Experimental Study of Combined Forced and Free Laminar Convection in a Vertical Tube

An apparatus was built to verify an analysis of combined forced and free convection in a vertical tube with uniform wall heat flux and to determine the limits of the analysis. The test section was electrically heated by resistance heating of the tube wall and was instrumented with thermocouples in such a way that detailed thermal entrance heat-transfer coefficients could be obtained for both upflow and downflow and any asymmetry in wall temperature could be detected. The experiments showed that fully developed heat-transfer results, predicted by a previous analysis, were confirmed over the range of Rayleigh numbers investigated. The concept of "locally fully developed" heat transfer was established. This concept involves the assumption that the fully developed heat-transfer analysis can be applied locally even though the Rayleigh number is varying along the tube because of physical-property variations with temperature. Thermal entrance region data were obtained for pure forced convection and for combined forced and free convection. The analysis of laminar pure forced convection in the thermal entrance region conducted by Siegel, Sparrow, and Hallman was experimentally confirmed. A transition to an eddy motion, indicated by a fluctuation in wall temperature was found in many of the upflow runs. A stability correlation was found. The fully developed Nusselt numbers in downflow were below those for pure forced convection but fell about 10 percent above the analytical curve. Quite large circumferential variations in wall temperature were observed in downflow as compaired with those encountered in upflow, and the fully developed Nussalt numbers reported are based on average wall temperatures determined by averaging the readings of two diametrically opposite wall thermocouples at each axial position. With larger heating rates in downflow the wall temperature distributions strongly suggested a cell flow near the bottom. At still larger heating rates the wall temperatures varied in a periodic way

Neurocognitive function outcomes in NRG/RTOG 0534, the SPPORT trial

12022 Background: RTOG 0534 established the benefit of adding of short term androgen deprivation therapy (PBRT+STADT, Arm 2) to prostate bed salvage radiotherapy (PBRT, Arm 1), and demonstrated that elective pelvic lymph node irradiation combined with STADT (PBRT+STADT+PLNRT, Arm 3) results in further reductions in progression. Longitudinal monitoring of neurocognitive function (NCF) was conducted to evaluate the hypothesis that patients treated with STADT will demonstrate greater decline in NCF compared to patients receiving PBRT alone. Methods: Patients were administered the Clinical Trial Battery [Hopkins Verbal Learning Test – Revised (HVLT-R), Trail Making Test (TMT), and the Controlled Oral Word Association (COWA) test] by certified test administrators at baseline, and at 6 weeks (6w), 1 year (1yr), and 5 years after the end of RT (5yr). Raw NCF tests scores were converted to standardized z-scores adjusted for age and education when necessary. Analyses included z-score change and reliable change index (RCI) determined decline compared to baseline, and longitudinal mixed effect regression models using z-scores. To control for multiplicity, p < 0.025 is required for statistical significance. Results: Among the 1716 analyzable patients, 429 consented to NCF monitoring. There were no significant differences in sociodemographic or clinical characteristics between arms. NCF test completion was 82, 76, 63 and 30% at baseline, 6w, 1yr, and 5yr, respectively. RCI-based NCF deterioration was more frequent in Arm 3 compared to Arm 1 at 6 weeks on Delayed Recall (16% vs. 7%, p = 0.023). Patients in Arm 3 evidenced greater z-score decline compared to patients in Arm 1 at 6w on HVLT-R Total Recall [M(SD) Z-score∆ = -0.1(1.0) vs 0.2(0.9), (p = 0.020)] and Delayed Recall [M(SD) Z-score∆ = -0.4(1.5) vs 0.1(1.2), (p = 0.012)]. Mixed effects models identified statistically significant differences in z-scores between Arm 3 and 1 at 6w on Delayed Recall [-0.541 (SE 0.178, p = 0.002)]. A statistically significant difference was observed between Arm 2 and 1 at 6w on TMTB [1.498 (SE 0.626, p = 0.017) favoring Arm 2]. Between arm differences were not seen at any other time point, or on other NCF outcomes. Conclusions: Compared to patients treated with PBRT alone, patients treated with PBRT+STADT+PLNRT exhibited greater worsening in episodic verbal learning and memory processes at 6 weeks after the end of RT, while patients treated with PBRT+STADT exhibited greater improvement in processing speed. The absence of long term or progressive cognitive decline associated with STADT-containing regimens is promising but limited by substantial missing data at year 5. FUNDING This project was supported by grants 10CA180868 (NRG Oncology Operations), U10CA180822 (NRG Oncology SDMC), CTEP from the National Cancer Institute (NCI). Clinical trial information: NCT00567580