Incompressible smoothed particle hydrodynamics (SPH) with reduced temporal noise and generalised Fickian smoothing applied to body–water slam and efficient wave–body interaction

AbstractIncompressible smoothed particle hydrodynamics generally requires particle distribution smoothing to give stable and accurate simulations with noise-free pressures. The diffusion-based smoothing algorithm of Lind et al. (J. Comp. Phys. 231 (2012) 1499–1523) has proved effective for a range of impulsive flows and propagating waves. Here we apply this to body–water slam and wave–body impact problems and discover that temporal pressure noise can occur for these applications (while spatial noise is effectively eliminated). This is due to the free-surface treatment as a discontinuous boundary. Treating this as a continuous very thin boundary within the pressure solver is shown to effectively cure this problem. The particle smoothing algorithm is further generalised so that a non-dimensional diffusion coefficient is applied which suits a given time step and particle spacing.We model the particular problems of cylinder and wedge slam into still water. We also model wave-body impact by setting up undisturbed wave propagation within a periodic domain several wavelengths long and inserting the body. In this case, the loads become cyclic after one wave period and are in good agreement with experiment. This approach is more efficient than the conventional wave flume approach with a wavemaker which requires many wavelengths and a beach absorber.Results are accurate and virtually noise-free, spatially and temporally. Convergence is demonstrated. Although these test cases are two-dimensional with simple geometries, the approach is quite general and may be readily extended to three dimensions

Implementation of geriatric assessment in oncology settings: A systematic realist review

Older adults with cancer are more likely to have worse clinical outcomes than their younger counterparts, and shared decision-making can be difficult, due to both complexity from adverse ageing and under-representation in clinical trials. Geriatric assessment (GA) has been increasingly recognised as a predictive and prehabilitative tool for older adults with cancer. However, GA has been notoriously difficult to implement in oncological settings due to workforce, economic, logistical, and practical barriers. We aimed to review the heterogenous literature on implementation of GA in oncology settings to understand the different implementation context configurations of GA and the mechanisms they trigger to enable successful implementation. A systematic realist review was undertaken in two stages: i) systematic searches with structured data extraction combined with iterative key stakeholder consultations to develop programme theories for implementing GA in oncology settings; ii) synthesis to refine programme theories. Medline, Embase, PsycInfo, Cochrane Library, CINAHL, Web of Science, Scopus, ASSIA, Epistemonikos, JBI Database of Systematic Reviews and Implementation Reports, DARE and Health Technology Assessment were searched. Four programme theories were developed from 53 included articles and 20 key stakeholder consultations addressing the major barriers of GA implementation in oncology practice: time (leveraging non-specialists), funding (creating favourable health economics), practicalities (establishing the use of GA in cancer care), and managing limited resources. We demonstrate that a whole system approach is required to improve the implementation of GA in cancer settings. This review will help inform policy decisions regarding implementation of GA and provide a basis for further implementation research