521 research outputs found

    Lay leadership collaboration, communication, and succession among the baby boomer, generation X, and millennial generational cohorts

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    https://place.asburyseminary.edu/ecommonsatsdissertations/2509/thumbnail.jp

    Brain Injury Clubhouses

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    The National Institutes of Health (NIH) reported that the number of people living with permanent disability from brain injury grows annually as medical technology has advanced in life saving techniques. However, community-based programs which enable brain injury survivors to live productive lives throughout the entire course of recovery have not grown proportionately to meet this the need. Brain Injury Clubhouses were developed to address the need for coordinated, long-term, community-based supports for brain survivors in a community-based setting. Brain Injury Clubhouses are designed to improve the lives of persons with ABI and reduce strain on caregivers and healthcare services The information in this research brief is designed to provide funders, administrators, policy makers, and other stakeholders with an overview of Brain Injury Clubhouses. The brief also provides outcomes associated with participation in a Brain Injury Clubhouse from a recent research study to provide stakeholders with a better understanding of Brain Injury Clubhouses

    Voltage Stability and Reactive Power Sharing in Inverter-Based Microgrids with Consensus-Based Distributed Voltage Control

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    We propose a consensus-based distributed voltage control (DVC) that solves the problem of reactive power sharing in autonomous inverter-based microgrids with dominantly inductive power lines and arbitrary electrical topology. Opposed to other control strategies available thus far, the control presented here does guarantee a desired reactive power distribution in steady state while only requiring distributed communication among inverters, i.e., no central computing nor communication unit is needed. For inductive impedance loads and under the assumption of small phase angle differences between the output voltages of the inverters, we prove that the choice of the control parameters uniquely determines the corresponding equilibrium point of the closed-loop voltage and reactive power dynamics. In addition, for the case of uniform time constants of the power measurement filters, a necessary and sufficient condition for local exponential stability of that equilibrium point is given. The compatibility of the DVC with the usual frequency droop control for inverters is shown and the performance of the proposed DVC is compared with the usual voltage droop control via simulation of a microgrid based on the Conseil International des Grands RĂ©seaux Electriques (CIGRE) benchmark medium voltage distribution network

    A consensus-based distributed voltage control for reactive power sharing in microgrids

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    We propose a consensus-based distributed voltage control (DVC), which solves the problem of reactive power sharing in autonomous meshed inverter-based microgrids with inductive power lines. Opposed to other control strategies available thus far, the DVC does guarantee reactive power sharing in steady-state while only requiring distributed communication among inverters, i.e. no central computing nor communication unit is needed. Moreover, we provide a necessary and sufficient condition for local exponential stability. In addition, the performance of the proposed control is compared to the usual voltage droop control [1] in a simulation example based on the CIGRE benchmark medium voltage distribution network

    Impact of Level of Effort on the Effects of Compliance with the 3-Hour Rule

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    Objective To determine if patients’ level of effort (LOE) in therapy sessions during traumatic brain injury (TBI) rehabilitation modifies the effect of compliance with the 3-Hour Rule of the Centers for Medicare & Medicaid Services. Design Propensity score methodology applied to the TBI-Practice-Based Evidence (TBI-PBE) database, consisting of multi-site, prospective, longitudinal observational data. Setting Acute inpatient rehabilitation facilities (IRF). Participants Patients (n=1820) who received their first IRF admission for TBI in the US and were enrolled for 3 and 9 month follow-up. Main Outcome Measures Participation Assessment with Recombined Tools-Objective-17, FIMTM Motor and Cognitive scores, Satisfaction with Life Scale, and Patient Health Questionnaire-9. Results When the full cohort was examined, no strong main effect of compliance with the 3-Hour Rule was identified and LOE did not modify the effect of compliance with the 3-Hour Rule. In contrast, LOE had a strong positive main effect on all outcomes, except depression. When the sample was stratified by level of disability, LOE modified the effect of compliance, particularly on the outcomes of participants with less severe disability. For these patients, providing 3 hours of therapy for 50%+ of therapy days in the context of low effort resulted in poorer performance on select outcome measures at discharge and up to 9 months post discharge compared to patients with <50% of 3-hr therapy days. Conclusions LOE is an active ingredient in inpatient TBI rehabilitation, while compliance with the 3-Hour Rule was not found to have a substantive impact on the outcomes. The results support matching time in therapy during acute TBI rehabilitation to patients’ LOE in order to optimize long-term benefits on outcomes

    Analysis of the accuracy of ten algorithms for orientation estimation using inertial and magnetic sensing under optimal conditions: One size does not fit all

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    The orientation of a magneto and inertial measurement unit (MIMU) is estimated by means of sensor fusion algorithms (SFAs) thus enabling human motion tracking. However, despite several SFAs implementations proposed over the last decades, there is still a lack of consensus about the best performing SFAs and their accuracy. As suggested by recent literature, the filter parameters play a central role in determining the orientation errors. The aim of this work is to analyze the accuracy of ten SFAs while running under the best possible conditions (i.e., their parameter values are set using the orientation reference) in nine experimental scenarios including three rotation rates and three commercial products. The main finding is that parameter values must be specific for each SFA according to the experimental scenario to avoid errors comparable to those obtained when the de-fault parameter values are used. Overall, when optimally tuned, no statistically significant differ-ences are observed among the different SFAs in all tested experimental scenarios and the absolute errors are included between 3.8 deg and 7.1 deg. Increasing the rotation rate generally leads to a significant performance worsening. Errors are also influenced by the MIMU commercial model. SFA MATLAB implementations have been made available online

    Weak Interactions in Dimethyl Sulfoxide (DMSO)-Tertiary Amide Solutions: The Versatility of DMSO as a Solvent

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    The structures of equimolar mixtures of the commonly used polar aprotic solvents dimethylformamide (DMF) and dimethylacetamide (DMAc) in dimethyl sulfoxide (DMSO) have been investigated via neutron diffraction augmented by extensive hydrogen/deuterium isotopic substitution. Detailed 3-dimensional structural models of these solutions have been derived from the neutron data via Empirical Potential Structure Refinement (EPSR). The intermolecular center-of-mass (CoM) distributions show that the first coordination shell of the amides comprises ∌13-14 neighbors, of which approximately half are DMSO. In spite of this near ideal coordination shell mixing, the changes to the amide-amide structure are found to be relatively subtle when compared to the pure liquids. Analysis of specific intermolecular atom-atom correlations allows quantitative interpretation of the competition between weak interactions in the solution. We find a hierarchy of formic and methyl C-H···O hydrogen bonds forms the dominant local motifs, with peak positions in the range of 2.5-3.0 Å. We also observe a rich variety of steric and dispersion interactions, including those involving the O═C-N amide π-backbones. This detailed insight into the structural landscape of these important liquids demonstrates the versatility of DMSO as a solvent and the remarkable sensitivity of neutron diffraction, which is critical for understanding weak intermolecular interactions at the nanoscale and thereby tailoring solvent properties to specific applications
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