bluuebunny/crossref_metadata_2025_split huggingface dataset:
Colloquium 3 Aristotle on the Voluntariness of Vice
Authors: Elliott Jay R. 
Published: November 2021

Abstract
In Nicomachean Ethics III.5, Aristotle argues that virtue and vice are “up to us and voluntary.” Readers have long struggled to make sense of Aristotle’s arguments in this chapter and to explain how they cohere with the rest of his ethical project. Among the most influential lines of complaint is that the argument of III.5 appears to contradict his emphasis elsewhere on the power of upbringing to shape character, beginning in childhood. Scholars have developed two main interpretive approaches to III.5, which I label “libertarian” and “compatibilist.” I argue that neither approach succeeds in removing the appearance of contradiction. I develop an alternative interpretation that reveals the coherence of Aristotle’s commitments, showing that for him the voluntariness of character and the power of upbringing are in reality two sides of the same philosophical coin. Both are grounded in his fundamental idea that virtue and vice are acquired by practice.
Interpreting Observed Temperature Probability Distributions Using a Relationship between Temperature and Temperature Advection
Authors: Zhang Boer , Linz Marianna , Chen Gang 
Published: November 2021

Abstract
The nonnormality of temperature probability distributions and the physics that drive it are important due to their relationships to the frequency of extreme warm and cold events. Here we use a conditional mean framework to explore how horizontal temperature advection and other physical processes work together to control the shape of daily temperature distributions during 1979–2019 in the ERA5 dataset for both JJA and DJF. We demonstrate that the temperature distribution in the middle and high latitudes can largely be linearly explained by the conditional mean horizontal temperature advection with the simple treatment of other processes as a Newtonian relaxation with a spatially variant relaxation time scale and equilibrium temperature. We analyze the role of different transient and stationary components of the horizontal temperature advection in affecting the shape of temperature distributions. The anomalous advection of the stationary temperature gradient has a dominant effect in influencing temperature variance, while both that term and the covariance between anomalous wind and anomalous temperature have significant effects on temperature skewness. While this simple method works well over most of the ocean, the advection–temperature relationship is more complicated over land. We classify land regions with different advection–temperature relationships under our framework, and find that for both seasons the aforementioned linear relationship can explain ∼30% of land area, and can explain either the lower or the upper half of temperature distributions in an additional ∼30% of land area. Identifying the regions where temperature advection explains shapes of temperature distributions well will help us gain more confidence in understanding the future change of temperature distributions and extreme events.
Rapid Dynamical Evolution of ITCZ Events over the East Pacific
Authors: Gonzalez Alex O. , Ganguly Indrani , McGraw Marie C. , Larson James G. 
Published: November 2021

Abstract
The latitudinal location of the east Pacific Ocean intertropical convergence zone (ITCZ) changes on time scales of days to weeks during boreal spring. This study focuses on tropical near-surface dynamics in the days leading up to the two most frequent types of ITCZ events, nITCZ (Northern Hemisphere) and dITCZ (double). There is a rapid daily evolution of dynamical features on top of a slower, weekly evolution that occurs leading up to and after nITCZ and dITCZ events. Zonally elongated bands of anomalous cross-equatorial flow and off-equatorial convergence rapidly intensify and peak 1 day before or the day of these ITCZ events, followed 1 or 2 days later by a peak in near-equatorial zonal wind anomalies. In addition, there is a wide region north of the southeast Pacific subtropical high where anomalous northwesterlies strengthen prior to nITCZ events and southeasterlies strengthen before dITCZ events. Anomalous zonal and meridional near-surface momentum budgets reveal that the terms associated with Ekman balance are of first-order importance preceding nITCZ events, but that the meridional momentum advective terms are just as important before dITCZ events. Variations in cross-equatorial flow are promoted by the meridional pressure gradient force (PGF) prior to nITCZ events and the meridional advection of meridional momentum in addition to the meridional PGF before dITCZ events. Meanwhile, variations in near-equatorial easterlies are driven by the zonal PGF and the Coriolis force preceding nITCZ events and the zonal PGF, the Coriolis force, and the meridional advection of zonal momentum before dITCZ events.
Gender Differences in the Factors Associated With the Fear of COVID-19 Among Taiwanese Older People
Authors: Li Yueh-Ping , Lin Chung-Ying , Kuo Yi-Jie , Chen Yu-Pin , Griffiths Mark D. 
Published: November 2021

Objectives: Due to the COVID-19 pandemic, older people are threatened, and there may be different psychological responses toward COVID-19 between women and men. The present study explored the factors and gender differences related to the fear of COVID-19 among older women and men in Taiwan. Methods: Geriatric patients (n = 139; 42 men; mean age = 71.73 years) who visited outpatient departments were recruited. They self-reported demographic data and completed questions asking about (i) their fear of COVID-19, (ii) whether they paid attention to COVID-19 news, (iii) whether searched for COVID-19 news, (iv) whether they believed in COVID-19 news, and (v) their preventive COVID-19 behaviors. Results: Both women and men reported a low fear of COVID-19, paid close attention to COVID-19 news, and practiced good preventive COVID-19 infection behaviors. The perceived chance of COVID-19 infection was a significant factor contributing to the fear of COVID-19 among both women and men. Preventive behaviors had a positive effect in lowering the fear of COVID-19. News about COVID-19 had a negative effect in lowering the fear of the disease among women but not men. Conclusions: As the performing of preventive COVID-19 infection behaviors was associated with a lower fear of COVID-19, healthcare providers should consider strategies for improving preventive behaviors among older people to help ease their worries and fears concerning COVID-19.
Social participation and marital satisfaction in mid to late life marriage
Authors: Piechota Amanda , Ali Talha , Tomlinson Jennifer M. , Monin Joan K. 
Published: November 2021

Objectives Research shows that social participation is beneficial for overall health and well-being. Yet, no research to our knowledge has examined whether social participation is associated with greater marital satisfaction in middle-aged and older couples. We hypothesized that middle-aged and older adults would have greater marital satisfaction when their spouse engaged in social groups because there would be greater opportunity for self-expansion and for social support from ties outside the marriage. Methods We used background self-report data from a multi-method study of 98 middle-aged and older adult married couples ( N = 196) with chronic conditions. As part of the study, spouses completed questionnaires that measured the frequency and intensity of involvement in social groups (e.g., church, business groups). Marital satisfaction was measured with the Locke Wallace Marital Adjustment Test. Results Contrary to our hypotheses, results from actor–partner interdependence models provided no evidence that one’s own social participation was associated with one’s own marital satisfaction (actor effects). However, in line with our hypotheses regarding partner effects, one spouse’s (a) report of any social participation with church organizations, business groups, or social groups, (b) greater number of affiliations with different organizations, (c) greater frequency of participation, and (d) being an active officer in a social organization were significantly associated with the other spouse’s greater marital satisfaction. Discussion Findings of this study suggest that having a spouse who participates in social groups is good for relationship satisfaction in mid to late life marriage.
Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
Authors: Ahmed Umair , Karimi Hossein , Amir Syed , Ahmed Ashfaq 
Published: November 2021

Objective We determined whether an exercise regime comprising high-intensity training, multiplanar trunk movements, and dual-task practice could improve trunk control, balance, functional mobility, and reduce fall risk in patients with hemiplegic stroke. Methods In this randomized controlled trial, 74 patients (mean age 61.71 years) were randomly assigned to the experimental and comparison groups. Primary outcome was trunk impairment scale (TIS) scores. Secondary outcomes were scores on the Berg balance scale, 10-meter walk test, Timed-up-and-go test, timed-Up-Go–cognitive, and Stroke Impact Scale-16 to measure between-group changes from baseline. We used linear mixed modeling to identify changes over time within and between groups on each scale and whether changes persisted at 6- and 12-month follow-ups. Results We observed significantly increased mean TIS scores from baseline to 3 months post-treatment (7.74); the increased scores were maintained at 6- and 12-month follow-ups (8.60 and 8.43, respectively). In the experimental group, all secondary outcomes showed significant and clinically meaningful results. Fall risk between groups was significantly reduced at 6 and 12 months. Conclusions Intensive multiplanar trunk movements coupled with dual-task practice promoted trunk control, balance, and functional recovery in patients with stroke, reduced fall risk, and improved independent mobility. Trial registration: #IRCT20200127046275N1.
Effect of Premorbid Beta-Blockers on Mortality in Patients With Sepsis: A Systematic Review and Meta-Analysis
Authors: Hasegawa Daisuke , Sato Ryota , Prasitlumkum Narut , Nishida Kazuki 
Published: November 2021

Objective The aim of this study was to conduct a systematic review and meta-analysis to investigate the impact of premorbid beta-blockers on mortality in patients with sepsis. Data Sources We searched EMBASE, the Cochrane Central Register of Controlled Trials, and MEDLINE for eligible studies. The protocol was registered at the PROSPERO (CRD42021256813). Study Selection Two authors independently evaluated the following inclusion criteria: (1) randomized controlled trials, cohort studies, cross-sectional studies; (2) patients with sepsis aged ≥18 years, and (3) premorbid beta-blocker use. Data Extraction Two authors extracted the patients’ characteristics and outcomes independently. All analyses were performed using the random-effects models. The primary outcome was short-term mortality, defined as mortality within 30 days, in-hospital or intensive care unit mortality. Data Synthesis Ten studies (n = 24 748 patients) were included. The pooled odds ratio (OR) of short-term mortality associated with the premorbid use of beta-blockers was 0.85 (95% confidence interval [CI], 0.69-1.04; P = .12; I2 = 50%). Five studies reported an adjusted OR of short-term mortality. The pooled adjusted OR of short-term mortality associated with the premorbid use of beta-blockers was 0.73 (95% CI, 0.65-0.83; P < .001; I2 = 0%). Conclusion Premorbid beta-blockers were associated with a lower short-term mortality in patients with sepsis.
Moral distress in nursing students: Cultural adaptation and validation study
Authors: Mazzotta Rocco , De Maria Maddalena , Bove Davide , Badolamenti Sondra , Saraiva Bordignon Simonì , Silveira Luana Claudia Jacoby , Vellone Ercole , Alvaro Rosaria , Bulfone Giampiera 
Published: November 2021

Background: Moral distress, defined as moral suffering or a psychological imbalance, can affect nursing students. However, many new instruments or adaptations of other scales that are typically used to measure moral distress have not been used for nursing students. Aim: This study aimed to translate, culturally adapt and evaluate the psychometric properties of an Italian version of the Moral Distress Scale for Nursing Students (It-ESMEE) for use with delayed nursing students (students who could not graduate on time or failed the exams necessary to progress to the next level). Research design: The study used a cross-sectional research design. Participants and research context: Incidental sampling resulted in a sample of 282 delayed nursing students (mean age = 26.73 ± 4.43 years, 73% female) enrolled between May and August 2020 in a University of central Italy. Ethical considerations: The research protocol was approved by the internal review board of the university, and all participants provided their written informed consent. Results: The study confirmed a multidimensional second-order factorial structure for the It-ESMEE with five dimensions: improper institutional conditions to teach user care, authoritarian teaching practices, disrespect for the ethical dimension of vocational training, lack of competence of the teacher and commitment of ethical dimension of user care. The internal consistency was high (0.753–0.990 across the factors), and the standard error of measurement and smallest detectable change were adequate. Discussion: The It-ESMEE is able to assess moral distress in delayed nursing students with good validity and reliability. It can be used in research and to determine moral distress levels, helping teachers to monitor the condition in nursing students. Conclusion: This instrument can help in comprehending moral distress, enabling students to develop coping and intervention strategies to maintain their well-being, and to ensure the quality of nurse education.
Early Maxillary Dentoalveolar Changes in Children with Unilateral Cleft Lip and Palate After Palatal Repair: A Pilot Study
Authors: Singhania Shreepriya , Bhojraj Nandlal 
Published: November 2021

Objective To assess early maxillary dentoalveolar changes in children with unilateral cleft lip and palate (UCLP) up to 6 months after palatoplasty. Design Pilot study. Patients and Participants Eight children with UCLP at the age of 18 to 30 months, who were awaiting palatal repair, were included. Interventions All participants with repaired lip were scheduled for palatal repair between 18 and 24 months by Bardach's technique. Main Outcome Measure(s) Arch widths, arch depths, and arch perimeter was measured on 32 dental casts of 8 participants at 4 time points: just prior to palatal repair (T1), 1 month (T2), 3 months (T3), and 6 months (T4) after palatal repair. Manual method using digital vernier caliper (Zhart, India) was used for model analysis. Intraexaminer reliability was also assessed. Results Only one examiner assessed all the dental casts after blinding. There was a significant decrease in the intercanine width (29.75 ± 1.98 mm at T1 to 26.42 ± 1.67 mm at T4; P < .001) and anterior arch depth (9.86 ± 1.07 mm at T1 to 8.29 ± 1.51 mm at T4; P < .001). Growth occurred in intertuberosity width (38.18 ± 1.40 mm at T1 to 39.76 ± 1.09 mm at T4; P < .001) and total arch depth (24.36 ± 1.21 mm at T1 to 26.79 ± 1.04 mm; P < .001) over 6 months post-surgery. Conclusions There was growth restriction in the anterior part of the palate, whereas the posterior region continued to grow after palatal repair. These changes were observable even in the early months after palatoplasty.
Classification Systems of Cleft Lip, Alveolus and Palate: Results of an International Survey
Authors: Houkes Ruben , Smit Johannes , Mossey Peter , Don Griot Peter , Persson Martin , Neville Amanda , Ongkosuwito Edwin , Sitzman Tom , Breugem Corstiaan 
Published: November 2021

Objective This study aimed to identify commonly used classification systems by cleft providers around the world, including the perceived indications and limitations of each system. Design A cross-sectional survey. Participants A total of 197 registrants from three international cleft/craniofacial meetings. Interventions Participants were sent a web-based questionnaire concerning cleft classification systems. Main Outcome Measures Frequency of commonly used classification systems, their perceived indications and limitations. Results A total of 197 respondents from 166 different centers completed the questionnaire. Healthcare professionals from all disciplines responded, with the most frequent respondents being plastic surgeons (38.1%), maxillofacial surgeons (28.4%) and orthodontists (23.9%). Eighteen different classification systems were in use. The most frequently used systems were the International Statistical Classification of Diseases and Related Health Problems (ICD-10) (35.5%), LAHSHAL (34.0%), and Veau (32.5%) classification systems. Most respondents (32.5%) indicated that anatomical and morphological characteristics are essential components of a classification system. However, respondents indicated that their current classification systems lacked sufficient description of cleft extension and severity. Conclusions Great variety in the use of classification systems exists among craniofacial specialists internationally. The results recommend the usage of the LAHSHAL classification of OFCs, due to its comprehensiveness, relatively high implementation rate globally, convenience of usage and complementarity with the ICD-10 system. Moreover, it can overcome deficiencies inextricably linked to ICD-10, such as incapacity to describe laterality and clefts of the alveolus. More international exposure to the merits of using the LAHSHAL classification system would be highly recommended.
Early Nutrition among Infants Admitted to the NICU with Cleft Lip and Palate
Authors: Tahmasebifard Neda , Briley Patrick M. , Ellis Charles , Perry Jamie L. 
Published: November 2021

Objective The objective of this study was to examine differences in human milk feeding outcomes among infants admitted to a neonatal intensive care unit (NICU) with and without cleft lip and palate (CLP). Method Data were used from a sample of infants admitted to the NICU with and without CLP from the 2018 National Vital Statistics System. For baseline comparisons, Chi-square tests of independence were used to compare categorical variables, and independent samples t tests were used for continuous variables. Logistic regression models were performed to determine the odds of human milk feeding at discharge in infants admitted to the NICU with CLP. Results The total sample included 345,429 infants admitted to the NICU, of which 660 had CLP. Significant differences were found among the following variables when baseline comparisons were made between infants admitted to the NICU with and without CLP: mother's race, mother's education, maternal smoking record, childbirth delivery method, presence of maternal pre-pregnancy diabetes, five-minute APGAR score, multiparity record (having more than one baby at birth), gestational age, and gestational weight. After controlling for baseline differences, results indicated reduced odds of human milk feeding at discharge in infants admitted to the NICU with CLP compared to those without CLP (OR = .543; 95% CI.455,.648). Conclusion Results suggest reduced odds of human milk feeding at discharge among infants admitted to the NICU with CLP compared to those without CLP. These findings emphasize the necessity of awareness and facilitation of human milk feeding in this population.
Youth Demographic Characteristics and Risk Perception of Using Alternative Tobacco Products: An Analysis of the 2014–2015 Canadian Student Tobacco, Alcohol, and Drugs Survey (CSTADS)
Authors: Okpalauwaekwe Udoka , Nwoke Chinenye Nmanma , Messier Jacinthe 
Published: November 2021

Background There is a growing attraction by youth to alternative tobacco products (ATPs) such as e-cigarettes and hookahs. This study investigated risk perceptions and demographic characteristics associated with ATP use in grade 8–10 students. Methods Data were drawn from the 2014/15 cycle of the CSTADS. The analytic sample included 1819 students from a total pool of 42 094 students who completed the survey. Logistic regression models were used to examine factors (demographic characteristics and risk perception) associated with ATP use in the past 30 days. Results 12% of students in grade 8–10 self-identified as having used ATPs in the past 30-days, with a majority of students in grade 10 (56%). Male students had higher odds of reporting ATP use when compared to females. Although a lesser proportion of Indigenous students reported ATP use in comparison to White students (31% vs 61%), Indigenous students were 2.42 (1.49, 3.93) times as likely to use ATPs as White students. Students who perceived smoking hookah once in a while as “no to slight risk” were 1.58 (1.09, 2.28) times more likely to report ATP use than students who perceived “moderate to great risk.” Also, students who perceived using e-cigarettes on a regular basis as “no to slight risk” were 2.21 (1.53, 3.21) times more likely to report ATP use as students who perceived “moderate-great risk.” Conclusion A significant number of grade 8–10 students use ATPs, especially e-cigarettes, with the misconception of minimal health risks. There remains the need to do more to counteract the rise in social and epidemiological alternative tobacco use trends among the youth.
HBV co-infection is associated with persistently elevated liver stiffness measurement in HIV-positive adults: A 6-year single-centre cohort study in Nigeria
Authors: Rivera Adovich S , Machenry Stephen , Okpokwu Jonathan , Olatunde Bola , Ugoagwu Placid , Auwal Muazu , Sule Halima , Agaba Patricia , Agbaji Oche O , Thio Chloe L , Murphy Robert Leo , Hawkins Claudia 
Published: November 2021

Background In Nigeria, the effect of Hepatitis B virus (HBV) on long-term liver outcomes in persons with HIV (PLH) has not been described. We determined changes in liver stiffness measure (LSM) using transient elastography over 6 years in HIV mono-infected and HIV-HBV co-infected Nigerians initiating antiretroviral therapy (ART) and factors associated with LSM decline. Methods This single centre, cohort study enrolled ART-naïve HIV mono- and HIV-HBV co-infected adults (≥18 years) at the APIN Public Health Initiatives–supported HIV Care and Treatment Centre at Jos University Teaching Hospital, Nigeria, from 7/2011 to 2/2012. LSM at baseline, Years 3 and 6 were analysed using longitudinal models to estimate changes over time and their predictors. Results Data from 100 (31%) HIV-HBV co-infected and 225 (69%) HIV mono-infected participants were analysed. Median LSM at baseline was 6.10 (IQR: 4.60–7.90) kPa in co-infected and 5.10 (IQR: 4.40–6.10) kPa in mono-infected participants. In adjusted analyses, average LSM was not significantly different between Year 0 and 3 (β = 0.02, −0.22 to 0.26, p = 0.87 and Year 0 and 6 (β = −0.02, −0.23 to 0.27, p = 0.88) in both groups ( p>0.05), but co-infected participants had significantly higher LSM than mono-infected throughout follow-up (β = 0.018, 0.019–0.28, p < 0.001). Year 3 LSM differed according to ART initiation status by Year 3 (initiators - non-initiators: −0.87, −1.70 to −0.29). Conclusion In this cohort, LSM remained higher among HIV-HBV co-infected versus HIV mono-infected participants throughout follow-up. Our findings emphasize the continuing need for monitoring of liver outcomes in HIV-HBV co-infected populations on ART and the importance of preventing HBV infection among PLH to optimize liver health.