Electric field dependence of thermal conductivity of a granular superconductor: Giant field-induced effects predicted

The temperature and electric field dependence of electronic contribution to the thermal conductivity (TC) of a granular superconductor is considered within a 3D model of inductive Josephson junction arrays. In addition to a low-temperature maximum of zero-field TC K(T,0) (controlled by mutual inductance L_0 and normal state resistivity R_n), the model predicts two major effects in applied electric field: (i) decrease of the linear TC, and (ii) giant enhancement of the nonlinear (i.e., grad T-dependent) TC with [K(T,E)-K(T,0)]/K(T,0) reaching 500% for parallel electric fields E=E_T (E_T=S_0|grad T| is an "intrinsic" thermoelectric field). A possiblity of experimental observation of the predicted effects in granular superconductors is discussed.Comment: 5 LaTeX pages (jetpl.sty included), 2 EPS figures. To be published in JETP Letter

Inhaled nitric oxide for high-altitude pulmonary edema

BACKGROUND. Pulmonary hypertension is a hallmark of high-altitude pulmonary edema and may contribute to its pathogenesis. When administered by inhalation, nitric oxide, an endothelium-derived relaxing factor, attenuates the pulmonary vasoconstriction produced by short-term hypoxia. METHODS. We studied the effects of inhaled nitric oxide on pulmonary-artery pressure and arterial oxygenation in 18 mountaineers prone to high-altitude pulmonary edema and 18 mountaineers resistant to this condition in a high altitude laboratory (altitude, 4559 m). We also obtained lung-perfusion scans before and during nitric oxide inhalation to gain further insight into the mechanism of action of nitric oxide. RESULTS. In the high-altitude laboratory, subjects prone to high-altitude pulmonary edema had more pronounced pulmonary hypertension and hypoxemia than subjects resistant to high-altitude pulmonary edema. Arterial oxygen saturation was inversely related to the severity of pulmonary hypertension (r=-0.50, P=0.002). In subjects prone to high-altitude pulmonary edema, the inhalation of nitric oxide (40 ppm for 15 minutes) produced a decrease in mean (+/-SD) systolic pulmonary-artery pressure that was three times larger than the decrease in subjects resistant to such edema (25.9+/-8.9 vs. 8.7+/-4.8 mm Hg, P<0.001). Inhaled nitric oxide improved arterial oxygenation in the 10 subjects who had radiographic evidence of pulmonary edema (arterial oxygen saturation increased from 67+/-10 to 73+/-12 percent, P=0.047), whereas it worsened oxygenation in subjects resistant to high-altitude pulmonary edema. The nitric oxide-induced improvement in arterial oxygenation in subjects with high-altitude pulmonary edema was accompanied by a shift in blood flow in the lung away from edematous segments and toward nonedematous segments. CONCLUSIONS. The inhalation of nitric oxide improves arterial oxygenation in high-altitude pulmonary edema, and this beneficial effect may be related to its favorable action on the distribution of blood flow in the lungs. A defect in nitric nitric oxide synthesis may contribute to high-altitude pulmonary edema

Enhancing Resource Management through Prediction-based Policies

Task-based programming models are emerging as a promising alternative to make the most of multi-/many-core systems. These programming models rely on runtime systems, and their goal is to improve application performance by properly scheduling application tasks to cores. Additionally, these runtime systems offer policies to cope with application phases that lack in parallelism to fill all cores. However, these policies are usually static and favor either performance or energy efficiency. In this paper, we have extended a task-based runtime system with a lightweight monitoring and prediction infrastructure that dynamically predicts the optimal number of cores required for each application phase, thus improving both performance and energy efficiency. Through the execution of several benchmarks in multi-/many-core systems, we show that our prediction-based policies have competitive performance while improving energy efficiency when compared to state of the art policies.Comment: Postprint submitted and published at Euro-Par2020: International European Conference on Parallel and Distributed Computing (Springer) (https://link.springer.com/chapter/10.1007%2F978-3-030-57675-2_31

Current-voltage characteristics of diluted Josephson-junction arrays: scaling behavior at current and percolation threshold

Dynamical simulations and scaling arguments are used to study the current-voltage (IV) characteristics of a two-dimensional model of resistively shunted Josephson-junction arrays in presence of percolative disorder, at zero external field. Two different limits of the Josephson-coupling concentration $p$ are considered, where $p_c$ is the percolation threshold. For $p$ $>$ $p_c$ and zero temperature, the IV curves show power-law behavior above a disorder dependent critical current. The power-law behavior and critical exponents are consistent with a simple scaling analysis. At $p_c$ and finite temperature $T$, the results show the scaling behavior of a T=0 superconducting transition. The resistance is linear but vanishes for decreasing $T$ with an apparent exponential behavior. Crossover to non-linearity appears at currents proportional to $$, with a thermal-correlation length exponent $\nu_T$ consistent with the corresponding value for the diluted XY model at $p_c$.Comment: Revtex, 9 postscript pages, to appear in Phys. Rev.

Causes of death and associated factors over a decade of follow-up in a cohort of people living with HIV in rural Tanzania

BACKGROUND: Nearly half of HIV-related deaths occur in East and Southern Africa, yet data on causes of death (COD) are scarce. We determined COD and associated factors among people living with HIV (PLHIV) in rural Tanzania. METHODS: PLHIV attending the Chronic Diseases Clinic of Ifakara, Morogoro are invited to enrol in the Kilombero and Ulanga Antiretroviral Cohort (KIULARCO). Among adults (>/= 15 years) enrolled in 2005-2018, with follow-up through April 2019, we classified COD in comprehensive classes and as HIV- or non-HIV-related. In the subset of participants enrolled in 2013-2018 (when data were more complete), we assessed cause-specific mortality using cumulative incidences, and associated factors using proportional hazards models. RESULTS: Among 9871 adults (65% female, 26% CD4 count < 100 cells/mm(3)), 926 (9%) died, among whom COD were available for 474 (51%), with missing COD mainly in earlier years. The most common COD were tuberculosis (N = 127, 27%), non-AIDS-related infections (N = 72, 15%), and other AIDS-related infections (N = 59, 12%). Cardiovascular and renal deaths emerged as important COD in later calendar years, with 27% of deaths in 2018 attributable to cardiovascular causes. Most deaths (51%) occurred within the first six months following enrolment. Among 3956 participants enrolled in 2013-2018 (N = 203 deaths, 200 with COD ascertained), tuberculosis persisted as the most common COD (25%), but substantial proportions of deaths from six months after enrolment onwards were attributable to renal (14%), non-AIDS-related infections (13%), other AIDS-related infections (10%) and cardiovascular (10%) causes. Factors associated with higher HIV-related mortality were sex, younger age, living in Ifakara town, HIV status disclosure, hospitalisation, not being underweight, lower CD4 count, advanced WHO stage, and gaps in care. Factors associated with higher non-HIV-related mortality included not having an HIV-positive partner, lower CD4 count, advanced WHO stage, and gaps in care. CONCLUSION: Incidence of HIV-related mortality was higher than that of non-HIV-related mortality, even in more recent years, likely due to late presentation. Tuberculosis was the leading specific COD identified, particularly soon after enrolment, while in later calendar years cardiovascular and renal causes emerged as important, emphasising the need for improved screening and management

Dynamic transition in vortex flow in strongly disordered Josephson junction arrays and superconducting thin films

We study the dynamics of vortices in strongly disordered $d=2$ Josephson junction arrays and superconducting films driven by a current. We find a dynamic phase transition in vortex flow at a current $I_p>I_c$. Below $I_p$ there is plastic flow characterized by an average-velocity correlation length scale $\xi_v$ in the direction of motion, which diverges when approaching $I_p$. Above $I_p$ we find a moving vortex phase with homogeneous flow and short range smectic order. A finite size analysis shows that this phase becomes asymptotically a liquid for large length scales.Comment: 4 pages, 4 figure

Diluted Josephson-junction arrays in a magnetic field: phase coherence and vortex glass thresholds

The effects of random dilution of junctions on a two-dimensional Josephson-junction array in a magnetic field are considered. For rational values of the average flux quantum per plaquette $f$, the superconducting transition temperature vanishes, for increasing dilution, at a critical value $x_S(f)$, while the vortex ordering remains stable up to $x_{VL}>x_S$, much below the value $x_p$ corresponding to the geometric percolation threshold. For $x_{VL}<x<x_p$, the array behaves as a zero-temperature vortex-glass. Numerical results for $f=1/2$ from defect energy calculations are presented which are consistent with this scenario.Comment: 4 pages, 4 figures, to appear in Phys. Rev.

Stigma-directed services (Stig2Health) to improve 'linkage to care' for people living with HIV in rural Tanzania: study protocol for a nested pre-post implementation study within the Kilombero and Ulanga Antiretroviral Cohort

Background: HIV-related stigma is a major barrier to the timely linkage and retention of patients in HIV care in sub-Saharan Africa, where most people living with HIV/AIDS reside. In this implementation study we aim to evaluate the effect of stigma-directed services on linkage to care and other health outcomes in newly diagnosed HIV-positive patients. Methods: In a nested project of the Kilombero and Ulanga Antiretroviral Cohort in rural Tanzania, we conduct a prospective observational pre-post study to assess the impact of a bundle of stigma-directed services for newly diagnosed HIV positive patients. Stigma-directed services, delivered by a lay person living with HIV, are i) post-test counseling, ii) post-test video-assisted teaching, iii) group support therapy and group health education, and iv) mobile health. Patients receiving stigma services (enrolled from 1 (st) February 2020 to 31 (st) August 2021) are compared to a historical control receiving the standard of care (enrolled from 1 (st) July 2017 to 1 (st) February 2019). The primary outcome is 'linkage to care'. Secondary endpoints are retention in care, viral suppression, death and clinical failure at 6-12 months (up to 31 (st) August 2022). Self-reported stigma and depression are assessed using the Berger Stigma scale and the PHQ-9 questionnaire, respectively. The sample size calculation was based on cohort data from 2018. Assuming a pre-intervention cohort of 511 newly diagnosed adults of whom 346 (68%) were in care and on antiretroviral treatment (ART) at 2 months, a 10% increase in linkage (from 70 to 80%), a two-sided type I error rate of 5%, and 90% power, 321 adults are required for the post-implementation group. Discussion: We expect that integration of stigma-directed services leads to an increase of proportions of patients in care and on ART. The findings will provide guidance on how to integrate stigma-directed services into routine care in rural sub-Saharan Africa

Phase-coherence threshold and vortex-glass state in diluted Josephson-junction arrays in a magnetic field

We study numerically the interplay of phase coherence and vortex-glass state in two-dimensional Josephson-junction arrays with average rational values of flux quantum per plaquette $f$ and random dilution of junctions. For $f=1/2$, we find evidence of a phase coherence threshold value $x_s$, below the percolation concentration of diluted junctions $x_p$, where the superconducting transition vanishes. For $x_s < x < x_p$ the array behaves as a zero-temperature vortex glass with nonzero linear resistance at finite temperatures. The zero-temperature critical currents are insensitive to variations in $f$ in the vortex glass region while they are strongly $f$ dependent in the phase coherent region.Comment: 6 pages, 4 figures, to appear in Phys. Rev.

Peptides derived from hookworm anti-inflammatory proteins suppress inducible colitis in mice and inflammatory cytokine production by human cells

A decline in the prevalence of parasites such as hookworms appears to be correlated with the rise in non-communicable inflammatory conditions in people from high- and middle-income countries. This correlation has led to studies that have identified proteins produced by hookworms that can suppress inflammatory bowel disease (IBD) and asthma in animal models. Hookworms secrete a family of abundant netrin-domain containing proteins referred to as AIPs (Anti-Inflammatory Proteins), but there is no information on the structure-function relationships. Here we have applied a downsizing approach to the hookworm AIPs to derive peptides of 20 residues or less, some of which display anti-inflammatory effects when co-cultured with human peripheral blood mononuclear cells and oral therapeutic activity in a chemically induced mouse model of acute colitis. Our results indicate that a conserved helical region is responsible, at least in part, for the anti-inflammatory effects. This helical region has potential in the design of improved leads for treating IBD and possibly other inflammatory conditions