PROBING INTO THE EFFECTS OF CAVITATION ON HYDRODYNAMIC CHARACTERISTICS OF SURFACE PIERCING PROPELLERS THROUGH NUMERICAL MODELING OF OBLIQUE WATER ENTRY OF A THIN WEDGE

The current paper investigates flow around a blade section of a surface piercing hydrofoil. To this end, a thin wedge section is numerically modelled through an oblique water entry. The flow is numerically studied using a multiphase approach. The proposed numerical approach is validated in two steps. First, pressure and free surface around a wedge entering water are simulated and compared against previously published analytical results. Subsequently, cavitation phenomenon around a submerged supercavitating hydrofoil is modelled and analyzed. It is observed that cavity length, pressure, and lift force are accurately predicted. Subsequently, the main problem has been studied for two different cavitation numbers for a range of advanced ratios equivalent to fully, transition and partially ventilated conditions in order to investigate the effect of ambient pressure on hydrodynamics of the water entry of the foil. The numerical findings reveal that, when the cavitation number decreases, the start of transition mode is postponed and this mode is expanded for the larger range of velocity ratios. This implies that fully ventilated velocity ratio modes are expanded, too. However, in the transition mode, the cavitation number plays an essential role and may lead to a decrease in the pressure difference across the surface piercing hydrofoil which yields a decrease in the resultant force

The unfinished agenda of communicable diseases among children and adolescents before the COVID-19 pandemic, 1990-2019: a systematic analysis of the Global Burden of Disease Study 2019

BACKGROUND: Communicable disease control has long been a focus of global health policy. There have been substantial reductions in the burden and mortality of communicable diseases among children younger than 5 years, but we know less about this burden in older children and adolescents, and it is unclear whether current programmes and policies remain aligned with targets for intervention. This knowledge is especially important for policy and programmes in the context of the COVID-19 pandemic. We aimed to use the Global Burden of Disease (GBD) Study 2019 to systematically characterise the burden of communicable diseases across childhood and adolescence. METHODS: In this systematic analysis of the GBD study from 1990 to 2019, all communicable diseases and their manifestations as modelled within GBD 2019 were included, categorised as 16 subgroups of common diseases or presentations. Data were reported for absolute count, prevalence, and incidence across measures of cause-specific mortality (deaths and years of life lost), disability (years lived with disability [YLDs]), and disease burden (disability-adjusted life-years [DALYs]) for children and adolescents aged 0-24 years. Data were reported across the Socio-demographic Index (SDI) and across time (1990-2019), and for 204 countries and territories. For HIV, we reported the mortality-to-incidence ratio (MIR) as a measure of health system performance. FINDINGS: In 2019, there were 3·0 million deaths and 30·0 million years of healthy life lost to disability (as measured by YLDs), corresponding to 288·4 million DALYs from communicable diseases among children and adolescents globally (57·3% of total communicable disease burden across all ages). Over time, there has been a shift in communicable disease burden from young children to older children and adolescents (largely driven by the considerable reductions in children younger than 5 years and slower progress elsewhere), although children younger than 5 years still accounted for most of the communicable disease burden in 2019. Disease burden and mortality were predominantly in low-SDI settings, with high and high-middle SDI settings also having an appreciable burden of communicable disease morbidity (4·0 million YLDs in 2019 alone). Three cause groups (enteric infections, lower-respiratory-tract infections, and malaria) accounted for 59·8% of the global communicable disease burden in children and adolescents, with tuberculosis and HIV both emerging as important causes during adolescence. HIV was the only cause for which disease burden increased over time, particularly in children and adolescents older than 5 years, and especially in females. Excess MIRs for HIV were observed for males aged 15-19 years in low-SDI settings. INTERPRETATION: Our analysis supports continued policy focus on enteric infections and lower-respiratory-tract infections, with orientation to children younger than 5 years in settings of low socioeconomic development. However, efforts should also be targeted to other conditions, particularly HIV, given its increased burden in older children and adolescents. Older children and adolescents also experience a large burden of communicable disease, further highlighting the need for efforts to extend beyond the first 5 years of life. Our analysis also identified substantial morbidity caused by communicable diseases affecting child and adolescent health across the world. FUNDING: The Australian National Health and Medical Research Council Centre for Research Excellence for Driving Investment in Global Adolescent Health and the Bill & Melinda Gates Foundation

Analysis of Ventilation Regimes of the Oblique Wedge-Shaped Surface Piercing Hydrofoil During Initial Water Entry Process

The suction side of a surface piercing hydrofoil, as a section of a Surface Piercing Propeller (SPP), is usually exposed to three phases of flow consisting air, water, and vapour. Hence, ventilation and cavitation pattern of such section during the initial phase of water entry plays an essential role for the propeller’s operational curves. Accordingly, in the current paper a numerical simulation of a simple surface piercing hydrofoil in the form of an oblique wedge is conducted in three-phase environment by using the coupled URANS and VOF equations. The obtained results are validated against water entry experiments and super-cavitation tunnel test data. The resulting pressure curves and free surface profiles of the wedge water entry are presented for different velocity ratios ranging from 0.12 to 0.64. Non-dimensional forces and efficiency relations are defined in order to present the wedge water entry characteristics. Congruent patterns are observed between the performance curves of the propeller and the wedge in different fully ventilated or partially cavitated operation modes. The transition trend from fully ventilated to partially cavitated operation of the surface piercing section of a SPP is studied and analyzed through wedge’s performance during the transitional period

PROBING INTO THE EFFECTS OF CAVITATION ON HYDRODYNAMIC CHARACTERISTICS OF SURFACE PIERCING PROPELLERS THROUGH NUMERICAL MODELING OF OBLIQUE WATER ENTRY OF A THIN WEDGE

The current paper investigates flow around a blade section of a surface piercing hydrofoil. To this end, a thin wedge section is numerically modelled through an oblique water entry. The flow is numerically studied using a multiphase approach. The proposed numerical approach is validated in two steps. First, pressure and free surface around a wedge entering water are simulated and compared against previously published analytical results. Subsequently, cavitation phenomenon around a submerged supercavitating hydrofoil is modelled and analyzed. It is observed that cavity length, pressure, and lift force are accurately predicted. Subsequently, the main problem has been studied for two different cavitation numbers for a range of advanced ratios equivalent to fully, transition and partially ventilated conditions in order to investigate the effect of ambient pressure on hydrodynamics of the water entry of the foil. The numerical findings reveal that, when the cavitation number decreases, the start of transition mode is postponed and this mode is expanded for the larger range of velocity ratios. This implies that fully ventilated velocity ratio modes are expanded, too. However, in the transition mode, the cavitation number plays an essential role and may lead to a decrease in the pressure difference across the surface piercing hydrofoil which yields a decrease in the resultant force

Age–sex differences in the global burden of lower respiratory infections and risk factors, 1990–2019: results from the Global Burden of Disease Study 2019

Summary Background The global burden of lower respiratory infections (LRIs) and corresponding risk factors in children older than 5 years and adults has not been studied as comprehensively as it has been in children younger than 5 years. We assessed the burden and trends of LRIs and risk factors across all age groups by sex, for 204 countries and territories. Methods In this analysis of data for the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we used clinician-diagnosed pneumonia or bronchiolitis as our case definition for LRIs. We included International Classification of Diseases 9th edition codes 079.6, 466–469, 470.0, 480–482.8, 483.0–483.9, 484.1–484.2, 484.6–484.7, and 487–489 and International Classification of Diseases 10th edition codes A48.1, A70, B97.4–B97.6, J09–J15.8, J16–J16.9, J20–J21.9, J91.0, P23.0–P23.4, and U04–U04.9. We used the Cause of Death Ensemble modelling strategy to analyse 23 109 site-years of vital registration data, 825 site-years of sample vital registration data, 1766 site-years of verbal autopsy data, and 681 site-years of mortality surveillance data. We used DisMod-MR 2.1, a Bayesian meta-regression tool, to analyse age–sex-specific incidence and prevalence data identified via systematic reviews of the literature, population-based survey data, and claims and inpatient data. Additionally, we estimated age–sex-specific LRI mortality that is attributable to the independent effects of 14 risk factors. Findings Globally, in 2019, we estimated that there were 257 million (95% uncertainty interval [UI] 240–275) LRI incident episodes in males and 232 million (217–248) in females. In the same year, LRIs accounted for 1·30 million (95% UI 1·18–1·42) male deaths and 1·20 million (1·07–1·33) female deaths. Age-standardised incidence and mortality rates were 1·17 times (95% UI 1·16–1·18) and 1·31 times (95% UI 1·23–1·41) greater in males than in females in 2019. Between 1990 and 2019, LRI incidence and mortality rates declined at different rates across age groups and an increase in LRI episodes and deaths was estimated among all adult age groups, with males aged 70 years and older having the highest increase in LRI episodes (126·0% [95% UI 121·4–131·1]) and deaths (100·0% [83·4–115·9]). During the same period, LRI episodes and deaths in children younger than 15 years were estimated to have decreased, and the greatest decline was observed for LRI deaths in males younger than 5 years (–70·7% [–77·2 to –61·8]). The leading risk factors for LRI mortality varied across age groups and sex. More than half of global LRI deaths in children younger than 5 years were attributable to child wasting (population attributable fraction [PAF] 53·0% [95% UI 37·7–61·8] in males and 56·4% [40·7–65·1] in females), and more than a quarter of LRI deaths among those aged 5–14 years were attributable to household air pollution (PAF 26·0% [95% UI 16·6–35·5] for males and PAF 25·8% [16·3–35·4] for females). PAFs of male LRI deaths attributed to smoking were 20·4% (95% UI 15·4–25·2) in those aged 15–49 years, 30·5% (24·1–36·9) in those aged 50–69 years, and 21·9% (16·8–27·3) in those aged 70 years and older. PAFs of female LRI deaths attributed to household air pollution were 21·1% (95% UI 14·5–27·9) in those aged 15–49 years and 18·2% (12·5–24·5) in those aged 50–69 years. For females aged 70 years and older, the leading risk factor, ambient particulate matter, was responsible for 11·7% (95% UI 8·2–15·8) of LRI deaths. Interpretation The patterns and progress in reducing the burden of LRIs and key risk factors for mortality varied across age groups and sexes. The progress seen in children younger than 5 years was clearly a result of targeted interventions, such as vaccination and reduction of exposure to risk factors. Similar interventions for other age groups could contribute to the achievement of multiple Sustainable Development Goals targets, including promoting wellbeing at all ages and reducing health inequalities. Interventions, including addressing risk factors such as child wasting, smoking, ambient particulate matter pollution, and household air pollution, would prevent deaths and reduce health disparities