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Rheumatoid arthritis (RA) is a daily disease seen in rheumatology clinics. It predominantly involves the appendicular skeleton. The axial skeleton is mostly spared except for the cervical spine where instability can occur and can be carefully assessed with cervical spine radiographs in flexion and extension. Radiographs may show erosion at the C1-C2 level with destruction of the transverse ligament that can result in atlantoaxial subluxation. Diagnosis is based on clinical, laboratory, and radiographic findings. Conventional radiography has been the mainstay for diagnosis of joint damage and subsequent follow-up. Radiography can provide only indirect information on synovial inflammation, however, and the technique is insensitive to early bone damage. Hand radiographs are frequently ordered as the first imaging modality in the assessment of patients presenting with peripheral arthritis. They can provide invaluable information about the bones, joints, mineralization, soft tissues and the distribution of abnormalities. Given the wide spectrum of rheumatic diseases, it might be challenging to make the diagnosis solely based on the clinical findings and imaging plays an important role in narrowing the differential diagnosis. Having the knowledge of the common radiographic manifestations of inflammatory arthritis is of paramount importance for clinicians and radiologists to diagnose the underlying disease in early stages of disease in order to start treatment. The purpose of the article is to review the key radiographic findings of common rheumatic diseases in the hands.

The book on the City of God and the City of Man is a masterpiece by St. Augustine that is very influential in the history of philosophy and theology. This book contains the background of Augustine's philosophical and theological reflections on the accusation of the destruction of the Roman Empire against Christianity. The City of God described in Augustine's perspective is a city that prioritizes love for God. While the City of Man is a city that reflects self-love. The implications of both types of cities in Augustine's perspective are very relevant to be discussed in the discourse on the concept of statehood. This paper also aims to analyze the relationship between democracy and capitalism in the perspective of Augustine of Hippo's thought, especially through the concept of civitas Dei (City of God) and civitas terrena (World City). This study uses a qualitative method with a library research approach. The results of this study show that democracy and capitalism, although providing space for freedom, are vulnerable to deviations when not guided by the correct moral orientation. In light of Augustine's thought, the crisis in modern democracy such as; Money politics, media manipulation, and anarchic demonstrations reflect the dominance of self-love (amor sui) that characterizes the civitas terrena. Therefore, democracy can only operate fairly if it is rooted in moral values ​​that lead to the common good (Bonum communae).

The book on the City of God and the City of Man is a masterpiece by St. Augustine that is very influential in the history of philosophy and theology. This book contains the background of Augustine's philosophical and theological reflections on the accusation of the destruction of the Roman Empire against Christianity. The City of God described in Augustine's perspective is a city that prioritizes love for God. While the City of Man is a city that reflects self-love. The implications of both types of cities in Augustine's perspective are very relevant to be discussed in the discourse on the concept of statehood. This paper also aims to analyze the relationship between democracy and capitalism in the perspective of Augustine of Hippo's thought, especially through the concept of civitas Dei (City of God) and civitas terrena (World City). This study uses a qualitative method with a library research approach. The results of this study show that democracy and capitalism, although providing space for freedom, are vulnerable to deviations when not guided by the correct moral orientation. In light of Augustine's thought, the crisis in modern democracy such as; Money politics, media manipulation, and anarchic demonstrations reflect the dominance of self-love (amor sui) that characterizes the civitas terrena. Therefore, democracy can only operate fairly if it is rooted in moral values ​​that lead to the common good (Bonum communae).

The issue of forest degradation caused by illegal logging in Indonesia poses a serious threat to ecosystem balance and the survival of wildlife. This condition highlights the need for effective visual communication media to deliver environmental education messages in a communicative and easily understandable manner. This study aims to design a 2D educational animation that illustrates the impact of illegal logging on forest ecosystems from the perspective of an endemic animal, the surili. The method used is a qualitative approach with animation production stages consisting of pre-production, production, and post-production. The pre-production stage includes idea development, research, scriptwriting, storyboard creation, and visual design. The production stage involves the creation of visual assets, backgrounds, and animation processes to construct the storyline. The post-production stage includes visual editing, audio integration, and rendering as the final output. The result of this study is a 2D animation entitled “Jaga Lingkungan Hindari Kepunahan Alam,” which presents a structured narrative to effectively convey educational messages. The implications of this work indicate that animation as an educational medium can enhance public awareness of the impacts of illegal logging and emphasize that forest destruction affects not only wildlife but also humans as part of the ecosystem.

Illegal logging is a serious environmental problem in Indonesia due to its direct impact on forest destruction, biodiversity loss, and increased carbon emissions. The Indonesian government has established various public policies and legal instruments to address illegal logging practices, such as the Forestry Law, the licensing system, and strengthening law enforcement agencies. However, the effectiveness of these policies remains a concern, given that illegal logging cases continue to occur in various regions. This study aims to assess the effectiveness of public policies in enforcing environmental law, focusing on illegal logging cases in Indonesia. The method used in this study is a normative juridical approach by examining regulations, government policies, and secondary data from reports from relevant institutions and previous research results. Analysis shows that despite comprehensive public policy design, its implementation still faces various obstacles, such as weak oversight, poor coordination between institutions, limited human resources, and corrupt practices. Furthermore, social and economic factors in communities surrounding forests also influence the success of environmental law enforcement. Therefore, strengthening law enforcement agencies, transparency and accountability, and active community involvement in forest management are essential. With these improvements, public policy is expected to be more effective in preventing and combating illegal logging for the sake of environmental sustainability in Indonesia.

Archives are documents stored by an institution responsible for managing documents or organizing archival programs. Archives have an important role as a source of information in an agency so it is important to research. This study aims to analyze the management of incoming and outgoing mail archives in Rangkah Kidul Village, Sidoarjo District using descriptive qualitative research methods with data collection techniques in the form of interviews, observation and documentation. The focus of this study is the management of archives from the stages of creation, use, maintenance and reduction of archives. Informants in this study with five informants. Data analysis techniques with data reduction, data presentation and conclusion drawing. The results of the study show that 1) the process of creating archives is running quite well supported by the use of the Ebuddy application, although it is still physical. 2) at the stage of archive use, searching is still done manually by searching one by one depending on one officer. 3) at the stage of archive maintenance, the storage process is based on the time of creation, but has not been sorted based on use value and there is no SOP. 4) at the stage of archive reduction, there has never been a transfer or destruction so all archives are still stored.

This study aims to examine the message of repentance in Jonah 3:1-10 through an interpretive analysis focusing on the manifestation of God's mercy toward non-Israelite nations. The background of this study is rooted in the theological tension between Israel's exclusivism and the universality of God's love reaching Nineveh, a nation notorious for its cruelty. The method used is qualitative with a historical-grammatical exegesis approach to uncover the meaning of the text in its original context. The research results show that Nineveh's repentance was a radical response to the warning of judgment, involving all elements of society from the common people to political authorities. This phenomenon proves that the primary purpose of God's prophecy of judgment is not destruction, but the transformation of human behavior. This analysis confirms that God's mercy is sovereign and transcends ethnic or geographical boundaries. The implications of this research emphasize the importance for modern faith communities to adopt an inclusive attitude and understand that the sovereignty of God's love cannot be limited by human prejudice against groups perceived as strangers or enemies

Background: Autoimmune Hemolytic Anemia (AIHA) is a rare immunological condition that causes the destruction of red blood cells through autoantibodies. Case Presentation: This report discusses the case of a 38-year-old woman who presented with complaints of weakness and acute dizziness at RedaBolo, with a history of recurrent anemia over the past six months. Physical examination revealed clear signs of hemolysis, including icteric sclera and splenomegaly. Laboratory findings confirmed severe anemia (Hb 5.0 g/dL) with varied peripheral blood cell morphology (spherocytes, schistocytes, and teardrop cells). The diagnosis was supported by a positive Coombs test and hyperbilirubinemia.  Management: The therapeutic strategy focused on hemodynamic stabilization through transfusion of 4 units of packed red blood cells (PRC), immunosuppression with methylprednisolone 125 mg/day, and gastric protection. Conclusion: These interventions yielded satisfactory results, with the patient achieving significant clinical improvement and a hemoglobin level of 9.5 g/dL by the fourth day of treatment.

The purpose of the study was to analyze the legality and limits of police repressive actions against protests that resulted in riots. This type of research is normative legal research with a legislative approach, a case approach and a conceptual approach. The analysis used in this study is an analytical descriptive technique. The results of the research show that the law is always used as a guideline in limiting all citizens' behavior to stay on the right path. Protests often lead to riots, destruction of public facilities, attacks on officers, and violations of public order, so that there is a criminal threat for protesters who do not maintain order and security. The regulation of police repressive actions in protests that result in chaos still needs special refinement in the context of protests, among which the substance of repressive actions must also harmonize technological developments and digitalization in security maintenance. The rules need to be updated by adding objective indicators of threats, public accountability mechanisms, transparent documentation obligations, measurable proportionality standards, and room for recovery for victims of abuse of power.

This research aims to analyze the criminal liability of perpetrators of arson and destruction of public facilities during demonstrations in Indonesia, as well as to examine the enforcement of criminal law against these crimes based on applicable positive law. However, in practice, demonstrations are often accompanied by anarchic actions in the form of arson and destruction of public facilities that harm the public interest and disrupt public order. The urgency of this research lies in the need to ensure that criminal liability and criminal law enforcement for acts of arson and destruction of public facilities are carried out individually and proportionally in accordance with the provisions of the old Criminal Code and the National Criminal Code, in order to prevent the general application of criminal law to participants in demonstrations. The results of the first study indicate that criminal liability for perpetrators of arson and destruction of public facilities during demonstrations has basically been regulated in the old Criminal Code and then updated in the National Criminal Code, especially regarding the crimes of arson and destruction of property. While the second enforcement of criminal law against these acts requires proportional and individual application, even though it is carried out in the context of collective mass action.

Background: Dental caries is a major problem in orodental health, especially in children. The primary cause of caries is the activity of cariogenic microorganisms. Unbalanced remineralization of dental tissue followed by destruction of organic matters may cause cumulative and progressive damage to the tooth structure. Extensive caries lesions that have reached the pulp are an indication for pulp therapy with appropriate crown restoration. Case Report: A 10-year-old boy came with a complaint of a painful cavity in his upper right front tooth. The patient was considered communicative and cooperative. The patient also had a habit of consuming sweets. An intraoral examination revealed extensive caries on the entire surface of 53. A periapical radiograph showed a radiolucent area reaching the pulp cavity on the occlusal surface of 53 with resorption of the apical one-third of the root. Based on the examination results, reversible pulpitis was established as the primary diagnosis. The treatment plan was pulpotomy with a dental crown restoration. Treatment was carried out over four visits. First visit included complete examination, periapical radiography, and pulpotomy. The second visit included core buildup, tooth preparation, and dental impressions. The third visit included try-in and crown insertion, followed by a final follow-up visit. Conclusion: Pulpotomy with dental crown restoration can be an effective clinical approach to restore the function and aesthetics of anterior deciduous teeth, especially in cases that consider aesthetics and cost limitations.

The ever-changing and rapidly developing fashion trends have created a consumer culture among global society, driven by social media and digital marketing. Excessive consumption of clothing not only fulfills personal needs but also becomes an indicator of social status. As a result, the textile industry has experienced rapid growth, contributing significantly to the economy, especially in countries such as Indonesia and Vietnam. However, textile production uses energy sources that are not environmentally friendly, producing greenhouse gas emissions that have negative impacts on the environment, such as global warming and climate change. Indonesia and Vietnam, as one of the developing countries that rely on industry as a profitable sector, act as the largest contributors of emissions in Southeast Asia. Indonesia and Vietnam face major challenges in reducing environmental impacts while maintaining economic growth. Efforts to reduce greenhouse gas emissions are an important priority for long-term sustainability. The implementation of clear, firm and targeted regulations plays an important role in enforcing rules that can protect the environment from perpetrators of destruction by the industrial sector.

The flood disaster the struct Mauponggo, Flores, Est Nusa tenggara, not only caused infrastructural destruction, loss of life and social trauma, but also revealed a deeper philosophical dimension of human existence. From an ontological prespective, a disaster is not merely a natural occurrence but a moment of disclosure that unvieils the existential fragility of human beings in the faceof natural forces beyond rational, technological, and social control. Onology, as a branch of metaphysics that explores the nature of being, understands humans as beings whose existence is inseparable from space, time, and limitation. Trough a reflective and literature based approach, this study examines the Mauponggo flood as an existential event that exposes the ontological condition of humanity, drawing particularly on Martin Heidegger’s concepts of being toward death and being in the world. The finding show that disaster reveals humans as finite and vulnerable beings who remain open to relationships with nature, others, and the transcendent. This study affirms that an ontological prespective on disaster not only enriches academic discussions on the philosophy of disaster but also holds practical signifincace. The awareness of existential fragility encourages social solidarity, ecological ethics, and deeper transcendental reflection. Thus, this work contributes to developing more reflective and meaningful humanitarian and sustainability responses rooted in a philosophical understanding of human existence and its place in the world.  

The ecological crisis affecting Central Kalimantan reveals systemic environmental degradation, ranging from deforestation and river pollution to peatland destruction caused by massive extractive activities. The impact of this crisis extends beyond ecological damage, disrupting the social, cultural, and spiritual order of the Dayak Indigenous communities. This article aims to reflect on Dayak communal spirituality as a path toward ecological conversion in the light of the encyclical Laudato Si’. Employing a qualitative approach through theological–contextual hermeneutics and library research, this study examines the dialogue between Dayak cosmology, communal life values, and the Catholic Church’s vision of integral ecology. The findings indicate that Dayak communal spirituality affirms a reciprocal relationship among humans, nature, the community, and the Creator, which resonates with the call for ecological conversion articulated in Laudato Si’. This article argues that integrating Dayak communal spirituality into the Church’s pastoral praxis holds transformative potential in fostering ecological awareness, strengthening the inculturation of faith, and encouraging the active participation of the faithful in caring for our common home in a sustainable manner.

This research is purposely conducted to evaluate and compare the effectiveness, efficiency, applicability  and appropriateness of modern firefighting systems installed on board ships. As a result, the review attempt to  ascertain the significance of firefighting systems on ships in terms of their safety, types, structure, principles as  well as installations. In this way, the review tries to justify the importance of these systems on board ships. The design of this survey revolves around three basic elements that incorporate the complete firefighting  procedure. These components include: modern technology of firefighting, different types of systems that are  used on board ships and people traits in terms of drilling, firefighting training to deal with any incident of fire.  In the previous decade, the globe has experienced massive destructions, harms and injuries resulting from fire incidents on ships. This has triggered and ignited enhanced fabrication and staging of new practices,  technologies and inventions aimed at efficiently deal with fire incidents so as to support the safekeeping and  reliability on these fire systems on board ships. Equally, through this technological enhancement, the  firefighting systems have been designed to facilitate rapid detection capable of differentiating between real  smokes or flames indicators in case of a fire event on board ship. In recent times, these technological  developments have been viewed as strategies that help ship owners to ensure better protection of the crew’s life,  ship’s inventories as well as minimising on the possible losses that occur as a result of fire events on board ship.  Therefore, with the review of the recent or latest methods and technologies for speedy fire detection on ships,  the review demonstrates enhancement attributes, features and qualities of these new systems. Additionally, the  paper critically evaluates the components of these firefighting systems, as well as looking at their competences,  capabilities, benefits and applicability on board ships.

The form of historicization in literary criminology views criminality as the result of power relations, unequal social structures, and history. Criminal acts in historicization are always placed in a specific time and place context, tracing how a behavior is considered “criminal” or “against the law” depending on the historical construction formed by the legal system, the state, and the rulers. Historicization also reveals that what is referred to as crime is not absolute, but can change according to historical developments and power struggles. The purpose of this study is to describe the form of criminalization in the novel Lampuki, which is not merely an individual deviant act, but a reflection of historical trauma and a flawed social structure. The approach used is literary sociology. This study uses a descriptive-qualitative method with reading and note-taking techniques obtained from the novel Lampuki by Arafat Nur in the form of sentences and paragraphs. The results of the study show that there are seven data points that fall under the form of criminalization of history. From the seven data points, three findings were generalized and discovered in Arafat Nur novel Lampuki, namely: (1) transgenerational trauma of violence, (2) the destruction of the socio-cultural structure, and (3) dark figure of crime.

This study examines the utilization of haiku as a form of response to postwar trauma through Kaneko Tota’s and Saito Sanki’s war-themed haiku. Following Japan’s defeat in World War II in 1945, a cultural shift occurred marked by transformation within traditional arts, particularly haiku, which became a significant medium for expressing traumatic historical and social experiences. Although both poets used haiku as a medium to express dissatisfaction and critique the socio-political conditions of the postwar period, they represented different generations and approaches in responding to postwar trauma. Saito, having directly experienced the trauma of war, developed a deconstructive strategy towards traditional haiku conventions. Meanwhile, Kaneko, belonging to the postwar generation, adopted a more radical approach in formal and semantic experimentation. These dual strategies not only embodied individual artistic responses to trauma but also contributed to a broader cultural project aimed at reconstructing Japan’s collective identity in the postwar era. Yuri Lotman’s cultural semiotics framework is employed to analyze the semiotic transformation dynamics in the poets' works. Lotman’s theory, with its key concepts of semiosphere, cultural text, and translation mechanisms, offers a comprehensive analytical tool for understanding the dynamics of sign systems and cultural meanings in World War II-themed haiku. From the analysis of five war-themed haiku, it is concluded that both poets constructed a collective trauma discourse. Rather than employing explicit descriptive narratives, the trauma discourse utilizes strong semiotic condensation strategies. Saito and Kaneko juxtaposed established cultural symbols and codes, such as Hiroshima as a metaphor of absolute destruction, the marathon as a symbol of life, breasts as a symbol of motherhood, and blooming flowers representing renewal into new surreal configurations that created novel meanings at the semiotic boundaries where tensions clashed.

This study examines the utilization of haiku as a form of response to postwar trauma through Kaneko Tota’s and Saito Sanki’s war-themed haiku. Following Japan’s defeat in World War II in 1945, a cultural shift occurred marked by transformation within traditional arts, particularly haiku, which became a significant medium for expressing traumatic historical and social experiences. Although both poets used haiku as a medium to express dissatisfaction and critique the socio-political conditions of the postwar period, they represented different generations and approaches in responding to postwar trauma. Saito, having directly experienced the trauma of war, developed a deconstructive strategy towards traditional haiku conventions. Meanwhile, Kaneko, belonging to the postwar generation, adopted a more radical approach in formal and semantic experimentation. These dual strategies not only embodied individual artistic responses to trauma but also contributed to a broader cultural project aimed at reconstructing Japan’s collective identity in the postwar era. Yuri Lotman’s cultural semiotics framework is employed to analyze the semiotic transformation dynamics in the poets' works. Lotman’s theory, with its key concepts of semiosphere, cultural text, and translation mechanisms, offers a comprehensive analytical tool for understanding the dynamics of sign systems and cultural meanings in World War II-themed haiku. From the analysis of five war-themed haiku, it is concluded that both poets constructed a collective trauma discourse. Rather than employing explicit descriptive narratives, the trauma discourse utilizes strong semiotic condensation strategies. Saito and Kaneko juxtaposed established cultural symbols and codes, such as Hiroshima as a metaphor of absolute destruction, the marathon as a symbol of life, breasts as a symbol of motherhood, and blooming flowers representing renewal into new surreal configurations that created novel meanings at the semiotic boundaries where tensions clashed.

Immune Thrombocytopenic Purpura (ITP) is a bleeding disorder characterized by a low platelet count (<100,000/µL) caused by decreased platelet production or opsonization by antibodies, leading to platelet destruction by the reticuloendothelial system. ITP is one of the most common etiologies of bleeding disorders, especially in children. The prevalence of ITP in children is estimated to be around 1.9 to 6.4 cases per 100,000 children annually, while in adults, the prevalence is lower, at about 3.3 cases per 100,000 people per year. In the United States, the incidence of ITP is reported to be around 1.6 per 10,000 people annually. Clinical manifestations of ITP include petechiae, purpura, and/or ecchymosis, which are usually found on the upper and lower extremities. Mucocutaneous bleeding symptoms such as epistaxis and gum bleeding are also common in patients. These symptoms can vary depending on the severity of thrombocytopenia and individual responses to the condition. Diagnosis of ITP is made through a thorough medical history, physical examination, and rapid supportive tests to confirm the diagnosis and differentiate ITP from other conditions with similar symptoms. Proper and timely management is crucial to prevent further complications, including more severe bleeding or organ damage. With effective management, the quality of life of patients can be improved, and the risks associated with ITP can be minimized. Therefore, early detection and optimal management are key in addressing ITP, particularly in children who are more vulnerable to this bleeding disorder.

In general, attacks on hospitals are prohibited under international humanitarian law (IHL), which aims to protect the life and health of civilians during armed conflicts. However, in certain circumstances, hospitals may lose their protection and thus become legitimate targets in warfare if they are considered to be involved in military activities or supporting the parties to the conflict. This brings into question the application of the principle of proportionality, which is an essential element of IHL. The principle of proportionality seeks to balance military necessity with the protection of civilians, requiring that the harm caused by military operations should not be disproportionate to the military advantage sought. This principle demands that military operations be conducted carefully to minimize harm to civilians and civilian objects, including hospitals. However, its application raises significant ethical questions regarding the moral justification of such actions, especially when hospitals are targeted in attacks. One prominent example that raises ethical concerns about this justification is the destruction of Al-Shifa Hospital in Northern Gaza. The hospital was destroyed in an airstrike during the conflict, causing severe harm to the civilian population that relied on this facility. While the principle of proportionality is designed to limit damage, attacks on hospitals such as Al-Shifa raise questions about whether the actions taken were truly consistent with this principle, particularly when the military gain achieved does not seem to outweigh the damage caused to human life and vital infrastructure. This article aims to explore the conventional moral justification of the principle of proportionality in international humanitarian law and evaluate its application in the case of Al-Shifa Hospital, challenging the boundaries of the principle in practice.