bluuebunny/crossref_metadata_2025_split huggingface dataset:
REMOTE FUNCTIONAL RESULTS PATIENTS WITH MACULAR HOLE AND RHEGMATOGENOUS RETINAL DETACHMENT SURGICAL TREATMENT WITH DIFFERENT VOLUMES OF PRESERVATION OF THE INTERNAL LIMITING MEMBRANE ACCORDING TO MICROPERIMETRY DATA
Authors: Vaganova Е. Е. , Кonovalova К. I. 
Published: November 2024

Rationale: Macular hole is a defect of the retina in the foveolar zone. In combination with rhegmatogenous retinal detachment, this disease can lead to irreversible deterioration of visual functions and requires immediate surgical treatment. One of the trends in modern ophthalmic surgery is to increase the area of preservation of the internal limiting membrane during the macular hole blocking. Despite this, microperimetry data indicate the appearance of microscotomas at the point of peeling initiation and a general decrease in the photosensitivity of the retinal tissue in the membrane removal zone.Objective: to analyze the dynamics of changes in the retinal functional parameters of patients with macular hole and rhegmatogenous retinal detachment according to microperimetry data after surgical treatment in the late postoperative period.Methods: Data from 40 patients (40 eyes) diagnosed with macular hole and rhegmatogenous retinal detachment were prospectively studied. Patients in group 1 (20 patients, 20 eyes) underwent surgical treatment, including three-port 25G vitrectomy, perfluoroorganic compound, vitreous body sanitation at the periphery, and silicone tamponade. Membrane peeling was performed during the second operation to remove silicone. Patients in group 2 underwent vitrectomy, membrane staining under the perfluorine layer, membrane peeling with closure of the macular hole with an inverted flap, vitreous body sanitation during the first intervention. The operation was also completed with silicone tamponade. During the second intervention, silicone oil was removed from the vitreous cavity.Results: When comparing the light sensitivity index of the retinal tissue in the foveolar zone between the groups, a reliable difference in the indices by 1.2 times continued to persist up to one and a half years after the final stage of surgical treatment, there was a predominance of values in patients of the 1st group with a completely preserved membrane (p = 0.043 in comparison with the data of patients of the 2nd group). In three peripheral zones of the macula, during the long-term observation period up to one and a half years after surgery, the indices of patients of the 1st group prevailed by 1.5 times (p = 0.041 in comparison with the data of patients of the 2nd group).Conclusion: based on the analysis of the dynamics of the functional indices of the retina of patients after surgical treatment of macular hole in combination with rhegmatogenous retinal detachment, the refusal to perform membrane peeling on the detached retina during the first stage of surgical intervention allows to avoid aggressive mechanical trauma to the retinal tissue.
FIRST EXPERIENCE WITH COMBINED CYCLOPHOTOCOAGULATION TECHNIQUE USING TRANSILLUMINATION
Authors: Yakovlev R. A. , Gorbunova N. Yu. , Voskresenskaya A. A. , Pozdeyeva N. А. 
Published: November 2024

Relevance: currently, micropulse transscleral cyclophotocoagulation is widely used for the treatment of refractory glaucoma. It has a high safety profile and can be applied to eyes with high visual potential. Continuous-wave cyclophotocoagulation has a more pronounced hypotensive effect; however, it is accompanied by a significant number of complications. During transscleral cyclophotocoagulation, it is suggested to use a standard position for the sensor, though the position of the ciliary processes may vary.Purpose: to analyze the effectiveness and safety of the combined cyclophotocoagulation technique using transillumination.Materials and Methods: the study included 22 patients (22 eyes) who underwent combined cyclophotocoagulation with transillumination. The observation period was 6 months, with control examinations conducted at 1, 3, and 6 months. At each visit, refractokeratometry, visual acuity assessment, ultrasound examination (B-scan), tonometry using the Maklakov method were performed. There was one case of postoperative uveitis in the form of iridocyclitisResults: after six months, intraocular pressure decreased by 45% from the baseline level-from 35.5 (34–38.5) mm Hg to 20 (20–21) mm Hg. The number of hypotensive therapy drops was also reduced-from 7 (5.75–7) to 4 (3.25–4) drops per day.Conclusion: combined cyclophotocoagulation with transscleral transillumination demonstrated a stable hypotensive effect over 6 months, with no significant complications such as prolonged hypotony, phthisis bulbi, or persistent refractory uveitis, which are commonly seen with continuous-wave cyclophotocoagulation. Thus, this technique may become an effective alternative to standard methods of cyclophotocoagulation.
CLINICAL CASE OF CONSERVATIVE MANAGEMENT OF INFEROMEDIAL ORBITAL WALL FRACTURE
Authors: Radzko I. A. , Sidorenko O. E. , Razhko Yu. I. , Bobr T. V. 
Published: November 2024

Justification. Orbital fractures are one of the most common injuries of the middle zone of the face, second only to damage to the bones of the nose in adults and the lower jaw in children. An increase in the frequency of facial skeletal injuries, the complexity of diagnosis, multidisciplinary interaction, ambiguity and the lack of uniform algorithms for the treatment and rehabilitation of such patients increase interest in studying the topic of orbital fractures, require improved approaches in diagnosis and treatment.Objective: Demonstration of a clinical case of conservative management of an inferomedial orbital fracture.Methods. While getting off the bus, the patient tripped and hit the left side of her face on the curb. She sought medical help. A diagnosis was made: Inferomedial orbital fracture, surgical treatment was proposed. The patient refused surgery. Conservative treatment was carried out.Results. After 3 months from the moment of diagnosis, almost complete restoration of functions and absence of aesthetic deformation was achieved. Conclusions. The optimal treatment plan is often variable and depends on the clinical situation, extent of injury, and patient comfort level.
RE-DRAIN SURGERY IN PATIENTS WITH REFRACTORY GLAUCOMA
Authors: Starostina A. V. , Alferova E. A. , Adzhieva A. A. , Sidorova A. V. 
Published: November 2024

The choice of surgical treatment method for patients with refractory glaucoma of various etiologies is quite complicated. The most commonly performed surgeries are implantation of drainage devices or laser treatment methods. This article presents the results of repeated drainage surgery with Ahmed valve implantation in patients with previously implanted Ex-press shunt in patients with different types of refractory glaucoma.Objective. To present the results of surgical treatment of patients with advanced refractory glaucoma with implantation of Ahmed valve drainage after previous implantation of Ex-Press shunt.Methods. The study included 10 patients (10 eyes) with refractory glaucoma of various etiologies who had previously undergone Ex-Press implantation and subsequently received surgery with Ahmed valve implantation.Results. After surgical treatment, a statistically significant decrease in the level of intraocular pressure was detected in all cases. In the early postoperative period, in one case a choroidal detachment was detected. In the early postoperative period and also during the whole period of follow-up the drainage tube was in the correct position in anterior chamber. By the 6th month of follow-up hypotensive drops were required in 5 patients.Conclusion. At decompensation of intraocular pressure after antiglaucoma surgery with Ex-Press microshunt in patients with refractory glaucoma implantation of Ahmed valve drainage showed efficacy up to 3 years.
POSSIBILITIES OF AUTOREFKERATOMETRY
Authors: Romancheva M. A. , Chukalina I. V. , Nikiforova V. A. 
Published: November 2024

In modern ophthalmology, autorefkeratometry has long become a routine diagnostic study, without which it is impossible to imagine any examination. Computerized autorefkeratometers allow you to obtain a huge amount of information about the condition of the patient’s eye in a short time. At the same time, the information obtained is not always subjected to in-depth analysis.Refractometry data should be compared with keratometry data, compared with the indicators of the paired eye, and evaluate, if possible, the dynamics of changes and their tendency. Comparison of the obtained parameters with the average statistical indicators and the age norm make it possible to establish the presence of pathology that does not belong to the field of refractive errors. Thus, the occurrence of anisometropia with similar keratometry parameters suggests opacity of the lens or vitreous pathology. Direct astigmatism is typical for young people, and oblique or reverse astigmatism is typical for patients 65+. A shift in the irido-lens diaphragm is always accompanied by a change in refraction and its instability. Keratectasias are characterized by high variability in refraction and keratometry data, while sometimes maintaining high visual acuity that does not correspond to changes in optical power. Diopter syndrome is manifested by refractive transformations in accordance with changes in the anterior-posterior axis of the eye due to retinal edema. Dry eye syndrome can be manifested by noticeable refractive instability and errors in determining keratometric parameters.High-quality performance of autorefkeratometry, taking into account the nuances, and an in-depth analysis of the data obtained are necessary for making a diagnosis and assessing the dynamics of treatment of ocular pathology.
RESULTS OF TREATMENT OF PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT WITH RUPTURE IN THE LOWER HEMISPHERE DEPENDING ON THE SURGICAL METHOD
Authors: Sekhina O. L. , Konovalova K. I. , Fayzrakhmanov R. R. , Larina E. A. 
Published: November 2024

Purpose: To evalute the efficacy of short-term tamponade of the vitreal cavity by perfluorinated compound and to analyze the morphological changes after surgical treatment of the patients with rhegmatogenous retinal detachment with rupture in the lower retinal hemisphere.Material and methods: The analysis of surgical treatment of 31 patients with the diagnosis of primary rhegmatogenous retinal detachment in combination with proliferative vitreoretinopathy с type 1–2 with inclusion of the macular zone, with the localization of the rupture in the lower retinal hemisphere. All patients were divided into two groups depending on the tamponade vitreous cavity. I group (n = 15): first stage – vitreoretinal surgery with a tamponade of the vitreous cavity of perfluoroorganic compounds for 14 days, second stage – removal of perfluoroorganic compounds from the vitreous cavity + facoemulsification with implantation of the intraocular lens + tamponade of the natural gas mixture (С2F6). Monitoring for at least 6 months after perfluorinated compound or silicone oil removal.Results: The preliminary results of the study showed a high effectiveness of short-term perfluorinated compound tamponade compared to the silicone oil tamponade in patients with rhegmatogenous retinal detachment with rupture in the lower hemisphere. In all 1st group patients complete retinal reattachment was achieved in all observation periods. In 2nd group, partial retinal reattachment in the lower departments in the long-term postoperative period was detected in 37.5% of cases. There was no cystic macular edema in Group 1 patients, while it occurred in Group 2 patients in 18.7%. Epiretinal fibrosis was detected in Group 1 patients in 14.3% of cases and in Group 2 patients in 31.2% of cases during the whole observation period.Conclusion: The results of the conducted study confirm the effectiveness of the use of short-term tamponade of the vitreous cavity of perfluorinated compound in the treatment of patients with retinal detachment at the localization of a tear in the lower retinal hemisphere. This method improves the anatomical results of vitreoretinal surgery in this category of patients and helps to reduce the number of postoperative complications.
Editorial Address & Advisory Board
Authors: Oegema Gerbern , Rosini Amanda , MacLeod Elyse , Ricker Aaron 
Published: November 2024

The second issue of volume five of the Journal of the Council for Research on Religion (JCREOR) is a special issue, From Indigenous ‘Religions’ to Indigenous Values. Planned and realized in collaboration with Philip P. Arnold (Syracuse University), the Indigenous Values Initiative (IVI), and the American Indian Law Alliance (AILA), this volume offers a collection of responses and articles that speak to the themes and tensions noted in the Report on Indigenous Religious Freedom or Belief, presented by the United Nation’s Office of the External Special Rapporteur on Religious Freedom or Belief, which we have gained special permission to republish here in full. This issue provides input on the report but also examines the restrictions and limitations imposed by the categories of religion and/or belief when working with Indigenous nations and communities.
The responses to Special Rapporteur Ahmed Shaheed’s report discuss not only the usefulness of the categories of religion and belief but also their limitations, which hinder much-needed discussions about Indigenous values and sovereignty. The articles address the historical injustices faced by Indigenous nations and communities in the name of religious freedom, the need for decolonial approaches to the study of religion, and the colonial tensions created by the categories of religious freedom and belief and their relationship to the Doctrine of Christian Discovery. The issue concludes with a reflection by the Special Rapporteur.
MECHANISMS AND MEASURES FOR THE DEVELOPMENT OF ENERGY SOURCES IN ALGERIA IN LIGHT OF SUSTAINABLE DEVELOPMENT
Authors: Samir Ammari , Fatma Hallouz , Eddine Ikhlef Djamel , Lyes Boudjaada 
Published: November 2024

Objective: The aim of this study is to examine the sustainable use of energy sources in Algeria, focusing on the need to improve the efficiency of managing non-renewable resources in light of increasing global energy consumption and its environmental impacts. Given that Algeria heavily relies on non-renewable energies, the research addresses the importance of enhancing the sustainability of these sources to align with global development goals.

Theoretical Framework: The theoretical framework discusses the role of energy in global economies, particularly emphasizing the environmental challenges posed by non-renewable energy sources. It explores concepts related to sustainable development, resource management, and the importance of aligning national energy policies with global sustainability standards.

Methodology: The study utilizes a comprehensive review of existing literature and energy consumption data in Algeria. It assesses current resource management practices, explores policy frameworks, and identifies opportunities for improving energy efficiency and sustainability. The methodology includes both qualitative and quantitative analyses to provide a holistic understanding of the issue.

Findings: The results indicate that Algeria's heavy reliance on non-renewable energy sources necessitates immediate action to improve resource management efficiency. The study highlights key areas where policy improvements can lead to more sustainable use of energy, ultimately contributing to long-term economic and environmental stability.

Research, Practical & Social Implications: The study has significant implications for energy policy development in Algeria, offering insights into how the country can better manage its non-renewable energy resources. Practically, it suggests actionable strategies for improving energy efficiency and aligning with global sustainability goals. Socially, the research emphasizes the importance of addressing energy consumption patterns to reduce environmental harm and ensure sustainable development.

Originality/Value: The value of the study lies in its focus on Algeria, providing context-specific insights into sustainable energy management. It highlights the urgent need for improving the efficiency of non-renewable resource use in a country that heavily depends on such sources, while offering practical recommendations for policy makers to foster sustainable development in the energy sector.
THE IMPACT OF BUSINESS ETHICS ON ENHANCING KNOWLEDGE MANAGEMENT PROCESSES IN ALGERIAN ENTERPRISES - ALGERIA TELECOM CORPORATION AS A MODEL
Authors: Taibi Abdelatif , Sekher Ahmed , Saida Abdelkarim 
Published: November 2024

Purpose: The study aims to shed light on the role of business ethics in the application of knowledge management processes in the Algerian Telecommunications Corporation, Ouargla Unit.

Methodology: The descriptive analytical approach was adopted into a sample consisting of 30 workers, and in order to obtain information regarding the study, the questionnaire tool was relied upon, and in order to analyze the data, the SPSS program was used.

Results: The study concluded that there were no statistically significant differences in the workers' answers to business ethics in the application of knowledge management processes attributed to personal variables at a significance level of 0.05. There is a statistically significant effect of the dimensions of business ethics combined in the application of knowledge management processes combined at a significance level of 0.05. Whereas, the explanatory variable (business ethics) explains 71.9% of the variance in knowledge management processes.

Practical Implications: The findings suggest that businesses aiming to enhance their knowledge management processes should focus on fostering business ethics in services and public relations. Attention to these areas can yield a stronger competitive advantage.

Originality/Value: This study contributes to the understanding of how different elements of business ethics affect knowledge management processes in Algerian enterprises context.
Treatment uptake among notified cases of hepatitis C virus infection in Norway, 1990 to 2022: a registry-based study to monitor progress towards elimination
Authors: Whittaker Robert , Midgard Håvard , Dalgard Olav , Kløvstad Hilde 
Published: November 2024

Background
Hepatitis C virus (HCV) infection is targeted for elimination as a public health threat by 2030. The World Health Organization goal for treatment uptake is ≥ 80% among cases diagnosed with an active HCV infection (RNA- or core antigen-positive), maintained for 2 years.

Aim
To calculate treatment uptake, time from diagnosis to treatment start and complete treatment dispensation among notified cases of HCV infection in Norway.

Method
We linked national data on notified cases diagnosed from 1990–2022 to dispensed prescriptions for HCV treatment from January 2004–February 2023 and data on residence status at the end of 2022. We described treatment uptake by demographic and epidemiological characteristics. We calculated the median number of months from diagnosis to treatment start by year. For direct-acting antiviral treatment periods, complete dispensation was based on the treatment and number of defined daily doses.

Results
Among 12,178 notified cases that had an active infection at diagnosis and were still resident, 10,091 (83%) had received treatment. Uptake among resident cases was > 80% in 2021 and 2022. The median number of months from diagnosis to treatment decreased over time to 3 (interquartile range: 1–5) among cases diagnosed in 2021 and 2022. From 2015–22, 89–93% of direct-acting antiviral treatment periods annually had complete treatment dispensed.

Conclusion
Norway has achieved the elimination goal for treatment uptake among notified cases diagnosed with an active HCV infection. This highlights the benefit of a strategy that includes unrestricted, simplified and integrated treatment options.
Measuring hospital antibiotic consumption in EU/EEA countries: comparison of different metrics, 2017 to 2021
Authors: Rubinić Igor , Leung Vivian H , Högberg Liselotte Diaz , Monnet Dominique L , Vlahović-Palčevski Vera ,   ESAC-Net study group
Published: November 2024

Background
Antibiotic resistance poses a considerable public health threat, with data-driven stewardship a main prevention measure. While quantifying antibiotic consumption is a key component of antibiotic stewardship programmes, the choice of denominator for calculating this metric can impact comparative analyses and trend evaluations substantially, influencing targeted stewardship interventions.

Aim
We aim to evaluate how using hospital sector-specific antibiotic consumption rate denominators at country level impacts country rankings and trends, addressing the limitations of the commonly used 'defined daily doses (DDD) per 1,000 inhabitants per day' metric.

Methods
Hospital antibiotic consumption data from ESAC-Net and denominator data from Eurostat (‘inhabitants,’ ‘bed-days’ and ‘discharges’) for 2017–2021 were used to calculate hospital antibiotic consumption rates for 24 reporting European Union/ European Economic Area (EU/EEA) countries. Countries were ranked by their consumption rates and trends were analysed to assess the effects of using different denominators.

Results
Country rankings and 5-year trend analyses varied depending on the denominator used. Antibiotic consumption rates were more similar when using hospital activity-based denominators ‘bed-days’ and ‘discharges’ compared with the population-based ‘inhabitants’ denominator. Differences in country rankings and trends were also seen among rates derived using ‘bed-days’ and ‘discharges’.

Conclusion
The study underscores the importance of using hospital activity-based denominators such as ‘bed-days’ and ‘discharges’ when evaluating hospital antibiotic consumption. ESAC-Net’s historical reliance on only ‘DDD per 1,000 inhabitants per day’ is challenged, advocating for the use of multiple hospital activity-based denominators. Corresponding hospital activity denominators for ESAC-Net data will more effectively inform national hospital antibiotic stewardship interventions.
Endoscopic transluminal necrosectomy in the complex treatment of a patient with acute infected necrotizing pancreatitis. Clinical case
Authors: Puzyr N. V. , Tkachenko A. Y. , Maksymenko M. V. , Pererva L. O. , Volkovetskii V. V. , Susak Y. M. 
Published: November 2024

This study presents a clinical case of acute pancreatitis treatment, which manifested as infected walled‑off necrosis in a 49‑year‑old obese woman. Diagnosis and treatment were provided by a multidisciplinary team comprising surgeons, anesthesiologists, interventional radiologists, and endoscopists. The treatment strategy followed a «step‑up approach,» a modern technique involving gradual progression from less to more invasive methods, thereby reducing the physiological stress on the patient. This approach has demonstrated efficacy in numerous studies.
In Western countries, endoscopic transluminal necrosectomy is gaining popularity, and our clinic has been implementing it successfully since 2021. Despite its effectiveness, clinicians still encounter challenges when opting for endoscopic transluminal interventions over other minimally invasive methods. Key issues include determining the timing and frequency of interventions, choosing debridement techniques and antiseptics for walled‑off necrosis, and establishing criteria for transitioning to more invasive procedures. Today, researchers handle these nuances on a case‑by‑case basis, relying on the expertise and proficiency of a specific specialized department, which necessitates further research.
In this case the patient achieved complete debridement of a localized fluid/necrosis collection through a stepwise approach. Initial management involved ultrasound‑guided percutaneous drainage and lavage, followed by four sessions of endoscopic transluminal necrosectomy as the final minimally invasive intervention. We assess the unfavorable long‑term outcomes, 2.5 years post‑treatment, as negligible.