bluuebunny/crossref_metadata_2025_split huggingface dataset:
ROLE OF FOOD MANAGEMENT SYSTEMS ON FOOD SAFETY IN HOTELS
Authors: Mutua Alfred 
Published: August 2021

Purpose: Food is an essential part of life, but if it is contaminated it can cause illness even death, and food can be contaminated with toxic substances from outside or even it is already in the food itself. Food safety synonymous with food hygiene embracing anything in the processing, preparation or handling of food to ensure it is safe to eat. The general objective of the study was to the study was to establish role of food management systems on food safety in hotels.
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: The study found out that application of standard food safety systems, compliance to food safety system and implementation of food safety system impact the provision of safe food in hotels.
Recommendations: The study recommends that that application of standard food safety systems led to the provision of safe food in hotels. The study recommends that all hotels meet requirements to ensure the safety of foods. The proliferation of laws and regulations to food safety management system standards are the response to concerns of the hotel management. Developments in food safety regulation spark a move towards a more strict approach to food safety. A range of laws, acts, regulations, norms and directives addressing a variety of different aspects in food hygiene, should be enforced by relevant authorities
Finite Element Stress Analysis of PEEK, Glass Fiber and Zirconia Post-Core Sys-tems in Maxillary Central Incisor
Authors: ÖZARSLAN Merve , BÜYÜKKAPLAN Ulviye , ÖZARSLAN Mehmet Mustafa , TÜRKER Nurullah , ÇELİK H. Kürşat 
Published: August 2021

Objective: This study aims to analyze structural strength features (such as deformation and stress distributions) of polyether ether ketone (PEEK), glass fiber and zirconia post-core systems utilized in maxillary central incisor roots by means of finite element analysis (FEA).
Material and Method: The main geometry of maxillary central incisor considered in this study was obtained using an intraoral scanner. Other sub-components were modelled in a parametric computer aided design software based on the data obtained from the literature. Glass fiber, PEEK and zirconia were defined as post materials. 100 N force was applied with 45° angle on the palatal surface of veneered tooth in the FEA set up. The FEA was solved with linear material model and static linear loading assumptions through a commercial FEA code. Visuals and numerical results related to equivalent stress (Von Mises) and deformation distributions were interpreted.
Results: Maximum equivalent stress value of 32.76 MPa was calculated at the PEEK post-core. The maximum values for glass fiber and zirconia posts were 0.80 MPa and 21.17 MPa, respectively. Maximum equivalent stress values at the tooth roots in the glass fiber, zirconia and PEEK posts were 72.79 MPa, 69.01 MPa and 58.22 MPa respectively.
Conclusion: The stress magnitude experienced at the PEEK post-cores on the root was lower than glass fiber post and zirconia post. Regarding to this, although, it may be concluded that PEEK may reduce the complications that require tooth extraction in clinical practice, further researches are suggested including clinical trials.
Persistent Postoperative Swelling Following Arthroscopic Meniscectomy: A Case Report
Authors: Noblitt Tiffany R. , Fleming Regina K. 
Published: August 2021

Abstract
After arthroscopic meniscectomy, it is important to ensure each patient regains as much of the original function of the knee as possible. The inherent structural and functional relationships among the bones, muscles, fascias, and lymphatics are vital. Each element should be a focus of treatment to reap maximum benefits and reduce long-term dysfunction. While increased range of motion and strengthening exercises are the current focus of postoperative rehabilitation, a more direct approach to the fascial and lymphatic systems should be instituted for those patients reporting swelling as a long-term sequela. In this case report, osteopathic manipulative treatment reduced recovery time for a 65-year-old woman following arthroscopic meniscectomy.
Applying Osteopathic Manipulative Treatment to Postconcussion Syndrome: A Case Report
Authors: Yao Sheldon C. 
Published: August 2021

Abstract
Concussions are a form of mild traumatic brain injury, which are caused by trauma to the head or body. Symptoms of concussion can include headaches, dizziness, imbalance, and difficulty with concentration, which can persist for weeks, months, or even years after the event. This case report details the treatment of a 17-year-old girl suffering from postconcussion symptoms, which prevented her from full participation in school for 2 months after the injury. The patient’s symptoms greatly improved with the application of osteopathic manipulative treatment (OMT).
Treatment focused on balancing and restoring proper proprioceptive input, addressing musculoskeletal restrictions, and improving circulatory and lymphatic flow. Posttreatment, the patient was able to return to full activities at school. This case demonstrates the positive effect of integrating OMT into a case of postconcussion syndrome.
An Osteopathic Perspective on COVID-19: Is There a Missing Link to Treatment?
Authors: Chmielewski Richard 
Published: August 2021

Abstract
As the COVID-19 pandemic progressed across the globe, clinical reports and autopsies on patient deaths proved that the pulmonary complications were the result of an acute respiratory distress syndrome caused by an excessive inflammatory response; a cytokine storm. Through literature research and review it has become apparent to the author that the lymphatic system is a vital, somewhat overlooked, missing link in the treatment of COVID-19 pulmonary infection.
The major challenges the whole world is facing now have been a shortage of supplies such as PPE, or personal protective equipment, and intensive care facilities to treat the overwhelming numbers of COVID-19 cases, in under-developed countries as well as developed countries. Osteopathic manipulative medicine (OMM) and osteopathic manipulative treatment (OMT) have been proven, for over a century, to be very effective in the treatment of pulmonary diseases and previous pandemics. Osteopathic professionals must challenge the present paradigm of modern medicine which, only too often, relies less on the body’s own capacity to regulate itself, to compensate, and to heal, and more on outside intervention such as medications and vaccinations.
Osteopathic physicians are needed to step forward and discuss, explain, teach and train the importance of the lymphatic system as a major component of the circulatory as well as the immune system which plays a vital, pivotal, role in fighting diseases such as the COVID-19 coronavirus. A “viral infection protocol” (VIP), as discussed in this article, needs to be promoted as a mainstream adjunct, along with all of the other modalities of modern medicine, to health professionals and the public, in the event that the health care systems are overwhelmed.
The VIP treatment is easy to train and to certify practitioners, with proven results in other pulmonary infections and epidemics. It may prove invaluable in preventing clinical deterioration of masses of patients, who then would require more expensive, less available, and more dangerous technological interventions.
Osteopathic Manipulative Treatment Affects Renal Mobility and Blood Pressure: A Preliminary Study
Authors: Giovanis Athina , Roantree Rose Anna , Burke Dennis , Sheth Krishna , Adamo Ashley 
Published: August 2021

Abstract

Introduction:
Based on the osteopathic principle that “structure and function are interrelated,” a kidney that is not moving optimally with respiration might be limited in its physiologic functions as well. The objective of this study was to determine if osteopathic manipulative treatment (OMT) affects craniocaudal renal mobility and if there are any correlations between renal mobility and blood pressure measurements.

Methods:
33 healthy female participants were recruited. 25 participants were in the treatment group, and 8 in the control group. All participants’ blood pressures were recorded initially. All participants were then evaluated for craniocaudal renal mobility via ultrasound measurements using Mindray Z6 technology. The treatment group then received an OMT protocol, while the control group rested for 20 minutes. The ultrasound evaluation for renal mobility was then repeated on the participants, and a final blood pressure reading obtained (Touro College HSIRB #1799).

Results:
OMT significantly increased the mobility of the right kidney (P&lt;0.05), but not the left kidney. Although there was no direct correlation between changes in renal mobility and changes in blood pressure, both the systolic and diastolic blood pressure readings decreased significantly (P&lt;0.05) after OMT.

Conclusion:
In this preliminary study, right kidney mobility increased and systolic and diastolic blood pressure measurements both decreased after OMT. Follow-up studies are warranted to further explore kidney mobility and its potential association with blood pressure measurements, as well as the effects of OMT on kidney mobility and blood pressure.
Scholar 12: Beta Trial of an Osteopathic Research Cultural Development Computer Application
Authors: Rowane Marija J. , Hellmann Daniel E. , Branning Rachel A. , Cola Heather M. , Fahoum Jude M. , Snyder Brittany M. , Healy Amber M. , Qi-Lytle Xiaojun , Rowane Michael P. , Terrell Mark A. , Hostoffer Robert W. 
Published: August 2021

Abstract

Context:
Research is emphasized as a critical component of Accreditation Council for Graduate Medical Education (ACGME) Osteopathic Recognition (OR) criteria, yet there remains a deficit of osteopathic contributions to the literature. Scholar 12 combines discrete research development tools into an interactive application and blog forum that guides students from research team formation with an agreed-upon query to a scholarly product and presentations.

Objective:
This study aims to evaluate a beta test of Scholar 12 in developing a scholarly culture within medical school education.

Methods:
An unblinded prospective cohort beta trial by 6 osteopathic medical students across different campuses provided feedback for improvement measures and self-assessed research skill competency before and after completing Scholar 12 on an accelerated time frame. The pre- and post-Scholar 12 surveys scored 12 skills based on learning objectives for each unit on a 5-point Likert scale.

Results:
The composite results from self-assessments of 6 medical students demonstrate a statistically significant improvement in research skill familiarity by the completion of Scholar 12 (p&lt;0.001).

Conclusions:
The osteopathic profession has opportunity to advance clinical practice and fulfill ACGME OR initiatives with evidence-based medical research. Scholar 12 is a foundational educational tool and aims to engage medical students, residents, and attendings with scholarly work, regardless of experience level. The present survey provides a preliminary measure of the efficacy of Scholar 12 in improving medical students’ knowledge of creating new scholarly work. General feedback has been communicated to the application developer and editorial staff for improvement measures before the 2020 nationwide launch. Despite the statistical significance of these students’ self-reported progress, additional beta trials; blinded, long-term evaluation of students’ and mentors’ productivity as a result of this research learning tool; and controlled comparison to other research development programs are warranted. Scholar 12 is designed to accommodate students’ academic obligations with a convenient, virtual tool to learn the research process on a flexible schedule, in order to meet generational needs.
Crochet the Pain Away: A Case Study of Osteopathic Manipulation for Cervical Rib Induced Thoracic Outlet Syndrome
Authors: Herring Joshua A. , Soto Gabriela N. , Silver Sabrina 
Published: August 2021

Abstract

Background:
Many people experience symptoms of thoracic outlet syndrome each year; one cause of these symptoms is the presence of cervical ribs. Cervical ribs have an estimated prevalence of 2% in the general population and 8.3% of those with thoracic outlet syndrome symptoms.1 Current treatment for thoracic outlet syndrome includes physical therapy and surgical resection. Techniques have been described for the treatment of thoracic outlet syndrome with osteopathic manipulation, but no specific treatment for cervical ribs was noted on a literature review.

Case Presentation:
25-year-old healthy female presents with intermittent hand numbness and tingling along the C8 distribution that worsened with crocheting. She had also noted for many years the presence of a hard-supraclavicular mass on her left side. Palpation of this mass showed a bony protrusion that stopped 2 cm posterior to the clavicle on the left, but no mass noted on the right. Records review revealed an x-ray confirming cervical rib on the left.

Results:
After the treatment of surrounding dysfunctions without improvement in symptoms, the cervical rib was identified, manually isolated, and treated with direct myofascial release with respiratory assistance. This treatment provided immediate resolution of her symptoms. She remained asymptomatic for 10 days after treatment. A repeat treatment at two weeks resulted in resolution of her symptoms as far out as three months.

Discussion:
Cervical ribs are common in patients with thoracic outlet syndrome, and treatment for these patients typically includes physical therapy followed by surgical intervention for non-responders. We propose that OMT, with a focus on direct myofascial release, may be effective in alleviating symptoms for patients with cervical ribs. A limitation of this study is that it is a case report of one young active female. A larger study that includes various ages, activity levels, and both sexes would be more generalizable.

Conclusion:
Direct myofascial release is an effective technique for treatment of cervical rib induced thoracic outlet syndrome when myofascial restrictions are present.
INOVASI PEMASARAN PRODUK PEMBIAYAAN LAYANAN BERBASIS JAMAAH LASISMA DI BMT NU CABANG JAMBESARI DARUS SHOLAH BONDOWOSO TAHUN 2019
Authors: Ali Rofii 
Published: August 2021

Baitul maal wat tamwil atau yang dikenal dengan BMT merupakan lembaga keuangan syariah islam yang seluruh aktivitas keuangannya didasarkan pada prinsip-prinsip agama islam. BMT NU adalah satu dari perbagai lembaga keuangan syariah dibawah organisasi NU. Tujuan berdirinya BMT NU adalah untuk pemberdayaan ekonomi warga NU dan menyediakan transaksi keuangan yang islami. BMT NU mempunyai produk-produk yang berkomitmen pada pemberdayaan ekonomi masyarakat dengan berbagi keuntungan diantara kedua belah pihak. BMT NU juga mempunyai standar pelayanan sesuai peratutan lembaga-lembaga keuangan pada umumnya.
Persaingan yang ketat diantara lembaga keuangan yang ada di Indonesia menuntut BMT NU untuk melakukan inovasi mengefektifkan kinerjanya. Hal ini perlu dilakukan untuk menarik calon anggota dari masyarakat. Disamping itu juga pelayanan prima terhadap masyarakat menjadi tumpuan dari BMT NU.
Tujuan penelitian ini adalah mendeskripsikan inovasi pemasaran produk layanan jasa jamaah LASISMA dan alur administrasi berdasarkan tugas pokok, fungsi, dan wewenangnya sebagai lembaga keuangan syariah. Penelitian ini adalah kualitatif studi kasus dengan purposive sampling. Teknik pengumpulan datanya menggunakan studi dokumen, wawancara, dan observasi.
Hasil penelitian menunjukkan bahwa pertama, BMT NU Cabang Jambesari Darus Sholah dengan produk LASISMA berinovasi dengan program DIKDAS (pendidikan dasar) bagi calon anggota yang kegiatannya membahas tentang produk, program, dan materi ke-NU-an. Kedua, Alur administrasi dalam pelayanan jasa produk LASISMA, TABAH, dan SABAR telah sesuai dengan tugas, fungsi, wewenang, dan tanggung jawabnya yang yang berorientasi pada pelayanan prima
Standing open magnetic resonance imaging improves detection and staging of pelvic organ prolapse
Authors: Stothers Lynn , Locke Jennifer A. , Abdulaziz Marwa , Lazare Darren , Kavanagh Alex , Macnab Andrew 
Published: August 2021

Introduction: The role of imaging in pelvic organ prolapse (POP) assessment is unclear. Open magnetic resonance imaging (MRI) systems have a configuration that allows for imaging women with POP in different positions. Herein, we use a 0.5 Tesla open MRI to obtain supine, seated, and standing images. We then compare these images to evaluate the impact of posture on detection and staging of POP.
Methods: Women presenting with symptoms of POP at a tertiary care university hospital were asked to participate in this prospective cohort study. Symptom scores, POP-Q staging and three-position MRI imaging of the pelvis data were collected. The pubococcygeal line (PCL) was used to quantify within-patient changes in pelvic organ position as defined by: no displacement, <1 cm inferior to the PCL, mild (1–3 cm), moderate (3.1–6 cm), and severe (>6 cm) in the axial and sagittal T2-weighted images. Statistical analysis was completed (T-test; p<0.05 significant).
Results: A total of 42 women, age range 40–78 years, participated. There was a significant difference in the mean values associated with anterior prolapse in the supine (0.7±1.8), seated (2.4±3.4), and upright (4.2±1.6) positions (p=0.015). There was a significant difference in the mean values associated with apical prolapse in the supine (0.5±1.5), seated (1.5±1.4), and upright (2.1±1.5) positions (p=0.036).
Conclusions: Our findings suggest that POP is more readily detected and upstaged with standing MRI images as compared to supine and seated positions. The developed two-minute standing MRI protocol may enable clinicians to better assess the extent of POP.
PEG-coated patch parenchymal closure technique and initial outcomes during minimally invasive partial nephrectomy
Authors: McLarty Ryan , Beech Benjamin , Rudzinski Jan K. , St. Martin Blair , Evans Howard 
Published: August 2021

Introduction: The Hemopatch® is a novel polyethylene glycol-coated (PEG-coated) collagen patch, which acts as a topical hemostatic agent. It has been applied to a variety of surgical techniques. Here, we present our series and technique using a PEG-coated patch for minimally invasive partial nephrectomy (MIPN).
Methods: We conducted a retrospective chart review of all patients undergoing MIPN by a single surgeon at a tertiary Canadian medical center between July and December 2018. We included patients if a PEG-coated patch was used to close the renal parenchymal defect. We also describe in detail our technique for laparoscopic patch deployment.
Results: A total of 17 patients met inclusion criteria, of whom 12 were male. Mean age was 63 years old. Median size of renal mass was 2.85 cm in largest dimension and median RENAL score was 6. Hilar clamping was carried out in 12 (70.9%) cases, with an average warm ischemic time of 16.1 minutes. The remainder of cases were performed off-clamp. Median estimated blood loss was 238 mL and the mean change in hemoglobin on postoperative day 1 compared to preoperatively was 21.2 g/L. The average length of stay was 1.76 days. No patient required blood transfusion or underwent angioembolization or re-operation for bleeding within 90 days. There were no Clavien-Dindo grade 3 or greater complication.
Conclusions: A PEG-coated patch can be used safely and effectively in lieu of traditional two-layer renorrhaphy with acceptable outcomes. Larger, prospective series are required to ascertain its true value and cost-effectiveness.
Avaliação de Desempenho em Bioinformática: Estudo de caso de sistemas computacionais para a investigação de microRNAs
Authors: Aguiar Rosana , Ambrosio Leandro , Sepúlveda-Hermosilla Gonzalo , Maracaja-Coutinho Vinicius , Paschoal Alexandre 
Published: August 2021

Este artigo apresenta em detalhes a avaliação do sistema web miRQuest (http://mirquest.integrativebioinformatics.me/) que foi implementado e fez a integração dos principais preditores de microRNAs (miRNAs) em uma arquitetura de middleware, aplicado em um estudo com de caso em bioinformática.
The Importance of MPV as a Marker of Subclinical Inflammation in FMF Patients and It’s Correlation with Disease Severity
Authors: ÇELİKER Mesut , KAZAN Sinan , TUNCA Onur , SARI Alper , KÖROĞLU Mustafa , ULU Mennune Sena 
Published: August 2021

Objective: Inflammation markers increase during Familial Mediterranean Fever (FMF) attacks and often return to normal within a few days. It is known that a subclinical inflammation continues in FMF patients in the inter-episode period, which increases the risk of developing amyloidosis. In recent years, several works have been conducted showing the relationship between platelet indices and inflammation, such as platelet count (PLT), platelet distribution width (PDW), mean platelet volume (MPV), plateletrite (PCT). In this study, we aimed to investigate the relationship between platelet indices and disease severity in FMF patients without attacks.
Method: The records of all FMF patients followed by us were reviewed retrospectively. Patients with a hematological or oncological disease, patients with data deficiency for the study, and patients under 18 years of age were excluded. While the laboratory data were recorded, the condition of patients to be at least 3 months without attack was required. As the control group, the automation records of all healthcare professionals working in the internal medicine clinic of our hospital were examined. Our clinical staff, who did not have chronic diseases and regular drug use, were taken as a healthy control group. 173 patients and 20 control groups who met the conditions mentioned above were included in the study. Platelet indices were compared between patient and control groups.
Results: It was determined that the value of MPV, one of the platelet indices, in the patient group was statistically significantly higher than the value in the healthy control group (p = 0.029). MPV was also found to correlate with disease severity (p