A Parametric Numerical Study of Mixing in a Cylindrical Duct

The interaction is described of some of the important parameters affecting the mixing process in a quick mixing region of a rich burn/quick mix/lean burn (RQL) combustor. The performance of the quick mixing region is significantly affected by the geometric designs of both the mixing domain and the jet inlet orifices. Several of the important geometric parameters and operating conditions affecting the mixing process were analytically studied. Parameters such as jet-to-mainstream momentum flux ratio (J), mass flow ratio (MR), orifice geometry, orifice orientation, and number of orifices/row (equally spaced) around the circumferential direction were analyzed. Three different sets of orifice shapes were studied: (1) square, (2) elongated slots, and (3) equilateral triangles. Based on the analytical results, the best mixing configuration depends significantly on the penetration depth of the jet to prevent the hot mainstream flow from being entrained behind the orifice. The structure in a circular mixing section is highly weighted toward the outer wall and any mixing structure affecting this area significantly affects the overall results. The increase in the number of orifices per row increases the mixing at higher J conditions. Higher slot slant angles and aspect ratios are generally the best mixing configurations at higher momentum flux ratio (J) conditions. However, the square and triangular shaped orifices were more effective mixing configurations at lower J conditions

An Analytical Study of Dilution Jet Mixing in a Cylindrical Duct

The mixing performance in a mixing section of a rich burn/quick mix/lean burn (RQL) combustor was calculated using a 3-D numerical model in a non-reacting environment. The numerically calculated results were compared with the measured data reported by Hatch, Sowa, Samuelsen, and Holdeman, 1992. The numerical 3-D temperature fields qualitatively agree with the experimental data. Also, the development of the mixing flow and temperature non-uniformity trends throughout the mixing section for the numerically calculated results quantitatively agree with the measured data. The numerical model predicts less mixing and enhances the temperature gradients as compared to the measured data for the cases reported by Hatch et al. (1992) which include circular and slot orifice shapes (with different slant angles and aspect ratios). The predicted and measured results generally agree in the selection of the slanted slot orifice configuration yielding the best overall mixing performance (based on temperature uniformity) of all the configurations analyzed

Numerical mixing calculations of confined reacting jet flows in a cylindrical duct

The results reported in this paper describe some of the main flow characteristics and NOx production results which develop in the mixing process in a constant cross-sectional cylindrical duct. A 3-dimensional numerical model has been used to predict the mixing flow field and NOx characteristics in a mixing section of an RQL combustor. Eighteen configurations have been analyzed in a circular geometry in a fully reacting environment simulating the operating condition of an actual RQL gas turbine combustion liner. The evaluation matrix was constructed by varying three parameter: (1) jet-to-mainstream momentum-flux ration (J), (2) orifice shape or orifice aspect ratio, and (3) slot slant angle. The results indicate that the mixing flow field and NOx production significantly vary with the value of the jet penetration and subsequently, slanting elongated slots generally improve the NOx production at high J conditions. Round orifices produce low NOx at low J due to the strong jet penetration. The NOx production trends do not correlate with the mixing non-uniformity parameters described herein

Comparison of Mixing Calculations for Reacting and Non-Reacting Flows in a Cylindrical Duct

A production 3-D elliptic flow code has been used to calculate non-reacting and reacting flow fields in an experimental mixing section relevant to a rich burn/quick mix/lean burn (RQL) combustion system. A number of test cases have been run to assess the effects of the variation in the number of orifices, mass flow ratio, and rich-zone equivalence ratio on the flow field and mixing rates. The calculated normalized temperature profiles for the non-reacting flow field agree qualitatively well with the normalized conserved variable isopleths for the reacting flow field indicating that non-reacting mixing experiments are appropriate for screening and ranking potential rapid mixing concepts. For a given set of jet momentum-flux ratio, mass flow ratio, and density ratio (J, MR, and DR), the reacting flow calculations show a reduced level of mixing compared to the non-reacting cases. In addition, the rich-zone equivalence ratio has noticeable effect on the mixing flow characteristics for reacting flows

Mixing of Multiple Jets with a Confined Subsonic Crossflow in a Cylindrical Duct

This paper summarizes NASA-supported experimental and computational results on the mixing of a row of jets with a confined subsonic crossflow in a cylindrical duct. The studies from which these results were derived investigated flow and geometric variations typical of the complex 3-D flowfield in the combustion chambers in gas turbine engines. The principal observations were that the momentum-flux ratio and the number of orifices were significant variables. Jet penetration was critical, and jet penetration decreased as either the number of orifices increased or the momentum-flux ratio decreased. It also appeared that jet penetration remained similar with variations in orifice size, shape, spacing, and momentum-flux ratio when the number of orifices was proportional to the square-root of the momentum-flux ratio. In the cylindrical geometry, planar variances are very sensitive to events in the near wall region, so planar averages must be considered in context with the distributions. The mass-flow ratios and orifices investigated were often very large (mass-flow ratio greater than 1 and ratio of orifice area-to-mainstream cross-sectional area up to 0.5), and the axial planes of interest were sometimes near the orifice trailing edge. Three-dimensional flow was a key part of efficient mixing and was observed for all configurations. The results shown also seem to indicate that non-reacting dimensionless scalar profiles can emulate the reacting flow equivalence ratio distribution reasonably well. The results cited suggest that further study may not necessarily lead to a universal 'rule of thumb' for mixer design for lowest emissions, because optimization will likely require an assessment for a specific application

Prognostic impact of progression to induction chemotherapy and prior paclitaxel therapy in patients with germ cell tumors receiving salvage high-dose chemotherapy in the last 10 years: A study of the European Society for Blood and Marrow Transplantation Solid Tumors Working Party

Little is known about the prognostic impact of prior paclitaxel therapy and response to induction chemotherapy defined as the regimen preceding high-dose chemotherapy (HDCT) for the salvage therapy of advanced germ cell tumors. Twenty European Society for Blood and Marrow Transplantation centers contributed data on patients treated between 2002 and 2012. Paclitaxel used in either prior lines of therapy or in induction-mobilization regimens was considered. Multivariable Cox analyses of prespecified factors were undertaken on PFS and overall survival (OS). As of October 2013, data for 324 patients had been contributed to this study. One hundred and ninety-two patients (59.3%) had received paclitaxel. Sixty-one patients (19%) had a progression to induction chemotherapy, 234 (72%) a response (29 (9%) missing or granulocyte colony-stimulating factor without chemotherapy). Both progression to induction chemotherapy and prior paclitaxel were significantly associated with shorter OS univariably (P<0.001 and P=0.032). On multivariable analysis from the model with fully available data (N=216) progression to induction was significantly prognostic for PFS and OS (P=0.003), but prior paclitaxel was not (P=0.674 and P=0.739). These results were confirmed after multiple imputation of missing data. Progression to induction chemotherapy could be demonstrated as an independent prognostic factor, in contrast to prior paclitaxel

National strategy for palliative care of severely ill and dying people and their relatives in pandemics (PallPan) in Germany - study protocol of a mixed-methods project

BACKGROUND In the SARS-CoV-2 pandemic, general and specialist Palliative Care (PC) plays an essential role in health care, contributing to symptom control, psycho-social support, and providing support in complex decision making. Numbers of COVID-19 related deaths have recently increased demanding more palliative care input. Also, the pandemic impacts on palliative care for non-COVID-19 patients. Strategies on the care for seriously ill and dying people in pandemic times are lacking. Therefore, the program 'Palliative care in Pandemics' (PallPan) aims to develop and consent a national pandemic plan for the care of seriously ill and dying adults and their informal carers in pandemics including (a) guidance for generalist and specialist palliative care of patients with and without SARS-CoV-2 infections on the micro, meso and macro level, (b) collection and development of information material for an online platform, and (c) identification of variables and research questions on palliative care in pandemics for the national pandemic cohort network (NAPKON). METHODS Mixed-methods project including ten work packages conducting (online) surveys and qualitative interviews to explore and describe i) experiences and burden of patients (with/without SARS-CoV-2 infection) and their relatives, ii) experiences, challenges and potential solutions of health care professionals, stakeholders and decision makers during the SARS-CoV-2 pandemic. The work package results inform the development of a consensus-based guidance. In addition, best practice examples and relevant literature will be collected and variables for data collection identified. DISCUSSION For a future \textquotedblpandemic preparedness\textquotedbl national and international recommendations and concepts for the~care of severely ill and dying people are necessary considering both generalist and specialist palliative care in the home care and inpatient setting

Early prediction of treatment response to high-dose salvage chemotherapy in patients with relapsed germ cell cancer using [18F]FDG PET

To assess the ability of [18F]fluorodeoxyglucose positron emission tomography for the early prediction of response in patients with relapsed metastatic germ cell tumours undergoing salvage high-dose chemotherapy. The role of positron emission tomography was compared with established means of tumour response assessment such as CT scans/MRI and serum tumour marker changes. In addition, positron emission tomography was compared with a current prognostic score which differentiates three prognostic groups with failure-free survival rates ranging from 5–50%. [18F]fluorodeoxyglucose uptake of metastases from germ cell tumours as well as CT scans and serum tumour marker were acquired after 2–3 cycles of induction chemotherapy but before the start of high-dose chemotherapy and CT scans/serum tumour marker were compared with the baseline examinations in 23 patients with relapsed germ cell tumours. To evaluate the validity of early response prediction by positron emission tomography, radiological monitoring and serum tumour marker decline, histopathologic response after resection of residual masses and/or the clinical course over 6 months after the end of treatment (relapse vs freedom of progression) were used. Overall, 10 patients (43%) achieved a marker-negative partial remission, three (13%) a marker-positive partial remission, five (22%) a disease stabilization and five (22%) progressed during treatment. Nine patients (39%) remained progression-free over 6 months following treatment, whereas 14 (61%) progressed. The outcome of high-dose chemotherapy was correctly predicted by positron emission tomography/CT scan/serum tumour marker in 91/59/48%. Eight patients with a favourably predicted outcome by CT scans plus serum tumour marker but a positive positron emission tomography prior to high-dose chemotherapy, failed treatment. This results in the following sensitivities/specificities for the prediction of failure of high-dose chemotherapy: positron emission tomography 100/78%; radiological monitoring 43/78%; serum tumour marker 15/100%. The positive and negative predictive values of positron emission tomography were 88 and 100%, respectively. As compared with the prognostic score, positron emission tomography was correctly positive in all patients of the three risk groups who failed treatment. In addition, a negative positron emission tomography correctly predicted a favourable outcome in the good and intermediate group. [18F]fluorodeoxyglucose positron emission tomography imaging can be used to assess response to chemotherapy in patients with relapsed germ cell tumours early in the course of treatment and may help to identify patients most likely to achieve a favourable response to subsequent high-dose chemotherapy. In patients with response to induction chemotherapy according to CT scans or serum tumour marker evaluation, positron emission tomography seems to add information to detect patients with an overall unfavourable outcome. It may also be a valuable addition to the prognostic model particularly in the good and intermediate group for further selection of patients who will profit from high-dose chemotherapy

Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis

Background: Cancer-related fatigue (CRF) is the most common and distressing symptom in breast cancer survivors. Approximately 40% to 80% of cancer patients undergoing active treatment suffer from CRF. Exercise improves overall quality of life and CRF; however, the specific effects of the training modalities are not well understood.Methods: This study aimed to determine the pooled effects of supervised exercise interventions on CRF in breast cancer survivors. We searched PubMed/MEDLINE, EMBASE, Scopus, CENTRAL and CINAHL databases between December 2013 and January 2014 without language restrictions. Risk of bias and methodological quality were evaluated using the PEDro score. Pooled effects were calculated with a random-effects model according to the DerSimonian and Laird method. Heterogeneity was evaluated with the I2 test.Results: Nine high-quality studies (n = 1156) were finally included. Supervised aerobic exercise was statistically more effective than conventional care in improving CRF among breast cancer survivors (SMD = −0.51, 95%CI −0.81 to −0.21), with high statistical heterogeneity (P = 0.001; I2 = 75%). Similar effects were found for resistance training on CRF (SMD = −0.41, 95%CI −0.76 to −0.05; P = 0.02; I2 = 64%). Meta-regression analysis revealed that exercise volume parameters are closely related with the effect estimates on CRF. Egger’s test suggested moderate evidence of publication bias (P = 0.04).Conclusions: Supervised exercise reduces CRF and must be implemented in breast cancer rehabilitation settings. High-volume exercises are safe and effective in improving CRF and overall quality of life in women with breast cancer. Further research is encouraged.The authors would like to acknowledge Universidad Santo Tomás, Bogotá for the financial support to the GICAEDS Group (Project: Práctica del autoexamen de seno y los conocimientos, factores de riesgo y estilos de vida relacionados al cáncer de mama en mujeres jóvenes de la USTA – Number: 4110060001-008)