Komunikasi transendental tradisi macanan dalam perspektif Mulla Sadra : studi di Desa Kisik Kecamatan Bungah Kabupaten Gresik

Skripsi ini berjudul “Komunikasi Transendental Tradisi Macanan dalam Perspektif Mulla Sadra (Studi di Desa Kisik Kecamatan Bungah Kabupaten Gresik)”. Permasalahan yang akan dibahas dalam skripsi ini meliputi: (1) Bagaimana proses berlangsungnya kesenian Macanan di Desa Kisik Kecamatan Bungah Kabupaten Gresik? (2) Bagaimana perspektif Mulla Sadra terhadap komunikasi transendental yang ada dalam kesenian Macanan di Desa Kisik Kecamatan Bungah Kabupaten Gresik?. Penelitian ini menggunakan penelitian kualitatif dengan jenis penelitian lapangan (field research). Metode pengumpulan data yang digunakan dalam penelitian ini adalah metode wawancara, observasi dan dokumentasi. Dalam hal ini peneliti menggunakan metode analisis deskriptif yang mengacu pada teori al-Hikmah al-Muta’liyah (Theosophy Transendental) Mulla Sadra dengan tujuan memperoleh gambaran yang jelas terhadap komunikasi transendental yang terdapat pada kesenian Macanan di Desa Kisik. Hasil penelitian sebagai berikut: (1) Kesenian Macanan dalam masyarakat Kisik merupakan sebuah tradisi bercorak religius terbalut syair dan kesenian mistik. (2) Komunikasi dalam kesenian Macanan merupakan wujud komunikasi teologis atau komunikasi transendental antara Tuhan dengan makhluk-Nya. Pengalaman spiritual kesenian Macanan dalam perspektif Mulla Sadra merupakan Safar min al-khalq ila al-Haq atau perjalanan makhluk menuju Tuhan, berupa kesadaran terhadap misteri terdalam dari Wujud (existence) atau terdapat ada dalam kemurniannya yang azali dan kesadaran terhadap Wujud yang Universal

Biomarkers of severity and outcome among adult COVID-19 positive patients admitted to a tertiary referral hospital

BackgroundSeveral biomarkers were found to predict the severity and outcome of COVID-19 infection.AimsTo determine the associations between laboratory biomarkers with COVID-19 severity and outcome.MethodsA prospective study among confirmed COVID-19 patients aged 18 years old and above for biomarkers, and correlated with severity and mortality.ResultsOf 347 patients, 245 (70.6 per cent) were RT-PCR COVID-19 positive. Patients who were admitted to the ICU had higher levels of WBC count, lymphocytes, neutrophils, N/L ratio, D-dimer, potassium, phosphates, ferritin, CRP, ESR and cortisol, whereas patients who died were older, and had higher levels of N/L ratio, D-dimer, potassium, phosphates, ferritin, CRP, procalcitonin, cortisol, FBS, HbA1c, PTH and number of comorbidities compared to those who survived. Cortisol, FT3, and FBS were the most significant predictor for mortality and ferritin for ICU admission.ConclusionHigh cortisol and blood sugar and low FT3 were associated with higher mortality whereas low haemoglobin and lymphocytes and high N/L ratio, ferritin and D-dimer were associated with ICU admission among COVID-19 (+) patients. The first day biomarkers may provide clues for the eventual outcome and severity among COVID-19 patients. This will facilitate a more focused and aggressive intervention and early ICU admission

Pure Autonomic Failure with Asymptomatic Hypertensive Urgency: A Case Report and Literature Review

We report the case study of a 70-year-old gentleman who presented with isolated, slowly progressive dizziness after prolonged standing and was eventually diagnosed with pure autonomic failure. Initially, his symptoms improved with the use of midodrine and fludrocortisone, but gradually became refractory and disabling. Despite multiple therapeutic interventions, his symptoms persisted along with worsening supine hypertension. We discuss the challenges faced in the treatment of an uncommon condition and discuss the clinical utility of performing serial 24-h ambulatory monitoring to detect subclinical blood pressure fluctuations

Serum cortisol as a predictor of major adverse outcomes in patients with COVID-19

BackgroundSeveral biomarkers were found to predict the severity and outcome of COVID-19 infection.AimsTo determine the serum cortisol response in patients with Coronavirus Disease 2019 (COVID-19) and its correlation with disease outcomes.Methods A prospective study among confirmed COVID-19 patients aged 18 years old and above. Morning cortisol levels were measured within 24 hours of admission. Relationship between cortisol levels and outcomes (intensive care unit (ICU) admission, intubation, and death) were analysed.Results A total of 206 patients positive for COVID-19 (mean age of 53.6±15.2 years) were included in the study. Mortality was recorded in 21 (30.4 per cent) patients with cortisol levels of ≥570nmol/L, 6 (8.8 per cent) among patients with 181–569nmol/L cortisol level, and 8 (11.6 per cent) among patients with ≤180nmol/L cortisol. Patients with cortisol levels of ≥570nmol/L were more likely to be admitted to the ICU, be intubated and longer hospital stay. Serum cortisol and ferritin levels were the most significant predictors of mortality. ConclusionOn admission, the morning cortisol level was predictive of mortality, ICU admission, intubation, and length of hospital stay in patients with COVID-19 and may be listed as an independent predictor for worse outcomes of COVID-19 infection

Endocrine and metabolic complications after bariatric surgery

Bariatric surgery is the most effective therapeutic option for obese patients; however, it carries substantial risks, including procedure-related complications, malabsorption, and hormonal disturbance. Recent years have seen an increase in the bariatric surgeries performed utilizing either an independent or a combination of restrictive and malabsorptive procedures. We review some complications of bariatric procedures more specifically, hypoglycemia and osteoporosis, the recommended preoperative assessment and then regular follow up, and the therapeutic options. Surgeon, internist, and the patient must be aware of the multiple risks of this kind of surgery and the needed assessment and follow up

Prevalence of and Risk Factors for Nonprescription Antibiotic Use among Individuals Presenting to One Hospital in Saudi Arabia after the 2018 Executive Regulations of Health Practice Law: A Cross-Sectional Study

Antibiotic resistance is a worldwide public health emergency. Nonprescription antibiotic use is a chief cause of antibiotic resistance. The Saudi Government, as a consequence, imposed in 2018 executive regulations to prevent the distribution of antibiotics without a prescription. Herein, we aimed to investigate the prevalence of and risk factors for nonprescription antibiotic use among individuals presenting to one hospital in Saudi Arabia after enacting these regulations. This cross-sectional study was conducted on people, aged ≥18 years, who presented to the primary healthcare clinics of King Khalid University Hospital in Riyadh during the period between 1/1/2019 and 28/2/2019. Participants were asked to fill out a self-administrated questionnaire assessing their nonprescription antibiotic use during the past year in addition to sociodemographic information. Then, logistic regression analyses were performed to calculate the odds ratios (ORs) and corresponding 95% confidence intervals (CIs) for age, sex, education, and nationality of any nonprescription antibiotic use compared with no use within the past year. Out of 463 participants, 62.9% were females, 67.4% were <40 years, and 93.7% were Saudi citizens. Overall, 30.5% of participants reported nonprescription antibiotic use during the past year (19.7% one to two times and 10.8% more than two times). Male and non-Saudi participants were more likely to report any nonprescription antibiotic use, with HRs (95% CIs) of 1.99 (1.30, 3.04) and 3.81 (1.73, 8.35), respectively. The main reasons behind nonprescription antibiotic use were having previous experience with a health condition (69.2%), inaccessibility of healthcare (26.6%), and recommendation from a relative or a friend (16.1%). A major limitation of this study was that it included individuals attending one hospital. Individuals who seek medical consultation could be dissimilar to those who do not see doctors regarding nonprescription antibiotic use