bluuebunny/crossref_metadata_2025_split huggingface dataset:
A novel surgical technique: “Ab interno” autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole
Authors: Doganay Selim , Kiristioglu Mehmet Omer , Gunduz Gamze Ucan 
Published: February 2025

Abstract
This case report presents the case of a 60-year-old man who underwent autologous lamellar scleral patch graft (SPG) repair for a large posterior pole scleral defect during pars plana vitrectomy (PPV). Initially, the patient experienced a perforating air rifle pellet injury, necessitating suturing of the entry wound. Six days later, lensectomy and PPV were performed for traumatic cataract, removal of an intraocular foreign body, dense vitreous hemorrhage, and retinal detachment. During PPV, a significant full-thickness scleral defect was found at the posterior pole and repaired using a 3.5 mm × 4.5 mm autologous lamellar SPG sourced from the superotemporal superficial sclera. Postoperatively, the graft fully adhered to the adjacent sclera without complications such as silicone oil leakage or inflammation. This case marks the first instance of utilizing an autologous lamellar SPG for such a large posterior pole defect during PPV, showcasing its effectiveness and safety for such challenging conditions.
Clinical outcome of eplerenone in the management of acute central serous chorioretinopathy
Authors: Sharma Pramod Kumar , Padhan Bhagyashree , Khuntia Ipsita , Naik Madhumita , Satpathy Biswambara 
Published: February 2025

Abstract

OBJECTIVES:
To evaluate the clinical outcomes of eplerenone in the management of acute central serous chorioretinopathy (CSCR).

MATERIALS AND METHODS:
This case–control study involved 52 eyes of 52 cases of acute CSCR divided between treatment (26) and control (26) groups. Cases in the treatment group were managed by tablet eplerenone 50 mg/d. During the scheduled visits, serum electrolytes and an ophthalmic evaluation, including optical coherence tomography, were conducted. The control group was subject to observation and a similar follow-up. The Statistical Programme for Social Sciences, version 23 was used for statistical tests.

RESULTS:
The mean age in the treatment and control group was 39.15 ± 12.1 years and 36.1 ± 8.09 years, respectively. In the treatment group, 46.15% of right eyes and 53.8% of left eyes, and in the control group, 61.5% of right eyes and 38.5% of left eyes were evaluated. Visual acuity improved to 6/6 in 96.2% of treated cases and 19.2% of controls in the 2nd month of follow-up. Subretinal fluid resolved completely in 61.52% of treated cases and 38.46% of controls at 12-week follow-up. No adverse events were reported, and by the 12th week of follow-up, the mean serum K+ was 4.80 ± 0.157 mEq/L.

CONCLUSION:
Acute CSCR cases managed with oral eplerenone can attain faster resolution with significant functional improvement. Eplerenone may serve as a first-line therapeutic option for acute CSCR with a better safety profile.
Quantifying pupillary dilation-induced alterations in intraocular pressure, angle, and anterior segment parameters in pseudoexfoliation syndrome using Scheimpflug imaging
Authors: Boshra Maria N. , Moharram Hossam M. , Khairat Yehia M. , Moustafa M. Tarek A. 
Published: February 2025

Abstract

PURPOSE:
The aim of the study is to compare the effects of three mydriatic agents on anterior segment parameters and intraocular pressure (IOP) in pseudoexfoliation (PEX) patients and compare the results with healthy controls.

PATIENTS AND METHODS:
This cross-sectional study involved 25 PEX and 16 control patients. Each received three dilating drops (phenylephrine, tropicamide, and cyclopentolate) with eye examinations before and after (over 3 weeks). The measured parameters included IOP, gonioscopy grading, and Scheimpflug imaging analysis of anterior chamber depth, anterior chamber volume, anterior chamber angle, pupillary diameter (PD), central corneal thickness (CCT), and corneal volume.

RESULTS:
The mean age was 66.12 years in the PEX group and 55 years in the control group. There were no significant differences between the groups in baseline parameters, except for CCT being significantly thicker in the control group (P = 0.049). After 2 h of using the dilating drops, the PEX group showed no change in CCT and gonioscopy measurement while all the other tested parameters showed a significant increase. Phenylephrine caused the greatest increase in pupil diameter. Correlation analysis of PD versus other parameters in both groups showed only a negative significant correlation between PD and IOP when using tropicamide on the PEX patients.

CONCLUSION:
All three dilating drops are effective in dilating PEX patients. Phenylephrine is the most effective and ideal for both clinics and surgeries. Cyclopentolate is the least effective dilator in PEX patients compared to healthy controls. Tropicamide 1% provides a good balance between pupil dilation and minimal IOP elevation, making it safer for PEX patients.
Efficacy and outcome safety of capsular tension segment combined with capsular tension ring in children with ectopia lentis
Authors: Barliana Julie Dewi , Rhendy Rio , Casey Anthea , Farandy Rayhan 
Published: February 2025

Abstract
This study aimed to report the efficacy and outcome safety of capsular tension segment (CTS) combined with capsular tension ring (CTR) in ectopia lentis in children. This retrospective case series included patients with nontraumatic ectopia lentis under 18 years old who underwent intraocular lens (IOL) implantation with CTS and CTR combined between 2022 and 2023. The primary outcomes were best-corrected visual acuity (BCVA), IOL centration, and postoperative complications. Four patients, aged 6, 9, 10, and 13, had bilateral subluxated lenses and underwent the surgery. Ectopia lentis with a suspicion of Marfan syndrome was established as the diagnosis. Improvement of the BCVA and IOL centration was seen in all the patients. Posterior capsular opacification occurred in one patient, who was then treated with Nd: YAG capsulotomy. IOL implantation with a combination of CTS and CTR showed a promising visual outcome in children with ectopia lentis.
An acute posterior multifocal placoid pigment epitheliopathy with presumed systemic lupus erythematosus etiology
Authors: Abdullah Omer Othman 
Published: February 2025

Abstract
This case report describes a patient with acute posterior multifocal placoid pigment epitheliopathy, presumed to be the initial manifestation of systemic lupus erythematosus (SLE), who responded to oral immunotherapy. The clinical, hematological, serological, and imaging examinations were carried out on the 28-year-old female who presented with bilateral multifocal central creamy lesions. The imaging modalities’ findings and the overall visual improvement led us to diagnose acute posterior multifocal placoid pigmented epitheliopathy. This is the second time SLE has been presented as acute posterior multifocal placoid pigmented epitheliopathy, and before declaring it is idiopathic, we must investigate it thoroughly.
Assessment of central and peripheral contrast sensitivity in myopes using Spaeth/Richman contrast sensitivity
Authors: Ichhpujani Parul , Parmar Uday Pratap Singh , Singh Rohan Bir , Kumar Suresh 
Published: February 2025

Abstract

BACKGROUND:
Assessing central and peripheral contrast sensitivity (CS) in myopic patients with varying degrees of refractive error using Spaeth/Richman contrast sensitivity test (SPARCS) and compared it with emmetropic individuals.

MATERIALS AND METHODS:
CS of 50 consecutive myopic individuals of varying severity was matched with emmetropes using an online CS test, SPARCS, and Pelli-Robson test. Group comparisons for continuously distributed data were made using analysis of variance (ANOVA) when comparing the groups. A post hoc analysis was also done to compare pairs of each group. SPARCS scores were correlated with age and gender.

RESULTS:
Data of 126 eyes, 96 eyes from 50 myopes and 30 eyes from 15 emmetropes, were analyzed. The total SPARCS scores of Groups 1, 2, 3, and 4 were 75.15 ± 9.59, 76.48 ± 7.74, 74.55 ± 7.48, and 86.43 + 5.3, respectively. Univariate ANOVA analysis revealed a statistically significant difference in total SPARCS score distribution in the three subgroups with myopia (P = 0.048) and between all the groups (P = 0.000). No statistically significant difference was seen between the groups when comparing the individual SPARCS scores with either age or gender.

CONCLUSION:
The study concludes that there is a significant difference in the CS in patients with varying severity of myopia and assessing peripheral CS is an important adjunct to central CS.
Fluorescein-free detection of focal leak in a patient with acute central serous chorioretinopathy
Authors: Mohan Sashwanthi , Sugathan Geethu 
Published: February 2025

Abstract
Fundus fluorescein angiography (FFA) is considered the gold standard for identifying focal leaks in central serous chorioretinopathy (CSCR). However, there are situations where FFA cannot be performed, and alternative noninvasive investigations are required to pinpoint area of focal leaks. We present a case of a 36-year-old female patient with bilateral steroid induced acute CSCR with three distinct fluorescein-free signs converging in the same area indicating presence of focal leak.
Unilateral chorioretinitis in early latent syphilis
Authors: Dhoot Sanjeev Kumar 
Published: February 2025

Abstract
An interesting and unusual case of a 42-year-old Indian male with unilateral chorioretinitis, optic disc inflammation, and positive syphilis serology is presented, highlighting the need for a high index of suspicion in diagnosing this “great masquerader” with diverse manifestations.
Pediatric endophthalmitis-associated penetrating ocular trauma: A single-center retrospective study
Authors: Dehghani Alireza , Ghanbari Heshmatollah , Akhlaghi Mohammadreza , Kianersi Farzan , Fazel Farhad , NabaviNejhad Samin , Mohammadbeigy Iman , Pourazizi Mohsen 
Published: February 2025

Abstract

BACKGROUND:
Penetrating ocular trauma is a severe form of eye injury in children. The purpose of this study is to describe the clinico-epidemiological features of endophthalmitis-associated penetrating ocular trauma in children.

MATERIALS AND METHODS:
In this single-center retrospective study, the medical records of children diagnosed with endophthalmitis-associated ocular penetrating trauma were reviewed during the 5-year study period.

RESULTS:
From 375 cases of children with penetrating ocular injuries, 13 cases (3.5%) of endophthalmitis following penetrative ocular trauma were identified. The patients’ ages ranged from 4 to 18 years. The majority of children were male (69.2%) in preschool age. The most common source of penetration was wood, which accounted for 5 of 13 cases (38.5%), followed by knife and then wire. An intraocular foreign body was detected in three cases of endophthalmitis. Most patients had visual acuity of hand motion or count fingers.

CONCLUSIONS:
Most open-globe injuries and associated endophthalmitis in this study are related to accidental events. More consideration should be taken in attempting to prevent perforating ocular injuries and the consequence of endophthalmitis in children.
Ophthalmic and periocular management of facial nerve palsy
Authors: Yao Anthony , Malhotra Raman 
Published: February 2025

Abstract
Facial nerve palsy (FNP) can be a highly distressing condition with sight-threatening sequelae. However, major advances in ophthalmic and oculoplastic management have been achieved in recent decades, guided by a better understanding of clinical manifestations and an ever-expanding armamentarium of surgical and nonsurgical therapies. Ophthalmologists should be aware of the contemporary approach to FNP, its periorbital complications, and the broad range of treatment options now available.
Adequacy and Distribution of the Health Workforce in Indonesia
Authors: Muharram Farizal Rizky , Sulistya Hanif Ardiansyah , Swannjo Julian Benedict , Firmansyah Fikri Febrian , Rizal Muhammad Masrur , Izza Alifina , Isfandiari Muhammad Atoillah , Ariningtyas Ninuk Dwi , Romdhoni Achmad Chusnu 
Published: February 2025

Abstract

Background:
Indonesia faces the challenges in distributing its health workforce across its diverse geographic barriers, leading to disparities in health status. By examining the distribution patterns and identifying the areas of critical need, the study seeks to inform policy interventions that can more effectively address the health worker (HW) distribution.

Methods:
We conducted a descriptive analysis of healthcare workforce data across all 514 districts in Indonesia. The study focused on five categories of HWs: General practitioners (GPs), medical specialists, dentists, nurses, and midwives. We calculated the HW-to-population ratio to quantify the availability of healthcare workers. We employed the Gini Index as a measure of distribution equality. In addition, we conducted a comparative metric approach to assess the quantity and the equity of healthcare worker distribution across the districts.

Results:
In Indonesia, the current HW ratio stands at 3.84 per 1000 people, falling short of the World Health Organization’s threshold of 4.45 for achieving 80% universal health coverage. This shortfall translates to a need for an additional 166,000 HWs. While midwives show a relatively equitable distribution, specialists and dentists exhibited significantly unequal distribution, especially at the district level. There were greater disparities at the district than at the provincial level. There has been notable progress in the distribution of medical specialists across provinces, with the between-provinces Gini Index for specialists decreasing from 0.57 in 1993 to 0.44 in 2022. However, the inter-district Gini Index remains high at 0.53 in 2022, signifying a concentration of specialists in major cities and provincial capitals.

Conclusion:
This study shows that human resources for health in Indonesia are both inadequate in terms of quantity, and unevenly distributed. Our finding underscores the importance of considering inter-province and inter-district disparities to tailor policies to tackle each region’s unique problems.
Situation Analysis of Maternal Near-miss in Bhutan from 2018 to 2020: Using the World Health Organization Approach
Authors: Tshomo Tashi , Zangmo Kencho , Tshering Karma , Dem Dago , Tshering Sangay 
Published: February 2025

Abstract

Background:
In Bhutan, the maternal mortality rate has drastically decreased over the years. In situations where maternal mortality is not a public health concern anymore, severe maternal conditions have been used as an alternative to maternal health quality indicators.

Aims and Objectives:
This study aimed to report the prevalence, underlying causes, and outcomes of maternal near-miss (MNM) cases in Bhutan.

Materials and Methods:
The study involved a secondary analysis of routine data on MNM cases recorded in three referral hospitals in Bhutan from 2018 to 2020. The World Health Organization MNM, 2011 approach guided the investigation.

Results:
The incidence of potentially life-threatening conditions was 12.8 and MNM was 6.7 per 1000 live births. Obstetric hemorrhage, pregnancy with abortive outcomes, and hypertensive disorders in pregnancy were some of the leading conditions, which had led to women experiencing near-miss complications. About 68.5% of women had received blood products, 20.2% had undergone laparotomy, and 5.9% required intensive care unit admission.

Conclusion:
An audit of MNM cases, which occur more frequently than maternal deaths, could provide better insights into the existing quality of care.
Modifikasi Alat Ripstix Fiberglass untuk Pembelajaran PJOK
Authors: Agustina Rininta , Puspodari  , Kholis Moh. Nur 
Published: February 2025

This research aims to explore the impact of utilizing fiberglass ripstix equipment on students' motivation to learn rhythmic gymnastics. The The Research and Development (R&D) methodology used in this study is based on the ADDIE model, which includes five stages: Analysis, Design, Development, Implementation, and Evaluation. research participants were fourth-grade students from SDN Betet 3, SDN Ngletih 1, and SDN Banaran 2 in Kediri City. To evaluate the appropriateness of the media., Validation tests were carried out by three specialists: a material expert, a media expert, and a practitioner expert. The study also featured a small-scale trial with 10 students and a large-scale trial involving 40 students. The results of the study are as follows: (1) The material validation received a score of 81.25%, classified as Very Appropriate; the media validation scored 90%, which is also categorized as Very Appropriate; and the practitioner validation reached 95%, indicating it is Very Appropriate. (2) In the trials, the small-scale trial at SDN Betet 3 scored 91.33%, the large-scale trial conducted at SDN Ngletih 1 achieved a score of 91.73%, and the large-scale trial at SDN Banaran 2 scored 89.87%. All these results fall under the Very Feasible category. (3) It was concluded that fiberglass ripstix media is highly suitable for use in PJOK learning without requiring any modifications.
Mushroom Production in Nueva Ecija: Promoting Entrepreneurship and Driving SDG Achievement for Sustainable Development
Authors: Domingo Arjhel 
Published: February 2025

Objective: This study aimed to assess mushroom production in the Municipality of Guimba, Nueva Ecija, focusing on challenges faced by producers and opportunities to enhance the sustainability and competitiveness of the industry.

Theoretical Framework: Grounded in agricultural economics and sustainable production practices, the study integrates theories of entrepreneurship and technological advancements, emphasizing cooperative and government interventions in fostering agricultural growth.

Method: A quantitative descriptive research design was used, surveying 133 mushroom producers. Structured questionnaires collected data on production practices, challenges, and cost and returns of mushroom production.

Results and Discussion: Findings reveal that most producers are sole proprietors (98.8%) with less than three years of experience (72.93%), operating on small scales with minimal capital (78.19% under PHP 10,000) and family-based labor. The primary product is fresh white oyster mushrooms, complemented by mushroom fruiting bags, which yielded a net income of PHP 110,400 and a 191% ROI. Mushroom chips generated a higher net income of PHP 308,244 with a 162% ROI, demonstrating strong profitability. Challenges include raw material price fluctuations, labor-intensive processes, pest infestations, climate effects, and marketing competition.

Research Implications: Collaboration between the Department of Agriculture and local farmer associations is recommended to promote zero-waste practices, climate-resilient methods, and modern technologies. Producers should enhance market analysis, diversify distribution channels, and prioritize financial literacy to overcome input provision and marketing challenges.

Originality/Value: This study provides actionable insights into improving sustainability and market competitiveness in mushroom production, offering practical recommendations for innovation and resource optimization in small-scale farming.
Art As A Catalyst for Sustainable Development: Exploring the Collective Artistic Identity of Sebiji Padi Art Group Through the Lens of SDGS
Authors: Berahim Muhammad Hawari , Kamal Nadya Ahmad , Zailuddin Mohd Firdaus Naif Omran , Kamaruzaman Azmul Fadhli , Ibrahim Yuhanis , Rahim Haris Abadi Abdul 
Published: February 2025

Objective: To explore the collective artistic identity of the Sebiji Padi Art Group, a Malaysian contemporary art collective, by analyzing their artworks in relation to societal, political, and cultural themes.

Theoretical Framework: The study uses a qualitative art criticism approach to analyze surrealism, social critique, and personal memory as components that shape the group’s identity. The study connects its findings to the Sustainable Development Goals (SDGs), specifically SDG 11 (Sustainable Cities and Communities) and SDG 16 (Peace, Justice, and Strong Institutions).

Method: The research employs qualitative art criticism to examine the form, type, and style of selected visual artworks, identifying symbols and themes that contribute to the collective’s artistic identity.

Result and Discussion: Findings reveal Sebiji Padi's role in fostering community dialogue and addressing contemporary social issues. Their artworks engage with urban themes, cultural heritage, and community cohesion, supporting SDG 11, while their focus on justice, identity, and social critique supports SDG 16 by promoting dialogue around societal norms and institutional roles.

Research Implication: The research implies that art collectives like Sebiji Padi play a vital role in advancing cultural and social sustainability by using art to foster dialogue and address important social issues in line with the SDGs.

Originality/Value: This study contributes uniquely by highlighting Sebiji Padi’s role in linking Malaysian contemporary art with social critique and community dialogue, emphasizing collective artistic efforts toward cultural sustainability.
Enhancing Jail Commissary Services to Achieve SDGs Through a University-Driven Point of Sale System Development
Authors: Batoon Jayson A. 
Published: February 2025

Objective: This study aims to design and implement a university-driven Point of Sale (POS) system for jail commissary services, enhancing operational efficiency and service quality while aligning with Sustainable Development Goals 9 (Industry, Innovation, and Infrastructure) and 11 (Sustainable Cities and Communities).

Theoretical Framework: The research is underpinned by the Technology Acceptance Model (TAM) and Diffusion of Innovations Theory, emphasizing user-centric design and system adaptability. The ISO/IEC 25010 framework for software quality ensures functionality, reliability, usability, performance efficiency, and security, addressing operational challenges in commissaries.

Method: Using the Agile Scrum methodology, the study developed a POS system featuring inventory management, real-time transaction processing, and audit trails. Data was collected via surveys and pilot testing, with respondents including Bureau of Jail Management and Penology staff, IT experts, and stakeholders.

Results and Discussion: The system received an "Excellent" rating (mean: 4.90) across all evaluation criteria. Notable improvements include operational transparency, error reduction, and enhanced user satisfaction. Iterative feedback ensured alignment with user needs, showcasing the system's reliability and adaptability in real-world settings.

Research Implications: This study demonstrates the potential of university-community collaborations to address societal challenges. The POS system promotes sustainable, inclusive, and efficient commissary operations, providing a model for similar applications in other institutional contexts.

Originality/Value: By bridging academic research and practical applications, this study contributes to the literature on technology-driven solutions for correctional services, highlighting the transformative role of academic innovation in fostering sustainable community ecosystems.