Dynamic voltage and frequency scaling with multi-clock distribution systems on SPARC core

The current implementation of dynamic voltage and frequency scaling (DVS and DFS) in microprocessors is based on a single clock domain per core. In architectures that adopt Instruction Level Parallelism (ILP), multiple execution units may exist and operate concurrently. Performing DVS and DFS on such cores may result in low utilization and power efficiency. In this thesis, a methodology that implements DVFS with multi Clock distribution Systems (DCS) is applied on a processor core to achieve higher throughput and better power efficiency. DCS replaces the core single clock distribution tree with multi-clock domain systems which, along with dynamic voltage and frequency scaling, creates multiple clock-voltage domains. DCS implements a self-timed interface between the different domains to maintain functionality and ensure data integrity. DCS was implemented on a SPARC core of UltraSPARC T1 architecture, and synthesized targeting TSMC 120nm process technology. Two clock domains were used on SPARC core. The maximum achieved speedup relative to original core was 1.6X. The power consumed by DCS was 0.173mW compared to the core total power of ~ 10W

Effect of layer thickness on thermal properties of multilayer thin films produced by PVD

Cr/CrN/CrAlN, CrN/CrAlN and Cr/CrN thin layers were deposited by PVD (Physical Vapor Deposition). The multilayers were obtained from the combined deposition of different layers Cr, CrN and CrAlN thick films on on AISI4140 steel and silicon substrates at 200 °C, and evaluated with respect to fundamental properties such as structure and thermal properties. Cr, CrN and CrAlN single layers were also prepared for comparison purposes. The structural and morphological properties of PVD layers were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM) coupled with EDS + WDS microanalyses, stresses were determined by the Newton’s rings methods using the Stoney’s equation and surface hardening and hardness profiles were evaluated by micro hardness measurements. The XRD data and HRTEM showed that both the Cr/CrN, CrN/CrAlN and Cr/CrN/CrAlN multilayer coatings exhibited B1NaCl structure with a prominent reflection along (200) plane, and CrAlN sub-layer microstructures composed of nanocrystallites uniformly embedded in an amorphous matrix. The innovation of this work was to use the thickness of three different coating types to determine the thermal properties. Furthermore, an empirical equation was developed for the thermal properties variations with temperature of AISI4140 steel coated with different multilayer coatings. The thermal conductivity of CrAlN single layered was lower than the multilayer and the bulk material AISI4140. Moreover, the influences of structure and composition of the multilayer coatings on the thermal properties are discussed. The thermal conductivity of nanoscale thin film is remarkably lower than that of bulk materials because of its various size effects.The authors wish to thank the Regional Council of Burgundy and EGIDE for their financial support, and also the technical staff of the Arts et Métiers ParisTech of Cluny: especially Romaric Masset and Pierre-Michel Barbier for the samples preparation

Effect of layer thickness on thermal properties of multilayer thin films produced by PVD

Cr/CrN/CrAlN, CrN/CrAlN and Cr/CrN thin layers were deposited by PVD (Physical Vapor Deposition). The multilayers were obtained from the combined deposition of different layers Cr, CrN and CrAlN thick films on on AISI4140 steel and silicon substrates at 200 °C, and evaluated with respect to fundamental properties such as structure and thermal properties. Cr, CrN and CrAlN single layers were also prepared for comparison purposes. The structural and morphological properties of PVD layers were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM) coupled with EDS + WDS microanalyses, stresses were determined by the Newton’s rings methods using the Stoney’s equation and surface hardening and hardness profiles were evaluated by micro hardness measurements. The XRD data and HRTEM showed that both the Cr/CrN, CrN/CrAlN and Cr/CrN/CrAlN multilayer coatings exhibited B1NaCl structure with a prominent reflection along (200) plane, and CrAlN sub-layer microstructures composed of nanocrystallites uniformly embedded in an amorphous matrix. The innovation of this work was to use the thickness of three different coating types to determine the thermal properties. Furthermore, an empirical equation was developed for the thermal properties variations with temperature of AISI4140 steel coated with different multilayer coatings. The thermal conductivity of CrAlN single layered was lower than the multilayer and the bulk material AISI4140. Moreover, the influences of structure and composition of the multilayer coatings on the thermal properties are discussed. The thermal conductivity of nanoscale thin film is remarkably lower than that of bulk materials because of its various size effects.The authors wish to thank the Regional Council of Burgundy and EGIDE for their financial support, and also the technical staff of the Arts et Métiers ParisTech of Cluny: especially Romaric Masset and Pierre-Michel Barbier for the samples preparation

Traditional Chinese Medicine: A Survey to Assess Inclusion in DPT Curricula in the United States

The objective of this study is to assess the current level of inclusion of Traditional Chinese Medicine (TCM) in Doctor of Physical Therapy curricula in the United States. This survey provides self-reported data regarding the challenges associated with incorporating TCM into the curriculum. All 228 CAPTE (Commission on Accreditation in Physical Therapy Education) accredited Doctor of Physical Therapy (DPT) programs were included in this survey instrument. A College of Staten Island (CSI) Human & Animal Protection Office (HARPPO) approved survey was e-mailed to the chairperson of each DPT program and respondent data was stored via a secure Survey Monkey® online database. Returned surveys were analyzed descriptively to characterize tendencies and variability. Data were summarized in a frequency distribution for each category. A qualitative analysis was completed for any explanatory data. Ninety DPT programs (39%) responded to the survey instrument. Findings suggest that 58% of responding programs expose their students to TCM. Most commonly included TCM techniques were: tai chi (54%), acupuncture (45%), and acupressure (44%). Forty-nine percent of respondents claim that time restrictions act as the greatest barrier to the incorporation of TCM in the curriculum. These findings suggest that the majority of physical therapy students are exposed to TCM, in one form or another. Program chairpersons and faculty believe the inclusion of TCM can assist their students in treating patients with a variety of diagnoses and conditions. Thirty-eight percent of respondents agree that TCM can/does positively contribute to their DPT curriculum and to the overall education of their students. It is suggested that more time is dedicated to introducing TCM topics in order for students to have the ability to communicate with other disciplines and patients about such treatment techniques. Students should also have a greater knowledge base such that they are able to utilize a greater variety of evidence-based techniques in clinical practice

Safety and efficacy of an intra-oral electrostimulator for the relief of dry mouth in patients with chronic graft versus host disease: case Series

Objectives: Patients with chronic graft-versus-host disease (cGVHD) often suffer from dry mouth and oral mu - cosal lesions. The primary objective of this study was to investigate the safety of an intra-oral electrostimulator (GenNarino) in symptomatic cGVHD patients. The secondary objective was to study the impact on the salivary gland involvement of cGVHD patients. Study Design: This paper presents a case series. The study included patients treated for 4 weeks, randomly as - signed to the active device and then crossed-over to a sham-device or vice versa. The patients and clinicians were blind to the treatment delivered. Data regarding oral mucosal and salivary gland involvement were collected. Results: Six patients were included in this series. Most of the intraoral areas with manifestations of cGVHD were not in contact with the GenNarino device. Two patients developed mild mucosal lesions in areas in contact with the GenNarino during the study. However, only one of them had a change in the National Institutes of Health (NIH) score for oral cGVHD. The unstimulated and stimulated salivary flow rate increased in 4 out of the 5 pa - tients included in this analysis. Symptoms of dry mouth and general oral comfort improved. Conclusion: This study suggests that GenNarino is safe in cGVHD patients with respect to oral tissues. Furthermore the use of GenNarino resulted in subjective and objective improvements in dry mouth symptoms. A large scale study is needed to confirm the impact and safety of GenNarino on systemic cGVHD

3D Printing of a Photo-thermal Self-folding Actuator

The demand for rapid and accurate fabrication of light-weight, biocompatible, and soft actuators in soft robotics has perused researchers to design and fabricate such products by rapid manufacturing techniques. The self-folding origami structure is a type of soft actuator that has applications in micro electro mechanical systems, soft electronics, and biomedical devices. 3-dimentional (3D) printing is a current manufacturing process that can be used for fabrication of involute soft self-folding products by means of shape memory polymer materials. This paper presents, for the first time, a method for developing a photo thermal self-folding soft actuator using a 3D bioplotter. Easily accessible and inexpensive pre-strained polystyrene is opted for the backbone of actuator. The polystyrene film (PS) is then structured in a hand shape gripper. Chitosan hydrogel and carbon black ink were combined for printing active hinges on the hand gripper. Various active hinges with different widths and thicknesses were printed on the hand gripper using the 3D bioplotter. An infra-red (IR) heating lamp was placed at a reasonable distance to emit IR light uniformly on the hand gripper. The temperature distribution on the hand gripper was observed using a thermographic camera and the bending angles of the samples were recorded by a video camera. It was observed that the bending angles of the hand fingers depend on factors such as the intensity of the heat flux generated by the IR light intensity, distance, onset temperature, geometry of the fingers such as width and thickness, and area of the hinges

Gauge and Modulus Inflation from 5D Orbifold SUGRA

We study the inflationary scenarios driven by a Wilson line field - the fifth component of a 5D gauge field and corresponding modulus field, within S^1/Z_2 orbifold supergravity (SUGRA). We use our off shell superfield formulation and give a detailed description of the issue of SUSY breaking by the F-component of the radion superfield. By a suitably gauged U(1)R symmetry and including couplings with compensator supermultiplets and a linear multiplet, we achieve a self consistent radion mediated SUSY breaking of no scale type. The inflaton 1-loop effective potential has attractive features needed for successful inflation. An interesting feature of both presented inflationary scenarios are the red tilted spectra with ns~0.96. For gauge inflation we obtain a significant tensor to scalar ratio r~0.1 of the density perturbations, while for the modulus inflation r is strongly suppressed.Comment: 14 pages, 1 figur

Evidence for a Novel Marine Harmful Algal Bloom: Cyanotoxin (Microcystin) Transfer from Land to Sea Otters

“Super-blooms” of cyanobacteria that produce potent and environmentally persistent biotoxins (microcystins) are an emerging global health issue in freshwater habitats. Monitoring of the marine environment for secondary impacts has been minimal, although microcystin-contaminated freshwater is known to be entering marine ecosystems. Here we confirm deaths of marine mammals from microcystin intoxication and provide evidence implicating land-sea flow with trophic transfer through marine invertebrates as the most likely route of exposure. This hypothesis was evaluated through environmental detection of potential freshwater and marine microcystin sources, sea otter necropsy with biochemical analysis of tissues and evaluation of bioaccumulation of freshwater microcystins by marine invertebrates. Ocean discharge of freshwater microcystins was confirmed for three nutrient-impaired rivers flowing into the Monterey Bay National Marine Sanctuary, and microcystin concentrations up to 2,900 ppm (2.9 million ppb) were detected in a freshwater lake and downstream tributaries to within 1 km of the ocean. Deaths of 21 southern sea otters, a federally listed threatened species, were linked to microcystin intoxication. Finally, farmed and free-living marine clams, mussels and oysters of species that are often consumed by sea otters and humans exhibited significant biomagnification (to 107 times ambient water levels) and slow depuration of freshwater cyanotoxins, suggesting a potentially serious environmental and public health threat that extends from the lowest trophic levels of nutrient-impaired freshwater habitat to apex marine predators. Microcystin-poisoned sea otters were commonly recovered near river mouths and harbors and contaminated marine bivalves were implicated as the most likely source of this potent hepatotoxin for wild otters. This is the first report of deaths of marine mammals due to cyanotoxins and confirms the existence of a novel class of marine “harmful algal bloom” in the Pacific coastal environment; that of hepatotoxic shellfish poisoning (HSP), suggesting that animals and humans are at risk from microcystin poisoning when consuming shellfish harvested at the land-sea interface

Recommendations for enterovirus diagnostics and characterisation within and beyond Europe.

Enteroviruses (EV) can cause severe neurological and respiratory infections, and occasionally lead to devastating outbreaks as previously demonstrated with EV-A71 and EV-D68 in Europe. However, these infections are still often underdiagnosed and EV typing data is not currently collected at European level. In order to improve EV diagnostics, collate data on severe EV infections and monitor the circulation of EV types, we have established European non-polio enterovirus network (ENPEN). First task of this cross-border network has been to ensure prompt and adequate diagnosis of these infections in Europe, and hence we present recommendations for non-polio EV detection and typing based on the consensus view of this multidisciplinary team including experts from over 20 European countries. We recommend that respiratory and stool samples in addition to cerebrospinal fluid (CSF) and blood samples are submitted for EV testing from patients with suspected neurological infections. This is vital since viruses like EV-D68 are rarely detectable in CSF or stool samples. Furthermore, reverse transcriptase PCR (RT-PCR) targeting the 5'noncoding regions (5'NCR) should be used for diagnosis of EVs due to their sensitivity, specificity and short turnaround time. Sequencing of the VP1 capsid protein gene is recommended for EV typing; EV typing cannot be based on the 5'NCR sequences due to frequent recombination events and should not rely on virus isolation. Effective and standardized laboratory diagnostics and characterisation of circulating virus strains are the first step towards effective and continuous surveillance activities, which in turn will be used to provide better estimation on EV disease burden

The Mount Sinai Prebiopsy Risk Calculator for Predicting any Prostate Cancer and Clinically Significant Prostate Cancer: Development of a Risk Predictive Tool and Validation with Advanced Neural Networking, Prostate Magnetic Resonance Imaging Outcome Database, and European Randomized Study of Screening for Prostate Cancer Risk Calculator

Background: The European Association of Urology guidelines recommend the use of imaging, biomarkers, and risk calculators in men at risk of prostate cancer. Risk predictive calculators that combine multiparametric magnetic resonance imaging with prebiopsy variables aid as an individualized decision-making tool for patients at risk of prostate cancer, and advanced neural networking increases reliability of these tools.Objective: To develop a comprehensive risk predictive online web-based tool using magnetic resonance imaging (MRI) and clinical data, to predict the risk of any prostate cancer (PCa) and clinically significant PCa (csPCa) applicable to biopsy-naive men, men with a prior negative biopsy, men with prior positive low-grade cancer, and men with negative MRI.Design, setting, and participants: Institutional review board-approved prospective data of 1902 men undergoing biopsy from October 2013 to September 2021 at Mount Sinai were collected.Outcome measurements and statistical analysis: Univariable and multivariable analyses were used to evaluate clinical variables such as age, race, digital rectal examination, family history, prostate-specific antigen (PSA), biopsy status, Prostate Imaging Reporting and Data System score, and prostate volume, which emerged as predictors for any PCa and csPCa. Binary logistic regression was performed to study the probability. Validation was performed with advanced neural networking (ANN), multi-institutional European cohort (Prostate MRI Outcome Database [PROMOD]), and European Randomized Study of Screening for Prostate Cancer Risk Calculator (ERSPC RC) 3/4.Results and limitations: Overall, 2363 biopsies had complete clinical information, with 57.98% any cancer and 31.40% csPCa. The prediction model was significantly associated with both any PCa and csPCa having an area under the curve (AUC) of 81.9% including clinical data. The AUC for external validation was calculated in PROMOD, ERSPC RC, and ANN for any PCa (0.82 vs 0.70 vs 0.90) and csPCa (0.82 vs 0.78 vs 0.92), respectively. This study is limited by its retrospective design and over-estimation of csPCa in the PROMOD cohort.Conclusions: The Mount Sinai Prebiopsy Risk Calculator combines PSA, imaging and clinical data to predict the risk of any PCa and csPCa for all patient settings. With accurate validation results in a large European cohort, ERSPC RC, and ANN, it exhibits its efficiency and applicability in a more generalized population. This calculator is available online in the form of a free web-based tool that can aid clinicians in better patients counseling and treatment decision-making.Patient summary: We developed the Mount Sinai Prebiopsy Risk Calculator (MSP-RC) to assess the likelihood of any prostate cancer and clinically significant disease based on a combination of clinical and imaging characteristics. MSP-RC is applicable to all patient settings and accessible online. Crown Copyright (C) 2022 Published by Elsevier B.V. on behalf of European Association of Urology.</p