Petrositis Following Chronic Otitis Media without Gradenigo’s, Treated without Surgery

Petrositis is a rare complication of chronic otitis media. It is known to cause variety of intratemporal and intracranial complications, if not managed timely. Traditionally, surgery was advocated, but with better antibiotics availability, focus is now more on conservative treatment. We hereby present a rare case of petrositis, without full triad of Gradenigo’s syndrome and being managed by intravenous antibiotic only. This highlights importance of early diagnosis and treatment. A 19-year-old male presented with discharge from left ear and left sided headache, (becoming holocranial) for 2 years, with increased severity since a month. Discharge was scanty and yellowish; blood tinged occasionally and was often foul smelling. The headache was insidious, gradually worsening, aggravated by cold food intake and exposure to cold weather. He also gave history of mild hearing loss from left ear. There was history of some improvement with oral antibiotics, prescribed by local practitioners, but the relief was incomplete and lasted shortly. He had no complain of trauma to head or ear, double vision, vomiting, fever or facial weakness. Physical examination was normal especially with respect to extra ocular muscles (Fig.1) and muscles of facial expression.

A Hybrid Traceability Technology Selection Approach for Sustainable Food Supply Chains

Traceability technologies have great potential to improve sustainable performance in cold food supply chains by reducing food loss. In existing approaches, traceability technologies are selected either intuitively or through a random approach, that neither considers the trade-off between multiple cost–benefit technology criteria nor systematically translates user requirements for traceability systems into the selection process. This paper presents a hybrid approach combining the fuzzy Analytic Hierarchy Process (AHP) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) with integer linear programming to select the optimum traceability technologies for improving sustainable performance in cold food supply chains. The proposed methodology is applied in four case studies utilising data collected from literature and expert interviews. The proposed approach can assist decision-makers, e.g., food business operators and technology companies, to identify what combination of technologies best suits a given food supply chain scenario and reduces food loss at minimum cost.

Impact of COVID-19 on Food and Plastic Waste Generated by Consumers in Bangkok

The crisis ignited by COVID-19 has transformed the volume and composition of waste generation and requires a dynamic response from policy makers. This study selected Bangkok as a case study to semi-quantitatively examine the impact of the COVID-19 outbreak on consumer-generated food and plastic waste by examining changes in lifestyles and consumption behaviour through a face-to-face questionnaire survey. Travel bans and diminished economic activity due to COVID-19 have led to a dramatic reduction in waste from the business sector and in the total amount of municipal waste generated. However, the results of the survey showed that both food and plastic waste generated by households in Bangkok increased during COVID-19. The shift from eating out to online food delivery services led to an increase in plastic bags, hot-and-cold food bags, plastic food containers, and food waste. Reasons for the increase in household food waste during COVID-19 varied, with respondents citing excessive amounts of food and unappetising taste, followed by exceeding the expiration date and rotting/foul odours. These reasons may be the result of the inability to predict quantity and quality when ordering online, and inadequate food planning and management by consumers. To achieve more effective food and plastic waste management, home delivery services, consumer food planning and management, and the formation of a circular economy based on localised supply chains may be considered as important intervention points.

Professor Du Xiaoquan’s Experience in Treating Acid Reflux

Acid regurgitation is a common symptom in digestive system diseases which is mainly caused by emotions, diet, and other factors. It is related to gastroesophageal reflux disease, chronic gastritis, and other diseases in Western medicine. According to modern medical research, acid reflux is related to Helicobacter pylori (HP) infection, weak effect of anti-reflux barrier, decreased clearance of esophageal acid, dysfunction of esophageal mucosal barrier, strong stimulation of reflux on esophageal mucosal wall, and other factors [1]. It can be divided into four types which are heat, cold, food stagnation, and yin deficiency. It is often accompanied by vomiting, heartburn, stomachache, and other symptoms. Clinically, it is a mixture of cold and heat, as well as excess and deficiency. Professor Du’s self-made method of “first soothing, second reducing, and third harmonizing” (soothing liver and stomach, relieving stomach qi, and neutralizing stomach acid) is used to treat both, symptoms and the root causes. The commonly used prescriptions are left-running metal pill, cuttlefish bone and fritillaria powder, calcined ark shell, oyster shell, etc.

A conceptual framework model for an effective cold food chain management in sustainability environment

Purpose There is a large number of perishable foodstuffs produced, stored, distributed and delivered daily around the world. Almost all except for root vegetables are sensitive products to temperature. Thus, adopting uninterrupted and appropriate logistics activities with predetermined range of temperature from production site until end-user is critical for ensuring required quality and safety. If a mistake is made during either transport or storage, it not only becomes risky for human health, but also generates huge food waste for the environment and negative economic impact for food providers. Therefore, this study aims to identify all potential factors affecting the cold chain performance in the food industry and to design a framework that includes these factors. This framework is also a roadmap for managers, food providers and logistics parties for sustainable cold chain management. Design/methodology/approach Considering, tangible and intangible potential criteria, the ultimate goal of this study is to identify potential criteria affecting cold food chain performance and propose a conceptual framework including 12 main criteria. Next, the importance order of each criterion and the causal relationships between them are determined. In this study, this relationship among criteria is analyzed by using fuzzy Decision-making Trial and Evaluation Laboratory (DEMATEL) approach because of its ability to solve complex problems by ensuring causal relationship among factors, additionally to determine importance order. Finally, suggestions for administrative implications are presented. Findings Fuzzy DEMATEL was used to explain the causal link and importance order among identified drivers. The analysis shows that five criteria (C1, C3, C8, C9 and C12) belong to cause (influential) groups and remaining seven criteria belong to effect (influenced) groups. The highest influential criterion is staff (C8) and is followed by technical issues (C9) as the second most influential factor. Additionally, top three most important factors are traceability (C7), staff (C8) and cold transportation (C5). According to the numerical results of fuzzy DEMATEL implementations, suggestions for managerial implementations are presented. Practical implications The main contribution of the study is to propose meaningful suggestions for managerial implications about sustainable cold chain in food industry for businesses and to examine causal relations between criteria and to rank criteria in descending importance order. Originality/value To the best of the authors’ knowledge, this is the first study that focuses on determining the potential criteria affecting cold supply chain performance both theoretically and empirically in the sustainability environment. What are the enablers that affect the cold food supply chain stages is the research question of this study.

Coronavirus Disease (COVID-19) and Food Safety

The COVID-19 pandemic is continuing to impact our daily chores of work, education, travel, and food. In this chapter, historical anecdote of SARS pandemic of 2003 is compared with the current COVID-19 with the timeline. The emergence and the primary mode of airborne transmission of the SARS CoV2 that has been incriminated in the outbreaks of meat processing plants is discussed. Considering the WHO report on the likelihood of four possible pathways in the introduction of SARS CoV2 that included the introduction through cold food chain products, advisories for owners, employees, and guests in the hospitality, food, and beverage industry are provided that emphasize on food safety through HACCP food management systems. The approaches of pretravel consultation, vaccination, and adhering to good behaviors of physical distancing, hand hygiene, and face masking are detailed to anticipate early bounce back of the tourism, hospitality, food, and beverage industries.

Grammatical category and the neural processing of phrases

The interlocking roles of lexical, syntactic and semantic processing in language comprehension has been the subject of longstanding debate. Recently, the cortical response to a frequency-tagged linguistic stimulus has been shown to track the rate of phrase and sentence, as well as syllable, presentation. This could be interpreted as evidence for the hierarchical processing of speech, or as a response to the repetition of grammatical category. To examine the extent to which hierarchical structure plays a role in language processing we recorded EEG from human participants as they listen to isochronous streams of monosyllabic words. Comparing responses to sequences in which grammatical category is strictly alternating and chosen such that two-word phrases can be grammatically constructed — cold food loud room — or is absent — rough give ill tell — showed cortical entrainment at the two-word phrase rate was only present in the grammatical condition. Thus, grammatical category repetition alone does not yield entertainment at higher level than a word. On the other hand, cortical entrainment was reduced for the mixed-phrase condition that contained two-word phrases but no grammatical category repetition — that word send less — which is not what would be expected if the measured entrainment reflected purely abstract hierarchical syntactic units. Our results support a model in which word-level grammatical category information is required to build larger units.

PENATALAKSANAAN FRAKTUR ELLIS KELAS III 11 DENGAN PULPEKTOMI DAN RESTORASI MAHKOTA PASAK

A 19-year-old male patient came to Unud Hospital with a complaint that his upper right front tooth was broken. The patient's right front toothaches when he consumes cold food or drinks and bleeds every morning. Pain still exists even if food or cold drinks are removed. Complaints felt since 7 months ago. The tooth now feels pain but is not as severe as the initial tooth fracture. Patients have consumed mefenamic acid to reduce pain. The tooth has never been treated by a dentist. The patient is now treated with pulpectomy accompanied by a fused to metal porcelain jacket crown restoration with a cast post-core. After controlling for one week after treatment, the desired result is the loss of subjective and objective complaints in the patient.

Vehicle routing in cold food supply chain logistics: a literature review

PurposeCold supply chain (CSC) distribution systems are vital in preserving the integrity and freshness of transported temperature sensitive products. CSC is also known to be energy intensive with a significant emission footprint. As a result, CSC requires strict monitoring and control management system during storage and transportation to improve safety and reduce profit losses. In this research, a systematic review of recent literature related to the distribution of food CSC products is presented and possible areas to extend research in modeling and decision-making are identified.Design/methodology/approachThe paper analyzes the content of 65 recent articles related to CSC and perishable foods. Several relevant keywords were used in the initial search, which generated a list of 214 articles. The articles were screened based on content relevance in terms of food vehicle routing modeling and quality. Selected articles were categorized and analyzed based on cost elements, modeling framework and solution approach. Finally, recommendations for future research are suggested.FindingsThe review identified several research gaps in CSC logistics literature, where more focused research is warranted. First, the review suggests that dynamic vehicle modeling and routing while considering products quality and environmental impacts is still an open area for research. Second, there is no consensus among researchers in terms of quality degradation models used to assess the freshness of transported cold food. As a result, an investigation of critical parameters and quality modeling is warranted. Third, and due to the problem complexity, there is a need for developing heuristics and metaheuristics to solve such models. Finally, there is a need for extending the single product single compartment CSC to multi-compartment multi-temperature routing modeling.Originality/valueThe article identified possible areas to extend research in CSC distribution modeling and decision-making. Modified models that reflect real applications will help practitioners, food authorities and researchers make timely and more accurate decisions that will reduce food waste and improve the freshness of transported food.