General model for representing variable speed wind turbines in power system dynamics simulations
Summary (2 min read)
Background
- Around 800,000 people die by suicide every year worldwide, with estimates of at least 25 times that number engaging in non-fatal suicidal behaviours (WHO, 2014).
- Emergency Departments (EDs) are important settings for suicide prevention, as they are often the primary point of engagement with health professionals for people at risk of suicide or after a suicide attempt (Da Cruz et al., 2011).
- These inconsistencies hinder the determination of the true rate of suicidal and self-harm presentations to hospital settings at regional or national levels, allocation of appropriate resources and creation of targeted interventions (Barczyk et al., 2018; Spicer and Miller, 2000).
- In Australia, different states use different ED coding systems for diagnoses assigned to presentations.
- The suitability of ED discharge diagnoses for monitoring health outcomes has been questioned before (Howell et al., 2014), yet no study to date has evaluated their utility in the context of suicidal and self-harm presentations.
Context of the study
- This analysis was conducted within the GCHHS, which provides public mental health services for a population of approximately 560,000 people.
- GCHHS has two EDs that represent the largest primary points of presentation for persons of all ages at risk of suicide.
- A cohort of suicidal and self-harm-related presentations between 1 July 2017 and 31 December 2017 was examined.
Variables extracted
- For each presentation, the patient’s age, sex (male/female), Indigenous background (yes/no), Unit Record Number, date and time of presentation, triage free-text narrative, presenting complaint and primary and secondary diagnoses following ICD-10-AM were extracted.
- The ICD-10AM code R45.81“suicidal ideation” was used to identify cases of suicidal ideation.
- Relevant cases in all three categories (suicide attempts, self-harm and suicidal ideation) were also identified through the application of the presenting complaint 30005 “suicidal-homicidal ideation.”.
- The officers reviewed cases independently of each other; however, regular meetings were held between them to ensure a standardised coding process, and a clinical expert assisted in the resolution of more complex cases.
- Frequencies of ICD-10-AM codes and presenting complaints were calculated for all cases identified through the gold standard approach.
Ethics
- This work was performed as part of the project Gold Coast Mental Health and Specialist Services Suicide Prevention Strategy: Evaluation.
- It was recognised as Quality Activity by the GCHSS Human Research Ethics Committee and thus granted a research ethics exemption (LNR/2018/ QGC/47473).
Description of sample
- A total of 3417 presentations between July and December 2017 were identified using SERoSP.
- More females than males presented with suicide attempts and NSSI, but the sex ratio was reversed in presentations due to suicidal ideation (46.4% were females and 53.6% were males).
- Table 2 lists a total of 40 different ICD-10-AM codes used as primary diagnoses for cases of suicide attempts, 27 for cases of NSSI and 38 for cases of suicidal ideation (exact frequencies are shown only for diagnoses assigned to 4 or more cases).
Sensitivity, specificity, PPV and NNV
- For calculation of specificity statistics, ICD-10-AM codes used to identify suicidal and self-harm cases were expanded to include secondary diagnoses.
- Sensitivity statistics shown in Table 4 were calculated for three different approaches to identifying cases of suicide attempts, NSSI and suicide ideation: through primary or secondary diagnostic codes, through the presenting complaint “suicidal-homicidal ideation” and finally through a combination of diagnostic codes and presenting complaints.
- Table 5 shows a comparison of characteristics of presentations identified through diagnostic codes X84 and R45.81 (allocated as primary or secondary diagnoses) and through the gold standard methodology.
- The code X84 was allocated disproportionately to persons of Indigenous background presenting to ED following suicide attempts, when compared to suicide attempts identified through the gold standards (10.1% vs. 6.9%; w2(2) ¼ 7.15, p ¼ 0.028).
Discussion
- This is the first Australian study into the reliability of ED coding data on suicidal and self-harm presentations, adding to the limited body of international research on this topic.
- Similar ranges of sensitivity (13.8–65.0%) and PPV (4.0–100%) were noted in a systematic review of six administrative datasets from the United States and Canada (Walkup et al., 2012), although several methodological variations between studies need to be noted.
- The authors analysis also tested the sensitivity when expanding diagnostic criteria to include the presenting complaint “suicidal-homicidal ideation.”.
- Specificity values of around 50% indicated that half of cases included in the analysis would have been due to non-suicidal complaints.
- Next, this work did not differentiate between patients hospitalised following their presentation to ED from those discharged directly from ED.
Conclusion
- Healthcare managers, clinicians and researchers should use ED administrative data on suicidal and self-harm presentations with great caution until a more standardised approach to the formulation and recording of ED diagnosis is implemented at the national level (Howell et al., 2014).
- Standardisation of clinical coding in the hospital and health service included in this study was scheduled for April 2019.
- With it, an alternative diagnostic classification set (Systematized Nomenclature of Medicine [SNOMED]) will be introduced in place of ICD.
- There is a need to develop a more sensitive algorithm to improve their identification (Walkup et al., 2012).
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Citations
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References
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"General model for representing vari..." refers background in this paper
...neglect of small time constants [2], [3]....
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...for synchronous and asynchronous machines [2], [3]....
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...The voltage equations of both a doubly fed induction generator and a synchronous generator can be found in [2] and will not...
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...from the moment of inertia of the rotating mass [2]....
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...This conclusion is based on the following reasoning and supported by both theoretical and empirical evidence [14]–[17]....
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"General model for representing vari..." refers methods in this paper
...The method used here to derive a time-domain signal from a power spectral density is described in [8] and used in [4] and [5]....
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Additional excerpts
...TABLE I VALUES OFROUGHNESSLENGTHz FORVARIOUS LANDSCAPETYPES[9], [10]...
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Frequently Asked Questions (12)
Q2. How long does the wind turbine take to be actuated?
After 20 s, the nominal power of the wind turbine is reached and the pitch angle controller becomes active to prevent rotor overspeeding.
Q3. What is the advantage of a proportional controller?
a proportional controller is used, because• a slight overspeeding of the rotor above its nominal value can be allowed and poses no problems for the wind turbine construction [19]; • the system is never in steady state due to the varying wind speed, so that the advantage of an integral controller, which can achieve zero steady state error, is not applicable.
Q4. What is the pitch angle controller used to control the wind turbine?
To prevent the rotor speed from becoming too high, which would result in mechanical damage, the blade pitch angle is changed in order to reduce .
Q5. What is the goal of the research presented in this paper?
The goal of the research presented in this paper is to develop a general model by which all variable speed wind turbine concepts can be represented.
Q6. How is the synchronous wind turbine implemented?
In the second concept, it is implemented by fully decoupling the synchronous direct drive generator from the grid using a back-to-back voltage source converter or a combination of a diode rectifier coupled to the generator stator winding and a voltage source converter coupled to the grid.
Q7. What is the way to control the rotor speed?
In those circumstances, the rotor speed can no longer be controlled by increasing the generated power, as this would lead to overloading the generator and/or the converter.
Q8. What are the assumptions that are not valid in power system dynamics?
These assumptions are only valid when• the machine parameters are known; • the controllers operate in their linear region; • vector modulation is used; • the terminal voltage approximately equals the nominalvalue.
Q9. Why is the wind speed measured using a single anemometer?
The available measurements cannot be used for a qualitative validation of the model, because the wind speed is measured using a single anemometer, whereas the rotor has a large surface and because the measured wind speed is severely disturbed by the rotor wake, because the anemometer is located on the nacelle.
Q10. How is the decoupling of the grid frequency and the mechanical rotor frequency implemented?
In the first concept, the decoupling of the grid frequency and the mechanical rotor frequency is implemented by using a doubly fed induction generator with a back-to-back voltage source converter feeding the rotor.
Q11. What is the wind turbine's roughness length?
The wind turbine is assumed to be erected in surroundings resembling a steppe, thus the roughness length is chosen equal to 1e-2 m according to Table I.
Q12. What are the three parameters of the wind speed ramp?
The wind speed ramp is characterized by three parameters, namely:• amplitude of the wind speed ramp [m/s]; • starting time of the wind speed ramp [s]; • end time of the wind speed ramp [s].