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Post-discharge call programs are a simple and effective way to identify and intervene for patient care issues that may occur after discharge. Nurses play a key role in these programs and can lead quality improvement projects on their units to improve patient care during the transition from hospital to home. © 2019, Anthony J. Jannetti Publications, Inc.. All rights reserved.

As the social work field increasingly recognizes economic abuse within intimate partner relationships, the field has developed financial empowerment programs to empower survivors for their financial future. Although research has demonstrated the effectiveness of financial literacy programs, there are barriers to their implementation in the field. Studies have explored, from the perspective of advocates, best practices in incorporating financial literacy into services; however, no studies have explored implementation approaches from the perspective of survivors. This study explores, from the perspective of 34 survivors, approaches for implementing financial literacy programming. Participants described their understanding of financial empowerment as being in charge of finances, having financial power, and not having to endure the struggle. To counter financial disempowerment, participants identified the need for financial confidence, knowledge, and tools. Participants shared their strategies for saving money, though many participants reported barriers to using banks as savings tools. Almost all participants stressed the importance of financial literacy services for survivors, especially around banking, credit, and debt. Finally, participants shared recommendations for job readiness and training programming. Findings have implications for domestic violence and broader social work organizations implementing financial empowerment services. Social workers can support financial empowerment efforts through program development and research efforts. © 2019 National Association of Social Workers.

The growth in using various smart wireless devices in the last few decades has given rise to indoor localization service (ILS). Indoor localization is defined as the process of locating a user location in an indoor environment. Indoor device localization has been widely studied due to its popular applications in public settlement planning, health care zones, disaster management, the implementation of location-based services (LBS) and the Internet of Things (IoT). The ILS problem can be formulated as a learning problem utilizing Wi-Fi technology. The measured Wi-Fi signal strength can be used as an indication of the distribution of users in a various indoor location. Developing a classification model with high accuracy can be achieved using a machine learning approach. Artificial Neural Network is one of the most successful trends in machine learning. In this article, we provide our initial idea of using Cascaded Layered Recurrent Neural Network (L-RNN) for the classification of user localization in an indoor environment. Several neural network models were trained, with the best performance attainment is reported. The experimental results marked that the presented L-RNN model is highly accurate for indoor localization and can be utilized for many applications. © 2019 IEEE.

The model reactions CH3X + (NH—CH=O)M ➔ CH3—NH—NH═O or NH═CH—O—CH3 + MX (M = none, Li, Na, K, Ag, Cu; X = F, Cl, Br) are investigated to demonstrate the feasibility of Marcus theory and the hard and soft acids and bases (HSAB) principle in predicting the reactivity of ambident nucleophiles. The delocalization indices (DI) are defined in the framework of the quantum theory of atoms in molecules (QT-AIM), and are used as the scale of softness in the HSAB principle. To react with the ambident nucleophile NH═CH—O−, the carbocation H3C+ from CH3X (F, Cl, Br) is actually a borderline acid according to the DI values of the forming C…N and C…O bonds in the transition states (between 0.25 and 0.49), while the counter ions are divided into three groups according to the DI values of weak interactions involving M (M…X, M…N, and M…O): group I (M = none, and Me4N) basically show zero DI values; group II species (M = Li, Na, and K) have noticeable DI values but the magnitudes are usually less than 0.15; and group III species (M = Ag and Cu(I)) have significant DI values (0.30–0.61). On a relative basis, H3C+ is a soft acid with respect to group I and group II counter ions, and a hard acid with respect to group III counter ions. Therefore, N-regioselectivity is found in the presence of group I and group II counter ions (M = Me4N, Li, Na, K), while O-regioselectivity is observed in the presence of the group III counter ions (M = Ag, and Cu(I)). The hardness of atoms, groups, and molecules is also calculated with new functions that depend on ionization potential (I) and electron affinity (A) and use the atomic charges obtained from localization indices (LI), so that the regioselectivity is explained by the atomic hardness of reactive nitrogen atoms in the transition states according to the maximum hardness principle (MHP). The exact Marcus equation is derived from the simple harmonic potential energy parabola, so that the concepts of activation free energy, intrinsic activation barrier, and reaction energy are completely connected. The required intrinsic activation barriers can be either estimated from ab initio calculations on reactant, transition state, and product of the model reactions, or calculated from identity reactions. The counter ions stabilize the reactant through bridging N- and O-site of reactant of identity reactions, so that the intrinsic barriers for the salts are higher than those for free ambident anions, which is explained by the increased reorganization parameter Δr. The proper application of Marcus theory should quantitatively consider all three terms of Marcus equation, and reliably represent the results with potential energy parabolas for reactants and all products. For the model reactions, both Marcus theory and HSAB principle/MHP principle predict the N-regioselectivity when M = none, Me4N, Li, Na, K, and the O-regioselectivity when M = Ag and Cu(I). © 2019 Wiley Periodicals, Inc. © 2019 Wiley Periodicals, Inc.

We present the discovery from Transiting Exoplanet Survey Satellite (TESS) data of LTT 1445Ab. At a distance of 6.9 pc, it is the second nearest transiting exoplanet system found to date, and the closest one known for which the primary is an M dwarf. The host stellar system consists of three mid-to-late M dwarfs in a hierarchical configuration, which are blended in one TESS pixel. We use MEarth data and results from the Science Processing Operations Center data validation report to determine that the planet transits the primary star in the system. The planet has a radius of, an orbital period of days, and an equilibrium temperature of K. With radial velocities from the High Accuracy Radial Velocity Planet Searcher, we place a 3σ upper mass limit of 8.4 on the planet. LTT 1445Ab provides one of the best opportunities to date for the spectroscopic study of the atmosphere of a terrestrial world. We also present a detailed characterization of the host stellar system. We use high-resolution spectroscopy and imaging to rule out the presence of any other close stellar or brown dwarf companions. Nineteen years of photometric monitoring of A and BC indicate a moderate amount of variability, in agreement with that observed in the TESS light-curve data. We derive a preliminary astrometric orbit for the BC pair that reveals an edge-on and eccentric configuration. The presence of a transiting planet in this system hints that the entire system may be co-planar, implying that the system may have formed from the early fragmentation of an individual protostellar core. © 2019. The American Astronomical Society. All rights reserved..

This book examines the effects that political institutions, the legal system, and economic policies have had on the human rights record in the PRC since 1949. The authors first address the problems of assessing political liberties in a nation that emphasizes economic over civil rights and that has traditionally valued collective rights over individ. © 1988 by Taylor & Francis. All rights reserved.

Laser-induced fluorescence (LIF) technique was used to generate spectral signatures of endogenous fluorophores relevant to the tissue molecular composition changes in human brain glioma tumors. The goal is to study the changes of fluorescence emission spectra from endogenous fluorophores in human brain glioma of different grades, and to find new biomarkers for prognostic optical molecular pathological diagnosis. Two hundred and thirty-seven (237) native fluorescence spectra from 61 subjects were measured using LabRAM HR Evolution micro photoluminescence (PL) system for four grades of glioma tumors in ex-vivo. The differences of four grades of glioma tumors were identified by the characteristic fluorophores fingerprints under the excitation laser wavelength at UV 325nm. To our best knowledge, this is the first report for human brain study using this technique. The fluorescence peaks of biomarkers with major contribution were found, including tryptophan, collagen, elastin, reduced nicotinamide adenine dinucleotide (NADH), flavin adenine dinucleotide (FAD) and phospholipids that play important roles in the cellular energy metabolism and glycolysis pathway. The ratios of peak intensities and the peak positions in fluorescence spectra of may be used to diagnose human brain diseases or to guide biopsy during surgical resection. © 2019 SPIE.

A VRR-LRR analyzer with handheld fiber‐optic probe is reported for the first time for diagnosis of brain GBM in vivo. The sensitivity for identification is 80% compared with histopathology examination. © OSA 2019. The Author(s).

Web applications are built to be accessible to everyone. Unfortunately, many web applications are inaccessible to people with special needs or disabilities. In this work, we show a methodology used to make web applications more accessible to a diverse group of people. The process includes two phases: evaluation and improvement. In the first phase, the Web Accessibility Barrier (WAB) score metric together with the Accessibility Failure Rate (AFR) metric are used to evaluate web applications. In the second phase changes suggested by accessibility checker tool are implemented in the software to enhance the metrics values and reach the target level of accessibility. The open-source chat application, Zulip, is used as a case study to show the effectiveness of this approach. © 2021 IEEE.

Healthy workplaces promote inclusionary behaviors. When nurses experience exclusionary behaviors such as bullying and incivility, there may also be hidden issues with acceptance of diversity in the workplace environment. Educating nursing staff on the importance of variations in age, culture, gender, sex, race, ethnicity, and religion in the workplace can help facilitate communication among staff. For example, organizations can use educational forums to discuss how different cultures vary in the addressing of conflict within the workplace; some cultures may prefer to reach consensus rather than be confrontational. Chapter 5 discusses strategies that nurses and organizations can implement, such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). TeamSTEPPS is a curriculum that can be used to improve teamwork skills, communication, and build team collaboration. © 2021, IGI Global.