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 contract subsonic crossflow in a cylindrical duct. The studies from which these results were excerpted 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. let 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 nearwall 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 >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

First-line salvage treatment options for germ cell tumor patients failing stage-adapted primary treatment: A comprehensive review compiled by the German Testicular Cancer Study Group

\ua9 2022, The Author(s). Purpose: In this review, we summarize and discuss contemporary treatment standards and possible selection criteria for decision making after failure of adjuvant or first-line cisplatin-based chemotherapy for primarily localized or metastatic germ cell tumors. Methods: This work is based on a systematic literature search conducted for the elaboration of the first German clinical practice guideline to identify prospective clinical trials and retrospective comparative studies published between Jan 2010 and Feb 2021. Study end points of interest were progression-free (PFS) and overall survival (OS), relapse rate (RR), and/or safety. Results: Relapses of clinical stage I (CS I) patients irrespective of prior adjuvant treatment after orchiectomy are treated stage adapted in accordance for primary metastatic patients. Surgical approaches for sole retroperitoneal relapses are investigated in ongoing clinical trials. The appropriate salvage chemotherapy for metastatic patients progressing or relapsing after first-line cisplatin-based chemotherapy is still a matter of controversy. Conventional cisplatin-based chemotherapy is the international guideline-endorsed standard of care, but based on retrospective data high-dose chemotherapy and subsequent autologous stem cell transplantation may offer a 10–15% survival benefit for all patients. Secondary complete surgical resection of all visible residual masses irrespective of size is paramount for treatment success. Conclusions: Patients relapsing after definite treatment of locoregional disease are to be treated by stage-adapted first-line standard therapy for metastatic disease. Patients with primary advanced/metastatic disease failing one line of cisplatin-based combination chemotherapy should be referred to GCT expert centers. Dose intensity is a matter of ongoing debate, but sequential high-dose chemotherapy seems to improve patients’ survival

Testicular germ cell tumours\u27 clinical stage I: comparison of surveillance with adjuvant treatment strategies regarding recurrence rates and overall survival—a systematic review

\ua9 2022, The Author(s). Purpose: Testicular germ cell tumours (GCTs) represent the most common malignancy in young adult males with two thirds of all cases presenting with clinical stage I (CSI). Active surveillance is the management modality mostly favoured by current guidelines. This systematic review assesses the treatment results in CSI patients concerning recurrence rate and overall survival in non-seminoma (NS) and pure seminoma (SE) resulting from surveillance in comparison to adjuvant strategies. Methods/systematic review: We performed a systematic literature review confining the search to most recent studies published 2010–2021 that reported direct comparisons of surveillance to adjuvant management. We searched Medline and the Cochrane Library with additional hand-searching of reference lists to identify relevant studies. Data extraction and quality assessment of included studies were performed with stratification for histology (NS vs. SE) and treatment modalities. The results were tabulated and evaluated with descriptive statistical methods. Results: Thirty-four studies met the inclusion criteria. In NS patients relapse rates were 12 to 37%, 0 to 10%, and 0 to 11.8% for surveillance, chemotherapy and for retroperitoneal lymph node dissection (RPLND) while overall survival rates were 90.7−100%, 91.7−100%, and 97−99.1%, respectively. In SE CSI, relapse rates were 0−22.3%, 0−5%, and 0−12.5% for surveillance, radiotherapy, chemotherapy, while overall survival rates were 84.1−98.7%, 83.5−100%, and 92.3−100%, respectively. Conclusion: In both histologic subgroups, active surveillance offers almost identical overall survival as adjuvant management strategies, however, at the expense of higher relapse rates. Each of the management strategies in CSI GCT patients have specific merits and shared-decision-making is advised to tailor treatment

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