Observation of Ising-like critical fluctuations in frustrated Josephson junction arrays with modulated coupling energies

We report the results of ac sheet conductance measurements performed on fully frustrated square arrays of Josephson junctions whose coupling energy is periodically modulated in one of the principal lattice directions. Such systems are predicted to exhibit two distinct transitions: a low-temperature Ising-like transition triggered by the proliferation of domain walls and a high-temperature transition driven by the vortex unbinding mechanism of the Beresinskii-Kosterlitz-Thouless (BKT) theory. Both the superfluid and dissipative components of the conductance are found to exhibit features which unambiguously demonstrate the existence of a double transition whose properties are consistent with the Ising-BKT scenario.Comment: To be published in Physica C (Proceedings of the 2nd European Conference in School Format 'Vortex Matter in Superconductors'

Collective pinning of a frozen vortex liquid in ultrathin superconducting YBa_2Cu_3O_7 films

The linear dynamic response of the two-dimensional (2D) vortex medium in ultrathin YBa_2Cu_3O_7 films was studied by measuring their ac sheet impedance Z over a broad range of frequencies \omega. With decreasing temperature the dissipative component of Z exhibits, at a temperature T*(\omega) well above the melting temperature of a 2D vortex crystal, a crossover from a thermally activated regime involving single vortices to a regime where the response has features consistent with a description in terms of a collectively pinned vortex manifold. This suggests the idea of a vortex liquid which, below T*(\omega), appears to be frozen at the time scales 1/\omega of the experiments.Comment: 4 pages, 3 figures, submitted to Phys. Rev. Let

Dynamic Scaling of Magnetic Flux Noise Near the KTB Transition in Overdamped Josephson Junction Arrays

We have used a dc Superconducting QUantum Interference Device to measure the magnetic flux noise generated by the equilibrium vortex density fluctuations associated with the Kosterlitz-Thouless-Berezinskii (KTB) transition in an overdamped Josephson junction array. At temperatures slightly above the KTB transition temperature, the noise is white for $f<f_\xi$ and scales as $1/f$ for $f>f_\xi$. Here $f_\xi\propto\xi^{-z}$, where $\xi$ is the correlation length and $z$ is the dynamic exponent. Moreover, when all frequencies are scaled by $f_\xi$, data for different temperatures and frequencies collapse on to a single curve. In addition, we have extracted the dynamic exponent $z$ and found $z=1.98\pm0.03$.Comment: 5 pages, LaTeX (REVTeX) format, requires epsfig and amstex style files. 3 figures included. Tentatively scheduled for publication in Physical Review Letters, 18 March, 199

The fully frustrated XY model with next nearest neighbor interaction

We introduce a fully frustrated XY model with nearest neighbor (nn) and next nearest neighbor (nnn) couplings which can be realized in Josephson junction arrays. We study the phase diagram for $0\leq x \leq 1$ ($x$ is the ratio between nnn and nn couplings). When $x < 1/\sqrt{2}$ an Ising and a Berezinskii-Kosterlitz-Thouless transitions are present. Both critical temperatures decrease with increasing $x$. For $x > 1/\sqrt{2}$ the array undergoes a sequence of two transitions. On raising the temperature first the two sublattices decouple from each other and then, at higher temperatures, each sublattice becomes disorderd.Comment: 11 pages, 5 figure

Fluctuation-dissipation theorem and flux noise in overdamped Josephson junction arrays

The form of the fluctuation-dissipation theorem for a resistively shunted Josephson juction array is derived with the help of the method which explicitely takes into acoount screening effects. This result is used to express the flux noise power spectrum in terms of frequency dependent sheet impedance of the array. The relation between noise amplitude and parameters of the detection coil is analysed for the simplest case of a single-loop coil.Comment: ReVTeX, 8 page

Temperature and Frequency Dependence of Complex Conductance of Ultrathin YBa2Cu3O7-x Films: A Study of Vortex-Antivortex Pair Unbinding

We have studied the temperature dependencies of the complex sheet conductance of 1-3 unit cell (UC) thick YBa2Cu3O7-x films sandwiched between semiconducting Pr0.6Y0.4Ba2Cu3O7-x layers at high frequencies. Experiments have been carried out in a frequency range between: 2 - 30 MHz with one-spiral coil technique, 100 MHz - 1 GHz frequency range with a new technique using the spiral coil cavity and at 30 GHz by aid of a resonant cavity technique. The real and imaginary parts of the mutual-inductance between a coil and a film were measured and converted to complex conductivity by aid of the inversion procedure. We have found a quadratic temperature dependence of the kinetic inductance, L_k^-1(T), at low temperatures independent of frequency, with a break in slope at T^dc_BKT, the maximum of real part of conductance and a large shift of the break temperature and the maximum position to higher temperatures with increasing frequency. We obtain from these data the universal ratio T^dc_BKT/L_k^-1(T^dc_BKT) = 25, 25, and 17 nHK for 1-, 2- and 3UC films, respectively in close agreement with theoretical prediction of 12 nHK for vortex-antivortex unbinding transition. The activated temperature dependence of the vortex diffusion constant was observed and discussed in the framework of vortex-antivortex pair pinning. PACS numbers: 74.80.Dm, 74.25.Nf, 74.72.Bk, 74.76.BzComment: PDF file, 10 pages, 6 figures, to be published in J. Low Temp. Phys.; Proc. of NATO ARW: VORTEX 200

1/\omega-flux-noise and dynamical critical properties of two-dimensional XY-models

We have numerically studied the dynamic correlation functions in thermodynamic equilibrium of two-dimensional O(2)-symmetry models with either bond (RSJ) or site (TDGL) dissipation as a function of temperature T. We find that above the critical temperature the frequency dependent flux noise $S_{\Phi}(\omega)\sim \vert 1+ {(\omega/\Omega)}^2\vert^{-\alpha (T)/2}$, with $0.85\leq \alpha (TDGL)(T)\leq 0.95$ and $1.17 \leq \alpha (RSJ)(T) \leq 1.27$, while the dynamic critical exponents $z(TDGL)\sim 2.0$ and $z(RSJ)\sim 0.9$. Contrary to expectation the TDGL results are in closer agreement with the experiments in Josephson-junction arrays by Shaw et al., than those from the RSJ model. We find that these results are related to anomalous vortex diffusion through vortex clusters.Comment: 4 pages Rev-Tex, two figures in postscript. To appear In Physical Review Letter

Spontaneous Breathing in Early Acute Respiratory Distress Syndrome: Insights From the Large Observational Study to UNderstand the Global Impact of Severe Acute Respiratory FailurE Study

OBJECTIVES: To describe the characteristics and outcomes of patients with acute respiratory distress syndrome with or without spontaneous breathing and to investigate whether the effects of spontaneous breathing on outcome depend on acute respiratory distress syndrome severity. DESIGN: Planned secondary analysis of a prospective, observational, multicentre cohort study. SETTING: International sample of 459 ICUs from 50 countries. PATIENTS: Patients with acute respiratory distress syndrome and at least 2 days of invasive mechanical ventilation and available data for the mode of mechanical ventilation and respiratory rate for the 2 first days. INTERVENTIONS: Analysis of patients with and without spontaneous breathing, defined by the mode of mechanical ventilation and by actual respiratory rate compared with set respiratory rate during the first 48 hours of mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: Spontaneous breathing was present in 67% of patients with mild acute respiratory distress syndrome, 58% of patients with moderate acute respiratory distress syndrome, and 46% of patients with severe acute respiratory distress syndrome. Patients with spontaneous breathing were older and had lower acute respiratory distress syndrome severity, Sequential Organ Failure Assessment scores, ICU and hospital mortality, and were less likely to be diagnosed with acute respiratory distress syndrome by clinicians. In adjusted analysis, spontaneous breathing during the first 2 days was not associated with an effect on ICU or hospital mortality (33% vs 37%; odds ratio, 1.18 [0.92-1.51]; p = 0.19 and 37% vs 41%; odds ratio, 1.18 [0.93-1.50]; p = 0.196, respectively ). Spontaneous breathing was associated with increased ventilator-free days (13 [0-22] vs 8 [0-20]; p = 0.014) and shorter duration of ICU stay (11 [6-20] vs 12 [7-22]; p = 0.04). CONCLUSIONS: Spontaneous breathing is common in patients with acute respiratory distress syndrome during the first 48 hours of mechanical ventilation. Spontaneous breathing is not associated with worse outcomes and may hasten liberation from the ventilator and from ICU. Although these results support the use of spontaneous breathing in patients with acute respiratory distress syndrome independent of acute respiratory distress syndrome severity, the use of controlled ventilation indicates a bias toward use in patients with higher disease severity. In addition, because the lack of reliable data on inspiratory effort in our study, prospective studies incorporating the magnitude of inspiratory effort and adjusting for all potential severity confounders are required

Identifying associations between diabetes and acute respiratory distress syndrome in patients with acute hypoxemic respiratory failure: an analysis of the LUNG SAFE database

Background: Diabetes mellitus is a common co-existing disease in the critically ill. Diabetes mellitus may reduce the risk of acute respiratory distress syndrome (ARDS), but data from previous studies are conflicting. The objective of this study was to evaluate associations between pre-existing diabetes mellitus and ARDS in critically ill patients with acute hypoxemic respiratory failure (AHRF). Methods: An ancillary analysis of a global, multi-centre prospective observational study (LUNG SAFE) was undertaken. LUNG SAFE evaluated all patients admitted to an intensive care unit (ICU) over a 4-week period, that required mechanical ventilation and met AHRF criteria. Patients who had their AHRF fully explained by cardiac failure were excluded. Important clinical characteristics were included in a stepwise selection approach (forward and backward selection combined with a significance level of 0.05) to identify a set of independent variables associated with having ARDS at any time, developing ARDS (defined as ARDS occurring after day 2 from meeting AHRF criteria) and with hospital mortality. Furthermore, propensity score analysis was undertaken to account for the differences in baseline characteristics between patients with and without diabetes mellitus, and the association between diabetes mellitus and outcomes of interest was assessed on matched samples. Results: Of the 4107 patients with AHRF included in this study, 3022 (73.6%) patients fulfilled ARDS criteria at admission or developed ARDS during their ICU stay. Diabetes mellitus was a pre-existing co-morbidity in 913 patients (22.2% of patients with AHRF). In multivariable analysis, there was no association between diabetes mellitus and having ARDS (OR 0.93 (0.78-1.11); p = 0.39), developing ARDS late (OR 0.79 (0.54-1.15); p = 0.22), or hospital mortality in patients with ARDS (1.15 (0.93-1.42); p = 0.19). In a matched sample of patients, there was no association between diabetes mellitus and outcomes of interest. Conclusions: In a large, global observational study of patients with AHRF, no association was found between diabetes mellitus and having ARDS, developing ARDS, or outcomes from ARDS. Trial registration: NCT02010073. Registered on 12 December 2013

Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries

Background: To better understand the epidemiology and patterns of tracheostomy practice for patients with acute respiratory distress syndrome (ARDS), we investigated the current usage of tracheostomy in patients with ARDS recruited into the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG-SAFE) study. Methods: This is a secondary analysis of LUNG-SAFE, an international, multicenter, prospective cohort study of patients receiving invasive or noninvasive ventilation in 50 countries spanning 5 continents. The study was carried out over 4 weeks consecutively in the winter of 2014, and 459 ICUs participated. We evaluated the clinical characteristics, management and outcomes of patients that received tracheostomy, in the cohort of patients that developed ARDS on day 1-2 of acute hypoxemic respiratory failure, and in a subsequent propensity-matched cohort. Results: Of the 2377 patients with ARDS that fulfilled the inclusion criteria, 309 (13.0%) underwent tracheostomy during their ICU stay. Patients from high-income European countries (n = 198/1263) more frequently underwent tracheostomy compared to patients from non-European high-income countries (n = 63/649) or patients from middle-income countries (n = 48/465). Only 86/309 (27.8%) underwent tracheostomy on or before day 7, while the median timing of tracheostomy was 14 (Q1-Q3, 7-21) days after onset of ARDS. In the subsample matched by propensity score, ICU and hospital stay were longer in patients with tracheostomy. While patients with tracheostomy had the highest survival probability, there was no difference in 60-day or 90-day mortality in either the patient subgroup that survived for at least 5 days in ICU, or in the propensity-matched subsample. Conclusions: Most patients that receive tracheostomy do so after the first week of critical illness. Tracheostomy may prolong patient survival but does not reduce 60-day or 90-day mortality. Trial registration: ClinicalTrials.gov, NCT02010073. Registered on 12 December 2013