Numerous grounds have been offered for the view that healthcare workers have a duty to treat, including expressed consent, implied consent, special training, reciprocity (also called the social contract view), and professional oaths and codes. Quite often, however, these grounds are simply asserted without being adequately defended or without the defenses being critically evaluated. This essay aims to help remedy that problem by providing a critical examination of the strengths and weaknesses of each of these five grounds for asserting that healthcare workers have a duty to treat, especially as that duty would arise in the context of an infectious disease pandemic. Ultimately, it argues that none of the defenses is currently sufficient to ground the kind of duty that would be needed in a pandemic. It concludes by sketching some practical recommendations in that regard.
Abstract-Intel provides Hyper-Threading (HT) in processors based on its Pentium and Nehalem micro-architecture such as the Westmere-EP. HT enables two threads to execute on each core in order to hide latencies related to data access. These two threads can execute simultaneously, filling unused stages in the functional unit pipelines. To aid better understanding of HTrelated issues, we collect Performance Monitoring Unit (PMU) data (instructions retired; unhalted core cycles; L2 and L3 cache hits and misses; vector and scalar floating-point operations, etc.). We then use the PMU data to calculate a new metric of efficiency in order to quantify processor resource utilization and make comparisons of that utilization between single-threading (ST) and HT modes. We also study performance gain using unhalted core cycles, code efficiency of using vector units of the processor, and the impact of HT mode on various shared resources like L2 and L3 cache. Results using four full-scale, production-quality scientific applications from computational fluid dynamics (CFD) used by NASA scientists indicate that HT generally improves processor resource utilization efficiency, but does not necessarily translate into overall application performance gain.
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