Abstract: In the anticipation of demand fluctuations, services cannot be inventoried and hence it creates a difficult problem in marketing of services. The inability to meet customers (patients) requirements in healthcare context has more serious consequences than other service sectors. In order to meet patient requirements in the current uncertain environment, healthcare organizations are seeking ways for improved service delivery. Flexibility provides a mechanism for reducing variability in service encounters and improved performance. Flexibility is defined as the ability of the organization to cope with changing circumstances or instability caused by the environment. Patient satisfaction is an important performance outcome of healthcare organizations. However, the paucity of information exists in healthcare delivery context to examine the impact of flexibility on patient satisfaction and behavioral intention. The present study is an attempt to develop a conceptual foundation for investigating overall impact of flexibility on patient satisfaction and behavioral intention. Several dimensions of flexibility in healthcare context are examined and proposed to have a significant impact on patient satisfaction and intention. Furthermore, the study involves a critical examination of determinants of patient satisfaction and development of a comprehensive view the relationship between flexibility, patient satisfaction and behavioral intention. Finally, theoretical contributions and implications for healthcare professionals are suggested from flexibility perspective.
Abstract: The global energy consumption is increasing persistently and need for distributed power generation through renewable energy is essential. To meet the power requirements for consumers without any voltage fluctuations and losses, modeling and design of multilevel inverter with Flexible AC Transmission System (FACTS) capability is presented. The presented inverter is provided with 13-level cascaded H-bridge topology of Insulated Gate Bipolar Transistor (IGBTs) connected along with inbuilt Distributed Static Synchronous Compensators (DSTATCOM). The DSTATCOM device provides control of power factor stability at local feeder lines and the inverter eliminates Total Harmonic Distortion (THD). The 13-level inverter utilizes 52 switches of each H-bridge is fed with single DC sources separately and the Pulse Width Modulation (PWM) technique is used for switching IGBTs. The control strategy implemented for inverter transmits active power to grid as well as it maintains power factor to be stable with achievement of steady state power transmission. Significant outcome of this project is improvement of output voltage quality with steady state power transmission with low THD. Simulation of inverter with DSTATCOM is performed using MATLAB/Simulink environment. The scaled prototype model of proposed inverter is built and its results were validated with simulated results.
Abstract: Human biological signals (pulse wave and brain wave, etc.) have a rhythm which shows fluctuations. This study investigates the relationship between fluctuations of biological signals which are shown by a finger plethysmogram (i.e., finger pulse wave) in conversation and anthropophobic tendency, and identifies whether the fluctuation could be an index of mental health. 32 college students participated in the experiment. The finger plethysmogram of each subject was measured in the following conversation situations: Fun memory talking/listening situation and regrettable memory talking/ listening situation for three minutes each. Lyspect 3.5 was used to collect the data of the finger plethysmogram. Since Lyspect calculates the Lyapunov spectrum, it is possible to obtain the largest Lyapunov exponent (LLE). LLE is an indicator of the fluctuation and shows the degree to which a measure is going away from close proximity to the track in a dynamical system. Before the finger plethysmogram experiment, each participant took the psychological test questionnaire “Anthropophobic Scale.” The scale measures the social phobia trend close to the consciousness of social phobia. It is revealed that there is a remarkable relationship between the fluctuation of the finger plethysmography and anthropophobic tendency scale in talking about a regrettable story in conversation: The participants (N=15) who have a low anthropophobic tendency show significantly more fluctuation of finger pulse waves than the participants (N=17) who have a high anthropophobic tendency (F (1, 31) =5.66, p
Abstract: This paper measures technical and scale efficiencies of 40 Indian sugar companies for the period from 2004-05 to 2013-14. The efficiencies are estimated through input-oriented DEA models using one output variable—value of output (VOP) and five input variables—capital cost (CA), employee cost (EMP), raw material (RW), energy & fuel (E&F) and other manufacturing expenses (OME). The sugar companies are classified into integrated and non-integrated categories to know which one achieves higher level of efficiency. Sources of inefficiency in the industry are identified through decomposing the overall technical efficiency (TE) into pure technical efficiency (PTE) and scale efficiency (SE). The paper also estimates input-reduction targets for relatively inefficient companies and suggests measures to improve their efficiency level. The findings reveal that the TE does not evince any trend rather it shows fluctuations across years, largely due to erratic and cyclical pattern of sugar production. Further, technical inefficiency in the industry seems to be driven more by the managerial inefficiency than the scale inefficiency, which implies that TE can be improved through better conversion of inputs into output.
Abstract: More PV systems have been connected to the electrical network each year. As the number of PV systems increases, some issues affecting grid operations have been identified. This paper studied the impacts related to changes in solar irradiance on a distribution/sub-transmission network, considering variations due to moving clouds and daily cycles. Using MATLAB/Simulink software, a solar farm of 30 MWp was built and then implemented to a test network. From simulations, it has been determined that irradiance changes can have a significant impact on the grid by causing voltage fluctuations outside the allowable thresholds. This work discussed some local control strategies and grid reinforcements to mitigate the negative effects of the irradiance changes on the grid.
Abstract: Urban planning is associated with land transformation from natural areas to modified and developed ones which leads to modification of natural environment. The basic knowledge of relationship between both should be ascertained before proceeding for the development of natural areas. Changes on land surface due to build up pavements, roads and similar land cover, affect surface water flow. There is a gap between urban planning and basic knowledge of hydrological processes which should be known to the planners. The paper aims to identify these variations in surface flow due to urbanization for a temporal scale of 40 years using Storm Water Management Mode (SWMM) and again correlating these findings with the urban planning guidelines in study area along with geological background to find out the suitable combinations of land cover, soil and guidelines. For the purpose of identifying the changes in surface flows, 19 catchments were identified with different geology and growth in 40 years facing different ground water levels fluctuations. The increasing built up, varying surface runoff are studied using Arc GIS and SWMM modeling, regression analysis for runoff. Resulting runoff for various land covers and soil groups with varying built up conditions were observed. The modeling procedures also included observations for varying precipitation and constant built up in all catchments. All these observations were combined for individual catchment and single regression curve was obtained for runoff. Thus, it was observed that alluvial with suitable land cover was better for infiltration and least generation of runoff but excess built up could not be sustained on alluvial soil. Similarly, basalt had least recharge and most runoff demanding maximum vegetation over it. Sandstone resulted in good recharging if planned with more open spaces and natural soils with intermittent vegetation. Hence, these observations made a keystone base for planners while planning various land uses on different soils. This paper contributes and provides a solution to basic knowledge gap, which urban planners face during development of natural surfaces.
Abstract: The present experimental study insights the decontamination of instantaneous velocity fluctuations captured by Acoustic Doppler Velocimeter (ADV) in gravel-bed streams to ascertain near-bed turbulence for low Reynolds number. The interference between incidental and reflected pulses produce spikes in the ADV data especially in the near-bed flow zone and therefore filtering the data are very essential. Nortek’s Vectrino four-receiver ADV probe was used to capture the instantaneous three-dimensional velocity fluctuations over a non-cohesive bed. A spike removal algorithm based on the acceleration threshold method was applied to note the bed roughness and its influence on velocity fluctuations and velocity power spectra in the carrier fluid. The velocity power spectra of despiked signals with a best combination of velocity threshold (VT) and acceleration threshold (AT) are proposed which ascertained velocity power spectra a satisfactory fit with the Kolmogorov “–5/3 scaling-law” in the inertial sub-range. Also, velocity distributions below the roughness crest level fairly follows a third-degree polynomial series.
Abstract: Due to the randomness and uncertainty of wind energy, modern power systems integrating large-scale wind generation will be significantly impacted in terms of system performance and technical challenges. System inertia with high wind penetration is decreasing when conventional thermal generators are gradually replaced by wind turbines, which do not naturally contribute to inertia response. The power imbalance caused by wind power or demand fluctuations leads to the instability of system frequency. Accordingly, the need to attach the supplementary virtual inertia control to wind farms (WFs) strongly arises. When multi-wind farms are connected to the grid simultaneously, the selection of which critical WFs to install the virtual inertia control is greatly important to enhance the stability of system frequency. By building the small signal model of wind power systems considering frequency regulation, the installation locations are identified by the geometric measures of the mode observability of WFs. In addition, this paper takes the impacts of grid topology and selection of feedback control signals into consideration. Finally, simulations are conducted on a multi-wind farms power system and the results demonstrate that the designed virtual inertia control method can effectively assist the frequency regulation.
Abstract: This study aimed to analyse the pregnancy outcomes in patients with TPO positivity after appropriate L-Thyroxin supplementation with close surveillance. All pregnant women attending the antenatal clinic at Milann-The Fertility Center, Bangalore, India- from Aug 2013 to Oct 2014 whose booking TSH was more than 2.5 mIU/L were included along with those pregnant women with prior hypothyroidism who were TPO positive. Those with TPO positive status were vigorously managed with appropriate thyroxin supplementation and the doses were readjusted every 3 to 4 weeks until delivery. Women with recurrent pregnancy loss were also tested for TPO positivity and if tested positive, were monitored serially with TSH and fT4 levels every 3 to 4 weeks and appropriately supplemented with thyroxin when the levels fluctuated. The testing was done after an informed consent in all these women. The statistical software namely SAS 9.2, SPSS 15.0, Stata 10.1, MedCalc 9.0.1, Systat 12.0 and R environment ver.2.11.1 were used for the analysis of the data. 460 pregnant women were screened for thyroid dysfunction at booking of which 52% were hypothyroid. Majority of them (31.08%) were subclinically hypothyroid and the remaining were overt. 25% of the total no. of patients screened were TPO positive. The various pregnancy complications that were observed in the TPO positive women were gestational glucose intolerance [60%], threatened abortion [21%], midtrimester abortion [4.3%], premature rupture of membranes [4.3%], cervical funneling [4.3%] and fetal growth restriction [3.5%]. 95.6% of the patients who followed up till the end delivered beyond 30 weeks. 42.6% of these patients had previous history of recurrent abortions or adverse obstetric outcome and 21.7% of the delivered babies required NICU admission. Obstetric outcomes in our study in terms of midtrimester abortions, placental abruption, and preterm delivery improved for the better after close monitoring of the thyroid hormone [TSH and fT4] levels every 3 to 4 weeks with appropriate dose adjustment throughout pregnancy. Euthyroid women with TPO positive status enrolled in the study incidentally were those with recurrent abortions/infertility and required thyroxin supplements due to elevated Thyroid hormone (TSH, fT4) levels during the course of their pregnancy. Significant associations were found with age>30 years and Hyperhomocysteinemia [p=0.017], recurrent pregnancy loss or previous adverse obstetric outcomes [p=0.067] and APLA [p=0.029]. TPO antibody levels >600 I U/ml were significantly associated with development of gestational hypertension [p=0.041] and fetal growth restriction [p=0.082]. Euthyroid women with TPO positivity were also screened periodically to counter fluctuations of the thyroid hormone levels with appropriate thyroxin supplementation. Thus, early identification along with aggressive management of thyroid dysfunction and stratification of these patients based on their TPO status with appropriate thyroxin supplementation beginning in the first trimester will aid risk modulation and also help avert complications.
Abstract: The gas holdup fluctuations in a bubble column (0.15 m in ID) have been recorded by means of a conductivity wire-mesh sensor in order to extract information about the main transition velocities. These parameters are very important for bubble column design, operation and scale-up. For this purpose, the classical definition of the Shannon entropy was modified and used to identify both the onset (at UG=0.034 m/s) of the transition flow regime and the beginning (at UG=0.089 m/s) of the churn-turbulent flow regime. The results were compared with the Kolmogorov entropy (KE) results. A slight discrepancy was found, namely the transition velocities identified by means of the KE were shifted to somewhat higher (0.045 and 0.101 m/s) superficial gas velocities UG.
Abstract: This paper investigates the characteristics of wall
pressure fluctuations in naturally developing boundary layer flows
on axisymmetric bodies experimentally. The axisymmetric body has
a modified ellipsoidal blunt nose. Flush-mounted microphones are
used to measure the wall pressure fluctuations in the boundary layer
flow over the body. The measurements are performed in a low noise
wind tunnel. It is found that the correlation between the flow regime
and the characteristics of the pressure fluctuations is distinct. The
process from small fluctuation in laminar flow to large fluctuation in
turbulent flow is investigated. Tollmien-Schlichting wave (T-S wave)
is found to generate and develop in transition. Because of the T-S
wave, the wall pressure fluctuations in the transition region are higher
than those in the turbulent boundary layer.
Abstract: The purpose of this study is to analyze the temporal
and spatial variability of thermal conditions in the Republic of
Armenia. The paper describes annual fluctuations in air temperature.
Research has been focused on case study region of Armenia and
surrounding areas, where long–term measurements and observations
of weather conditions have been performed within the National
Meteorological Service of Armenia and its surrounding areas. The
study contains yearly air temperature data recorded between 1961-
2012. Mann-Kendal test and the autocorrelation function were
applied to detect the change trend of annual mean temperature, as
well as other parametric and non-parametric tests searching to find
the presence of some breaks in the long term evolution of
temperature. The analysis of all records reveals a tendency mostly
towards warmer years, with increased temperatures especially in
valleys and inner basins. The maximum temperature increase is up to
1,5°C. Negative results have not been observed in Armenia. The
patterns of temperature change have been observed since the 1990’s
over much of the Armenian territory. The climate in Armenia was
influenced by global change in the last 2 decades, as results from the
methods employed within the study.
Abstract: Fluctuations of Schottky diode parameters in a
structure of the mixer are investigated. These fluctuations are
manifested in two ways. At the first, they lead to fluctuations in the
transfer factor that is lead to the amplitude fluctuations in the signal
of intermediate frequency. On the basis of the measurement data of
1/f noise of the diode at forward current, the estimation of a spectrum
of relative fluctuations in transfer factor of the mixer is executed.
Current dependence of the spectrum of relative fluctuations in
transfer factor of the mixer and dependence of the spectrum of
relative fluctuations in transfer factor of the mixer on the amplitude
of the heterodyne signal are investigated. At the second, fluctuations
in parameters of the diode lead to occurrence of 1/f noise in the
output signal of the mixer. This noise limits the sensitivity of the
mixer to the value of received signal.
Abstract: The Greater Athens Area (GAA) faces photochemical
and particulate pollution episodes as a result of the combined effects
of local pollutant emissions, regional pollution transport, synoptic
circulation and topographic characteristics. The area has undergone
significant changes since the Athens 2004 Olympic Games because
of large scale infrastructure works that lead to the shift of population
to areas previously characterized as rural, the increase of the traffic
fleet and the operation of highways. However, few recent modelling
studies have been performed due to the lack of an accurate, updated
emission inventory. The photochemical modelling system
MM5/CAMx was applied in order to study the photochemical and
particulate pollution characteristics above the GAA for two distinct
ten-day periods in the summer of 2006 and 2010, where air pollution
episodes occurred. A new updated emission inventory was used
based on official data. Comparison of modeled results with
measurements revealed the importance and accuracy of the new
Athens emission inventory as compared to previous modeling
studies. The model managed to reproduce the local meteorological
conditions, the daily ozone and particulates fluctuations at different
locations across the GAA. Higher ozone levels were found at
suburban and rural areas as well as over the sea at the south of the
basin. Concerning PM10, high concentrations were computed at the
city centre and the southeastern suburbs in agreement with measured
data. Source apportionment analysis showed that different sources
contribute to the ozone levels, the local sources (traffic, port
activities) affecting its formation.
Abstract: This paper describes three lumped parameters models
for the study of the dynamic behavior of a boom crane. The models
here proposed allows to evaluate the fluctuations of the load arising
from the rope and structure elasticity and from the type of the
motion command imposed by the winch. A calculation software
was developed in order to determine the actual acceleration of the
lifted mass and the dynamic overload during the lifting phase. Some
application examples are presented, with the aim of showing the
correlation between the magnitude of the stress and the type of the
employed motion command.
Abstract: As per the statistical data, the Doubly-fed Induction
Generator (DFIG) based wind turbine with variable speed and
variable pitch control is the most common wind turbine in the
growing wind market. This machine is usually used on the grid
connected wind energy conversion system to satisfy grid code
requirements such as grid stability, Fault Ride Through (FRT), power
quality improvement, grid synchronization and power control etc.
Though the requirements are not fulfilled directly by the machine, the
control strategy is used in both the stator as well as rotor side along
with power electronic converters to fulfil the requirements stated
above. To satisfy the grid code requirements of wind turbine, usually
grid side converter is playing a major role. So in order to improve the
operation capacity of wind turbine under critical situation, the
intensive study of both machine side converter control and grid side
converter control is necessary In this paper DFIG is modeled using
power components as variables and the performance of the DFIG
system is analysed under grid voltage fluctuations. The voltage
fluctuations are made by lowering and raising the voltage values in
the utility grid intentionally for the purpose of simulation keeping in
view of different grid disturbances.
Abstract: In this paper numerical studies have been carried out
to examine the pre-ignition flow features of high-performance solid
propellant rocket motors with two different port geometries but with
same propellant loading density. Numerical computations have been
carried out using a validated 3D, unsteady, 2nd-order implicit, SST k-
ω turbulence model. In the numerical study, a fully implicit finite
volume scheme of the compressible, Reynolds-Averaged, Navier-
Stokes equations is employed. We have observed from the numerical
results that in solid rocket motors with highly loaded propellants
having divergent port geometry the hot igniter gases can create preignition
pressure oscillations leading to thrust oscillations due to the
flow unsteadiness and recirculation. We have also observed that the
igniter temperature fluctuations are diminished rapidly thereby
reaching the steady state value faster in the case of solid propellant
rocket motors with convergent port than the divergent port
irrespective of the igniter total pressure. We have concluded that the
prudent selection of the port geometry, without altering the propellant
loading density, for damping the total temperature fluctuations within
the motor is a meaningful objective for the suppression and control of
instability and/or thrust oscillations often observed in solid propellant
rocket motors with non-uniform port geometry.
Abstract: The sea waves carry thousands of GWs of power
globally. Although there are a number of different approaches to
harness offshore energy, they are likely to be expensive, practically
challenging, and vulnerable to storms. Therefore, this paper considers
using the near shore waves for generating mechanical and electrical
power. It introduces two new approaches, the wave manipulation and
using a variable duct turbine, for intercepting very wide wave fronts
and coping with the fluctuations of the wave height and the sea level,
respectively. The first approach effectively allows capturing much
more energy yet with a much narrower turbine rotor. The second
approach allows using a rotor with a smaller radius but captures
energy of higher wave fronts at higher sea levels yet preventing it
from totally submerging. To illustrate the effectiveness of the first
approach, the paper contains a description and the simulation results
of a scale model of a wave manipulator. Then, it includes the results
of testing a physical model of the manipulator and a single duct, axial
flow turbine in a wave flume in the laboratory. The paper also
includes comparisons of theoretical predictions, simulation results,
and wave flume tests with respect to the incident energy, loss in wave
manipulation, minimal loss, brake torque, and the angular velocity.
Abstract: In this study, we proposed two techniques to track the
maximum power point (MPPT) of a photovoltaic system. The first is
an intelligent control technique, and the second is robust used for
variable structure system. In fact the characteristics I-V and P–V of
the photovoltaic generator depends on the solar irradiance and
temperature. These climate changes cause the fluctuation of
maximum power point; a maximum power point tracking technique
(MPPT) is required to maximize the output power. For this we have
adopted a control by fuzzy logic (FLC) famous for its stability and
robustness. And a Siding Mode Control (SMC) widely used for
variable structure system. The system comprises a photovoltaic panel
(PV), a DC-DC converter, which is considered as an adaptation stage
between the PV and the load. The modelling and simulation of the
system is developed using MATLAB/Simulink. SMC technique
provides a good tracking speed in fast changing irradiation and when
the irradiation changes slowly or it is constant the panel power of
FLC technique presents a much smoother signal with less
fluctuations.
Abstract: Optical radiation emitted from a metal-coated fiber tip apex at liquid-air interface was measured. The intensity of the output radiation was strongly depend on the relative position of the tip to a liquid-air interface and varied with surface fluctuations. This phenomenon permits in-situ real-time investigation of nano-metric vibrations of the liquid surface and provides a basis for development of various origin ultrasensitive vibration detecting sensors. The described method can be used for detection of week seismic vibrations.