Evaluation Of Elastic Modulus And Stress Gradient Of PECVD Silicon Nitride Thin Films

This study investigated the techniques for determining the elastic modulus and estimating the stress gradient of plasma-enhanced chemical vapor deposition (PECVD) silicon nitride thin films. The experimentally determined elastic modulus was then used in a finite element beam model to compute the stress distribution inside the thin films using a commercial finite element analysis package. The computed beam displacement caused by a given stress gradient was compared with the displacement experimentally evaluated using optical interference microscopy. This comparison allows the stress gradient of the PECVD silicon nitride membrane introduced by the fabrication process to be evaluated

Word frequency effects found in free recall are rather due to Bayesian surprise

The inconsistent relation between word frequency and free recall performance (sometimes a positive one, sometimes a negative one, and sometimes no relation) and the non-monotonic relation found between the two cannot all be explained by current theories. We propose a theoretical framework that can explain all extant results. Based on an ecological psychology analysis of the free recall situation in terms of environmental and informational resources available to the participants, we propose that because participants’ cognitive system has been shaped by their native language, free recall performance is best understood as the end result of relational properties that preexist the experimental situation and of the way the words from the experimental list interact with those. In addition to this, we borrow from predictive coding theory the idea that the brain constantly predicts “what is coming next” so that it is mainly prediction errors that will propagate information forward. Our ecological psychology analysis indicates there will be “prediction errors” because the word frequency distribution in an experimental word list is inevitably different from the particular Zipf’s law distribution of the words in the language that shaped participants’ brains. We further propose the particular distributional discrepancies inherent to a given word list will trigger, as a function of the words that are included in the list, their order, and of the words that are absent from the list, a surprisal signal in the brain, something that is isomorphic to the concept of Bayesian surprise. The precise moment when Bayesian surprise is triggered will determine to what word of the list that Bayesian surprise will be associated with, and the word the Bayesian surprise will be associated with will benefit from it and become more memorable as a direct function of the magnitude of the surprisal. Two experiments are presented that show a proxy of Bayesian surprise explains the free recall performance and that no effect of word frequency is found above and beyond the effect of that proxy variable. We then discuss how our view can account for all data extant in the literature on the effect of word frequency on free recall

Wide-Synchronization Control for Power Systems with Grid-Forming Converters

The article presents a novel wide-area control for power systems with grid-forming converters. The concept of the proposed wide-synchronization control is first introduced, and a theoretical proof is offered. A simple yet effective methodology for the tuning of the control is also derived. The concept of wide-synchronization control is then applied to the actual case of the European power system, taken into examination with an appropriate large-scale dynamic model. The results of the analysis indicate that the proposed wide-synchronization control leads to a considerable improvement of the dynamic characteristics of the system. The aspects related to latencies and energetic requirements are also investigated. A roadmap for further developments of the concept is finally discussed

Factors affecting adherence to guidelines for antithrombotic therapy in elderly patients with atrial fibrillation admitted to internal medicine wards

Current guidelines for ischemic stroke prevention in atrial fibrillation or flutter (AFF) recommend Vitamin K antagonists (VKAs) for patients at high-intermediate risk and aspirin for those at intermediate-low risk. The cost-effectiveness of these treatments was demonstrated also in elderly patients. However, there are several reports that emphasize the underuse of pharmacological prophylaxis of cardio-embolism in patients with AFF in different health care settings. AIMS: To evaluate the adherence to current guidelines on cardio-embolic prophylaxis in elderly (> 65 years old) patients admitted with an established diagnosis of AFF to the Italian internal medicine wards participating in REPOSI registry, a project on polypathologies/polytherapies stemming from the collaboration between the Italian Society of Internal Medicine and the Mario Negri Institute of Pharmacological Research; to investigate whether or not hospitalization had an impact on guidelines adherence; to test the role of possible modifiers of VKAs prescription. METHODS: We retrospectively analyzed registry data collected from January to December 2008 and assessed the prevalence of patients with AFF at admission and the prevalence of risk factors for cardio-embolism. After stratifying the patients according to their CHADS(2) score the percentage of appropriateness of antithrombotic therapy prescription was evaluated both at admission and at discharge. Univariable and multivariable logistic regression models were employed to verify whether or not socio-demographic (age >80years, living alone) and clinical features (previous or recent bleeding, cranio-facial trauma, cancer, dementia) modified the frequency and modalities of antithrombotic drugs prescription at admission and discharge. RESULTS: Among the 1332 REPOSI patients, 247 were admitted with AFF. At admission, CHADS(2) score was ≥ 2 in 68.4% of patients, at discharge in 75.9%. Among patients with AFF 26.5% at admission and 32.8% at discharge were not on any antithrombotic therapy, and 43.7% at admission and 40.9% at discharge were not taking an appropriate therapy according to the CHADS(2) score. The higher the level of cardio-embolic risk the higher was the percentage of antiplatelet- but not of VKAs-treated patients. At admission or at discharge, both at univariable and at multivariable logistic regression, only an age >80 years and a diagnosis of cancer, previous or active, had a statistically significant negative effect on VKAs prescription. Moreover, only a positive history of bleeding events (past or present) was independently associated to no VKA prescription at discharge in patients who were on VKA therapy at admission. If heparin was considered as an appropriate therapy for patients with indication for VKAs, the percentage of patients admitted or discharged on appropriate therapy became respectively 43.7% and 53.4%. CONCLUSION: Among elderly patients admitted with a diagnosis of AFF to internal medicine wards, an appropriate antithrombotic prophylaxis was taken by less than 50%, with an underuse of VKAs prescription independently of the level of cardio-embolic risk. Hospitalization did not improve the adherence to guideline

Data with Hierarchical Structure: Impact of Intraclass Correlation and Sample Size on Type-I Error

Least squares analyses (e.g., ANOVAs, linear regressions) of hierarchical data leads to Type-I error rates that depart severely from the nominal Type-I error rate assumed. Thus, when least squares methods are used to analyze hierarchical data coming from designs in which some groups are assigned to the treatment condition, and others to the control condition (i.e., the widely used “groups nested under treatment” experimental design), the Type-I error rate is seriously inflated, leading too often to the incorrect rejection of the null hypothesis (i.e., the incorrect conclusion of an effect of the treatment). To highlight the severity of the problem, we present simulations showing how the Type-I error rate is affected under different conditions of intraclass correlation and sample size. For all simulations the Type-I error rate after application of the popular Kish (1965) correction is also considered, and the limitations of this correction technique discussed. We conclude with suggestions on how one should collect and analyze data bearing a hierarchical structure

A blockchain-based architecture for tracking and remunerating fast frequency response

The increasing penetration of renewable sources introduces new challenges for power systems’ stability, especially for isolated systems characterized by low inertia and powered through a single diesel power plant, such as it happens in small islands. For this reason, research projects, such as the BLORIN project, have focused on the provision of energy services involving electric vehicles owners residential users to mitigate possible issues on the power system due to unpredictable generation from renewable sources. The residential users were part of a blockchain-based platform, which also the Distributors/Aggregators were accessing. This paper describes the integrated framework that was set up to verify the feasibility and effectiveness of some of the methodologies developed in the BLORIN project for fast frequency response in isolated systems characterized by low rotational inertia. The validation of the proposed methodologies for fast frequency response using Vehicle-to-Grid or Demand Response programs was indeed carried out by emulating the dynamic behavior of different power resources in a Power Hardware-in-the-Loop environment using the equipment installed at the LabZERO laboratory of Politecnico di Bari, Italy. The laboratory, hosting a physical microgrid as well as Power Hardware-in-the-Loop facilities, was integrated within the BLORIN blockchain platform. The tests were conducted by assuming renewable generation development scenarios (mainly photovoltaic) and simulating the system under the worst-case scenarios caused by reduced rotational inertia. The experiments allowed to fully simulate users’ interaction with the energy system and blockchain network reproducing realistic conditions of tracking and remuneration of users’ services. The results obtained show the effectiveness of the BLORIN platform for the provision, tracking and remuneration of grid services by electric vehicles and end users, and the benefits that are achieved in terms of reducing the number of diesel generating units that need to be powered on just to provide operational reserve due to the penetration of renewable sources, resulting in fuel savings and reduced emissions

Reliability of Therapist Effects in Practice-Based Psychotherapy Research : A Guide for the Planning of Future Studies

This paper aims to provide researchers with practical information on sample sizes for accurate estimations of therapist effects (TEs). The investigations are based on an integrated sample of 48,648 patients treated by 1800 therapists. Multilevel modeling and resampling were used to realize varying sample size conditions to generate empirical estimates of TEs. Sample size tables, including varying sample size conditions, were constructed and study examples given. This study gives an insight into the potential size of the TE and provides researchers with a practical guide to aid the planning of future studies in this field

Right ventricular function in AL amyloidosis: characteristics and prognostic implication

AIM: The importance of right ventricle (RV) dysfunction in AL amyloidosis has been underestimated. This study was designed to comprehensively evaluate RV function and its prognostic role in patients with AL amyloidosis with and without echocardiographic evidence of cardiac involvement. METHOD AND RESULTS: Fifty-two biopsy-proven AL amyloidosis patients underwent a thorough echocardiographic evaluation. Twenty-seven patients (CA) met the international echocardiographic criteria for cardiac involvement [left ventricular (LV) wall thickness >/= 12 mm] and 25 patients had no cardiac amyloidosis features (NCA). Patients were compared with a sex- age-matched control group. Patients and controls underwent traditional, tissue Doppler (TDI), speckle-tracking left and RV echocardiographic evaluation. No difference was observed between groups in RV diastolic diameter, whereas CA patients showed increased RV free wall thickness (P< 0.0001). Compared with controls and NCA patients, traditional echocardiography, TDI, and speckle-tracking evaluation detected significantly (P< 0.0001) depressed RV longitudinal systolic function in CA patients. No difference was observed between groups at Doppler diastolic evaluation, whereas at tricuspidal annulus TDI analysis, CA subject showed significantly lower E' and A' values with increased E/E' ratio (P< 0.0001). Over a 19 months median follow-up period, 18 patients died. Cox multivariate analysis showed that N-terminal pro-Brain natriuretic peptide and RV longitudinal strain were the strongest death predictor. CONCLUSION: Our data show that in patients with AL amyloidosis, RV involvement develops later than LV amyloid deposition but when it occurs, prognosis dramatically worsens. Moreover RV longitudinal strain was the only echocardiographic predictor of prognosis. We suggest that RV function analysis should be performed routinely as a part of echocardiographic evaluation in these patients