4,379 research outputs found

    Investigation of a Spoiler-Type Lateral Control System on a Wing with Full-Span Flaps in the Langley 19-Foot Pressure Tunnel

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    Tests of a partial-span model of a large bomber-type air1ane were conducted to determine the. aerodynamic characteristics of the wing equipped with full-span flaps and a retractable spoiler end aileron lateral control system. The arrangement consisted of (1) a double slotted flap extending over aproximate1y 86 percent of the wing semispan, (2) a 20-percent constant-percentage-chord aileron extending from the outboard end of the flap to the wing tip, and (3) a retractable spoiler, located at the 65-percent wing-chord station and extending from approximately 63 percent of the wing semispan to the wing tip. In addition, tests were made of a wing vent (of 1 and 2 percent of the wing chord located directly behind the spoiler), perforations in the spoiler, a blot or cut-out along the lower edge of the spoiler and spoilers of various spans. With full-span flaps deflected and with the 2-percent vent open or closed the initial stalling of the wing occurred at the tips, but with the vents closed there probably would be no appreciable loss in lateral control until maximum lift was reached. The l-percent vent increased the rolling effectiveness of the spoiler at small spoi1er deflections, particularly at high angles of attack with flaps deflected. With flaps deflected the 2-percent vent caused a large reduction in both the wing lift and rolling effectiveness of the spoiler at large angles of attack. However, at small angle of attack the 2-percent vent increased the rolling effectiveness of the spoiler at small spoiler deflections. The simultaneous operation of the spoiler and vent (in contrast to a vent fixed in the wing) would result in a large increase in the effectiveness of the spoiler and would avoid any loss in wing lift as in a fixed vent arrangement. The tests of the spoiler modifications revealed that (1) the spoiler perforations reduced the rolling-moment and yawing-moment coefficients but caused the spoiler hinge-moment coefficients to become more positive; (2) the spoiler slot had no notable effect on the rolling-moment and yawing-moment characteristics but produced a positive increase in the spoiler hinge-moment coefficients at large spoiler deflections; (3) the effects produced by the individual modifications were additive when the various modifications were combined. In general, progressively decreasing the spoiler span by removing the segments from the inboard end of the spoiler caused a decrease in rolling effectiveness approximately proportional to the span of the segment

    REMCARE : pragmatic multi-centre randomised trial of reminiscence groups for people with dementia and their family carers : effectiveness and economic analysis

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    Background Joint reminiscence groups, involving people with dementia and family carers together, are popular, but the evidence-base is limited. This study aimed to assess the effectiveness and cost-effectiveness of joint reminiscence groups as compared to usual care. Methods This multi-centre, pragmatic randomised controlled trial had two parallel arms: intervention group and usual-care control group. A restricted dynamic method of randomisation was used, with an overall allocation ratio of 1:1, restricted to ensure viable sized intervention groups. Assessments, blind to treatment allocation, were carried out at baseline, three months and ten months (primary end-point), usually in the person's home. Participants were recruited in eight centres, mainly through NHS Memory Clinics and NHS community mental health teams. Included participants were community resident people with mild to moderate dementia (DSM-IV), who had a relative or other care-giver in regular contact, to act as informant and willing and able to participate in intervention. 71% carers were spouses. 488 people with dementia (mean age 77.5) were randomised: 268 intervention, 220 control; 350 dyads completed the study (206 intervention, 144 control). The intervention evaluated was joint reminiscence groups (with up to 12 dyads) weekly for twelve weeks; monthly maintenance sessions for further seven months. Sessions followed a published treatment manual and were held in a variety of community settings. Two trained facilitators in each centre were supported by volunteers. Primary outcome measures were self-reported quality of life for the person with dementia (QoL-AD), psychological distress for the carer (General Health Questionnaire, GHQ-28). Secondary outcome measures included: autobiographical memory and activities of daily living for the person with dementia; carer stress for the carer; mood, relationship quality and service use and costs for both. Results The intention to treat analysis (ANCOVA) identified no differences in outcome between the intervention and control conditions on primary or secondary outcomes (self-reported QoL-AD mean difference 0.07 (-1.21 to 1.35), F = 0.48, p = 0.53). Carers of people with dementia allocated to the reminiscence intervention reported a significant increase in anxiety on a General Health Questionnaire-28 sub-scale at the ten month end-point (mean difference 1.25 (0.25 to 2.26), F = 8.28, p = 0.04). Compliance analyses suggested improved autobiographical memory, quality of life and relationship quality for people with dementia attending more reminiscence sessions, however carers attending more groups showed increased care-giving stress. Economic analyses from a public sector perspective indicated that joint reminiscence groups are unlikely to be cost-effective. There were no significant adverse effects attributed to the intervention. Potential limitations of the study include less than optimal attendance at the group sessions—only 57% of participants attended at least half of the intervention sessions over the 10 month period, and a higher rate of study withdrawal in the control group. Conclusions This trial does not support the clinical effectiveness or cost-effectiveness of joint reminiscence groups. Possible beneficial effects for people with dementia who attend sessions as planned are offset by raised anxiety and stress in their carers. The reasons for these discrepant outcomes need to be explored further, and may necessitate reappraisal of the movement towards joint interventions

    Compliance With a Risk-Factor-Based Guideline for the Prevention of Neonatal Group B Streptococcal Sepsis

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    Objective: The purpose of this study was to determine the compliance rate with a maternal risk-factor-based guideline for the prevention of neonatal group B streptococcal (GBS) sepsis

    Risk factors for COPD exacerbations in inhaled medication users: the COPDGene study biannual longitudinal follow-up prospective cohort.

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    BackgroundDespite inhaled medications that decrease exacerbation risk, some COPD patients experience frequent exacerbations. We determined prospective risk factors for exacerbations among subjects in the COPDGene Study taking inhaled medications.Methods2113 COPD subjects were categorized into four medication use patterns: triple therapy with tiotropium (TIO) plus long-acting beta-agonist/inhaled-corticosteroid (ICS ± LABA), tiotropium alone, ICS ± LABA, and short-acting bronchodilators. Self-reported exacerbations were recorded in telephone and web-based longitudinal follow-up surveys. Associations with exacerbations were determined within each medication group using four separate logistic regression models. A head-to-head analysis compared exacerbation risk among subjects using tiotropium vs. ICS ± LABA.ResultsIn separate logistic regression models, the presence of gastroesophageal reflux, female gender, and higher scores on the St. George's Respiratory Questionnaire were significant predictors of exacerbator status within multiple medication groups (reflux: OR 1.62-2.75; female gender: OR 1.53 - OR 1.90; SGRQ: OR 1.02-1.03). Subjects taking either ICS ± LABA or tiotropium had similar baseline characteristics, allowing comparison between these two groups. In the head-to-head comparison, tiotropium users showed a trend towards lower rates of exacerbations (OR = 0.69 [95 % CI 0.45, 1.06], p = 0.09) compared with ICS ± LABA users, especially in subjects without comorbid asthma (OR = 0.56 [95% CI 0.31, 1.00], p = 0.05).ConclusionsEach common COPD medication usage group showed unique risk factor patterns associated with increased risk of exacerbations, which may help clinicians identify subjects at risk. Compared to similar subjects using ICS ± LABA, those taking tiotropium showed a trend towards reduced exacerbation risk, especially in subjects without asthma.Trial registrationClinicalTrials.gov NCT00608764, first received 1/28/2008

    Lithologic Mapping of HED Terrains on Vesta using Dawn Framing Camera Color Data

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    The surface composition of Vesta, the most massive intact basaltic object in the asteroid belt, is interesting because it provides us with an insight into magmatic differentiation of planetesimals that eventually coalesced to form the terrestrial planets. The distribution of lithologic and compositional units on the surface of Vesta provides important constraints on its petrologic evolution, impact history and its relationship with Vestoids and howardite-eucrite-diogenite (HED) meteorites. Using color parameters (band tilt and band curvature) originally developed for analyzing lunar data, we have identified and mapped HED terrains on Vesta in Dawn Framing Camera (FC) color data. The average color spectrum of Vesta is identical to that of howardite regions, suggesting an extensive mixing of surface regolith due to impact gardening over the course of solar system history. Our results confirm the hemispherical dichotomy (east-west and north-south) in albedo/color/composition that has been observed by earlier studies. The presence of diogenite-rich material in the southern hemisphere suggests that it was excavated during the formation of the Rheasilvia and Veneneia basins. Our lithologic mapping of HED regions provides direct evidence for magmatic evolution of Vesta with diogenite units in Rheasilvia forming the lower crust of a differentiated object.Comment: Accepted for Meteoritics and Planetary Science special issue for Composition of Vesta/Dawn Missio
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