229 research outputs found
Experimental and Computational Investigation for In-Line Boundary Layer Ingestion
The aerodynamic characteristics of an aft-body, in-line mounted, boundary layer ingesting, electric ducted fan, propulsion installation system has been investigated through experimental and computational analysis. A modular wind-tunnel model allows variation in the geometry of the propulsion installation system to be assessed, in combination with fan speed. Various experimental measurement techniques, including LDA, seven-hole-probe and surface pressures are employed. The propulsion installation system has also been investigated using RANS CFD and comparison with experimental data is presented. An investigation of the boundary conditions for efficiently representing the fan in CFD is described. Initial results show reasonably good agreement between CFD and experiment, in terms of velocity profiles and surface pressures, but highlight remaining differences for cases exhibiting flow separation
CFD applications in offshore engineering
This paper gives a discussion on the Computational Fluid Dynamics (CFD) applications in offshore engineering. Accurate hydrodynamic quantities are essential for engineering design. Offshore structures are generally subject to high Reynolds number flows. These high Reynolds number flow conditions (Re > 106) are difficult and expensive to achieve in an experimental setup. Therefore, it is attractive to use CFD to provide the essential hydrodynamic quantities for practical design. Verification and validation studies are important for determining the validity of the CFD prediction. A procedure of performing CFD simulation is shown. Different types of turbulence modelling are discussed. Three examples of high Reynolds number CFD simulations, covering flow around offshore structural components and waves past partially-submerged horizontal cylinders, are shown and discussed
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Mini-Cog for the diagnosis of Alzheimer's disease dementia and other dementias within a primary care setting.
BACKGROUND: Alzheimer's disease and other forms of dementia are becoming increasingly common with the aging of most populations. The majority of individuals with dementia will first present for care and assessment in primary care settings. There is a need for brief dementia screening instruments that can accurately diagnose dementia in primary care settings. The Mini-Cog is a brief, cognitive screening test that is frequently used to evaluate cognition in older adults in various settings. OBJECTIVES: To determine the diagnostic accuracy of the Mini-Cog for diagnosing Alzheimer's disease dementia and related dementias in a primary care setting. SEARCH METHODS: We searched the Cochrane Dementia and Cognitive Improvement Register of Diagnostic Test Accuracy Studies, MEDLINE, Embase and four other databases, initially to September 2012. Since then, four updates to the search were performed using the same search methods, and the most recent was January 2017. We used citation tracking (using the databases' 'related articles' feature, where available) as an additional search method and contacted authors of eligible studies for unpublished data. SELECTION CRITERIA: We only included studies that evaluated the Mini-Cog as an index test for the diagnosis of Alzheimer's disease dementia or related forms of dementia when compared to a reference standard using validated criteria for dementia. We only included studies that were conducted in primary care populations. DATA COLLECTION AND ANALYSIS: We extracted and described information on the characteristics of the study participants and study setting. Using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) criteria we evaluated the quality of studies, and we assessed risk of bias and applicability of each study for each domain in QUADAS-2. Two review authors independently extracted information on the true positives, true negatives, false positives, and false negatives and entered the data into Review Manager 5 (RevMan 5). We then used RevMan 5 to determine the sensitivity, specificity, and 95% confidence intervals. We summarized the sensitivity and specificity of the Mini-Cog in the individual studies in forest plots and also plotted them in a receiver operating characteristic plot. We also created a 'Risk of bias' and applicability concerns graph to summarize information related to the quality of included studies. MAIN RESULTS: There were a total of four studies that met our inclusion criteria, including a total of 1517 total participants. The sensitivity of the Mini-Cog varied between 0.76 to 1.00 in studies while the specificity varied between 0.27 to 0.85. The included studies displayed significant heterogeneity in both methodologies and clinical populations, which did not allow for a meta-analysis to be completed. Only one study (Holsinger 2012) was found to be at low risk of bias on all methodological domains. The results of this study reported that the sensitivity of the Mini-Cog was 0.76 and the specificity was 0.73. We found the quality of all other included studies to be low due to a high risk of bias with methodological limitations primarily in their selection of participants. AUTHORS' CONCLUSIONS: There is a limited number of studies evaluating the accuracy of the Mini-Cog for the diagnosis of dementia in primary care settings. Given the small number of studies, the wide range in estimates of the accuracy of the Mini-Cog, and methodological limitations identified in most of the studies, at the present time there is insufficient evidence to recommend that the Mini-Cog be used as a screening test for dementia in primary care. Further studies are required to determine the accuracy of Mini-Cog in primary care and whether this tool has sufficient diagnostic test accuracy to be useful as a screening test in this setting
Recommended from our members
Mini-Cog for the diagnosis of Alzheimer's disease dementia and other dementias within a community setting.
BACKGROUND: Alzheimer's disease and related forms of dementia are becoming increasingly prevalent with the aging of many populations. The diagnosis of Alzheimer's disease relies on tests to evaluate cognition and discriminate between individuals with dementia and those without dementia. The Mini-Cog is a brief, cognitive screening test that is frequently used to evaluate cognition in older adults in various settings. OBJECTIVES: The primary objective of this review was to determine the diagnostic accuracy of the Mini-Cog for detecting Alzheimer's disease dementia and related dementias in a community setting.Secondary objectives included investigations of the heterogeneity of test accuracy in the included studies and potential sources of heterogeneity. These potential sources of heterogeneity included the baseline prevalence of dementia in study samples, thresholds used to determine positive test results, the type of dementia (Alzheimer's disease dementia or all causes of dementia), and aspects of study design related to study quality. Overall, the goals of this review were to determine if the Mini-Cog is a cognitive screening test that could be recommended to screen for cognitive impairment in community settings. SEARCH METHODS: We searched MEDLINE (OvidSP), EMBASE (OvidSP), PsycINFO (Ovid SP), Science Citation Index (Web of Science), BIOSIS previews (Web of Science), LILACS (BIREME), and the Cochrane Dementia Group's developing register of diagnostic test accuracy studies to March 2013. We used citation tracking (using the database's 'related articles' feature, where available) as an additional search method and contacted authors of eligible studies for unpublished data. SELECTION CRITERIA: We included all cross-sectional studies that utilized the Mini-Cog as an index test for the diagnosis of dementia when compared to a reference standard diagnosis of dementia using standardized dementia diagnostic criteria. For the current review we only included studies that were conducted on samples from community settings, and excluded studies that were conducted in primary care or secondary care settings. We considered studies to be conducted in a community setting where participants were sampled from the general population. DATA COLLECTION AND ANALYSIS: Information from studies meeting the inclusion criteria were extracted including information on the characteristics of participants in the studies. The quality of the studies was assessed using the QUADAS-2 criteria and summarized using risk of bias applicability and summary graphs. We extracted information on the diagnostic test accuracy of studies including the sensitivity, specificity, and 95% confidence intervals of these measures and summarized the findings using forest plots. Study specific sensitivities and specificities were also plotted in receiver operating curve space. MAIN RESULTS: Three studies met the inclusion criteria, with a total of 1620 participants. The sensitivities of the Mini-Cog in the individual studies were reported as 0.99, 0.76 and 0.99. The specificity of the Mini-Cog varied in the individual studies and was 0.93, 0.89 and 0.83. There was clinical and methodological heterogeneity between the studies which precluded a pooled meta-analysis of the results. Methodological limitations were present in all the studies introducing potential sources of bias, specifically with respect to the methods for participant selection. AUTHORS' CONCLUSIONS: There are currently few studies assessing the diagnostic test accuracy of the Mini-Cog in community settings. The limited number of studies and the methodological limitations that are present in the current studies make it difficult to provide recommendations for or against the use of the Mini-Cog as a cognitive screening test in community settings. Additional well-designed studies comparing the Mini-Cog to other brief cognitive screening tests are required in order to determine the accuracy and utility of the Mini-Cog in community based settings
Transmutations and spectral parameter power series in eigenvalue problems
We give an overview of recent developments in Sturm-Liouville theory
concerning operators of transmutation (transformation) and spectral parameter
power series (SPPS). The possibility to write down the dispersion
(characteristic) equations corresponding to a variety of spectral problems
related to Sturm-Liouville equations in an analytic form is an attractive
feature of the SPPS method. It is based on a computation of certain systems of
recursive integrals. Considered as families of functions these systems are
complete in the -space and result to be the images of the nonnegative
integer powers of the independent variable under the action of a corresponding
transmutation operator. This recently revealed property of the Delsarte
transmutations opens the way to apply the transmutation operator even when its
integral kernel is unknown and gives the possibility to obtain further
interesting properties concerning the Darboux transformed Schr\"{o}dinger
operators.
We introduce the systems of recursive integrals and the SPPS approach,
explain some of its applications to spectral problems with numerical
illustrations, give the definition and basic properties of transmutation
operators, introduce a parametrized family of transmutation operators, study
their mapping properties and construct the transmutation operators for Darboux
transformed Schr\"{o}dinger operators.Comment: 30 pages, 4 figures. arXiv admin note: text overlap with
arXiv:1111.444
Pattern selection in the absolutely unstable regime as a nonlinear eigenvalue problem: Taylor vortices in axial flow
A unique pattern selection in the absolutely unstable regime of a driven,
nonlinear, open-flow system is analyzed: The spatiotemporal structures of
rotationally symmetric vortices that propagate downstream in the annulus of the
rotating Taylor-Couette system due to an externally imposed axial through-flow
are investigated for two different axial boundary conditions at the in- and
outlet. Unlike the stationary patterns in systems without through-flow the
spatiotemporal structures of propagating vortices are independent of parameter
history, initial conditions, and system's length. They do, however, depend on
the axial boundary conditions, the driving rate of the inner cylinder and the
through-flow rate. Our analysis of the amplitude equation shows that the
pattern selection can be described by a nonlinear eigenvalue problem with the
frequency being the eigenvalue. Approaching the border between absolute and
convective instability the eigenvalue problem becomes effectively linear and
the selection mechanism approaches that one of linear front propagation.
PACS:47.54.+r,47.20.Ky,47.32.-y,47.20.FtComment: 15 pages (LateX-file), 8 figures (Postscript
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