A Design of Experiments Investigation of Offset Streams for Supersonic Jet Noise Reduction

An experimental investigation into the noise characteristics of a dual-stream jet with four airfoils inserted in the fan nozzle was conducted. The intent of the airfoils was to deflect the fan stream relative to the core stream and, therefore, impact the development of the secondary potential core and noise radiated in the peak jet-noise direction. The experiments used a full-factorial Design of Experiments (DoE) approach to identify parameters and parameter interactions impacting noise radiation at two azimuthal microphone array locations, one of which represented a sideline viewing angle. The parameters studied included airfoil angle-of-attack, airfoil azimuthal location within the fan nozzle, and airfoil axial location relative to the fan-nozzle trailing edge. Jet conditions included subsonic and supersonic fan-stream Mach numbers. Heated jets conditions were simulated with a mixture of helium and air to replicate the exhaust velocity and density of the hot jets. The introduction of the airfoils was shown to impact noise radiated at polar angles in peak-jet noise direction and to have no impact on noise radiated at small and broadside polar angles and to have no impact on broadband-shock-associated noise. The DoE analysis showed the main effects impacting noise radiation at sideline-azimuthal-viewing angles included airfoil azimuthal angle for the airfoils on the lower side of the jet near the sideline array and airfoil trailing edge distance (with airfoils located at the nozzle trailing edge produced the lowest sound pressure levels). For an array located directly beneath the jet (and on the side of the jet from which the fan stream was deflected), the main effects impacting noise radiation included airfoil angle-of-attack and airfoil azimuthal angle for the airfoils located on the observation side of the jet as well and trailing edge distance. Interaction terms between multiple configuration parameters were shown to have significant impact on the radiated noise. The models were shown to adequately describe the sound-pressure levels obtained for a configuration in the center of the design space indicating the models can be used to navigate the design space

A Parabolised Stability Equation based Broadband Shock-Associated Noise Model

International audienceWavepacket models have been used extensively to predict the noise produced from turbulent subsonic and supersonic jets. Such wavepackets, which represent the organised structures of the flow, are solutions to the linearised Navier-Stokes equations. Using a kinematic two-point model, Wong et al. [1] have indicated the importance of incorporating coherence decay in modelling broadband shock-associated noise (BBSAN) in supersonic jets. In this work, we aim to improve the model by using solutions from linear parabolised stability equations (PSE) to model the wavepacket part of the BBSAN source. The two-point coherence of the wavepackets is obtained from large-eddy simulation (LES) data of a M j = 1.5 fully-expanded isothermal supersonic jet [2]. The aim is to build a dynamic sound-source model for BBSAN that would improve on the simplified line-source model proposed by Wong et al. [3]. We find that a frequency dependent coherence decay length scale is important in order to suppress the higher-order harmonic peaks [4] and to obtain the correct BBSAN peak shape. Moderate agreement up to St = 1 was found between the current noise predictions and those from experimental data. I. Nomenclature ω = wavepacket frequency θ = azimuthal coordinate c s n = amplitude coefficient of the shock cells G = Green's function k s = shock-cell wavenumber k h = hydrodynamic wavenumber L = longitudinal extent of wavepacket L c = coherence length of wavepacket m = azimuthal mode number M j = ideally-expanded Mach number r = radial coordinate u s = shock cell velocity fluctuation u t = wavepacket fluctuationŝ u * ω = velocity fluctuations at a frequency ω x = axial coordinat

Cost-effectiveness of monitoring glaucoma patients in shared care: an economic evaluation alongside a randomized controlled trial

Background. Population aging increases the number of glaucoma patients which leads to higher workloads of glaucoma specialists. If stable glaucoma patients were monitored by optometrists and ophthalmic technicians in a glaucoma follow-up unit (GFU) rather than by glaucoma specialists, the specialists' workload and waiting lists might be reduced. We compared costs and quality of care at the GFU with those of usual care by glaucoma specialists in the Rotterdam Eye Hospital (REH) in a 30-month randomized clinical trial. Because quality of care turned out to be similar, we focus here on the costs. Methods. Stable glaucoma patients were randomized between the GFU and the glaucoma specialist group. Costs per patient year were calculated from four perspectives: those of patients, the Rotterdam Eye Hospital (REH), Dutch healthcare system, and society. The outcome measures were: compliance to the protocol; patient satisfaction; stability according to the practitioner; mean difference in IOP; results of the examinations; and number of treatment changes. Results. Baseline characteristics (such as age, intraocular pressure and target pressure) were comparable between the GFU group (n = 410) and the glaucoma specialist group (n = 405). Despite a higher number of visits per year, mean hospital costs per patient year were lower in the GFU group (€139 vs. €161). Patients' time and travel costs were similar. Healthcare costs were significantly lower for the GFU group (€230 vs. €251), as were societal costs (€310 vs. €339) (p < 0.01). Bootstrap-, sensitivity- and scenario-analyses showed that the costs were robust when varying hospital policy and the duration of visits and tests. Conclusion. We conclude that this GFU is cost-effective and deserves to be considered for implementation in other hospitals

Computational Study of Aero-acoustic Sources in Perforate Silencers

Reynolds Averaged Navier Stokes and Large Eddy Simulations of two perforate plates at a overall pressure ratio of 1.45 have been performed to allow analysis of the sensitivity of acoustic noise sources to porosity. Two geometries are presented: A 23% porosity and a 40% porosity 1mm plate with 2mm diameter holes. Results presented in this paper show the initial jetlet and fully merged jet flow-field to be sensitive to the porosity and the presence of partial holes around the circumference of the plate. The increase in porosity reduces the available entrainment flow, and increases the local jetlet interaction and resultant turbulence levels. This interaction fundamentally changes the flow structure from coherent vortex rings (found at low porosity) to a helical structure. The 2nd and 4th order spatio- temporal correlation Rij and Rij,kl are presented as suggested validation data for acoustic source modeling together with far-field noise spectra obtained via a Ffowcs-Williams & Hawkings surface integral method

Why a successful task substitution in glaucoma care could not be transferred from a hospital setting to a primary care setting: A qualitative study

Background: Healthcare systems are challenged by a demand that exceeds available resources. One policy to meet this challenge is task substitution-transferring tasks to other professions and settings. Our study aimed to explore stakeholders' perceived feasibility of transferring hospital-based monitoring of stable glaucoma patients to primary care optometrists.Methods: A case study was undertaken in the Rotterdam Eye Hospital (REH) using semi-structured interviews and document reviews. They were inductively analysed using three implementation related theoretical perspectives: sociological theories on professionalism, management theories, and applied political analysis.Results: Currently it is not feasible to use primary care optometrists as substitutes for optometrists and ophthalmic technicians working in a hospital-based gl

Heterologous Amyloid Seeding: Revisiting the Role of Acetylcholinesterase in Alzheimer's Disease

Neurodegenerative diseases associated with abnormal protein folding and ordered aggregation require an initial trigger which may be infectious, inherited, post-inflammatory or idiopathic. Proteolytic cleavage to generate vulnerable precursors, such as amyloid-β peptide (Aβ) production via β and γ secretases in Alzheimer's Disease (AD), is one such trigger, but the proteolytic removal of these fragments is also aetiologically important. The levels of Aβ in the central nervous system are regulated by several catabolic proteases, including insulysin (IDE) and neprilysin (NEP). The known association of human acetylcholinesterase (hAChE) with pathological aggregates in AD together with its ability to increase Aβ fibrilization prompted us to search for proteolytic triggers that could enhance this process. The hAChE C-terminal domain (T40, AChE575-614) is an exposed amphiphilic α-helix involved in enzyme oligomerisation, but it also contains a conformational switch region (CSR) with high propensity for conversion to non-native (hidden) β-strand, a property associated with amyloidogenicity. A synthetic peptide (AChE586-599) encompassing the CSR region shares homology with Aβ and forms β-sheet amyloid fibrils. We investigated the influence of IDE and NEP proteolysis on the formation and degradation of relevant hAChE β-sheet species. By combining reverse-phase HPLC and mass spectrometry, we established that the enzyme digestion profiles on T40 versus AChE586-599, or versus Aβ, differed. Moreover, IDE digestion of T40 triggered the conformational switch from α- to β-structures, resulting in surfactant CSR species that self-assembled into amyloid fibril precursors (oligomers). Crucially, these CSR species significantly increased Aβ fibril formation both by seeding the energetically unfavorable formation of amyloid nuclei and by enhancing the rate of amyloid elongation. Hence, these results may offer an explanation for observations that implicate hAChE in the extent of Aβ deposition in the brain. Furthermore, this process of heterologous amyloid seeding by a proteolytic fragment from another protein may represent a previously underestimated pathological trigger, implying that the abundance of the major amyloidogenic species (Aβ in AD, for example) may not be the only important factor in neurodegeneration