bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Reconstruction of The Livelihood Concept from A Mubādalah Perspective in Lampung Province
Authors: Nur Efa Rodiah , Mu’in Fathul , Hamsidar Hamsidar 
Published: December 2023

The laws and regulations in Indonesia exhibit gender bias, resulting in a rise in divorce cases within the Religious Courts. This can be attributed to the prevailing perception among women that the burden for sustaining livelihoods lies mostly with their husbands. This case pertains to the challenge of formulating legislation that effectively incorporates the notion of livelihood reconstruction while avoiding any gender biases. The objective of this study is to provide a re-evaluation of the notion of livelihood in order to facilitate the development of novel legal products that are more suited to meet contemporary demands. This is qualitative research, wherein data was collected from the Religious Courts in Lampung and subsequently examined through the use of the mubādalah theory. The present study has identified that the prevalence of divorce in Lampung may be attributed to the provisions outlined in Law no. 1 of 1974 and Compilation of Islamic Law (KHI). These legal provisions alone mandate husbands to provide financial support, hence leading to the increased occurrence of divorce. The implementation of these two legislation led to a notable rise of 34.25% in the occurrence of contested divorces within the Province of Lampung. This increase can be attributed to several grounds, including income-related issues accounting for 41.3%, disagreements and domestic violence contributing to 33.3%, and other miscellaneous variables comprising 28% of the overall increase. The promotion of family resilience entails the establishment of a symbiotic partnership between spouses, thereby reinforcing the husband-wife paradigm. This entails the implementation of rights and responsibilities, particularly in relation to income, to foster interdependence and mutual support within the marital union. The novelty of this study is in the ability of the idea of mubādalah to establish a connection between husbands and wives, enabling them to fulfil their respective rights and obligations, particularly in terms of partnership and mutual support within the context of cohabitation.
Building Students’ Character Based on Maqāṣid al-Sharī'ah: Perspectives of Parents, Teachers, and Community Members in Banda Aceh
Authors: Mahmud Salami , Sri Rahmi Sri Rahmi , Nufiar Nufiar , Nurbayani Nurbayani , Nurdin Realita 
Published: December 2023

To build students' character, the Indonesian government has made various efforts, one of which is updating the curriculum to make it in line with the demands of the current times. Given the importance of character building since the school age, the Curriculum 2013 (K-13) was developed and it contains 18 national characters that must be promoted and developed during the learning process. However, until now the curriculum seems to have not been able to shape the character of students as expected. Therefore, this study aims to present alternative approaches in building student character. The approach is to form character at home, some are formed in school, and some are formed in society. This study provides concrete examples of character development contained in K-13 with an Islamic approach. This study is a qualitative study analyzed using Islamic education theory and maqāṣid al-sharī'ah. Data is collected in two ways, namely; in-depth interviews with informants and literature studies related to the discussion. The results show that religious characters such as honesty, discipline, independence, and responsibility are easier to build at home using the Islamic approach. Furthermore, the characters of tolerance, hard work, creativity, democracy, curiosity, nationalism, patriotism, respect for achievement, and fondness for reading are easier to develop at schools with an Islamic approach as well. Finally, it is easier to develop characters such as friendly/communicative, peace-loving, environmental awareness, and social characteristics within society. In addition, the 18 characters are related to the purpose of maqāṣid al-sharī'ah as well as Islamic education.
Polygamy in the Perspective of Tafsīr Al-Aḥkām and Islamic Law: An Examination of the Gayo Luwes Community in Aceh, Indonesia
Authors: Aziz Nasaiy , Rispalman Rispalman , Anggraini Tika 
Published: December 2023

The law on marriage, adheres to the principle of monogamy, but in other parts, it is stated that under certain circumstances polygamy is justified. The main problem studied was the practice of polygamy without the permission of wives in Gayo Lues Regency, Aceh. This study employs empirical legal methodologies and applies theoretical frameworks grounded on Islamic law, specifically utilizing the approach of tafsīr al-aḥkām. The collection of data was conducted through the utilization of in-depth interviews and a comprehensive review of relevant literature. The findings of the study revealed significant variations in the occurrence of non-consensual polygamy in Pantan Weather subdistrict, Gayo Regency. Polygamy entails both bad and positive consequences, with the former outweighing the latter in terms of quantity. The adverse consequences encompass spousal inequity, the disregard for the rights of women and children, the proliferation of animosity among spouses, and the erosion of familial bonds. In contrast, the potential benefits of engaging in polygamy primarily revolve around the avoidance of immoral behavior, specifically adultery, and the facilitation of subsequent marriages. By entering into multiple marriages without the explicit consent of one's spouse, an individual may perceive certain advantages, such as the acquisition of desirable outcomes. Conversely, the fear of experiencing negative consequences, such as infidelity, may serve as a motivating factor for individuals to pursue polygamous relationships. Moreover, as posited by scholars of interpretation, both ancient and contemporary, the fundamental principle of marriage in Islamic jurisprudence is monogamy. However, if an individual engages in polygamy, it is imperative to uphold principles of justice, responsibility, and the preservation of familial harmony and tranquility. This study contributes to the understanding that polygamy may be considered as a viable option in exceptional circumstances, but only under the condition that it is practiced with fairness and equity by specific individuals.
Non-Binary Gender in Siyasah Syar'iyah Perspective: Study at Religious Universities in South Sulawesi
Authors: Arake Lukman , Makkarateng Ma'adul Yaqien , Abidin Kurniati , Baharuddin Elviana , Yusuf Muhammad 
Published: December 2023

Non-binary gender is a legally recognized phenomenon that is present within global civilization, including the nation of Indonesia. The primary objective of this article is to analyze the concept of non-binary individuals within the context of religious universities, specifically from the standpoint of siyasah syar'iyah. This study employs a combination of qualitative and quantitative research methods, adopting a siyasah syar'iyah framework. Data was acquired utilizing two methods, including in-depth interviews, literature reviews, and surveys. The research study involved conducting interviews with informants who were specifically selected from the academic and religious communities in South Sulawesi. The literature under consideration comprises scholarly journal articles, books, and legal rules. Concurrently, a survey research study was undertaken at five Religious Universities located in the region of South Sulawesi. This study posits that under the framework of gender, non-binary is identified as a distinct category alongside men and women. Nevertheless, the Islamic law refutes the notion of gender and sexuality diversity, asserting that it contradicts sharia law, deviates from the inherent character of humanity, and raises legal issues such as inheritance and marriage. In addition to promoting non-discriminatory attitudes towards individuals, Islamic law also emphasizes the need of satisfying the rights of Non-Binary Gender individuals, provided that such fulfillment does not impede the realization of other human rights. According to siyasah syar'iyah, it is the responsibility of the state, as mandated by legislative rules, to ensure the provision of protection, guidance, and counseling to individuals, with the aim of fostering a life that promotes virtue and harmony within society.
O ENSINO NA GRADUAÇÃO DE ÁREAS PROTEGIDAS NO BRASIL: ENTRE AS CIÊNCIAS NATURAIS E SOCIAIS
Authors: Salgado Cosme Simião Nascimento , Oliveira José Emílio Zanzirolani de , Salvio Geraldo Majela Moraes 
Published: December 2023

Resumo: As Áreas Protegidas são essenciais à conservação da biodiversidade, resguardam culturas e fomentam a economia, sua efetividade advém da gestão participativa. Dentre as Áreas Protegidas encontram-se as Unidades de Conservação geridas por equipes de profissionais multidisciplinares. Os gestores que trabalham nestas Unidades são responsáveis por tomadas de decisão conservacionistas em conformidades com o Sistema Nacional de Unidades de Conservação da Natureza. As Instituições de Ensino Superior integram a vida desses profissionais, pois muitos possuem curso superior. A presente pesquisa teve por objetivo identificar cursos de graduação no Brasil que abordam a temática Áreas Protegidas nas matrizes curriculares de disciplinas obrigatórias. O trabalho teve caráter exploratório com análise documental dos Projetos Pedagógicos dos Cursos. Observou-se 275 cursos de graduação em 113 Instituições, sendo 190 com abordagens sobre Áreas Protegidas distribuídos em 66,66% das áreas do conhecimento da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, com destaque a área Multidisciplinar. Concluiu-se que o curso de Tecnologia em Gestão Ambiental é o que possui maior quantidade de disciplinas envolvendo as Áreas Protegidas. Em geral, a área das Ciências Sociais foi a de menor quantidade de disciplinas que abordam a temática.
Palavras-chave: Ciências Sociais; Gestão Ambiental; Gestores de Unidades de Conservação; Matrizes curriculares.
Association of Continued Use of SGLT2 Inhibitors From the Ambulatory to Inpatient Setting With Hospital Outcomes in Patients With Diabetes: A Nationwide Cohort Study
Authors: Singh Lakshmi G. , Ntelis Spyridon , Siddiqui Tariq , Seliger Stephen L. , Sorkin John D. , Spanakis Elias K. 
Published: December 2023

OBJECTIVE
Limited data are available on the continuation of outpatient sodium glucose cotransporter 2 inhibitors (SGLT2is) during hospitalization. The objective was to evaluate associations of SGLT2i continuation in the inpatient setting with hospital outcomes.

RESEARCH DESIGN AND METHODS
This nationwide cohort study used Veterans Affairs health care system data of acute care hospitalizations between 1 April 2013 and 31 August 2021. A total of 36,505 admissions of patients with diabetes with an outpatient prescription for an SGLT2i prior to hospitalization were included. The exposure was defined as SGLT2i continuation during hospitalization. Admissions where SGLT2i was continued were compared with admissions where it was discontinued. The primary outcome was in-hospital mortality. Secondary outcomes were acute kidney injury (AKI) and length of stay (LOS). Negative binomial propensity score–weighted and zero-truncated analyses were used to compare outcomes and adjusted for multiple covariates, including demographics and comorbidities.

RESULTS
Mean (SE) age was 67.2 (0.1) and 67.5 (0.1) years (P = 0.03), 97.0% and 96.6% were male (P = 0.1), 71.3% and 72.1% were White, and 20.8% and 20.5% were Black (P = 0.52) for the SGLT2i continued and discontinued groups, respectively. After adjustment for covariates (age, sex, race, BMI, Elixhauser comorbidity index, procedures/surgeries, and insulin use), the SGLT2i continued group had a 45% lower mortality rate (incidence rate ratio [IRR] 0.55, 95% CI 0.42–0.73, P &lt; 0.01), no difference in AKI (IRR 0.96, 95% CI 0.90–1.02, P = 0.17), and decreased LOS (4.7 vs. 4.9 days) (IRR 0.95, 95% CI 0.93–0.98, P &lt; 0.01) versus the SGLT2i discontinued group. Similar associations were observed across multiple sensitivity analyses.

CONCLUSIONS
Continued SGLT2i during hospitalization among patients with diabetes was associated with lower mortality, no increased AKI, and shorter LOS.
Efektivitas Logoterapi Medical Ministry terhadap Kebermaknaan Hidup pada Warga Binaan dengan HIV/AIDS
Authors: Widiyastuty Riesma Widiyastuty 
Published: December 2023

This research aims to determine the effectiveness of logotherapy medical ministry on the level of meaning in life among five inmates with HIV/AIDS. Participants are guided to understand the inevitable tragic experiences through the ability to take a stance and undergo a self-transcendence process, which is a distinctive feature of medical ministry compared to other logotherapy techniques. It focuses on understanding and evaluating the "past and present" and then connecting it with something meaningful "outside oneself and in the future." This approach combines spiritual and psychological elements to address existential problems and provide support. The research design was selected based on the consideration of a limited number of participants, employing a one-group pretest-posttest design. The Meaning in Life Questionnaire (MLQ) is a validated instrument assessing the presence of meaning and the search for meaning in life. MLQ by Michael F. Steger and Patricia Frazie (Indonesian version), was used as the measurement tool for assessing the level of meaning in life has a reliability of 0.861 and validity ranging from 0.328 to 0.841. The N-Gain result of 57.75% indicates a significant increase in the participants' meaning in life. Penelitian ini bertujuan untuk mengetahui evektivitas logoterapi medical ministry terhadap tingkat kebermaknaan hidup pada lima warga binaan dengan HIV/AIDS. Partisipan penelitian dibimbing untuk memahami pengalaman tragis yang tak terhindarkan dengan kemampuan mengambil sikap dan proses transendensi diri yang menjadi ciri khas teknik medical ministry dibandingkan teknik logoterapi lainnya, yaitu untuk memahami dan mengevaluasi keadaan “di masa lalu dan sekarang” kemudian menghubungkannya dengan sesuatu yang bermakna “di luar diri sendiri dan di “masa depan”, yang menggabungkan pendekatan spiritual dan psikologis untuk mengatasi masalah eksistensial dan memberikan dukungan. Pemilihan desain penelitian berdasarkan pertimbangan jumlah partisipan yang terbatas, sehingga menggunakan one-group pretest-posttest design. The Meaning in Life Questionnaire (MLQ) diberikan untuk mengukur perubahan tingkat makna hidup partisipan sebelum dan sesudah intervensi. MLQ adalah instrumen tervalidasi yang menilai presence of meaning dan search for meaning in life. Meaning in Life Questionnaire (MLQ) dari Michael F. Steger dan Patricia Frazie versi bahasa Indonesia digunakan sebagai alat ukur pre-test dan post-test untuk mengukur tingkat kebermaknaan hidup. Alat ukur ini memiliki reliabilitas 0.861 dan validitas 0.328-0.841. Hasil N-Gain 57.75% menunjukan peningkatan kebermaknaan hidup yang cukup signifikan
Welas Asih Diri Sebagai Mediator Hubungan Antara Dukungan Sosial dengan Flourishing
Authors: Suharsono M. , Wismanto Y. Bagus 
Published: December 2023

This research aims to test the effect of social support on flourishing both directly and with self-compassion as a mediator. Participants were 124 adults from a higher education institution that used the tagline joyful learning and joyful working, with incidental sampling and data taken using a scale whose concept was taken from the flourishing scale compiled by Diener and Hone, social support was measured using the Oslo social support scale, and Neff's self-compassion scale. The analysis was carried out using mediation analysis from the JASP 16.1 program. The results show that self-compassion does not mediate the relationship between social support and flourishing, and self-compassion and social support are independently very significantly related to flourishing. Penelitian ini bertujuan menguji pengaruh dukungan sosial terhadap flourishing baik secara langsung maupun dengan welas asih diri sebagai mediator. Partisipan adalah 124 orang dewasa dari sebuah institusi pendidikan tinggi yang menggunakan tagline joyful learning dan joyful working, dengan incidental sampling dan data diambil dengan skala yang konsepnya diambil dari skala flourishing yang disusun oleh Diener dan Hone, dukungan sosial diukur dengan Oslo social support scale, dan self compassion scale dari Neff. Analisis dilakukan dengan analisis mediasi dari program JASP 16.1. Hasil menunjukkan bahwa welas asih diri tidak memediasi hubungan Dukungan sosial dengan flourishing, serta welas asih diri dan dukungan sosial secara mandiri berhubungan secara sangat signifikan terhadap flourishing.
Transesophageal echocardiography and computerized tomography angiography mismatch in left atrial appendage thrombus evaluation
Authors: Bloch-Isenberg Natalie , Zukermann Robert , Massalha Samia , Qasum Majd , Reiner Benaim Anat , Marcusohn Erez 
Published: December 2023

Background
Transesophageal echocardiography (TEE) is the gold standard test for the diagnosis of left atrial appendage (LAA) thrombus. Nonetheless, computerized tomography angiography (CTA) is readily used to exclude LAA thrombus before pulmonary vein isolation (PVI) and LAA closure procedures. We aimed to assess the comparability of LAA thrombus diagnosis using chest CTA scans in patients with atrial fibrillation who underwent TEE.

Methods
Retrospective collection of consecutive patients with atrial fibrillation who underwent TEE and chest CTA within 30 days and had evidence of spontaneous echo contrast (SEC) or LAA thrombus on TEE. Clinical, demographic, and echo data were collected. Prospective analysis of the CTA for evidence of LAA thrombus in the same group of patients was performed. We compared the findings of the two modalities.

Results
Out of 1550 patients with atrial fibrillation who underwent TEE examinations in the study period, 63 patients underwent TEE within 30 days of a chest CTA scan. Twenty-three patients had LAA thrombus and 40 had some degree of SEC according to TEE. On CTA, 11 were interpreted as positive with a high level of suspicion for the presence of an LAA thrombus. Six patients (26.1%) had LAA thrombus according to both CT and TEE. Therefore, low concordance was found between test results (chi-squared continuity correction = 5.5, df = 1, and P-value = 0.01902).

Conclusion
The discrepancy between CTA and TEE results suggests these examinations might be more suitable as complementary examinations to exclude LAA thrombus.
Adding the value of the Charlson Comorbidity Index to the GRACE score for mortality prediction in acute coronary syndromes
Authors: Campanile Alfonso , Prota Costantina , Tedeschi Michele , Giano Angelo , Pianese Biancamaria , Cristiano Mario , Pompa Antonella , Sorrentino Rosanna , Vigorito Francesco , Ravera Amelia 
Published: December 2023

Background
Scarce and conflicting data still exist about the role of the Charlson Comorbidity Index (CCI) when added to the traditional Global Registry of Acute Coronary Events (GRACE) risk score for outcome prediction in patients with acute coronary syndrome (ACS).

Methods
All consecutive admissions due to ACS, from 1 January 2018 to 31 December 2020 were retrospectively reviewed from an internal database of a tertiary cardiac center in Salerno (Italy). Logistic and Cox proportional regression analyses were performed in order to assess the contribution of the CCI on 30-day and long-term mortality. The CCI adding value to the GRACE score was analyzed with several measures of improvement in discrimination: increase in the area under the receiver-operating characteristic curve (AUC), the integrated discrimination improvement (IDI), and the categorical and continuous net reclassification improvement (cNRI) more than 0. Robustness of the results was assessed through an internal validation procedure with bootstrapping.

Results
One thousand three hundred and ten patients were identified. The median age was 68 (58–78) years. One hundred and twenty (9.2%) and 113 (9.5%) deaths occurred, respectively, during the first 30 days from admission and during long-term follow-up (median follow-up time: 13 months; interquartile range: 9–24). After multivariate regression analysis, the CCI was not associated with short-term mortality, while it was significantly and independently associated with long-term mortality along with the GRACE score (hazard ratio: 1.34, 95% confidence interval: 1.22–1.47; P < 0.001). An additive effect of CCI with the GRACE risk score was observed in predicting long-term mortality: AUC from 0.768 to 0.819 (P = 0.003), category-based NRI: 0.215, cNRI>0: 0.669 (P < 0.001), IDI: 0.066 (P < 0.001).

Conclusion
The CCI is a predictor of long-term mortality and improves risk stratification of patients with ACS over the GRACE risk score.
Transbronchial brushing cytology and paired biopsy in endobronchial tuberculosis: A report of 72 cases focusing on the morphological features
Authors: Lan Zhihua , Zhang Jing , Ma Xin , He Rongfang , Zhao Qiang , Yang Fang 
Published: December 2023

Objectives:
The objectives of this study were to review the transbronchial brushing cytology and histological specimens of endobronchial tuberculosis (EBTB) and to explore the morphological features, diagnostic pitfalls, and dilemmas.

Material and Methods:
Transbronchial brushing cytology and concurrent biopsy specimens obtained between July 2017 and June 2020 were reviewed. EBTB was confirmed based on the clinical response to the anti-TB treatment in addition to the positive findings of at least one of the following methods: Acid-fast bacilli stain (AFB), auramine-rhodamine stain (A-R), detection of TB bacterial DNA (TB-DNA) by polymerase chain reaction, T-cell spot test (T-spot), and typical pathologic changes of TB on cytology or bronchoscopy biopsy. A total of 72 confirmed cases were studied.

Results:
Of the 72 patients, 42/72 (58.3%) and 30/72 (41.7%) were female and male patients, respectively. Bronchoscopic findings revealed five subtypes of EBTB, including inflammation infiltration, ulceration necrosis, granulation hyperplasia, cicatrices stricture, and tracheobronchial malacia. AFB, A-R, TB-DNA, and T-spot were positive in 39, 26, 33, and 46 cases, respectively. The detection rate of necrosis in the cytological specimens (90.3%) was significantly higher than that in the biopsy specimens (77.8%; P < 0.01). The percentage of Langhans giant cells detected by cytology (13.9%) was significantly lower than that detected by the pathological examinations of the tissues (38.9%) (P < 0.01). The detection rates of metaplastic squamous cells and epithelioid cells showed no significant difference with respect to the cytology and biopsy findings. In addition to the two patients who had concurrent carcinomas, atypical cells were reported in nine patients through cytopathological diagnosis, among them two were suspected to have carcinomas, two were with the impression that spindle cell neoplasms could not be excluded, and the other five were considered as reactive atypia. Moreover, one biopsy could not rule out the well-differentiated squamous cell carcinoma.

Conclusion:
Some morphological variations may cause challenges in cytological evaluation. Moreover, diagnostic dilemmas can occur even in the assessments of tissue pathology.