To improve transitions in care, a new patient navigation (PN) program was introduced to support older adults with complex care needs transition from hospital to home. The patient navigator is a community social worker embedded in the hospital’s care teams. A cohort observational design was used to conduct the study by analysing the patient navigator’s clinical notes and hospital’s administrative data to describe the characteristics of patients, scope of the patient navigator’s activities, and patient outcomes. Ninety patients were assigned to the patient navigator’s caseload (November 2019–November 2021) in which the average age was 78.9 (range 55–95). The most frequent PN intervention types were referrals to community services (66%, n = 59) and discharge planning (61%, n = 55). The patient navigator supported 66% patients (n = 59) in returning home and provided follow-up care for 74 days (average). This study provides important insights into the patient navigator’s role to guide decision makers in implementing PN programs for older adults in a hospital setting.

The development of multilevel regression and poststratification (MRP) has allowed scholars to more accurately estimate subnational public opinion using national polls. However, MRP generally recovers less accurate estimates from polls whose respondents are selected using cluster sampling – also called area-probability sampling. This is in part because cluster-sampled polls rely on a complex form of random sampling focused on national representativeness that may result in small or unrepresentative subsamples in subnational geographies. This has limited MRP’s usefulness in subnational opinion estimation in several contexts, including historical polls in the US, where cluster-sampling was common into the 1980s, and large academic studies in many countries today. In this paper, I propose two approaches to improve estimation from MRP with cluster-sampled polls. The first is pooling data from multiple surveys to produce a larger sample of clusters. The second is clustered MRP (CMRP), which extends MRP by modeling opinion using the geographic information included in a survey’s cluster-sampling procedure. Using simulations, I show that both methods improve upon traditional MRP, and I validate them using historical polls in the US

Let $f,g$ be $C^2$ expanding maps on the circle which are topologically conjugate. We assume that the derivatives of f and g at corresponding periodic points coincide for some large period N. We show that f and g are ‘approximately smoothly conjugate.’ Namely, we construct a $C^2$ conjugacy $h_N$ such that $h_N$ is exponentially close to h in the $C^0$ topology, and $f_N:=h_N^{-1}gh_N$ is exponentially close to f in the $C^1$ topology. Our main tool is a uniform effective version of Bowen’s equidistribution of weighted periodic orbits to the equilibrium state.

This article presents a novel sense in which theoretical structure has been preserved across the transition from classical to quantum physics. I import mathematical tools from category theory that have been used for structural comparisons in the context of theoretical equivalence and apply these tools to new situations involving theory change. The structural preservation takes the form of a categorical equivalence between categories of models of classical and quantum physics. I situate the significance of this structural preservation in terms of prospects for theory construction in quantum physics.

This study highlights key players for COVID-19 in Brazil, Peru, Colombia, Chile, Argentina, and Ecuador by employing social network analysis for Twitter. This study finds that key players in Latin America play various roles in COVID-19 social networks, differing from country to country. For example, Brazil has no Latin key players, whereas Colombia and Ecuador have 8 Latin key players in the top 10 key players. Secondly, the role of governmental key players also varies across different countries. For instance, Peru, Chile, Argentina, and Ecuador have the governmental key player as the top key player, whereas Brazil and Colombia have the news media key player as the first. Thirdly, each country shows different social networks according to groups. For instance, Colombia exhibits the most open social networks among groups, whereas Brazil shows the most closed social networks among the 6 Latin countries. Fourthly, several top tweeters are common across the 6 Latin American countries. For example, Peru and Colombia have caraotadigital (Venezuelan news media), and Chile and Argentina have extravzla (Venezuelan news media) as the top tweeter.

A new dalmanitid trilobite is described from the early Silurian (Telychian) Waukesha Biota in Wisconsin, USA, best known for its variety of exceptionally preserved arthropods. Waukeshaaspis eatonae new genus new species is the most common trilobite found in the Waukesha Biota, numbering ~200 specimens, allowing a thorough description of the dorsal exoskeleton. This new taxon has a combination of characters unique to the Dalmanitidae, including a distinct embayment on the posterior margin of the pygidium. Embayments are rare for dalmanitids, most species having instead a caudal spine. The lengthening of the genal spines might have served a similar function to that which a caudal spine would have served, allowing the embayment to fulfill a different function, related to keeping an opening when enrolled. The abundance at the preservation site suggests physiological tolerance at the habitation site.

UUID: http://zoobank.org/50a214e3-72f0-4ca2-b8f1-4ad4460bc1d4

This essay analyses the Holy See's engagement in the postwar discourse surrounding displaced minors by focusing on the case of displaced Italian children from Libya. Separated from their families and evacuated to Italy at the onset of the Second World War, they were placed in Italian Youth of the Lictor (Gioventù Italiana del Littorio; GIL) camps. In the aftermath of the war, these displaced children petitioned to return to their families who had remained in territories no longer part of the Italian empire. This article shows how the Papal Aid Committee for Assisting Refugees took part in the relocation efforts and contributed to the conversation on family reunification. By navigating postwar aid and forming unexpected alliances, the Holy See not only contributed to reshaping Italy's geopolitical presence in the Mediterranean but also solidified conservative family norms within the international discussion on humanitarianism.

Duchenne muscular dystrophy is characterised by fibrofatty replacement of muscle, resulting in dilated cardiomyopathy. Hypertrophic cardiomyopathy affects 1:200–1:500 people and is characterised by asymmetric ventricular septal hypertrophy. To date, there have been two separately reported cases describing the combined pathology of these disorders. Herein, we expand upon these reports with a case series describing longitudinal findings in three patients with Duchenne muscular dystrophy who developed hypertrophic cardiomyopathy.

In this study, we approximately replicated Papi and Khajavy’s (2021) investigation into the regulatory focus in second language acquisition, applying their approach to a significantly larger cohort of 855 Chinese second language (L2) learners. In contrast with the original study, our research employed the College English Test Band 4 (CET-4), a standardized English test, to better align with the Chinese educational context. This methodological shift allowed for a nuanced exploration of the regulatory focus’s role in language learning among Chinese students. Our results predominantly reinforce the crucial role of regulatory focus in language learning, echoing Papi and Khajavy’s findings. We discovered notable parallels in how promotion positively influences ideal own and ideal other, and how prevention negatively impacts ought own and ought other. However, a unique finding of our study was the stronger impact of ought selves on L2 anxiety and enjoyment in the Chinese context. This highlights the nuanced influence of socioeducational environments on regulatory focus strategies, suggesting contextual variability in language learning strategies.

The liver has multiple functions such as detoxification, metabolism, synthesis and storage. Folate is a water-soluble vitamin B9, which participates in one-carbon transfer reactions, maintains methylation capacity and improves oxidative stress. Folic acid is a synthetic form commonly used as a dietary supplement. The liver is the main organ for storing and metabolising folate/folic acid, and the role of folate/folic acid in liver diseases has been widely studied. Deficiency of folate results in methylation capacity dysfunction and can induce liver disorders. However, adverse effects of excessive use of folic acid on the liver have also been reported. This review aims to explore the mechanism of folate/folic acid in different liver diseases, promote further research on folate/folic acid and contribute to its rational clinical application.