Readiness for Hospital Discharge Scale for older people: psychometric testing and short form development with a three country sample

Aim To develop and psychometrically test Readiness for Hospital Discharge Scale for older people and to reduce the scale to a more practical short form. Background The Readiness for Hospital Discharge Scale is the only available and validated scale measuring patients\u27 perceived readiness just prior to discharge. Design Secondary analysis of hospital studies data from three countries. Method Data were collected between 2008–2012. The study sample comprised 998 medical-surgical older patients. Factor analysis was undertaken to identify the factor structure of the Readiness for Hospital Discharge Scale. Group comparisons for construct validity and predictive validity for readmission were also conducted. Results The Readiness for Hospital Discharge Scale original four factor solution does not appear to be consistent with the observed data of older people in the three countries. Confirmatory factor analysis revealed that a 17-item scale with three factors produced the best model fit. Nine items, three from each factor, loaded consistently on their respective factors in each country sample. Confirmatory factor analysis of this short form model indicated that the model adequately fit the data. Patients who lived alone, were older, or who indicated ‘not ready’ for discharge had lower Readiness for Hospital Discharge Scale for Older People scores, which were also associated with readmission risk. Conclusion The revised three factor structure of the Readiness for Hospital Discharge Scale for Older People in long and short forms more adequately assesses core components of discharge readiness in the older adult population than the original adult form

Laboratory studies of spacecraft response to transient discharge pulses

The in-orbit measurement of spacecraft discharge properties was investigated. The experiments include design and fabrication of appropriate sensors and effects of spacecraft electromagnetic responses on the interpretation of the discharge data. Electric field sensors especially designed to response to high-speed transient signals were installed on a mock-up of a satellite. The simple mock-up was basically a sheet of aluminum rolled to form a cylinder. A movable spark-discharge noise source designed to be electromagnetically isolated from its power supply system was used to induce transient signals at various locations on the spacecraft's outer surface. The measurements and their implications are described. It is concluded that practical orbital measurements to define discharge noise source properties should be possible, and that simple mock-ups of the type described below are useful in sensor system design and data interpretation

The inception of pulsed discharges in air: simulations in background fields above and below breakdown

We investigate discharge inception in air, in uniform background electric fields above and below the breakdown threshold. We perform 3D particle simulations that include a natural level of background ionization in the form of positive and O$_{2}^-$ ions. When the electric field rises above the breakdown and the detachment threshold, which are similar in air, electrons can detach from O$_{2}^-$ and start ionization avalanches. These avalanches together create one large discharge, in contrast to the `double-headed' streamers found in many fluid simulations. On the other hand, in background fields below breakdown, something must enhance the field sufficiently for a streamer to form. We use a strongly ionized seed of electrons and positive ions for this, with which we observe the growth of positive streamers. Negative streamers were not observed. Below breakdown, the inclusion of electron detachment does not change the results much, and we observe similar discharge development as in fluid simulations

The influence of textiles on Corona discharge created around a human fingertip

A corona discharge is a visible, electrical discharge observed in gases, which occurs on the surface of charged conductors. In our research, the discharges were generated around human fingertips and recorded in the form of films during the test while a number of people were in contact with different textiles for a short period. The aim of our experiments was the estimation of the possibility of using corona-discharge-films (CDF) for the investigation of the impact of textiles on the CDF of human fingertips. This article describes the investigation, aimed at determining if a test-person short period of contact with textiles, such as knitted acrylic, wool and viscose fabrics, influences the corona discharge of the test-person. The research results confirmed these assumptions

Cross-cultural Adaptation of the Instrument Readiness for Hospital Discharge Scale - Adult Form

Objective: to perform the cross-cultural adaptation of the Readiness for Hospital Discharge Scale - (RHDS) Adult Form for use in Brazil. Method: a methodological study was conducted in 2015, in Brazil’s federal capital, following the eight stages scientifically established. Results: analysis proved the maintenance of semantic, idiomatic, cultural, and conceptual equivalences and kept both the face and content validity of the original version. The judging committee and the pre-test participants declared they understood the RHDS items and answer scale. Conclusion: the instrument is culturally adapted for Brazil and can be used as one of the stages for planning hospital discharge. Descriptors: Nursing Methodology Research; Transitional Care; Continuity of Patient Care; Patient-Centered Care; Patient Discharg

Observation of hard radiations in a laboratory atmospheric high-voltage discharge

The new results concerning neutron emission detection from a laboratory high-voltage discharge in the air are presented. Data were obtained with a combination of plastic scintillation detectors and $^3$He filled counters of thermal neutrons. Strong dependence of the hard x-ray and neutron radiation appearance on the field strength near electrodes, which is determined by their form, was found. We have revealed a more sophisticated temporal structure of the neutron bursts observed during of electric discharge. This may indicate different mechanisms for generating penetrating radiation at the time formation and development of the atmospheric discharge.Comment: 10 pages, 10 figures, 2 table

Evolution of the spherical cavity radius generated around a subsurface emitter

The emitter discharge in subsurface drip irrigation can be affected by soil properties. A positive pressure develops at the emitter outlet where a spherical cavity is assumed to form. In steady-state conditions, the pressure in the soil relates to soil hydraulic 5 properties, the emitter discharge, and the cavity radius. This pressure in the soil is very sensitive to the cavity radius. In this paper, the development of the cavity around the emitter outlet was measured for various emitter discharges in laboratory tests carried out in containers with uniform loamy soils. A trend between soil pressure and emitter discharge was established that illustrates the performance of buried emitters in the 10 field. Its application to the prediction of water distribution in subsurface drip irrigation units and its effect on the estimation of irrigation performance is also show

Moderate temperature rechargeable sodium batteries

Cells utilizing the organic electrolyte, NaI in triglyme, operated at approx. 130 C with Na(+) - intercalating cathodes. However, their rate and stability were inadequate. NaAlCl4 was found to be a highly useful electrolyte for cell operation at 165-190 C. Na(+) intercalating chalcogenides reacted with NaAlCl4 during cycling to form stable phases. Thus, VS2 became essentially VS2Cl, with reversible capacity of approx 2.8 e(-)/V, and a mid-discharge voltage of approx 2.5V and 100 deep discharge cycles were readily achieved. A positive electrode consisting of VCl3 and S plus NaAlCl4 was subjected to deep-discharge cycles 300 times and it demonstrated identity with the in-situ-formed BSxCly cathode. NiS2 and NiS which are not Na(+)-intercalating structures formed highly reversible electrodes in NaAlCl4. The indicated discharge mechanism implies a theoretical capacity 4e(-)/Ni for NiS2 and 2e(-)/Ni for NiS. The mid-discharge potentials are, respectively, 2.4V and 2.1V. A Na/NiS2 cell cycling at a C/5 rate has exceeded 500 deep discharge cycles with 2.5e(-)/Ni average utilization. A 4 A-hr nominal capacity prototype Na/NiS2 cell was tested at 190 C. It was voluntarily terminated after 80 cycles. Further development, particularly of cathode structure and hardware should produce a battery capable of at least 50-W-hr/lb and more than 1000 cycles