha
Authors: Ilhami Ginaris Putri , Pudjowati Juliani , Wahyuni Susi Tri
Published: January 2025

Penelitian ini memiliki tujuan yang ingin dicapai yaitu : (1) Untuk mengetahui metode pemberdayaan berbasis keberagaman produk UMKM Kampung Tempe di Kecamatan Tenggilis Mejoyo.  (2) Untuk mengetahui keterkaitan Pemberdayaan berbasis keberagaman produk dengan keberlangsungan usaha di UMKM Kampung Tempe di Kecamatan Tenggilis Mejoyo. Metode penelitian yang digunakan oleh peneliti adalah metode pendekatan kualitatif, pengambilan sampel data dilakukan secara purposive dan snowball, teknik pengumpulan dengan trianggulasi (gabungan), dengan cara melakukan pengumpulan data informasi melalui wawancara, dokumentasi, observasi. Jenis data penelitian ini menggunakan data Primer dan data Sekunder. Data primer, merupakan data yang dikumpulkan dengan cara melakukan wawancara dan observasi langsung dari sumbernya. Data sekunder merupakan data yang diperoleh dalam bentuk sudah jadi, seperti internet dan berbagai dokumen yang sudah ada. Hasil penelitian menunjukan bahwa melalui upaya pemberdayaan pengrajin tempe dengan memberikan berbagai macam bantuan mulai dari pelatihan, supplier bahan baku, akses permodalan, akses perizinan, hingga bantuan peralatan telah membuahkan hasil menjadikan pengrajin tempe di Tenggilis pelaku usaha yang berdaya dan mampu mengembangkan usahanya dengan menciptakan keberagaman produk sehingga dapat mempertahankan usahanya.
Acute Toxicity and Allergy Test of Pegagan Leaf Extract (Centella asiatica) on Mice (Mus muscullus)
Authors: Poernomo Hendri , Ma'aruf Mochammad Taha , Pradnyani Luh Gede
Published: January 2025

Introduction: Gotu kola (Centella asiatica) is a type of plant that is often used as a traditional medicine that has the properties to accelerate wound healing, rheumatic inflammation, asthma, hemorrhoids, dysentery, fever, and as a blood enhancer. The use of plants as medicinal raw materials is increasing, so it is necessary to prove its safety by conducting acute toxicity tests and allergy tests.
Material and Method: in vivo laboratory experiment with quasi experimental method and post test-Only Control Group Design with histopathological observations on the liver of mice. Mice will be grouped into 5 groups and each group consists of 5 mice consisting of 1 control group and 4 treatment groups. The treatment group was given gotu kola leaf extract orally and observations were made for 14 days.
Result and Discussion: obtained the results of acute toxicity test research, obtained LD50 value is 12.5gr/kg BW (mild toxic), on microscopic observation in the control group there was no damage to the liver, while in the treatment group there were changes in the form of liver damage. For acute toxicity, the weight of mice after being given gotu kola leaf extract was tested using Shapiro Wilk and Kruskal Wallis tests. From the analysis results, there was no significant difference.
Conclusion: Gotu kola leaf extract does not cause toxic effects on mice mortality and also does not cause allergies in mice.
The Effect of 15% Moringa Leaf Extract Gel on Gingival Wound Healing of Post-Curettage Wistar Rats With Type 2 Diabetes Mellitus Condition
Authors: Ramadhany Eka Pramudita , Laksana Valeo Adika , Susilahati Ni Luh Desy Ayu , Musyaffa Muhammad Rafif , Wulansari Ni Wayan Ari , Mahadewi Ni Putu Natasya Pretty Shinta , Pramesti I Dewa Agung Ayu Indraswari
Published: January 2025

Introduction: Diabetes mellitus is one of the biggest global health emergencies in the 21st century and >90% of cases are type 2. Diabetes mellitus and periodontitis are related diseases. Patients with diabetes mellitus who exhibit early signs of periodontitis in their gingival tissue may benefit from periodontal interventions such as curettage and adjunctive therapeutic. Numerous studies show the antioxidant and anti-inflammatory effects of Moringa oleifera leaves decrease the levels of AGEs in individuals with hyperglycemia and promote unimpeded wound healing. The objective of this research is to determine the effect of 15% Moringa leaf extract gel on the healing of post-curettage Wistar rat gingival wounds with type 2 diabetes mellitus.
Material and Method: Wistar rats were separated into two groups namely, CMC-Na and 15% gel Moringa leaf extract. Gracey curette is used on the rats periodontal pockets. Mice were euthanized and  histological observations were carried out in three fields of view using image raster software with 100x magnification.
Results and Discussion: The treatment group exhibited a higher mean level of gingival wound healing (Re-epithelialization and fibroblast cell) compared to the CMC-Na group. Mann-Whitney U test indicated significant disparity (p<0.05) between the two groups. The impact of flavonoids, saponins, and tannins found in Moringa leaf extract increase higher average off re-epithelialization and fibroblast cell.
Conclusion: Moringa leaf extract gel 15% have effect of increasing gingival wound healing in wistar rats with Diabetes mellitus type 2 after curettage.
Management of Broken Endodontic Instruments in the Apical Third of Right Central Incisor Using the Braid Technique
Authors: Dewi Putu Mariati Kaman
Published: January 2025

Introduction: Complication that can happened during root canal preparation is separation of endodontic instruments during cleaning and shaping Separated instruments can influence the cleaning of the root canal and the obturation of the root canal system becomes incomplete. Therefore, broken instruments in the root canal should be removed so that root canal cleaning can be carried out optimally. Retrieval of broken instruments in the root canal must be attempted manually or by using special instruments. This article discusses the procedure for removing broken endodontic instruments in the apical third of a tooth using the braid technique.
Case report and management: a 34-year-old male patient came with complaints of a broken instrument during root canal treatment. Currently the patient's are not in pain. The therapy was carried out by taking a broken lentulo instrument using a braiding technique. After the broken instrument was removed, calcium hydroxide was applied to the root canal as intracanal medicament. A week later the root canal was obturated using the lateral condensation technique. The patient was then instructed to return to the general dentist who had previously treated him for restoration of the tooth that had undergone root canal treatment.
Conclusion : Fracture of instruments in the root canal is influenced by the operator's ability, the instrumentation process and the anatomy and morphology of the root canal. One simple technique that can be used by operators to increase the success of retrieving broken instruments is the Braiding technique so that hermetic obturation can be achieved
Dental Health Education for Managing Poor Oral Hygiene in Middle-Aged Female Patient
Authors: Rahina Yudha , Wahyuni Ni Putu Dila , Astuti Ni Kadek Ari , Ayu Ketut Virtika , Wedagama Dewa Made , Elang Pudak
Published: January 2025

Background: Oral health has not received sufficient attention from society. Oral hygiene is often neglected, and proper toothbrushing has not yet become a habit. This case study aimed to provide dental health education to middle-aged patients to improve their oral health status.
Case: A 57-year-old female patient complains of painful mouth sores on the lower lips, easily bleeding gums, and unpleasant breath. The patient had poor oral hygiene.
Case Treatment: The recurrent minor aphthous stomatitis, can be treated with Triamcinolone acetonide 0.1%. The condition of easily bleeding gums and bad breath are managed by performing scaling and root planning on the patient. However, this patient needs to be educated to maintain her oral health.
Discussion: Providing dental health education is a crucial aspect to offer patients, alongside addressing their dental concerns. Dental health education was delivered using direct persuasive communication techniques on days 1, 7, and 14, coinciding with treatment and follow-up appointments.
Conclusion: The chief complaint of the patient and several other complaints have been addressed successfully. Dental health education for middle-aged patients has proven effective in addressing poor oral hygiene conditions.