Flow boiling with enhancement devices for cold plate coolant channel design

A research program to study the effect of enhancement devices on flow boiling heat transfer in coolant channels, which are heated either from the top side or uniformly, is discussed. Freon 11 is the working fluid involved. The specific objectives are: (1) examine the variations in both the mean and local (axial and circumferential) heat transfer coefficients for a circular coolant channel with either smooth walls or with both a twisted tape and spiral finned walls, (2) examine the effect channel diameter (and the length-to-diameter aspect ratio) variations for the smooth wall channel, and (3) develop an improved data reduction analysis

Subcooled freon-11 flow boiling in top-heated finned coolant channels with and without a twisted tape

An experimental study was conducted in top-heated finned horizontal tubes to study the effect of enhancement devices on flow boiling heat transfer in coolant channels. The objectives are to examine the variations in both the mean and local (axial and circumferential) heat transfer coefficients for circular coolant channels with spiral finned walls and/or spiral fins with a twisted tape, and improve the data reduction technique of a previous investigator. The working fluid is freon-11 with an inlet temperature of 22.2 C (approximately 21 C subcooling). The coolant channel's exit pressure and mass velocity are 0.19 M Pa (absolute) and 0.21 Mg/sq. ms, respectively. Two tube configurations were examined; i.e., tubes had either 6.52 (small pitch) or 4.0 (large pitch) fins/cm of the circumferential length (26 and 16 fins, respectively). The large pitch fins were also examined with a twisted tape insert. The inside nominal diameter of the copper channels at the root of the fins was 1.0 cm. The results show that by adding enhancement devices, boiling occurs almost simultaneously at all axial locations. The case of spiral fins with large pitch resulted in larger mean (circumferentially averaged) heat transfer coefficients, h sub m, at all axial locations. Finally, when twisted tape is added to the tube with large-pitched fins, the power required for the onset of boiling is reduced at all axial and circumferential locations

Flow boiling with enhancement devices for cold plate coolant channel design

The use of flow boiling for thermal energy transport is intended to provide an alternative for accommodating higher heat fluxes in commercial space systems. The objectives are to: (1) examine the variations in both the mean and local (axial and circumferential) heat transfer coefficients for a circular coolant channel with either smooth walls, spiral fins, or both spiral fins and a twisted tape; (2) examine the effects of channel diameter and subcooling; and (3) develop an improved reduction analysis and/or suggest possible heat transfer correlation of the present data. Freon-11 is the working fluid. Two-dimensional (circumferential and axial) wall temperature distributions were measured for coolant channels with the above noted internal geometries. The flow regimes which are being studied are: (1) single phase; (2) subcooled flow boiling; and (3) stratified flow boiling. The inside diameter of all test sections is near 1.0 cm. Cicumferentially averaged heat transfer coefficients at several axial locations were obtained for selected coolant channels for a mass velocity of 210 kg/sq m s, an exit pressure of 0.19 MPa (absolute), and an inlet subcooling of 20.8 C. Overall (averaged over the entire channel) heat transfer coefficients were compared for the above channel geometries. This comparison showed that the channel with large pitch spiral fins had higher heat transfer coefficients at all power levels

Forced convection and flow boiling with and without enhancement devices for top-side-heated horizontal channels

The effect of enhancement devices on flow boiling heat transfer in coolant channels, which are heated either from the top side or uniformly was studied. Studies are completed of the variations in the local (axial and circumferential) and mean heat transfer coefficients in horizontal, top-heated coolant channels with smooth walls and internal heat transfer enhancement devices. The working fluid is freon-11. The objectives are to: (1) examine the variations in both the mean and local (axial and circumferential) heat transfer coefficients for a circular coolant channel with either smooth walls or with both a twisted tape and spiral finned walls; (2) examine the effect of channel diameter (and the length-to-diameter aspect ratio) variations for the smooth wall channel; and (3) develop and improved data reduction analysis. The case of the top-heated, horizontal flow channel with smooth wall (1.37 cm inside diameter, and 122 cm heated length) was completed. The data were reduced using a preliminary analysis based on the heated hydraulic diameter. Preliminary examination of the local heat transfer coefficient variations indicated that there are significant axial and circumferential variations. However, it appears that the circumferential variation is more significant than the axial ones. In some cases, the circumferential variations were as much as a factor of ten. The axial variations rarely exceeded a factor of three

Recurrent Signature Patterns in HIV-1 B Clade Envelope Glycoproteins Associated with either Early or Chronic Infections

Here we have identified HIV-1 B clade Envelope (Env) amino acid signatures from early in infection that may be favored at transmission, as well as patterns of recurrent mutation in chronic infection that may reflect common pathways of immune evasion. To accomplish this, we compared thousands of sequences derived by single genome amplification from several hundred individuals that were sampled either early in infection or were chronically infected. Samples were divided at the outset into hypothesis-forming and validation sets, and we used phylogenetically corrected statistical strategies to identify signatures, systematically scanning all of Env. Signatures included single amino acids, glycosylation motifs, and multi-site patterns based on functional or structural groupings of amino acids. We identified signatures near the CCR5 co-receptor-binding region, near the CD4 binding site, and in the signal peptide and cytoplasmic domain, which may influence Env expression and processing. Two signatures patterns associated with transmission were particularly interesting. The first was the most statistically robust signature, located in position 12 in the signal peptide. The second was the loss of an N-linked glycosylation site at positions 413–415; the presence of this site has been recently found to be associated with escape from potent and broad neutralizing antibodies, consistent with enabling a common pathway for immune escape during chronic infection. Its recurrent loss in early infection suggests it may impact fitness at the time of transmission or during early viral expansion. The signature patterns we identified implicate Env expression levels in selection at viral transmission or in early expansion, and suggest that immune evasion patterns that recur in many individuals during chronic infection when antibodies are present can be selected against when the infection is being established prior to the adaptive immune response

Enhanced infection prophylaxis reduces mortality in severely immunosuppressed HIV-infected adults and older children initiating antiretroviral therapy in Kenya, Malawi, Uganda and Zimbabwe: the REALITY trial

Meeting abstract FRAB0101LB from 21st International AIDS Conference 18–22 July 2016, Durban, South Africa. Introduction: Mortality from infections is high in the first 6 months of antiretroviral therapy (ART) among HIV‐infected adults and children with advanced disease in sub‐Saharan Africa. Whether an enhanced package of infection prophylaxis at ART initiation would reduce mortality is unknown. Methods: The REALITY 2×2×2 factorial open‐label trial (ISRCTN43622374) randomized ART‐naïve HIV‐infected adults and children >5 years with CD4 <100 cells/mm3. This randomization compared initiating ART with enhanced prophylaxis (continuous cotrimoxazole plus 12 weeks isoniazid/pyridoxine (anti‐tuberculosis) and fluconazole (anti‐cryptococcal/candida), 5 days azithromycin (anti‐bacterial/protozoal) and single‐dose albendazole (anti‐helminth)), versus standard‐of‐care cotrimoxazole. Isoniazid/pyridoxine/cotrimoxazole was formulated as a scored fixed‐dose combination. Two other randomizations investigated 12‐week adjunctive raltegravir or supplementary food. The primary endpoint was 24‐week mortality. Results: 1805 eligible adults (n = 1733; 96.0%) and children/adolescents (n = 72; 4.0%) (median 36 years; 53.2% male) were randomized to enhanced (n = 906) or standard prophylaxis (n = 899) and followed for 48 weeks (3.8% loss‐to‐follow‐up). Median baseline CD4 was 36 cells/mm3 (IQR: 16–62) but 47.3% were WHO Stage 1/2. 80 (8.9%) enhanced versus 108(12.2%) standard prophylaxis died before 24 weeks (adjusted hazard ratio (aHR) = 0.73 (95% CI: 0.54–0.97) p = 0.03; Figure 1) and 98(11.0%) versus 127(14.4%) respectively died before 48 weeks (aHR = 0.75 (0.58–0.98) p = 0.04), with no evidence of interaction with the two other randomizations (p > 0.8). Enhanced prophylaxis significantly reduced incidence of tuberculosis (p = 0.02), cryptococcal disease (p = 0.01), oral/oesophageal candidiasis (p = 0.02), deaths of unknown cause (p = 0.02) and (marginally) hospitalisations (p = 0.06) but not presumed severe bacterial infections (p = 0.38). Serious and grade 4 adverse events were marginally less common with enhanced prophylaxis (p = 0.06). CD4 increases and VL suppression were similar between groups (p > 0.2). Conclusions: Enhanced infection prophylaxis at ART initiation reduces early mortality by 25% among HIV‐infected adults and children with advanced disease. The pill burden did not adversely affect VL suppression. Policy makers should consider adopting and implementing this low‐cost broad infection prevention package which could save 3.3 lives for every 100 individuals treated