High-frequency and large amplitude current is a driving requirement for applications such as induction heating, wireless power transfer, power amplifier for magnetic resonant imaging, electronic ballasts, and ozone generators. Voltage-fed resonant inverters are normally employed, however, current-fed (CF) resonant inverters are a competitive alternative when the quality factor of the load is significantly high. The input current of a CF resonant inverter is considerably smaller than the output current, which benefits efficiency. A simple, parallel resonant tank is sufficient to create a high-power sinusoidal signal at the output. Additionally, input current is limited at the no-load condition, providing safe operation of the system. Drawbacks of the CF resonant inverter are associated with the implementation of the equivalent current source. A large input inductor is required to create an equivalent dc current source, to reduce power density and the bandwidth of the system. For safety, a switching stage is implemented using bidirectional voltage-blocking switches, which consist of a series connection of a diode and a transistor. The series diode experiences significant conduction loss because of large on-state voltage. The control of the output current amplitude for constant-frequency inverters requires a pre-regulation stage, typically implemented as a cascaded hard-switched dc/dc buck converter. The pre-regulation also reduces the efficiency. In this dissertation, a variety of CF resonant inverters with two input inductors and two grounded switches are investigated for an inductive-load driver with loaded quality factor larger than ten, constant and high-frequency (~500 kHz) operation, high reactive output power (~14 kVA), high bandwidth (~100 kHz), and high efficiency (over 95 %). The implementation of such system required to question the fundamental operation of the CF resonant inverter. The input inductance is reduced by around an order of magnitude, ensuring sufficient bandwidth, and allowing rich harmonic content in the input current. Of particular importance are fundamental and second harmonic components since they influence synchronization of the zero-crossing of the output voltage and the turn-on of the switches. The synchronization occurs at a particular frequency, termed synchronous frequency, and it allows for zero switching loss in the switches, which greatly boosts efficiency. The synchronous conditions were not know prior this work, and the dependence among circuit parameters, input current harmonics, and synchronous frequency are derived for the first time. The series diode of the bidirectional switch can reduce the efficiency of the system to below 90 %, and has to be removed from the system. The detrimental current-spikes can occur if the inverter is not operated in synchronous condition, such as in transients, or during parametric variations of the load coil. The resistance of the load coil has a wide variance, five times or more, while the inductance changes as well by a few percent. To accommodate for non-synchronous conditions, a low-loss current snubber is proposed as a safety measure to replace lossy diodes. The center-piece of the dissertation is the proposal of a two-phase zero-voltage switching buck pre-regulator, as it enables fixed frequency and synchronous operation of the inverter under wide parametric variations of the load. The synchronous operation is controlled by phase-shifting the switching functions of the pre-regulator and inverter. The pre-regulator reduces the dc current in the input inductors, which is a main contributor to current stress and conduction losses in the inverter switches. Total loss of the inverter switches is minimized since no switching loss is present and minimal conduction losses are allowed. The dc current in the input inductors, once seen as a means to transfer power to load, is now contradictory perceived as parasitic, and the power is transferred to the load using a fundamental frequency harmonic! The input current to the resonant tank, previously designed to be a square-wave, now resembles a sine-wave with very rich harmonic content. Additionally, the efficiency of the pre-regulator at heavy-load condition is improved by ensuring ZVS for with an additional inductive tank. The dissertation includes five chapters. The first chapter is an introduction to current-fed resonant inverters, applications, and state-of-the-art means to ensure constant frequency operation under load's parametric variations. The second chapter is dedicated to the optimization of the CF resonant inverter topology with a dc input voltage, two input inductors, and two MOSFETs. The topology is termed as a boost amplifier. If the amplifier operates away from the synchronous frequency, detrimental current spikes will flow though the switches since the series diodes are eliminated. Current spikes reduce the efficiency up to few percent and can create false functioning of the system. Operation at the synchronous frequency is achieved with large, bulky, input inductors, typically around 1-2 mH or higher, when the synchronous frequency follows the resonant frequency of the tank at 500 kHz. The input inductance cannot be reduced arbitrarily to meet the system bandwidth requirement, since the synchronous frequency is increased based on the inductance value. The relationship between the two (input inductance and the synchronous frequency) was unknown prior this work. The synchronous frequency is determined to be a complicated mathematical function of harmonic currents through the input inductors, and it is found using the harmonic decomposition method. As a safety feature, a current snubber is implemented in series with the resonant tank. Snubber utilizes a series inductance of cable connection between the tank and the switching stage, and it is more efficient than the previously employed series diodes. Topology optimization and detailed design procedure are provided with respect to efficiency and system dynamics. The mathematics is verified by a prototype rated at 14 kVA and 1.25 kW. The input inductance is reduced by around an order of magnitude, with the synchronous frequency increase of 2 %. The efficiency of the power amplifier reached 98.5 % and might be improved further with additional optimization. Silicon carbide MOSFETs are employed for their capability to operate efficiently at high frequency, and high temperature. The third chapter is dedicated to the development of the boost amplifier's large signal model using the Generalized State-space Averaging (GSSA) method. The model accurately predicts amplifier's transient and steady-state operation for any type of input voltage source (dc, dc with sinusoidal ripple, pulse-width modulated), and for either synchronous or non-synchronous operating frequency. It overcomes the limitation of the low-frequency model, which works well only for dc voltage-source input and at synchronous frequency. As the measure of accuracy, the zero-crossing of the resonant voltage is predicted with an error less than 2° over a period of synchronous operation, and for a range of interest for input inductance (25 μH – 1000 μH) and loaded-quality factor (10 – 50). The model is validated both in simulation and hardware for start-up transient and steady-state operation. It is then used in the synthesis of modulated output waveforms, including Hann-function and trapezoidal-function envelopes of the output voltage/current. In the fourth chapter, the GSSA model is employed in development of the PWM compensation method that ensures synchronous operation at constant frequency for the wide variation of the load. The boost amplifier is extended with a cascaded pre-regulator whose main purpose is to control the output resonant voltage. The pre-regulator is implemented as two switching half-bridges with same duty-cycle and phase-shift of 180°. The behavior of the cascaded structure is the same as of the buck converter, so the half-bridges are named buck pre-regulators. ZVS operation is ensured by putting an inductive tank between the half-bridges. Each output of half-bridges is connected to each of input inductors of the boost to provide the PWM excitation. Using the GSSA model, the synchronous condition and control laws are derived for the amplifier. Properties of the current harmonics in the input inductors are well examined. It is discovered that the dc harmonic, once used to transfer power, is unwanted (parasitic) since it increases conduction loss in switches of the boost. A better idea is to use the fundamental harmonic for power transfer, since it does not create loss in the switches. Complete elimination of the dc current is not feasible for constant frequency operation of the amplifier since the dc current depends on the load coil's resistance. However, significant mitigation of around 55 % is easily achievable. The proposed method improves significantly the efficiency of both the buck pre-regulator and the boost. Synchronous operation is demonstrated in hardware for fixed switching frequency of 480 kHz, power level up to 750 W, input voltage change from 300 V to 600 V, load coil's resistance change of three times, and load coil's inductance change of 3.5 %. Measured efficiency is around 95 %, with a great room for improvements. Chapter five summarizes key contributions and concludes the dissertation. / Ph. D.

Master of Science / Department of Electrical and Computer Engineering / Sanjoy Das / Noel Schulz / Electrical power, although convenient form of energy to distribute and use, cannot easily be stored in large quantities economically. Most electrical power generated by utility plants is consumed simultaneously in real time. However, in some cases, energy storage systems become crucial when power generated from sources does not fulfill peak power load demand in a power system or energy storage systems are needed as backup. Due to these reasons, various technologies such as batteries, ultracapacitors (UC), superconducting magnetic energy storage (SEMS) and flywheels are beneficial options for energy storage systems. Shipboard power systems must use one or more energy storage systems in order to backup the existing power system if locally generated power is unavailable. This will lessen the effect of voltage sags on power quality, and improve system reliability. This report mainly focuses on the design of a Boost DC-DC converter and the integration of that converter with a previously designed battery storage model, as well as the effect of varying loads at the end of the converter.

Viral marketing allows companies to promote their products and services using very small budgets and the viral ad can be considered the holy grail of digital marketing. In this light, the aim of this study is to discuss the main factors in the existing literature that are considered to boost virality and articulate a summarized Virality Theoretical Model. The empirical study included in this thesis involves the monitoring of an actual ad and an assessment of whether it went viral or not and if it follows the guidelines of the Virality Theoretical Model. The empirical study showed that the ad did not go viral and did not include and display all the attributes proposed by the Model. This further indicates, in regards to theory as well as for marketing executives and advertising practitioners, that virality is a complex phenomenon that depends on several different factors involving both content characteristics and dissemination.

Hospital readmissions are a source of reduced payment as mandated by the Centers for Medicare and Medicaid Services as part of the Affordable Care Act (ACA). The number of dollars used for hospital readmissions has sky rocketed above $17 million for heart failure alone. The changes in the ACA reimbursement guidelines has put stress on many hospitals as they are facing reduced income, increased use of resources, and increased length of stay. This project evaluated the implementation of Project BOOST, its components, and their predictability for hospital readmission. Sample groups were evaluated both pre- and post-implementation of Project BOOST, which included individuals aged 18 and older, who were of Anglo, Hispanic or Native American descent, and living in Northern Arizona. A retrospective chart review was performed and descriptive and predictive statistics were used to analyze obtained data. Patients with cardiovascular disease admitted to the study hospital have high risks for readmission, such as problem medications, polypharmacy, psychological Issues, and principal diagnoses. Integrating elements from Project BOOST significantly decreased 30-day hospital readmissions. Data from this study revealed a statistically significant reduction in 30-day hospital readmission rates from 22% in the pre-intervention period to just 4% in the post-intervention period. Patients who did not receive the risk assessment tool were 14 times more likely to be readmitted to the hospital within 30 days of the index hospitalization.

O propósito deste estudo foi avaliar a influência de protocolos de secagem do canal na resistência de união (RU) e no selamento apical (SA) de obturações com AH Plus, Sealapex e MTA Fillapex. Cento e cinquenta e seis raízes de caninos superiores foram submetidas à biomecânica com sistema Reciproc (R50) e distribuídas de acordo com o protocolo de secagem (PS): GI- cones de papel; GII- álcool isopropílico 70% + aspiração com pontas NaviTips; GIII- etanol 95% + cones de papel; GIV- EndoVac + cone de papel. Cada grupo foi dividido em subgrupos conforme o cimento obturador: A- AH Plus; B- Sealapex; C- MTA Fillapex. Utilizou-se para todos os espécimes técnica de obturação do cone único. As raízes de cada subgrupo foram destinadas à avaliação do SA (n=8) e RU (n=5), por meio do método de filtração de fluidos (FF) e push-out (PO), respectivamente. Para o PO as raízes foram seccionadas e um slice de cada terço submetido ao teste e à análise do tipo de falha. Os dados foram submetidos aos testes Anova two-way e three-way e Tukey por meio dos software SPSS 15.0 e SigmaStat 3.5 (&alpha;=5%). Os resultados da FF mostraram diferença significante entre os cimentos MTA e Sealapex (p<0,05). O SA não sofreu influência dos protocolos. Na RU não houve diferença entre os terços do canal (p>0,05), mas houve entre os cimentos (p<0,05), protocolos (p<0,05) e na interação cimentos/protocolos (p<0,05). O AH Plus (1,39±0,60) apresentou os maiores valores de RU em relação ao Sealapex (0,83±0,33) e MTA (0,76±0,34). Espécimes secos com álcool isopropílico proporcionaram aos cimentos testados maior resistência de união que quando secos com etanol (p=0,005) e EndoVac (p=0,002). Canais secos com etanol não influenciaram os cimentos. O uso de cones de papel, EndoVac e álcool isopropílico e obturação com AH Plus apresentaram os maiores valores RU que os demais cimentos. Concluiu-se que a infiltração ocorrida com o AH Plus foi semelhante a dos demais cimentos. O AH Plus apresentou os maiores valores de RU. No terço cervical houve predominância de falhas coesivas e de mistas nos demais terços. / The purpose of this study was to evaluate the influence of drying protocols in the bond strength (BS) and in the apical sealing (AS) of teeth filled with AH Plus, Sealapex and MTA Fillapex. One hundred and fifty-six roots of maxillary canines were subjected to biomechanical preparation with Reciproc (R50) and hand out according to the drying protocol (DP): GI-paper points; GII-70% isopropyl alcohol + aspiration with NaviTip points; GIII-95% ethanol + paper points; GIV-EndoVac + paper points. Each group was divided into subgroups according the used sealer: A- AH Plus; B- Sealapex; C- Fillapex MTA. The single cone obturation technique was used for all the samples. The roots of each subgroup were intended for the evaluation of the AS (n = 8) and the BS (n = 5) by using the fluid filtration (FF) and the push-out (PO) methods, respectively. Regarding the PO, the roots were sectioned and a single slice from each third was subjected to testing and also analysed for the type of failure. Data was submitted to the Tukey, two-way and the three-way variance analysis (ANOVA) resorting the SPSS 15.0 and the SigmaStat 3.5 (&alpha;= 5%) software. The results of the FF revealed a statistical significant difference between the MTA and the Sealapex (p <0.05) sealers. The AS showed no influence of the protocols. When it comes to the BS there was no statistical significant difference between the canal thirds (p> 0.05), but there was between the sealers (p <0.05), the protocols (p <0.05) and in the interaction between the sealers and the protocols (p <0.05). AH Plus (1.39 ± 0.60) revealed the highest BS comparing with Sealapex (0.83 ± 0.33) and MTA (0.76 ± 0.34). The specimens in which the isopropyl alcohol was used, had the highest bond strength results for the sealers, comparing with ethanol (p = 0.005) and EndoVac (p = 0.002). In the canals that ethanol was used, no alteration of the sealer was noticed. The use of paper points, EndoVac and isopropyl alcohol and filling with AH Plus revealed the highest BS values comparing with the other sealers. It was concluded that the infiltration that occurred with AH Plus was similar with the other sealers. AH Plus showed the highest BS. In the cervical third there was preponderance of cohesive failures, and in the other thirds the mixed type of failure.

"In this thesis, based on the existing researches on power factor correction technology, I analyze, design and study the Boost type power factor correction technology, which is applied in the in-board two-stage battery charger. First I analyzed the basic working principle of the active power factor corrector. By comparing several different topologies of PFC converter main circuit and control methods, I specified the research object to be the average current control (ACM) boost power factor corrector. Then I calculated and designed the PFC circuit and the ACM controller applied in the first level charging of EVs. And I run the design in Simulink and study the important features like power factor, the input current waveform and the output DC voltage and the THD and odd harmonic magnitude."

Photovoltaic (PV) system is one of the most prominent energy sources, producing electricity directly from sunlight. In additionally, it is easy to install and is supported financially by many governments as part of their strategy to reduce CO2 gas emissions, and to achieve their agreed set of reduction targets by 2020. In the meantime, researchers have been working on the PV system to make it more efficient, easy to maintain, reliable to use and cost effective. In the stand-alone PV system, a battery is required. This is due to the fluctuating nature of the output energy delivered by the PV arrays owing to the weather conditions and the unpredictable behaviour of uses with regard to the consumption of energy. During the hours of sunshine, the PV system is directly feeding the load and any surplus electrical energy is stored in the battery at a constant current. During the night, or during a period of low solar irradiation, the energy is supplied to the load from the battery. However, the stand-alone PV system is designed to provide an acceptable balance between reliability and cost, which is a major challenge to the designer owing to the approaches used to size the PV arrays and the battery bank. As a result, the unpredictable, quick daily changes on the PV output is not dependable. Moreover, battery performance, length of life and energy efficiency depends on the rate at which it is discharged. Therefore, it is essential to use other methods to deal with any quick variation in energy. In this thesis, a super capacitor is used to solve this problem, as it can deal with the fast-changing weather, or a rapid variation in the energy requirements of the customer. A critical evaluation with in-depth analysis of the placement and the implementation for the super-capacitor in the PV standalone system has been carried out. The results show, super-capacitor capacitance and the converter efficiency affect the delivered load energy. However, the bi-directional topology performs better than uni-directional under the same conditions. Finally, a further improvement of the system at component level, has been developed through an energy recovery snubber for the switching transition and achieved a recovery of energy for the resistive load, 94.44% for the turn on transition and 92.86% for the turn off transition. Moreover, for the inductive load, 78.33% and 97.33% of energy has been recovered for the turn on and for the turn off transition respectively.

Submitted by Maria Beatriz Vieira (mbeatriz.vieira@gmail.com) on 2017-08-29T11:52:09Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) dissertacao_thais_larre_oliveira.pdf: 616408 bytes, checksum: 404ac55ee19b90246334aac10658a361 (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-08-29T19:49:36Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) dissertacao_thais_larre_oliveira.pdf: 616408 bytes, checksum: 404ac55ee19b90246334aac10658a361 (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-08-29T19:49:43Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) dissertacao_thais_larre_oliveira.pdf: 616408 bytes, checksum: 404ac55ee19b90246334aac10658a361 (MD5) / Made available in DSpace on 2017-08-29T19:49:54Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) dissertacao_thais_larre_oliveira.pdf: 616408 bytes, checksum: 404ac55ee19b90246334aac10658a361 (MD5) Previous issue date: 2014-08-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / A leptospirose é uma doença infecciosa emergente causada por espiroquetas patogênicas do gênero Leptospira, com complicações humana e veterinária. Essa doença é transmitida através do contato direto com um animal reservatório ou com o ambiente contaminado com a urina destes animais. O desenvolvimento de vacinas seguras e multivalentes contra leptospirose, que substituam as bacterinas existentes, permanece um desafio. Bacterinas são reatogênicas e conferem imunidade sorovar-específica e de curta duração. Esforços para o desenvolvimento de vacinas recombinantes tem focado em proteínas de membrana externa (OMPs). A proteína de membrana externa OmpL37 é conservada entre diferentes sorovares de Leptospira e atua na adesão aos tecidos do hospedeiro. Neste estudo, nós relatamos pela primeira vez, a avaliação do potencial imunoprotetor de OmpL37 como antígeno vacinal em hamsters, sob diferentes estratégias: vacina de subunidade, vacina de DNA e prime-boost. A caracterização da resposta imune através de ELISA indireto e qRT-PCR demonstrou que os maiores níveis de IgG foram estimulados pela vacina de subunidade, a qual também induziu resposta inflamatória. A vacina de DNA falhou em induzir imunidade humoral, porém também estimulou TNF-α. Apesar da resposta induzida, nenhuma formulação protegeu significativamente os animais contra a doença. / Leptospirosis is an emerging infectious disease caused by pathogenic spirochetes of Leptospira genus, of human and veterinary concern. This infectious disease is transmitted through direct contact with an animal reservoir or an environmental contaminated with their urine. The development of safe and multivalent vaccines against leptospirosis, which replace existing bacterins, remains a challenge. Bacterins are reactogenic and afford serovar specific and short-term immunity. Efforts to develop recombinant vaccines against leptospirosis have focused on outer membrane proteins (OMPs). The outer membrane protein OmpL37 is conserved among different Leptospira serovars and plays a role in adherence to host tissues. In this study we report for the first time, the evaluation of OmpL37 immunoprotective potential as a vaccine antigen in hamsters, under different strategies: subunit vaccine, DNA vaccine and prime-boost. The characterization of the immune response by indirect ELISA and qRT-PCR showed that higher levels of IgG were stimulated by the vaccine subunit, which also induced an inflammatory response. The DNA vaccine failed to induce humoral immunity, but also stimulated TNF-α. Despite the induced response, no formulation significantly protected the animals against the disease.

Atualmente existem muitas evidências da presença de matéria escura no Universo. Estas motivaram a existência de vários experimentos para sua detecção. Entre os experimentos de detecção indireta de matéria escura, o PAMELA, o ATIC e o Fermi-LAT observaram recentemente excessos de elétrons e pósitrons no fluxo galáctico em relação ao esperado para estas partículas. Estes resultados podem ser explicados pela aniquilação de matéria escura com massas entorno a 1 TeV em nossa galáxia, com produção de léptons. No entanto, para tal, estas observações requerem um aumento na taxa de aniquilação relativa à esperada da produção térmica de matéria escura. Este aumento pode ser devido a existência de subestruturas de matéria escura no halo galáctico ou a mecanismos de interação, como o efeito Sommerfeld, que aumentam a seção de choque de aniquilação das partículas de matéria escura. Neste _ultimo caso, deve ocorrer também um aumento na taxa de neutrinos provenientes da aniquilação de matéria escura no núcleo da Terra. Neste trabalho, estimamos as taxas destes neutrinos e usamos os resultados finais do AMANDA-II e resultados recentes de IceCube para testar cenários genéricos que contemplam um aumento na seção de choque de aniquilação. Apresentamos os nossos resultados em função da seção de choque de interação da matéria escura com os núcleos multiplicada pela fração da aniquilação das partículas de matéria escura em neutrinos e, também em função de um fator genérico de boost que parametriza o aumento na seção de choque de aniquilação. Encontramos que modelos de matéria escura requerem fatores de boost da ordem O(100) ou mais e que se aniquilam significativamente em neutrinos são excluídos como explicação dos excessos leptônicos medidos. / Currently there are many evidences of the existence of dark matter in the Universe. These led to experimental dark matter searches and, among them, some indirect detection experiments, PAMELA, ATIC and Fermi-LAT, have recently observed excesses in the galactic flux of electrons and positrons relative to the expected flux of these particles. These results could be explained by dark matter, with masses of the order of 1 TeV, annihilating into leptons in our galaxy. However, in order for this to explain the mentioned excesses, it is required that the dark matter annihilation rate is greater than the implied rate assuming the expected dark matter thermal annihilation cross section. This greater rate could be due to the presence of dark matter substructures in the galactic halo or due to interaction mechanisms, such as the Sommerfeld effect, that enhance the dark matter annihilation cross section. In the latter case, an enhancement in the neutrino flux from annihilation of dark matter particles in the Earth nucleus should also occur. In this work, we use the final results of AMANDA-II and recent results of IceCube to probe generic enhancement scenarios. We present results as a function of the dark matternucleon interaction cross section weighted by the branching fraction into neutrinos, and as a function of a generic boost factor, which parametrizes the expected enhancement of the annihilation rate. We find that dark matter models that require boosts factors of O(100) or more and that annihilate mainly into neutrinos are excluded as a explanation for the observed leptonic excesses.

Early mobility quality improvement (QI) projects are leading the charge to shift the prevailing culture in acute care from a culture of immobility to a culture of mobility. Low mobility and hospital acquired functional decline is a persistent problem, especially for older adults, often leading to increased post acute care costs, increased risk of hospital readmission and increased mortality. Transition of care programs designed to improve care transitions and prevent hospital readmission exist but fail to include rehabilitation professionals or to adequately consider patient functional status during hospitalization. The goal of this research was to implement and evaluate an early mobility quality improvement (QI) project that added a physical therapist and mobility technician to an existing transition of care program (Project BOOST) to increase adult patients mobility and level of physical activity during hospitalization, using both quantitative and qualitative methods. The project was implemented from August 2, 2016 to February 4, 2017. A physical therapist rounded with one of two Project BOOST teams to promote increased patient mobility performed with a mobility technician daily. The physical therapist also recommended rehabilitation consultations (physical and occupational therapy) for appropriate patients. The AM-PAC “6 Clicks” Basic Mobility Short Form was used to set mobility tier levels for intervention group patients. Quantitative evaluation used observed hospital length of stay, 30 day same hospital all-cause readmission, and change in AM-PAC score from admission to discharge as outcome measures. Results showed that observed hospital length of stay decreased 0.9 days in the intervention group and 30 day same hospital all-cause readmission decreased 4.8%. Bivariate analysis of patient observed hospital length of stay was statistically significant for intervention group patients (p=0.07) but failed to reach statistical significance for same hospital readmission in intervention group patients (p=0.18). Qualitative evaluation used a phenomenological lens to explore the context of the early mobility quality improvement project and shared experience of patients and staff members exposed to more mobility and higher levels of activity during hospitalization. Twelve participants were interviewed during implementation of the project including four patients and eight staff members (physicians, nurses and a mobility technician). One overarching theme and four supporting themes were found from the data. The essential meaning was that mobility bridged a gap in care. Staff understood the benefits of early mobility for patients. Patients expressed how important mobility was for their discharge and quality of life. Patients with greater functional independence and higher mobility level reduced nursing burden of care. When patients were consistently presented with opportunities to be mobile and active during acute illness, they expected mobility to be a part of their daily care plan. This comprehensive evaluation of an early mobility quality improvement project found the intervention bridged a gap in care for patients. Adding a physical therapist to the Project BOOST team and promoting patient mobility during hospitalization resulted in improved patient outcomes. Early mobility quality improvement projects have the potential to transform clinical practice and improve quality of care.