Structural development of laminar flow control aircraft chordwise wing joint designs

For laminar flow to be achieved, any protuberances on the surface must be small enough to avoid transition to turbulent flow. However, the surface must have joints between the structural components to allow assembly or replacement of damaged parts, although large continuous surfaces can be utilized to minimize the number the number of joints. Aircraft structural joints usually have many countersunk bolts or rivets on the outer surface. To maintain no mismatch on outer surfaces, it is desirable to attach the components from the inner surface. It is also desirable for the panels to be interchangeable, without the need for shims at the joint, to avoid surface discontinuities that could cause turbulence. Fabricating components while pressing their outer surfaces against an accurate mold helps to ensure surface smoothness and continuity at joints. These items were considered in evaluating the advantages and disadvantages of the joint design concepts. After evaluating six design concepts, two of the leading candidates were fabricated and tested using many small test panels. One joint concept was also built and tested using large panels. The small and large test panel deflections for the leading candidate designs at load factors up to +1.5 g's were well within the step and waviness requirements for avoiding transition.The small panels were designed and tested for compression and tension at -65 F, at ambient conditions, and at 160 F. The small panel results for the three-rib and the sliding-joint concepts indicated that they were both acceptable. The three-rib concept, with tapered splice plates, was considered to be the most practical. A modified three-rib joint that combined the best attributes of previous candidates was designed, developed, and tested. This improved joint met all of the structural strength, surface smoothness, and waviness criteria for laminar flow control (LFC). The design eliminated all disadvantages of the initial three-rib concept except for unavoidable eccentricity, which was reduced and reacted satisfactorily by the rib supports. It should also result in a relatively simple low-cost installation, and makes it easy to replace any panels damaged in the field

The effectiveness of a preferred intensity exercise programme on the mental health outcomes of young people with depression: a sequential mixed methods evaluation

<p>Abstract</p> <p>Background</p> <p>People with mental illness are more likely to suffer physical health problems than comparable populations who do not have mental illness. There is evidence to suggest that exercise, as well has having obvious physical benefits, also has positive effects on mental health. There is a distinct paucity of research testing its effects on young people seeking help for mental health issues. Additionally, it is generally found that compliance with prescribed exercise programmes is low. As such, encouraging young people to exercise at levels recommended by national guidelines may be unrealistic considering their struggle with mental health difficulties. It is proposed that an exercise intervention tailored to young people's preferred intensity may improve mental health outcomes, overall quality of life, and reduce exercise attrition rates.</p> <p>Methods/Design</p> <p>A sequential mixed methods design will be utilised to assess the effectiveness of an individually tailored exercise programme on the mental health outcomes of young people with depression. The mixed methods design incorporates a Randomised Controlled Trial (RCT), focus groups and interviews and an economic evaluation. <it>Participants: </it>158 young people (14-17 years) recruited from primary care and voluntary services randomly allocated to either the intervention group or control group. <it>Intervention group</it>: Participants will undertake a 12 week exercise programme of 12 × 60 minutes of preferred intensity aerobic exercise receiving motivational coaching and support throughout. Participants will also be invited to attend focus groups and 1-1 interviews following completion of the exercise programme to illicit potential barriers facilitators to participation. <it>Control group</it>: Participants will receive treatment as usual. <it>Primary Outcome measure</it>: Depression using the Children's Depression Inventory 2 (CDI-2). <it>Secondary Outcome measures</it>: Quality of Life (EQ-5D), physical fitness (Borg RPE scale, heart rate), incidents of self-harm, treatment received and compliance with treatment, and the cost effectiveness of the intervention. Outcome measures will be taken at baseline, post intervention and 6 month follow up.</p> <p>Discussion</p> <p>The results of this study will inform policy makers of the effectiveness of preferred intensity exercise on the mental health outcomes of young people with depression, the acceptability of such an intervention to this population and its cost effectiveness.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01474837">NCT01474837</a></p

Comorbid Psychiatric Illnesses

Comorbidity among psychiatric illnesses is common, as is comorbidity between psychiatric and physical illnesses. Current knowledge of psychiatric comorbidity points to several possible underlying factors, notably an overlap in their definitions and symptoms; unidirectional and bidirectional causation; disordered sleep; and a range of shared risk factors. Psychiatric illness may lead to poorer self-care and sleep problems, whereas being physically ill may impact upon an individual’s psychological wellbeing. An integration of the various causal models that have been proposed to explain the comorbidities is discussed, incorporating different socio-psychological and biological factors to explain the development of depression and anxiety. These issues are detailed in the following chapter with a focus on depression. Implications for treatment are also discussed

Arousal States, Symptoms, Behaviour, Sleep and Body Temperature

Autonomic arousal (or affective states, e.g. stress, anxiety), symptoms (e.g. fatigue, pain), sleep-disrupting behaviour (e.g. physical inactivity, electronic device use, TV watching, shift work) and medications are linked to impaired sleep and, in many cases, overweight/obesity. Further, in many cases, the phenomena are linked to an elevated BT, and in some cases, a high nocturnal BT, although there is a lack of specific research pertaining to nocturnal BT and the relationship between BT and chronic pain. A relative hyperthermia at night is known to interfere with sleep onset, possible via a phase-shift in the sleep-wake cycle. However, an elevated BT can additionally lead to activation of the inflammatory response system (e.g. cytokine secretion), which may represent another possible mechanism by which the aforementioned states, symptoms, disorders and behaviour can develop