bluuebunny/crossref_metadata_2025 huggingface dataset:
Percutaneous Closure of Fistulous Tract from Right Coronary Artery to Right Atrium: A Case Report
Authors:   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco.. ORCID ID: 0009-0001-0071-0120, Luján Ricardo Frausto , Ortiz Francisco Javier Robles- ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, López María Antonia García ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Estrada Sofía De la Paz ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Camacho Hugo Elorreaga ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Rodríguez Elliot Valle ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Góngora Irma Niria Sánchez ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Ureña Gustavo Manuel Sánchez ,   Cardiology Department, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco, Servín Misael A. Medina- ,   Department of Interventional Cardiology and Hemodynamics, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional “Dr. Valentín Gómez Farías”, Zapopan, Jalisco
Published: September 2024

The coronary artery fistula is a rare form of left to right shunt that can lead to significant hemodynamic consequences if left untreated. The patient, a 10-year-old female, presented with symptoms of increasing dyspnea and palpitations over the past year. Diagnostic imaging, including transthoracic echocardiography and cardiac computed axial tomography, confirmed the presence of a fistulous connection between the right coronary artery and the right atrium. Given the patient’s symptomatic presentation and the risk of complications, a decision was made to proceed with percutaneous closure. Using a catheter-based approach, the fistula was successfully occluded with a Amplatzer Vascular Plug II (AVP II), resulting in the resolution of symptoms and normalization of hemodynamic parameters. This case highlights the efficacy and safety of percutaneous intervention in managing coronary artery fistulas, particularly in pediatric patients, and underscores the importance of early diagnosis and treatment to prevent long-term sequelae.
Receptores para ácido retinóico no carcinoma de células escamosas cutâneo e ceratose actínica em cães
Authors:   , Cota Jéssica Miranda
Published: September 2024

A ceratose actínica (CA) e o carcinoma de células escamosas (CCE) são comumente observado em cães e gatos de pelagem e/ou pele clara e histórico de exposição crônica aos raios ultravioleta (UV). Apesar da ressecção cirúrgica ser a terapia de eleição para o CCE, esta pode promover danos estéticos indesejáveis e prejudicar a capacidade funcional, a depender da localização do tumor. Diante disso, o CCE é um desafio clínico, sendo necessária a investigação de outras modalidades terapêuticas. O objetivo deste estudo foi investigar a expressão dos receptores de ácido retinóico (RAR-α, RAR-β e RAR-γ) na CA e no CCE em cães. Foi realizado um estudo com 26 lesões (blocos de parafina), diagnosticadas como CCE e CA em cães. Os CCE foram classificados como moderadamente diferenciados (MD) e bem diferenciados (BD). Foi utilizada a técnica de Western blotting (WB), para confirmar a expressão de anticorpos anti-RAR α, β e γ humanos comercialmente disponível para o homólogo canino. Posteriormente, as lesões selecionadas, foram submetidas à técnica de IHQ para verificar a expressão destes receptores. No estudo, os anticorpos RAR-α, RAR-γ e RAR-β foram expressos no tecido controle e tumoral através da técnica de WB, porém os anticorpos RAR-α e RAR-γ não apresentaram marcação nuclear evidente no controle positivo pela técnica de IHQ. Todas as 26 lesões diagnosticadas como CA e CCE analisadas no estudo, expressaram o RAR- β. Nos grupos MD e CA, a maioria das lesões apresentou mais que 75% de células marcadas para o anticorpo. A maioria dos casos de carcinoma BD (12/15), MD (6/8) e CA (2/3) apresentaram imunomarcação nuclear forte para o RAR-β, o que diferiu significativamente dentro de cada grupo. As lesões classificadas como CA apresentaram maior percentual de células com expressão intermediária, diferindo dos outros grupos. Em todas as lesões, a marcação nuclear foi evidente e nenhum dos casos apresentou coloração restrita ao citoplasma. Os achados desta pesquisa demonstram a presença dos RAR-β nas lesões diagnosticadas como CA e CCE. A compreensão da expressão dos receptores de retinóides na medicina veterinária poderá proporcionar alternativas para a terapia específica em pacientes caninos com CA e CCE.Palavras-chave: Dermatose solar. Retinóides. Receptor. Imunohistoquímica
Efficacy of Strain Counterstrain Techniques in the Management of Complex Regional Pain Syndrome: A Detailed Case Study of a 42-Year-Old Female Patient
Authors:   Select Physical Therapy, California, USA, Gupte Aditi
Published: September 2024

Complex Regional Pain Syndrome (CRPS) is a challenging condition associated with severe pain and functional impairment. This case study provides an in-depth examination of the treatment of a 42-year-old female diagnosed with CRPS following a traumatic injury to her left hand. The treatment protocol employed strain counterstrain techniques, followed by progressive resistive exercises (PRE) aimed at restoring functional capacity in the hand. Over a three-month period, the patient received weekly physical therapy sessions, with the treatment plan adjusted at the six-week mark to include PRE. Assessments were conducted at baseline, 3 weeks, 6 weeks, and 12 weeks, focusing on pain levels, grip strength, and range of motion. The results indicated a significant reduction in pain from 8/10 to 2/10 on the Numerical Rating Pain Scale (NPRS) and an improvement in grip strength from 5 kg to 28 kg. The patient’s active range of motion also improved, and there was a noticeable reduction in muscle atrophy and swelling. These findings suggest that strain counterstrain, in combination with PRE, can be an effective intervention for CRPS. This case study contributes to the limited body of research on physical therapy interventions for CRPS and highlights the need for further studies to explore the broader applicability of these techniques.
Shaggy aorta: ideal substrate for disaster. Updated review
Authors: Velarde-Acosta Kevin , Moscoso Ramirez Josh Yefry , Rojas Paol , Susanibar Lucy , Quintana Reusche Lady Diana , Cachicatari Angela , Baltodano-Arellano Roberto
Published: September 2024

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.
Killip and Kimball classification in the Ultrasound era: Is it time to redefine?
Authors: Ponce-Gallegos Marco Antonio , Mendoza-Mujica Miguel , Ponce-Gallegos Jaime , García-Diaz Jesús Alberto , Zelada-Pineda Jorge Armando , Araiza-Garaygordobil Diego
Published: September 2024

Lung ultrasound is a tool that is increasingly gaining strength in the initial evaluation of the patient in the emergency department and in critical care areas, making it particularly useful for cardiologists. In patients with ST elevation and acute myocardial infarction it has been observed that 25-45% of patients are wrongly classified as Class I in the Killip and Kimball classification after lung ultrasound (subclinical congestion). The clinical relevance of this finding lies in the fact that the greater the number of B lines, the greater short- and long-term the mortality is. An important advantage is that no prolonged time for learning the technique is required. More studies are needed to evaluate the role and importance of subclinical congestion in patients with acute myocardial infarction. Unfortunately, ultrasound is not widely available in developing countries, so the physical examination will continue to play an important role in the initial evaluation of patients with acute myocardial infraction.
Principals’ Management of Teachers’ Workload Pressure and Students’ Academic Performance in Public Secondary Schools in Kenya
Authors: Musyoki. Norman , Mulwa. Dr Janet , Mwanza Dr. Rose
Published: September 2024

This study sought to investigate the principals’ management of teachers’ workload pressure and students’ academic performance in public day secondary schools in Kitui West sub-County. The study objective sought to establish the influence of Principals’ teacher workload management practices on students’ academic performance. The study was based on Job Demands–Resources theory whose characteristics can be categorized into two major groups which include job demands and job resources. Descriptive survey research design was used in the study. The study target population included all the 26 principals and 249 teachers. Census and systematic sampling techniques were used to select a sample of 26 principals and 38 teachers respectively. Questionnaires were used as data collection tools. Data was analyzed qualitatively and quantitatively using descriptive statistics. Frequency distribution and cross tabulation tables were used to present data. Qualitative data was analysed organized in subthemes and analysed qualitatively based on research objectives and presented in a narrative form. The study found that on average majority 83.7% of the principals and 74.8% of the teachers respectively were in agreement with the statement that the management practices of teacher workload pressure influences students’ academic performance. The study recommends ensuring adequate staffing in schools by the Teachers’ Service Commission to curb overworking teachers and promotion of teamwork for better academic performance. This study may be significant in that the research outcomes could inform policy formulation in the Ministry of Education regarding principals’ work environment management. The findings contribute to existing knowledge and serve as a basis for future research. The study advances conceptual understanding and provides empirical evidence in educational leadership and organizational behavior in relation to teacher workload management practices. The study concluded that principals’ management practices can significantly impact on students’ academic performance.
The Evaluation of Problems and Prospects of Admission Systems in GST (General, Science & Technology) Universities in Bangladesh
Authors: Rahman Md. Mizanoor , Rahman Taushif , Sabur Md. Abdus , Huda Nazmul
Published: September 2024

The study evaluates the Global Scholarship Test (GST) admission system in Bangladesh, focusing on its effectiveness in reducing costs, time of admission tests, and financial burden for students and guardians. The study used a structured questionnaire and closed-ended surveys to collect data from 400 respondents at Islamic University, Kushtia. The data reliability test was conducted from December 2023 to March 2024, with Cronbach’s alpha values of 0.80, 0.72, and 0.77. The study found that students and guardians agreed that the GST system reduced costs and time of admission tests, but faced issues such as time-consuming admission processes, coordination gaps, and financial difficulties. Reputable universities face financial anomalies, violation of statutes, rules, and ordinances, and ignored representatives of worthy resources. The GST authority should monitor management systems, reduce admission time, provide guidelines, and address long queuing systems. Automatic software could help address financial burdens for lower-scoring subjects.
Exploration of Design Teaching Model for Chinese Local Food Cultural Transforming to Relevant Product
Authors: Ling Wang , Maaruf Siti Zuraida , Xuemin You
Published: September 2024

Food culture is part of the rich historical and cultural heritage of a region or country. China’s traditional food culture is extremely rich, and its cultural value should be demonstrated and inherited in modern eating utensil design.The study chosen for specific objects is the “Nine Big Bowls” banquet transforming into a series of related product designs that aim to provide a reference for a teaching design for traditional culture-integrated product design education and inspire designers to use creative thinking to discover traditional culture. The study used the Design Development Research (DDR) research design and employed a qualitative approach using document analysis and group nominal techniques (NGT) as the data gathering instrument.
MULHERES EM CARGOS DE ALTA GESTÃO: MERCADO E EVOLUÇÃO
Authors: Campelo Arandi , Salgueiro Beatriz , Silva Emilly , Oliveira Gleyciane , Silva Vitória
Published: September 2024

Este artigo contempla a gestão e liderança feminina, estabelecendo relação com os cargos das mulheres nas empresas, tendo como intuito identificar o início de como a mulher começou a buscar seu lugar dentro do mercado de trabalho, além de apontar os desafios encontrados e as conquistas alcançadas, caracterizando seu crescimento e apontando as dificuldades que persistem até hoje com relação à mulher. As mulheres a frente de cargos de liderança têm demonstrado valorosos sucessos no que se refere a gestão. Ainda assim, o abismo profissional entre homens e mulheres é uma questão com raízes históricas e culturais. Este artigo foi balizado por um referencial teórico, com destaque para Kyrillos (2010), Godoy (2010) e Ferreira (2021). O campo investigativo contou com 14 funcionárias, em uma empresa do ramo alimentício, localizada em Piedade, Pina e Olinda, em 2023. Foi utilizado como instrumento para pesquisa de campo um questionário fechado. Constata-se que as mudanças causadas pela participação feminina na área administrativa dos negócios vão além das questões relacionadas à liderança, pois representam também a realização pessoal da mulher enquanto inteligência capaz de contribuir com a sociedade. Palavras-chave: Mulheres em cargos de gestão. Evolução das mulheres no mercado de trabalho. Liderança feminina.
VÍNCULO EMPREGATÍCIO: MACULAÇÃO E PEJOTIZAÇÃO
Authors: Silva José Edson , Cavalcanti Carlos Augusto
Published: September 2024

O presente trabalho busca analisar as relações trabalhistas e evolução da CLT, sua relevância no cotidiano em relação aos conflitos e divergência entre empregador e empregado para que ambos possam praticar todos os direitos e obrigações que estão presentes na legislação, para que isso reflita perante a toda sociedade, para que tomem conhecimento de forma prática e objetiva tudo que diz respeito ao contrato de trabalho, as relações trabalhistas e que no caso concreto ambos possam utilizar as ferramentas prevista na CLT. Sendo a mesma uma legislação base de atenuantes que objetiva a evitar a maculação do vínculo celetista, a precarização das relações de trabalho com a supressão de todos os direitos dos trabalhadores. É um tema de grande relevância imprescindível para a sociedade, nele se utilizou o método de pesquisa com base na doutrina, artigos científicos, jurisprudências e a legislação trabalhista bem como a entrevistas de empregadores e empregados, mostrando a ambos todas as proteções aos direitos trabalhistas que estão previsto na CLT que aborda e diferencia as relações de contrato de trabalho, mostrando as regras e formas para evitar macular o mesmo e com também garantir toda proteção prevista na constituição federal e CLT , para que haja preservação de todos os direitos dos trabalhadores. Palavras-chave: Legislação trabalhista. Vínculo empregatício. Maculação. Pejotização.
An Exploratory Study of Cognitive Distortions and Psychosis among Meth-Amphetamine Users
Authors: Khadija Khirman , Iqbal Dr. Shakir , Younas Emaan Binte
Published: September 2024

This research aims at studying the cognitive distortions and psychosis among the meth-amphetamine users. This study was exploratory in nature and qualitative research design was used. The sample size of this study was N = 19 meth-amphetamine users who were residing in different rehabilitation centers of Islamabad/Rawalpindi and convenient sampling technique was used. Semi-structured interviews were conducted and then the thematic analysis was used to analyze the data. The results of the analysis indicates that there is a strong association between cognitive distortions and psychotic symptoms. The results also highlighted that the most common type of cognitive distortions includes all or nothing thinking, mental filtering, and catastrophizing. This study has shown that hallucinations and paranoid delusions can cause significant harm to their day-to-day functioning as well as to their quality of life. The research highlight the critical role that social and emotional support plays in mitigating the impact of cognitive distortions on mental illness. The results of this study highlights the need of comprehensive intervention techniques which will target both the cognitive and psychosocial levels in the treatment of addiction to prevent the relapse rate.
Applicability of the Theoretical Model of a School Becoming a Learning Organization in the Pakistani City of Karachi
Authors: Saifuddin Tasneem , Mohammad Prof. Dr. Razia Fakir
Published: September 2024

This study aims to develop and validate a scale to measure the concept of a school as a learning organization within the context of Karachi, Pakistan. Given the growing emphasis on fostering continuous learning and adaptability in educational institutions, the research seeks to understand how schools in this emerging era can embody the principles of a learning organization. The study employs a quantitative methodology, beginning with a survey questionnaire developed on a scale consist of seven constructs adopted from the work of Kools and Stoll (2016) by measuring the responses of school heads/principals, vice principals, coordinators and teachers The data is analyzed using exploratory and factor analysis to ensure the reliability and validity of the scale. The findings obtained provide insights into the specific characteristics and challenges of implementing learning organization principles in schools within the unique cultural, social, and educational landscape of Karachi. The scale is further analyzed for its predictive validity to find out its effect on job satisfaction The validated scale that is obtained by collecting the responses from different sector schools in Karachi Pakistan will serve as a valuable tool for educational policymakers and administrators aiming to promote a culture of continuous improvement and learning in schools through transformation of their school into a learning organization across Karachi, Pakistan.
The Nature-based Tourism Sustainability: Cultural Measures and Personality Trait
Authors: Imron Ali , Nurhayati Siti , Choirul Afif Nur
Published: September 2024

A tourism that relied on nature-based tourism (NBT) was not enough as a reason for revisit intention. Revisit intention are the key of tourism sustainability. This study aim to determine cultural background as personalities of tourism destination. The objectives are to justify the tourism destination culture personality relevant for destination personality measurement which seen from culture perspective. Through destination personality approach, this study investigates the role of tourism destination culture personality to strengthen the effect of tourist engagement and memorable tourism experience which can lead to a higher revisit intention considering the match between destination image and tourist’s self-concept. Tourism destination culture personality is a concept that integrates the concepts of destination personality and Hofstede's dimension of culture to describe the unique cultural identity of a tourism destination. In this matter, 259 respondents from a single nation was involved to evaluate 15 scale items of tourism destination culture personality and the framework of current research. Results show that all scale items of tourism destination culture personality were valid. The SEM-PLS and The importance-performance map analysis (IPMA) justified that tourism destination culture personality is essential concept for optimizing the relationship between tourist engagement and memorable tourism experience on revisit intention. Moreover, the tourism destination culture personality has È-Shape curvilinear relationship on the tourist engagement and revisit intention which projected. The last, these results were assessed by robustness and configuration tests to reduce the possibility of error regarding our findings. Overall, this study contributes to the extant literature on tourism destination culture-personality by constructing a composite picture of tourism destination culture-personality dimensions on the tourist’ engagement, memorable tourism experience and revisit intention of NBT. The study’s theoretical contributions, its restrictions and practical implications for NBT operators are further discussed.
Os trabalhadores do transporte terrestre em Lisboa: controle estatal e empresarial e greves (1870-1910)
Authors: Terra Paulo Cruz
Published: September 2024

Tratados de forma periférica pela bibliografia que se dedicou à análise do transporte terrestre em Lisboa, o presente artigo se dedica justamente aos trabalhadores do setor. O artigo abarca desde a década de 1870, que é marcada por profundas mudanças na circulação de veículos com a introdução da Companhia Carris de Ferro de Lisboa, até o ano de 1910, em que ocorreu a instauração do regime republicano em Portugal e foi um momento de alta na mobilização dos trabalhadores do setor. Primeiramente, analisa-se como neste recorte, em que o próprio espaço urbano passava por profundas transformações, ocorreu o acirramento do controle municipal e policial sobre os cocheiros e carroceiros. Posteriormente, verifica-se especificamente as empresas de transporte coletivo e as tentativas de controle dentro das mesmas, por meio dos regulamentos. Em todo o texto, as greves aparecem como momentos privilegiados para a análise da experiência dos trabalhadores na cidade, desvelando condições de trabalho, conflitos de classe e as formas de organização e mobilização. Assim, as paralisações propiciam a investigação das possíveis leituras que os trabalhadores tinham sobre as medidas de controle sobre seu trabalho e corpos, e as maneiras encontradas para lutar.
Entre “aringas” e “quilombos”: experiências e comunidades de trabalhadores no norte de Moçambique no século XIX
Authors: Augusto de Mattos Regiane
Published: September 2024

Ao longo do século XIX, é possível observar, no norte de Moçambique (atual província de Nampula), o surgimento de novas configurações sociais e políticas compostas originalmente por africanos escravizados fugidos e libertos, denominadas nas fontes portuguesas de “aringas” e “quilombos”. O objetivo deste artigo é explorar como as experiências de trabalhadores e as múltiplas formas de organização do trabalho influenciaram a formação dessas comunidades. Num primeiro momento, apresentei duas povoações – Missanga e Ampapa – e a sua relação com as formas de trabalho marcadas pelo sistema escravista europeu e com as dinâmicas locais africanas, como os processos de migração e o comércio de longa distância. Num segundo momento, analisei a formação de uma terceira comunidade – “aringa de Farelay” – e a sua ligação com as novas formas de relações de trabalho advindas da implementação do colonialismo europeu. Por fim, discuti o uso dos termos “aringas” e “quilombos” para identificar essas comunidades e possíveis aproximações entre os sentidos dados a essas experiências de trabalhadores no norte de Moçambique e em outros espaços geográficos.
Racionalidade, educação e sofrimento psíquico: a pandemia da covid-19 como marco temporal
Authors: Peres Helga Caroline , Nabuco Lastória Luiz Antônio Calmon , Gomes Luiz Roberto , Zuin Antônio Álvaro Soares
Published: September 2024

O presente artigo aborda o modo como as características pregnantes da racionalidade atual vêm consubstanciar a tese sustentada por T. W. Adorno e M. Horkheimer segundo a qual o desenvolvimento histórico da civilização cobra, inexoravelmente, o preço da entronização do sacrifício humano. À medida que se desenvolve, a racionalidade mesma, vertida em novos dispositivos de controle ancorados nas tecnologias digitais, engendra uma nova sintomatologia. Ansiedade, depressão, medo, estresse figuram como sintomas que se manifestam, de modo crescente, em largos contingentes humanos distribuídos por diversas regiões do planeta. Nesse sentido, a pandemia da covid-19, em seu período mais crítico, 2020–2021, figura aqui como um marco temporal a partir do qual esses sintomas se tornaram, senão mais explícitos, ao menos mais intensos, em decorrência das medidas protetivas de confinamento.
Fatores associados ao desempenho em matemática na educação de jovens e adultos
Authors: Alves dos Santos Maria Irilene , Araujo de Sousa Leandro , Bráz Azevedo Farias Rafael , De Medeiros Ribeiro Ana Paula
Published: September 2024

A avaliação educacional tem, nos últimos anos, favorecido a compreensão da realidade da educação não somente em termos de desempenho dos alunos, mas também no que se refere aos fatores que podem influenciar esse resultado. Os estudantes jovens e adultos que compõem uma modalidade educacional têm, historicamente, contexto socioeconômico que costuma ser desfavorável, aspecto que pode ser relevante na composição do resultado em avaliações em larga escala, pois, na teoria de Bourdieu e Passeron (1992), o contexto socioeconômico exerce efeito considerável na trajetória educativa. Por outro lado, fatores linguísticos também podem interferir no desempenho dos alunos, uma vez que o estudante/participante carece de interpretar corretamente enunciados das questões para, então, utilizar os saberes específicos daquele componente curricular. Este estudo teve como objetivo analisar os resultados do desempenho em Matemática dos participantes do Exame Nacional de Certificação de Competências de Jovens e Adultos da edição de 2019, considerando os fatores de contexto e a nota na prova de Redação. A amostra foi constituída de 3.496 participantes que realizaram a prova de Matemática do exame referente ao Ensino Fundamental. Para tanto, foram utilizadas as Análises de Regressão Linear Simples e Múltipla. O modelo resultante foi estaticamente significativo e indica que as variáveis como idade, quantidade de pessoas que moram na mesma casa, sexo, nível de escolarização da mãe, renda familiar mensal e a nota da redação possuem forte associação com o desempenho em Matemática.
Strategi Dakwah Salafidi Era Digital:Kajian Literatur Terhadap Pendekatan Dan Media Dakwah
Authors: Ummu Azka Amalia
Published: September 2024

Penelitian ini mengkaji strategi dakwah Salafi di era digital dengan fokus pada pendekatan dan media yang digunakan. Dalam era digital, teknologi informasi dan komunikasi mempunyai kedudukan yang sangat berguna dalam kehidupan masyarakat. Dengan adanya 185 juta pengguna internet di Indonesia, dakwah melalui media digital menjadi semakin relevan. Penelitian ini termasuk penelitian kualitatif melalui pendekatan deskriptif, memanfaatkan studi pustaka dari berbagai literatur dan jurnal terdahulu. Hasil dan pembahasan pada penelitian menyatakan bahwa pemakaian media sosial seperti Instagram dan YouTube oleh tokoh Salafi, seperti Khalid Basalamah, berhasil menarik perhatian khalayak luas. Dakwah melalui media digital memungkinkan penyebaran ajaran Islam yang lebih efektif dan efisien. Kesimpulannya, teknologi digital memberikan peluang besar bagi penyebaran dakwah Salafi di Indonesia.
Komunikasi Pelaku Usaha Mikro Terhadap Kesadaran Kepemilikan Sertifikasi Halal di Kecamatan Parung
Authors: Fadillah Nurhadi , Abdul Qodir
Published: September 2024

Penelitian ini bertujuan untuk mengetahui tingkat kesadaran pelaku usaha mikro di Kecamatan Parung terhadap kepemilikan sertifikasi halal. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan melakukan observasi dan wawancara kepada 23 pelaku usaha mikro makanan dan minuman, serta pengurus Kantor Urusan Agama dan pengurus UMKM di Kecamatan Parung. Dari hasil penelitian didapat bahwa faktor-faktor yang mempengaruhi kesadaran pelaku usaha dalam memiliki sertifikat halal, yaitu kurangnya pengetahuan mengenai aturan kepemilikan Sertifikat Halal, tidak adanya rasa ingin tahu terhadap tujuan dan pentingnya Sertifikat Halal, pelaku usaha meyakini bahwa produknya merupakan produk yang sudah terjamin halalnya karena bukan produk yang dilarang oleh syara’, kurangnya penaatan atau kepatuhan hukum terhadap kepemilikan Sertifikat Halal suatu produk. Sehingga masih banyak pelaku usaha yang melanggar ketentuan peraturan yang mengatur tentang Sertifikat Halal dalam setiap produknya, kurangnya pengawasan dan sosialisasi yang merata oleh pihak pengurus UMKM Kecamatan Parung. Dari beberapa faktor tersebut, dapat disimpulkan bahwa tingkat kesadaran pelaku usaha mikro di Kecamatan Parung terhadap kepemilikan sertifikat halal masih rendah.
Etika Jurnalistik Perspektif Pancasila
Authors: Susanti Mimah , M. Iqbal Nur Aulia Fazri  , Hermansah Tantan , Muhammad Fanshoby
Published: September 2024

Pancasila is the basic philosophy in the national and state life of the Indonesian people. At a time when information is developing more rapidly, what emerges is that ethics in news writing or journalism should include the values contained in Pancasila as moral/ethical values in news writing. This research examines Pancasila as a basic philosophy in realizing the ethics of news writing/journalism based on the theoretical assumptions of Alfred Schutz (1899-1959). The research results confirm that the socialization of Pancasila values has two contexts, namely experienced reality and social conditions. In the Almighty God and Just and Civilized humanity, this includes the reality experienced on the ground. In the unity of Indonesia, the people are led by wisdom in representative deliberations and social justice for all Indonesian people, including the social conditions that exist on the ground.
komunikasi Persepsi Wanita yang Dipoligami
Authors: Hasan Al Mukarromah
Published: September 2024

Poligami selalu menjadi topik yang memicu berbagai pendapat dalam sistem pernikahan di seluruh dunia. Agama Islam dan Negara Indonesia sendiri menetapkan syarat dan ketentuan untuk menjalankan poligami. Banyak wanita yang harus menghadapi poligami dalam berbagai kondisi: ada yang menerima dengan terpaksa, ada yang menerima dengan ikhlas, dan ada yang keras menentang situasi ini. Penelitian ini bertujuan untuk mengungkap pengalaman hidup wanita yang mengalami poligami melalui persepsi mereka terhadap kehidupan selama menjalani poligami. Metode penelitian ini menggunakan pendekatan kualitatif dengan pendekatan fenomenologi. Teknik pengumpulan data meliputi observasi, wawancara, dan dokumentasi, dengan informan yang merupakan wanita yang mengalami poligami, khususnya di Kecamatan Sagulung, Kota Batam. Hasil penelitian menunjukkan bahwa persepsi wanita terhadap poligami, berdasarkan lima teori Abraham Maslow, menunjukkan bahwa wanita sering mengalami ketidakpuasan dalam pemenuhan kebutuhan fisik, kasih sayang, cinta, perlindungan, serta perasaan tidak dianggap sebagai pasangan hidup dan aktualisasi diri.
Analogi Pesan Dakwah dalam Membangun Pemahaman Agama Terhadap Mad’u
Authors: Budi Budi Firmansyah , Pipin Yosepin  , Nurlaila Rais
Published: September 2024

The development of social media in the digital era is increasingly rapid and offers many choices, making the da'wah process easier and faster to convey to the wider community. In this fast-paced and instant situation, preachers are required to be more creative, intelligent and interesting in delivering da'wah messages and ready to face various da'wah challenges. Dai must also be observant in choosing da'wah methods as a communication strategy so that da'wah messages are easily understood by mad'u, one of which is by using analogies. This study aims to determine the extent of the influence of the analogy of Gus Baha's preaching message on Youtube videos in building religious understanding of mad'u and what are the supporting and inhibiting factors of Gus Baha's preaching in building religious understanding of mad'u. This type of research is descriptive research with qualitative methods and phenomenological approaches. The research subject here is Gus Baha's video lectures on several Youtube accounts. The object of this research is the comments of the audience of Gus Baha's study in understanding the da'wah message conveyed. The data collection techniques are observation and documentation. The data analysis used is content analysis.The results of the study show that Gus Baha's method of da'wah analogy through Youtube is able to create a relaxed, entertaining atmosphere, the explanation is simple and easy to understand, so it is in great demand by the wider community.
Post-Operative Refractive Changes After Cataract Surgery in Children Less Than 4 Years of Age
Authors: Gani Chowdhury Dr. Md. Nasimul , Noor Jannatun , Islam Urmi Atika , Chowdhury Dr. Farzana Akter , Akhter Dr. Kazi Tahmina
Published: September 2024

Aim: To observe the changes in refraction after Cataract surgery in children less than 4 years of age using Dahans formula. Methods: The retrospective evaluation of the records of children with congenital and developmental cataracts who underwent cataract operations with intraocular lens implantation was conducted. The patients’ ages ranged from 6 months to 4 years. All the sutures of cornea were removed after 1 month of surgery. IOL power was calculated using Dahan’s formula based on axial length. Refraction was performed after 1, 3, 6, and 12 months. Results: About 40 eyes of 20 children with bilateral congenital & developmental cataract (11 males and 9 females) were included. The age range was 6 months to 4 years & mean was 28.8±1.38 months. Significant myopic shift was observed in all the children and maximum myopic shift was observed in children below 2 (0-24 months) years of age. Conclusion: Significant myopic shift has been observed in children. So, under corrected IOL implantation is safe to achieve target refraction.
Evaluation of clinical data of patients with pancreatic cancer
Authors: Ulubaşoğlu Pınar , Üstün Hasan
Published: September 2024

Aims: The main purpose of the study is to determine the prognostic factors by retrospectively evaluating the clinical data of patients with pancreatic cancer.
Methods: The patients diagnosed with pancreatic adenocarcinoma (132) were analyzed retrospectively. Age, gender, blood group, tumour localization, tumour stage (TNM classification), postoperative chemotherapy, postoperative radiotherapy status, progression-free survival and survival time as prognostic factors were evaluated. Women and men, tumours located in the head region versus those located in the trunk and tail regions, those who received chemotherapy and/or radiotherapy versus those who did not, those who were in stage 2 The patients with stage 3, stage 4, "A" blood group, "B" blood group and "O" blood group were compared with each other and subgroup analysis was performed.
Results: In our study, 59.8% were male and 40.2% were female of the cases. According to TNM staging, 34 (26%) of our cases were found as stage 2.27 (20%) as stage 3, 71 (54%) as stage 4. Progression-free survival and survival times of patients with stage 2 cancer were found to be significantly longer when compared to patients with stage 3 and 4 (p<0.01). Among stage 2 and 3 patients, 45 (38.6%) patients, 26 patients with stage 4 (19.6%) received chemotherapy, and 9 patients (6.81%) received chemotherapy and radiotherapy concurrently. The tumour was most common in the head of the pancreas [93/132 (70.5%)]. Progression-free survival and survival of tumour localization, receiving chemotherapy, and tumour stage was found to affect the duration of the study statistically significantly (p < 0.001).
Conclusion: It was determined that chemotherapy and tumour stage affected progression-free survival and survival times with statistical significance. Ca 19-9 and CEA level measurement values can be used in the follow-up of patients with pancreatic cancer. EUS is usefull at pancreas cancer diagnosıs and staging.
Efficacy of combined lumbar plexus and parasacral sciatic nerve block in elderly patients undergoing hip fracture surgery: a retrospective analysis
Authors: Akyol Fethi , Koç Alparslan , Arı Muhammet Ali , Somunkıran Mustafa
Published: September 2024

Aims: Hip fractures are a major cause of morbidity and mortality in the elderly population. Anesthesia management significantly affects outcomes in elderly patients. In recent years, peripheral nerve blocks acquired importance, especially in patients where subarachnoid blocks are contraindicated or in patients with severe pulmonary or cardiac diseases. This study aimed to retrospectively evaluate the efficacy of combined lumbar plexus block and parasacral sciatic nerve block in geriatric populations.
Methods: Data from patients over 70 years of age (ASA III) who underwent surgery for hip fracture and received combined lumbar plexus and parasacral sciatic nerve blocks between 2014 and 2024 were retrospectively analyzed. The efficacy of anesthesia, the need for intraoperative rescue anesthesia, and hemodynamic parameters were evaluated.
Results: The mean age of the 98 patients included in the study was 79.81 ± 8.94 years. Most patients had concomitant chronic diseases. A total of 19 (19.94%) patients were administered Fentanyl 50 mcg and Propofol 0.5 mg/kg for pain at the beginning of surgery, and none of the patients who received sedoanalgesia experienced severe respiratory distress or low oxygen saturation. Anesthesia and analgesia were effectively administered, and the need for intraoperative rescue anesthesia was low. Hemodynamic parameters remained stable.
Conclusion: Combined lumbar plexus and parasacral sciatic nerve block is an effective anesthetic method for hip surgery in elderly patients with comorbidities. This method reduces the need for general anesthesia, provides comprehensive analgesia, and maintains hemodynamic stability.
Atypical arachnoid cyst with progression: a case report
Authors: Yüksel Ulaş , Özdemir Alemiddin , Erdoğan Ahmet Melih , Sevimoğlu Özge
Published: September 2024

A 26-year-old female patient applied to the outpatient clinic in 2018 due to pain that had been present for a long time (16 years) and had recently spread from the top of the head to the nape of the neck. It was learned from the patient's anamnesis that her pain was relieved with analgesics. Although no pathological findings were found in the neurological examination, brain MRI was requested to reveal possible intracranial pathological conditions. In the MRI images taken, a cystic mass with a lobulated contour and thin septa of 24x31x40 mm and similar intensity to CSF was detected in the right parasagittal area posteriorly at the vertex level. The patient's control brain MRI images 3 months later showed no increase in cyst size. However, the patient's anamnesis, which came for a control in 2022, showed that his current complaints and headaches had increased. The MR images showed that the existing cyst had reached a size of approximately 60x35 mm. Medical treatment was initially planned for the patient (Acetazolamide, 750 mg/day). The MR taken one month later showed that there was no reduction in the cyst size and the optic discs were slightly swollen in the fundus examination. Considering the cyst growth, the patient's failure to benefit from medical treatment and the swelling noted in the optic discs, the patient was fitted with a cystoperitoneal shunt. The patient's early postoperative tomography image showed a significant reduction in the cyst (50.15x25.66) and a slightly swollen optic disc image with blurred borders was detected in the fundus examination. The patient's complaints regressed, and in the radiological images it was determined that the cyst continued to shrink [(45.8x23.19 mm) and (41.1x20.3 mm)], the shunt was in place, and she had no clinical complaints. As a result, it was argued that patients with atypically located arachnoid cysts, as in this case, should be taken under close clinical and radiological follow-up, and surgical treatment methods should definitely be considered in patients who are found to have an increase in cyst size and clinical findings during this follow-up and who do not respond despite medical treatment.
Implications of tragic experiences on symbolic power: The case of displaced persons in Kenya
Authors: Ndiritu Nelson
Published: September 2024

Displacement of human populations is a common phenomenon from natural and human causes. Conflict and natural disasters such as floods, volcanic eruptions, landslides, out-breaks of diseases are among the regular culprits. Victims of displacement experience dramatic changes in their life situations a common denominator being temporary and at times permanent deprivation of crucial resources for their daily lives. This affects their place in the social hierarchy among members of their host community. The displaced persons in Kenya following the 2007-2008 post-election violence were uprooted from their homes and deprived of their property. They lived in camps and with well-wishers depending on assistance from others. How does this affect their social station in life and how do they manifest?  This paper examines the effect of displacement on the perception and treatment of the affected persons by their host communities. The paper utilizes qualitative methods to analyze the discourse of the displaced persons, providing a deeper understanding of their experiences upon displacement. The paper was guided by insights from Critical Discourse Analysis and Pierre Bourdieu’s theoretical concepts of capital, symbolic power and symbolic violence the paper. It brings to light the sudden changes in the perceptions and social evaluations of the victims and their response to the undesired changes.  The paper comes to the conclusion that the new life status leads to new self-evaluations as well as the evaluations by those around them and the displaced persons lose symbolic capital and symbolic power and come to the receiving end of symbolic violence.  In so doing, the paper illuminates the plight of the displaced persons beyond the evident material loses and recommends interventions to address these effects.
Developing church leaders in Kenya for transformative leadership: Lessons from the Covid-19 pandemic
Authors: Kagema Dickson Nkonge
Published: September 2024

The Covid-19 pandemic presented the world with a new, unanticipated challenge, more scandalous than we had experienced before. For the first time in history, the world encountered the collapse of socio-religious, political, and economic structures. The closure of learning institutions, the transport sector, public gatherings, economic hubs, worship centres, and so on proved to be more hazardous than what had previously been experienced. In Kenya, the church leaders remained helpless and powerless as people, including Christians, lost their lives, businesses closed down, institutions collapsed, the socio-religious and political web crumbled. Poverty encroached into every sector of the society. The question we need is, ‘Are church leaders in Kenya and Africa a whole well-equipped to meet unanticipated emerging challenges as Covid-19 was? This study investigated whether church leaders in Kenya receive holistic training to enable them handle every situation that may come among Christians at any time. Are church leaders trained to become transformative leaders who can help their followers amidst disconcerting challenges such as Covid-19? Investigations were made at some selected universities and theological colleges in Kenya where church leaders are trained to find out whether the leadership training they receive in helps them become transformative leaders. To achieve this, the curricular of some purposely selected universities including St. Paul's University, Catholic University in East Africa, KAG-EAST University, Africa International University, Kenya Methodist University and the Presbyterian University of East Africa. 100 respondents including 50 priests/ministers/ and 50 ordinary Christians drawn from various Churches in Kenya, provided information that was used in the compilation of this article. Although the Church has remained one the main agents of change in the world over the centuries, in Kenya she has failed to offer the urgently needed socio-economic, religious and political transformation. This can largely be attributed to the church leaders' lack of transformational leadership skills. The article suggests that the intuitions where church leaders in Kenya and the rest of Africa are prepared and the in-service training should prepare them to become transformational leaders.
DETERMINANTES DA ESTRUTURA DE CAPITAL DAS FINTECHS DE CRÉDITO BRASILEIRAS
Authors: Santa Rosa Guimarães Katia , Rios Sena Thiago
Published: September 2024

A união das finanças à tecnologia deu origem às fintechs, um novo modelo de negócio no setor financeiro, caracterizado pela entrega de produtos e serviços 100% digitais e remota. Deste modo, torna-se necessário discutir características desse tipo de instituição financeira, a exemplo dos fatores que estão associados às estratégias de financiamento adotadas pelos gestores. Este estudo tem por objetivo analisar os determinantes da estrutura de capital das fintechs de crédito atuantes no mercado brasileiro, à luz da teoria Pecking Order, com base na literatura e em fontes secundárias de dados. Os dados foram analisados por meio de regressão linear múltipla, utilizando informações anuais das instituições financeiras, coletadas no site IF.data do Banco Central do Brasil. A amostra consiste em 1.135 instituições não bancárias atuantes no mercado de crédito, conhecidas como fintechs de crédito, observadas no período de 2018 a 2023. Os achados sugerem forte capacidade preditiva à teoria Pecking Order, quanto à explicação da estrutura de capital das empresas da amostra. Em linha com a teoria, a relação positiva do tamanho do ativo, assim como a relação negativa da lucratividade, são fatores que guardam estreita relação com a proporção de capital de terceiros nas entidades, confirmando as duas hipóteses levantadas. Essa pesquisa contribui ao preencher a lacuna existente na literatura contábil referente as fintechs e a estrutura de capital, assim como pode contribuir de forma prática para a tomada de decisão de stakeholders desse novo tipo de negócio.