Client Program Research Articles

Who would rescue the dilemma of Chinese elderly care? An evolutionary game analysis and simulation research on the formalization of the domestic service industry with subsidy policy.

Since China entered the aging society, the surging demand for elderly care and the industrial upgrading of "silver economy" has forced the domestic service industry to face endogenous challenges. Among them, the formalization of the domestic service industry can effectively reduce the transaction costs and risks of actors, innovate the endogenous vitality of the industry, and promote the improvement of elderly care quality through a triangular employment relationship. By constructing a tripartite asymmetric evolutionary game model of clients, domestic enterprises and governmental departments, this study uses the stability theorem of differential equations to explore the influencing factors and action paths of the system's evolutionary stable strategies (ESS), and uses the research data collected from China to assign values to models for simulation analysis. This study finds that the ratio of the initial ideal strategy, the difference between profits and costs, subsidies to clients, and subsidies or punishments for breach of contract to domestic enterprises are the key factors affecting the formalization of the domestic service industry. Subsidy policy programs can be divided into long-term and periodic programs, and there are differences in the influence paths and effects of the key factors in different situations. Increasing domestic enterprises' market share with employee management systems, formulating subsidy programs for clients, and setting up evaluation and supervision mechanisms are efficient ways through which to promote the formalization of the domestic service industry in China. Subsidy policy of governmental departments should focus on improving the professional skills and quality of elderly care domestic workers, and also encourage domestic enterprises with employee management systems at the same time, to expand the scope of service beneficiaries by running nutrition restaurants in communities, cooperating with elderly care institutions, etc.

DFT CALCULATIONS AND MOLECULAR DOCKING STUDY IN 6-(2”-PYRROLIDINONE-5”-YL)-(-) EPICATECHIN MOLECULE FROM FLAVONOIDS

The 6-311G(d,p) and SDD basis sets have been used to calculate the vibration frequencies, and the DFT/B3LYP approach was used to optimize the structure. The energy gap of the molecule has been calculated using the lowest unoccupied molecular orbital (LUMO) with the highest occupied molecular orbital (HOMO). The stability and charge delocalization of the Title molecule have been investigated using natural bond orbital (NBO) analysis. The dipole moment, polarizability, and first-order hyperpolarizability, as well as the molecular electrostatic potentially (MEP) and thermodynamic features, have been used to compute the nonlinear optical (NLO) behavior of the title molecule. The Schrödinger program was used to conduct molecular docking works to determine information about the interactions between the AChE and BChE enzymes and the chemical. In addition, a molecular docking study was analyzed for compounds PEP with AChE and BChE synthase binding protenins (PDB:4M0E) and (PDB:6SAM) using the Discovery Studio 2021 Client program. Compound AChE showed -7.105 kcal/mol while compounds BChE showed a inding score of -7.784 kcal/mol.

Barriers, opportunities, and potential costs of expanding HIV support services

ABSTRACT Experiencing housing instability, food insecurity, and financial stress can negatively impact retention in care and treatment adherence for people living with HIV. Expanding services that support socioeconomic needs could help improve HIV outcomes. Our objective was to investigate barriers, opportunities, and costs of expanding socioeconomic support programs. Semi-structured interviews were conducted with organizations serving U.S. Ryan White HIV/AIDS Program clients. Costs were estimated from interviews, organization documents, and city-specific wages. Organizations reported complex patient, organization, program, and system challenges as well as several opportunities for expansion. The average one-year per-person cost for engaging new clients was $196 for transportation, $612 for financial aid, $650 for food aid, and $2498 for short-term housing (2020 USD). Understanding potential expansion costs is important for funders and local stakeholders. This study provides a sense of magnitude for costs to scale-up programs to better meet socioeconomic needs of low-income patients living with HIV.

Instability Functional Training: Evidence-Based Recommendations for Coaches

Instability Functional Training (IFT) has been a popular form of program design in personal training certifications, and thus, widely accepted among trainers and coaches when creating programs for their clients. Training philosophies around this exercise style have been plotted in various directions, ranging from mainstream advocacy to vehement opposition. It is common practice for personal trainers to utilize unstable training and blanket all clients into this methodology in specific and non-specific exercise programs. The research does support its viability in clinical rehabilitation settings; however, it may not benefit a healthier population and may even undermine their goals. We ask trainers and coaches to consider their current position on the validity of IFT and to examine the evidence when programming it for the general public whose primary goal is to improve how they look (e.g., lose fat mass and increase lean body mass). Therefore, this article aims to help identify the merit of instability functional training, objectively review the current literature and recommend a practical approach for trainers and coaches when designing general exercise programs for clients with aesthetic goals.

TeraChem protocol buffers (TCPB): Accelerating QM and QM/MM simulations with a client-server model.

The routine use of electronic structures in many chemical simulation applications calls for efficient and easy ways to access electronic structure programs. We describe how the graphics processing unit (GPU) accelerated electronic structure program TeraChem can be set up as an electronic structure server, to be easily accessed by third-party client programs. We exploit Google's protocol buffer framework for data serialization and communication. The client interface, called TeraChem protocol buffers (TCPB), has been designed for ease of use and compatibility with multiple programming languages, such as C++, Fortran, and Python. To demonstrate the ease of coupling third-party programs with electronic structures using TCPB, we have incorporated the TCPB client into Amber for quantum mechanics/molecular mechanics (QM/MM) simulations. The TCPB interface saves time with GPU initialization and I/O operations, achieving a speedup of more than 2× compared to a prior file-based implementation for a QM region with ∼250 basis functions. We demonstrate the practical application of TCPB by computing the free energy profile of p-hydroxybenzylidene-2,3-dimethylimidazolinone (p-HBDI-)-a model chromophore in green fluorescent proteins-on the first excited singlet state using Hamiltonian replica exchange for enhanced sampling. All calculations in this work have been performed with the non-commercial freely-available version of TeraChem, which is sufficient for many QM region sizes in common use.

Simple high-precision diode laser system with digital control.

A simple wavelength tunable diode laser system has been designed and fabricated for laboratory use. Both the current and temperature controllers are based on an AVR microcontroller, and the experimental controls have been implemented with the help of daemon programs running in a message passing interface environment, which allows the users to run the control server and client programs on separate computers. The stability of the controllers has been tested using a distributed feedback (DFB) diode laser with a central wavelength of 852.3nm. A noise spectral analysis of the current controller with and without the use of the diode laser as the active load has been demonstrated. The absorption spectra of 6S 1/2→6P 3/2 transition of 133 C s, as recorded by using the DFB laser system developed, are also presented.

Self-reported Nonadherence to Antiretroviral Therapy Among Miami-Dade Ryan White Program Clients During the COVID-19 Pandemic: A Cross-sectional Study.

Self-reported Nonadherence to Antiretroviral Therapy Among Miami-Dade Ryan White Program Clients During the COVID-19 Pandemic: A Cross-sectional Study.

Fiat digital currencies: from idea to implementation

This publication is devoted to the study of a new financial and legal instrument central bank digital currencies (CBDC) that is had distributed worldwide. Fiat digital currencies are being issued already in some countries, in others the issue of their introduction is under discussion only. Based on the method of comparative law and other methods of scientific research, the author opens out the common legal features of digital currencies of various countries and their differences as well. The foreign experience made it possible for author to generate the advantages and disadvantages of the digital currencies of central banks. Among the first, the simplification of cashless payments, the reduction in the costs of making money transfers, transparency for central banks and financial supervisory authorities of operations with digital currency, an increase the level of security and safety of funds, etc. Disadvantages CBDC are the distrust of citizens in digital currencies, the inability to solve the problem of weakness and instability national currency with the help of a new digital tool, the enormous costs of the Central Bank of the Russian Federation, credit institutions of creating this system, developing special programs for clients integrated with the digital platform, the possibility of leakage of personal information, as well as full openness of information about users. The Russian practice of introducing the digital ruble has not been left without attention. The publication also touches upon some legal problems of this subject and proposes their solutions. The author, in addition to general scientific methods, primarily uses such special methods of scientific knowledge as the formal legal method, the method of comparative law, empirical methods such as collecting of the data on the distribution of digital currencies of the central banks of the world, comparative analysis of legal documents, observation.

Success in Grateful Client Philanthropy: Insights from Veterinary Faculty at North Carolina State University

The veterinary literature contains few publications or empiric research on the impact of grateful client philanthropy. To improve our understanding of the impact of philanthropy on veterinary medicine, we surveyed the faculty at NC State University College of Veterinary Medicine. This qualitative study involved an anonymous survey of 153 North Carolina State University College of Veterinary Medicine faculty members administered and analyzed through an online survey software program, QualitrixXMTM. 33% (51) of faculty responded to the survey. 73% (37) of the respondents indicated that their personal interactions with clients led to gifts to their research or service and 29% (15) indicated that they have received six or more gifts from their interactions with clients of the hospital. The top three examples of direct beneficial impacts from grateful client giving were research support (13.1%), technological improvements and equipment upgrades (10.5%), and professional development (4.6%). The top three negative impacts of faculty interactions with a grateful client program were the perceived need to address the overwhelming needs of the donor (19%), the faculty’s concerns regarding the owner’s higher expectations of service (7.1%) and time (7.1%). 61.9% of the respondents did not note any negative impacts. Top three responses to donor inquiries regarding philanthropic giving were to direct the client to a development officer (76%), discuss gift opportunities with the client (45.1%), and discuss individual research needs and opportunities (19.1%). Overall, faculty reported positive impact with grateful patient philanthropy. Continued development and understanding of the philanthropic process is recommended to maximize donor support of academic medical efforts.

THE SOCIAL NETWORK AFFILIATES AGAINST AT NEED YOUNG PEOPLE OF THE FACULTY OF PSYCHOLOGY UIN RADEN FATAH PALEMBANG

One of the human needs is to interact with the people around him. Social 
 interaction is a dynamic social relationship to build social relationships. 
 Adolescence is a period of developmental transition towards adulthood, 
 involving biological, cognitive and social changes. The urge to affiliate 
 appears as well as with adolescents because as social beings they have 
 various kinds of needs that must be met. Various means of communication 
 that can be used in interaction, a means of communication that is currently a 
 trend among adolescents is communication using social networks. This 
 study aims to determine the effect of social networking on the needs of 
 adolescent clients in the Islamic Psychology Study Program, Faculty of 
 Psychology, Raden Fatah State Islamic University. This research is a 
 quantitative study with a sample of 34 adolescents aged 18-21 years who 
 come from students of the Islamic Psychology Study Program, Faculty of 
 Psychology, Raden Fatah State Islamic University. The sampling technique 
 used is random sampling. The independent variable in this study is social 
 networking, while the dependent variable is the need for affiliation. The 
 method of analysis of the data used is the method = 0,339 scale with the r , p 
 & 0,05; gt .The research through kusioner propagated in 34 respondents .5 
 % significant: 0,05 5 .Obtained 0,339 table of r .From the data r table smaller than on the validity of the data .This suggests that social networking
 is influencing the affiliation student Uin Raden Fatah Palembang the 2020

Trecode: A FAIR Eco-System for the Analysis and Archiving of Omics Data in a Combined Diagnostic and Research Setting

The increase in speed, reliability, and cost-effectiveness of high-throughput sequencing has led to the widespread clinical application of genome (WGS), exome (WXS), and transcriptome analysis. WXS and RNA sequencing is now being implemented as the standard of care for patients and for patients included in clinical studies. To keep track of sample relationships and analyses, a platform is needed that can unify metadata for diverse sequencing strategies with sample metadata whilst supporting automated and reproducible analyses, in essence ensuring that analyses are conducted consistently and data are Findable, Accessible, Interoperable, and Reusable (FAIR).We present “Trecode”, a framework that records both clinical and research sample (meta) data and manages computational genome analysis workflows executed for both settings, thereby achieving tight integration between analysis results and sample metadata. With complete, consistent, and FAIR (meta) data management in a single platform, stacked bioinformatic analyses are performed automatically and tracked by the database, ensuring data provenance, reproducibility, and reusability, which is key in worldwide collaborative translational research. The Trecode data model, codebooks, NGS workflows, and client programs are publicly available. In addition, the complete software stack is coded in an Ansible playbook to facilitate automated deployment and adoption of Trecode by other users.

Person-time spent with HIV viral load above 1500 copies/mL among Miami-Dade County Ryan White Program clients, 2017-2019: a retrospective analysis

HIV transmission risk significantly increases at HIV viral load (VL) >1500 copies/mL. We sought to determine the percentage of person-time spent with VL >1500 copies/mL (pPT >1500) and the associations of demographic, clinical, and psychosocial factors and this outcome among persons with HIV receiving care. A retrospective analysis of data from clients enrolled in the Ryan White Program from 2017 to 2019 was performed. We assessed pPT >1500 in HIV care by utilizing consecutive VL pairs and calculating the length of time between each pair and the corresponding time spent for the observation period. The association between pPT >1500 and selected client characteristics were analyzed using a random-effects zero-inflated negative binomial model. Among the 6390 clients, 42% were aged 50 or older, 52% MSM, and 59% Hispanic. Overall, 7.5% of clients spent, on average, 27.4 days per year at substantial risk of transmitting HIV. Younger age, AIDS diagnosis, and reported drug use in the preceding 12 months were associated with higher pPT >1500. Tailored interventions should be implemented to meet the unique HIV needs of groups with consistent viremia to significantly minimize transmission risk.

Overcoming Challenges to HIV Medical Care-seeking and Treatment Among Data-to-Care Program Clients in Baton Rouge and New Orleans, Louisiana.

Data to Care (D2C) uses US public health surveillance data to identify persons with diagnosed HIV who are not receiving adequate medical care. These persons are linked to care and ancillary social services through personalized outreach. We conducted semistructured interviews with 36 adults with HIV in Louisiana who were engaged for the first time or reengaged back into HIV care through D2C efforts. Before D2C program staff contact, nearly 40% were not contemplating HIV care. Program clients cited barriers to HIV care, including difficulties with appointment scheduling and transportation, health care service and drug costs, low motivation, and competing non-HIV health needs. Thirty-four of the 36 clients said that D2C staff helped them overcome these barriers. Clients also described psychosocial support from D2C staff. After receiving D2C program assistance, more than 90% of clients reported consistently receiving HIV medical care and taking medications. Our findings suggest that D2C staff successfully identified client needs and provided tailored assistance.

2057. A Social Network Strategy for HIV Self-Test Kit Distribution through PrEP Program Clients

Abstract Background HIV testing allows care engagement of people living with HIV and PrEP for those who test negative. Social network strategy (SNS) interventions may facilitate distribution of HIV self-test (ST) kits to individuals who do not routinely test for HIV. The University of Miami pre-exposure prophylaxis (PrEP) program offers low-barrier PrEP/HIV prevention services through mobile and static clinics in Miami-Dade County. Current PrEP clients may be ideal distributors of HIV ST kits and PrEP information within their social networks. Methods Study activities occurred in Miami from November 2021 to March 2022. At PrEP visits, participants (n = 96) were given Ora-Quick oral fluid ST kits for distribution to their social network members. Participant surveys included demographics, feelings of closeness to network members, history of PrEP conversations, and intention for future PrEP conversations. Descriptive statistics included mean and range for continuous variables and frequencies for categorical variables. Network visualizations were constructed using UCINet and NetDraw. Bivariate and regression analysis, conducted in R, assessed the relationship between demographic characteristics of the client and the proportion of network members who discussed PrEP and plan to discuss PrEP in the future between and across networks. Results A network visualization displays clients (n=96) and their social networks (n=426). Clients and network members were a majority male (84.7%) and of Hispanic/Latinx ethnicity (78.8%). Within and between network analysis indicated that networks differed significantly in reported closeness and frequency of PrEP discussions (F = 2.97; p-value 0.01, F = 17.45; p < 0.03, respectively). Age and average reported closeness of the ego were independently and jointly associated with an increase in the likelihood of future PrEP conversations (estimate = 0.02; p-value < 0.01; estimate = 0.24; p –value < 0.01, respectively). Figure 1:PrEP Discussion & Closeness Node color reflects PrEP discussion and node size reflects client reported closeness Conclusion We demonstrate the feasibility of disseminating HIV ST kits and PrEP information through SNS. Emotionally closely linked networks, with similar characteristics (i.e., age) may be most effective for this SNS strategy. Disclosures Susanne Doblecki-Lewis, MD, MSPH, Gilead Sciences: Grant/Research Support.

A Rapid Review of Literature on Factors Associated with Adult Probation Revocations

ABSTRACT Criminal justice stakeholders have increasingly relied on probation supervision as an alternative to incarceration and yet, probation revocations often result in incarceration. As such, increased understanding of the mechanisms behind revocations and strategies to reduce them is critical. We conduct a rapid review of the literature on factors associated with probation revocations. Specifically, we review 50 articles on how probation officer behavior, officer-client relationships, caseload size, supervision intensity, monetary sanctions, probation client characteristics, or programming and services are associated with probation revocations. Though the literature is limited, and findings are mixed, the most consistent findings indicate that officer-client relationships involving trust, support, respect, and empathy as well as reduced caseload sizes and cognitive behavioral therapy programs are associated with probation success while intensive supervision programs; greater monetary sanctions and nonpayment of those sanctions; and being Black and less educated are associated with poorer supervision outcomes. Implications for future research, policy, and practice are discussed.

Implementing and verifying release-acquire transactional memory in C11

Transactional memory (TM) is an intensively studied synchronisation paradigm with many proposed implementations in software and hardware, and combinations thereof. However, TM under relaxed memory, e.g., C11 (the 2011 C/C++ standard) is still poorly understood, lacking rigorous foundations that support verifiable implementations. This paper addresses this gap by developing TMS2-ra, a relaxed operational TM specification. We integrate TMS2-ra with RC11 (the repaired C11 memory model that disallows load-buffering) to provide a formal semantics for TM libraries and their clients. We develop a logic, TARO, for verifying client programs that use TMS2-ra for synchronisation. We also show how TMS2-ra can be implemented by a C11 library, TML-ra, that uses relaxed and release-acquire atomics, yet guarantees the synchronisation properties required by TMS2-ra. We benchmark TML-ra and show that it outperforms its sequentially consistent counterpart in the STAMP benchmarks. Finally, we use a simulation-based verification technique to prove correctness of TML-ra. Our entire development is supported by the Isabelle/HOL proof assistant.

Implementation and evaluation of a two-eyed seeing approach using traditional healing and seeking safety in an indigenous residential treatment program in Northern Ontario

ABSTRACT Indigenous clients in need of residential care for substance use disorders (SUD) often present with the diagnosis of substance use disorder (SUD) combined with intergenerational trauma (IGT) or both. SUD is exceedingly prevalent amongst Indigenous peoples due to the health impacts of colonisation, residential school trauma, and IGT on this population’s health. We evaluated the effectiveness of a Two-Eyed Seeing approach in a four-week harm reduction residential treatment programme for clients with a history of SUD and IGT. This treatment approach blended Indigenous Healing practices with Seeking Safety based on Dr. Teresa Marsh’s research work known as Indigenous Healing and Seeking Safety (IHSS). The data presented in this study was drawn from a larger trial. This qualitative study was undertaken in collaboration with the Benbowopka Treatment Centre in Blind River, Northern Ontario, Canada. Patient characteristic data were collected from records for 157 patients who had enrolled in the study from April 2018 to February 2020. Data was collected from the Client Quality Assurance Survey tool. We used the qualitative thematic analysis method to analyse participants’ descriptive feedback about the study. Four themes were identified: (1) Motivation to attend treatment; (2) Understanding Benbowopka’s treatment programme and needs to be met; (3) Satisfaction with all interventions; and (4) Moving forward. We utilised a conceptualised descriptive framework for the four core themes depicted in the medicine wheel. This qualitative study affirmed that cultural elements and the SS Western model were highly valued by all participants. The impact of the harm reduction approach, coupled with traditional healing methods, further enhanced the outcome. This study was registered with clinicaltrials.gov (identifier number NCT0464574).

State Mental Health Authority Level of Involvement in Coordinated Specialty Care Clinics and Client Outcomes.

State mental health authorities (SMHAs) in all U.S. states and territories administer the Mental Health Block Grant (MHBG) set-aside funding for first-episode psychosis. Funds support implementation of coordinated specialty care (CSC) programs. The authors investigated the relationship between the level of SMHA involvement with CSC programs and clinical outcomes of clients in these programs. As part of a mixed-methods study of 34 CSC programs, SMHAs from 21 states and one U.S. territory associated with the 34 CSC programs participated in a 1-hour interview (between November 2018 and May 2019) focused on SMHA involvement in administration of MHBG set-aside funds and the SMHA's ongoing relationship with funded CSC programs. SMHA involvement was rated on a scale of 1 to 5, with 5 indicating the highest involvement. Client outcome data were collected at the 34 study sites over an 18-month period. Multilevel random-effect modeling was used, controlling for response propensity (propensity score), client demographic variables, and program-level covariates (i.e., fidelity score, staff turnover rates, service area urbanicity, and number of clients enrolled). Clients in CSC programs with SMHAs that were the most involved (level 5) had significantly improved symptoms, social functioning, and role functioning, compared with clients in programs with which SMHAs were least involved (level 1). The findings suggest that increased SMHA involvement in CSC programs is relevant for positive client outcomes. Levels of first-episode psychosis funding doubled in 2021 and 2022, and it is important to identify how SMHAs affect the success of CSC programs and the individuals served.

An evaluation of an Australia-based home Burglary prevention program

In response to an increase in the number of burglaries in the Australian Capital Territory (ACT) from 2014 to 2020, the ACT government funded the development of a home-based Burglary prevention program. The aim of the program is to improve household security particularly for those properties at heightened risk of victimisation and re-victimisation. The program consisted of security assessments of properties and, based on assessments, installation of security devices for eligible program clients. Results from the evaluation reveal that the program produces positive benefits overall in terms of enhanced security, reduced risk of re-victimisation, improvement in perceived sense of personal security, and positive economic return on investment.

Data Analysis System Based on REST Architecture for In-Pipe Inspection

To solve the problems of high maintenance cost, low reusability and poor scalability of in-pipe inspection data analysis system, an in-pipe inspection data analysis system based on REST (Representational State Transfer) architecture is designed and implemented. A multilayer service-oriented architecture based on REST is designed, which decouples the functions of client, middleware, server and data storage to improve the maintainability of the software. REST APIs (Application Program Interfaces) based on HTTP (Hypertext Transfer Protocol) are designed, which encapsulate the core functions such as data analysis, signal processing, automatic identification and quantization into language and platform independent services to meet the needs of multiuser, cross platform and online data analysis. An adaptation method of in-line inspection tool based on metadata is designed, which abstracts the in-line inspection tool into a separate metadata file and decouples it from the client and server programs to improve the scalability of the software. Practice has proved the architecture can improve the maintainability, reusability and scalability of the software, and provide a basis for constructing online in-pipe inspection data analysis service based cloud.