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Several proposals for moral enhancement would use AI to augment (auxiliary enhancement) or even supplant (exhaustive enhancement) human moral reasoning or judgment. Exhaustive enhancement proposals conceive AI as some self-contained oracle whose superiority to our own moral abilities is manifest in its ability to reliably deliver the ‘right’ answers to all our moral problems. We think this is a mistaken way to frame the project, as it presumes that we already know many things that we are still in the process of working out, and reflecting on this fact reveals challenges even for auxiliary proposals that eschew the oracular approach. We argue there is nonetheless a substantial role that ‘AI mentors’ could play in our moral education and training. Expanding on the idea of an AI Socratic Interlocutor, we propose a modular system of multiple AI interlocutors with their own distinct points of view reflecting their training in a diversity of concrete wisdom traditions. This approach minimizes any risk of moral disengagement, while the existence of multiple modules from a diversity of traditions ensures pluralism is preserved. We conclude with reflections on how all this relates to the broader notion of moral transcendence implicated in the project of AI moral enhancement, contending it is precisely the whole concrete socio-technical system of moral engagement that we need to model if we are to pursue moral enhancement.

There is still a lack of reliable intraoperative tools for glioma diagnosis and to guide the maximal safe resection of glioma. We report continuing work on the optical biopsy method to detect glioma grades and assess glioma boundaries intraoperatively using the VRR-LRRTM Raman analyzer, which is based on the visible resonance Raman spectroscopy (VRR) technique. A total of 2220 VRR spectra were collected during surgeries from 63 unprocessed fresh glioma tissues using the VRR-LRRTM Raman analyzer. After the VRR spectral analysis, we found differences in the native molecules in the fingerprint region and in the high-wavenumber region, and differences between normal (control) and different grades of glioma tissues. A principal component analysis–support vector machine (PCA-SVM) machine learning method was used to distinguish glioma tissues from normal tissues and different glioma grades. The accuracy in identifying glioma from normal tissue was over 80%, compared with the gold standard of histopathology reports of glioma. The VRR-LRRTM Raman analyzer may be a new label-free, real-time optical molecular pathology tool aiding in the intraoperative detection of glioma and identification of tumor boundaries, thus helping to guide maximal safe glioma removal and adjacent healthy tissue preservation.

Libraries are adapting to the changing times by providing mobile services. One hundred fifty-one libraries were chosen based on circulation, with at least one library or library system from each state, to explore the diverse services provided to mobile users across the United States. According to the data, mobile apps, mobile reference services, mobile library catalogs, and mobile printing are among public libraries’ most-frequently offered services, as determined by mobile visits, content analysis, and librarian survey responses. Every library examined had at least one mobile website, mobile catalog, mobile app, or webpage adapted for a mobile device. Following the COVID-19 outbreak, services such as mobile renewal, subscriber database access, mobile reservations, and the ability to interact with a librarian were expanded to allow better communication with customers—all from the comfort and safety of their own homes. Libraries are continually looking for innovative methods to assist their mobile customers as the world changes.

Diabetes distal symmetrical peripheral neuropathy (DSPN) is the most prevalent form of neuropathy in industrialized countries, substantially increasing risk for morbidity and pre-mature mortality. DSPN may manifest with small-fiber disease, large-fiber disease, or a combination of both. This review summarizes: (1) DSPN subtypes (small- and large-fiber disease) with attention to clinical signs and patient symptoms; and (2) technological diagnosis and screening for large- and small-fiber disease with inclusion of a comprehensive literature review of published studies from 2015-present (N = 66). Review findings, informed by the most up-to-date research, advance critical understanding of DSPN large- and small-fiber screening technologies, including those designed for point-of-care use in primary care and endocrinology practices.

Background:Moral distress has detrimental effects on nurses which impacts the entire healthcare cycle. Described as a crescendo effect, resolved situations of moral distress leave residue on the nurse with three potential outcomes: moral numbing, conscious objection to the situation, and burnout.Objective:This metaethnography strives to achieve a fuller understanding of moral distress by interpreting the body of qualitative work of moral distress in emergency and critical care nurses.Method:This study used the Noblit and Hare?s approach of interpretative synthesis. Ten studies met the criteria and were used in this synthesis.Ethical considerations:Ethical issues were minimal since no human subjects were involved. Ethical requirements were respected in all study phases.Results:The synthesis of qualitative research on moral distress resulted in one central theme, ?the battle within,? and five subthemes.Conclusions:The unique nature of this nursing specialty resulted in a lasting inner conflict for nurses that is consistent with the previously described crescendo effect. The effects are complex and long lasting and may potentially affect the nurses? future patient care.

Purpose The purpose of this article is to provide conceptual clarification of secondary traumatic stress (STS) in nurses. Background As an empathetic helping profession, nurses are at increased risk for STS. Interchangeable usage of related terms among multidisciplinary literature has resulted in lack of conceptual clarity resulting in conflation of terms. Conceptual clarity is necessary for a foundation for further research on treatment. Methods Rodgers' evolutionary model of concept analysis. Results Nurses are predisposed to STS due to exposure, empathy, bonding, and personal factors. Essential attributes were found to be posttraumatic stress disorder-like symptoms, biological symptoms, social symptoms, and psychological symptoms. Resultant consequences included an altered worldview, interpersonal difficulties, and decreased occupational commitment. Conclusion This concept analysis, the first focusing on STS, provides conceptual clarity and a concept map of STS within the nursing population.

As New Jersey’s second largest city, Jersey City has experienced a surge in urban redevelopment and new development, particularly its downtown wards closest to New York City. Situated on the Hudson River directly across from downtown New York City, Jersey City is an ideal location for New Jersey developers and realtors to redevelop in order to attract New York City’s financial sector employees and individuals desiring more living space at lower rental or mortgage costs. In other words, downtown Jersey City exemplifies urban gentrification. In the last twenty years, several public policies helped spur waterfront development to attract potentially wealthier residents. In an effort to lure developers and investors, Jersey City officials relied heavily on municipal tax abatements to offset increasingly high property taxes. So after two decades, has Jersey City demonstrated that Payment in Lieu of Taxes (PILOT), tax abatements and other tax policy incentives are in fact feasible in terms of the following questions: What have been the implications of these policies? Who benefited from and who was marginalized from these policies? This paper examines the rising concerns surrounding tax abatements and other pro-development tax policies. By examining a medium sized city like Jersey City, this case study is especially useful in understanding the significant issues and shortcomings with urban redevelopment tax incentives. Too often these incentives benefit a political and financial elite at the economic expense and loss of political rights of long-term residents and renters.

This work offers a political and historical analysis of Newark's modern politics since 1950, culminating with Mayor Cory Booker's rise to power and prominence both in the city and in American political consciousness. Newark's recent political history offers an interesting case study in mayoral elections, community development, and coalition building politics. While Newark is the quintessential post-industrial city, Booker has received critical attention for his post-racial politics since he frequently bypasses racial and traditional urban politics. At the same time, relations between the mayor, the municipal council, and Newark's diverse communities were often so fractious that sustainable coalition building proved to be an elusive goal to resolve longstanding crime, education, and other social problems. Based on original interviews with Cory Booker, city council members, and other prominent Newark politicians, A Post Racial Change is Gonna Come is a powerful history of how Newark became the focal point for transformative politics in urban America.

This is the fourth in a series of books dealing with Washington, DC. Like the first three, this also is the outgrowth of special seminars conducted in the Department of Political Science at Howard University. We examine Washington, DC's challenges, because it is vital to know the conditions under which the residents of the most powerful city in the world continue to live, based on sound empirical evidence.

Law, Politics, and African Americans in Washington, DC explores the legal challenges and triumphs of African Americans and law and politics in Washington, DC, a city whose majority population comprises African Americans. It examines the interconnection between law and politics in Washington, DC, because it is vital to know the legal conditions under which the African American residents of the most powerful city in the world live, based on sound empirical evidence. Law, Politics, and African Americans in Washington, DC addresses two major questions: - Why study African Americans in terms of law and politics? - Why examine law and politics at the local level, in this case Washington, DC?

Aims and objectives:This study investigates the effects of language loss on bilingual autobiographical memory. More specifically, the study focuses on whether severe language loss would lead to any linguistic changes and/or interfere with how memories are recalled and shared.Methodology:Autobiographical memories were elicited with the help of a cued-recall technique and memory questionnaire from two groups of immigrants?attriters (who experienced significant language loss) and bilinguals (who retained their first language proficiency).Data and analysis:The data set consisted of pre-immigration memories that were originally encoded in the first language, Russian. The frequency of recall (i.e., sharing memories with others as well as reminiscing) and linguistic components (i.e., words) of memories elicited from the attriters and bilinguals were analyzed quantitatively and qualitatively.Findings and conclusion:Overall, attriters were able to recall memories that were originally encoded in the forgotten language. They also reported reminiscing about their pre-immigration memories and sharing their memories with others. However, attriters revealed that the pre-immigration memories came to them with words in the second language, English, which was not the case with bilinguals. Attriters also reframed memories for several Russian culture-specific items and events. This finding is indicative of memory re-encoding?a phenomenon when memories are updated, stored, and subsequently retrieved with added information. While this finding points to the bilingual mind?s ability to adapt to language loss, it may also suggest linguistic and cultural assimilation under the influence of the new language and culture.Originality:This is the first investigation of autobiographical memory in bilinguals with severe language loss that highlights the malleability and adaptability of the bilingual mind as well as the importance of language maintenance.

Background:Little is known about the adoption by athletic administrators (AAs) of exertional heat illness (EHI) policies, and the corresponding facilitators and barriers of such policies within high school athletics. This study describes the adoption of comprehensive EHI policies by high school AAs and explores factors influencing EHI policy adoption.Hypothesis:We hypothesized that <50% of AAs would report adoption of an EHI policy, and that the most common facilitator would be access to an athletic trainer (AT), whereas the most common barrier would be financial limitations.Study Design:Cross-sectional.Level of Evidence:Level 4.Methods:A total of 466 AAs (82.4% male; age, 48 ± 9 years) completed a validated online survey to assess EHI prevention and treatment policy adoption (11 components), as well as facilitators and barriers to policy implementation. Access to athletic training services was ascertained by matching the participants? zip codes with the Athletic Training Locations and Services Project. Policy adoption, facilitators, and barriers data are presented as summary statistics (proportions, interquartile range (IQR)). A Welch t test evaluated the association between access to athletic training services and EHI policy adoption.Results:Of the AAs surveyed, 77.9% (n = 363) reported adopting a written EHI policy. The median of EHI policy components adopted was 5 (IQR = 1,7), with only 5.6% (n = 26) of AAs reporting adoption of all policy components. AAs who had access to an AT (P = 0.04) were more likely to adopt a greater number of EHI-related policies, compared with those without access to an AT. An AT employed at the school was the most frequently reported facilitator (36.9%).Conclusion:Most AAs reported having written EHI policy components, and access to an AT resulted in a more comprehensive policy.Clinical Relevance:Employment of an AT within high school athletics may serve as a vital component in facilitating the adoption of comprehensive EHI policies.

Azimuthal anisotropy of produced particles is one of the most important observables used to access the collective properties of the expanding medium created in relativistic heavy-ion collisions. In this paper, we present second (v2) and third (v3) order azimuthal anisotropies of KS0, φ, Λ, Ξ, and ω at midrapidity (|y|<1) in Au+Au collisions at sNN=54.4 GeV measured by the STAR detector. The v2 and v3 are measured as a function of transverse momentum and centrality. Their energy dependence is also studied. v3 is found to be more sensitive to the change in the center-of-mass energy than v2. Scaling by constituent quark number is found to hold for v2 within 10%. This observation could be evidence for the development of partonic collectivity in 54.4 GeV Au+Au collisions. Differences in v2 and v3 between baryons and antibaryons are presented, and ratios of v3/v23/2 are studied and motivated by hydrodynamical calculations. The ratio of v2 of φ mesons to that of antiprotons [v2(φ)/v2(p¯)] shows centrality dependence at low transverse momentum, presumably resulting from the larger effects from hadronic interactions on antiproton v2. © 2023 American Physical Society.

We present the first measurements of transverse momentum spectra of π±, K±, p(p¯) at midrapidity (|y|<0.1) in U+U collisions at sNN= 193 GeV with the STAR detector at the Relativistic Heavy Ion Collider (RHIC). The centrality dependence of particle yields, average transverse momenta, particle ratios and kinetic freeze-out parameters are discussed. The results are compared with the published results from Au+Au collisions at sNN= 200 GeV in STAR. The results are also compared to those from A Multi-Phase Transport (ampt) model. © 2023 American Physical Society.

We report the beam energy and collision centrality dependence of fifth and sixth order cumulants (C5, C6) and factorial cumulants (κ5, κ6) of net-proton and proton number distributions, from center-of-mass energy (sNN) 3 GeV to 200 GeV Au+Au collisions at RHIC. Cumulant ratios of net-proton (taken as proxy for net-baryon) distributions generally follow the hierarchy expected from QCD thermodynamics, except for the case of collisions at 3 GeV. The measured values of C6/C2 for 0%-40% centrality collisions show progressively negative trend with decreasing energy, while it is positive for the lowest energy studied. These observed negative signs are consistent with QCD calculations (for baryon chemical potential, μB≤110 MeV) which contains the crossover transition range. In addition, for energies above 7.7 GeV, the measured proton κn, within uncertainties, does not support the two-component (Poisson+binomial) shape of proton number distributions that would be expected from a first-order phase transition. Taken in combination, the hyperorder proton number fluctuations suggest that the structure of QCD matter at high baryon density, μB∼750 MeV at sNN=3 GeV is starkly different from those at vanishing μB∼24 MeV at sNN=200 GeV and higher collision energies. © 2023 American Physical Society.

This study explored the effects of an 8-week peer coaching program on physical activity (PA), diet, sleep, social isolation, and mental health among college students in the United States. A total of 52 college students were recruited and randomized to the coaching (n = 28) or the control group (n = 24). The coaching group met with a trained peer health coach once a week for 8 weeks focusing on self-selected wellness domains. Coaching techniques included reflective listening, motivational interviews, and goal setting. The control group received a wellness handbook. PA, self-efficacy for eating healthy foods, quality of sleep, social isolation, positive affect and well-being, anxiety, and cognitive function were measured. No interaction effects between time and group were significant for the overall intervention group (all p > 0.05), while the main effects of group difference on moderate PA and total PA were significant (p < 0.05). Goal-specific analysis showed that, compared to the control group, those who had a PA goal significantly increased vigorous PA Metabolic Equivalent of Task (METs) (p < 0.05). The vigorous METs for the PA goal group increased from 1013.33 (SD = 1055.12) to 1578.67 (SD = 1354.09); the control group decreased from 1012.94 (SD = 1322.943) to 682.11 (SD = 754.89); having a stress goal significantly predicted a higher post-coaching positive affect and well-being, controlling the pre-score and other demographic factors: B = 0.37 and p < 0.05. Peer coaching showed a promising effect on improving PA and positive affect and well-being among college students.

Justice-involved women face myriad challenges as they negotiate the terms of community supervision and manage the long-term implications and stigma of living with a criminal record. Major tasks that women juggle include securing safe, affordable housing, finding and retaining employment, accessing physical and mental health care (including substance use treatment), and handling relationships with family, friends, children, and intimate partners. In addition to these responsibilities, women must meet their basic physiological needs to eat, sleep, and use the toilet. Women’s ability to safely meet their personal care needs may impact their capacity to manage their criminal-legal challenges. This study uses qualitative methods to understand justice-involved women’s lived experiences related to urination. Specifically, the study reports on a thematic analysis of 8 focus groups conducted with justice-involved women (n = 58) and the results of a toilet audit conducted in the downtown areas of the small city in the United States where the focus group participants were living. Findings suggest that women had limited access to restrooms and reported urinating outside. Lack of restroom access impacted their engagement with social services support and employment and their ability to travel through public spaces. Women perceived their public toilet options as unsafe, increasing their sense of vulnerability and reinforcing the idea that they did not have full access to citizenship in the community because of their criminal-legal involvement. The exclusion and denial of women’s humanity that is perpetuated by a lack of public toilet access impacts women’s psychosocial outcomes. City governments, social service agencies, and employers are encouraged to consider how lack of toilet access may impact their public safety and criminal-legal objectives and expand opportunities for people to access safe restroom facilities.

A decisive experimental test of the Chiral Magnetic Effect (CME) is considered one of the major scientific goals at the Relativistic Heavy-Ion Collider (RHIC) towards understanding the nontrivial topological fluctuations of the Quantum Chromodynamics vacuum. In heavy-ion collisions, the CME is expected to result in a charge separation phenomenon across the reaction plane, whose strength could be strongly energy dependent. The previous CME searches have been focused on top RHIC energy collisions. In this Letter, we present a low energy search for the CME in Au+Au collisions at sNN=27 GeV. We measure elliptic flow scaled charge-dependent correlators relative to the event planes that are defined at both mid-rapidity |η|<1.0 and at forward rapidity 2.1<|η|<5.1. We compare the results based on the directed flow plane (Ψ1) at forward rapidity and the elliptic flow plane (Ψ2) at both central and forward rapidity. The CME scenario is expected to result in a larger correlation relative to Ψ1 than to Ψ2, while a flow driven background scenario would lead to a consistent result for both event planes. In 10-50% centrality, results using three different event planes are found to be consistent within experimental uncertainties, suggesting a flow driven background scenario dominating the measurement. We obtain an upper limit on the deviation from a flow driven background scenario at the 95% confidence level. This work opens up a possible road map towards future CME search with the high statistics data from the RHIC Beam Energy Scan Phase-II.

The nearly complete cranium DAN5/P1 was found at Gona (Afar, Ethiopia), dated to 1.5–1.6 Ma, and assigned to the species Homo erectus. Its size is, nonetheless, particularly small for the known range of variation of this taxon, and the cranial capacity has been estimated as 598 cc. In this study, we analyzed a reconstruction of its endocranial cast, to investigate its paleoneurological features. The main anatomical traits of the endocast were described, and its morphology was compared with other fossil and modern human samples. The endocast shows most of the traits associated with less encephalized human taxa, like narrow frontal lobes and a simple meningeal vascular network with posterior parietal branches. The parietal region is relatively tall and rounded, although not especially large. Based on our set of measures, the general endocranial proportions are within the range of fossils included in the species Homo habilis or in the genus Australopithecus. Similarities with the genus Homo include a more posterior position of the frontal lobe relative to the cranial bones, and the general endocranial length and width when size is taken into account. This new specimen extends the known brain size variability of Homo ergaster/erectus, while suggesting that differences in gross brain proportions among early human species, or even between early humans and australopiths, were absent or subtle.