Multiscale theory of nonlinear wavepacket propagation in a planar optical waveguide

In this paper, the multiscale expansion formalism is applied for the first time, to our knowledge, in nonlinear planar optical waveguides. This formalism permits us to describe the linear and nonlinear propagation for both transverse electric and transverse magnetic modes. The modal field distributions and the nonlinear coefficient in the nonlinear Schrödinger equation are highlighted

Polarization switching in a planar optical waveguide

The multiscale expansion formalism is applied to the study of nonlinear planar optical waveguides. It allows us to describe the linear and nonlinear propagation for both transverse electric and transverse magnetic modes, and the interaction between them. An accurate computation of the nonlinear self- and cross-phase modulation coefficients allows one to give account of the polarization switching which has been observed experimentally

Backscatter-assisted data offloading in OFDMA-based wireless powered mobile edge computing for IoT networks

Mobile edge computing (MEC) has emerged as a prominent technology to overcome sudden demands on computation-intensive applications of the Internet of Things (IoT) with finite processing capabilities. Nevertheless, the limited energy resources also seriously hinders IoT devices from offloading tasks that consume high power in active RF communications. Despite the development of energy harvesting (EH) techniques, the harvested energy from surrounding environments could be inadequate for power-hungry tasks. Fortunately, Backscatter communications (Backcom) is an intriguing technology to narrow the gap between the power needed for communication and harvested power. Motivated by these considerations, this paper investigates a backscatter-assisted data offloading in OFDMA-based wireless-powered (WP) MEC for IoT systems. Specifically, we aim at maximizing the sum computation rate by jointly optimizing the transmit power at the gateway (GW), backscatter coefficient, time-splitting (TS) ratio, and binary decision-making matrices. This problem is challenging to solve due to its non-convexity. To find solutions, we first simplify the problem by determining the optimal values of transmit power of the GW and backscatter coefficient. Then, the original problem is decomposed into two sub-problems, namely, TS ratio optimization with given offloading decision matrices and offloading decision optimization with given TS ratio. Especially, a closedform expression for the TS ratio is obtained which greatly enhances the CPU execution time. Based on the solutions of the two sub-problems, an efficient algorithm, termed the fast-efficient algorithm (FEA), is proposed by leveraging the block coordinate descent method. Then, it is compared with exhaustive search (ES), bisection-based algorithm (BA), edge computing (EC), and local computing (LC) used as reference methods. As a result, the FEA is the best solution which results in a near-globally-optimal solution at a much lower complexity as compared to benchmark schemes. For instance, the CPU execution time of FEA is about 0.029 second in a 50-user network, which is tailored for ultralow latency applications of IoT networks

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

Combination Antifungal Therapy for Cryptococcal Meningitis

Background Combination antifungal therapy (amphotericin B deoxycholate and flucytosine) is the recommended treatment for cryptococcal meningitis but has not been shown to reduce mortality, as compared with amphotericin B alone. We performed a randomized, controlled trial to determine whether combining flucytosine or high-dose fluconazole with high-dose amphotericin B improved survival at 14 and 70 days. Methods We conducted a randomized, three-group, open-label trial of induction therapy for cryptococcal meningitis in patients with human immunodeficiency virus infection. All patients received amphotericin B at a dose of 1 mg per kilogram of body weight per day; patients in group 1 were treated for 4 weeks, and those in groups 2 and 3 for 2 weeks. Patients in group 2 concurrently received flucytosine at a dose of 100 mg per kilogram per day for 2 weeks, and those in group 3 concurrently received fluconazole at a dose of 400 mg twice daily for 2 weeks. Results A total of 299 patients were enrolled. Fewer deaths occurred by days 14 and 70 among patients receiving amphotericin B and flucytosine than among those receiving amphotericin B alone (15 vs. 25 deaths by day 14; hazard ratio, 0.57; 95% confidence interval [CI], 0.30 to 1.08; unadjusted P=0.08; and 30 vs. 44 deaths by day 70; hazard ratio, 0.61; 95% CI, 0.39 to 0.97; unadjusted P=0.04). Combination therapy with fluconazole had no significant effect on survival, as compared with monotherapy (hazard ratio for death by 14 days, 0.78; 95% CI, 0.44 to 1.41; P=0.42; hazard ratio for death by 70 days, 0.71; 95% CI, 0.45 to 1.11; P=0.13). Amphotericin B plus flucytosine was associated with significantly increased rates of yeast clearance from cerebrospinal fluid (−0.42 log10 colony-forming units [CFU] per milliliter per day vs. −0.31 and −0.32 log10 CFU per milliliter per day in groups 1 and 3, respectively; P<0.001 for both comparisons). Rates of adverse events were similar in all groups, although neutropenia was more frequent in patients receiving a combination therapy. Conclusions Amphotericin B plus flucytosine, as compared with amphotericin B alone, is associated with improved survival among patients with cryptococcal meningitis. A survival benefit of amphotericin B plus fluconazole was not found

Severe Pandemic H1N1 2009 Infection Is Associated with Transient NK and T Deficiency and Aberrant CD8 Responses

BACKGROUND: It is unclear why the severity of influenza varies in healthy adults or why the burden of severe influenza shifts to young adults when pandemic strains emerge. One possibility is that cross-protective T cell responses wane in this age group in the absence of recent infection. We therefore compared the acute cellular immune response in previously healthy adults with severe versus mild pandemic H1N1 infection. METHODS AND PRINCIPAL FINDINGS: 49 previously healthy adults admitted to the National Hospital of Tropical Diseases, Viet Nam with RT-PCR-confirmed 2009 H1N1 infection were prospectively enrolled. 39 recovered quickly whereas 10 developed severe symptoms requiring supplemental oxygen and prolonged hospitalization. Peripheral blood lymphocyte subset counts and activation (HLADR, CD38) and differentiation (CD27, CD28) marker expression were determined on days 0, 2, 5, 10, 14 and 28 by flow cytometry. NK, CD4 and CD8 lymphopenia developed in 100%, 90% and 60% of severe cases versus 13% (p<0.001), 28%, (p = 0.001) and 18% (p = 0.014) of mild cases. CD4 and NK counts normalized following recovery. B cell counts were not significantly associated with severity. CD8 activation peaked 6-8 days after mild influenza onset, when 13% (6-22%) were HLADR+CD38+, and was accompanied by a significant loss of resting/CD27+CD28+ cells without accumulation of CD27+CD28- or CD27-CD28- cells. In severe influenza CD8 activation peaked more than 9 days post-onset, and/or was excessive (30-90% HLADR+CD38+) in association with accumulation of CD27+CD28- cells and maintenance of CD8 counts. CONCLUSION: Severe influenza is associated with transient T and NK cell deficiency. CD8 phenotype changes during mild influenza are consistent with a rapidly resolving memory response whereas in severe influenza activation is either delayed or excessive, and partially differentiated cells accumulate within blood indicating that recruitment of effector cells to the lung could be impaired