Barnes Hospital

Abstract In this article, the authors, a Jew and a Muslim, both lawyer-mediators, consider some of the issues which Jews and Muslims in diasporic contexts face in relation to disputes over marriage, divorce and related issues and the role mediation plays in the resolution of such disputes. This is against a backdrop of the national laws where they are settled and in which their respective religious laws also play a part. The authors argue that neither Halakhah (Jewish religious law) nor Sharia (Muslim religious law) is a monolith but comprise basic laws from their respective scriptures, the Torah and the Quran, which have to be applied on an ongoing basis. These scriptures are accompanied by associated texts underpinned by a set of ethical principles which provide certain fundamental norms subject to a diversity of interpretations based, inter alia, on culture, history, geography, tradition and language. Whereas principles derived from their respective traditions can be enabling in mediation for both of these faith-based communities, they also give rise to certain concerns among disputants as well as law-enforcing agencies with regard to perceived and sometimes actual egregious patriarchy and thus may be viewed as an infringement of basic rights particularly in relation to women. The authors, both mediation trainers and specialists with extensive cross-cultural mediation experience internationally, explore some of the similarities and differences between their two faith traditions in this regard and provide suggestions on how faith-based mediation in both these communities, which share a common Abrahamic background, could ensure that their traditional systems and approaches are in line with contemporary mediation practice, and with evolving theory and conventions. By so doing, they argue that both these traditions will be able to contribute more meaningfully to the evolving ADR (Alternative Dispute Resolution, now widely called ‘non-court dispute settlement’) discourse at a time when new models of mediation are being considered and the whole notion of relationality is acquiring a new cogency in the mediation debate.

This research is motivated by the innovation implemented by most MSMEs in the UNNES area in the non-cash payment system in the form of QRIS. This study aims to analyze the effect of the QRIS system in moderating prices and promotions on UNNES students' purchasing decisions. The method used in this study is moderation regression analysis (MRA), which is analyzed using SPSS, and data collection using questionnaire techniques. The research sample is students who used MSME goods and services around the campus. The findings of this study indicate that price and promotion remain key factors influencing students' purchasing decisions. In contrast, using QRIS does not moderate the relationship between these variables and purchasing behavior. This outcome suggests that students prioritize price and promotional offers over payment. Furthermore, students perceive that using QRIS may encourage increased spending, which is problematic given their typically limited financial resources. As a result, QRIS is often regarded as a secondary payment option, used only after cash, due to concerns about its potential to reduce spending control.

Objective: To determine, frequency, risk factors of maternal and fetal morbidity and mortality in women with placenta previa in un-scared pregnant women. Methodology: This prospective observational study was conducted in the Obstetrics and Gynecology Unit-I at Liaquat University Hospital, Hyderabad, from June 16, 2021, to January 16, 2022. It included unscarred pregnant women with placenta previa beyond 24 weeks of gestation, with singleton pregnancies, and those presenting with antepartum hemorrhage due to placenta previa who were willing to participate. Data were collected on maternal factors such as age, gestational age, parity, clinical features, obstetric history, timing of placenta previa diagnosis, duration of hospital stay, need for blood transfusion, mode of delivery, and any surgical interventions required to control bleeding. Neonatal outcomes were also recorded, including gestational age at birth, birth weight, APGAR scores, stillbirths, NICU admissions, and neonatal mortality. Data were entered and analyzed using SPSS version-26. Results: Mean maternal age was 31.34 years and mean gestational age of 34.11 weeks. Maternal outcomes revealed 54.7% postpartum hemorrhage (PPH), 41.1% needed hemostatic sutures, and 27.4% required uterine packing or tamponade. Hysterectomy was performed in 13.7% of women, and most women received multiple blood transfusions. Only 2.1% needed ICU care, and one maternal death was reported. Fetal outcomes showed, 24.2% preterm births, 82.1% resulted in low birth weight, and 52.6% of neonates had birth asphyxia. Stillbirths were 6.3%, and 47.4% of newborns required NICU admission. Neonatal mortality during hospitalization was 46.3%. Conclusion: Placenta was observed to be the major cause of adverse fetal and maternal outcome. Previous uterine curettage history, uterine anomalies, and artificial conception were observed to be the causative risk factors.

<bold>Background:</bold> Ventilation inefficiency and abnormal gas exchange during exercise are frequently observed in patients with chronic thromboembolic pulmonary hypertension. However, limited information is available regarding whether patients with chronic thromboembolic pulmonary disease (CTEPD) and exercise pulmonary hypertension (ePH) demonstrate the same characteristics. <bold>Methods:</bold> 36 symptomatic patients with persistent residual perfusion defects by V/Q scintigraphy underwent cardiopulmonary exercise testing (CPET) and hemodynamic categorization by right heart catheterization. We then compared patients with and without ePH. The diagnosis of pulmonary hypertension at rest and during exercise was defined according to the ERS guidelines on PH of 2022. <bold>Results:</bold> Results are summarized in figure 1 and table 1. <bold>Conclusions:</bold> Patients with CTEPD presenting with or without ePH demonstrated comparable ventilation efficiency and gas exchange parameters. <fig><object-id>erj;64/suppl_68/PA5220/F1</object-id><object-id>F1</object-id><object-id>F1</object-id><graphic></graphic></fig> <fig><object-id>erj;64/suppl_68/PA5220/F2</object-id><object-id>F2</object-id><object-id>F2</object-id><graphic></graphic></fig>