bluuebunny/crossref_metadata_2025_split huggingface dataset:
Can Baseline MRI Findings Identify Who Responds Better to Early Surgery Versus Exercise and Education in Young Patients With Meniscal Tears? A Subgroup Analysis From the DREAM Trial
Authors: Clausen Stine Haugaard , Boesen Mikael , Thorlund Jonas B. , Vach Werner , Lind Martin , Hölmich Per , Hansen Mogens Strange , Mohammadnejad Afsaneh , Skou Søren T. ,   for the DREAM study group
Published: January 2025

OBJECTIVE: To investigate whether magnetic resonance imaging (MRI) findings modified the outcomes of early surgery compared to exercise and education in young patients with meniscal tears. DESIGN: A secondary effect modifier analysis of a randomized controlled trial. METHODS: The primary outcome was change from baseline to 12 months in the mean score of 4 Knee injury and Osteoarthritis Outcome Score subscales (KOOS4). Three potential MRI-defined effect modifiers were predefined: (1) the type of meniscal tear (simple vs bucket handle or complex), (2) the meniscus affected (medial vs lateral), and (3) the presence of knee effusion/synovitis (yes/no). We used a linear mixed model to investigate the difference in mean change between the treatment groups, stratified by each of the 3 potential effect modifiers, and estimated the interactions. An adjusted effect difference ≥ 10 points (0-100 scale) was considered clinically relevant. RESULTS: Data from all participants (60 in the surgery group and 61 in the exercise group) were analyzed. The mean (SD) age was 29.7 (6.6) years, and 28% were female. A potential effect modification was observed for knee effusion/synovitis, with its presence implying an increase of the effect of early surgery by 11 points on the KOOS4 ( P = .07). CONCLUSION: Knee effusion/synovitis on MRI potentially modified the treatment effect with a clinically relevant difference in change of the KOOS4 in patients with effusion/synovitis, favoring early surgery. We found no indication that patients with bucket handle or complex versus simple tears or medial versus lateral tears benefited more from early surgery. J Orthop Sports Phys Ther 2025;55(3):1-11. Epub 30 January 2025. doi:10.2519/jospt.2025.12994
Occurrence of diabetic retinopathy in children with type 1 diabetes mellitus
Authors: Zoheb Mohd Faisal , Patil Sharanagouda , Angadi Kumar , Mangshetty Roopa 
Published: January 2025

Objectives:
Type 1 diabetes mellitus (T1DM) represents approximately 5–10% of all diabetes cases. Over time, nearly all individuals with T1DM are likely to experience diabetic retinopathy (DR). Within this group, the incidence of retinopathy is around 25% after 5 years of diagnosis, increasing to 60% after 10 years and reaching approximately 80% after 15 years. (1) To study the occurrence of DR in T1DM affected children and adolescents. (2) To study the relation of occurrence of DR with glycaemic control. (3) To study the relation between the duration of Type-1 diabetes and the occurrence of DR.

Material and Methods:
Following approval from the institutional ethics committee and informed consent from the parents of participating subjects, a prospective observational study was conducted involving 54 paediatric patients with T1DM from the outpatient and inpatient departments. A comprehensive history was documented for each participant, and screening for DR was performed using direct ophthalmoscopy. Glycaemic control was assessed by measuring glycated haemoglobin (HbA1c) levels, with findings recorded in a structured pro forma. Data were entered into Microsoft Excel and were analysed using IBM Statistical Package for the Social Sciences Version 25.0, with both qualitative and quantitative analyses conducted. A P < 0.05 was considered statistically significant.

Results:
The study analysed 54 children with type 1 diabetes, equally divided by gender, with a mean age of 12.72 years. The onset age was most common between 6–10 and 11–15 years, averaging 8.87 years. Most children (79.6%) had diabetes for 1–5 years, with a mean duration of 3.85 years. HbA1c levels were ≥8.5% in 83.3% of the children, averaging 10.6%. No children exhibited symptoms of DR, though 3.7% had DR. Significant associations were found between higher HbA1c levels, longer diabetes duration and the presence of DR (P < 0.05).

Conclusion:
The present study demonstrates a relatively low incidence of DR among children with diabetes. It underscores the significance of diabetes duration and HbA1c levels as contributing factors in Indian paediatric patients. Optimal glycaemic control is highlighted as crucial in mitigating the onset and progression of DR in young diabetics.
KAUSALITAS KAIDAH HETERONOM PEMBENTUKAN OMNIBUS LAW KLASTER KETENAGAKERJAAN DALAM PERSPEKTIF POLITIK HUKUM DI INDONESIA
Authors: Sarira Iron 
Published: January 2025

AbstractOmnibus Law is a product of positive law compilation in Indonesia that requires political and economic interests related to its procurement. Especially in the fourth cluster on Manpower has started planning since mid-2019 to revise Law Number 13 of 2003 concerning Manpower is considered to be ineffective. Thus, a new regulation is needed that is capable of improving the investment climate to attract foreign investors (investment) to establish their businesses in Indonesia. Job Creation Law has been enacted, and specifically for the Employment Cluster which has the four implementation rules are in the form of Government Regulations, However, This legal vacuum prompted the government to create Government Regulation in Lieu of Law (Perppu) Number 2 of 2022 on December 30, 2022, because there is a "forced urgency" related to economic conditions, geopolitics, rising inflation, the threat of stagflation, and global issues. This writing is a study of aspects of literature in normative juridical studies using the scientific method of law in economics as a tool for analysis. Meanwhile, the purpose of this writing is to provide opinions regarding the issues raised by the existence of legal dynamics, especially dynamics in the aspect of Labor Law caused by political interests in the review of Legal Politics. AbstrakOmnibus Law merupakan produk kompilasi hukum positif di Indonesia yang syarat akan adanya kepentingan politik dan ekonomi terkait pengadaanya. Khususnya pada klaster ke 4 (empat) tentang Ketenagakerjaan, yang sejak pertengahan tahun 2019 telah dimulai perencanaan untuk merevisi Undang-Undang Nomor 13 Tahun 2003 tentang Ketenagakerjaan yang dinilai sudah tidak efektif. Sehingga, diperlukannya suatu regel baru yang mampu melakukan perbaikan iklim investasi sehingga dapat menarik investor (penanaman modal) asing dalam mendirikan usahanya di Indonesia. UU Ciptaker telah diberlakukan, dan khusus pada Klaster Ketenagakerjaan yang memiliki 4 (empat) aturan pelaksanaannya dalam bentuk Peraturan Pemerintah. Kekosongan hukum ini, oleh pemerintah dilakukan pembentukan Peraturan Pemerintah Pengganti Undang-Undang (Perppu) yang pada tanggal 30 Desember 2022 dikeluarkan Perppu Nomor 2 Tahun 2022 dengan alasan adanya “kegentingan memaksa” terkait dengan kondisi perekonomian, geopolitik, peningkatan inflasi, ancaman stagflasi, dan global issue. Penulisan ini merupakan kajian aspek literatur dalam kajian yuridis normatif dengan penggunaan metode keilmuan hukum dalam ekonomi sebagai pisau analisisnya. Adapun, tujuan penulisan ini adalah untuk memberikan pendapat terkait permasalahan yang diangkat dengan adanya dinamika hukum khususnya kedinamikaan dalam aspek Hukum Ketenagakerjaan yang disebabkan adanya kepentingan politik dalam tinjauan Politik Hukum.
TELAAH PENGELOLAAN SAMPAH HASIL UPACARA ADAT DI BALI DITINJAU BERDASARKAN FILSAFATI TRI HITA KARANA DAN UNDANG-UNDANG NOMOR 18 TAHUN 2008
Authors: Pradnyana I Made Yudha , Mahadewi Kadek Julia 
Published: January 2025

AbstractThis research was carried out with the subject of waste management resulting from traditional ceremonies in Bali based on the Tri Hita Karana concept and the Waste Management Law. Bali Province as a region that majority of Hindus will have traditional ceremonies related to religious rituals which in practice also leave rubbish. This research aims to understand juridically and philosophically the aspects of waste management and handling by the Bali Provincial Government. This research was carried out using the principles of normative legal research. Tri Hita Karana philosophy is about human to environment but is not implemented well by Hindus. This research shows that government efforts have been implemented by making rules and policies, but their implementation requires active collaboration from the community. The conclusion of this writing is that the public must apply the government's policies and strategies regarding the disposal of waste resulting from traditional ceremonies. AbstrakPenelitian ini dilaksanakan dengan pokok bahasan pengelolaan sampah hasil upacara adat di Bali berlandaskan atas konsep Tri Hita Karana dan Undang-Undang Pengelolaan Sampah, Provinsi Bali sebagai wilayah yang memiliki mayoritas umat Hindu maka akan terjadi upacara adat yang berhubungan dengan ritual keagamaan dimana dalam praktiknya juga meninggalkan sampah. Penelitian ini bertujuan untuk memahami secara yuridis dan filosofis dalam aspek pengelolaan dan penanganan sampah oleh Pemerintah Provinsi Bali. Penelitian ini dilaksanakan dengan prinsip penelitian hukum normatif. Hasil dari penelitian ini ditemukan bahwa prinsip Tri Hita Karana sebagai falsafah Hindu pada dasarnya telah mengatur terkait hubungan manusia dengan lingkungannya namun tidak dilaksanakan dengan baik oleh Umat Hindu. Penelitian ini menghasilkan bahwa upaya pemerintah telah dilaksanakan dengan membuat aturan atau kebijakan namun dalam penerapannya perlu kolaborasi aktif dari masyarakat. Kesimpulan dari penulisan ini adalah masyarakat harus menerapkan kebijakan dan strategi pemerintah dalam hal pembuangan sampah hasil upacara adat.
Desain dan Implementasi Modul Bipolar Third Harmonic Injection Pulse Width Modulation (THPWM) untuk Inverter Tiga Fasa
Authors: Wahyudin Fani Prasetya , Mulyono Nanang , Septiyanto Dwi 
Published: January 2025

ABSTRAKPemanfaatan sumber energi terbarukan sedang dimaksimalkan penggunaannya dalam rangka menjaga ketersediaan energi listrik. Berdasarkan bentuk gelombangnya energi yang dihasilkan salah satunya berupa tegangan arus searah (DC). Sedangkan penggunaan energi listrik baik skala rumah tangga maupun industri menggunakan tegangan DC atau arus bulak-balik (AC). Tegangan DC tersebut dapat dikonversi menjadi tegangan AC menggunakan inverter. Penggunan inverter menyebabkan nilai harmonisa tegangan yang tinggi pada jaringan listrik. Teknik switching yang tepat dapat mengurangi nilai harmonisa tersebut. Penelitian ini bertujuan untuk menghasilkan modul yang dapat mengeluarkan sinyal untukmemicu inverter tiga fasa. Metode switching yang digunakan yaitu THPWM. Pembuatan desain hingga pengimplementasian modul THPWM dilakuakan dengan cara pengolahan sinyal analog. THPWM tersebut bekerja dengan cara membandingkan sinyal carrier dan referensi. Sinyal referensi dibentuk seperti sinyal fundamental dan memiliki frekuensi lebih besar tiga kali dari sinyal fundamentalnya. Pada penelitian ini dihasilkan modul THPWM untuk inverter 3 fasa, memiliki output 6 sinyal THPWM, dengan frekuensi sinyal referensi dan carrier yang dapat divariasikan dengan eror < 5%, sinyal THPWM yang dihasilkan dapat diatur dari 50-1500 Hz dengan tegangan kerja 12 Volt DC.Kata kunci: Frekuensi, Inverter, Polaritas, THPWM,Â ABSTRACTUtilization of renewable energy sources is being maximized in order to maintain the availability of electrical energy. Based on the waveform, the energy produced is one of them in the form of direct current (DC) voltage. While the use of electrical energy both on a household and industrial scale uses DC voltage or alternating current (AC). This DC voltage can be converted to AC voltage using an inverter. The use of inverters causes high voltage harmonic values in the power grid. Appropriate switching techniques can reduce the value of these harmonics. This study aims to produce a module that can output a signal to trigger a three-phase inverter. The switching method used is THPWM. Making the design to implementing the THPWM module is done by means of analog signal processing. The THPWM works by comparing carrier and reference signals. The reference signal is formed like a fundamental signal and has a frequency three times greater than the fundamental signal. In this study, a THPWM module was produced for a 3-phase inverter, which has an output of 6 THPWM signals, with a reference and carrier signal frequency that can be varied with an error < 5%, the resulting THPWM signal can be adjusted from 50-1500 Hz with a working voltage of 12 Volt DC.Keywords: Frequency, Inverter, Polarity, THIPWM
INNOVATIVE SCIENCE LEARNING STRATEGIES: COMBINING AUDITORY INTELLECTUALLY REPETITION (AIR) AND WINDOW SHOPPING METHODS
Authors: Fadillah Rofi Wafa , Riandi Riandi , Suwarma Irma Rahma 
Published: January 2025

In the current era of globalisation and rapid technological advancement, the importance of science education cannot be overstated. However, traditional methods of teaching sciences frequently suffer from problems like poor student performance and poorly understood concepts. This study explores the combination of two innovative learning methods: Window Shopping and Auditory Intellectual Repetition (AIR). The AIR method encourages auditory and intellectual learning through questioning, while the Window Shopping method promotes interactive and exploratory learning. Through a comprehensive approach, this study examines the potential benefits and effectiveness of integrating this method into science education. All of them indicate that using AIR and Window Shopping can create a dynamic and multifaceted learning environment that increases student engagement, comprehension, and retention of academic concepts. It has been proven that an integrated approach promotes teamwork, deeper understanding of scientific subjects, and active engagement, all of which lead to better learning results.
Emergency Pregnancy with Severe Preeclampsia and Total Atrioventricular Block In A 28-Year-Old Woman
Authors: Cholili Muhamad Nofa , Irwanto Yahya 
Published: January 2025

The co-occurrence of preeclampsia with bradycardia due to total atrioventricular block (TAVB) during pregnancy is a rare yet severe phenomenon. There is limited literature available on this specific combination. This case report aims to contribute valuable insights by documenting the clinical presentation and management of a 28-year-old woman who is diagnosed with severe preeclampsia and total atrioventricular block during pregnancy. A 28-year-old pregnant woman was referred to the emergency room with dyspnea and vaginal discharge. She had a history of cardiac issues, including atrial septal defect and total atrioventricular block. Her blood pressure was 206/129 mmHg, and a pulse rate of 67 beats per minute. Then, she was diagnosed with severe preeclampsia, hypertensive emergency, and impending eclampsia with a suspect congenital disease contributing to her atrioventricular block. The patient underwent urgent cesarean section intrauterine stabilization and received postoperative care. Postoperatively, the patient reported no further dyspnea or bradycardia. The history of salbutamol usage and the activation of plasminogen activator inhibitor-1 (PAI-1) in patients with atrial septal defects (ASD) is suspected as a potential etiological factor in the pathophysiology of preeclampsia during pregnancy. TAVB can be induced by congenital ASD. In conclusion, the use of salbutamol and activation of PAI-1 in patients with TAVB induced by ASD are suspected as potential causes of preeclampsia during pregnancy.
Книга схимонаха Илариона (Домрачёва) «На горах Кавказа» и начало имяславия
Authors: Солодов Николай 
Published: January 2025

В статье проводится содержательный анализ книги схимонаха Илариона (Домрачёва) «На горах Кавказа», выделяются основные предпосылки формулировок его учения об имени Божием: высказывания святых отцов и духовных писателей, параллелизм с Евхаристи­ей, психологический оттенок его богословия. На основании выявленных цитат из сочи­нений академических богословов: прот. Ф. А. Голубинского, В. Д. Кудрявцева-Платонова, архим. Феофана (Авсенёва) делается вывод об особом интересе автора к вопросам бого- словски-психологического характера, связанными с учением немецких философов Ф. Яко­би, Г. Шуберта и Ф. Шеллинга. Рассмотрен вопрос возвышенной авторской самопрезен- тации, послужившей начальным импульсом для начала имяславческих споров на Афоне.
The article provides analysis of the content of the book of schemamonk Hilarion (Domrachev) «On the Mountains of the Caucasus», the main prerequisites of the formula­tions of his teaching on the name of God are highlighted: the statements of some holy fathers and spiritual writers, parallelism with the Eucharist, the psychological shade of his theolo­gy. Based on the identified quotations from the writings of academic theologians: archpriest F. A. Golubinsky, V. D. Kudryavtsev-Platonov, archimandrite Theophan (Avsenev), the con­clusion is drawn about the author’s special interest in issues of a theological and psycholog­ical nature related to the teachings of the German philosophers F. Jacobi, G. Schubert and F. Schelling. The question of the sublime author’s self-presentation, which served as the ini­tial impulse for the beginning of the onomatodoxy disputes on Mount Athos, is considere.
Н. В. Гоголь и Псалтирь. Завещание писателя
Authors: Виноградов Игорь Алексеевич 
Published: January 2025

Статья посвящена изучению молитвенного опыта Гоголя и того влияния, которое оказы­вал этот опыт на литературное творчество писателя, на создание целого ряда произведе­ний и художественных образов. Исследованы три неопубликованных автографа Гоголя с выписками из Псалтири на греческом, латинском, славянском и русском языках. Один из автографов предназначался для А. О. Смирновой; Гоголь советовал ей учить псалмы наизусть. Два других автографа связаны со стремлением Гоголя к углублённому изучению священной поэзии. Наибольший объём составляют выписки, сделанные Гоголем по но­вому переводу Псалтири Преосвященного Амвросия (Зертис-Каменского), архиепископа Московского. Перевод выполнен владыкой в 1770 г. и имел хождение в списках; впервые был напечатан только в 1878 г. Определяется глубокое заинтересованное внимание Гоголя к содержанию Псалтири, частое обращение к псалмам в молитве, в том числе при поми­новении усопших. Подчёркивается, что, наряду с традиционным отношением к Псалтири как к главной книге молитвенного общения, Гоголь-художник относился к псалмам особен­ным образом. Устанавливается прямая связь между его размышлениями над Книгой про­рока Давида и представлениями о будущем русской поэзии, изложенными в частных пись­мах Гоголя к другу — поэту Н. М. Языкову 1844 г. и в двух адресованных ему в том же году эпистолярных статьях, которые были опубликованы в «Выбранных местах из переписки с друзьями» под общим названием «Предметы для лирического поэта в нынешнее время».
The article is devoted to the study of Gogol’s prayer experience and the influence that this experience had on the writer’s literary creativity, the creation of a number of works and artistic images. Three unpublished autographs of Gogol with extracts from the Psalter in Greek, Latin, Slavic and Russian were examined. One of the autographs was intended for A. O. Smirnova; Gogol advised her to learn the psalms by heart. Two other autographs are asso­ciated with Gogol’s desire for an in-depth study of sacred poetry. The largest volume consists of extracts made by Gogol based on the new translation of the Psalter by His Grace Ambrose (Zertis-Kamensky), archbishop of Moscow. The translation was completed by the bishop in 1770 and was circulated in copies; was first published only in 1878. Gogol’s deep and interest­ed attention to the content of the Psalter is determined, and he often turns to the psalms in prayer, including when commemorating the dead. It is emphasized that, along with the tradi­tional attitude towards the Psalms as the main book of prayerful communication, Gogol as an artist treated the psalms in a special way. A direct connection is established between his re­flections on the book of St. the prophet David and ideas about the future of Russian poetry, set out in Gogol’s private letters to his friend — poet N. M. Yazykov in 1844 and in two epistolary articles addressed to him in the same year, published in «Selected Passages from Correspon­dence with Friends» under the general title «Subjects for the Lyric Poet in the Present Time».
Внезапная и предугаданная смерть в творчестве И. С. Шмелёва
Authors: Макаров Денис Владимирович 
Published: January 2025

Основная цель исследования — продолжить изучение проблемы смерти в творчестве И. С. Шмелёва, в частности выявить авторское понимание внезапной и предугадан­ной смерти. В работе применяются сравнительно-исторический метод и метод фило­логического анализа. Анализируются художественные произведения И. С. Шмелёва, в которых встречается тема смерти: в частности, романы «История любовная», «Няня из Москвы», «Лето Господне», повести «Богомолье», «Росстани» и другие. Особенности изображения внезапной и предугаданной смерти рассматриваются в творчестве И. С. Шмелёва в сопоставлении с произведениями И. С. Тургенева и др. писателей, затраги­вающих аналогичную проблематику. Наиболее важные результаты исследования: вне­запная смерть постигает преимущественно грешников, а предугаданная или предска­занная смерть — удел праведников. Отличие И. С. Шмелёва от И. С. Тургенева и других в том, что первый сам имеет те же христианские убеждения, что и его герои, и сознатель­но выстраивает сюжет произведений (и место в нём факта смерти) по известному ему христианскому закону, а вторые относятся к своим героям и их вере как к эстетическо­му явлению, достойному восхищения (И. С. Тургенев), либо подражания (Л. Н. Толстой), но в обоих случаях убеждения героев внутренне чужды авторам. Статья продолжает рас­смотрение темы смерти в творчестве И. С. Шмелёва, начатую в предыдущих работах.
The main goal of the study is to continue studying the problem of death in the works of I. S. Shmelev, in particular, to identify the author’s understanding of sudden and predicted death. The work uses the comparative historical method and the method of philological analy­sis. To achieve this goal, the literary works of I. S. Shmelev are analyzed, in which the theme of death is encountered, in particular, the novels «Love Story», «Nanny from Moscow», «Summer of the Lord», the stories «Pilgrim», «Rosstani» and others. Features of the depiction of sudden and predicted death are considered in the works of I. S. Shmelev in comparison with the works of I. A. Turgenev and L. N. Tolstoy, touching on similar issues. The most important results of the study: sudden death — for the most part — befalls sinners, and death predicted or predicted in advance is the lot of the righteous. The difference between Shmelev, on the one hand, and Tolstoy, together with Turgenev, on the other, is that the former himself has the same Christian beliefs as his heroes, and consciously builds the plot of his works (and the place of the fact of death in it) according to what is known to him Christian law, and the latter treat their heroes and their faith as an aesthetic phenomenon worthy of admiration (Turgenev) or imitation (Tolstoy), but in both cases the beliefs of the heroes are internally alien to the authors. The article continues the consideration of the theme of death in the works of I. S. Shmelev, begun in previous works.