Pengaruh Pembelajaran Model Webbed Terhadap Hasil Belajar Siswa di MTs

Siswa kelas VIII MTsN 9 Jombang banyak yang mengalami kesulitan dalam belajar pola bilangan

Pandemic crisis versus global financial crisis: Are Islamic stocks a safe-haven for G7 markets?

This study draws a comparison between the Global Financial Crisis (GFC) and the COVID-19 pandemic crisis to assess the safe-haven potential of Islamic stocks for G7 stock markets. We employ the cross-quantilogram framework of Han et al., which considers the non-linearity in the relationship, and thus captures the correlation between the Islamic and G7 stock markets across various quantiles reflecting different market conditions. The analysis also includes the time-varying cross-quantile correlation to observe the evolution of Islamic stocks' safe-haven potential. Our full sample analysis shows that Islamic stocks do not exhibit safe-haven properties for G7 stock markets. During the GFC period, Islamic stocks show some diversification benefits for the G7 stock markets. Notably, Islamic stocks emerged as a robust safe-haven asset for the G7 stock markets during the pandemic crisis. The study carries essential insights for equity investors and regulators of G7 and other countries to implement diversification/hedging strategies that would involve Islamic stocks to protect equity investments and the overall financial system amid the financial downturns

The incidence of venous thromboembolism and practice of deep venous thrombosis prophylaxis in hospitalized cirrhotic patients

<p>Abstract</p> <p>Background</p> <p>Cirrhotic patients are characterized by a decreased synthesis of coagulation and anticoagulation factors. The coagulopathy of cirrhotic patients is considered to be auto-anticoagulation. Our aim was to determine the incidence and predictors of venous thromboembolism (VTE) and examine the practice of deep venous thrombosis (DVT) prophylaxis among hospitalized cirrhotic patients.</p> <p>Methods</p> <p>A retrospective cohort study was performed in a tertiary teaching hospital. We included all adult patients admitted to the hospital with a diagnosis of liver cirrhosis from January 1, 2009 to December 31, 2009. We grouped our cohort patients in two groups, cirrhotic patients without VTE and cirrhotic with VTE.</p> <p>Results</p> <p>Over one year, we included 226 cirrhotic patients, and the characteristics of both groups were similar regarding their clinical and laboratory parameters and their outcomes. Six patients (2.7%) developed VTE, and all of the VTEs were DVT. Hepatitis C was the most common (51%) underlying cause of liver cirrhosis, followed by hepatitis B (22%); 76% of the cirrhotic patients received neither pharmacological nor mechanical DVT prophylaxis.</p> <p>Conclusion</p> <p>Cirrhotic patients are at risk for developing VTE. The utilization of DVT prophylaxis was suboptimal.</p

An Overview Healthcare Management Roles with the Physicians, Nurses, Medical Laboratory and Pharmacist to Promote Patient Saftey and Care

Through interactions with healthcare administration in community settings, nurse-pharmacists, clinical laboratories, and physicians were able to enhance disease management, prevent adverse medication events, and minimize the number of patients who required hospitalization. In the end, they led to the early detection and rectification of medication safety-related difficulties, a reduction in wait times to see general practitioners, and an improvement in the ability of individuals living in the community to manage chronic diseases on their own. For the purpose of maintaining such cooperation, particularly in community settings, it is necessary to do research in order to enhance the existing policies and organizational structures. Through interaction with both the patient and the physician, the clinical pharmacist becomes an essential member of the healthcare team and contributes to the improvement of patient care

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background: Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods: The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results: A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P &lt; 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

Mapping artificial intelligence adoption in hepatology practice and research: challenges and opportunities in MENA region

BackgroundArtificial intelligence (AI) is increasingly relevant to hepatology, yet real-world adoption in the Middle East and North Africa (MENA) is uncertain. We assessed awareness, use, perceived value, barriers, and policy priorities among hepatology clinicians in the region.MethodsA cross-sectional online survey targeted hepatologists and gastroenterologists across 17 MENA countries. The survey assessed clinical and research applications of AI, perceived benefits, clinical and research use, barriers, ethical considerations, and institutional readiness. Descriptive statistics and thematic analysis were performed.ResultsOf 285 invited professionals, 236 completed the survey (response rate: 82.8%). While 73.2% recognized the transformative potential of AI, only 14.4% used AI tools daily, primarily for imaging analysis and disease prediction. AI tools were used in research by 39.8% of respondents, mainly for data analysis, manuscript writing assistance, and predictive modeling. Major barriers included inadequate training (60.6%), limited AI tool access (53%), and insufficient infrastructure (53%). Ethical concerns focused on data privacy, diagnostic accuracy, and over-reliance on automation. Despite these challenges, 70.3% expressed strong interest in AI training., and 43.6% anticipating routine clinical integration within 1–3 years.ConclusionMENA hepatologists are optimistic about AI but report limited routine use and substantial readiness gaps. Priorities include scalable training, interoperable infrastructure and standards, clear governance with human-in-the-loop safeguards, and region-specific validation to enable safe, equitable implementation

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Jamaliyat thalathat al ash'ar li Adonis muassasan 'ala nazriyah alam al jamal al adabiy 'inda Roman Ingarden

Skripsi ini berjudul Estetika-Estetika Tiga Puisi Karya Adonis Berdasarkan Ilmu Estetika Sastra Roman Ingarden. Tujuan skripsi ini adalah untuk mengungkap estetika-estetika lapis dan titik persamaan tiga puisi karya Adonis yaitu mira>h lil ‘ain wa az-zama>n, mira>h lil Orfeu>s, dan al-lu>’lu>’ah. Adonis merupakan penyair dan kritikus sastra yang masyhur dan selalu menghadirkan pemikiran baru. Puisi-puisi Adonis memiliki bentuk puisi yang bebas, struktur yang kompleks, dan sarat dengan nilai-nilai estetika. Untuk menjawab persoalan tersebut, digunakan Ilmu Estetika Sastra Roman Ingarden untuk mengungkap estetika lapis-lapis dalam tiga puisi tersebut. Berdasarkan teori Ilmu Estetika Roman Ingarden, puisi terstruktur dalam lima lapis, yaitu lapis bunyi, kesatuan arti, objek-objek yang dikemukakan, dunia, dan metafisis. Pada penelitian ini, tiga puisi karya Adonis menjadi sumber data primernya dan buku, jurnal, dan referensi lain menjadi sumber data sekundernya. Penelitian ini bersifat library research menggunakan teknik pustaka catat dan metode deskriptif analis. Dengan menggunakan teori tersebut, skripsi ini menyatakan bahwa estetika bunyi pada tiga puisi ini menggunakan huruf lemah dan lebih lemah untuk menunjukkan ketulusan, rasa cinta dan duka cita. Huruf mutawassit}ah, kuat dan lebih kuat untuk menunjukkan kegigihan, keberanian, dan nasionalisme. Estetika makna membahas pemikiran dan perenungan penyair atas kehidupannya. Estetika objeknya yaitu sikap hidup penyair dan peristiwa hidup Orfeus. Estetika Dunia membahas tentang kemanusiaan yaitu bagaimana seharusnya manusia hidup. Estetika metafisis yaitu jalan spiritual penyair