bluuebunny/crossref_metadata_2025_split huggingface dataset:
Khodadoust Line Indicating Graft Rejection in Descemet’s Stripping Automated Endothelial Keratoplasty: A Unique Case Report
Authors: Oliver-Gutierrez David , Pares-Alfonso Cristina , Anglada-Masferrer Natalia , Bisbe Laia 
Published: October 2024

Abstract

Purpose:
To highlight the rarity of the endothelial rejection line, also known as the Khodadoust line, as a manifestation following Descemet’s stripping automated endothelial keratoplasty (DSAEK). The objective is to present a meticulously detailed case, including imaging and anterior optical coherence tomography (OCT), to enhance understanding and recognition of this phenomenon.

Methods:
A detailed case presentation involving a 50-year-old male, 3 years post-DSAEK transplantation for endothelial damage resulting from intraocular surgeries. The patient urgently sought consultation due to vision loss while under daily fluorometholone use. Clinical examination revealed acute graft rejection characterized by corneal edema, anterior chamber reaction, and the presence of keratic precipitates forming a Khodadoust line. The management approach included the initiation of a tapered dexamethasone regimen.

Results:
The identified acute graft rejection, marked by the presence of a Khodadoust line, demonstrated favorable responsiveness to the initiated tapered dexamethasone regimen. Corneal OCT and imaging played crucial roles in providing detailed insights into the manifestation.

Conclusions:
While the endothelial rejection line (Khodadoust line) is a rare occurrence following DSAEK, this case underscores its potential association with graft rejection. The successful management outlined in this report suggests the importance of prompt recognition and appropriate anti-inflammatory intervention in such cases to achieve positive outcomes.
Myopia Controlling using Low Dose Atropine Eye Drop
Authors: Rajavi Zhale , Kheiri Bahareh , Sheibani Kourosh , Sabbaghi Hamideh 
Published: October 2024

Abstract

Purpose:
To determine myopic progression, axial length elongation, best-corrected visual acuity (BCVA), pupil dilation, and accommodation amplitude following 24 months of Atropine 0.01% usage among progressive myopic patients.

Methods:
Fifty-one progressive myopic patients (age range, 3.5–17 years) were included in the present study. Fifteen patients were excluded due to loss to follow-up (eight patients) and Atropine complications (seven patients) and 36 patients continued therapy. Myopic progression, axial length, far and near BCVA, pupil diameter, and accommodation amplitude were measured at baseline examination and repeated every 6 months up to 2 years. All patients were recommended to instill one drop of Atropine 0.01% in each eye every night. Absolute success of therapy was defined as myopic progression ≤0.50 diopter (D) and axial length growth ≤0.2 mm per year.

Results:
Mean myopic progression was 0.16 and 1.28 D and mean axial length change was 0.05 and 0.69 mm at months 12 and 24, respectively. Pupil dilation was 1.26 and 1.84 mm and accommodation reduction was 3.38 and 3.37 D at the same follow-ups, while BCVA was not changed. Absolute success rate for myopic progression control was 56.8% at 12 months and 70.8% at 24 months follow-up. In addition, the success rate in respect to axial length changes was 44.4% and 58.3% at the same time points.

Conclusions:
Atropine 0.01% can slow myopic progression and axial length elongation at least in 50% of myopic cases at 12- and 24-month follow-up with no significant complications. Therefore, Atropine therapy is recommended in cases of progressive myopia in children and teenagers.
Diffuse Unilateral Subacute Neuroretinitis: A Case Report Documenting Transretinal Migration of Nematodes
Authors: Behboudi Hassan , Alizadeh Yousef , Dourandeesh Maryam , Sanaye Abbasi Ali , Najibzadeh Ehsan , Nabavi Amin 
Published: October 2024

Abstract

Purpose:
To report two cases of diffuse unilateral subacute neuroretinitis (DUSN) from northern Iran and to present the sequential imaging.

Methods:
Two patients with large subretinal nematodes were evaluated and managed in our clinic. Serial fundus photography and optical coherence tomography (OCT) imaging were used to document the course of the disease. Laser photocoagulation was administered to manage the patients.

Results:
The migration of the nematodes from subinternal limiting membrane space to subretinal space was documented in one case, coinciding with the onset of inflammatory and destructive processes. Both patients were successfully managed using laser photocoagulation alone. Follow-up examinations revealed partial recovery of the outer retinal layers and improvement in visual acuity. Nevertheless, some persistent atrophy in the retinal nerve fiber layer and ellipsoid layer was noted in the final examination.

Conclusions:
We presented two cases of DUSN from northern Iran, with OCT documentation of transretinal migration in one case. Photocoagulation laser alone is an effective treatment modality in the early stage. The suboptimal final visual acuity appears to be linked to both inner and outer retinal layers’ damage.
Transforming rehabilitation: A narrative review on reversible knee flexor contracture assistive devices
Authors: Patel Priyanka , Tank Krupa 
Published: October 2024

Abstract:
Joint contracture, marked by restricted joint movement due to connective tissue and muscle shortening, is a common complication in chronic musculoskeletal conditions such as osteoarthritis, osteonecrosis, rheumatoid arthritis, healed septic joint, and postsurgical complications. This limitation adversely impacts joint mobility and flexibility, increasing the likelihood of physical constraints. Contractures elevate the risk of impaired self-care, limited physical mobility, and hindered social activities, emphasizing the critical need to manage such contractures. The study aims to find the most appropriate, effective, user-friendly mechanical device to treat reversible knee flexor contracture. Method of a literature review was conducted utilizing PubMed, Google Scholar, and the physiotherapy evidence database (PEDro) up to April 2023. The inclusion criteria comprised studies related to flexion contracture (FC), written in English languages were included. The literature searched using the terms “flexion contracture, hamstring contracture, knee flexor contracture, burn contracture, knee joint hypomobility, and devices for flexion contracture.” Result after applying the selection criteria, the initial screening of literature gives 35,400 results on Google Scholar, PubMed, and PEDro. Subsequently, 128 articles underwent screening based on abstract and full-text availability in the English language. Following this, seven articles were selected and thoroughly reviewed, which included randomized control trials, systematic reviews, and exploratory studies. The study concluded the use of conventional physiotherapy interventions, coupled with assistive devices, diminishes the burden on physiotherapists and provides effective improvements to patients with FCs.
Evaluation of postoperative complications after removal of mandibular third molar by conventional bur technique and lingual split technique
Authors: Yadav Nirma , Kumar Anand 
Published: October 2024

ABSTRACT

Aim:
The objective of this study was to evaluate the effect and safety including postoperative outcomes in the extraction of impacted mandibular third molar by conventional bur technique and lingual split technique.

Methods, Selection Criteria, and Search Strategy:
A total of 40 healthy individuals, both male and female, aged from 18 to 40 years, underwent surgical removal of impacted mandibular third molars under local anesthesia in a single session. An intensive electronic search was conducted on Google, PubMed, Scopus, Embase, Directory of Open Access Journals, Ovid Medline, and Cochrane Central online databases from their respective inception dates to November 2020. Initially, the search criteria included the terms: ((mandibular OR lower) AND (third molar OR wisdom) AND lingual split). The following outcomes were investigated: pain, swelling, trismus, and dry socket on the first day before surgery, the second (post 24 h), and on the seventh day.

Results and Observations:
The present retrospective comparative study evaluates the postoperative complications after the removal of the third molar. A total of 40 subjects of either sex were randomized to be treated either with the conventional bur technique (Group A) or the lingual split technique (Group B). The ages of Groups A and B ranged from 19 to 40 years and from 19 to 42 years, respectively, with a mean ± SD of 26.20 ± 6.01 and 27.15 ± 6.21 years, respectively. The mean age of Group B was slightly higher than Group A. Comparing the mean age of the two groups, t-test revealed similar (P > 0.05) age between the two groups (26.20 ± 6.01 vs. 27.15 ± 6.21, t = 0.49; P = 0.626). The subjects in both groups were age-matched, suggesting that age may have had minimal influence on the outcome measures (swelling, trismus, and pain).

Conclusion:
In the realm of mandibular third molar (M3) extraction, it is acknowledged that this surgical procedure can present challenges, and there exists a diversity of professional approaches between dentists and oral surgeons. Prior to determining a treatment course for each M3, it is imperative to possess a comprehensive understanding of the pertinent anatomical structures, including the inferior dental and lingual nerves. Additionally, a thorough clinical assessment and the utilization of radiographic imaging are essential for carefully evaluating each case and balancing the advantages and disadvantages of various treatment plans. Timely removal of the third molar (tooth M3) can significantly reduce the adverse complications associated with delayed extraction.
Feasibility, efficacy, and safety of retrograde intrarenal surgery in <1-year age group: A single-center experience
Authors: Vaddi Chandra Mohan , Anandan Hemnath , Ramakrishna Paidakula , Swamy P. M. Siddalinga , Ganesan Soundarya , Panda Rakesh 
Published: October 2024

Purpose:
Urolithiasis in infants is uncommon. Percutaneous nephrolithotomy, extracorporeal shockwave lithotripsy, and retrograde intrarenal surgery (RIRS) are the management options. RIRS is the least studied of these options in infants. In our series of 23 cases, we aim to assess the feasibility, efficacy, and safety of RIRS in <1-year age group.

Materials and Methods:
This was a retrospective analysis of a series of 23 infants who underwent RIRS in our hospital from January 2018 to March 2021. Children who were <12 months of age and had the largest stone size of <20 mm were included in the study.

Results:
Twenty-three patients (male – 15; female – 8) were included in the study. The mean age was 10 ± 2.31 months (range, 4–12 months). The mean stone size was 11.6 ± 2.96 mm (range, 7.5–19 mm). The mean operative time was 29.44 ± 7.45 min (range, 17–42 min). Six patients (22.2%) had mild hematuria (Clavien I), and seven patients (25.9%) had postoperative fever. Stone size had a significant positive correlation with laser time, operative time, and intraoperative intravasation, but no significant association with stone-free rate. At 2-month follow-up, 4 (three patients) out of 27 renal units had residual stones (stone-free rate [SFR] – 85.1%). No patient had long-term complications like urethral or ureteric stricture or stone recurrence during the given follow-up period.

Conclusion:
RIRS is a feasible and minimally invasive treatment for renal stones in infants with acceptable SFRs.
ANALYSIS OF EXPRESSIVE AND RECEPTIVE KENYAN SIGN LANGUAGE SKILLS AMONG PRIMARY DEAF CHILDREN IN WESTERN REGION, KENYA
Authors: Adoyo Peter Oracha 
Published: October 2024

Research has shown that deaf children of hearing parents, who constitute 95% of the deaf community, find challenges in acquiring both sign and spoken languages. This study examined the competence of deaf children in Kenyan Sign Language. The study developed sign language tools in receptive and expressive vocabulary skills. These were sign order, conversation, placement and picture descriptive as a measure. In the majority of the assessment task, there were clear indicators of age effects, family background whether-deaf or hearing, and amount of contact with skilled signers. In the interview section, children tended to answer questions with short responses. The language was only reached at age ten. In a number of cases, simple questions were misunderstood and irrelevant answers were given. It was noted that the interaction with deaf children of deaf parents (DCDP) was very cordial as opposed to deaf children of hearing parents (DCHP). The picture description did not elicit proficient signing as was expected. The story description was not easy to understand and internalize because of the ambiguity of the children’s signing. This was because there was no indication of the protagonist. In sign order, ages ten to eleven did not seem to understand spatial grammar reliably. This test worked better in its receptive version.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0715/a.php" alt="Hit counter" /></p>
COLLABORATION-INCLUSION MODEL: STAKEHOLDERS PERCEPTION OF ITS IMPEDIMENTS AS A SOCIO-COMMUNICATION SKILL DEFICIT INTERVENTION STRATEGY IN LEARNERS WITH AUTISM IN NAIROBI COUNTY, KENYA
Authors: Gakii Linda , Aboum Tom , Wairungu George 
Published: October 2024

Autism Spectrum Disorder is a lifelong neurological disorder that affects individuals’ ability to communicate and socialize. It is commonly evident by age three but some cases can take long to be noticed. Parents' lack of awareness and cultural barriers are commonly associated with the delay. Research-based evidence indicates that the best approach to address social communication skill deficits in learners with ASD is by the use of a collaborative multidisciplinary team approach. This is more optimally done in an inclusive setting, both at school and in society. In this approach, speech therapists and other stakeholders collaboratively and consultatively work together as a team. While this has worked perfectly on many occasions, it has not always produced positive results, especially in developing countries like Kenya. It is important to review the key impediments to this model so that families, practitioners and policymakers can work together to ameliorate the situation created by the impediments. The main objective of this research was to consolidate what stakeholders perceive to be barriers to the effective use of the collaborative-inclusion model and what should be done to improve the current situation. Participants were selected purposefully, with an interview schedule and open-ended questionnaires as the main tools of data collection. Main impediments were found to be cultural barriers, poor training, shortage of physical and human resources, attitude and lack of support from administrators. Solutions include in-service training, the creation of awareness, training of more teachers, the inclusion of inclusion strategies in teacher training curriculum, and more funding by both county and national governments.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0725/a.php" alt="Hit counter" /></p>
EMPOWERMENT THROUGH UNDERSTANDING: A DEEP DIVE INTO LEARNING DIFFICULTIES
Authors: Balcı Murat 
Published: October 2024

<p>This qualitative study focuses on a detailed investigation into the complexities of learning difficulties, aiming to uncover the underlying causes, identify prevalent symptoms, discern societal attitudes, and evaluate the efficacy of various intervention strategies. By engaging a substantial participant base of 863 individuals, the study leverages qualitative methodologies to shed light on the nuanced experiences of those with learning disabilities, including challenges related to perception, skill acquisition, and social integration. The research outcomes emphasize the critical need for a holistic understanding of learning difficulties, taking into account the intricate interplay between psychological, genetic, environmental, and educational influences. Such comprehensive insights are pivotal for the development of tailored support and intervention programs, with the potential to significantly impact educational policies and practices. This study not only enriches the academic and clinical discourse surrounding learning disabilities but also advocates for enhanced societal support mechanisms, thereby aiming to improve the educational journey and quality of life for individuals facing these challenges.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0746/a.php" alt="Hit counter" /></p>
Relación de Tecnología educativa y tecnificación del manejo integral de los desechos solidos
Authors:   Universidad de San Carlos de Guatemala, Quic Cholotío Pedro Josías 
Published: October 2024

OBJETIVO: Describir la tecnología educativa y la relación que tiene con la tecnificación para el manejo integral de los desechos sólidos en cuatro municipios del Sololá. MÉTODO: el presente estudio es un análisis bibliográfico y descriptivo del manejo integral de los desechos sólidos. En 12 estudios de los autores. Área, Castillo, González, López, Sancho, Morales, Torres, Sinara, Werner. DECRETO NUMERO 90- 97. Y Acuerdo Gubernativo 164-2021. Del Congreso de la Republica de Guatemala, caracterización de AMSCLAE, Amigos del Lago e información en sitio web de PROVERDE. RESULTADOS: Las políticas y estrategias municipales carecen de la aplicación de las tecnologías educativas y tecnificación en el proceso del manejo integral de los desechos sólidos; la contaminación visible y la proliferación de vertederos tanto municipal y clandestinos, la cadena incompleta y fallida para intentar trabajar resulta inoperante e ineficiente además de la clara percepción del paradigma que la basura es basura y no un medio calorífico ni materia prima. CONCLUSIÓN: la existencia de un marco regulatorio Reglamento para la gestión integral de los residuos y desechos sólidos comunes, Acuerdo Gubernativo 164-2021, del Congreso de la República de Guatemala, proporciona las condiciones legales para mejorar y cambiar la percepción que se tiene de la basura. Las condiciones actuales para tecnificar el proceso son accesibles porque se disponen en el mercado de la maquinaria y tecnología para aprovechar el potencial calorífico de los desechos sólidos, que aporta al cambio de paradigma que la basura puede percibirse como materia prima. Para que funcione es necesario la implementación de la tecnología educativa para la separación desde el origen de los desechos sólidos, la concientización es viable mediante instituciones que aglomera a las personas en diferentes actividades deportivas, culturales, productivas, educativas, políticas y religiosas, aprovechar el uso de redes sociales por el uso contante y exposición de las personas de consumo de contenidos por este medio.
Creation of Dance According to Beliefs from The Namo Coin Sign
Authors: Rittibul Pravit , Suriyawan Jaruwan , Boonsong Panurat , Orachun Riswan , Alvarez Herbert , Alvarez Elena 
Published: October 2024

The creative performance of the Pallava Namo series. The researcher used mixed methods by conducting qualitative research to find the form and elements of the performance and study the ideas obtained after the creation of a performance of a dance performance based on beliefs from the Namo coin symbol by using research tools consisting of studying and surveying information from academic documents, information media, studying areas and surveying field data, structured interviews and the researcher's experience used the obtained data to analyze and synthesize the content analysis and data triangulate. Then, evaluate the performance by using statistics and finding the mean and standard deviation and presenting them descriptively in the development and design of dance works that are used to explain through the dimensions of creative performing arts that are a medium for conveying values and importance.
The results showed that the creative styles can be classified according to 8 elements of the 1) Performance Design; is divided into 3 periods. The first period, “Pain” is the period that conveys pain and suffering and sadness from sickness and death from plague, the second period "Hope" is the period that conveys the prayers of the holy things and having hope. Based on the belief that sacred things will help protect and heal villagers from various illnesses, the third period, “Faith”, is a period that conveys a better life through belief and faith in Namo coins. 2) Selection of performers 3) Design of dance moves 4) Design of performance equipment 5) Performance Sound and music design, 6) costume design, 7) lighting design, and 8) performance space design. In addition, the researcher took into account three ideas obtained after creating dance: 1) considering creativity in dance, 2) considering the use of symbols in creating dance, and 3) considering dance theory, music, and visual arts.
PENGENALAN TARI KREASI TRADISIONAL INAQ TEGINING AMAQ TEGANANG MELALUI KAMPUS MENGAJAR ANGKATAN 7 DI SDN 4 KURANJI UNTUK MENINGKATKAN KEKOMPAKKAN SISWA
Authors: Baiq Luluh Juniarti  , Yulia Hardiyanty  
Published: October 2024

Penelitian ini bertujuan untuk meningkatkan kekompakan siswa SDN 4 Kuranji dalam sebuah tim. Secara spesifik artikel ini menggunakan kegiatan pengabdian mahasiswa yang dilaksanakan di masyarakat dengan menggunakan metode demonstrasi yaitu suatu metode untuk menampilkan, memperagakan atau mempraktekkan sesuatu secara lansung untuk memberikan informasi secara jelas kepada peserta didik dan untuk mengetahui sejauh mana peserta didik mengetahui tentang informasi tersebut. Dan diharapkan dapt membangun kerja sama antara satu peserta didik dengan peserta didik lainnya baik dalam sekolah maupun di luar sekolah. Berdasarkan hasil penelitian yang telah dilakukan, maka dapat disimpulkan bahwa kegiatan Tari Kreasi Inak Tegining Amak Teganang merupakan bentuk tarian yang menggabungkan elemen tarian tradisional dan tarian moderan yang menghasilkan tatian baru yang unik. Dalam pelatihan tari kreasi ini siswa sudah memahami dasar-dasar tehnik dari tari pada awalnya dan mampu dalam mengikuti kegiatan-kegiatan yang akan dilaksanakan pada pelatihan tari kreasi ini
Kurkistuksia estetiikan hurmioon
Authors: Kaitaro Timo 
Published: October 2024

Kimmo Sarjen toimittamat Sigurd Frosteruksen esseekokoelmat ovat edenneet neljänteen osaansa. Aiemmin ovat ilmestyneet Väri ja valo: Kirjoituksia kuvataiteesta 1903–1950 (2000), Modernin Janus-kasvot: 1902–1935 (2006), ja Arkkitehtuuri: Kirjoituksia 1901–1953 (2010), kaikki Taide-kustantamon julkaisemana.
Frosterus oli paitsi merkittävä arkkitehti, joka on suunnitellut mm. Stockmannin rakennuksen ja Tamminiemen huvilan (jälkimmäisen yhdessä Gustaf Strengellin kanssa), myös laaja-alaisesti sivistynyt kirjallisuuden ja taiteen tuntija. Nyt ilmestyneet esseet esittelevät Frosteruksen ihailemia kuvataiteilijoita, kirjailijoita, arkkitehtejä ja säveltäjiä. Esseet ja kritiikit luovat samalla hyvän kuvan hänen estetiikastaan. Kokoelma tarjoaa kiinnostavan näkökulman viime vuosisadan alun kulttuuri-ilmapiiriin – ja lisäksi myös peilin, josta voi tarkastella oman aikamme estetiikkaa ja sen juuria. Esseet herättävät myös kysymyksen siitä, mihin on kadonnut se tunteiden ja innostuksen palo, joka siivittää Frosteruksen ja hänen aikalaistensa älyllisiä analyyseja.