bluuebunny/crossref_metadata_2025_split huggingface dataset:
Scientific basis of use of fruits Coriandrum sativum L. In food technologies
Authors: Frolova Natalia , Korablova Olga 
Published: October 2016

Today in the world recognized the need for environmentally friendly products for a healthy food and quality life. Products with natural ingredients, including flavoring become very popular. Coriander is one of herbs that functions as both, spice as well as herbal medicine. Coriandrum sativum L. is a major aromatic crop in Ukraine. The plants of Coriandrum sativum contain the essential oils and other compounds in the seeds and leaves and have an important role as flavorings. The main objective was to investigate possibility effective utilization of coriander essential oil in national economy of Ukraine. It was necessary to study the chemical compounds of coriander fruits by instrumental analysis and odor by sensory analysis with following creating new aroma compositions. Search had been carried out throughout 2009 - 2014 years. The aerial parts of aromatic plants were harvested at the plots of National Botanical Garden of National Academy of the Sciences of Ukraine. Essential oil was obtained by hydro distillation procedure in National University of food technology. Main and specific components of essential oils from seeds coriander were characterized. Qualitative structure of essential oils was determined by the gas-liquid chromatography method on the chromatograph Agilent Technologies 6890 with mass-spectrometric detector 5973. The run of components was done using Device of Fractional Distillation. Linalool, limonene, geranyl acetate, d-camphor, myrcene and geraniol were found as the major components. In the composition of essential oils each component has its own flavor, the combination of which determines the flavor of the oil. We investigated the possibility of target separation of essential oils of coriander fruits into fractions of different flavor. The article presents the results of research sequential processing fruits Coriandrum sativum to obtain a series of natural flavors. Principles and laws of the vacuum distillation were used for directional control of the process distillation of complex mixtures of hydrocarbons on the distillation column. Mode of selection process the fractionation of essential oils allowed changing the component composition of the fractions and to provide more variety of flavors. Monitoring of the fractioning process allows concentrating the key aromatic components and receiving highly concentrated flavors of original pure notes. Combinations of the individual fractions with a specific weight have been created. We obtained some fractions which can be used as flavorings in food industries. Highly concentrated flavor "Coriander fragrance" was developed with fraction № 3 of essential oil coriander. "Coriander fragrance" can be used instead of the aromatic spirits of coriander seeds in liquors and spirits production for producing bitters, liquors and other drinks, e.g. vodkas "Gorilka", "Chernihivska", "Starokyivska". The flavors "Coriander fragrance" was used in processing for "Lollipop" candies, vodka special "Captain", dessert drink "Married couple".
Burgertevredenheid met lokaal gemeentebeleid: meten is weten
Authors: Rogge Nicky , De Jaeger Simon , Naets Gilles 
Published: October 2016

Citizen satisfaction with municipal policy: you can manage what you measure
Local officials, policy makers and scholars are increasingly interested in using citizen satisfaction surveys as an instrument to evaluate and analyze the performances and services of municipalities. The key reason for this popularity is the increasing awareness that citizen satisfaction ratings can give a good identification of the effectiveness of the municipal policy. However, a consistent approach to measure citizen satisfaction of the municipal policy in a multidimensional manner has yet to emerge. The construction of such a multi-criteria satisfaction score on municipal policy is indeed an intricate matter with several conceptual and methodological difficulties to overcome. One important difficulty is the question how to aggregate multiple aspects of municipal policy into an overall satisfaction measure. The current paper advocates the ‘Benefit-of-the-Doubt’ (BoD) methodology to weigh and summarize citizen satisfaction ratings on multiple dimensions and tasks of municipal policy into an overall citizen satisfaction score. The label ‘benefit-of-the-doubt’ highlights the main conceptual starting point of the method: in the absence of detailed knowledge on the correct weights for the different dimensions and tasks of the municipality, the BoD-model looks for each evaluated municipality for the most favourable set of weights. As municipalities are usually rather sensitive about being compared and evaluated against each other, this quality is clearly an important advantage of the BoD-model. We present both a static and dynamic version of the model.
De Verblijfsregeling Mensenhandel in de praktijk: over oneigenlijk gebruik en niet-gebruik
Authors: Klaver Jeanine , van der Leun Joanne 
Published: October 2016

Misuse and non-take up of temporary protection measures for victims of human trafficking
In line with international and national legislation, the Netherlands offers certain services, including a temporary residence permit, to third country nationals who have fallen prey to human traffickers. Over the years, concerns have been often expressed about the perceived misuse of this regulation by foreigners who aim at legalising their stay. Based on interviews and file analysis the present article seeks to provide insight into to what extent it is possible to measure this misuse and the policy implications of the findings. In addition, the authors take into account non-use of the programme. The article confirms existing worries about misuse, provides indicators for misuse, but also concludes that at the level of individual cases practitioners cannot discern misuse from rightful use. At the same time, there are also groups that fall outside the reach of the programme. The article concludes with some policy recommendations on the basis of the findings.
Strategie, structuur en samenleving: drie dimensies van regionale uitvoeringskracht
Authors: Boogers Marcel 
Published: October 2016

Strategy, structure and society: three dimensions of regional implementation strength
Nowadays municipalities in the Netherlands work together more intensively with other municipalities in the region. Also cooperation with companies, institutions and societal organizations is more often looked for at the regional level. In practice this brings along many problems and difficulties. For several reasons it appears not to be easy to combine the implementation strengths of municipalities and societal partners. This article presents a new approach (based on the theory of ‘new regionalism’) to regional implementation strength. This approach is not only about designing regional administrations, but is mainly about the factors that induce administrations as well as companies and institutions to commit themselves jointly for the region. To increase the regional implementation strength more is needed than the formation of a regional administrative structure in which municipalities do not cooperate in a non-committal manner. To induce municipalities and societal partners to commit themselves jointly to handling new tasks or new challenges it is also necessary to have a clear strategic vision on these issues that binds parties and makes them enthusiastic and that regional cooperation is rooted in a societal breeding ground. It also asks for an administrative structure that does justice to the contribution every municipality and societal partner makes to the realization of the strategy and for a democratic involvement of municipal councils and sector-based interest groups.
Uitvoeringskracht in sociale wijkteams: een beproefd concept in een nieuwe context
Authors: Oude Vrielink Mirjan , Sterrenberg Lydia , Koper Helga 
Published: October 2016

Implementation strength in social neighbourhood teams: a well-tried concept in a new context
In the Netherlands at January 1st 2015 municipalities will most likely receive administrative and financial responsibility for work, youth and societal support. Anticipating this change almost all large municipalities have introduced social neighbourhood teams, inspired by the successful model of the ‘Achter-de-Voordeur-aanpak’ (Dutch for ‘Behind the Front Door-approach’). In this article the authors reflect on this development, because of criticisms about the vagueness surrounding the social teams and with its further development in mind. In a historical analysis they look at this phenomenon in relation to its political and policy context. The central research question is the change in vision that has occurred since the first experiments with neighbourhood social teams and the implications for their design. The authors show how the focus in the policy discourse has gradually moved to arguments concerning the efficiency of the societal support, more self-responsibility and self-direction and more participation in the society and the labour process. This makes a different model for neighbourhood teams desirable, especially in terms of (1) the target group of the approach, (2) the depth of the support and (3) the role of the generalist and the room for manoeuvre or the powers this generalist receives. A lot of municipalities choose to discover gradually what works. Next to the time pressure this might explain the vagueness of the plans for the design and organization of neighbourhood teams.
De ongeldigverklaring van de Dataretentierichtlijn: een nieuwe stap in de bescherming van de grondrechten door het Hof van Justitie
Authors: Hijmans Hielke 
Published: October 2016

De ongeldigverklaring van de Dataretentierichtlijn: een nieuwe stap in de bescherming van de grondrechten door het Hof van Justitie
Op 8 april 2014 heeft het Hof van Justitie een opmerkelijk arrest gewezen in de gevoegde zaken Digital Rights Ireland en Seitlinger.Het heeft voor het eerst wegens strijd met het EU-Handvest voor de grondrechten een richtlijn in zijn geheel vernietigd. Het Hof van Justitie heeft geoordeeld dat de Uniewetgever met de vaststelling van de Dataretentierichtlijn de door het evenredigheidsbeginsel gestelde grenzen heeft overschreden die hij in het licht van de artikelen 7, 8 en 52 lid 1 van het Handvest in acht dient te nemen. Het heeft geen beperking in de tijd aangebracht (het Hof van Justitie wijkt hiermee af van de conclusie van advocaat-generaal Cruz Villalón, overwegingen 154-158).HvJ EU 8 april 2014, gevoegde zaken C-293/12 en C-594/12, Digital Rights Ireland en Seitlinger, EU:C:2014:238, n.n.g.
Patient experience at the time of practice transformation into Patient-Centered Medical Homes
Authors: Kern Lisa , Dhopeshwarker Rina , Edwards Alison , Kaushal Rainu 
Published: October 2016

Purpose: The Patient-Centered Medical Home (PCMH) is a model of primary care that is being promoted for its potential ability to improve patient-centeredness, improve quality and decrease costs. The effect of the PCMH on patient experience is not clear, with some reports suggesting that patient experience may worsen during transformation. We sought to measure patient experience at the time practices transform into PCMHs.Methods: We conducted a cross-sectional survey of 419 adult patients who were cared for by 85 primary care physicians across 12 practices in the Hudson Valley region of New York State. We measured patient experience, using the 35 questions in the Clinician & Group – Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) – Adult Primary Care Questionnnaire (plus 14 additional questions drawn from other survey instruments) and compared the results to national CG-CAHPS benchmarks.Results: Patients’ experience overall was fairly positive, with 79% giving their doctors a ranking of 9 or 10 on a 10-point scale, with 10 being the highest. Patients’ experience in this sample was significantly more positive than the national benchmark on each of 6 subscales (p ≤ 0.05). Patients were generally most satisfied with individual face-to-face encounters with their physicians and somewhat less satisfied with processes of care (such as receiving results from a test or receiving follow-up after discharge from the hospital).Conclusions: This study suggests that medical home transformation does not adversely impact patient experience and identifies organizational processes of care that could potentially be improved with the patient-centered medical home.
Long-term effects of empathy training in surgery residents: a one year follow-up study
Authors: Phillips Margot , Lorie Aine , Kelley John , Gray Stacy , Riess Helen 
Published: October 2016

Objectives: This study is a 1-year follow-up investigation of the retention of the knowledge, attitudes and skills acquired after empathy training.Methods: Eight otolaryngology residents completed 5 assessment measures before and after empathy training and at 1-year. They attended a 90-minute focus group assessing clinical usefulness of the training, attitudes and factors that affect empathy.Results: Qualitative analysis revealed a positive response to the training and application of skills to clinical practices. Quantitative analyses suggest improvement in empathy after training was maintained at 1-year follow-up (p = 0.05). Knowledge of the neurobiology and physiology of empathy remained significantly greater than before the training (p = 0.007). Conclusions: Qualitative data indicate that the training program was well-received and helpful and follow-up focus groups provided physicians with opportunities for self-reflection and support from peers. Quantitative analysis demonstrated that improvement in self-reported empathy and objective knowledge of the neurobiology of emotions persist at 1-year follow-up. Accordingly, we recommend that empathy training and follow-up booster sessions become a standard component of residency training.
To test or not to test: what is the value of knowing?
Authors: Rizzo John , Lee David 
Published: October 2016

This paper develops a conceptual model for understanding the impact of the “value of knowing”, defined as the value of information from medical tests exclusive of treatment or life-planning decisions on a patient’s decision to undergo testing. We draw upon the behavioral economic, loss-aversion, cost-benefit and willingness-to-pay literatures to develop a mathematical model of how a medical diagnostic test affects patients’ sense of wellbeing and how this phenomenon affects their decision to undergo testing. The model allows simultaneous evaluation of the impact of baseline (pre-test) disease risk, test inaccuracy, prior information, worrying over disease onset, time preference and the degree of loss aversion on patients’ net assessment of the value of knowing. We then simulate the net value of knowing under alternative hypothetical scenarios about test accuracy and patient characteristics. Patients agree to testing when the expected benefits from good news (measured by willingness to pay) exceed the psychic costs of bad news (measured by willingness to accept). The value of knowing from testing is shown to depend on test accuracy, pre-test disease risk, the patient’s discount rate, time to disease onset and the patient’s aversion to receiving bad news (loss). Simulation results indicate that the value of knowing increases (and testing becomes more likely) when: tests are more accurate; the baseline expectation of a positive test is low and the adverse consequences of a positive test are either small or occur far in the future or patients do not worry about onset of future disease.
Miles, A. & Mezzich, J.E. (2011). The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1 (2) 207-222
Authors: Rothenberger Lillian Geza 
Published: October 2016

In recent years, there has undoubtedly been an “over-reliance on science” that has led to an unedifying “scientistic medicine” in patient care of most if not all medical disciplines [1]. Although I would not go so far as to say that these circumstances may lead to “an ethical and moral chaos within clinical practice,” I agree with Miles and Mezzich that “while it is imperative that medicine must be actively and continuously informed by science, science cannot function as the base of medicine.” Evidence generated by clinical or, in the early beginnings of research progress, even non-clinical trials can be very helpful, but to impose study results uncritically upon the individual patient would mean to neglect this person’s individuality. The individual needs may, for example, not be consistent with the inclusion criteria of the very study used as the evidence base for the treatment. I therefore welcome, then, the article by Miles and Mezzich, which discusses the need for a more critical reflection on scientific data before or within clinical use and the demand for more humanity in patient care in terms of a person-centered approach.
Response to Miles and Mezzich
Authors: Kerry Roger , Anjum Rani Lill , Mumford Stephen 
Published: October 2016

Miles and Mezzich offer a substantial and focussed account of a “crisis” of knowledge, care, compassion and costs in modern medicine. Their claim is that an over-emphasis on scientific, even scientistic medicine, has resulted in the depersonalisation of care. In response, they propose an emergent model of clinical practice grounded in person-centred medicine (PCM). We are honoured to have been offered an opportunity to respond to this paper. We will not attempt to de-construct the paper or rehearse arguments concerning the limitations of evidence-based medicine (EBM). Rather, we would like to support the general thesis of the paper and offer some form of thought related to how PCM might best develop. In doing this, we will be very careful not to dismiss the valuable role that science and systematic research play in healthcare. Thus, we have little interest in using EBM as some form of ‘strawman’ by which to pronounce ‘the new way’. Parts of Miles and Mezzich’s paper appear at times to do this. Ultimately, however, we do not see this as the primary intent of their otherwise excellent discussion paper.
Realizing person-centred care in residential care facilities for young adults with complex and chronic disabilities: the understanding, perception and beliefs of workers
Authors: Rissanen Lauren , Ehrlich Carolyn , Kendall Elizabeth , Muenchberger Heidi 
Published: October 2016

Young people living with complex and chronic disabilities who require assistance with health-related needs are rarely receiving the optimum support and care that will enable their full participation in society, or simply to live as they choose. For young people with complex disabling health conditions, this situation may not only be unpleasant, but may have a detrimental impact on their outcomes. In Australia, considerable attention has been paid to the relocation of people from institutional care into community settings within purpose-built apartments. However, it is the service model and the residential workers who articulate that service model into practice that are crucial to stimulate better outcomes for young people. In this study, a qualitative design was used to identify the major ways in which residential workers understood and articulated person-centred practice for young people with complex disabilities. Data were thematically analysed using an a priori coding framework. The study identified 4 main themes relevant to person-centred practice in this setting, namely: 1) recognition of the person in time and context; 2) recognition of individuality; 3) recognition of the relationship and 4) promotion of autonomy. Importantly, the themes were connected in a broad and multi-level way through communication. The findings indicate that to enact behaviours congruent with person-centredness, residential care workers may need to reframe their professional role, image and values. However, several barriers hindered this process (i.e., system/organisational constraints, time etc.) and participants clearly needed support, education and/or mentoring to improve their capacity to apply person-centred models and also to create meaningful care partnerships.
Referrer satisfaction with services provided at a national and specialist clinic for OCD and related disorders in children and adolescents
Authors: Hoerold Doreen , Krebs Georgina , Turner Cynthia , Heyman Isobel 
Published: October 2016

Rationale: Referrer satisfaction is an often-neglected outcome measure in mental health services and can inform service improvements. We examined referrer satisfaction with a specialist OCD service for young people.Method: An online satisfaction questionnaire, comprising 19 closed and one open-ended question, was sent to 155 referrers of whom 30 (19.4%) responded.Results: Satisfaction was high overall. However, higher levels of satisfaction were noted with respect to treatment plans as compared to treatment outcome. Referrers also made recommendations for service improvements, such as increased communication during treatment, recommendations for after-care, managing co-morbidity and improving patient engagement.Conclusions: Referrer satisfaction may be improved by addressing these aspects of the service.
Are Clinically Heterogeneous Studies Synthesized in Systematic Reviews?
Authors: Steurer Johann , Scharer Sarah , Wertli Maria , Miettinen Olli 
Published: October 2016

Background To assess whether in systematic reviews there occurs synthesis of the results of original studies when these studies involve prognostically dissimilar patient groups. Methods Review of meta-analyses in systematic reviews on topics relevant to rheumatology or cardiology. In a survey panels of clinical experts assessed whether the distributions of prognostic indicators were sufficiently similar for the synthesis of results to be justified. Results Generally, half of the experts judged the information about the prognostic indicators to be insufficient for judgment about the justifiability of the synthesis. When the panel members deemed the information to be sufficient, about half of the time they judged the synthesis to be unjustifiable due to prognostically dissimilar patient groups. Conclusion It appears that expert consumers of the meta-analysis results from systematic reviews are quite commonly unsettled about the justifiability of those syntheses.