Propagation of highly nonlinear signals in a two dimensional network of granular chains

We report the first experimental observation of highly nonlinear signals propagating in a two dimensional system composed of granular chains. In this system one of the chains contacts two others to allow splitting and redirecting the solitary-like signal formed in the first chain. The system consists of a double Y-shaped guide in which high- and low-modulus chains of spheres are arranged in various geometries. We observed fast splitting of the initial pulse, rapid chaotization of the signal and sharp bending of the propagating acoustic information. Pulse and energy trapping was also observed in composite systems assembled from hard- and soft-particles in the branches

Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions

Intensified Antituberculosis Therapy in Adults with Tuberculous Meningitis

BACKGROUND Tuberculous meningitis is often lethal. Early antituberculosis treatment and adjunctive treatment with glucocorticoids improve survival, but nearly one third of patients with the condition still die. We hypothesized that intensified antituberculosis treatment would enhance the killing of intracerebral Mycobacterium tuberculosis organisms and decrease the rate of death among patients. METHODS We performed a randomized, double-blind, placebo-controlled trial involving human immunodeficiency virus (HIV)-infected adults and HIV-uninfected adults with a clinical diagnosis of tuberculous meningitis who were admitted to one of two Vietnamese hospitals. We compared a standard, 9-month antituberculosis regimen (which included 10 mg of rifampin per kilogram of body weight per day) with an intensified regimen that included higher-dose rifampin (15 mg per kilogram per day) and levofloxacin (20 mg per kilogram per day) for the first 8 weeks of treatment. The primary outcome was death by 9 months after randomization. RESULTS A total of 817 patients (349 of whom were HIV-infected) were enrolled; 409 were randomly assigned to receive the standard regimen, and 408 were assigned to receive intensified treatment. During the 9 months of follow-up, 113 patients in the intensified-treatment group and 114 patients in the standard-treatment group died (hazard ratio, 0.94; 95% confidence interval, 0.73 to 1.22; P=0.66). There was no evidence of a significant differential effect of intensified treatment in the overall population or in any of the subgroups, with the possible exception of patients infected with isoniazid-resistant M. tuberculosis. There were also no significant differences in secondary outcomes between the treatment groups. The overall number of adverse events leading to treatment interruption did not differ significantly between the treatment groups (64 events in the standard-treatment group and 95 events in the intensified-treatment group, P=0.08). CONCLUSIONS Intensified antituberculosis treatment was not associated with a higher rate of survival among patients with tuberculous meningitis than standard treatment. (Funded by the Wellcome Trust and the Li Ka Shing Foundation; Current Controlled Trials number, ISRCTN61649292.)

Heat Stress Affects Seed Set and Grain Quality of Vietnamese Rice Cultivars during Heading and Grain Filling Period

Environmental stress trigger a variety of rice plant response, ranging from alters seed set, grain yield and grain quality during flowering and grain filling stage.  Efforts are required to improve our understanding of the impact of heat stress on rice production, which are essential strategies in rice cultivation. This article investigated the seed set, yield components and grain yield of Vietnamese rice cultivars (Indica germplasm) under high temperature environment during the flowering and grain filling stage. Six rice cultivars, including popular cultivars and new cultivars of Cuu Long Delta Rice Research Institute, and one popular extraneous cultivar with differences in maturing time, were grown in pots at high temperature (HT) and natural temperature condition as control (CT). All rice cultivars were subjected to the high temperature starting from the heading stage to the harvest maturity, applied by greenhouse effect. The greenhouse has about 25 cm window opening on 3 sides for air ventilation. The seed set rate of the heat-sensitive rice genotypes decreased significantly under HT, leading to a significant reduction in grain yield. The lowest seed set was recorded in “OM4900” (44.3%) and “OM18” (39.9%) under high temperature environment. The lower yield in all rice cultivars at an elevated temperature resulted in a dramatic decrease of filled grains and contributed to a loss of 1000-grain weight. ‘“OM892” is a potential rice cultivar for heat tolerant breeding program due to the seed set percentage was above 80% in both HT and CT conditions. High temperature during the grain filling stage resulted in a decreased amylose and increased chalkiness for all OM cultivars

Randomized controlled trial of artesunate or artemether in Vietnamese adults with severe falciparum malaria

<p>Abstract</p> <p>Background</p> <p>Both artemether and artesunate have been shown to be superior to quinine for the treatment of severe falciparum malaria in Southeast Asian adults, although the magnitude of the superiority has been greater for artesunate than artemether. These two artemisinin derivatives had not been compared in a randomized trial.</p> <p>Methods</p> <p>A randomized double blind trial in 370 adults with severe falciparum malaria; 186 received intramuscular artesunate (2.4 mg/kg immediately followed by 1.2 mg/kg at 12 hours then 24 hours then daily) and 184 received intramuscular artemether (3.6 mg per kilogram immediately followed by 1.8 mg per kilogram daily) was conducted in Viet Nam. Both drugs were given for a minimum of 72 hours.</p> <p>Results</p> <p>There were 13 deaths in the artesunate group (7 percent) and 24 in the artemether group (13 percent); P = 0.052; relative risk of death in the patients given artesunate, 0.54; (95 percent confidence interval 0.28-1.02). Parasitaemia declined more rapidly in the artesunate group. Both drugs were very well tolerated.</p> <p>Conclusions</p> <p>Intramuscular artesunate may be superior to intramuscular artemether for the treatment of severe malaria in adults.</p

Simulation of Particle Size Effect on Dynamic Properties and Fracture of PTFE-W-Al Composites

Recent investigations of the dynamic compressive strength of cold isostatically pressed composites of polytetrafluoroethylene (PTFE), tungsten (W) and aluminum (Al) powders show significant differences depending on the size of metallic particles. The addition of W increases the density and overall strength of the sample. To investigate relatively large deformations multi-material Eulerian and arbitrary Lagrangian-Eulerian methods, which have the ability to efficiently handle the formation of free surfaces, were used. The calculations indicate that the increased strength of the sample with fine metallic particles is due to the formation of force chains under dynamic loading. This phenomenon occurs even at larger porosity of the PTFE matrix in comparison with samples with larger particle size of W and higher density of the PTFE matrix.Comment: 5 pages, 6 figure

Molybdenum sound velocity and shear modulus softening under shock compression

We measured the longitudinal sound velocity in Mo shock compressed up to 4.4 Mbars on the Hugoniot. Its sound speed increases linearly with pressure up to 2.6 Mbars; the slope then decreases up to the melting pressure of ∼3.8 Mbars. This suggests a decrease of shear modulus before the melt. A linear extrapolation of our data to 1 bar agrees with the ambient sound speed. The results suggest that Mo remains in the bcc phase on the Hugoniot up to the melting pressure. There is no statistically significant evidence for a previously reported bcc→hcp phase transition on the Hugoniot

Tantalum sound velocity under shock compression

We used several variations of the shock compression method to measure the longitudinal sound velocity of shocked tantalum over the pressure range 37–363 GPa with a typical uncertainty of 1.0%%. These data are consistent with Ta remaining in the bcc phase along the principal Hugoniot from ambient pressure to ≈300 GPa, at which pressure melting occurs. These data also do not support the putative melting phenomena reported below 100 GPa in some static compression experiments

Reply to “Comment on ‘Molybdenum sound velocity and shear modulus softening under shock compression’ ”

We respond to the Comment by Errandonea et al. [Phys. Rev. B 92, 026101 (2015)] on their reinterpretation of our published data [Nguyen et al., Phys. Rev. B 89, 174109 (2014)]. In the original paper, we argued that there is no solid-solid phase transition along the Hugoniot at 2.1 Mbars. There is, however, a softening of the shear modulus starting at 2.6 Mbars. Errandonea et al. [Phys. Rev. B 92, 026101 (2015)] reinterpreted our data and concluded that there is a structural change near 2.3 Mbars on the Hugoniot. We will explore the differences and agreements in the two interpretations of our data

Tantalum sound velocity under shock compression

We used several variations of the shock compression method to measure the longitudinal sound velocity of shocked tantalum over the pressure range 37–363 GPa with a typical uncertainty of 1.0%%. These data are consistent with Ta remaining in the bcc phase along the principal Hugoniot from ambient pressure to ≈300 GPa, at which pressure melting occurs. These data also do not support the putative melting phenomena reported below 100 GPa in some static compression experiments