Rehabilitation Efforts Research Articles

Test-retest reliability of joint position sense in the elbow among healthy adults

BackgroundProprioception of the elbow is necessary for daily activities. Proprioception can be impaired with injury or pathology, and rehabilitation efforts seek to improve proprioception for improved upper extremity functioning. In clinical practice, joint position sense (JPS) testing is often utilized to assess conscious proprioception; however, varying methods exist with little evidence of psychometric properties, especially for the elbow. PurposeThe primary aim of this study was to create a standardized elbow JPS test protocol using goniometry measurement to determine the most reliable testing position. The secondary aim was to determine if the elbow JPS test had acceptable test-retest reliability in healthy adults. Study DesignThis was a cross-sectional study using a convenience sample of healthy adults. MethodsThree elbow positions (45°, 60°, and 75° of elbow flexion) were measured twice on the same day by a single rater using a universal goniometer. We calculated the absolute error in degrees between each position and reposition and the intraclass correlation coefficient (3,1) for relative reliability. We also calculated the standard error of the measurement and visually inspected Bland-Altman plots for absolute reliability. ResultsSixty-eight healthy adults (mean age 27.9 years, standard deviation 8.59) were assessed. The mean absolute error for all positions for test and retest was 5.7°. The intraclass correlation coefficients were moderate to good (0.57-0.75), and the standard error of the measurement was 2° (rounded) for all positions. The limits of agreement were moderately narrow, and the Bland-Altman plots showed a random distribution of errors for each position, indicating clinically acceptable measurement error. ConclusionsThe joint position reproduction test for JPS using goniometry demonstrated moderate to good test-retest reliability and acceptable measurement error in healthy adults. The elbow joint angle of 60° flexion was the most reliable for JPS testing, providing insight for JPS assessment in clinical practice.

Spatial Analysis of Rehabilitation Efforts for the Labor-intensive National Economic Recovery Program for Mangrove Planting (Case Study in the Coastal District of Ngombol, Purworejo)

Spatial Analysis of Rehabilitation Efforts for the Labor-intensive National Economic Recovery Program for Mangrove Planting (Case Study in the Coastal District of Ngombol, Purworejo)

Origins of hatchery-reared lake trout Salvelinus namaycush to Lake Michigan’s sport fishery reflect trends in regional relative survival

Fisheries management depends on understanding fish movements, especially in large systems. In Lake Michigan, lake trout are stocked for rehabilitation and to support a diverse, multi-million dollar sport fishery. We described the contributions of lake trout stocked at offshore and onshore locations to Lake Michigan’s sport fishery at multiple spatial scales. We also assessed lake trout relative survival and age-related seasonal movements. Offshore reefs, which historically were important sources of lake trout recruitment and are currently fishery refuges, served as source-populations for nearshore fisheries, as offshore-stocked lake trout comprised 58% of recoveries lakewide and were predominant in fisheries from 9 of 13 management units. By contrast, lake trout stocked onshore primarily had local importance, consistent with the management aim to directly benefit nearshore fisheries. Lake trout relative survival significantly differed among stocking regions but not between the two genetic strains compared. Lake trout stocked at two of the three offshore regions, Julian’s Reef and Southern Refuge, had higher relative survival (0.022–0.038 fish/sampling day/100,000 fish stocked) compared to the three onshore stocking regions (0.001–0.013) and the offshore Northern Refuge (0.011), which helps explain the predominance of offshore-stocked fish in fisheries at most locations. In addition, offshore-stocked fish were most available to sport fisheries in multiple regions during summer, while mature fish generally returned to their stocking region in fall, presumably to spawn. This study demonstrated that stocking at offshore locations in Lake Michigan supported both lake trout rehabilitation efforts and sport fisheries, and illustrates how spatial ecology can help inform fisheries management.

The Development Strategy for Flores Timur Forest Management Unit-Protected (FMU-Protected)

The Flores Timur FMU establishment was part of the broader efforts to enhance forest governance, improve management practices, and resolve land tenure conflicts effectively within forest areas. However, the challenges commonly encountered included conflicts with communities and other sectors regarding land tenure, area planning, and policy implementation. This research aimed to identify strategic variables of internal and external factors to determine a development strategy for Flores Timur FMU-Protected using SWOT (strengths, weaknesses, opportunities, threats) analysis. The results showed that the primary strategy for managing Flores Timur FMU included law enforcement for forest protection, acceleration of rehabilitation efforts for forests and lands classified as critical, and calculation of forest economic values based on the benefits of environmental services. Moreover, increasing community participation in forest utilization through social forestry programs and employing a participatory approach to forest area boundaries would contribute to effective management.

Trends in the rescue and fate of koalas in New South Wales (1973-2020), with a focus on disease and trauma

ABSTRACT In line with the objectives of both the 2022 National Recovery Plan for the Koala Phascolarctos cinereus and 2022 NSW Koala Strategy, our study aimed to draw on the long-term records of koala rescue in NSW from 1973 to 2020 to describe trends in admissions across NSW. A total of 18,039 koala admission records were collated from 1973 to 2020. Koalas were rescued due to disease, motor vehicle collision, dog attacks, unsuitable environment, bushfire, orphaning, and other reasons. However, the reasons for rescue were not evenly distributed among the rehabilitation groups. Across all rehabilitation groups and all years (1973-2020), the release rate of all admitted koalas was 47.6%. The NSW Koala Strategy identifies an action of “supporting koala rehabilitators” (Pillar 3 Improving the safety and health of koalas), and strong partnerships, including with koala rehabilitators, are “critical to achieving success”. Our study has confirmed that strong partnerships are possible and identified the prevalence of disease and trauma in rescued koalas. While it is not possible to assess the scale of the threats from disease and trauma to koala populations from rehabilitation records alone, we can use the trends in admissions to inform the efficient distribution of resources to rescue and rehabilitation efforts.

Optimizing the spatial distribution of Southeast Asia mangrove restoration based on zonation, species and carbon projection schemes

Mangroves contain large amounts of carbon that can reduce the effects of global climate change, which is termed as blue carbon and noted as an important ecosystem service. However, mangrove ecosystems have experienced a huge decline due to human activities and any rehabilitation and restoration efforts should be undertaken with careful planning to optimise their ecosystem service provision and to improve the success of these programs. The main objective of this study was to model a scenario specific to Southeast Asian mangrove distribution based on zonation, species, and coastal morphology, as well as the estimation of future aboveground biomass carbon content resulting from multiple scenarios of successful mangrove growth. This study provides the first assessment of the differences in the distribution of carbon content in a range of native mangrove species, as well as the relationship between the number of propagules, carbon content, mangrove species, and the percentage of living mangroves. The potential location for mangrove planting was dominated by zone 4 inundated by spring high tides, with a suitable area of 4,081,325 ha the next largest area was zone 2, inundated by medium high tides, with a potential area of 2,080,475 ha, followed by zone 3, inundated by normal high tides, with an area of 1,685,800 ha. This study is expected to serve as a reference for mangrove ecosystem conservation and optimisation of carbon storage, especially in Southeast Asia.

Seasonal spatial ecology of Lake Trout in Lake Erie

AbstractObjectiveLake Trout Salvelinus namaycush are native coldwater apex predators that play an important role in maintaining ecosystem functionality and diversity in the Laurentian Great Lakes. Following population collapses, rehabilitation efforts were widely initiated in the Great Lakes to reestablish self‐sustaining Lake Trout populations. Lake Erie may pose a challenge to these rehabilitation efforts due to limited availability of appropriate oxythermal habitat. Our goal was to investigate seasonal habitat use of adult Lake Trout in Lake Erie to inform management and rehabilitation efforts.MethodsWe used acoustic telemetry in Lake Erie, which was equiped with a lake‐wide acoustic receiver grid, to quantify Lake Trout seasonal region occupancy, dispersal distances, bottom depth occupancy, space use extent, and space use overlap.ResultWe found that 32% of fish tagged in the eastern basin and all fish from the western basin dispersed more than 100 km from their tagging location, which represents a greater proportion of the population moving long distances than what has been previously documented in the Great Lakes. During stratification, Lake Trout were detected almost exclusively in the offshore eastern basin in areas where water depth exceeded 25 m. During nonstratified seasons, fish used other regions of the lake, occupying areas of highly variable depths. During fall, most fish tagged in the eastern basin occupied habitat along the southern shore of the eastern basin. Fish tagged in the western basin returned to this region in the fall of subsequent years despite occupying the offshore eastern basin during stratification and having depth occupancy, home range size, and overlap similar to that of eastern basin‐tagged fish. Fish size was positively correlated with receiver depth during winter and spring, and with home range overlap during spring and summer.ConclusionThe results of this study can begin to inform management decisions regarding stocking locations, harvest regulations, and habitat restoration to facilitate the continued rehabilitation of this important native species.

Advancing Justice: Addressing the Impacts of Private Prisons

Prisons play a multifaceted role within American society and their portrayal in various forms of media, serving as potent symbols of justice, punishment, and rehabilitation. The prevailing narrative surrounding the US criminal justice system emphasizes that prisons have a dual purpose: to serve as places of retribution for offenders and simultaneously provide avenues for reform, reintegration, and eventually successful reentry into society. Nevertheless, as the complex nature of the criminal justice system unravels, concerns have emerged regarding the increasing influence of financial interests in private prisons. This economic trend raises apprehensions about the potential detrimental impact on rehabilitation efforts and its contribution to the persistently high incarceration rates. Critics argue that when financial gain becomes the primary focus of prisons' operations, inmates' well-being and prospects may be compromised. The profit-driven nature of private prisons may prioritize cost-cutting measures over providing necessary resources for rehabilitation programs, mental health support, educational opportunities, and vocational training.

Policy and innovation network: a study of inter-agency collaboration in post-disaster rehabilitation and reconstruction in the Central Sulawesi, Indonesia

The idea of the policy and innovation network in the context of post-disaster governance refers to a set of rules, legislation, regulations, and guidelines that offer guidance for the efforts of post-disaster recovery and reconstruction. The objective of this study is to investigate the impact of policies and innovation networks on post-disaster rehabilitation in a specific geographical region. The research methodology employed in this study is qualitative in nature. The present study employed a diverse range of research data obtained from interviews and disaster management report documents. These data were subsequently subjected to analysis applying the Nvivo12 plus software. The findings of the research suggest that the post-disaster rehabilitation network involves a range of components, specifically the public policy network which comprises the central government, regional governments, associated institutions, and civil society organisation. The local government of Palu City adopted policy changes that prioritised the implementation of a land acquisition and resettlement action plan in the context of post-disaster rehabilitation and construction efforts.

Olfactory Rehabilitation in Total Laryngectomy Patients

Patients who undergo total laryngectomy often experience difficulties with their voice, olfaction, and taste due to the lack of airflow through nasal and oral cavities. While voice rehabilitation is more commonly performed, olfactory rehabilitation has gained importance in recent times with the use of various techniques. Previous studies have shown that incidence of hyposmia or anosmia (partial or total loss of smell) after total laryngectomy ranges from 25% to 100%. However, after olfactory rehabilitation, there has been notable improvement in olfaction, ranging from 46% to 88% of the patients. There are two main techniques for olfactory rehabilitation. The first involves creating airflow for smelling purposes by connecting the oral or nasal cavity to the tracheostoma using prosthetic laryngeal bypass devices. The second technique involves orofacial musculature training, which includes a nasal airflow-inducing maneuver known as the “polite yawning technique.” This maneuver creates negative pressure in the oropharynx, resulting in the induction of nasal airflow and potentially improving olfaction. Additionally, rehabilitation through biofeedback can facilitate airflow in the nasal cavity, further enhancing the sense of smell. In this review, we will introduce the principles, pathogenesis, and various techniques of olfactory rehabilitation, as well as summarize the outcomes of olfactory rehabilitation efforts.

Ultrasound Guided Fascia Iliaca Compartment Block versus Three in One Block for Post Operative Analgesia in Patients Undergoing Hip and Knee Replacement Surgeries

Abstract Background Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede physical therapy and rehabilitative efforts and delay hospital dismissal. Peripheral nerve blockade of the lumbosacral plexus has emerged as an analgesic approach. In several studies, unilateral peripheral block provided quality of analgesia and functional outcomes similar to those of continuous epidural analgesia and superior to those of systemic analgesia, but with fewer side effects because of their opioid-sparing properties. Peripheral nerve block techniques may be the optimal analgesic method following total joint arthroplasty. Aim of the Work To compare postoperative analgesia between ultrasound-guided FICB and three in one nerve block. Study design a prospective randomized double-blinded study. Patients and Methods The study was conducted on 80 randomly chosen patients from 21 to 65 years old in Ain Shams University Hospitals after approval of the medical ethical committee. Patients were divided randomly into two groups, each group consisted of 40 patients group I and group II. After preoperative assessment and obtaining baseline vital data, all patients received spinal anesthesia. Patients in the group I received FICB (35-40 ml of 0.25% bupivacaine). Patients in group II received three in one bock (35-40 mL of bupivacaine 0.25%). Results Both FICB and three in one block provided good quality of postoperative analgesia and patient satisfaction as evidenced by low VAS and low postoperative rescue analgesic requirements. Both techniques provided equal sensory blockage of femoral nerve, obturator nerve, and genitofemoral nerve, but sensory blockage of LFC nerve was demonstrated in 92.5% patients in FICB and 62.5% of patients in three in one block, which was significantly lower (p-value <0.001 HS). VAS at 12 hours after surgery during movement of 3.68 ± 2.77 in the FICB group and 4.90 ±0.18 in the 3 in 1 group were statistically significant (P value = 0.007). Conclusion The FICB provides a high degree of sensory blockade of the LFC nerve and improves analgesia when continuous passive motion is initiated in the early postoperative period; also, it is easy to perform, reliable and does not threaten any vital organ. Thus, FICB can be recommended as an alternative to three in one block for the treatment of pain after hip and knee arthroplasty.

Groundwater Quality and Public Health

Groundwater deterioration due to enrichment with contaminants of either geogenic or anthropogenic origin has adversely affected safe water supply for drinking and irrigation, with pervasive impacts on human health and ecosystem functions. However, the spatiotemporal evolution and public health effects of groundwater quality remain unclarified, posing a grand challenge for the safe and sustainable supply of global groundwater resources. This article provides a state-of-the-art review of the complexity and dynamics of groundwater quality, as well as the impacts of various groundwater substances on human health. In particular, knowledge is growing about the health impacts of key substances ranging from nutritional elements (e.g., Ca2+, Mg2+) to pollutants (e.g., heavy metals/metalloids, persistent organic pollutants, and emerging contaminants) and, further, to pathogenic microorganisms to which the human body can be exposed through multiple patterns of groundwater use. Proliferating concerns at the same time call for enhancing science-based governance directives, economic policies, and management strategies coordinating groundwater quality. We propose that safeguarding groundwater-dependent public health needs concerted efforts in source control, cross-scale rehabilitation, and social hydrology-based groundwater governance.

Effects of Body Weight Support in Running on Achilles Tendon Loading.

Achilles tendon (AT) tendinopathy is common in runners. Repetitive AT loading may play a role in etiology. Interventions such as body weight support (BWS) may reduce loading on the AT in running. Examine how ground reaction force, AT loading, foot strike and cadence variables change in running with BWS. Twenty-four healthy female runners free from injury were examined. Participants ran on an instrumented treadmill with and without BWS using a harness-based system at a standardized speed. The system has 4 elastic cords affixed to a harness that is attached to a frame-like structure. Kinematic data and kinetic data were used in a musculoskeletal model (18 segments and 16 degrees of freedom) to determine AT loading variables, foot strike angle and cadence. Paired t-tests were used to compare each variable between conditions. Ground reaction force was 9.0% lower with BWS (p<.05). Peak AT stress, force, and impulse were 9.4%, 11.7% and 14.8% lower when using BWS in running compared to no support (p<.05). Foot strike angle was similar (p<.05) despite cadence being reduced (p<.05). BWS may reduce AT loading and impulse variables during running. This may be important in the rehabilitation efforts.

Changes in Self-Esteem in Patients with Hirayama Disease and its Association with Prognosis After Anterior Cervical Fusion Procedures

To quantify self-esteem in patients with Hirayama disease (HD) and investigate the impact of this psychosocial factor on surgical outcomes in HD. The Rosenberg Self-Esteem Scale (RSES) was measured in 58 patients with HD before anterior cervical fusion. These patients further underwent motor unit number estimation, handgrip strength, disabilities of the arm, shoulder and hand (DASH), Beck Anxiety Inventory (BAI) and Beck Depression Index (BDI) before and 18 months after operation. Furthermore, the International Physical Activity Questionnaire (IPAQ) was administered to all patients at postoperative 18-month assessments. Compared with the general population, patients with HD showed a relatively lower RSES, and RSES was negatively associated with both postoperative DASH (r=-0.431, P<0.05) and preoperative to postoperative changes (r=-0.295, P<0.05) and positively associated with IPAQ (r=0.472, P<0.05). Similar to the difference in postoperative DASH scores, more patients with low self-esteem felt postoperative aggravated motor dysfunction than those with high/normal self-esteem (P<0.05). Postoperative BDI exerted a partial mediating effect on the relationship between RSES and DASH scores (B=-0.30, P<0.05), and postoperative BAI played a partial mediating effect on the relationship between RSES and IPAQ scores (B=0.30, P<0.05). The self-esteem of HD patients may be below the population norms. Importantly, relatively low self-esteem in HD patients may cause/worsen postoperative depression and anxiety, thereby resulting in poor self-reported surgical prognosis and an inactive lifestyle after operation. Therefore, perioperative treatment and rehabilitation efforts in HD patients, especially those with low self-esteem, should account for both physiological and psychological symptoms.

Shifting the practice of coercive penal care over time in a problem-solving court

While problem-solving courts represent one area in which rehabilitative efforts have expanded within correctional settings as “coercive penal care,” still unexplored is how the blend of rehabilitative and punitive practices might evolve over time. By conducting interviews and observing a new reentry court, we explore how the court's navigation of coercive penal care transforms over time. We argue that initially, the introduction of rehabilitative goals was mostly subverted by the court's existing punitive criminal legal system and organizational structure. This occurred through court actors prioritizing internal over external goals and metrics in the program, and articulating self-responsibilization narratives for success. As the court progressed, court actors shifted toward emphasizing individualism. Increased individualism occurred in recognition of the complex barriers that participants faced, but presented a double-edged sword: actors focused more on the individual needs of participants beyond program requirements, but also increased individual accountability by participants. This greater emphasis on individualization also allowed court actors to resolve sometimes competing rehabilitative and punitive goals through increased discretion.

Critical decision making for rehabilitation of hydroelectric power plants

ABSTRACT Due to their diminishing performance, reliability, and maintenance requirements, there has been a rise in the demand for the restoration and renovation of old hydroelectric power facilities in recent decades. Prior to initiating a rehabilitation program, it is crucial to establish a comprehensive understanding of the power plant’s current state. Failure to do so may result in unnecessary expenses with minimal or no improvements. This article presents a systematic rehabilitation methodology specifically tailored for Francis turbines, encompassing a methodological approach for condition assessment, performance testing, and evaluation of rehabilitation potential using site measurements and CFD analysis, and a comprehensive decision-making process. To evaluate the off-design performance of the turbines, a series of simulations are conducted for 40 different flow rate and head combinations, generating a hill chart for comprehensive evaluation. Various parameters that significantly impact the critical decision-making process are thoroughly investigated. The validity of the reverse engineering-based CFD methodology is verified, demonstrating a minor difference of 0.41% and 0.40% in efficiency and power, respectively, between the RE runner and actual runner CFD results. The optimal efficiency point is determined at a flow rate of 35.035 m3/s, achieving an efficiency of 94.07%, while the design point exhibits an efficiency of 93.27% with a flow rate of 38.6 m3/s. Cavitation is observed in the turbine runner, occupying 27% of the blade suction area at 110% loading. The developed rehabilitation methodology equips decision-makers with essential information to prioritize key issues and determine whether a full-scale or component-based rehabilitation program is necessary. By following this systematic approach, hydroelectric power plants can efficiently address the challenges associated with aging Francis turbines and optimize their rehabilitation efforts.

Impact of balance on the energetic cost of walking and gait speed.

Examine the relationship between balance test performance and the energetic cost of walking (ECW) and gait speed. Cross-sectional and longitudinal analyses of data from the Baltimore Longitudinal Study of Aging. Men (48%) and women aged 60-96 years enrolled in the BLSA between 2007 and 2020 (n = 1132). Balance was assessed using narrow walk (NW) and progressive standing balance tests (SB). ECW measured during 2.5-min usual paced walk while participants wore a portable indirect calorimeter. Gait speed assessed over 6-m. Each test parameterized using validated methods. Statistical analysis to compare balance measures to ECW, and gait speed used generalized logistic regression models and adjustments for age, sex, race, height, weight, and comorbidities. Cross-sectionally, mean ECW was higher and gait speed slower in persons who failed the NW than those who passed (0.189 vs. 0.164 mL/kg/m, p < 0.0001 and 0.96 vs. 1.15 m/s, p < 0.0001, respectively). Mean ECW was increasingly higher and gait speed slower over three progressively challenging SB tests (0.207 vs. 0.171 vs. 0.164 mL/kg/m, p < 0.0001 and 0.95 vs. 1.05 vs. 1.15 m/s, p < 0.0001). Over an average 2.4 years, those who declined in SB and NW had a higher ECW and slower gait speed than persons who maintained performance (SB: 0.18 vs. 0.160 mL/kg/m, p = 0.0003, and 1.00 vs. 1.13 m/s, p = <0.001; NW: 0.175 vs. 0.160 mL/kg/m, p = 0.002, and 1.04 vs. 1.14 m/s, p = 0.001). Persons who improved had lower ECW and faster gait speed than those who failed at both visits (SB: 0.169 vs. 0.240 mL/kg/m, p = 0.0002, and 0.99 vs. 0.94 m/s, p = 0.67, NW: 0.163 vs. 0.195 mL/kg/m, p = 0.0005, and 1.10 vs. 0.92 m/s, p < 0.001). Instability contributes to higher ECW and slower gait speed which suggests that rehabilitation efforts to improve balance may help maintain function further into older adulthood and delay mobility limitation.

Optimization of TOGA (Tanaman Obat Keluarga) to Improve Health in Community

Humans need a healthy body to carry out all activities. Therefore, health should be properly maintained. Promotive, preventive, curative, and rehabilitative efforts are carried out to fulfill health needs. These efforts can be done traditionally with TOGA (Family Medicinal Plants). TOGA can maintain a healthy body from various diseases. The community can take the advantage of TOGA cultivation. TOGA cultivation requires knowledge so that plants can grow properly and can be utilized as much as possible. This community service aims to increase public knowledge of TOGA plants for health. The service was carried out by counseling, demonstrating, and TOGA planting with the community. The results of community service showed an increase in community knowledge about TOGA. This increase is expected to be an effort for the community to utilize TOGA in their daily lives by planting them in their yards

Analysis of community based industrial waste treatment to control river water pollution

Body parts Diverse minerals and chemical substances found in water play a crucial role in the survival and ecosystem-wide equilibrium of aquatic life. Modernization and development aimed at enhancing human quality of life have, however, had a negative impact on the natural state of waters due to an increase in the number and quality of compounds. There are various challenges currently facing waste management as part of environmental rehabilitation efforts. The population has developed a habit of disposing of waste into river streams, and their unwillingness to treat it also contributes to the main issue, as was the case in the Padang River Stream Area. Water that is contaminated In this case the method used in this study is to collect data on survey results localized to the procedure: an unstructured interview, (guideline study only includes the important questions problem to be dug out of the respondents), so it can produce primary data , which will be the subject of research, and Non-Participant observation (observation that the researcher did not participate directly in the activities that are being observed), which produces secondary data that will strengthen the primary data. In this situation, the study's findings are anticipated to offer the best method for reducing Padang River pollution.

UPAYA P2TP2A DALAM PERLINDUNGAN HUKUM TERHADAP KORBAN PEDOFILIA

This research discusses the efforts made by P2TP2A in legal protection for child victims of pedophilia in Aceh Singkil. This research is motivated by the Indonesian Central Bureau of Statistics which records that pedophile crimes continue to increase. Not only in cities, but spreading to villages, one of which is Aceh Singkil. In victimology, children are very vulnerable to becoming victims of crime. Based on this, the guarantee of a decent life, the widest possible opportunity for children to grow and develop, both physically and mentally, is hampered due to the act of pedophilia and of course causes deep psychological trauma to the victim. The problem raised in this study is, What are the factors that cause pedophilia in Aceh Singkil? What are the efforts of P2TP2A Aceh Singkil for legal protection for child victims of pedophilia? aims to find out what are the factors causing the occurrence of pedophilia crimes in Aceh Singkil and the efforts made by P2TP2A Aceh Singkil for legal protection for child victims of pedophilia. The research method used in this study is descriptive analysis, with the type of research library research) and (field research). Based on the results of the research, the authors found that the factors causing the occurrence of pedophilia in Aceh Singkil were easy access to videos that contained elements of decency, alcohol, and a lack of strong faith, a lack of control over the family from parents as protectors, and a lack of education about sex against victim). There are several legal protection efforts carried out by P2TP2A Aceh Singkil, namely providing legal aid services, medical assistance, social rehabilitation efforts, reintegration and assisting all victim recovery referral mechanisms to the provincial P2TP2A.