bluuebunny/crossref_metadata_2025_split huggingface dataset:
Access to Pain Management Programs: A Multifactorial Analysis of the Pathways of Care for Chronic Pain Patients in the University Clinic Erlangen
Authors: Dorscht Lisa , Schön Christoph , Geiss Christa , Gräßel Elmar , Donath Carolin 
Published: June 2019

Abstract
Background Different treatment options are offered for patients suffering from chronic pain, which differ in intensity and costs: 1) monodisciplinary treatment, mostly in outpatient care and 2) interdisciplinary treatment with the option of participating in pain management programs as outpatients or inpatients. The present work investigates how patients at the University Clinic Erlangen receiving monodisciplinary treatment differ from those receiving interdisciplinary treatment (research question I) as well as how patients participating in a pain management program differ from those who do not (research question II). The aim is to generate insights into whether the differences between the patient groups under various treatment modalities reflect the officially defined criteria for the indication of chronic pain management programs.
Methods Routine data of 1,833 patients treated from January 2008 to March 2013 at the University Clinic Erlangen were analyzed. After univariate preanalyses and checks for multicollinearity, the remaining variables were used for the final multivariate model (multiple binary logistic regression) for research question I and II.
Results Research question I: Patients getting interdisciplinary treatment were more often employed, had higher affective experience of pain, more often regarded their pain as treatable, had more often participated in at least one pain-associated rehabilitation treatment in the past, were younger and rarely had application for retirement in consideration. Research question II: Patients who participated in a pain management program were more often female, more often employed, described their pain as mainly located at the upper part of the body, had more concomitant symptoms, were more often diagnosed with musculoskeletal pain and rarely had a retirement request pending.
Conclusions It could be shown that patients in the analyzed pathways of care mainly differed in demographic variables, and regarding pain management programs, also in the type of pain. Differences between patients in different treatment paths reflecting the officially defined indication criteria for chronic pain management programs were detectable only to a minor extent. Clearer and operational practical guidance should help support the clinical decision to assign patients to different treatment options and close the gap between theory and practice.
Die Speiseröhre
Authors: Magga Corts Köln 
Published: June 2019

SummaryDie Speiseröhre (Ösophagus) ist ein muskulöser Schlauch, dessen Hauptaufgabe es ist, feste und flüssige Nahrung vom Rachen zum Magen zu transportieren. Der Transport erfolgt durch die für den Verdauungstrakt typische Peristaltik der Speiseröhrenwandmuskulatur.
Vermehrtes Schwitzen
Authors: Schmid HP Eva C. 
Published: June 2019

SummaryVermehrtes Schwitzen ist ein natürlicher Mechanismus, durch den wir Wärme abgeben können. Ungefährliche Ursachen können zum Beispiel Thermoregulation, emotionale Stresssituationen oder Angstzustände sein. Es kann aber auch eine Erkrankung ursächlich sein, zum Beispiel: hormonelle Ursachen, maligne Erkrankungen oder Infektionskrankheiten.
Es brennt!
Authors: Welsch Katja 
Published: June 2019

SummaryIn der Homöopathie gibt es Mittel tierischer, pflanzlicher und mineralischer Herkunft, die bei brennenden Empfindungen hilfreich sind. Für brennende Empfindungen sind drei Mittel mineralischer Herkunft charakteristisch: Sulfur, Arsencium album und Phosphorus. Um bei brennenden Empfindungen das geeignete Homöopathikum zu wählen, sind begleitende Symptome und Modalitäten ausschlaggebend.
Herausforderungen der ambulanten Nachsorge von nierentransplantierten Patienten in spezialisierten Transplantationszentren
Authors: Schiffer Lena , Hartleib-Otto Melanie , Lerch Christian , Haller Hermann , Pape Lars , Schiffer Mario 
Published: June 2019

ZusammenfassungDie medizinische Versorgung von nierentransplantierten Patienten bedarf einer engen Anbindung an spezialisierte Transplantationszentren. Gerade in Flächenländern sind die Wegstrecken, die Patienten zum Transplantationszentrum zurücklegen müssen, häufig weit und können für einige Patienten ein Problem darstellen. Wir haben eine Patientenbefragung an 498 nierentransplantierten Patienten des Transplantationszentrums der Medizinischen Hochschule Hannover (MHH) im Flächenland Niedersachsen durchgeführt, um Belastungen, die für die Patienten durch eine zentrale Anbindung entstehen, zu eruieren. Bei 72% der Befragten lag die Fahrtstecken am Vorstellungstag über 100 km und die Fahrtkosten wurden durchschnittlich mit 36,30€ (Standardabweichung 34,15€) angegeben. 80% der Berufstätigen und Schulpflichtigen konnten am Tag der Vorstellungen ihren beruflichen bzw. schulischen Verpflichtungen nicht nachkommen. Eine Entfernung des Wohnortes von größer 100 km zum Transplantationszentrum reduzierte die Bereitschaft der Patienten sich im Transplantationszentrum vorzustellen signifikant (p=0,02–63), eine Kostenerstattung konnte die Bereitschaft nur tendenziell erhöhen (p=0,012). Neue Modelle, wie eine heimatnahe telemedizinische Anbindung, könnten die Belastungen für die Patienten reduzieren und die Versorgung optimieren.
Wandel im Gesundheitswesen: Analyse der Auswirkungen auf Ärzte und
Patienten am Beispiel der Ukraine
Authors: Bogodistov Yevgen , Reck Fynn Malte , Moormann Jürgen , Krupskyi Oleksandr P. 
Published: June 2019

Zusammenfassung
Hintergrund Das Gesundheitswesen befindet sich weltweit im Umbruch. Dieser hat nicht nur
Auswirkungen auf die Organisation von Krankenhäusern, Arztpraxen, Pflegeeinrichtungen
usw., sondern auch auf die beteiligten Personen und Personengruppen. Welche Auswirkungen der
Wandel für Ärzte und Patienten hat, wird am Beispiel einer umfassenden
Gesundheitsreform in der Ukraine untersucht.
Methoden Die Analyse basiert auf einer empirischen Erhebung, die bei Ärzten in 2
Städten der Ukraine durchgeführt wurde. Auf Basis des Job Demands-Resources
Model wurden Hypothesen entwickelt, die anhand eines Strukturgleichungsmodells
überprüft worden sind. An der Befragung haben 178 Familienärzte
(81% der Grundgesamtheit) teilgenommen.
Ergebnisse Die Untersuchung zeigt einen klaren Zusammenhang zwischen den
organisationalen Herausforderungen (zusätzliche Aufgaben, struktureller Wandel, neue
Prozesse) und ihren psychologischen Folgen (z. B. Burnout). Letztere wirken sich
u. a. negativ auf die Zusammenarbeit der Ärzte in Kliniken aus, was wiederum
die Zufriedenheit der Patienten beeinträchtigt.
Diskussion und Schlussfolgerung Der Wandel im Gesundheitswesen ist unausweichlich. Das
Beispiel der Ukraine zeigt, dass Offenheit der Kliniken für Wandel die
Wahrscheinlichkeit für Burnout von Ärzten reduziert und letztlich die
Patientenzufriedenheit erhöht. Daher sind Ansätze des Prozessmanagements, die
dazu beitragen, Offenheit in Organisationen zu erzeugen, in Zeiten starken Wandels dringend zu
empfehlen.
Religion and poverty
Authors: Schweiger Gottfried 
Published: June 2019

AbstractReligion and poverty are two of the world’s most enduring social and cultural phenomena. They have a long and eventful history, and are not separate from one another, but closely interrelated: on the one hand, there is a long tradition of religiously motivated poverty; on the other hand, giving to the poor is often seen as a religious duty. In recent years, faith-based organisations have been recognised in research as an important factor in global poverty reduction. This comment surveys some of the key areas of enquiry and debate focused on exploring the connection between religion and poverty.
Regenerative and durable small-diameter graft as an arterial conduit
Authors: Elliott Morgan B. , Ginn Brian , Fukunishi Takuma , Bedja Djahida , Suresh Abhilash , Chen Theresa , Inoue Takahiro , Dietz Harry C. , Santhanam Lakshmi , Mao Hai-Quan , Hibino Narutoshi , Gerecht Sharon 
Published: June 2019

Significance
Clinical practice for arterial bypass surgery continues to use autologous vascular tissue harvested from the patient as the gold standard. A functional graft has remained elusive due to postimplantation challenges, including thrombogenicity, mismatched mechanical properties, aneurysmal failure, calcification, and intimal hyperplasia. Many promising graft designs require extensive and complex preparation techniques that impede commercial and clinical translation. Here, we describe the development of acellular off-the-shelf and endothelialized small-diameter vascular grafts in less than 1 week. We establish a durable graft with tailored regenerative capacity that overcomes many postimplantation challenges of arterial bypass grafts.
Improved fused silica fibres for the advanced LIGO monolithic suspensions
Authors: Lee Kyung-Ha , Hammond Giles , Hough James , Jones Russell , Rowan Sheila , Cumming Alan 
Published: June 2019

Abstract
To further increase the sensitivity of the advanced LIGO (aLIGO) gravitational wave detectors, two major upgrades of the monolithic fused silica suspension are considered: a higher stress in the suspension fibres and a longer final suspension stage. One of the challenges for this upgrade will be producing thinner and longer fibres that can hold the test mass safely. We demonstrate that laser power fluctuations during the fibre fabrication process can produce diameter variations and potentially weak fibres. We present a laser intensity stabilisation technology for fused silica fibre fabrication using a camera system to monitor heating. Fibres fabricated with this new technique showed a 34% decrease in the interquartile range of measured breaking stress, which indicates that the application of intensity stabilisation technology can improve the statistical strength of fused silica fibres by tightening the spread of values. As the aLIGO detectors upgrade plan (A+) proposes to use thinner fibres, it is essential to enhance the performance of fused silica fibres.
Utilization of dahlia tuber chips for preparation of difructose anhydride III (DFA III) by enzymatic reaction using inulin fructotransferase (IFTase)
Authors: Endah E S , Ratnaningrum D , Kosasih W , Saraswaty V , Priatni S , Pudjiraharti S 
Published: June 2019

Abstract
Dahlia tuber is known as an alternative source of inulin. Inulin is a substrate required for difructose anhydride (DFA) III preparation by an enzymatic reaction. Therefore, dahlia tuber can be used as a raw material for the preparation of DFA III. Our previous investigation successfully produced DFA III from fresh dahlia tuber extract and inulin isolate from fresh dahlia tuber with a yield of 1.86 and 3.56 %, respectively. In this study, we aimed to compare the yield and purity of DFA III produced from dahlia tuber crude extract and inulin fraction prepared from dried slices (chips) of dahlia tuber. The dahlia tuber chips crude extract and inulin isolate were prepared by soaking the dahlia tuber chips in 70 %-v/v ethanol at a ratio of 1:10. The soaked dahlia tuber chips were then further extracted and isolated to obtain the dahlia tuber chip crude extract and inulin isolate. The enzymatic reaction of DFA III was conducted at pH 5.5 and a temperature of 65 °C for 24 hours. The qualitative analysis of DFA III was carried out by thin layer chromatography (TLC). High-performance liquid chromatography (HPLC) coupled with a refractive index (RI) detector was conducted for quantitative analysis. The obtained syrup was decolorized and crystalized. The result showed that the extract gave a higher yield of DFA III (5.3 %) compare to inulin isolate (4.34 %). However, the extract showed a lower purity (93.4 %) compare to inulin isolate (94.35 %). This study confirmed the better potential of dahlia tuber chips than fresh dahlia tuber in producing DFA III.
Preliminary study of biodegradability of starch-based bioplastics using ASTM G21-70, dip-hanging, and Soil Burial Test methods
Authors: Nissa R C , Fikriyyah A K , Abdullah A H D , Pudjiraharti S 
Published: June 2019

AbstractBiodegradability testing methods being used nowadays have many disadvantages; they are time-consuming, inefficient medium used, and too much sample needed to do the test. This work aimed to study the biodegradability of starch-based bioplastics by modified ASTM G21-70 method using Salt Agar (SA) medium, dip-hanging method using sterile water, and Soil Burial Test (SBT) method. Bioplastics were prepared by mixing cassava starch and glycerol with a ratio of 3:1 (%, w/w) through a series of processes: (1) blending of starch and glycerol for 3 min, (2) extruding of the starch-glycerol mixture by using a single screw extruder at 80-130°C, and (3) compression molding at temperature and pressure of 150°C and 50 kgf/cm2, respectively.Aspergillus nigerwas used as bioplastic-degrading fungi for the modified ASTM G21-70 and dip-hanging methods, while compost-soil was used as a source of bioplastic-degrading microbes in SBT method. Bioplastics of 2x2 cm in size were applied to the tests for 10 days. The growth of fungi on the surface of bioplastics was observed visually at two days intervals.A. nigergrew well on the surface of bioplastic sample in modified ASTM G21-70 method, indicated that the bioplastic could be degraded by the fungi. On the other hand, the growth ofA. nigerwas poor in the dip-hanging method, even though weight loss of 11.5% occurred. Physical properties changing were indicated in the SBT method. On the 10thday, cracks were observed on the surface of the bioplastic sample, the color of the sample became darker even the bioplastic became fragile, and the weight loss reached 29.89%.
Distribution of protein fractions in tofu whey wastewater and its potential influence on anaerobic digestion
Authors: Widyarani  , Butar Butar E S , Dara F , Hamidah U , Sriwuryandari L , Hariyadi H R , Sintawardani N 
Published: June 2019

Abstract
Wastewater from tofu (soybean curd) production contains a high organic concentration that might pollute the environment if it is not treated properly. Among the major organic constituents of tofu wastewater are proteins. Degradation of proteins generates ammonia and H2S gases, and if this occurs in an anaerobic digester might hamper the digester’s performance. On the other hand, proteins can potentially be recovered as value-added products. This research aimed to identify protein amounts in different fractions of tofu wastewater, as a basis of designing a process to recover the proteins. Furthermore, the influence of a lower protein concentration to anaerobic digestion of tofu wastewater was calculated. Tofu wastewater was fractionated by gravity settlement and filtration into settleable, suspended, and dissolved fractions. Subsequently, total solids, protein, and COD concentrations of each fraction were analysed. Our results show that tofu wastewater contained 2.9 g-protein/L, equivalent to 4 g-COD/L. While most of the proteins were dissolved, 9% of the proteins were settleable. This might be recovered via a settling chamber. Using the protein-separated wastewater in anaerobic digestion might reduce NH3 and H2S by 10% while only reduce biogas production by 2%.
Design of conventional mixer for biogas digester
Authors: Fahriansyah  , Andrianto M , Sriharti  
Published: June 2019

Abstract
The aim of this research is to design the mixer for a digester to produce biogas. The mixer is designed to mix various sludge types in all anaerobic digestion applications, in order to achieve a homogeneous mixture in tanks. It has four main parts consisting of lever players, two sets of the support frame, and two sets of blades. The mixer is enclosed in a dome-type digester made from fiberglass with 2.2-meter height, 1.8-meter diameter, and 5.6 cubic meter digester volume. The mixed volume in the stirred digester is 5 cubic meters. With small size, it is suitable for small and medium enterprises in sewage treatment to produce biogas.
Biogas development: Dissemination and barriers
Authors: Dyah S , Sriharti  
Published: June 2019

Abstract
Biogas as alternative energy has long been developed in Indonesia since 1970, however, the utilization of biogas as fuel has not been optimum even can be said is still low compared to the potential. Biogas can be produced from wastes (agriculture, household, farm, etc.), but from various studies and experiments, the best biogas is produced from livestock manure. Initially, the biogas produced from livestock manure was not approved by the community because of the public’s perception that cow dung/manure is dirty and inappropriate to be used for lighting and cooking. Over time these perceptions have changed and biogas is more accepted, but the utilization of biogas is still not optimal, various obstacles arise. This paper provides an overview of the barriers in biogas dissemination in West Java-Indonesia, among others, the investment is expensive, the process is considered complicated, the reluctance to manage the digester like filling cow dung, etc. Knowledge of these barriers can be used for designing the method in disseminating also the pattern/model of biogas development and application in a community to be accepted and sustainable. Information was extracted by observation and survey, interview and learning from various studies and reports. In addition, action research was also conducted in Subang, Sumedang, Bandung of West Java. Results from the studies and action research, show that biogas is actually needed by society, especially in rural areas, if its price is affordable and its operation is easy or not complicated, and also supported by policy.
Preliminary study for 9,10-anthraquinone residue analysis in tea-based functional beverage: GC-ECD optimization and method development
Authors: Pitoi M M , Ariyani M , Koesmawati T A , Yusiasih R 
Published: June 2019

Abstract
9,10-Anthraquinone, a possible carcinogenic compound, is recently detected above the regulated limit in tea samples sourced from Asian countries. Its occurrence is previously neglected. The European Union has set a limit of 0.02 mg/kg for anthraquinone residue in tea. The available analysis methods for anthraquinone are mostly by gas chromatography (GC) coupled with mass spectrophotometer (MS). This study was aimed to analyse anthraquinone in an infusion of tea-based functional beverage based on low volume liquid-liquid extraction followed by a GC-μECD quantification. The experiment included optimisation of GC-μECD for anthraquinone quantification. The result showed that GC-μECD was able to detect anthraquinone at 1 μg/L with good repeatability showed by %RSD of 6.68. The calibration curve at the range of 1 to 10 μg/L showed good linearity (r=0.9973). The low volume liquid-liquid extraction sample preparation was able to extract anthraquinone from the infusion samples as low as 0.67 μg/L.
The use of oxidation reactor for water sample preparation in the total phosphate determination using Segmented Flow Analysis
Authors: Ardeniswan  , Janetasari S A , Muchlis  , Priantoro E A , Sembiring T 
Published: June 2019

Abstract
The pollution in surface waters such as rivers, lakes/reservoirs and estuarine is mostly caused by domestic waste; one of them is detergent. Detergents used in households contain phosphate that disrupts the ecosystem. In the determination of detergents, sample preparation is one of the most important stages. This study describes the use of an oxidation reactor with UV radiation for the destruction of total phosphate compounds in detergent into dissolved phosphates in the preparation stage of detergent determination. With this method, the destruction of total phosphate in detergent samples required a very short time and could be connected directly to the Segmented Flow Analysis device. In this study, the oxidation reactor was tested on artificial samples containing 0.5% detergent and water samples from the Citarum and Cikapundung Rivers (Bandung, Indonesia) which were estimated to be contaminated with detergent. The average concentrations of total phosphate of the samples from Cikapundung and Citarum were 4.5773 ± 0.2286 mg-PO43-/l and 4.1841 ± 0.0361 mg-PO43-/l, respectively. Meanwhile, the average concentration of total phosphate of the artificial sample was 5.5727 ± 0.1830 mg-PO43-/l. The results show that the sample digestion method using UV radiation in the oxidation reactor can provide excellent results with a high recovery at 94.51%.
Remediation of Ni2+ in a nickel-contaminated water sample using magnetic nanoprobes prepared via green process by Psidium guajava leaves extract
Authors: Capangpangan R Y , Corpuz M J B , Alguno A C 
Published: June 2019

Abstract
Rapid detection of toxic metal ions is of paramount importance in environmental studies for efficient environmental remediation. The use of effective nanomaterials that facilitate fast detection and cost-effective analysis is one of the active areas of research nowadays. Plant-based magnetic nanoparticles (MNPs) were prepared via a reverse chemical co-precipitation method using guava leaves extract as a reducing agent. The prepared MNPs were utilized as an adsorbent for the remediation of Ni2+ ions in aqueous solution. Batch adsorption experiment was conducted to evaluate the amount of Ni2+ ions being adsorbed in the surface of the MNPs. Results revealed that 98% of the Ni2+ ions were adsorbed in the surface of the MNPs when 5.0 mg of the MNP adsorbent was utilized. Likewise, it was observed that the maximum adsorption was achieved even at 10 minutes incubation time using 1.597 ppm initial Ni2+ concentration and the use of 5.0 mg of MNP. The adsorption behavior and mechanism of MNPs as the adsorbent is probably dominated by electron-electron interaction, and the data can be correlated with the functional group analysis using Fourier-Transform Infrared Spectroscopy (FT-IR). It was also observed that higher adsorption capacity (~8.5 mg/g) was attained when 5.0 mg of MNP was used. Importantly, the equilibrium data perfectly fit in the Langmuir isotherm with a slight deviation in the Freundlich isotherm.
Can Electrical Resistance Tomography be Used to Monitor the Distribution of Moisture in Cement-Based Materials?
Authors: Jiang Yong , Qin Lei , Ren Hongwei 
Published: June 2019

Abstract
It is important to develop a tool to monitor moisture distribution in cement-based materials, because freeze-thaw of concrete, corrosion of steel bars, carbonization and other problems occur in the presence of water. In this paper, the feasibility of monitoring water distribution in cement-based materials by electrical resistance imaging (ERT) is studied. In ERT technology, the resistivity distribution is reconstructed by detecting the voltage at the boundary of the test block, and the structure and state of the object are presented by the image. The experimental results show that ERT technology can monitor the moisture distribution and outline in cement-based materials.