bluuebunny/crossref_metadata_2025_split huggingface dataset:
Deep Sternal Wound Infection After Open-heart Cardiac Surgery and Vacuum-Assisted Closure Therapy: a Single-center Study
Authors: Banjanovic Bedrudin , Karabdic Ilirijana , Straus Slavenka , Berberovic Behija , Djedovic Muhamed , Granov Nermir 
Published: September 2022

Background: Despite many advances in the prevention, of sternal wound infection, especially deep ones, cardiac surgery with median sternotomy, still presents a significant postoperative complication. Numerous operative and non-operative procedures should be used in treatment, there is a prolonged hospital stay and increased hospital costs treating this postoperative complication. Objective: The present study was conducted aiming to determine the incidences, and risk factors, identify microbiology findings, and antibiotic therapy among patients with DSWI who underwent cardiac surgery with median sternotomy at our Clinic and VAC treatment. Methods: This retrospective observational study was conducted in Clinic for Cardiovascular Surgery at University Clinical Center Sarajevo from November 2015 to November 2020. The data were obtained from 15 patients with deep sternal wound infection (DSWI) following open-heart surgery. The inclusion criteria were DSWI after cardiac operation via median sternotomy, and complete results of microbiological findings obtained by sternal swab. The exclusion criteria were patients with incomplete clinical data. Results: We found that 9 (60%) patients were males and 6 (40%) were females. Coronary artery bypass grafting (CABG) operation had 11 (73,3%) patients, CABG with aortic valve replacement 2 (13,3%), valve replacement surgery operations (13,3%). The average age was 66 years. All patients were elective surgery patients. STS score in the Non-VAC group was 22.6, in the VAC group 16.6, and the average was 14.9. The number of patients with DSWI represents 1% of all sternotomy patients in the observed period. Two risk factors for DSWI had 37% of patients, 25% of them were diabetic, and 3 (9%) were overweight. Enterococcus faecalis was isolated predominantly in 6 (27%) patients, followed by Klebsiella pneumonia 3 (13%), Proteus mirabilis 2 (9%), and Serratia Maecenas 2 (9%). The mortality rate was 33.3% (5 of 15). Conclusion: The results of our study present our experience with DSWI treatment after open-heart surgery. What comes from our experience so far, is that is very important to determine patients who are at risk of developing DSWI after cardiac surgeries to lower its incidence.
Differentiation of student learning to complex analysis using CoCalc
Authors: Popel M. V. , Bobyliev D. Ye. 
Published: September 2022

Research goals: to determine the ways of differentiation of future mathematics teacher learning to complex analysis using CoCalc. Research objectives: to analyze the problem of differentiating learning in pedagogical universities, particularly in process of teaching the professional disciplines; to determine the place of complex analysis in mathematical disciplines of pedagogical universities; to investigate the impact of CoCalc on differentiation of future mathematics teachers learning to complex analysis. Object of research: learning to complex analysis of future mathematics teachers at pedagogical universities. Subject of research: differentiation of student learning to complex analysis. Research methods used: analysis of scientific publications, observations, interviews with teachers. Results of the research. Based on the analysis of scientific works and interviews with teachers established that the problem of differentiating learning is very relevant during teaching of mathematical disciplines. Defined the place of complex analysis in mathematical disciplines. It’s shown that differentiated instruction is intended to include differentiated tasks in the learning. The specificity using CoCalc on “Complex function of complex variable” are described. The main conclusions and recommendations: 1) expedient use of differentiated tasks (which are distributed by different criteria) as a basic premise differentiation of education; 2) gradual complication of tasks with the gradual generalization of already learned material research and comprehension level.
Slachtoffers, criminelen of helden?
Authors: Strijbosch Karlien 
Published: September 2022

Victims, criminals or heroes? Male migrants in Senegal after return from Europe
In Senegal, migration can be both a stigma and a privilege; it can increase social standing, but also lead to stigmatization and suffering as a consequence of aborted migration trajectory. This article shows how Senegalese male migrants narrate and position themselves after they return to Senegal in reaction to diverse social expectations. The focus is on men who were deported from Europe or who lived there under threat of deportation before returning to Senegal voluntarily. Based on ethnographic research in Senegal, the article shows how these returnees, despite numerous difficulties, narrate success post-return by engaging with masculine discourses of being a provider, protector and devout Muslim. Seeing return as temporary, silencing and relating themselves to dominant Senegalese masculine norms and successful migrants, regardless of the duration of return or whether it was voluntary, can enable returnees to conceive belonging to Senegalese society.
Pemikiran Mistiko-Filosofis Ḥamzah Fanṣūrī
Authors: Hasan Puad 
Published: September 2022

Tulisan ini mencoba menelusuri pemikiran mistiko-filosofi, atau tasawuf-falsafi Ḥamzah Fanṣūrī, seorang ulama-sufi kenamaan asal Aceh yang disebut-sebut sebagai pelopor Tasawuf Nusantara. Di balik perjalanan hidupnya yang menyisakan banyak misteri, Ḥamzah Fanṣūrī tetap dipandang sebagai sufi yang pengaruhnya terasa di kancah pemikiran Islam Nusantara. Dengan metode deskriptif analitis bersumber dari berbagai literatur yang sifatnya terbatas, pemikiran mistiko-filosofi Ḥamzah Fanṣūrī dipandang sebagai “kelanjutan” dari ajaran tasawuf wujudiyah Ibn ‘Arabī yang dikenal luas dengan waḥdah al-wujūd. Sebuah paham tentang kesatuan wujud khāliq-makhlūq. Ḥamzah Fanṣūrī menggambarkan wujud Tuhan bagaikan lautan dalam yang tak bergerak. Sedangkan alam semesta ini merupakan gelombang lautan wujud Tuhan.
Keyword: Ḥamzah Fanṣūrī, Mistiko-filosofi, Tasawuf, Nusantara
PENGARUH KEPEMIMPINAN DAN KETERAMPILAN MANAJERIAL KEPALA SEKOLAH TERHADAP PENINGKATAN KINERJA GURU
Authors: Alkhusyaeri Abdul Aziz , Fauzi Anis , Bactiar Mahdum 
Published: September 2022

The highest leader in an educational institution is the principal. The performance of educators and education staff can be influenced by the behavior of the principal. Therefore, the leadership of the principal needs to be considered and made a special concentration. In order for the principal to carry out his duties and obligations properly to achieve the goals of the school that has been planned, his leadership role must be considered. A school principal to support his leadership must have a good personality. The principal is a leader in the world of teachers who should be prepared to face and adapt to the challenges that come in any situation. The principal also has an important influence in advancing an educational institution. The presence of the principal in the school is very important as a pioneer and motivator of school resources, in order to form a working group/teamwork that is able to collaborate in school construction so as to bring positive energy into the atmosphere of teaching and learning activities. To support the expected success of a school institution, it is necessary to prepare the principal as a professional leader, who is able and willing to carry out planning, development, and evaluation of policies and regulations that occur.
Studi Fenomenologi: Teori Humanistic dalam Pembelajaran Ilmu Pengetahuan Sosial
Authors: Patria Rida , Salamah  
Published: September 2022

Proses pendidikan merupakan hal yang sangat kompleks, di dalamnya terlibat banyak unsur yang saling terkait. Teori belajar akan menentukan bagaimana proses pembelajaran itu terjadi. Metode yang digunakan dalam penelitian ini bersifat kualitatif, dengan desain studi fenomenologi. Penelitian ini dilakukan di guru IPS SMPN 1 Palasah saat menyampaikan materi “Pengaruh Sosial-Budaya” di kelas IX C SMPN 1 Palasah. Pengumpulan data disampaikan dengan melaksanakan kegiatan sebagai berikut: observasi partisipan, dan wawancara. Teori pembelajaran humanistik memang lebih baik untuk meningkatkan kualitas pendidikan di tanah air. Namun, tampaknya, teori humanistik perlu juga terus diperbaiki dan disempurnakan, baik pada tataran konseptual maupun praktek dan penerapannya.
Sebuah Studi Kasus: Pengaruh Kulture Sekolah terhadap Karakter Siswa SMP
Authors: Suhaeni Neni , Sridiyatmiko Gunawan 
Published: September 2022

Kultur sekolah merupakan budaya sekolah yang dapat memberikan pengaruh terhadap kehidupan masyarakat sekolah baik pengaruh positif maupun pengaruh negative. Artikel ini bertujuan untuk memberikan gambaran kultur dapat mempengaruhi karakter siswa. Penelitian ini menggunakan pendekatan kualitatif dengan jenis studi kasus. Setting penelitian Penelitian ini dilaksanakan di SMP Negeri 1 Jatiwangi Kabupaten Majalengka. Data yang diperoleh langsung dari subjek penelitian tentang Aktualisasi Pendidikan Karakter dalam Pembelajaran IPS di SMP Negeri 1 Jatiwangi Kabupaten Majalengka. Hasil penelitian ini adalah dari keseluruhan “kultur sekolah” yang di paparkan melalui lima hal penting dalam pendidikan yakni pengetahuan, karakter, potensi, kemandirian, dan komitmen sosial, maka ada “hasil yang dicapai” (out come) dari para alumni SMP Negeri 1 Jatiwangi yang tersebar di berbagai wilayah tanah air dalam berbagai profesi yang sangat beragam.
TIPOLOGI MODERN DALAM METODOLOGI AHLI HADIS
Authors: Pulungan Nur Hamidah 
Published: September 2022

This research, which is a literature review, discusses several standards of understanding Hadith formed by experts in Islamic studies with a well-known textual and contextual basis known as the methodology of hadith experts. The research includes the definition of the methodology of hadith experts, techniques and processes for developing understanding of hadith, as well as an overview of modern methodologies that are currently developing. Modern typologies in understanding hadith in particular include the orientalist method, the rational method, the method of the salaf hadith experts and the moderate method.

Penelitian yang bersifat kajian pustaka ini membahas beberapa standard pemahaman Hadis yang dibentuk oleh ahli kajian Islam dengan dasar tekstual dan kontekstual yang masyhur dikenal dengan istilah metodologi ahli hadis. Penelitian meliputi definisi metodologi ahli hadis, teknik dan proses perkembangan pemahaman hadis, serta gambaran tentang metodologi modern yang berkembang saat ini. Tipologi modern dalam pemahaman hadis khususnya diantaranya adalah metode orientalis, metode rasional, metode ahli hadis salaf dan metode moderat.
Leder
Authors: Jensen Mikkel Schjødt Heide 
Published: September 2022

2021 stod fortsat en god del i coronaens tegn, hvilket blandt andet har betydet at forskningsansatte har været trukket ud i klinikken til at bidrage med driften. Trods det så er der alligevel kommet flotte bidrag til tidsskriftet.
Et af bidragene kom fra vores kollegaer i Norge, Ofstad et al, som undersøgte effekten af faste akutlæger i akutmodtagelserne. Undersøgelsen viste at tilstedeværelsen af en akutlæge reducerer liggetiden og tendensen til crowding af patienter i akutmodtagelsen. Foruden bedring af patientflowet bidrog akutmedicineren også til øget psykologisk sikkerhed for de vagthavende yngre læger i akutmodtagelsen.
Læs artiklen ved at klikke her

Duval, Malik Kalmriz samt Mikkel S. H. Jensen
Sammensætningen af redaktionen har også ændret sig med årsskiftet. Stifter og initiativtager Julie Mackenhauer træder ud af redaktionen, En stor cadeau til Julie for hendes indsats fra initiativ videre til fundraising og etablering af samt videre arbejde med tidsskriftet.
Redaktionen rummer nu Malik Kalmriz, Iben Duvald, Gitte Boier Tygesen, Mikkel Schjødt Heide Jensen og Marie K. Jessen.
En stor tak til alle, som har bidraget enten som forfattere, bedømmere eller i den faglige følgegruppe i2021.Har du eller en kollega noget videnskab liggende i skuffen, så indsend det. Vi håber at endnu flere vil indsende bidrag i 2022, så vi når vores mål om at blive indekseret på PubMed.
De bedste nytårshilsner med håbet om et godt 2022.
Redaktionen
Dansk Tidsskrift for Akutmedicin
Elderly Hospitalized Home-Patients in the Cross-Sectoral Team Care at North Zealand Hospital’s Emergency Department
Authors: Schmidt Lasse 
Published: September 2022

Background: With an increasing- and an increasingly aging population, the elderly morbidity burden is growing. This raises the question of how we can effectively respond to this health-care challenge in a hospital setting where more patients are both old and comorbid. Consequently, North Zealand Hospital’s (NOH’s) Emergency Department (E.D.) has launched a pilot project that explores the value of having a cross-sectoral team (CST) to specifically manage old (65+ y.o.), complexly ill, and vulnerable patients on a hospital-at-home (HaH) basis. The purpose of this study was to classify and categorize the CST’s elderly HAH patients (not formally discharged from NOH’s E.D. but receive home visits by the E.D.’s HaH nurses).
Methods: Data regarding the HaH CST-patients at NOH were prospectively gathered during February 2021. Microsoft Excel software was then used to categorize and analyze the data. Numeric data are given as means ± SEM.Results: There were 227 HaH CST-interventions. Of these, 186 (81.9%) were elderly patients. The number of unique HaH elderly CST-patients (uHaHe-CSTps) was 108 (56 male and 52 female) aged 81 ± 0.8 years. The uHaHe-CSTps were categorized into age groups as following: 10 (65-69 y.o.), 18 (70-70 y.o.), 20 (75-79 y.o.), 17 (80-84 y.o.), 27 (85-89 y.o.), 13 (90-94 y.o.), 3 (95-97 y.o.). Of the uHaHe-CSTps, 93% were multimorbid, 82% had polypharmacy, 33.3% were readmitted patients within 2 weeks after ended HaH CST-intervention, and 4.6% died while in HaH CST-care.
Conclusion: NOH’s E.D. has vulnerable, elderly, and complexly ill patients who may benefit from the medical care of the CST’s HaH function. Furthermore, the HaH CST assists NOH’s E.D. and the municipality by taking care of issues that can be handled effectively at the patient's home.
Low-Dose-Ketamine as an adjunct to morphine for acute pain in the ED:
Authors: Galili Stine Fjendbo 
Published: September 2022

Background: Seventy percent of the yearly 1.8 million emergency contacts to the Danish hospitals arrives from patients in pain. Pain management is an essential and challenging part of emergency medicine and ineffective analgesia for patients attending the emergency department (ED) is common and can lead to complications, extended hospital stays and course of illness. Opioid-tolerant patients are an increasing challenge requiring different acute pain management, ie. needing much larger doses of opioids – which for a number of reasons they do not receive. The rising need for opioid sparing treatment and the difficulties in pain treatment of patients with a current use of opioids calls for clinical studies investigating effect and safety of alternatives. Low-Dose-Ketamine (LDK) has been studied as an analgesic and been shown to be useful in the reduction of acute pain in the postoperative setting. This study will evaluate the efficacy and safety of LDK as an adjunct to morphine in the treatment of pain in the ED. Hypothesis: LDK as an adjunct to morphine will be superior to morphine alone as regards of analgesic effect. The combination of morphine and LDK will result in a larger pain reduction in patients with a current use of opioids than patients with no prior use.
Methods: Randomized, double-blinded trial, investigating the combination of LDK and morphine versus IV morphine alone regarding analgesic effect. 152 patients fulfilling all inclusion criteria and no exclusion criteria will be stratified (prior use of opioids and no prior use of opioids) and randomized in a 1:1 ratio in the two groups. Perspectives: This is the first study to examine the effect of LDK as an adjunct to morphine in a general patient population in the ED with pain and to compare it with the effect for patients with a prior use of opioids. This study could present a better pain treatment for patients with and without a prior use of opioids.
Results: Pending – study still running.
Conclusion: Pending – study still running.
Photo and video referral in the future Emergency Department?
Authors: Toftkær Ulla 
Published: September 2022

In the Danish health system, photo/video contact has been successfully utilized in the telemedicine treatment of patients. In the Sjælland Region patient referrals to the Emergency Department are based on telephone conversations with a Registered Nurse. Holbæk Emergency Department initiated a pilot study in 2019 with the objective of investigating the feasibility and potential of using photo/video as a tool in future referrals. Our hypothesis is that it can improve the referral process.
The pilot study is retrospective and the approach deductive. The inclusion criteria is patients with lacerations who have been referred to the Emergency Department (ED) from the Acute Phone. 12 patients participated and consented to having photos taken of their laceration on the arrival to the ED. Twenty-five experienced Registered Nurses from the 4 Acute Phone sites in the Sjælland Region participated. The study design is based on a control group and an investigation group. The control group is the 12 patient referrals to the ED based on the conversation on the Acute Phone. The investigation group is the 300 patient referrals provided by the retrospective review of the 12 patient photos by 25 Registered Nurses. In retrospective review the Registered Nurses either refer to the ED or own home treatment. The validation of referral with photo is investigated by measuring the congruity of the referrals in the investigation group. The potential is shown by comparing the referrals in the two groups.
Out of 300 photo referrals, the congruity of the Registered Nurses' referrals shows an agreement of 95% and a deviation of 5%, which shows the validity. 4 out of 12 patients with lacerations would have been referred to home treatment in the investigation group, with a referral agreement of 93%. While all 12 patients as the control group were referred to the Emergency Department.
The results point towards a future process including photo/video contact, which will improve the ability of Registered Nurses' to provide appropriate referral and treatment instructions, and increase the number of patients referred to home treatment. Implementation of video contact on the Acute Phone starting January 2020, rolling out regionally in 2021.
The Evolution of Agency
Authors: Tomasello Michael 
Published: September 2022

A leading developmental psychologist proposes an evolutionary pathway to human psychological agency.
Nature cannot build organisms biologically prepared for every contingency they might possibly encounter. Instead, Nature builds some organisms to function as feedback control systems that pursue goals, make informed behavioral decisions about how best to pursue those goals in the current situation, and then monitor behavioral execution for effectiveness. Nature builds psychological agents. In a bold new theoretical proposal, Michael
Tomasello advances a typology of the main forms of psychological agency that emerged on the evolutionary pathway to human beings.
Tomasello outlines four main types of psychological agency and describes them in evolutionary order of emergence. First was the goal-directed agency of ancient vertebrates, then came the intentional agency of ancient mammals, followed by the rational agency of ancient great apes, ending finally in the socially normative agency of ancient humans. Each new form of psychological organization represented increased complexity in the planning, decision-making, and executive control of behavior. Each also led to new types of experience of the environment and, in some cases, of the organism's own psychological functioning, leading ultimately to humans' experience of an objective and normative world that governs all of their thoughts and actions. Together, these proposals constitute a new theoretical framework that both broadens and deepens current approaches in evolutionary psychology.
Selfie Democracy
Authors: Losh Elizabeth 
Published: September 2022

How politicians' digital strategies appeal to the same fantasies of digital connection, access, and participation peddled by Silicon Valley.
Smartphones and other digital devices seem to give us a direct line to politicians. But is interacting with presidential tweets really a manifestation of digital democracy? In Selfie Democracy, Elizabeth Losh examines the unintended consequences of politicians' digital strategies, from the Obama campaign's pioneering construction of an online community to Trump's Twitter dominance. She finds that politicians who use digital media appeal to the same fantasies of digital connection, access, and participation peddled by Silicon Valley. Meanwhile, smartphones and social media don't enable participatory democracy so much as they incentivize citizens to perform attention-getting acts of political expression.
Losh explores presidential rhetoric casting digital media as tools of democracy, describes the conflation of gender and technology that contributed to Hillary Clinton's defeat in 2016, chronicles the Biden campaign's early digital stumbles in 2020, and recounts the TikTok campaign that may have spoiled a Trump rally. She shows that although Obama and Trump may seem diametrically opposed in both style and substance, they both used mobile digital media in ways that reshaped the presidency and promised a new kind of digital democracy. Obama used data and digital media to connect to citizens without intermediaries; Trump followed this strategy to its most extreme conclusion. What were the January 6 insurrectionists doing, as they livestreamed themselves and their cohorts attacking the Capitol, but practicing their own brand of selfie democracy?