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Achilles tendon rupture is a common lower extremity injury that significantly affects functional mobility and gait performance. Post-operative patients frequently experience pain, edema, limited range of motion (ROM), muscle weakness, and impaired ambulation. Physiotherapy rehabilitation plays a crucial role in restoring tissue integrity and functional capacity. This case study aimed to analyze the effectiveness of combined electrotherapy modalities and therapeutic exercises in a post-operative left Achilles tendon rupture patient. The intervention included ultrasound therapy, Transcutaneous Electrical Nerve Stimulation (TENS), infrared therapy, dry needling combined with Percutaneous Electrical Nerve Stimulation (PENS), and progressive therapeutic exercises such as isometric training and calf raises. Clinical outcomes were evaluated through ROM measurement, Manual Muscle Testing (MMT), edema observation, and gait analysis across four therapy sessions. Results demonstrated gradual improvement in dorsiflexion and plantarflexion ROM, reduction of edema, increased gastrocnemius-soleus muscle strength, and restoration of independent ambulation without assistive devices. The multimodal physiotherapy approach appears to support tendon healing, enhance neuromuscular activation, and accelerate functional recovery during the subacute post-operative phase.

The progressive consolidation of navigational instruments into Integrated Bridge Systems (IBS) has fundamentally transformed the sensory and cognitive architecture of modern maritime watch-keeping, creating a paradox of technological sophistication: while IBS enhances navigational efficiency under nominal operating conditions, it simultaneously generates profound human factors vulnerabilities when sensor inputs degrade, fail, or are intentionally disrupted. Despite the safety-critical nature of this vulnerability, empirical human factors research specifically addressing deck officer situational awareness under degraded IBS sensor conditions — particularly in the context of GPS spoofing, radar shadowing, and AIS anomalies — remains insufficiently developed in the maritime research literature. This study investigates the human factors dimensions of IBS situational awareness degradation among deck officers at Sekolah Tinggi Ilmu Pelayaran (STIP) Jakarta, Indonesia, examining how officers perceive, respond to, and recover from degraded sensor scenarios in simulator-based environments. Employing a qualitative research design, data were generated through semi-structured interviews with senior deck officers, navigation simulation instructors, and maritime human factors experts, supplemented by structured observation of IBS simulator degradation scenario sessions. Analysis proceeded through thematic analysis, cross-group comparison, and narrative synthesis. Findings reveal four critical human factors failure patterns under degraded IBS conditions: automation complacency, cross-verification skill atrophy, alert saturation mismanagement, and manual navigation competency erosion — all of which are systematically underprepared for within current STCW-aligned deck officer training curricula. The study proposes a competency-based degraded operations training framework as a principled response to these findings, with direct implications for maritime simulator curriculum design and STCW competency standard revision.

The adoption of Maritime Autonomous Surface Ships (MASS) under the IMO MASS Code represents the most consequential redefinition of the Officer of the Watch (OOW) role in the history of modern seafaring. While autonomous navigation technologies progressively assume operational functions traditionally performed by human officers, the decision-making competencies, supervisory responsibilities, and COLREGs compliance challenges that arise at the human-autonomy interface remain empirically undercharacterized — particularly in the complex, high-traffic, and archipelagic shipping environments of Southeast Asia. This study investigates autonomous navigation decision-making and the evolving OOW role in the context of MASS integration within Indonesian shipping corridors. Employing a qualitative research design, data were generated through semi-structured interviews with senior deck officers, maritime education experts, and maritime regulatory practitioners, supplemented by systematic document analysis of IMO MASS Code provisions and Indonesian domestic shipping regulatory frameworks. Analysis proceeded through thematic analysis, cross-group comparison, and narrative synthesis. Findings reveal that OOW competency frameworks face four structurally unresolved challenges under MASS integration: situational awareness degradation in remote supervisory roles, COLREGs interpretive ambiguity in human-autonomy encounter scenarios, institutional unpreparedness in maritime education curricula, and regulatory gaps in Indonesian domestic MASS governance. The study argues for the urgent development of a MASS-competent OOW framework that integrates autonomous systems literacy, adaptive decision-making training, and regulatory alignment within Indonesian maritime education and policy.

Maternal mortality remains a major global health concern and an important indicator of health system performance. The World Health Organization reported in 2023 that approximately 290,000 maternal deaths occurred worldwide, highlighting persistent challenges in maternal health services. In the ASEAN region, the maternal mortality rate in 2023 was recorded at 16.85 per 1,000 live births. In Indonesia, the Maternal Mortality Rate in 2023 reached 189 per 100,000 live births according to the Ministry of Health of the Republic of Indonesia. Significant progress has been observed in Central Java Province, where the rate decreased from the United Nations Sustainable Development Goals target of 226 per 100,000 live births to 88.11 per 100,000 live births in 2023. At the district level, Brebes Regency recorded 54 cases per 100,000 live births in 2023 and reported 54 maternal deaths in 2024. Meanwhile, the Kaliwadas Community Health Center reported no maternal deaths during 2023 and 2024, indicating relatively effective maternal health services at the local level.

Education is important because it provides knowledge and skills that are essential for self-development, character building, improving people's lives, and contributing to the progress of the nation and state. YouTube is a platform used by many people for entertainment and to relieve boredom. YouTube also offers a wide variety of videos and content, ranging from video blogs, entertainment videos, music, to educational videos. Pragmatics is a study that focuses more on what the speaker wants to convey through their speech, not just studying the meaning of words or phrases separately. In pragmatics, there are several terms of speech act analysis, implicature, deictics, presupposition, and politeness. In this study, the researcher analyzed the pragmatics of deictics. The research is titled “Pragmatic Deixis in the Booklist Playlist on Maudy Ayunda's YouTube Channel.” The researcher found three types of deixis, including 163 instances of personal deixis, 5 instances of place deixis, and 2 instances of time deixis. The research method used was qualitative description.

This study aims to analyze the representation of the five stages of grief in the film 172 Days through a literary psychology analysis. This film is of particular interest because it is an Indonesian box office hit based on a true story that portrays both emotional and religious experiences of loss. The study employs a qualitative descriptive approach, with the objects of analysis being visual scenes and the dialogue of the character Zira that represent the experience of grief. Data were collected through systematic observation of the film and a review of relevant literature on grief theory. Data analysis was conducted using content analysis techniques, classifying scenes based on the stages of grief according to Elisabeth Kübler-Ross: denial, bargaining, anger, depression, and acceptance. The results indicate that the film represents the five stages of grief progressively through the main character’s emotional journey. The denial stage is evident through the denial of the illness’s condition; bargaining through prayer as a form of spiritual negotiation; anger through emotional outbursts following the loss; depression through deep sorrow and attachment to memories; and acceptance through embracing the loss and finding new meaning in life. These findings indicate that the film functions not only as a medium of entertainment but also as a psychological representation of the grieving process that is universal and reflective for the audience.

Mine slopes play a crucial role in ensuring the safety and sustainability of mining activities. Continuous mining operations can alter slope conditions, thereby increasing the potential for instability and slope failures. Slope stability is influenced by the balance between resisting forces and driving forces acting on the rock mass. When the resisting forces are smaller than the driving forces, the slope becomes unstable and failure may occur. Therefore, slope stability analysis is essential to prevent landslide hazards, as it directly affects occupational safety, equipment security, other assets, and overall production continuity. These conditions have encouraged PT Insani Bara Perkasa to develop a more accurate and real-time slope monitoring system. The application of radar-based monitoring was initiated using the CHCNAV PS-2000 system. This study aims to analyze the deformation behavior of mine slopes using radar technology. Data acquisition was conducted at Pit K1 Mahakam, PT Insani Bara Perkasa, covering Area 1 South, AR 2 South, AR 3 South, AR 5 South, AR 6 South, AR 7 West, AR 8 West, AR 9 South, AR 13 South, as well as TA-2, TA-3, and TA-6 areas. The study was carried out from November 2025 to December 2026. The analysis results indicate that most monitoring points are in stable conditions, with indications of a progressive phase observed in the AR 6 South area.

Childhood tuberculosis remains a significant public health challenge, particularly in developing countries where malnutrition and limited diagnostic resources increase disease severity and mortality. Children are at high risk of rapid progression from latent infection to active disease due to immature immune systems. We report a case of a 1-year-old girl presenting with cough, fever, shortness of breath, and poor growth. Chest radiograph showed consolidation and infiltrates in the right paracardial area consistent with pulmonary tuberculosis. The patient was treated with first-line anti-tuberculosis drugs, including rifampicin and pyrazinamide, along with nutritional support, resulting in significant clinical improvement and discharge on day eight. This case emphasizes the importance of early recognition and management of tuberculosis in young children with risk factors such as malnutrition and incomplete immunization. Preventive strategies such as BCG vaccination, contact screening, family education, and access to tuberculosis preventive therapy are essential to reduce morbidity and mortality in childhood TB.

The Community Partnership Program (PKM) at Rumah Kopi Banjarsengon (RKB) aims to improve product quality and coffee marketing according to consumer needs. Key activities include production observation, assistance with laboratory testing for nutritional value and shelf life, food safety education, digital marketing training, and the delivery of a 5 kg roasting machine. These efforts have successfully increased production capacity and product quality standards through informative labels. Digital marketing has seen significant progress, with increased social media engagement and broader market reach. Consumer satisfaction surveys have risen from 80 to 97 on a scale of 100. Overall, this PKM program not only supports sustainable coffee business development but also contributes to improving partner competency and strengthening product competitiveness in both local and export markets. RKB is expected to consistently implement digital marketing strategies and product innovation for long-term success. Going forward, RKB is expected to continue implementing digital marketing strategies and product innovation to ensure sustainable business success.

Artificial Intelligence (AI) is increasingly recognized as a transformative enabler of early disease detection, with the potential to improve diagnostic accuracy, support predictive risk stratification, and advance preventive healthcare. Despite rapid methodological progress, many existing reviews remain performance-centric, offering limited insight into generalizability, ethical governance, and real-world implementation constraints. This paper presents a narrative and integrative review with an adoption-focused, translational perspective, synthesizing recent developments in AI-driven early disease detection across oncology, cardiology, neurology, and infectious disease surveillance. Drawing on peer-reviewed literature published primarily between 2016 and 2025, the review examines reported performance gains alongside persistent limitations related to data heterogeneity, population bias, explainability, and regulatory fragmentation. Through cross-sectional synthesis, we identify three recurring gaps in prior reviews: (i) overgeneralization of AI’s diagnostic superiority, (ii) insufficient consideration of ethical and legal accountability, and (iii) a lack of actionable guidance for scalable clinical implementation. Integrating technical, ethical, and policy dimensions into a unified conceptual framework, this review demonstrates that while AI systems can consistently enhance diagnostic accuracy and early risk stratification in well-defined tasks, sustained clinical adoption depends on aligning technical performance with governance readiness, interpretability, and workflow integration. The analysis further highlights how implementation mechanisms—such as explainable AI, continuous post-deployment monitoring, and clinician-centered deployment strategies—mediate the translation of algorithmic innovation into real-world healthcare impact. Overall, this review provides a critical reference for researchers, clinicians, and policymakers seeking to translate AI innovation into safe, equitable, and trustworthy clinical practice.

Dementia is a progressive neurocognitive disorder often accompanied by behavioral and psychological symptoms such as agitation, anxiety, and depression. Pharmacological treatments provide only modest benefits while introducing significant risks, which highlights the need for safer, non-pharmacological alternatives. This literature review examines the role of virtual reality in dementia care, with a focus on its integration with therapies such as music, reminiscence, sensory stimulation, and cognitive training. Evidence from prior research suggests that virtual reality can enhance cognitive functions, reduce symptoms, and improve emotional well-being while also strengthening patient–caregiver interaction. However, challenges related to usability, accessibility, cost, and long-term effectiveness continue to limit adoption. Gaps in research, including limited cultural diversity, inconsistent reporting of intervention design, and a lack of large-scale longitudinal trials, emphasize the need for future work exploring cross-cultural feasibility and AI-driven personalization. Overall, virtual reality represents a promising and evolving non-pharmacological intervention that has the potential to transform dementia care by improving quality of life and reducing reliance on medication.

An essential stage in road infrastructure development is land acquisition, which frequently causes project delays due to its complex legal, social, and economic challenges. This study aims to identify the factors that hinder the land acquisition process in the Manado Outer Ring Road (MORR) 3 Phase 4 Construction Project and to assess how these constraints affect the progress of construction activities. The research was conducted using a qualitative case study approach, with data collected through field observations, document reviews, and interviews. The findings indicate that delays in land acquisition are caused by discrepancies in legal status and land ownership, differing perceptions of compensation value, insufficient public socialization, and weak institutional coordination. These issues lead to disruptions in the construction schedule and potential increases in project costs. The study demonstrates that land acquisition necessitates a more cohesive strategy, facilitated by enhanced communication and community engagement, fortified land acquisition management frameworks, and precise verification of ownership data. The results indicate that there must be broader mitigation strategies to prevent similar challenges in future infrastructure projects.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

The reform of family law in Indonesia represents an essential response to social developments and the growing demand for constitutional protection of citizens’ rights. Family law, primarily governed by Law Number 1 of 1974 on Marriage, has long been criticized for not fully reflecting substantive justice, particularly for vulnerable groups such as children born outside marriage, persons with mental disabilities, and couples facing complex marital relations. In this context, the Constitutional Court of Indonesia (Mahkamah Konstitusi) plays a crucial role as the guardian of the Constitution by promoting progressive reforms through its landmark decisions. This study examines the implications of five significant Constitutional Court rulings: Decision No. 46/PUU-VIII/2010 concerning the legal recognition of children born out of wedlock; Decision No. 93/PUU-XX/2022 addressing guardianship and the rights of persons with mental disabilities; Decision No. 69/PUU-XIII/2015 allowing post-nuptial agreements; and Decisions No. 68/PUU-XII/2014 and No. 24/PUU-XX/2022 regarding interfaith marriage. These rulings demonstrate a paradigm shift from a rigid legalistic approach toward a constitutional framework grounded in human rights, equality, and substantive justice. Furthermore, notaries hold a strategic position as public officials authorized to draft authentic deeds, serving as a bridge between constitutional values and legal practice. Notaries are not merely administrative actors but are responsible for ensuring that legal documents align with positive law and provide legal certainty and protection for individuals. Therefore, the reform of Indonesian family law should not remain solely at the normative level of Constitutional Court rulings but must be effectively implemented in daily legal practice.

This study examines the dynamic progression of Regional Original Revenue (PAD), the realization of Domestic Investment (PMDN), the size of the labor force, infrastructure availability, and their implications for economic growth across 11 regencies and municipalities in Jambi Province over the period 2017–2023. The analysis employs a panel data regression model, utilizing a combination of time-series and cross-sectional data sourced from Statistics Indonesia and the Regional Investment and One-Stop Integrated Services Office. The empirical findings reveal that PAD experienced a growth rate of 5.39 percent. In contrast, PMDN and the labor force displayed fluctuating patterns, with percentage changes of 905.97 percent and 1.68 percent, respectively. Infrastructure development and economic growth recorded increases of 0.51 percent and 4.04 percent. Further analysis demonstrates that PAD, labor force participation, and infrastructure exert a positive and statistically significant influence on economic growth. Conversely, PMDN does not exhibit a statistically significant effect on regional economic growth within the observed period.

This study examines the construction of heroism in the character of Joshua Taylor in The Creator (2023) using Christopher Vogler’s Hero’s Journey framework. In modern cinema, heroism is no longer limited to physical strength or traditional bravery but is often defined through moral struggle, emotional conflict, and ethical decisions in complex situations. Joshua represents a modern hero whose journey unfolds amid a global conflict between humans and artificial intelligence (AI). This research applies a qualitative descriptive method with a structural mapping technique to analyze Joshua’s narrative progression across the stages of Vogler’s Hero’s Journey. The findings show that Joshua’s heroism is constructed through moral transformation, sacrifice, and his shift from a disillusioned soldier to a protector figure who prioritizes life and empathy over ideology. His journey highlights that modern heroism is rooted in ethical awareness and personal redemption rather than dominance or power, it reflects cinematic developments in depicting heroism that are more relevant to today's social and technological context.

The increasing rate of divorce in rural areas indicates serious challenges in maintaining family resilience as well as the limited effectiveness of formal litigation-based dispute resolution. Judicial processes that tend to be procedural, time-consuming, and focused on legal termination often fail to address the substantive justice needs of the disputing parties. Consequently, alternative dispute resolution mechanisms that are more responsive to local social and cultural values are required. This study aims to examine the effectiveness and implementation of divorce mediation facilitated by the Village Government of Banra’as, Sumenep Regency, through the perspective of Progressive Legal Theory. This research employs a qualitative approach with an empirical research design. Data were collected through field observations, in-depth interviews with village officials, community leaders, and individuals who had previously participated in the mediation process, as well as documentation related to divorce dispute resolution practices at the village level. Data analysis was conducted using a descriptive-analytical method, focusing on mediation practices as a manifestation of living law within the community. The findings reveal that divorce mediation facilitated by the village government demonstrates a relatively high level of effectiveness in reducing divorce cases. This effectiveness is influenced by a familial approach, the utilization of local wisdom, and the strong internalization of religious values within the social life of the Banra’as community. From the perspective of Progressive Legal Theory, this mediation practice reflects a flexible and non-positivistic understanding of law that prioritizes humanity and substantive justice. Village-based mediation not only serves as an alternative dispute resolution mechanism but also functions as a social instrument to preserve family harmony and strengthen social resilience in rural communities.

Law Number 11 of 2006 on the Governance of Aceh embodies the principle of lex specialis due to its territorial scope, while Law Number 4 of 2009 on Mineral and Coal Mining also contains a lex specialis character as it specifically regulates the mining sector. This situation raises a legal question regarding how the principles of lex specialis derogat legi generali, lex superior derogat legi inferiori, and lex posterior derogat legi priori should be interpreted and applied by the Government within the framework of Aceh as a Special Autonomous Region. This study aims to conduct an in-depth legal analysis using a progressive law approach to examine whether the principles of lex posterior or lex superior may override the principle of lex specialis as applied in Aceh’s special autonomy regime. The research employs normative legal methods with qualitative analysis. The findings indicate that the principle of lex specialis derogat legi generali as stipulated in the Law on the Governance of Aceh must take precedence due to its specific territorial applicability and special autonomous status. In resolving such normative conflicts, a clear legal framework is required, accompanied by the renewal of legal theories and principles to ensure legal certainty, prevent regulatory overlap, and promote harmony among statutory regulations.

Hypertension, a global health issue, is increasingly prevalent and significantly contributes to morbidity and mortality. It often coexists with obesity, a key risk factor for hypertension and vascular complications. The combination of hypertension and obesity leads to metabolic changes, chronic inflammation, and oxidative stress that damage retinal blood vessels, directly affecting visual acuity. This literature review examines the relationship between hypertension, obesity, and visual acuity, analyzing 20 articles published between 2021 and 2025, sourced from PubMed, Google Scholar, and ScienceDirect. The study found a significant association between hypertension and obesity with decreased visual acuity. Obesity not only serves as a comorbidity but also as a mediator, worsening hypertension's effects through mechanisms like insulin resistance and endothelial dysfunction. Longitudinal studies indicate that visual impairment is progressive, while cross-sectional studies highlight its high prevalence in hypertensive obese populations. The review emphasizes the need for routine eye exams, blood pressure control, and weight management as preventive measures. In conclusion, hypertension and obesity together significantly increase the risk of visual impairment, necessitating a multidisciplinary approach to care and promoting preventive strategies to preserve eye health and enhance patients' quality of life.

Motor development in early childhood is a crucial foundation for executive functions and psychosocial health. However, the current sedentary lifestyle and gadget dependency hinder the optimization of this physical potential. This community service aims to enhance children's self-confidence and physical agility through the "Active Movement Exploration: Fun Agility Game" program. The activity was conducted at TK Negeri PAUD Tamalate, Makassar, involving 93 children in the initial observation. The method employed was Guided Modeling-Practice, which includes agility circuit preparation, demonstration, and guided exploration. The game instruments included Zig-Zag Safari, Stop-Go Traffic, Balance River Stones, Ball-to-Target Trail, and Choose-Your-Path. The results showed a significant improvement in Fundamental Motor Skills (FMS), particularly in agility, balance, and manipulative coordination. Additionally, there was progress in psychological aspects, specifically in self-regulation, autonomy, and self-efficacy. In conclusion, the integration of structured yet enjoyable agility games is effective in building a strong physical and character foundation in early childhood.