Self-sustained oscillations of a shock wave interacting with a boundary layer on a supercritical airfoil

A theory is proposed of the self-sustaining oscillations of a weak shock on an airfoil in steady, transonic flow. The interaction of the shock with the boundary layer on the airfoil produces displacement thickness fluctuations which convect downstream and generate sound by interaction with the trailing edge. A feedback loop is established when this sound impinges on the shock wave, resulting in the production of further fluctuations in the displacement thickness. The details are worked out for an idealized mean boundary layer velocity profile, but strong support for the basic hypotheses of the theory is provided by a comparison with recent experiments involving the generation of acoustic "tone bursts' by a supercritical airfoil section

Inviting Introspection:Intentions for Ethical Engagement in Practice

The practice of medicine is full of ethical challenges. Although ethical principles and organizational formats can help clinicians manage these challenges, they do not necessarily help them develop the routine habit of bringing a focused ethical attentiveness to every patient encounter. In this article, the author—a seasoned generalist practitioner—describes how he has personally worked to cultivate this habit by holding in mind four introspective intentions. These intentions are aimed at alleviating suffering, promoting dignity, recognizing interdependency, and advancing wisdom, respectively. The author presents these intentions, reviews some benefits by which they enhance his work, and discusses some concerns they pose. He concludes by inviting other health care professionals and bioethical specialists to consider integrating intentions into their own clinical and consultative practices

Large amplitude flutter of a low aspect ratio panel at low supersonic speeds comparison of theory and experiment

Flutter boundaries, as well as flutter limit cycle amplitudes, frequencies and stresses were computed for a panel of length-width ratio 4.48 exposed to applied in-plane and transverse loads. The Mach number range was 1.1 to 1.4. The method used involved direct numerical integration of modal equations of motion derived from the nonlinear plate equations of von Karman, coupled with linearized potential flow aerodynamic theory. The flutter boundaries agreed reasonably well with experiment, except when the in-plane loading approached the buckling load. Structural damping had to be introduced, to produce frequencies comparable to the experimental values. Attempts to compute panel deflections or stress at a given point met with limited success. There is some evidence, however, that deflection and stress maxima can be estimated with somewhat greater accuracy

And the Keyboard Goes Click, Click, Click

In this essay I discuss the use of Electronic Health Records (EHRs) from three different points of view. These perspectives come from my experiences as a patient, family physician, and medical anthropologist. I briefly explore how health care practitioners repeatedly have been told that EHRs hold great promise to facilitate communication with patients. I note how EHRs have, at present, far from reached that promise: in general, health care practitioners have yet to integrate EHRs in ways that promote a shared therapeutic presence—the healing human connection that can emerge in clinical encounters—between them and their patients. I conclude by examining my own limitations in using the EHR and the mindful lesson I have learned in the process

The SRB heat shield: Aeroelastic stability during reentry

Wind tunnel tests of a 3% scale model of the aft portion of the SRB equipped with partially scaled heat shields were conducted for the purpose of measuring fluctuating pressure levels in the aft skirt region. During these tests, the heat shields were observed to oscillate violently, the oscillations in some instances causing the heat shields to fail. High speed films taken during the tests reveal a regular pattern of waves in the fabric starting near the flow stagnation point and progressing around both sides of the annulus. The amplitude of the waves was too great, and their pattern too regular, for them to be attributed to the fluctuating pressure levels measured during the tests. The cause of the oscillations observed in the model heat shields, and whether or not similar oscillations will occur in the full scale SRB heat shield during reentry were investigated. Suggestions for modifying the heat shield so as to avoid the oscillations are provided, and recommendations are made for a program of vibration and wind tunnel tests of reduced-scale aeroelastic models of the heat shield

Turbofan noise generation. Volume 2: Computer programs

The use of a package of computer programs developed to calculate the in duct acoustic mods excited by a fan/stator stage operating at subsonic tip speed is described. The following three noise source mechanisms are included: (1) sound generated by the rotor blades interacting with turbulence ingested into, or generated within, the inlet duct; (2) sound generated by the stator vanes interacting with the turbulent wakes of the rotor blades; and (3) sound generated by the stator vanes interacting with the velocity deficits in the mean wakes of the rotor blades. The computations for three different noise mechanisms are coded as three separate computer program packages. The computer codes are described by means of block diagrams, tables of data and variables, and example program executions; FORTRAN listings are included

Turbofan noise generation. Volume 1: Analysis

Computer programs were developed which calculate the in-duct acoustic modes excited by a fan/stator stae operating at subsonic tip speed. Three noise source mechanisms are included: (1) sound generated by the rotor blades interacting with turbulence ingested into, or generated within, the inlet duct; (2) sound generated by the stator vanes interacting with the turbulent wakes of the rotors blades; and (3) sound generated by the stator vanes interacting with the mean velocity deficit wakes of the rotor blades. The fan/stator stage is modeled as an ensemble of blades and vanes of zero camber and thickness enclosed within an infinite hard-walled annular duct. Turbulence drawn into or generated within the inlet duct is modeled as nonhomogeneous and anisotropic random fluid motion, superimposed upon a uniform axial mean flow, and convected with that flow. Equations for the duct mode amplitudes, or expected values of the amplitudes, are derived

Shared Presence in Physician-Patient Communication: A Graphic Representation

Shared presence is a state of being in which physicians and patients enter into a deep sense of trust, respect, and knowing that facilitates healing. Communication between physicians and patients (and, in fact, all providers and recipients of health care) is the medium through which shared presence occurs, regardless of the presenting problem, time available, location of care, or clinical history of the patient. Conceptualizing how communication leads to shared presence has been a challenging task, however. Pathways of this process have been routinely lumped together as the biopsychosocial model or patient, person, and relationship-centered care—all deceptive in their simplicity but, in fact, highly complex—or reduced to descriptive explications of one constituent element (e.g., empathy). In this article, we reconcile these pathways and elements by presenting a graphic image for clinicians and teachers in medical education. This conceptual image serves as a framework to synthesize the vast literature on physician-patient communication. We place shared presence, the fundamental characteristic of effective clinical communication, at the center of our figure. Around this focal point, we locate four elemental factors that either contribute to or result from shared presence, including interpersonal skills, relational contexts, actions in clinical encounters, and healing outcomes. By visually presenting various known and emergent theories of physician-patient communication, outlining the flow of successful encounters between physicians and patients, and noting how such encounters can improve outcomes, physicians, other health care professionals, and medical educators can better grasp the complexity, richness, and potential for achieving shared presence with their patients

Measurements of the reflection factor of flat ground surfaces

Measurements are made of the reflection factors of asphalt, concrete, and sod at oblique angles of incidence. Initial measurements were carried out in an anechoic chamber to eliminate the effects of wind and temperature gradients. These were followed by measurements made outdoors over a wider frequency range. Data are presented for the magnitudes of the reflection factors of asphalt, concrete, and sod at angles of incidence of 38 deg and 45 deg