2D flow around stationary side-by-side square columns at low Reynolds number

Flow over two side-by-side square columns is studied numerically and experimentally at low Reynolds number (Re=100-200) to investigate the effects of the gap distance on the behaviour of the flow. Different gap distances between two square columns are simulated to analyse the interactions of laminar wakes with a gap flow. Four different flow regimes are observed based on different gap distance. Experimental test are performed to validate the simulations. A new water tank has been built specifically for these tests due to the requirements of low Reynolds number and the high sensitivity of the gap flow. Initial experimental flow visualizations of the vortex wake confirm the findings of distinct gap flow regimes

Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses

BACKGROUND: Intimate partner violence against women (IPV) has been identified as a serious public health problem. Although the health care system is an important site for identification and intervention, there have been challenges in determining how health care professionals can best address this issue in practice. We surveyed nurses and physicians in 2004 regarding their attitudes and behaviours with respect to IPV, including whether they routinely inquire about IPV, as well as potentially relevant barriers, facilitators, experiential, and practice-related factors. METHODS: A modified Dillman Tailored Design approach was used to survey 1000 nurses and 1000 physicians by mail in Ontario, Canada. Respondents were randomly selected from professional directories and represented practice areas pre-identified from the literature as those most likely to care for women at the point of initial IPV disclosure: family practice, obstetrics and gynecology, emergency care, maternal/newborn care, and public health. The survey instrument had a case-based scenario followed by 43 questions asking about behaviours and resources specific to woman abuse. RESULTS: In total, 931 questionnaires were returned; 597 by nurses (59.7% response rate) and 328 by physicians (32.8% response rate). Overall, 32% of nurses and 42% of physicians reported routinely initiating the topic of IPV in practice. Principal components analysis identified eight constructs related to whether routine inquiry was conducted: preparedness, self-confidence, professional supports, abuse inquiry, practitioner consequences of asking, comfort following disclosure, practitioner lack of control, and practice pressures. Each construct was analyzed according to a number of related issues, including clinician training and experience with woman abuse, area of practice, and type of health care provider. Preparedness emerged as a key construct related to whether respondents routinely initiated the topic of IPV. CONCLUSION: The present study provides new insight into the factors that facilitate and impede clinicians' decisions to address the issue of IPV with their female patients. Inadequate preparation, both educational and experiential, emerged as a key barrier to routine inquiry, as did the importance of the "real world" pressures associated with the daily context of primary care practice

Randomised social-skills training and parental training plus standard treatment versus standard treatment of children with attention deficit hyperactivity disorder - The SOSTRA trial protocol

Abstract Background Children with attention deficit hyperactivity disorder (ADHD) are hyperactive and impulsive, cannot maintain attention, and have difficulties with social interactions. Medical treatment may alleviate symptoms of ADHD, but seldom solves difficulties with social interactions. Social-skills training may benefit ADHD children in their social interactions. We want to examine the effects of social-skills training on difficulties related to the children's ADHD symptoms and social interactions. Methods/Design The design is randomised two-armed, parallel group, assessor-blinded trial. Children aged 8-12 years with a diagnosis of ADHD are randomised to social-skills training and parental training plus standard treatment versus standard treatment alone. A sample size calculation estimated that at least 52 children must be included to show a 4-point difference in the primary outcome on the Conners 3rd Edition subscale for 'hyperactivity-impulsivity' between the intervention group and the control group. The outcomes will be assessed 3 and 6 months after randomisation. The primary outcome measure is ADHD symptoms. The secondary outcome is social skills. Tertiary outcomes include the relationship between social skills and symptoms of ADHD, the ability to form attachment, and parents' ADHD symptoms. Discussion We hope that the results from this trial will show that the social-skills training together with medication may have a greater general effect on ADHD symptoms and social and emotional competencies than medication alone. Trial registration ClinicalTrials (NCT): NCT00937469</p

Wake of two side-by-side square cylinders at low Reynolds numbers

Wake of two side-by-side square cylinders was investigated through direct numerical simulation at low Reynolds numbers (16-200). The gap between the two cylinders varied from 0 to 10D, where D is the dimension of the square cylinder (edge length). 9 different wake patterns and their dependency on both the Reynolds number and gap spacing were identified and analysed. A system classification map, demarcated by the Reynolds number and gap ratio g* (g/D, where g is the gap spacing between 2 cylinders), was derived for these 9 wake modes. Steady-state wake (mode I) was observed when the Reynolds number is lower than the critical Reynolds number, which depends on g*. For the gap ratio less than 0.7, only single vortex street was observed. The single vortex street wake can be either symmetric and periodic (mode II), or asymmetric and periodic (mode III), or irregular (mode IV). In this gap ratio range (less than 0.7), shedding frequency decreases with the gap ratio due to the damping role of the gap flow. For the gap ratio larger than 0.7, two vortex streets were also observed. For the gap ratio larger than 1, only two vortex streets were observed. Vortex shedding can be either synchronized and in-phase (mode V), synchronized and anti-phase (mode VI), in-phase dominated with low frequency modulation (mode VII), anti-phase dominated with low frequency modulation (mode VIII), asymmetric synchronized anti-phase (mode IX), or irregular (mode IV). For the gap ratio larger than 4, only synchronized anti-phase mode was observed under the conditions of this study. In the two vortex streets regime, shedding frequency is higher than that of a single cylinder, due to a stronger gap flow than that in the freestream side. The impact of gap ratio and Reynolds number on the drag and lift forces was also studied. Published by AIP Publishing.<br/

Evaluation of telephone genetic counselling to facilitate germline BRCA1/2 testing in women with high-grade serous ovarian cancer

Systemic healthcare issues and geographical challenges restrict women’s access to BRCA1/2 testing to inform the use of tailored treatments for high-grade serous ovarian cancer. Consequently, BRCA1/2 testing in this population is low and improved testing pathways are urgently needed. This study aimed to determine the acceptability and feasibility of telephone genetic counselling (TGC) to facilitate treatment-focused BRCA1/2 testing in Australia for women with high-grade serous ovarian cancer. Women who received TGC were invited to complete a survey examining their experiences of the service. A cost analysis was conducted to compare the service to standard, in-person genetic counselling. One hundred and seven women responded (48% response rate); 8 had a BRCA1/2 variant affecting function. Geographical barriers prevented women from accessing genetic services in the past. All participants had a positive attitude towards testing, and regret following testing was minimal. While the impact of testing was greater for those with a positive test result, overall, genetic testing did not put the additional psychosocial burden on the participants. Participant’s evaluations of the telephone interactions with the genetic counsellors were highly satisfactory. The service was also found to be cost-effective. This model of telephone genetic counselling was an acceptable and effective way to reduce barriers to BRCA1/2 testing for women with ovarian cancer

Suppression of vortex-induced vibration of a square cylinder via continuous twisting at moderate Reynolds numbers

Vortex-induced vibration (VIV) of elastic structures with a square-shaped prismatic column exposed to flow has a significant impact on many aspects of structural design and stability. The main aim of the present numerical study is to investigate an alternative design of square column for minimizing the impact of VIV on the elastic structures. The numerical study is carried out at moderate Reynolds numbers (1000 ≤ Re ≤ 22000). For both stationary and freely vibrating square cylinders, a systematic validation of the numerical results is performed with the available experimental data. In particular, various turbulence models are explored to assess their effectiveness to capture the separated wake flow dynamics behind the square cylinder. The simulation results via k−ω SST-SAS (Scale Adaptive Simulation) model are found closer to the reported measurements for both stationary and vibrating cases. After establishing the validity of our numerical methodology, the VIV simulations of twisted square cylinders with different twisted angles are performed at the moderate Reynolds numbers. In comparison to the square cylinder counterpart, the results of the twisted square cylinder demonstrate good controlling effect on the VIV response at two oncoming flow directions (0° and 45°). The twisted surface of the cylinder causes the variation of separation or vortex shedding points as well as the frequency of vortex shedding, which in turn affect the distributions of hydrodynamic forces along the cylinder. The power spectral analysis of hydrodynamic forces of twisted square cylinder indicates that the twisted surface has a significant influence on the frequencies of both drag and lift forces. Finally, comparisons of the detailed flow patterns, the 3D vortex structures and the vortex-shedding modes between square and twisted cylinders are presented in detail.</p