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How the health-seeking behaviour of pregnant women affects neonatal outcomes: findings of system dynamics modelling in Pakistan
Background: Limited studies have explored how health-seeking behaviour during pregnancy through to delivery affect neonatal outcomes. We modelled health-seeking behaviour across urban and rural settings in Pakistan, where poor neonatal outcomes persist with wide disparities.
Methods and findings: A system dynamics model was developed and parameterised. Following validation tests, the model was used to determine neonatal mortality for pregnant women considering their decisions to access, refuse and switch antenatal care services in four provider sectors: public, private, traditional and charitable. Four health-seeking scenarios were tested across different pregnancy trimesters. Health-seeking behaviour in different subgroups by geographical locations and social network effect was modelled. The largest reduction in neonatal mortality was achieved with antenatal care provided by skilled providers in public, private or charitable sectors, combined with the use of institutional delivery. Women’s social networks had strong influences on if, when and where to seek care. Interventions by Lady Health Workers had a minimal impact on health-seeking behaviour and neonatal outcomes after trimester 1. Optimal benefits were achieved for urban women when antenatal care was accessed within trimester 2, but for rural women within trimester 1. Antenatal care access delayed to trimester 3 had no protective impact on neonatal mortality.
Conclusions: System dynamics modelling enables capturing the complexity of health-seeking behaviours and impact on outcomes, informing intervention design, implementation of targeted policies and uptake of services specific to urban/rural settings considering structural enablers/barriers to access, cultural contexts and strong social network influences
Quasi-reversible Magnetoresistance in Exchange Spring Tunnel Junctions
We report a large, quasi-reversible tunnel magnetoresistance in
exchange-biased ferromagnetic semiconductor tunnel junctions wherein a soft
ferromagnetic semiconductor (\gma) is exchange coupled to a hard ferromagnetic
metal (MnAs). Our observations are consistent with the formation of a region of
inhomogeneous magnetization (an "exchange spring") within the biased \gma
layer. The distinctive tunneling anisotropic magnetoresistance of \gma produces
a pronounced sensitivity of the magnetoresistance to the state of the exchange
spring
Controlling the superconducting transition by spin-orbit coupling
Whereas there exists considerable evidence for the conversion of singlet
Cooper pairs into triplet Cooper pairs in the presence of inhomogeneous
magnetic fields, recent theoretical proposals have suggested an alternative way
to exert control over triplet generation: intrinsic spin-orbit coupling in a
homogeneous ferromagnet coupled to a superconductor. Here, we proximity-couple
Nb to an asymmetric Pt/Co/Pt trilayer, which acts as an effective spin-orbit
coupled ferromagnet owing to structural inversion asymmetry. Unconventional
modulation of the superconducting critical temperature as a function of
in-plane and out-of- plane applied magnetic fields suggests the presence of
triplets that can be controlled by the magnetic orientation of a single
homogeneous ferromagnet. Our studies demonstrate for the first time an active
role of spin-orbit coupling in controlling the triplets -- an important step
towards the realization of novel superconducting spintronic devices.Comment: 11 pages + 4 figures + supplemental informatio
The Fractional Quantum Hall States at and and their Non-Abelian Nature
We investigate the nature of the fractional quantum Hall (FQH) state at
filling factor , and its particle-hole conjugate state at ,
with the Coulomb interaction, and address the issue of possible competing
states. Based on a large-scale density-matrix renormalization group (DMRG)
calculation in spherical geometry, we present evidence that the physics of the
Coulomb ground state (GS) at and is captured by the
parafermion Read-Rezayi RR state, . We first establish that the
state at is an incompressible FQH state, with a GS protected by a
finite excitation gap, with the shift in accordance with the RR state. Then, by
performing a finite-size scaling analysis of the GS energies for
with different shifts, we find that the state has the lowest
energy among different competing states in the thermodynamic limit. We find the
fingerprint of topological order in the FQH and
states, based on their entanglement spectrum and topological entanglement
entropy, both of which strongly support their identification with the
state. Furthermore, by considering the shift-free
infinite-cylinder geometry, we expose two topologically-distinct GS sectors,
one identity sector and a second one matching the non-Abelian sector of the
Fibonacci anyonic quasiparticle, which serves as additional evidence for the
state at and .Comment: 12 pages, 8 figure
Topological Characterization of Non-Abelian Moore-Read State using Density-Matrix Renormailzation Group
The non-Abelian topological order has attracted a lot of attention for its
fundamental importance and exciting prospect of topological quantum
computation. However, explicit demonstration or identification of the
non-Abelian states and the associated statistics in a microscopic model is very
challenging. Here, based on density-matrix renormalization group calculation,
we provide a complete characterization of the universal properties of bosonic
Moore-Read state on Haldane honeycomb lattice model at filling number
for larger systems, including both the edge spectrum and the bulk anyonic
quasiparticle (QP) statistics. We first demonstrate that there are three
degenerating ground states, for each of which there is a definite anyonic flux
threading through the cylinder. We identify the nontrivial countings for the
entanglement spectrum in accordance with the corresponding conformal field
theory. Through inserting the charge flux, it is found that two of the
ground states can be adiabatically connected through a fermionic
charge- QP being pumped from one edge to the other, while the
ground state in Ising anyon sector evolves back to itself. Furthermore, we
calculate the modular matrices and , which contain
all the information for the anyonic QPs. In particular, the extracted quantum
dimensions, fusion rule and topological spins from modular matrices positively
identify the emergence of non-Abelian statistics following the
Chern-Simons theory.Comment: 5 pages; 3 figure
Internal magnetic fields in thin ZnSe epilayers
Strain induced spin-splitting is observed and characterized using pump-probe
Kerr rotation spectroscopy in n-ZnSe epilayers grown on GaAs substrates. The
spin-splitting energies are mapped out as a function of pump-probe separation,
applied voltage, and temperature in a series of samples of varying epilayer
thicknesses and compressive strain arising from epilayer-substrate lattice
mismatch. The strain is independently quantified using photoluminescence and
x-ray diffraction measurements. We observe that the magnitude of the spin
splitting increases with applied voltage and temperature, and is highly crystal
direction dependent, vanishing along [1 1-bar 0].Comment: 9 pages, 3 figure
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