Skin friction drag reduction over staggered three dimensional cavities

The effect of three-dimensional staggered circular cavities on a zero-pressure gradient incompressible turbulent boundary layer was studied. Two key parameters were varied, being the ratio of the diameter, d, to the depth, h, of the cavity, d/h and the Reynolds number based on the diameter of the cavity, Rd. Velocity profile measurements showed that for the cases of d/h>1 an increase in skin friction drag was experienced with respect to a smooth surface, but for d/h≤1 the drag increment was almost negligible and in some cases it was lower than that of a smooth surface by up to 10%. Measurements along the spanwise plane showed the presence of organised transverse velocity components which bear some resemblance with the flow over riblets. The skin friction drag appears to be a strong function of Rd, where for Rd>5500 a drag increment is experienced which could potentially be due to shear layer breakdown and more production of turbulence

Family support and cardiac rehabilitation: A comparative study of the experiences of South Asian and White-European patients and their carer's living in the United Kingdom

Background: Effective lifestyle modification facilitated by cardiac rehabilitation is known to reduce the occurrence of adverse coronary events and mortality. South Asians have poorer outcomes after a myocardial infarction than the general UK population, but little is known about their experiences of family support, cardiac rehabilitation and lifestyle change. Aims: To explore the nature of family support available to a sample of South Asian and White-European cardiac patients and to highlight similarities and differences between these groups with regard to cardiac rehabilitation and lifestyle modification. Methods: Using a qualitative approach, semi-structured interviews (in 1 of 6 languages) were conducted by researchers with; 45 South Asian patients and 37 carers and 20 White-European patients and 17 carers. Interviews were conducted in a home setting, up to eighteen months after discharge from hospital following myocardial infarction, coronary artery bypass surgery or unstable angina. Results: The main themes that emerged related to the provision of advice and information, family support and burden, dietary change and exercise regimes. Conclusions: Several cultural and ethnic differences were identified between patients and their families alongside similarities, irrespective of ethnicity. These may represent generic characteristics of recovery after a cardiac event. Health professionals should develop a cultural repertoire to engage with diversity and difference. Not every difficulty a person encounters as they try to access appropriate service delivery can be attributed to ethnic background. By improving services generally, support for South Asian populations can be improved. The challenge is to know when ethnicity makes a difference and mediates a person's relationship with service support and when it does not. (C) 2007 European Society of Cardiology. Published by Elsevier B.V. All rights reserved

Incompressible turbulent flow at the leading edge of swept wings

Due to a singularity in the governing three-dimensional turbulent momentum integral equations at the attachment line, low order infinite-swept and swept-tapered CFD methods employing the viscous-coupling technique have been unable to model attachment line transition or contamination without approximating the development of the boundary layer immediately downstream of a turbulent attachment line. An experimental study was therefore conducted to explore the flow near a turbulent attachment line, which showed considerable differences to the numerical approximation. On the basis of the experimental data; a modification to the governing equations in the attachment line region has been proposed and tested. Comparisons with experimental measurements show that the proposed numerical model is not only able to predict the flow to within ±5%, but it also captures the non-monotonic behaviour of the momentum thickness, in the vicinity of the attachment line, which has not been reported previously

Measurement and modelling of the turbulent boundary layer near the attachment line of a swept wing

This work is motivated by the need for low-order aerodynamic models to predict accurately the effect on profile drag of controlling attachment line transition. Head's entrainment method (1) , a rapid integral boundary layer technique used for design studies on swept wings, suffers from the governing swept-tapered turbulent integral boundary layer equations being ill-posed in the vicinity of the attachment line. This singularity has been treated using crude extrapolations of the attachment-line similarity solution for over half a century, but this approach is unlikely to deliver accurate predictions of the effect of changes in the attachment line flow on profile drag. An experimental study has been carried out to explore the nature of the turbulent flow in the vicinity of a highly swept swept attachment line and has revealed a quite complex, non-monotonic development of the momentum thickness in this region. It has also revealed lower levels of twist in the boundary layer velocity profiles than anticipated from the highly curved character of the inviscid flow streamlines. These observations have prompted an alternative approach to the modelling of the flow in this region which not only successfully eliminates the lack of robustness in the swept-tapered equations but which also matches the experimental results to within ±5%

Recent Developlments to the viscous Garabedian and Korn method

This paper describes recent developments to the legacy VGK method based upon a new coupling with the Callisto boundary layer code developed for Airbus. The new CVGK method has been compared against its predecessor and validated against a transonic swept-wing dataset. Various conceptual studies have then been carried out to model the effect on form drag (viscous pressure drag) of changes to boundary layer entrainment and shock-control ramps. It is concluded that there are both risks to, and opportunities for, drag reduction techniques associated with managing the form drag contribution from the aft region of highly-loaded transonic aerofoils

A simple digital-optical system to improve accuracy of hot-wire measurements

A high precision traverse mechanism with micro-resolution was designed to capture accurately the velocity profile of the very thin turbulent attachment line on a swept body. To ensure that the traverse mechanism could position the hot wire reliably, a simple digital optical system was designed to check the performance of the traverse by measuring the displacement of the hot wire: a vertical displacement of 2.4µm was achievable and this could be further reduced to 0.6µm using micro-stepping. Due to the simplicity of the set-up it was equally useful for probe wall positioning and the velocity profiles captured clearly demonstrated that the optical set-up helped in resolving the near wall flow more accurately, regardless of the thinness of the boundary layer. The captured data compare well with the results from similar investigations, with arguably higher precision achieved

Patient-reported outcomes following flexible sigmoidoscopy screening for colorectal cancer in a demonstration screening programme in the UK

<p>OBJECTIVES: Flexible sigmoidoscopy (FS) screening for colorectal cancer will be introduced into the National Cancer Screening Programmes in England in 2013. Patient-reported outcome measures (PROMs) from trial participants indicate high acceptability and no adverse physical or psychological consequences, but this may not generalize to routine screening in the community. This study examined PROMs in a community-based FS screening programme.</p> <p>METHODS: Eligible adults aged 58-59 (n = 2016) registered at 34 London general practices were mailed a National Health Service-endorsed invitation to attend FS screening. Pain and side-effects were assessed in a 'morning-after' questionnaire, and satisfaction was assessed in a three-month follow-up questionnaire. Anxiety, self-rated health and colorectal symptoms were assessed at prescreening and follow-up.</p> <p>RESULTS: In total, 1020 people attended screening and were included in the current analyses, of whom 913 (90%) returned the morning-after questionnaire, and 674 (66%) the follow-up questionnaire. The prescreening questionnaire had been completed by 751 (74%) of those who attended. The majority (87%) of respondents reported no pain or mild pain, and the most frequent side-effect (wind) was only experienced more than mildly by 16%. Satisfaction was extremely high, with 98% glad they had the test; 97% would encourage a friend to have it. From prescreening to follow-up there were no changes in anxiety or self-rated health, and the number of colorectal symptoms declined. Satisfaction and changes in wellbeing were not moderated by gender, deprivation, ethnicity or screening outcome.</p> <p>CONCLUSIONS: PROMs indicate high acceptability of FS screening in 58-59 year olds, with no adverse effects on colorectal symptoms, health status or psychological wellbeing.</p&gt

Quest for certainty regarding early discharge in paediatric low-risk febrile neutropenia : a multicentre qualitative focus group discussion study involving patients, parents and healthcare professionals in the UK

OBJECTIVES: A systematic review of paediatric low-risk febrile neutropenia found that outpatient care is safe, with low rates of treatment failure. However, this review, and a subsequent meta-ethnography, suggested that early discharge of these patients may not be acceptable to key stakeholders. This study aimed to explore experiences and perceptions of patients, parents and healthcare professionals involved in paediatric febrile neutropenia care in the UK. SETTING: Three different centres within the UK, purposively selected from a national survey on the basis of differences in their service structure and febrile neutropenia management. PARTICIPANTS: Thirty-two participants were included in eight focus group discussions. PRIMARY OUTCOMES: Experiences and perceptions of paediatric febrile neutropenia care, including possible future reductions in therapy. RESULTS: Participants described a quest for certainty, in which they attempted to balance the uncertainty involved in understanding, expressing and negotiating risk with the illusion of certainty provided by strict protocols. Participants assessed risk using both formal and informal stratification tools, overlaid with emotional reactions to risk and experiences of risk within other situations. The benefits of certainty provided by protocols were counterbalanced by frustration at their strict constraints. The perceived benefits and harms of previous inpatient care informed participants' appraisals of future treatment strategies. CONCLUSIONS: This study highlighted the previously underestimated harms of admission for febrile neutropenia and the paternalistic nature of decision making, along with the frustrations and challenges for all parties involved in febrile neutropenia care. It demonstrates how the same statistics, generated by systematic reviews, can be used by key stakeholders to interpret risk differently, and how families in particular can view the harms of therapeutic options as different from the outcomes used within the literature. It justifies a reassessment of current treatment strategies for these children and further exploration of the potential to introduce shared decision making