bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN POLA MAKAN DAN STATUS GIZI TERHADAP KEJADIAN PRE-EKLAMPSIA DI RSIA SRIKANDI JEMBER
Authors: Dita Ike Fitria Kuswarini  , Aldi Febrian Wieminaty  
Published: August 2021

Latar belakang: Kematian Ibu dan Angka Kematian Perinatal di Indonesia masih sangat tinggi dan terus meningkat, eklampsia merupakan sebab utama kematian ibu, dan sebab kematian perinatal yang tinggi. Ibu yang mengalami pre-eklamsi tidak dapat dicegah sepenuhnya, namun frekuensinya dapat dikurangi dengan pemberian KIE secukupnya ,perlu adanya pengontrolan gizi seperti diet protein, rendah lemak, karbohidrat dan garam.
Metode: Penelitian ini bersifat analitik, populasi yang digunakan yaitu semua ibu bersalin di RSIA Srikandi berjumlah 504 oranng, sample yang digunakan simple random sampling didapatkan 30 responden.
Hasil: Hitung > ftabel yaitu 5,709 > 3,35. Dapat dikatakan bahwa status gizi mempunyai hubungan yang signifikan terhadap pre eklampsi. dilihat dari koefisien determinan, pola makan, status gizi berpengaruh terhadap pre eklampsi sebesar 54,5%. Persamaan regresi linier berganda dari hasil analisis didapat Y = 3,511 + 3,292X1 – 0,994X2. Didapatkan bahwa pola makan, dan status gizi berpengaruh positif terhadap kondisi bayi baru lahir.
Kesimpulan: Pada ibu yang memiliki pola makan buruk mengalami preeklamsi yang berat. Secara simultan Bersama-sama pola makan, status gizi akan mempunyai hubungan yang erat terhadap kejadian pre eklamsi.
Can Students Learn to Use Textbooks Effectively?
Authors: Prentice Linda , Twum Gideon 
Published: August 2021

Can a class assignment covering the reading help students do better in an introductory chemistry class for nonmajors? Two sections of the same course have been compared where one section had a reading assignment that "forced" the students to interact with the text while the other class had the typical homework, quiz assignments, and discussion posts. Both groups took 3 exams and the final exam. A t-test compared the means for each exam, the final exam, and the overall class average. The mean was higher for the group that had the reading assignment in each case. The mean for the class was 71.3% versus 66.7% (p value = 0.050). The mean for exam 1 was 73.0% versus 60.5% (p = 0.052). The mean for exam 2 was 73.3% versus 67.5% (p = 0.225). The mean for exam 3 was 76.9% versus 62.4% (p = 0.044). The final exam was 56.6% versus 55.3% (p = 0.445). The implication may be that students do not understand how to study or what is involved in effective studying. When reading the text is incentivized as an assignment, more students seemed to interact with the text, and more were likely to succeed in the class. This paper examines how interacting with the text for a class supports comprehension.
MRI Assessment of Changes in Swelling of Wrist Structures Following OMT in Patients With Carpal Tunnel Syndrome
Authors: Ramey Kenneth A. , Kappler Robert E. , Chimata Murthy , Hohner John , Mizera Angelique C. 
Published: August 2021

Abstract
We treated patients with carpal tunnel syndrome using OMT. Treatments were focused on the upper thoracic spine, lower cervical spine, and tenderpoints in the forearm muscles. OMT was not applied to the wrist in an attempt to stretch the transverse carpal ligament. MRI images were used to assess changes in fluid content in both the carpal tunnel and median nerve after OMT treatment. MRI measurements of median nerve area, carpal tunnel area and length of the transverse carpal ligament were also obtained. These measurements were correlated with changes in nerve conduction velocities (NCVs), pain ratings, wrist motion measurements, and somatic dysfunction information. The numeric data were compared and contrasted using Hest statistics. Significance probabilities of P &lt; 0.05 were computed. Statistically significant changes were noted in pain ratings, wrist motions and nerve conduction (sensory amplitude). Five patients responded with improvement in symptoms and one did not. The responder group demonstrated a decrease in the amount of swelling of both the median nerve and carpal tunnel. The nonresponder demonstrated increased swelling in both the median nerve and carpal tunnel. Changes in the swelling of both the median nerve and carpal tunnel appear to more closely parallel changes in hand symptoms than nerve conduction results.1 No statistically significant increases occurred in the length of the transverse carpal ligament or the carpal tunnel area. Minimal changes in both the length of the transverse carpal ligament and carpal tunnel area did occur despite no active attempts to stretch this region. All six patients had a predominance of acute changes in the upper thoracic spine and upper ribs. Most patients had tension in the flexor muscles of the forearm. Treatment of the upper thoracic spine, upper ribs, and forearms are all important in the management of carpal tunnel syndrome.
National Institutes of Health and Osteopathic Medicine: Another call for action and equality in a legal struggle won long ago
Authors: Peppers Brian P. , Blumer Janice U. , Hostoffer Robert W. , Rowane Michael P. , Thomas Kevin A. , Byrnes Thomas R. 
Published: August 2021

Abstract
Discrimination, whether by conscious or unconscious means, can have significant and often long-lasting negative consequences on the afflicted group or individual. The osteopathic culture and field of medical practice has long fought for equal rights and recognition among their allopathic medical peers. Almost 90 years have passed since Congress, in 1929, declared allopathic and osteopathic medical degrees equivalent. Despite this, key resources and positions within the medical and research profession continue to be inequitable for the osteopathic community. There exists a severe paucity of osteopathic involvement at the National Institutes of Health today and throughout its history. Herein, the historic and current unequal representation of the osteopathic culture from the National Institutes of Health and MEDLINE is investigated.
Frequency of Somatic Dysfunction in Infants With Tongue-Tie: A Retrospective Chart Review
Authors: Tobey A. Hope , Kozar Albert J. 
Published: August 2021

Abstract

Introduction
The recent increase in breastfeeding has brought an increased awareness of potential causes for breastfeeding difficulties. Many parents are choosing frenectomy or laser revision for their infants with tongue-tie (ankyloglossia). This study aims to identify somatic dysfunctions commonly found in infants with tongue-tie as a first step in distinguishing infants with feeding issues caused by somatic dysfunction from infants with feeding issues directly related to tongue-tie. Since somatic dysfunction of the cranial base and occiput have direct implications for impacting the hypoglossal nerve, which provides motor control of intrinsic tongue musculature, it is our hypothesis that infants with tongue-tie and feeding issues will have a high incidence of cranial base dysfunction.

Methods
A retrospective chart review was performed on 48 charts of infants diagnosed with tongue-tie who had been seen from June 2012 to January 2017 at a multispecialty practice. Thirty-one charts were excluded and 17 charts are reviewed here.

Results
Of the 17 infants with tongue-tie whose charts were included in the review, 76.4% had difficulties with latching and 35.3% had difficulty with suck or coordination of suck. All of the infants (100%) had occipital condylar dysfunction, 94.1% had restriction of at least 1 cranial suture, 94.1% had atlantooccipital (OA) joint dysfunction, and 23.5% had dysfunction at the sphenobasilar synchondrosis.

Conclusions
All of the infants with tongue-tie had somatic dysfunction at the cranial base. This again raises the question of whether or not the feeding issues were directly related to the tongue-tie or to the somatic dysfunction or to a combination of both. This study was limited by sample size and limited diversity of patient sampling. Further studies are necessary.
IRB #2017-007
Patient Education of Osteopathic Manipulative Medicine as a Gateway to Treatment: A Pilot Study
Authors: Majetich Simone A. , Majetich Michael W. , Clegg James M. , Ratay Susan M. 
Published: August 2021

Abstract

Context
The use of osteopathic manipulative medicine (OMM) continues to decline in medical practice, despite an increasing number of osteopathic physicians.

Objective
This pilot study was designed to determine if a brochure created to increase knowledge about osteopathic medicine and OMM was read by patients, reviewed as being helpful, needed modifications and increased patient understanding of and willingness to receive OMM in preparation for a large scale trial that will assess this in both the hospital and ambulatory settings.

Methods
The study was performed using an educational brochure and 2 closed questionnaires. Twenty-seven patients of either inpatient or observation status aged 18 and above with English literacy were enrolled. Participants first completed a pre-questionnaire with questions regarding understanding of OMM and willingness to receive treatment. They then read the provided educational brochure, which contained a checkbox to verify the material was read in its entirety. Participants completed a post-questionnaire with similar questions. The results were analyzed with Wilcoxon signed rank test with 95% confidence to observe any changes in pre- and post-questionnaire responses.

Results
Of the participants, 48.1% provided verification that they read the brochure. A significant increase in patient willingness to receive OMM as part of their treatment regimen was observed for those who read the brochure (P=.008 ). No significant change was seen for those who didn’t read the brochure (P=.26). Additionally, 100% of participants indicated that the brochure was helpful, and 100% of participants indicated a better understanding of OMM. Cost remained a significant barrier to accepting or pursuing OMM treatment.

Conclusion
This pilot study demonstrated a statistically significant improvement in willingness to receive treatment after reviewing the designed brochure. It also identified a need to convey information regarding cost of OMM treatment to patients and a need to better emphasize the checkbox located within the brochure for verification purposes. The brochure and study design proved feasible and will provide the foundation for a larger scale trial looking to assess if a patient educational handout improves understanding of OMM and willingness to receive treatment in the hospital and ambulatory settings.
The Cranial Rhythmic Impulse as a Measure in Patients With Bipolar Disorder: A Case Report
Authors: Huzij Teodor 
Published: August 2021

Abstract
Bipolar disorder is a severe psychiatric illness associated with profound impairment in social and occupational functioning. Several conditions, including psychiatric disorders, have been associated with a decreased cranial rhythmic impulse (CRI). In this case report, a 20-year-old man with a recent manic episode is found to have a normal cranial rhythmic impulse, which is found to be decreased following resolution of the manic episode. This case illustrates the potential that a relative CRI increase in bipolar disorder may be a sign of an active manic state.
Impact of Predoctoral Teaching Fellows on Osteopathic Medical Students: A Near-Peer Teaching Program Evaluation
Authors: Akers Beatrice , Davis Glenn , Keys Jordan , Pierce-Talsma Stacey L. , Lund Gregg 
Published: August 2021

Abstract

Context
The Touro University California College of Osteopathic Medicine (TUCOM-CA) is one of many colleges of osteopathic medicine with osteopathic manipulative medicine (OMM) predoctoral teaching fellowship programs. OMM fellows serve as near-peer teachers for preclinical osteopathic medical students (OMS) at TUCOM-CA, with the objectives of increasing student satisfaction with and understanding of the OMM curriculum. Our aim was to assess whether the TUCOM-CA fellowship program has achieved these objectives.

Methods
All osteopathic medical students at TUCOM-CA were sent an electronic survey. The survey items queried: frequency of and type of interaction; impact on satisfaction with and understanding of the OMM curriculum; impact on confidence in using osteopathic manipulative treatment (OMT); valuation of OMT and intention to use OMT in future clinical practice. Frequencies, means and standard deviations were calculated, omitting “no basis for evaluation” responses. Two-tailed Z-tests of proportions were utilized for analysis of statistical significance, with significance set at 95% (P&lt;.05 ).

Results
In total, 156 of 538 (29.0%) responses were received, and 150 had sufficient data to analyze. Respondents reported varied rates and modes of interaction with OMM fellows (OMM lab table-training [97.3%] to early clinical experiences [30.9%]). Response means for items regarding satisfaction with and understanding of the OMM curriculum fell between “strongly agree” and “agree” for all activities. Many respondents (82.5%–83.8%) reported that interaction with OMM fellows increased their confidence in using OMT. Additionally, respondents who were treated with OMT by OMM fellows reported significantly higher agreement with statements about clinical utility of OMT (Z=2.6, P&lt;.05) and intention to use OMT in future practice (Z=2.3, P&lt;.05).

Conclusions
The majority of osteopathic medical students at TUCOM-CA reported significant agreement with the positive impact of interaction with OMM fellows on satisfaction with and understanding of the OMM curriculum. This supports the conclusion that the OMM predoctoral teaching fellowship program achieves its objectives to increase student satisfaction with and understanding of the OMM curriculum. The survey data also showed significantly stronger agreement with statements supporting valuation of OMT in clinical practice and intention to use OMT in the future, among respondents treated with OMT by OMM fellows.
Neuro-Ocular Release: A New Osteopathic Technique For Resolving Somatic Dysfunction
Authors: Feely Richard A. , Smith Jillian L. 
Published: August 2021

Abstract
Neuro-ocular release(NOR) is a new osteopathic treatment modality that can be used in conjunction with any indirect osteopathic technique. It is proposed that NOR utilizes the recruitment of the visual system to access the descending pathways, while counterstrain access the ascending pathways, resulting in a resetting of the central and peripheral nervous systems. This resetting allows for dampening of the potentiation of somatic dysfunction (SD). The ascending pathways integrate with many of the vision and ocular reflex pathways influencing the descending response to the peripheral tissues, the location of palpable somatic dysfunction. The authors purport the NOR technique allows for more time efficient and effective treatment by changing the central nervous system entrainment of SD.
Severe Viscerosomatic Neck Pain from Refractory Gastroesophageal Reflux
Authors: Uhrig Jarrod , Rettos Jean 
Published: August 2021

Abstract
This is a case of a 73-year-old female with achalasia, hiatal hernia, and prior failed laparoscopic Heller myotomy with Dor fundoplication suffering from severe gastroesophageal disease. The patient developed debilitating neck pain associated with her severe gastroesophageal reflux disease (GERD). She underwent a comprehensive musculoskeletal workup that included a cervical computed tomography (CT) scan and magnetic resonance imaging (MRI). The radiologic imaging results proved unremarkable for identifying the cause of her neck pain. Pain management, neurology, and neurosurgery consultations were unable to provide an etiology that explained her symptoms. Searching for methods of treatment to relieve her neck pain, she received osteopathic manipulative treatment (OMT) focused on somatic dysfunction of both the musculoskeletal system and viscera. The results of osteopathic treatment significantly improved her symptoms. Although OMT provided temporary relief of her neck pain, her GERD symptoms persisted and her neck pain gradually returned. Since a comprehensive workup for neck pain revealed no etiology and she had positive responses to OMT, including treatments focused on the viscera, we attributed her neck pain to a viscerosomatic response of gastrointestinal disease. This case report demonstrates the benefit that osteopathic manipulative treatment provides in diagnosis and treatment of uncommon causes of neck pain such as that resulting from viscerosomatic reflexes. Identifying viscerosomatic reflexes can broaden differential diagnoses and lead to better patient care.
Proprioceptive Coherence: An Expanded View of the Mechanics Behind the Indirect Method and the Introduction of an Innovative Variation
Authors: Lockwood Michael D. 
Published: August 2021

Abstract
Proprioceptive coherence is proposed as a novel osteopathic treatment technique whereby the desired technique response is rapid, resulting from the sensory integration of multiple diverse proprioceptive, somatosensory, nociceptive, neuroendocrine elements contributing to focal somatic dysfunction. Volitional components involving the cerebral cortex, emotional contributions from the limbic system as well as prioritization of the motor responses to dysfunction contribute to mechanisms putatively involved with the technique. The technique has a unique obligatory focus on a temporal element.
To better comprehend this treatment approach, diverse determinants of somatic dysfunction such as altered proprioceptive input, muscular influences, nociception, spinal cord processing and higher level central processing are discussed including muscular, aspects of mechanical transduction and tensegrity, nociception, spinal cord, and central processing. The diagnostic component of this technique involves identification of primarily interoceptive, proprioceptive and somatosensory related tissue alterations and considers a secondary exteroceptive contribution. The treatment phase is dictated by perception of precise balancing of localized forces on the area of dysfunction. A mandatory physician participation is dictated by the feed forward unique chronoception component. At the completion of the technique, rapid therapeutic effects are perceived by both the physician and the patient.
This paper is intended to appeal to the scientist in all of us; the lover of osteopathic manipulative techniques, and the healer we embrace as practicing osteopathic physicians. To help establish proprioceptive coherence as a novel technique, a comparison to common forms of osteopathic treatment based upon the indirect method is presented. It is proposed that proprioceptive coherence is a novel technique with unique mechanisms however others may consider the technique as a refinement of existing indirect methods.
PENINGKATAN MUTU WARUNG PECEL POWER RANGER DI TEGAL BESAR JEMBER
Authors: SUSANTO ANDI 
Published: August 2021

TQM (Total Quality Manajemen) merupakan suatu pendekatan filosofi berbasis budaya dalam sistem manajerial pada organisasi yang mengutamakan kualitas dalam mencapai keberhasilan dengan cara memuaskan pelanggan. TQM dalam dunia bisnis terbukti menuai peningkatan hasil yang signifikan, termasuk usaha kecil dan menengah. Salah satu usaha yang mengaplikasikan TQM ini adalah Warung Pecel Power Ranger di Tegal Basar Jember. Warung tersebut berorientasi pada kepuasan pelanggan, dalam hal ini para pembeli, sehingga tetap eksis dan ramai dikunjungi konsumen di tengah perbagai pecinta kuliner di Jember. Warung tersebut menurut hemat penulis termasuk warung yang telah melakukan inovasi dan perubahan terus menerus dengan pendekatan TQM.Tujuan penelitian ini adalah mendeskripsikan implementasi TQM dan inovasi strategi pemasaran dalam usaha mikro yang berfokus pada kepuasan pelanggan. Metode penelitian ini menggunakan pendekatan kualitatif, yang berkenaan dengan fenomena di lokasi penelitian berdasarkan pengamatan dan wawancara. Hasil penelitian menunjukkan bahwa warung pecel tersebut telah menerapkan TQM sehingga tampak ramai pembelinya. Indikator TQM yang diterapkan terdiri dari a). fasilitas; bersih, sederhana, nyaman. b). produk; rasa khas dan terjangkau. c).pelayanan; komunikasi santun, ramah, cepat dan tanggap. d). jaminan; setiap pembeli yang memberikan masukan atau komplain terhadap layanan atau produk yang tidak sesuai akan diganti. bersikap empatik merupakan inovasi strategi layanan jasa yang berupa perhatian dan kepedulian terhadap konsumen yang selalu dilakukan dengan ucapan salam dan ucapan terima kasih, menjawab salam, selalu tersenyum dan menyimak permintaan pelanggan
Drought responsiveness in two Mexican conifer species forming young stands at high elevations
Authors: Vivar-Vivar Eduardo , Pompa-Garcia Marin , Rodríguez-Trejo Dante-Arturo , Leyva-Ovalle Angel , Wehenkel Christian , Cariilo-Parra Artemio , Moreno-Anguiano Oswaldo 
Published: August 2021

Aim of study: To determine the response of high-altitudinal forests to seasonal drought.Area of study: Monte Tláloc, Estado de México and Rancho Joyas del Durazno, Municipality of Río Verde, San Luis Potosí, México.Materials and methods: In this study, we evaluate the response to drought and hydroclimate in two young Mexican conifers sampled at high elevation, correlating records of tree-ring growth and the Normalized Difference Vegetation Index (NDVI).Main results: The results show that Pinus teocote and Abies religiosa are vulnerable to the precipitation regime and warm conditions of winter-spring. The physiological response mechanisms seem to be differentiated between the species, according to the effects of drought stress. The NDVI demonstrated the different temporal responses of the species according to their inherent physiological mechanisms in response to hydroclimatic limitations. This differentiation can be attributed to the spatial variation present in the particular physical and geographic conditions of each area. The dry and warm seasonal climates reveal P. teocote and A. religiosa to be species that are vulnerable to drought conditions. However, further evaluation of the resistance and resilience of these species is necessary, as well as disentanglement of the effects of associated mechanisms that can influence the predicted processes of extinction or migration.Research highlights: Pinus teocote and Abies religiosa are vulnerable to the seasonal drought conditions. These results are of particular importance given the climatic scenarios predicted for elevated ecotones. Tree-ring widths and NDVI improved the response of radial growth to the climate, enhancing our understanding of forest growth dynamics. The response to climatic variability depends on the particular species.Keywords: High elevation; tree-ring; ENSO; NDVI; climate-growth relationship. Abbreviations used: Normalized Difference Vegetation Index (NDVI); Tree-Ring Width (TRw); precipitation (PP); maximum temperature (Tmax); minimum temperature (Tmin); El Niño-Southern Oscillation (ENSO); Climatic Research Unit Time-series data version 4.04 data (CRU TS v. 4.04); Standardized Precipitation-Evapotranspiration Index (SPEI); Climatic Research Unit Time-series data version 4.03 data (CRU TS v. 4.03); first-order autocorrelation (AC); mean sensitivity (MS); mean correlation between trees (Rbt); expressed population signal (EPS); Ring Width Index (RWI).