bluuebunny/crossref_metadata_2025_split huggingface dataset:
Background, Treatment and Management in a Patient with Bilateral Choroidal Metastases
Authors: Moore Kelly Mieko , Yeh Brenda , Ferrucci Steven 
Published: October 2022

Choroidal metastasis refers to a tumor that stems from a primary malignancy elsewhere in the body and spreads to the choroid through blood circulation. While once considered rare, choroidal metastasis is now considered the most common adult intraocular malignancy. Due to advances in treatments, extended life expectancy in those diagnosed with cancer has increased the prevalence of choroidal metastasis. Along with ultrasound and fluorescein angiography, newer ocular imaging techniques are clinically accessible to aid in the diagnosis and management of the tumors. Different treatment strategies are also available to best suit the patient’s systemic and ocular states. This case report reviews the background, treatment and management of a patient with choroidal metastases. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com) Please check COPE course expiry dates prior to enrollment. The COPE course test must be taken before the course expiry date.
Visual Consequences of Optic Tract Damage
Authors: Kawazoe Kerilyn M. , Ilsen Pauline F. 
Published: October 2022

Background: Optic tract lesions can have devastating visual consequences. When insult is isolated to the optic tract, central acuity is typically spared and color vision is usually normal; the visual manifestation of damage is a visual field deficit. Optic tract damage as a cause for homonymous hemianopia is relatively rare compared to other visual pathway lesions producing such a field defect, and presents with characteristic features. These features include a relative afferent pupillary defect in the eye contralateral to the lesion and pallor of that optic disc in a “band” or “bow-tie” configuration. Case Reports: Two patients with optic tract damage of different etiologies were examined. The first patient presented with concerns about blackouts and peripheral field deficits. Neuroimaging demonstrated a supersellar meningioma compressing the left optic nerve and part of the optic tract. Prior to meningioma resection, threshold visual field testing revealed the presence of a right incongruous incomplete homonymous hemianopia. The second patient sustained severe brain injury during a motor vehicle accident which left him in a coma for over one month. Upon awakening, he reported left-sided vision loss. Magnetic resonance imaging revealed damage involving the right optic tract, corresponding with a left homonymous hemianopia found on threshold perimetry. Conclusions: The optometrist should bear in mind that homonymous hemianopic visual field deficits can be caused by lesions in the optic tract, although damage to this portion of the visual pathway occurs infrequently. The unique clinical presentation of optic tract lesions enables the optometrist to make a preliminary diagnosis as to the location of the insult. This is especially important since lesions of the optic tract may be difficult to detect with neuroimaging. CE Notification: This article is not available as a COPE accredited CE course. To view all the COPE accredited CE courses: Click here to Enroll (https://www.crojournal.com) Please check COPE course expiry dates prior to enrollment. The COPE course test must be taken before the course expiry date
Foveal Retinoschisis: Case Report and Clinical Review
Authors: McBride Matt , Williamson James A 
Published: October 2022

Clinicians often discover a retinoschisis during a peripheral retinal exam. However, the finding can occur within the posterior pole and surprise the examining provider. There are numerous etiologies of maculopathy associated with retinoschisis – also called foveoschisis. These include juvenile X-linked retinoschisis, myopic foveoschisis, optic disc pit maculopathy, autosomal recessive foveoschisis, medication induced foveoschisis, or even idiopathic classifications. The following case report will describe a patient with unilateral foveoschisis. Though visually symptomatic, the condition remained stable since 2013 and as such deferred any surgical intervention. It is important to recognize and understand the pathology, natural history, and prognosis of foveoschisis in order to monitor vision and potential complications. Regardless of the foveoschisis nature, the best diagnostic tool to monitor the condition is optical coherence tomography (OCT). Differentiating the cause will guide the examiner regarding an appropriate follow up schedule, monitoring for potential sequelae, and accurate education. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/foveal-retinoschisis-case-report-and-clinical-review) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Collateral Damage: A Differential of Takayasu Retinopathy
Authors: Duong Cheryl C 
Published: October 2022

Background: Takayasu retinopathy is the ocular manifestation of Takayasu arteritis, a vasculitis affecting the aorta and aortic branches. Ocular manifestations are a result of cerebral and ophthalmic nonperfusion, and are noted in 8.1% to 68% of patients with Takayasu arteritis. Management of Takayasu retinopathy relies on treatment of the underlying systemic condition. Case Report: A 60 year old African American male was referred for a comprehensive eye exam after abnormal findings were noted on his diabetic teleretinal exam. Upon clinical examination, the patient was diagnosed with moderate to severe diabetic retinopathy, and a fluorescein angiography was ordered due to the presence of irregular vessels on the optic nerves. Takayasu retinopathy was considered as a differential diagnosis after review of the fluorescein angiography. Further work up with magnetic resonance angiography (MRA) showed no signs of significant stenosis. Conclusion: Takayasu retinopathy is a rare ocular manifestation that can aide in diagnosing a rare and previously undetected systemic disease of Takayasu arteritis. It is important for primary eye care providers to be assertive in performing additional diagnostic tests to prevent misdiagnosis and management of an underlying systemic condition. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/collateral-damage-a-differential-of-takayasu-retinopathy) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Ocular Manifestations of Sickle Cell Disease: A Review
Authors: Haynes Jessica , Rixon Andrew J. , Clinard Cameron W. 
Published: October 2022

Problem: Sickle cell disease (SCD) is an increasingly frequent global health concern whose complications may result in decreased function and reduced quality of life. SCD is a multisystem monogenic disease resulting from a mutation that causes the abnormal ‘sickling’ of erythrocytes. Subsequent local and diffuse vaso-occlusion can cause both systemic and ocular damage. Although sickle cell retinopathy (SCR) is the most commonly evoked ocular sequelae of SCD, all vascularized ocular tissues can become ischemic and progressively damaged. The combination of retinal screening of high-risk patients and early detection of the ocular sequelae of SCD with advanced diagnostic technologies should result in timely intervention and preservation of vision. Conclusion: This review of the ocular manifestations of SCD will reinforce the critical role of optometry in the multi-disciplinary care of these growing number of patients we as a profession will encounter. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 2-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/ocular-manifestations-of-sickle-cell-disease-a-review) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Purtscher’s-Like Retinopathy Following Acute Pancreatitis
Authors: Melkumyan Satenik , Yeh Brenda , Ferrucci Steven 
Published: October 2022

Background: Purtscher’s retinopathy is a rare condition that results from trauma to the head, neck or thorax. Purtscher’s-like retinopathy is similar in appearance to Purtscher’s retinopathy but occurs in association to various systemic conditions, including acute pancreatitis. Both are a result of occlusion of precapillary arterioles by small and intermediate sized emboli and present with retinal whitening and intraretinal hemorrhages throughout the posterior pole. Other findings may include optic nerve edema, macular edema, macular ischemia and serous macular detachment. Patients are often symptomatic for reduced vision and visual field loss. Case Report: A 23-year-old African American male presented with reduced vision in both eyes following hospitalization for the treatment of acute pancreatitis secondary to alcohol abuse. Fundus examination revealed extensive peripapillary retinal whitening in both eyes with a few intraretinal hemorrhages. Optical coherence tomography of the macula revealed a serous detachment in both eyes. Improvement in visual acuity and partial resolution of the macular subretinal fluid was observed upon follow up. Conclusion: Purtscher’s and Purtscher’s-like retinopathy are thought to be self-limiting conditions that resolve without ocular treatment. Following resolution of the acute retinal findings, patients can be left with visual acuity and/or visual field loss. While there is currently no accepted treatment for the retinopathy itself, it is important to treat the associated systemic condition. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/purtschers-like-retinopathy-following-acute-pancreatitis) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
An Asymptomatic Circumscribed Choroidal Hemangioma: A Case Report
Authors: Schieber Brittney , Mega Joseph V. , Greenberg Paul B. , Hunter Amanda 
Published: October 2022

This paper reviews the clinical characteristics of a circumscribed choroidal hemangioma (CCH). This rare, benign ocular tumor often goes undiagnosed until it causes secondary complications such as macular edema. It is critical to differentiate a CCH from malignant posterior segment tumors such as choroidal melanoma. Ocular photodynamic therapy is an important treatment option for patients with symptomatic CCH. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/an-asymptomatic-circumscribed-choroidal-hemangioma-a-case-report) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
The Effect of Scleral Contact Lens Wear on Tear Osmolarity
Authors: Lau Jackson K. 
Published: October 2022

Purpose: To measure the effect of scleral contact lens wear on tear osmolarity. Methods: A total of 31 healthy subjects were screened for inclusion in the study. All subjects have never worn scleral contact lenses. After discontinuing current contact lens wear for one week, baseline tear osmolarity measurements were taken with the TearLab Osmolarity System (TearLab Corp., San Diego, CA). Twenty-three subjects were fit with the Valley Custom Stable (Valley Contax, Springfield, OR) mini-scleral contact lens design. Once an acceptable fit was achieved, the contact lenses were dispensed for daily wear use only. At the one month follow-up visit, tear osmolarity was remeasured under the same baseline conditions. A total of 13 subjects completed the study. Results: We analyzed the data from twenty-six eyes of 13 subjects. The mean baseline tear osmolarity value was 293.58 +/- 8.49 mOsm/L. After 1 month of scleral contact lens wear, the tear osmolarity increased to 310.65 +/- 17.46 mOsm/L, which was statistically significant (p < 0.001). Conclusions: Results were consistent with similar studies involving other contact lens modalities. A statistically significant increase in tear osmolarity was noted at the one month visit. It is hypothesized that this increase is caused by the disruption of the natural tear layer and, potentially, decreased tear production. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/the-effect-of-scleral-contact-lens-wear-on-tear-osmolarity) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Scleral Topography-Guided Scleral Lens Fitting
Authors: To Eric 
Published: October 2022

Keratoconus is a progressive corneal ectatic disease that leads to corneal shape irregularity and subsequent blur, visual distortion, and glare. One of the best non-surgical treatments for those suffering from keratoconus are scleral lenses. The ability of scleral lenses to compensate for irregular astigmatism allows patients to see clearer, more comfortably, and with visual stability. Technological advances such as Map3D scleral topography allow for a more precise first lens, which enhances initial comfort and vision, all while reducing chair time. Despite technological guidance, considerations must still be made to conjunctival settling, corneal edema, and corneal hypoxia. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/scleral-topography-guided-scleral-lens-fitting) Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Detection of Ectopia Lentis Results in Diagnosis of Marfan Syndrome
Authors: Graf Joshua A. 
Published: October 2022

Marfan syndrome is one of the most commonly inherited connective tissue disorders. Marfan syndrome can affect the skeletal, ocular, and cardiovascular systems. The ocular effects often include ectopia lentis, which means dislocation of the intra-ocular lens. Marfan syndrome can lead to an aortic dissection and aneurysm, resulting in death. For this reason, it is crucial to investigate any unknown cause of lens subluxation. This case report explains how a patient was found to have undiagnosed ectopia lentis on a routine ocular examination and was later diagnosed with Marfan syndrome after further testing. The case report also reviews the clinical findings and management options for Marfan syndrome. <br>CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com). Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.
Pelaksanaan Pembangunan Pedesaan di Desa Wawouru Kecamatan Palangga Kabupaten Konawe Selatan
Authors: Haeriyah  , Erfain  
Published: October 2022

Permasalahan penelitian ini adalah: bagaimanakah pelaksanaan pembangunan pedesaan di Desa Wawouru Kecamatan Palangga Kabupaten Konawe Selatan? Tujuan penelitian ini adalah untuk mengetahui dan mendeskripsikan pelaksanaan pembangunan pedesaan di Desa Wawouru Kecamatan Palangga Kabupaten Konawe Selatan. Penelitian ini adalah penelitian kualitatif dimana informan penelitiannya adalah Tokoh Masyarakat, Kepala Desa dan Sekretaris Desa Wawouru, Ketua LPM dan Imam Desa Wawouru. Pengumpulan data dilakukan dengan cara observasi dan wawancara. Data yang terkumpul kemudian dianalisis secara kualitatif deskriptif. Penelitian ini menyimpulkan bahwa pelaksanaan pembangnan di Desa Wawouru Kecamatan Palangga Kabupaten Konawe Selatan belum berjalan sebagaimana semestinya, Hal ini bisa disebabkan kurang adanya kerjasama antara Pemerintahan Desa dengan Masyarakat Desa dalam upaya pembangunan desa. Dengan demikian pelaksanaan pembangunan di desa Wawouru tidak dapat berjalan secara optimal.
Kebijakan Pemerintah terhadap Pelayanan dalam Penerbitan Sertifikat di Kantor Badan Pertanahan Nasional Bombana
Authors: Khayati Sri 
Published: October 2022

Penelitian ini bertujuan untuk mengetahui dan memahami bagaimana pelaksanaan pelayanan dalam penerbitan sertifikat hak milik atas tanah oleh Badan Pertanahan Nasional kabupaten Bombana, Penelitian ini juga bertujuan untuk mengetahui dan memahami faktor-faktor apa yang menjadi penghambat pelaksanaan pelayanan dalam penerbitan sertifikat hak milik atas tanah oleh Badan Pertanahan Nasional kabupaten Bombana. Penelitian ini dilakukan di Kantor Badan Pertanahan Nasional Kabupaten Bombana dengan Tipe penelitian ini adalah empiris yuridis dengan menggunakan teknik studi pustaka dan wawancara. Data yang diperoleh baik data sekunder maupun data primer dikategorikan sesuai jenis data. Kemudian data dianalisis dengan menggunakan metode kualitatif yang hasilnya dipaparkan secara deskriptif. Hasil penelitian menunjukkan bahwa pelaksanaan pelayanan dalam penerbitan sertifikat hak milik atas tanah pada kantor Badan Pertanahan Nasional Kabupaten Bombana masih belum terlaksana secara optimal. Hal ini dapat dilihat dari kejelasan informasi mengenai kelengkapan berkas pemohon dan ketepatan waktu yang tidak sesuai dengan yang dijanjikan oleh pengurus pendaftaran tanah. Faktor pendukung pelaksanaan pelayanan ini yaitu tingkat pengetahuan, keterampilan aparat, sikap dan perilaku aparat. Faktor penghambat pelayanan ini adalah kurangnya sumber saya manusia dan kurangnya pengetahuan masyarakat mengenai prosedur dan kelengkapan berkas dalam pengurusan sertifikat tanah.
Implementasi Kebijakan Penerima Bantuan Iuran Badan Penyelenggara Jaminan Sosial Kesehatan di Kabupaten Lampung Tengah
Authors: Jamani Cecep , Budiati Endang , Irianto Sugeng Eko 
Published: October 2022

Artikel ini bertujuan untuk memahami peran dan alur kebijakan pengawasan, anggaran dan legislasi dari DPRD Lampung tengah terhadap kebijakan di bidang kesehatan terhadap masyarakat kurang mampu dalam bentuk PBI APBD (penerima bantuan iuran) BPJS. Metode penelitian yang digunakan adalah secara kualitatif dengan analisis data, wawancara DPRD, Dinas Sosial, Dinas kesehatan, dan Perangkat Desa. Untuk menentukan prioritas masalah berdasarkan hasil data menggunakan metode USG Metode Urgency, Seriousness, Growth yang merupakan salah satu alat untuk menyusun urutan prioritas isu yang harus diselesaikan dengan cara menentukan tingkat urgensi, keseriusan, dan perkembangan isu dengan menentukan skala. Hasil penelitian bahwa program PBI BPJS sebagian tidak tepat sasaran sehingga perlu penanganan serius sehingga sesuai tujuan PBI BPJS tercapai secara maksimal.
Nilai-Nilai Pendidikan Akhlak dalam Surat Al-Hujurat Ayat 11-12 Telaah Tafsir Al-mishbah Karya Prof Dr. Quraish Shihab
Authors: Nurlaila  , Gazali  
Published: October 2022

Mengingat pentingnya pendidikan Islam yang meliputi akhlak, aqidah, dan syariat, bagi terciptanya kondisi lingkungan yang harmonis, diperlukan upaya serius untuk menanamkan nilai-nilai tersebut dan pastinya yang sesuai dengan al-Qur’an dan al-Hadits. Dimana salah satu poin tersebut adalah akhlak al-karimah yang merupakan sarana untuk mencapai kesuksesan dunia dan akhirat, dengan akhlak pula seseorang akan diridhai oleh Allah SWT, dicintai oleh keluarga dan manusia pada umumnya. Surat al-Hujurat ayat 11-12 memiliki kandungan (makna) tentang pendidikan akhlak yang sangat dalam mengenai kandungan ayat 11 sampai 12 merupakan masalah yang banyak terjadi dan tetap aktual di dalam masyarakat, maka perlu adanya penelitian tentang isi kandungan ayat tersebut melalui kajian tafsir. Dengan demikian, penelitian ini bertujuan untuk mengetahui: (1) nilai-nilai akhlak apa yang terkandung dalam Surat Al-Hujurat ayat 11-12. (2) pandangan Quraish Shihab tentang akhlak dalam Surat Al-Hujurat ayat 11-12. (3) relevansi nilai-nilai akhlak di Surat al-Hujurat ayat 11-12 terhadap pendidikan Islam. Penelitian ini termasuk library research, dengan pendekatan deskriptif kualitatif. Dalam menganalisa data yang telah terkumpul peneliti menggunakan metode tafsir tahliliy atau disebut juga sebagai metode analisis yaitu metode penafsiran yang berusaha menerangkan arti ayat-ayat al-Qur’an dengan berbagai seginya. Analisis tersebut mengacu kepada buku-buku serta dokumen yang relevan dengan penelitian. Hasil penelitian menunjukkan bahwa nilai-nilai pendidikan akhlak yang ada dalam surat Al-Hujurat ayat 11-12 adalah pendidikan akhlak yang menjunjung tinggi kehormatan sesama muslim, pendidikan akhlak untuk menghindari sifat-sifat yang tercela seperti perbuatan mengolok-olokkan, perbuatan prasangka, dan menjauhkan diri dari perbuatan ghibah, kemudian pendidikan bertaubat dan bertaqwa.
Minat Belajar Mahasiswa Pada Mata Kuliah Ekologi Hewan Selama Masa Pandemi Covid-19
Authors: Megawati Ruth 
Published: October 2022

Jenis penelitian ini adalah penelitian deskriptif kuantitatif, dengan populasi semua mahasiswa yang memprogram mata kuliah ekologi hewan. Teknik pengambilan sampel yaitu Teknik sampling jenuh, yaitu mengambil semua populasi sebagai sampel penelitian yaitu sebanyak 36 orang. Instrument penelitian ini yaitu kuesioner tertutup tentang minat belajar. Kuesioner ini dibuat dengan skala likert dengan alternatif pilihan jawaban Sangat Setuju (SS) dengan skor 4, Setuju (S) dengan skor 3, Tidak Setuju (TS) dengan skor 2, Sangat Tidak Setuju (STS) dengan skor 1. Teknik Pengumpulan data ada du acara yang dilakukan yaitu (1). memberikan kuesioner secara online melalui Google form; (2). Melakukan wawancara kepada beberapa mahasiswa untuk mengonfirmasi jawaban dari kuesioner. Teknik analisis data yaitu dengan rumus persentase, selanjutnya dikonfirmasi pada tabel kriteria perolehan skor minat hasil belajar. Hasil Penelitian setiap indikator minat menunjukkan adanya perbedaan di setiap hasil yang diperoleh. Untuk indikator perasaan senang mengikuti perkuliahan pada mata kuliah ekologi hewan berada pada kategori sedang dengan persentase perolehan 58%, selanjutnya indikator perhatian atas perkuliahan berada pada kategori kurang dengan persentase 40%, indikator kemauan untuk selalu aktif mengikuti perkuliahan juga berada pada kategori kurang, dengan persentase 37%, dan indikator ketertarikan akan mata kuliah ekologi hewan berada pada kategori sedang dengan persentase 60%. Dan secara keseluruhan berdasarkan semua indikator, minat belajar mahasiswa dalam mengikuti perkuliahan ekologi hewan berada pada kategori sedang dengan persentase 48, 75%.