bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Operation of Peirce’s Pheme in Narrative Contexts
Authors: West Donna E. 
Published: November 2022

Abstract
Peirce’s Pheme directs interpretation of narratives via a “series of surprises” (ep2:154). The indexical and iconic elements inherent in Phemes are particularly potent in forcing attention and depicting relevant events. Index intrudes upon interpreters’ consciousness to notice the unexpected consequence; but icons exploit vividness. As imperatives, Phemes compel particular behaviors (1906: ms295). When narratives are portrayed in pictures, interpreters remember happenings in which Phemes feature surprising percepts, evoking an attentional response, and securing a confluence of events in memory.
Findings from children’s narrations demonstrate that events represented by Phemes are more often included in children’s retellings, because surprising images command active participation. This viewpoint impels listeners to build episodes, ascribing meanings across events, and proposing rationale for novel outcomes.
Pragmatism about Truth-Makers
Authors: Capps John 
Published: November 2022

Abstract
Truth-makers are the dark matter of metaphysics. On the one hand, truth-makers seem obvious and necessary: if there are truths then there must be something that makes these truths true. On the other hand, it’s proven difficult to say exactly what these truth-makers are. Even defenders disagree about what sort of entity truth-makers are or whether all truths have truth-makers. Skeptics have questioned whether truth-makers are actually so obvious and necessary, or even whether they exist at all. Here I offer an account of this unhappy state of affairs and a modest proposal. First, I argue that not only are there no good arguments for truth-makers but it’s unlikely that there ever will be. Second I point to how much can be done without resorting to truth-makers in the first place: they are not as essential as often assumed. Finally, I conclude that we needn’t jettison the concept of truth-makers entirely. Understood in a modest and pragmatic spirit we can hold on to truth-makers while recognizing their inherent limitations.
Pragmatism and the Pluralism of Paths: Reflections on Voparil’s Reconstructing Pragmatism: Richard Rorty and the Classical Pragmatists
Authors: Shusterman Richard 
Published: November 2022

Abstract
After noting Rorty’s rhetorical use of binary oppositions, which belies important continuities (and which is even reflected in the problem of radically opposing classical pragmatism to neopragmatism), I question the idea that progress in pragmatism must go through engagement with Rorty. I do so by arguing that Rorty failed to treat or outright rejected some important philosophical issues. I consequently challenge the famous model for pragmatist pluralism: the metaphor of a single hotel corridor opening to a plurality of rooms with different people doing or believing different things. My paper also makes a case for the central importance of the aesthetic in Rorty’s philosophy despite his avowed rejection of aesthetics.
Traveling with a Reconstructed Pragmatist Map: A Commentary on Chris Voparil’s Reconstructing Pragmatism
Authors: Dieleman Susan 
Published: November 2022

Abstract
Chris Voparil’s Reconstructed Pragmatism provides an opportunity to reconsider existing debates from a new pragmatist vantage point, one that takes seriously Rorty’s contribution to the tradition. In this commentary, I take advantage of this vantage point to briefly reconsider debates about deliberative democracy, including pragmatist contributions to them. Typically, such debates revolve around either the ethical/political constraints or the epistemic benefits of deliberation. Yet Voparil’s redrawn pragmatist map reconfigures the relationship between the ethical/political and epistemic dimensions of communities engaged in democratic deliberation. I use the vantage point made accessible by Voparil’s map to think about how the ethical/political and epistemic are simultaneously instantiated in the creation and expansion of communities, which suggests many existing attempts to justify or explain democratic deliberation are misguided.
A Trilemma for Voparil
Authors: Donelson Raff 
Published: November 2022

Abstract
This short review raises a trilemma for Chris Voparil’s reading of Richard Rorty. Voparil must deny one of three things. He must deny that Rorty affirmed a Jamesian approach to metaethics; he must deny that Rorty affirmed a version of Peircean realism; or, he must deny that Rorty treated all domains of discourse roughly the same. Because Rorty is quite clear in his commitment to the first and third theses and far less clear in affirming Peircean realism, I argue that Voparil is forced to give up attributing realism to Rorty or must simply concede that his version of Rorty is incoherent.
The Italian Law Authorizing the Creation of an Exclusive Economic Zone
Authors: Cataldi Giuseppe 
Published: November 2022

Abstract
With Law No. 91/2021 Italy authorized the establishment of an exclusive economic zone, an epoch-making change in Italian foreign policy. For decades, the governments of the Peninsula, conditioned by the interests of national fishermen and by the advice of the Navy, have pushed for a limitation of the extension of jurisdiction in the Mediterranean. There is no doubt that in semi-enclosed seas the EEZ regime is more difficult to apply, but by now almost all the coastal States of this sea have declared an EEZ or are preparing to do so. The regime will coincide with the provisions of UNCLOS on the subject. The most delicate problem is undoubtedly that of delimitation. In the past, Italy has negotiated disadvantageous delimitation lines of the continental shelf, which are now being proposed, by the States with which such agreements have been concluded, as “all purposes” delimitation lines. The problem arises for the moment essentially with Tunisia, since in the other cases the agreements are with EU countries, and with Algeria, with which there are no agreements in force but which has declared an EEZ that overlaps with areas potentially subject to Italian (and other countries’) jurisdiction.
The Conservation of Biodiversity in the Mediterranean Sea through Marine Protected Areas: The Barcelona System Faced with the Expansion of Coastal State Jurisdiction
Authors: Vezzani Simone 
Published: November 2022

Abstract
This paper tackles legal and policy issues concerning Marine Protected Areas (MPAs) in the Mediterranean Sea. Since the 1970s, Mediterranean Countries have been at the forefront in international cooperation for the protection of marine ecosystems: notably, significant results have been achieved through the establishment of a network of Specially Protected Areas of Mediterranean Interest (SPAMIs). After framing the general legal context, the paper examines the specificities of the above network, while at the same time pointing out its weakness when put to the test of facts. Accordingly, some proposals are made for improving the SPAMI system, which include a better allocation of jurisdiction among coastal States in the case of transboundary MPAs. It is argued that in a delicate phase of transition, characterized by the proclamation of EEZs and the ensuing maritime delimitation disputes, the creation of SPAMI may enhance the spirit of cooperation among Mediterranean States with opposite or adjacent coasts and possibly represent an alternative to the definition of a precise maritime boundary. Most notably, the creation of transboundary SPAMIs appears worth further exploration in the context of the negotiations aimed at defining the boundaries of the Italian EEZ.
The Role of International Organizations in the Mediterranean Sea: An Appraisal of the Union for the Mediterranean
Authors: Branca Eleonora 
Published: November 2022

Abstract
The Union for the Mediterranean (UfM) is the international entity that brings together all States of Southern and Eastern Mediterranean shores, all Member States of the European Union and the European Union itself. The UfM is currently the only forum where all States of the Mediterranean basin carry out a form of international cooperation to foster economic development and regional integration. It has undergone a significant institutional development since the creation of the Barcelona Process in the context of the Euro-Mediterranean Partnership in 1995. Despite its uniqueness, the UfM has received very limited attention by international law scholarship.
The article aims at filling this gap by exploring the historical evolution along with the features and the functions of the UfM. The analysis will be undertaken in the purview of institutional law to verify whether the UfM can be considered an international organization or rather an informal partnership of States. The study will also discuss whether this entity could promote a form of “Mediterranean regionalism” or if the UfM would serve as a mere projection of the interests of the European Union over the Mediterranean Sea.
Italian Legislation in Times of Pandemics and International Law: Exceptionalism, Balancing and Compliance
Authors: Greco Donato 
Published: November 2022

Abstract
This inquiry collects the legislative measures that Italy enacted throughout the course of the pandemic in connection with international law obligations, i.e. either by enforcing, derogating or breaching international law. In this respect, the objective of the analysis is twofold. On the one hand, it is aimed at outlining Italy’s attitude vis-à-vis international law and what role the latter legal system has played within the context of the crisis. On the other hand, it intends to offer a survey tool for comparative legal analysis to those who may wish to review the experience gained and the lessons learned from the pandemic. To this end, this investigation will consider only measures that fall under international health law, international trade law, international investment law and international human rights law as these regimes have been most affected in the last two years.
Endovascular aortic arch repair: A comparison of outcomes and current trends
Authors: Tan Sven ZCP , Jubouri Matti , Bashir Mohamad 
Published: November 2022

Objective Application of thoracic endovascular aortic repair (TEVAR) to the aortic arch has been met with the development of purpose-made endoprostheses for on-label use in the aortic arch. An appraisal of the clinical efficacy of each major device is therefore useful towards informing clinical decision making for patients eligible for endovascular arch repair (EAR) rather than open surgical reconstruction. Methods A literature review of publications outlining clinical experience with the RELAY™ Branched and Zenith™ devices was undertaken, and the results therefrom analysed to evaluate the clinical efficacies of each device. Results Early- and long-term mortality rates associated with EAR appear favourable, especially compared against open surgical repair. EAR is also associated with good neurological outcomes and target vessel patency rates. However, EAR continues to be associated with substantial reintervention rates. Conclusions At the present stage, EAR represents a promising alternative option to open surgical reconstruction in patients that meet its eligibility criteria. Though there remains a substantial learning curve associated with EAR, its favourable outcome profile is likely to increase its applicability in the future.
Myocardial interaction of apixaban after experimental acute volume overload
Authors: Huuskonen Christa , Hämäläinen Mari , Kivikangas Nooa , Paavonen Timo , Moilanen Eeva , Mennander Ari 
Published: November 2022

Objective Acute volume overload (AVO) induces early ischemia-like changes in intramyocardial arteries. We investigated whether the Factor Xa (FXa) inhibitor apixaban interacts with the myocardium early after AVO. Methods Fifty-five syngeneic Fisher rats underwent surgical abdominal aortocaval fistula to induce AVO. Among them, 17 rats were treated with apixaban (10 mg/kg/day). The myocardial outcome was studied using histological analysis and by measuring atrial natriuretic peptide (ANP) and matrix metalloprotease 9 (MMP9) gene expression. Results After 3 days, the total number of intramyocardial arteries was significantly increased in the AVO+apixaban (AVO+A) group compared with that in the AVO group (12.0  ±  1.2 and 10.2 ± 1.5, point score units, respectively). In the AVO+A group, there were significantly more edematous nuclei in myocardial arteries in the right and left ventricle compared with that in the AVO group. ANP and MMP9 expression levels continued to increase significantly in the AVO+A group compared with those in the AVO group. Conclusion Apixaban interacts with intramyocardial arteries in the left and right ventricles after AVO and ANP and MMP9 expression levels increased. Thus, the myocardial effect of Factor Xa inhibition needs to be monitored after AVO.
Epidemiology of primary shoulder dislocations requiring surgery: A cohort study from a major trauma center during 7 years
Authors: Yaari Lee , Ribenzaft Shay Zion , Kittani Mohamed , Yassin Mustafa , Haviv Barak 
Published: November 2022

Purpose The epidemiology of shoulder instability in the general population is lacking. The aim of the current study was to determine the incidence rate of primary shoulder dislocations requiring surgical interventions in a major trauma center within a large maintenance organization. Methods A retrospective cohort analysis of electronic health records database from 1 January 2014 and 31 December 2020 was conducted in major rural trauma center. This study included all patients aged 10 years or older with a primary shoulder dislocation that were treated with closed reduction in the emergency room department. An overall incidence density rates (IDR) (per 100,000 person-years) of primary shoulder dislocations and stabilization surgeries were determined for the entire cohort. The data was used to evaluate the age-specific and gender-specific epidemiology. Results During the study period of 7 years there were 1,302 patients who underwent closed reduction after a primary shoulder dislocation (mean age 45 years). Of those, a total of 106 shoulder stabilization surgeries (8%) were performed. The IDR of primary shoulder dislocations was 179 per 100,000 person-years. The IDR of primary shoulder stabilizations was 15 per 100,000 person-years. The peak in number of dislocations was observed in the age groups of 20–29 years and over 60 years. In the age groups under 59 years dislocations were more common in men while in ages over 60 years dislocations were more common in women. The vast majority of shoulder stabilization surgeries were performed in young patients (age under 39 years). Conclusion The IDR of primary shoulder dislocations calculated from a major trauma center of the largest health maintenance organization in Israel was 179 per 100,000 person-years. Shoulder dislocations had bimodal age distribution. Overall, eight percent of the patients (mainly young) with shoulder dislocations underwent shoulder stabilization surgery during the study period.
Integrating Neuroimaging Measures in Nursing Research
Authors: Figuracion Karl Cristie F. , Thompson Hilaire , Mac Donald Christine L. 
Published: November 2022

Background Medical and scientific advancement worldwide has led to a longer lifespan. With the population aging comes the risk of developing cognitive decline. The incorporation of neuroimaging measures in evaluating cognitive changes is limited in nursing research. The aim of this review is to introduce nurse scientists to neuroimaging measures employed to assess the association between brain and cognitive changes. Methods Relevant literature was identified by searching CINAHL, Web of Science, and PubMed databases using the following keywords: “neuroimaging measures,” “aging,” “cognition,” “qualitative scoring,” “cognitive ability,” “molecular,” “structural,” and “functional.” Results Neuroimaging measures can be categorized into structural, functional, and molecular imaging approaches. The structural imaging technique visualizes the anatomical regions of the brain. Visual examination and volumetric segmentation of select structural sequences extract information such as white matter hyperintensities and cerebral atrophy. Functional imaging techniques evaluate brain regions and underlying processes using blood-oxygen-dependent signals. Molecular imaging technique is the real-time visualization of biological processes at the cellular and molecular levels in a given region. Examples of biological measures associated with neurodegeneration include decreased glutamine level, elevated total choline, and elevated Myo-inositol. Discussion Nursing is at the forefront of addressing upstream factors impacting health outcomes across a lifespan of a population at increased risk of progressive cognitive decline. Nurse researchers can become more facile in using these measures both in qualitative and quantitative methodology by leveraging previously gathered neuroimaging clinical data for research purposes to better characterize the associations between symptom progression, disease risk, and health outcomes.
Bariatric surgery prior to total hip arthroplasty: does timing or type matter?
Authors: Bains Sandeep S , Sax Oliver C , Chen Zhongming , Nabet Austin , Nace James , Delanois Ronald E 
Published: November 2022

Introduction: Morbid obesity is a known risk-factor for increased complications following total hip arthroplasty (THA). Thus, many orthopaedic surgeons recommend bariatric surgery (BS). However, there is no consensus on the type (commonly either a Roux-en-Y gastric bypass [RYGB] or sleeve gastrectomy [SG]) and timing of BS prior to THA. Therefore, the purpose of this study is to compare BS recipients prior to THA to assess differences in 90-day to 2-year medical/surgical complications as well as revisions for: (1) type of BS (RYGB and SG); and (2) timing of BS. Additionally, we aim to assess risk factors for postoperative prosthetic joint infections (PJIs), dislocations, and revisions. Methods: We queried a national, all-payer database to identify patients undergoing primary THA from January 2010 to October 2020 ( n = 715,100). Patients were then divided into 6 cohorts: 2 cohorts without history of BS (body mass index [BMI] kg/m2 20–35 [ n = 59,995]) and BMI > 40 [ n = 36,799]); 2 cohorts with previous RYGB ( n = 1278) or SG ( n = 1051); and 2 cohorts that underwent BS either 6–12 months ( n = 412) and >12 months ( n = 1655) prior to the THA. Bivariate chi-square analyses of medical and surgical outcomes at 90 days–2 years were conducted. Multivariate logistic regressions identified independent risk factors for PJIs, dislocations, and revisions. Results: At 90 days–2 years, no differences in postoperative medical/surgical complications or revisions were seen among timing or type of BS. The BMI > 40 kg/m2 cohort had the highest complication profile among all other cohorts. Timing and type of BS has similar odds of PJIs, dislocations, and revisions. Conclusions: Patients undergoing RYGB or SG 6–12 months and >1 year prior to THA showed similar complications profiles. These results suggest, bariatric patients do not need to wait 1 year before undergoing a THA.
The fate of acetabular fracture fixation at 10 years: rates of conversion to arthroplasty
Authors: Kiran Manish , Frostick Rhiannon , Elnahal Walid , Spence David , Acharya Mehool , Ward Anthony , Chesser Tim JS 
Published: November 2022

Background: Post-traumatic arthritis, implant failure, non-union or avascular necrosis may result in a total hip arthroplasty (THA) after acetabular fracture fixation (AFF). The aim of this study was to report the occurrence of THA after AFF and analyse factors that predict its occurrence. Patients and methods: All patients with AFF between 2010 and 2014, in a major trauma centre, were included. Patients treated conservatively or with acute THA were excluded. Data regarding classification of fracture, details of surgery and follow-up using EQ-5D and Oxford Hip Score (OHS) were recorded prospectively. Postoperative radiographs and CT scans were analysed for accuracy of reduction. The number of patients who underwent secondary THA and indications were recorded. Results: 122 patients with a mean age of 42 years were included. At a mean follow-up of 10 years, the mean OHS was 39 (range 22–48) and EQ-5D was 22 (range 10–25). THA was performed in 10 patients (8%), 50% of which were performed between 2–5 years after AFF. Age >40 years, posterior dislocation and presence of posterior wall fracture, were the only factors associated with progression to THA. The survivorship of fixation at 5 years was 95% (95% CI, 91–98%) and at 10 years was 91% (95% CI, 86–96%). Conclusions: Conversion to THA after AFF was 8%, with even anatomically reduced posterior wall fractures having a poor prognosis. A period of follow-up of at least 5 years is suggested in patients with risk factors.
The usability and effect of an mHealth disease management platform on the quality of life of patients with paroxysmal atrial fibrillation – The emPOWERD-AF study
Authors: Lazaridis Charalampos , Bakogiannis Constantinos , Mouselimis Dimitrios , Tsarouchas Anastasios , Antoniadis Antonios P , Triantafyllou Konstantinos , Fragakis Nikolaos , Vassilikos Vassilios P 
Published: November 2022

Atrial fibrillation (AF) is the most common arrhythmia. myAlgos is an mHealth disease management system consisting of physician-oriented platform and patient-oriented smartphone app. Our purpose was to assess the usability of myAlgos by physicians and patients and the effect of myAlgos on the quality of life (QoL) in patients with paroxysmal AF (PAF). Physicians rated the platform with the Post-Study System Usability Questionnaire (PSSUQ). Patients rated the app with the mHealth App Usability Questionnaire (MAUQ). The e-medicine Platform for Optimizing the Workflow in hEaRt Diseases (emPOWERD-AF) study investigated the effect of myAlgos in PAF patients randomized to full/control version. QoL was measured by the Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) and 5-level EQ-5D (EQ-5D-5L) questionnaires. myAlgos got a PSSUQ score of 2.52 ± 0.36 by five physicians and a MAUQ score of 79.9% by 33 patients. In emPOWERD-AF, 80 patients were randomized 1:1 (58.1 ± 8.7 years, 66% male). The median AFEQT change at 6 months was +2.63% in full version users and −1.63% in controls ( p < .001). The myAlgos platform and app were easy-to-use and improved QoL in patients.