bluuebunny/crossref_metadata_2025 huggingface dataset:
Posterior vertebral column resection for recurrent tethered cord syndrome: a 10-year case series
Authors: Shah Harshal A. , Shao Miriam M. , Santhumayor Brandon A. , Golub Danielle , Schneider Daniel , Ber Roee , Sciubba Daniel M. , Mittler Mark A. , Rodgers Shaun D. , Schneider Steven J. , Lefkowitz Michael A.
Published: February 2025

OBJECTIVE

Tethered cord syndrome (TCS) is a significant cause of debilitation in patients with spinal dysraphisms or tumors. Management of TCS has historically centered on intradural detethering surgery, which is associated with a substantial risk of retethering, symptom recurrence, and repeat surgery. Vertebral column resection (VCR) has recently gained popularity as a treatment option via spinal shortening, but the literature on long-term outcomes is sparse. The objective of this study was to explore long-term clinical outcomes in a series of patients undergoing VCR for recurrent TCS.

METHODS

A retrospective review was conducted of all consecutive patients undergoing VCR for recurrent TCS at a single center between 2014 and 2024. Demographic and radiological characteristics were recorded, including spinal column height reduction as well as symptom improvement rates regarding sensorimotor dysfunction, pain, and incontinence at the latest follow-up. Intra- and postoperative complications were noted, and pre- and postoperative symptomology was compared using McNemar’s test at a significance level of p < 0.05 to identify improvements.

RESULTS

Twenty surgeries in 19 patients (median age 19 years) involving 10 males (52.6%) were assessed. The most common etiology of TCS was lipomyelomeningocele (n = 7, 36.8%), followed by lipoma (n = 6, 31.6%). Patients underwent a mean of 3.4 previous detethering procedures. Osteotomy was most commonly performed at the L1 level (n = 11, 55.0%), and the mean spinal column height reduction was 16.5 mm. At a mean follow-up of 43.1 (range 12–101) months, resolution of symptoms was observed in 10 patients with back pain (71.4%; p = 0.043), 10 patients with leg pain (66.7%; p = 0.004), 9 patients with lower extremity weakness (75.0%; p = 0.008), 4 patients with urinary incontinence (44.4%; p = 0.371), and 1 patient with fecal incontinence (33.3%; p > 0.99). Complications included a CSF leak in 1 patient and repeat VCR in 1 patient.

CONCLUSIONS

These results suggest that in select patients with recurrent TCS, VCR represents a treatment option with high rates of symptomatic improvement and a relatively low risk of retethering as observed over several years of follow-up. These results add to the body of literature supporting VCR and provide a compelling basis for future prospectively designed studies.
Comparison of dosimetric variability in the cervical spine between carbon fiber and titanium instrumentation
Authors: Mansi Ahmed , Rezaii Elhaum G. , Wang Shuo , Zhang Chi , Katzir Miki
Published: February 2025

OBJECTIVE

Carbon fiber instrumentation has gained popularity in spine oncology for its radiographic advantage of reduced artifact on imaging. With its increased use in patients who undergo radiation therapy, the dosimetric accuracy of postoperative radiation with carbon fiber constructs compared to classic titanium instrumentation becomes an important question. The purpose of this study was to compare the dosimetric accuracy of postoperative radiation in carbon fiber–instrumented versus titanium-instrumented cadaveric cervical spines after corpectomy.

METHODS

Two cadaveric specimens underwent two-level corpectomy using either titanium or carbon fiber instrumentation. Dosimeter chips were placed circumferentially around the constructs to calculate the dose of radiation to surrounding areas. The cadavers underwent one round of radiation with their respective constructs, and the dose of radiation was calculated and compared to the measured dose in each chip. After the first round of radiation, the instrumentation was switched between cadavers and the radiation therapy was repeated. The difference between the calculated and measured dose in carbon fiber versus that in titanium instrumentation in each cadaveric model was subsequently compared.

RESULTS

There was a significant difference in the dosimetry calculated at the area of the spinal cord dorsal to the corpectomy cage, with 68% less variability between the calculated and measured dose in the carbon fiber construct compared to that of the titanium construct. The mean variation of the measured dose at the spinal cord was 7.73% in titanium versus 4.6% in carbon fiber (p = 0.024, 1-tail; p = 0.048, 2-tail). There was also 30% less variability between the measured and calculated dose in the carbon fiber construct at the dosimeter chips lateral to the spinal cord, with a mean variation in the carbon fiber–instrumented cadaver of 4.94% compared to 6.45% with titanium (p = 0.01, 1-tail; p = 0.02, 2-tail). When all the dosimeters were combined without the control group, there was a statistically significant 14.5% difference in the mean variation of the calculated versus measured doses between the carbon fiber–instrumented cadavers versus titanium-instrumented cadavers (4.8% vs 5.5%, respectively; p = 0.015, 1-tail; p = 0.03, 2-tail).

CONCLUSIONS

There is less variation in the calculated versus measured doses of radiation therapy in carbon fiber instrumentation compared to titanium instrumentation. This suggests improved radiation therapy delivering accuracy and complication avoidance in carbon fiber–instrumented spines.
Outcomes following stereotactic radiosurgery for high-grade brain arteriovenous malformations: a systematic review and meta-analysis
Authors: Farhad Imran , Ridzuan-Allen Adam , Ansari Saniya , Al-Munaer Marwan , Hall Benjamin , Taweel Basel , Skourou Christina , Fitzpatrick David , Ali Ahmad M. S. , Hannan Cathal John , Cahill Julian , Yousaf Jawad , Sheehan Jason P. , Javadpour Mohsen
Published: February 2025

OBJECTIVE

Arteriovenous malformations (AVMs) of the brain are a leading cause of stroke in the young and carry a lifetime risk of intracerebral hemorrhage. The management options for high-grade AVMs are limited. Resection is often associated with high rates of postoperative morbidity, and the results of stereotactic radiosurgery (SRS) for these lesions thus far have been mixed. The aim of this study was to summate the published data on the outcomes of SRS for high-grade AVMs in order to better inform the management of these otherwise untreatable lesions.

METHODS

A search of four online databases for literature pertaining to the use of SRS to treat high-grade (Spetzler-Martin grades IV–VI) AVMs was performed. Data pertaining to AVM obliteration, incidence of adverse radiation effects (AREs), and posttreatment hemorrhage were extracted, and a meta-analysis of proportions was performed. The study protocol was prospectively registered with PROSPERO.

RESULTS

Fifteen studies describing the results of SRS treatment of 562 high-grade AVMs were analyzed. The overall rate of AVM obliteration during a median follow-up period of 50 months was 34.2% (95% CI 27.0%–42.1%, I2 = 65.1%). The pooled rate of hemorrhage following SRS treatment was 12.2% (95% CI 7.8%–18.7%, I2 = 25%). For previously ruptured AVMs, the rate of hemorrhage was 12.7% (95% CI 8.5%–18.7%, I2 = 0%) compared with 5.2% (95% CI 1.0%–23.1%, I2 = 0%) for unruptured AVMs. The overall incidence of AREs was 9.3% (95% CI 5.2%–15.9%, I2 = 0%).

CONCLUSIONS

SRS for high-grade AVMs is associated with a modest rate of obliteration and is complicated by AREs in 9% of cases. Patients harboring previously ruptured AVMs or lesions with high-risk angioarchitectural features may be more likely to benefit from this treatment.
Stereo-electroencephalography pattern and long-term seizure outcome in hypothalamic hamartoma treated by radiofrequency thermocoagulation
Authors: Liu Chang , Wang Xiu , Zheng Zhong , Hu Wenhan , Yang Xiaoli , Shao Xiaoqiu , Zhang Kai , Liang Shuli
Published: February 2025

OBJECTIVE

The aim of this study was to investigate the long-term outcomes and clinical predictors for seizure freedom in patients with hypothalamic hamartomas (HHs) undergoing radiofrequency thermocoagulation (RFTC) guided by stereo-electroencephalography (SEEG).

METHODS

The authors enrolled 30 patients with HH-related epilepsy who underwent SEEG-guided RFTC and were followed up for at least 3 years. Seizure outcomes were assessed using the International League Against Epilepsy (ILAE) classification, with classes 1 and 2 defined as seizure freedom. Considering the observed time to relapse, the authors defined postoperative follow-up within 1 year as short-term follow-up. They analyzed lesion features, epileptic characteristics, and SEEG patterns for their relationship with short-term and long-term seizure freedom separately. Long-term complications were also reported.

RESULTS

The mean follow-up was 69.2 months (range 36–107 months) since the first RFTC. At the last follow-up, 20 patients (66.7%) achieved seizure freedom (ILAE classes 1 and 2). Regarding different seizure types, freedom was achieved in 81.8% of patients (18/22, after 2 cases relapsed) with gelastic seizures (GS) and in 52.9% patients (9/17, after 4 cases relapsed) with other types of seizures (i.e., nongelastic seizures [NGS]). Seizures characterized by focal low-voltage fast activity recorded by SEEG were more likely to achieve freedom both in the short term (p = 0.021) and the long term (p = 0.022). A history of HH resection might negatively impact a patient’s outcome at long-term follow-up, whereas lesion location, volume, seizure types, or the seizure duration showed no significant influence on both short-term and long-term outcomes. Weight gain was the most common long-term complication (26.7%).

CONCLUSIONS

The SEEG signal can guide HH ablation and serve as an important predictor for favorable seizure outcomes in both the short term and long term, a capability not exhibited by other factors thus far. Patients with a history of HH resection but who still experience NGSs should be considered carefully, as there may be a speculated mechanism of an NGS network re-forming, which can partly explain the outcome difference between patients with GSs and those with NGSs, as well as the progression of secondary epileptogenesis.
Effects of the length of preoperative conservative management on postoperative outcomes after primary microvascular decompression for trigeminal neuralgia
Authors: Kalluri Anita L. , Ejimogu Emeka , Chandan Reddy Sai , Nair Sumil K. , Alkhars Hussain , Kilgore Collin , Abdulrahim Mostafa , Yedavalli Vivek , Lim Michael , Jackson Christopher M. , Huang Judy , Bettegowda Chetan , Xu Risheng
Published: February 2025

OBJECTIVE

Although trigeminal neuralgia (TN) is initially managed conservatively, approximately half of all patients will eventually undergo surgery. Despite this outcome, there is limited understanding of the relationship between preoperative length of conservative management and pain outcomes after microvascular decompression (MVD). In this study, the authors aimed to describe the relationship between the duration of preoperative conservative management and postoperative outcomes in patients undergoing MVD for TN.

METHODS

The electronic medical records of 381 patients with TN who underwent primary MVD at the authors’ institution between 2007 and 2023 were reviewed. Patients were dichotomized based on whether the duration of conservative management, defined as the duration of anticonvulsant use, was greater than, or less than or equal to, the median duration of conservative management for the entire cohort. For adjusted analysis, duration of conservative management was also assessed as a continuous variable. Demographic information, comorbidities, clinical TN characteristics, pain recurrence, and pre- and postoperative modified Barrow Neurological Institute (BNI) pain and numbness scale scores were recorded and compared between groups. Differences in pain outcomes were assessed via multivariate ordinal regression, Kaplan-Meier analysis, and Cox proportional hazards analysis.

RESULTS

The median preoperative duration of conservative management was 1.74 years. Patients with a prolonged duration of conservative management were significantly more likely to be male (p = 0.028) and less likely to preoperatively use opioids (p = 0.037). At final follow-up, those with a prolonged duration of conservative management had significantly higher reported BNI pain scores (p = 0.021) and higher rates of pain recurrence (p = 0.021). On multivariable ordinal regression analysis, younger age (p < 0.001) and prolonged duration of conservative management, which was assessed as both a dichotomized (p = 0.002) and continuous variable (p = 0.011), were associated with higher BNI pain scores at final follow-up. Patients with a longer duration of conservative management also had a significantly shorter time to pain recurrence, as assessed by Kaplan-Meier survival analysis (p = 0.0037) as well as Cox proportional hazards analysis (p = 0.001, dichotomized; p = 0.008, continuous).

CONCLUSIONS

In the setting of primary MVD for patients with TN, a longer duration of preoperative conservative management was associated with higher postoperative BNI pain scores and increased risk of pain recurrence. These findings suggest a potential beneficial role for early surgical intervention.
An evidence-based review of the current surgical treatments for chronic low-back pain: rationale, indications, and novel therapies
Authors: Giraldo Juan P. , Williams Gabriella P. , Lee Jonathan J. , Potts Eric A. , Uribe Juan S.
Published: February 2025

OBJECTIVE

This review analyzes the current surgical strategies and management modalities for chronic low-back pain (CLBP). In this study, the authors provide a structured review of the current state of surgical treatments for CLBP, including the rationale for surgery, indications, and novel therapies.

METHODS

An extensive review of the literature on the surgical management of CLBP was performed using the MEDLINE, Cochrane, Google Scholar, Embase, and Cochrane Central Register of Controlled Trials databases from March 1993 to May 2024. Terms used in the search were ("low back pain/surgery" [MeSH] AND "chronic" AND "lumbar") and ("chronic" AND "low back pain" AND "lumbar spine" AND "surgery"). The search produced 1951 articles, of which 167 were removed as duplicates, leaving 1784 for screening. Of these, 1593 articles were excluded, and 191 were retrieved to evaluate eligibility. After this evaluation, 76 articles were included in the review. No statistical analysis was performed.

RESULTS

This structured review revealed a range of surgical interventions available for CLBP. These interventions included fusion, stabilization, posterior interspinous devices, and nonoperative management, such as intensive rehabilitation and cognitive behavioral therapy. The evidence suggests that although spinal fusions are not superior in terms of Oswestry Disability Index function or pain level, they do outperform nonoperative management without intensive rehabilitation therapy. This finding is significant because it highlights the potential of surgical strategies to complement other treatments, such as pharmacological and noninterventional procedures, in managing CLBP.

CONCLUSIONS

The current evidence strongly advocates for a comprehensive approach to the management of CLBP. Patients with CLBP should be evaluated for surgical approaches when anatomical causes have been identified and multidisciplinary strategies have been implemented. It is reassuring to note that emerging multimodal strategies are beginning to complement neurosurgery care, and they should be integrated into the treatment plan as more substantial evidence becomes available. This emphasis on a multidisciplinary approach underscores the importance of considering all available strategies in CLBP management.
Association between deformity angular distance ratio and neurological risk in patients undergoing three-column osteotomy
Authors: Ni Jiajun , Yuan Lei , Yan Shi , Xian Siming , Chen Zhongqiang , Li Weishi , Zeng Yan
Published: February 2025

OBJECTIVE

Postoperative neurological deficits are a significant concern for surgeons during spinal deformity correction surgery. Preoperative identification of high-risk patients can help ensure that appropriate measures are taken to minimize the risk of neurological deficits during these procedures. Previous studies have shown that patients with large Cobb angles or deformity angular ratios (DARs) are at higher risk for postoperative neurological deficits. However, some curves with similar Cobb angles and DARs may exhibit significantly different risks of neurological deficits during surgery. Existing methods for evaluating the degree of deformity cannot fully or accurately reflect the degree of spinal deformity. The aim of this study was to determine whether the deformity angular distance ratio (DADR) can reliably assess the neurological risks of patients undergoing three-column osteotomy (3CO).

METHODS

A consecutive series of 266 patients with a deformity apex at T1–L1 who underwent 3CO at a single academic center from December 2010 to January 2024 were included in the study. Preoperative radiograph measurements were used to calculate DAR and DADR. Binary logistic regression was used to model the relationship between DADR and postoperative neurological deficits. Receiver operating characteristic analysis and the area under the curve (AUC) were used to assess the performance of the model.

RESULTS

The 266 patients had a median (IQR) age of 48.0 (30.0–60.0) years, with 128 (48.1%) females and 138 (51.9%) males. The incidence of postoperative neurological deficits was 11.3% in this series of patients. Among patients undergoing 3CO, sagittal DADR (OR 1.086, 95% CI 1.045–1.129; p < 0.001) and total DADR (OR 1.080, 95% CI 1.046–1.116; p < 0.001) were associated with an increased incidence of postoperative neurological deficits. A total DADR > 30.4 or a sagittal DADR > 26.4 were associated with a 30% incidence of postoperative neurological deficits, which increased to 50% when the total DADR reached 41.4 or the sagittal DADR exceeded 36.6. The overall predictive performances of sagittal DADR (AUC 0.781) and total DADR (AUC 0.799) for postoperative neurological deficits were comparable and considered to be good.

CONCLUSIONS

In patients undergoing 3CO for severe spinal deformities, the DADR can be used to quantify the severity of the deformity, which is strongly correlated with the risk of postoperative neurological deficits. Patients with a total DADR > 30.4 or a sagittal DADR > 26.4 are at much higher risk for developing new neurological deficits after surgery.
Uji Salinitas untuk Pengujian Kejadian Intrusi Air Laut (Studi Kasus Gili Trawangan)
Authors: Fathoni Ahmad , Romansyah Erni , Karyanik Karyanik , Suhairin Suhairin , Wahyuni Ida , Marianah Marianah , Molo Hasanuddin
Published: February 2025

Seawater intrusion in Gili Trawangan, North Lombok Regency, can be identified through groundwater salinity testing. This study aims to evaluate changes in groundwater salinity values as an indicator of seawater intrusion in the region. The test was conducted by taking well water samples and analyzing them at the Lombok Island Health Laboratory. The results showed that the groundwater salinity value before the water withdrawal project by PT Berkat Air Laut in 2012 was 5.00‰. During the groundwater withdrawal project period (2013-2022), the salinity value increased to 5.71‰, and post-project, the salinity value reached 6.07‰. These findings indicate that groundwater in Gili Trawangan was classified as brackish water from the start, with increasing salinity values indicating seawater intrusion. However, this increase is still in the low category, at 0.71‰ during the project and 0.36‰ post-project, so it is not classified as significant water pollution.
MODIFIKASI DAN UJI KINERJA MESIN PERAJANG DAUN TEMBAKAU GAYO
Authors: . Irwansyah . , Hakim Syahirman . , Kurniawan Dedek .
Published: February 2025

In this study, the evaluation of the modification of the Gayo tobacco shredding machine was carried out with the aim of obtaining effective performance. Modifications were made by changing the cutting motion system with a 1 HP electric motor, a mechanical tobacco feeding system in the form of a conveyor, and a single blade. The results of the study succeeded in increasing the capacity of the shredding machine to 179.13 Kg/hour with a blade rotation speed of 450 RPM and a machine efficiency of 61.67%. The quality of the uniformity of the shredded Gayo tobacco was 3.03 mm and the percentage of uniformity of the shreds was 69.12%.
Internet of Things and LoRa-based monitoring system on solar dryer dome for coffee drying
Authors: Amuddin Amuddin , Sumarsono Joko , Salman Salman
Published: February 2025

Coffee drying is a critical stage in post-harvest processing to enhance product quality and market value. Karang Sidemen Village, Central Lombok, has significant potential to adopt renewable energy-based technology to support agricultural processing. This study aims to develop an Internet of Things (IoT) and LoRa-based monitoring system for solar dryer domes in the coffee drying process in Karang Sidemen Village, Central Lombok. The system integrates hardware and software to monitor temperature and humidity in real-time using SHT10 sensors, LoRa ESP32 modules, and the ThingSpeak platform. The method used is experimental to test the application of a temperature and humidity monitoring system on a solar dryer dome using IoT technology. The findings indicate that optimal drying occurs at temperatures between 50°C–55°C with low humidity, enhancing coffee product quality. The implementation of this technology reduces operational costs and supports sustainable agriculture through the utilization of renewable energy. The success in remote monitoring and power efficiency positions this system as an innovative solution for agricultural processing.
Pengaruh Pemberian Pupuk Organik Cair (POC) Limbah Cair Tahu Terhadap Pertumbuhan Tanaman Tomat (Solanum lycopersicum) Secara Hidroponik
Authors: Wandira Ayu , Kartika Trimin
Published: February 2025

This study aims to analyze the effect of liquid organic fertilizer (POC) from tofu waste on the growth of tomatoes (Solanum lycopersicum Mill.). The study was conducted in September - December 2024 at the Green House of the Faculty of Science and Technology, Universitas PGRI Palembang. Data were analyzed at the Biology Laboratory of the Business Science Center, Universitas PGRI Palembang. Data were obtained quantitatively using analysis of variance (ANOVA). The experimental design used was a Completely Randomized Design (CRD) with 6 treatments and 4 repetitions. The treatments in this study were the administration of liquid tofu waste fertilizer with concentrations of 0%, 5%, 10%, 15%, 20%, and 25%. The research data obtained were analyzed using Analysis of Variance (ANOVA) at the 5% level, and significantly different treatments were further tested with BNJ at the 5% level. carried out with Honestly Significant Differences (BNJ) at the 5% level. The results showed that liquid organic fertilizer (POC) from tofu liquid waste had no significant effect on the growth of plant height, number of leaves, stem diameter, and wet weight of tomato plants (Solanum lycopersicum Mill). The application of liquid organic fertilizer (POC) from tofu liquid waste with P4 treatment was the best result in all parameters, producing an average plant height of 7.15 cm, number of leaves 5 strands, stem diameter 0.05, and wet weight of tomato plants 0.22 grams.
The Relevance and Impact of Academic Supervision on Educational Excellence in Secondary Schools
Authors: Sembiring Desy , Tijow Meylani Aljeinie
Published: February 2025

This study examines the practice of academic supervision, its effectiveness in enhancing learning quality, and its impact on educational excellence in secondary schools in Kota Jayapura. Using a mixed-method approach with a sequential explanatory strategy, the research collected data from 138 respondents through surveys and in-depth interviews. Results show that academic supervision practices vary between schools, with systematic and collaborative approaches yielding better outcomes. The overall effectiveness is high (28.32 out of 30), positively impacting teachers’ and students’ learning quality, student achievement, and psychological-emotional well-being, though implementation challenges persist. The research introduces an integrated framework combining adaptive and collaborative supervision approaches tailored to Kota Jayapura’s local context. This study enhances understanding of supervision implementation in regions with significant socio-cultural diversity and provides recommendations for improving supervision effectiveness in diverse educational settings.
A Systematic Literature Review of Digital Skills and Human Resource Readiness for the Industrial Revolution Era 4.0 and 5.0
Authors: Dermawan Arief , Wening Nur , Vemberi Yohannes , Fitriastuti Lucia Ika
Published: February 2025

The Industrial Revolutions 4.0 and 5.0 have significantly transformed the workforce, demanding human resources (HR) to possess digital skills and adaptive readiness. This study aims to identify and analyze the necessary digital skills and HR readiness to address the challenges of these industrial revolutions through a literature review approach. This article analysis of 15 scientific articles published between 2020 and 2025, the research reveals that digital skills such as data literacy, information technology proficiency, and problem-solving abilities are key factors. The readiness of Human Resources (HR) to adopt advanced technologies and human-centric approaches in the Industrial Revolution 4.0 and 5.0 era depends on their willingness to acquire new skills and adapt to rapid transformations. Thus, the success of HR is greatly influenced by organizational readiness and access to technology-based training. The findings of this study provide strategic recommendations for policymakers and practitioners to design effective and relevant HR development programs in the era of Industrial Revolutions 4.0 and 5.0.
ФІЗИЧНА ТЕРАПІЯ ОСІБ СЕРЕДНЬОГО ВІКУ З КОКСАРТРОЗОМ НА АМБУЛАТОРНОМУ ЕТАПІ РЕАБІЛІТАЦІЇ
Authors: ЛІПІНА Анна , ОДИНЕЦЬ Тетяна
Published: February 2025

Фізична терапія відіграє ключову роль у зменшенні симптомів коксартрозу та поліпшенні функціонального стану пацієнтів. Амбулаторний етап реабілітації є критичним, оскільки саме в цей період пацієнти часто залишаються без належного супроводу, що може призводити до неефективного відновлення. Мета дослідження: теоретично обґрунтувати особливості фізичної терапії осіб середнього віку з коксартрозом на амбулаторному етапі реабілітації. В роботі були застосовані методи теоретичного рівня дослідження: аналіз, порівняння, індукція, дедукція, систематизація та узагальнення науково-методичної літератури. Фізична терапія є важливою складовою частиною реабілітаційного процесу для осіб середнього віку з коксартрозом, оскільки вона сприяє зменшенню болю, покращенню функціональної активності суглобів та підвищенню загальної якості життя пацієнтів. Правильно підібрані фізичні вправи, спрямовані на зміцнення м'язів навколо кульшового суглоба, збільшення амплітуди руху суглоба, дозволяють знижувати навантаження на суглоб та покращувати його функцію. Врахування вікових особливостей та індивідуальних потреб пацієнтів середнього віку є важливим аспектом успішної реабілітації. Індивідуально підібрані програми фізичної терапії, що включають вправи для покращення стабільності суглобів, підвищення гнучкості та зміцнення м'язів, дозволяють ефективно справлятися з симптомами коксартрозу та знижувати ризик прогресування захворювання. Спеціально підібрані програми вправ, що включають низькоінтенсивні навантаження, дозволяють знижувати біль і запобігати виникненню ускладнень, таких як м'язова атрофія та обмеження рухливості суглоба. Таким чином, ефективна реабілітація осіб середнього віку з коксартрозом вимагає глибокого розуміння специфіки порушень, індивідуальних особливостей пацієнтів та використання інноваційних методик для забезпечення повноцінного відновлення фізичного та емоційного здоров'я.
WYNIK SPORTOWY JAKO ŹRÓDŁO STRESU DLA TRENINGU GRUPOWEGO ORAZ INDYWIDUALNEGO
Authors: TSYHANOVSKA Nataliia , KOWALSKI Damian , SKALSKI Dariusz W. , HONCHAR Viacheslav , PAVLYUK Yevgen
Published: February 2025

W niniejszej pracy skupiono się na zbadaniu źródeł stresu występujących wśród pływaków podczas startu ze względu na różnice w sposobie trenowania – trening indywidualny i trening w drużynie. Badanie przeprowadzono na grupie składającej się z 35 aktywnych i byłych zawodników. Do badania przystąpiło 18 kobiet i 17 mężczyzn. Narzędziem użytym do przeprowadzenia badania jest kwestionariusz rozróżniające źródła i strategie radzenia sobie ze stresem w sporcie, stworzonym przez Dr Marka Anshel’a. Kwestionariusz składa się z 98 pytań – 16 dotyczy wyznaczenia stresorów, a pozostałe 82 wykazują przybierane strategie radzenia sobie z nimi. Wyniki przeprowadzonych badań wykazały podobieństwa i różnice zarównow źródłach, jak i sposobach radzenia sobie w sytuacjach trudnych ze względu na rodzaj stosowanego treningu oraz podziału na płeć. Podobieństwo zauważono w głównym źródle stresu, który został określony jako przeciwnik i/lub warunki panujące podczas startu. Takie wyniki wystąpiły zarówno w podziale na rodzaj treningu i płeć zawodników. Najczęściej przybierane strategie radzenia sobie ze stresem wśród zawodników trenujących indywidualnie określono jako AP-B, czyli styl zaangażowany na poziomie poznawczym. Oznacza to, że wymienieni zawodnicy radzą sobie z sytuacją trudną szukając aktywnych sposobów rozwiązania tej sytuacji. Zawodnicy trenujący w zespole w przewadze wybierali styl AV-C, czyli styl unikający na poziomie poznawczym. Styl ten charakteryzuje się doszukiwania się stresora w czynnikach zewnętrznych takich jak zrzucenie winy na sędziego za przyznanie dyskwalifikacji.
PODSTAWY ZARZĄDZANIA W RATOWNICTWIE WODNYM
Authors: SKALSKI Dariusz W. , KOWALSKI Damian , TSYHANOVSKA Nataliia , KINDZER Bogdan , DUTCHAK Yurii
Published: February 2025

Niniejsza praca składa się w dwóch części, pierwsza z nich zawiera informację teoretyczne na temat zarządzania oraz ratownictwa wodnego oraz druga metodologiczna. W pierwszej części autorzy opisali ratownictwo wodne, przedstawia historię ratownictwa, również możemy przeczytać jak na przestrzeni lat rozwinęło się ratownictwo, a także wgłębić się w pojęcie jakim jest ratownictwo tonących. Kolejny element rozpoczyna się od rozszerzenia pojęcia zarządzanie oraz rozbija się na zarządzanie w ratownictwie wodnym, zespołem ratowników, a także bardzo istotne rozdysponowanie sprzętu, zebrane zostały informacje dotyczące funkcjonowania w pasie nadmorskim, opisuje się w nim zachodniopomorskie oraz pomorskie WOPR, którego bezpośrednio dotyczy pas nadmorski. Przedostatni rozdział mówi o specyfikacji pracy i zarządzania zespołem w śródlądziu oraz przedstawia działania chojnickiego i kościerskiego WOPR. Ostatni, element, który zawiera teorię przedstawia opis przypadków utonięć. Druga część pracy jest metodologiczna, przedstawiony w niej został cel i postawione hipotezy badawcze. Zawiera także wyniki i analizę badań oraz wyciągnięte z nich wnioski. Celem badania, które zostało przeprowadzone podczas tworzeni niniejszej pracy było sprawdzenie co ludzie myślą na temat ratownictwa wodnego, zarządzania nim, a także jakie decyzje podejmują by zapewnić sobie i swoim najbliższym bezpieczeństwo. Badanie miało uświadomić ankietowanym w jakim kierunku idzie ich postępowanie i myślenie o akwenach. Ankieta była anonimowa, wypełniana przez przypadkowe osoby, które wyraziły taką chęć. Udział w badaniu udział wzięło 80 osób, 40 kobiet oraz 40 mężczyzn. Badani zostali zróżnicowani pod względem płci oraz wieku. Na podstawie wyników można ulepszyć działanie ratownictwa wodnego w Polsce oraz szerzyć podstawową wiedzę na temat bezpieczeństwa i zagrożeń nad wodą.
АНАЛІЗ ЗАКОНОМІРНОСТЕЙ РОЗВИТКУ ОЛІМПІЙСЬКОГО ТА ПРОФЕСІЙНОГО СПОРТУ
Authors: ПАВЛЮК Євген , ПАВЛЮК Оксана
Published: February 2025

Актуальність теми зумовлена значимістю дослідження тенденцій та особливостей функціонування сфери спорту в сучасному світі. Спорт змінює ключову роль у соціальному, культурному та економічному розвитку суспільства, сприяння популяризації здорового способу життя, об'єднанню націй і встановленню міжнародного діалогу. Недостатня теоретична та емпірична розробленість питань про закономірності розвитку олімпійського та професійного спорту обмежує можливість прогнозування їх подальшого прогресу, формування ефективних управлінських рішень та стратегій на глобальному й національному рівнях. Виникає потреба в комплексному аналізі, який враховує специфіку олімпійського спорту як соціокультурного феномену та професійного спорту як економічного і розважального сектору. Метою статті є дослідження основних тенденцій та факторів впливу на спорт у глобальному контексті, аналіз етичних та правових аспектів взаємодії між олімпійським і професійним спортом. Етапи розвитку сучасного олімпійського руху демонструють постійний прогрес у його організаційних, культурних та соціальних аспектах. Кожен етап відображає відповідь на глобальні виклики свого часу, зокрема політичні, економічні та соціальні трансформації, що забезпечує адаптацію олімпізму до змін у світовій спільноті. Серед факторів, які сьогодні негативно впливають на розвиток професійного спорту, слід відзначити корупційні аспекти професійної спортивної діяльності», що в контексті аналізу призводить до такого висновку як розвиток і ефективність професійного спорту залежить від взаємодії зовнішніх і внутрішніх факторів, включаючи глобалізацію, економічні й соціальні тенденції, технологічні трансформації, демографічні особливості та конкурентну динаміку спортивних організацій. Водночас ключовою перешкодою для прогресу є корупція, яка негативно впливає на розвиток професійного спорту. Розвиток олімпійського та професійного спорту значною мірою визначається глобалізацією, економічними та соціальними змінами, технологічними інноваціями, демографічними особливостями й конкурентною динамікою. Водночас боротьба з корупцією та вдосконалення антидопінгових програм, особливо в Україні, залишаються ключовими завданнями для забезпечення прогресу в спортивній сфері.
Implementasi Prinsip Kepentingan Umum Dalam Penanganan Kasus Pelanggaran Lingkungan (Studi Hukum Lingkungan)
Authors: Azami Takwim , Kustanto Anto
Published: February 2025

Prinsip kepentingan umum dianggap sebagai fondasi etika dan hukum yang penting dalam mengelola kasus pelanggaran lingkungan, menjembatani kepentingan individu dengan kepentingan kolektif. Dalam Pasal 33 ayat (3) UUD 1945 yang menyatakan bahwa: “bumi dan air dan kekayaan alam yang terkandung didalamnya dikuasai Negara dan dipergunakan sebesar-besarnya untuk kemakmuran rakyat”.Ketentuan tersebut diatur lebih lanjut didalam UU No. 23 Tahun 2009 Tentang Perlindungan dan Pengelolaan Lingkungan Hidup, Penelitian ini bersifat normatif dan bertujuan untuk mengkaji implementasi prinsip kepentingan umum dalam penanganan kasus pelanggaran lingkungan.Metode penelitian ini melibatkan analisis teks dokumen hukum, perundang-undangan, dan putusan pengadilan yang berkaitan dengan kasus pelanggaran lingkungan. Pendekatan normatif digunakan untuk mengevaluasi sejauh mana prinsip kepentingan umum tercermin dalam peraturan hukum dan bagaimana implementasinya dalam praktek penanganan kasus.Hasil penelitian ini menunjukkan bahwa prinsip kepentingan umum memegang peran sentral dalam merumuskan dan mengevaluasi kebijakan penegakan hukum lingkungan. Namun, tantangan terkait ketidaksetaraan kekuasaan, kompleksitas isu lingkungan, dan resistensi pihak terkait masih mempengaruhi implementasinya.Penelitian ini memberikan kontribusi dalam menyusun kerangka kerja normatif yang dapat memandu para pembuat kebijakan, praktisi hukum, dan peneliti untuk memperkuat implementasi prinsip kepentingan umum dalam penanganan kasus pelanggaran lingkungan. Implikasi normatif dari penelitian ini diharapkan dapat memperkuat dasar hukum dan etika dalam penegakan hukum lingkungan, sehingga dapat lebih efektif melindungi lingkungan dan kepentingan masyarakat secara menyeluruh.
DOMINASI BUDAYA PATRIARKI DAN DAMPAK NEGATIF FENOMENA FATHERLESS PADA MASYARAKAT GAYO
Authors: Mentari Mentari
Published: February 2025

The issue of child-rearing in the current era of globalization is highly complex and influenced by various social, cultural, economic, and technological factors. Globalization has also affected family structures, with more families living apart, rising divorce rates, and an increase in single-parent households, contributing to the growing phenomenon of fatherlessness. Indonesia ranks third in the world for the category of fatherlessness. In this situation, not all children can experience the presence of a father. Fatherlessness refers to the absence of a father's role and figure in a child's life, both physically and psychologically. The phenomenon of fatherlessness often arises from parenting paradigms influenced by patriarchal culture. This paper aims to answer the research question of how the dominance of patriarchal culture and the negative impact of the fatherlessness phenomenon affect the Gayo community. This research is qualitative descriptive research, utilizing data collection techniques such as interviews and literature review. The results of this research show that the dominance of patriarchal culture in the Gayo community, influenced by globalization, has a negative impact on children experiencing fatherlessness. This is caused by migration, social conflict, and changes in the kinship system and traditional structures, which strongly place the full responsibility for child-rearing on the mother. The negative impacts on fatherlessness children include mental health issues, low motivation in education, problematic social behaviour, identity crises, and negative effects on the family’s economic situation. There is a need for awareness regarding the presence of fathers in child-rearing and a balanced division of roles between mothers and fathers to achieve gender equality.
IMPLEMENTATION OF THE INDONESIA-KOREA COMPREHENSIVE ECONOMIC PARTNERSHIP AGREEMENT (IK-CEPA): AN ANALYSIS OF STRATEGIC AND ECONOMIC IMPACTS ON BILATERAL AND REGIONAL RELATIONS
Authors: Syuryansyah Syuryansyah , Wijaya Bagaskara Sagita
Published: February 2025

The Indonesia-Korea Comprehensive Economic Partnership Agreement (IK-CEPA) represents a strategic move to enhance bilateral economic relations and maximize the potential of both countries. This study employs qualitative analysis and literature review methods to assess the strategic impacts of IK-CEPA, focusing on diplomatic, regional, and economic aspects. Diplomatically, IK-CEPA strengthens bilateral ties with South Korea, reflecting a positive shift in South Korea's view of Indonesia as a strategic partner. Regionally, the agreement contributes to strengthening economic cooperation and improving Indonesia's competitiveness in the global market. Economically, IK-CEPA has significant effects on bilateral trade and capital flows by reducing tariff barriers and creating new investment opportunities, particularly in sectors such as automotive and renewable energy. Major challenges include limited information and financial access for SMEs, while opportunities involve increased exports, digitization of SMEs, and utilization of advanced technology. The study concludes that IK-CEPA offers substantial benefits for Indonesia's economy by enhancing the country's position in the international market and driving domestic economic growth.
A digital twin framework with MobileNetV2 for damage detection in slab structures
Authors: Nguyen Huong Duong , Nguyen Huan , Gao Xiaohong
Published: February 2025

In this study, a digital twin framework is proposed for damage detection in a civil structure, which consists of a finite element model, neural networks, model updating methods, and signal processing. To verify the proposed framework, we present a case study of slab structure using deflection measurement as input data. The dynamic characteristics of the physical model are used to calibrate the digital twin model. Damage scenarios are created on the digital twin model. The defection of the damaged slab under static loads is analyzed with two-dimensional discrete wavelet theory (DWT), whereas the diagonal wavelets are used to extract images data set used to train the convolutional neural network (CNN). MobileNetV2 uses transfer learning can reduce the number of trained parameters and hence perform fast convergence. The proposed method gives high accuracy about detection of low-severity damage having the severity less than 10%. There is more than 80% accuracy for predicting the damaged location and its severity. The success of using MobileNetV2 and transfer learning helps to improve the methods further on mobile devices and the potential for more applications. Moreover, the proposed framework does not require the data of the intact structures, leading to much wider applications.
Conflict Resolution of Community Land Use in PT. Musi Hutan Persada (MHP) Industrial Plantation Forest
Authors: Tria Putri Ruri , Yuningsih Lulu , Harbi Jun
Published: February 2025

Uncertainty over forest area is one of the obstacles to effective forest governance in Indonesia. Of the total forest area of 130 million hectares, only about 12 percent (14.2 million hectares) has been demarcated. This uncertainty triggers tenurial conflicts with various parties with an interest in the forest area. The low income of the community triggers forest encroachment activities. Forest encroachment is a very effective alternative job according to the community to get a high income in a short time. As a result of the crisis, there was a conflict between the community around the concession area and PT Musi Hutan Persada (MHP). This research was conducted to find out and describe the pattern of land tenure by the community in the PT MHP permit area, analyze the form of partnership collaboration between communities, and find out the impacts and benefits of the collaboration scheme used. This research method is descriptive qualitative with data collection techniques of observation, interviews, documentation and literature. The triangulation technique was carried out by conducting in-depth interviews directly with selected informants. The results of this study show that based on the steatment area, the land controlled by the community can be divided into 2 land tenure patterns, namely land tenure patterns that have a steatment area of more than 50 ha with a total area of 47,568.64 ha and land tenure patterns that have a steatment area of less than 50 ha with a total area of 382.7 ha. Conflict resolution carried out by PT MHP on land that has a steatment area of more than 50 ha is managing forests with the community while land that has a steatment area of less than 50 ha is managing community forests. The impacts and benefits of the collaboration scheme carried out by PT MHP are the benefits for the company of establishing good relations between the company and the community, reducing fire levels, returning land that was once controlled by the community and not creating new conflicts.
PRO DAN KONTRA HAK HIDUP DI KONSTITUSI DALAM KASUS FERDI SAMBO
Authors: Erlande Rike , Alba Akbar , Purnama Mita
Published: February 2025

Abstrak. Konstitusi Indonesia adalah hukum dasar yang mengatur kehidupan masyarakat. Bangsa dan negara untuk rakyat negeri ini. Salah satu yang didefinisikan dalam konstitusi ini tentang hak untuk hidup. Penulisan artikel ini bertujuan untuk mendeskripsikan Pro dan Kontra hak hidup di konstitusi dalam kasus Ferdi Sambo. Dari hasil pembahasan ditemukan bahwa pro dan kontra terjadi karena hak hidup itu dijamin oleh konstitusi berdasarkan beberapa pasal UUD seperti Pasal 28A, 28 B ayat 2. Namun disisi lain Ferdi sambo juga merenggut hak untuk hidup seseorang dengan melakukan pembunuhan berencana. Sehingga disini terdapat pro dan kontra mengenai vonis hukuman mati yang ditetapkan pada dirinya. Kata kunci: Konstitusi, Hak Untuk Hidup, Kasus Ferdi Sambo Abstract. The Indonesian Constitution is the basic law that regulates people's lives. Nation and country for the people of this country. One that is defined in this constitution about the right to life. Writing this article aims to describe the pros and cons of the right to life in the constitution in the case of Ferdi Sambo. From the results of the discussin it was found that the pros and cons occurred because the right to life is guaranteed by the constitution based on several articles of the Constitution such as Articles 28A, 28B paragraph 2. However, on the other hand Ferdi Sambo also took away a person's right to life by committing premeditated murder. So that here there are pros and cons regarding the death penalty imposed on him. Keywords: Constitution, Right to Life, Ferdi Sambo Case
Dampak Kejahatan Siber Terhadap Bisnis E-Commerce di Indonesia
Authors: Nurhafidzah Nasha
Published: February 2025

Perkembangan e-commerce di Indonesia telah mendukung terciptanya ekonomi digital (digital economy). Model bisnis ini memberikang banyak kesempatan dalam memfasilitasi model bisnis masa kini. Berbagai efek dari kemajuan teknologi tersebut sangat berdampak pada tingkah laku masyarakat dalam menjalankan aktivitas ekonomi khususnya di sektor e-commerce. Sampai saat ini, kemajuan e-commerce mendominasi Indonesia. Hal yang harus disadari adalah dimasa depan “digital economy” dapat menjadi salah satu “tulang punggung” dalam mendorongg pendapatan  perekonomian di sebuah negara. Seiring dengan meningkatnya permintaan akan pasar online (e-commerce), tentu saja telah mengakibatkan berbagai tindak kejahatan. Kejahatan ini tidak hanya menyerang pembeli dan penjual, tetapi keamanan toko juga sangat rentan terhadap ancaman kejahatan siber. Oleh karena itu, angka kejahatan siber tergolong sangat tinggi dan sering terjadi karena sebagian orang berusaha memanfaatkan kejahatan tersebut untuk memenuhi kebutuhannya. Hal ini yang mendorong kami untuk mengkaji sejauh mana dampak berbagai kejahatan yang terjadi di pasar online (e-commerce) serta bertujuan untuk mengurangi dampak kejahatan agar tidak terkena kejahatan tersebut. Manfaat dari penelitian ini adalah kita lebih waspada dalam setiap transaksi di pasar online (e-commerce) dan lebih hati-hati dalam memilah toko mana yang rentan terhadap serangan kejahatan atau penipuan dari pihak penjual.
Perlindungan Hukum bagi Konsumen atas Overclaim Produk Skincare di Platform E-Commerce
Authors: Marlina Heni , Raspita Desni , Bidari Chahaya Dewi
Published: February 2025

Perlindungan hukum bagi konsumen terhadap overclaim produk skincare yang dijual di platform e-commerce menjadi isu penting di era digital. Banyak konsumen yang terjebak dalam klaim berlebihan yang tidak sesuai dengan kenyataan, merugikan baik secara finansial maupun kesehatan. Penelitian ini bertujuan untuk mengidentifikasi permasalahan utama terkait perlindungan konsumen terhadap overclaim produk skincare, yaitu kurangnya pengawasan dan regulasi yang efektif, klaim palsu yang menyesatkan, serta kesulitan konsumen dalam mengakses penyelesaian sengketa dan ganti rugi. Metode yang digunakan adalah penelitian kualitatif dengan studi literatur dan wawancara. Hasil penelitian menunjukkan bahwa meskipun Undang-Undang Perlindungan Konsumen telah memberikan dasar hukum, implementasi yang lemah, kurangnya kesadaran konsumen, dan mekanisme penyelesaian sengketa yang tidak efisien menjadi tantangan utama. Diskusi ini mengusulkan pembaruan regulasi, peningkatan pengawasan, serta edukasi yang lebih baik bagi konsumen untuk meningkatkan perlindungan hukum dalam transaksi e-commerce.