Removing leakage-induced correlated errors in superconducting quantum error correction.

Quantum computing can become scalable through error correction, but logical error rates only decrease with system size when physical errors are sufficiently uncorrelated. During computation, unused high energy levels of the qubits can become excited, creating leakage states that are long-lived and mobile. Particularly for superconducting transmon qubits, this leakage opens a path to errors that are correlated in space and time. Here, we report a reset protocol that returns a qubit to the ground state from all relevant higher level states. We test its performance with the bit-flip stabilizer code, a simplified version of the surface code for quantum error correction. We investigate the accumulation and dynamics of leakage during error correction. Using this protocol, we find lower rates of logical errors and an improved scaling and stability of error suppression with increasing qubit number. This demonstration provides a key step on the path towards scalable quantum computing.

Demonstrating a Continuous Set of Two-Qubit Gates for Near-Term Quantum Algorithms.

Quantum algorithms offer a dramatic speedup for computational problems in material science and chemistry. However, any near-term realizations of these algorithms will need to be optimized to fit within the finite resources offered by existing noisy hardware. Here, taking advantage of the adjustable coupling of gmon qubits, we demonstrate a continuous two-qubit gate set that can provide a threefold reduction in circuit depth as compared to a standard decomposition. We implement two gate families: an imaginary swap-like (iSWAP-like) gate to attain an arbitrary swap angle, θ, and a controlled-phase gate that generates an arbitrary conditional phase, ϕ. Using one of each of these gates, we can perform an arbitrary two-qubit gate within the excitation-preserving subspace allowing for a complete implementation of the so-called Fermionic simulation (fSim) gate set. We benchmark the fidelity of the iSWAP-like and controlled-phase gate families as well as 525 other fSim gates spread evenly across the entire fSim(θ,ϕ) parameter space, achieving a purity-limited average two-qubit Pauli error of 3.8×10^{-3} per fSim gate.

Determination of consensus k Q values for megavoltage photon beams for the update of IAEA TRS-398.

The IAEA is currently coordinating a multi-year project to update the TRS-398 Code of Practice for the dosimetry of external beam radiotherapy based on standards of absorbed dose to water. One major aspect of the project is the determination of new beam quality correction factors, k Q , for megavoltage photon beams consistent with developments in radiotherapy dosimetry and technology since the publication of TRS-398 in 2000. Specifically, all values must be based on, or consistent with, the key data of ICRU Report 90. Data sets obtained from Monte Carlo (MC) calculations by advanced users and measurements at primary standards laboratories have been compiled for 23 cylindrical ionization chamber types, consisting of 725 MC-calculated and 179 experimental data points. These have been used to derive consensus k Q values as a function of the beam quality index TPR20,10 with a combined standard uncertainty of 0.6%. Mean values of MC-derived chamber-specific [Formula: see text] factors for cylindrical and plane-parallel chamber types in 60Co beams have also been obtained with an estimated uncertainty of 0.4%.

Diabatic Gates for Frequency-Tunable Superconducting Qubits.

We demonstrate diabatic two-qubit gates with Pauli error rates down to 4.3(2)×10^{-3} in as fast as 18 ns using frequency-tunable superconducting qubits. This is achieved by synchronizing the entangling parameters with minima in the leakage channel. The synchronization shows a landscape in gate parameter space that agrees with model predictions and facilitates robust tune-up. We test both iswap-like and cphase gates with cross-entropy benchmarking. The presented approach can be extended to multibody operations as well.

Anaphylaxis associated with intravenous administration of alphaxalone in a dog.

CASE REPORT: We describe the clinical signs and management of a case of anaphylaxis in a dog after intravenous administration of alphaxalone (Alfaxan®, Jurox, NSW, Aust), which has not been previously published. A female spayed cattle dog undergoing routine imaging for forelimb lameness was induced with Alfaxan after receiving sedation with acepromazine and methadone 70 min prior. Immediately after intravenous administration of Alfaxan, the dog exhibited vomiting and diarrhoea associated with acute hypotension. Gallbladder wall oedema was visualised consistent with anaphylaxis. The dog responded to rapid volume expansion. Adrenaline was not required. The dog made a full recovery within 6 h of the reaction and was re-anaesthetised 3 days later without incident, using propofol as the induction agent. CONCLUSION: To our knowledge, this is the first published case of anaphylaxis associated with intravenous Alfaxan in the dog. The APVMA reporting of reactions in small animals from 2003 to 2013 of Alfaxan is consistent with this case report's finding involving the respiratory, circulatory and gastrointestinal systems.

Total intravenous anaesthesia with ketamine, medetomidine and guaifenesin compared with ketamine, medetomidine and midazolam in young horses anaesthetised for computerised tomography.

BACKGROUND: There is no information directly comparing midazolam with guaifenesin when used in combination with an alpha-2 agonist and ketamine to maintain anaesthesia via i.v. infusion in horses. OBJECTIVES: To compare ketamine-medetomidine-guaifenesin with ketamine-medetomidine-midazolam for total intravenous anaesthesia (TIVA) in young horses anaesthetised for computerised tomography. STUDY DESIGN: Prospective, randomised, blinded, crossover trial. METHODS: Fourteen weanlings received medetomidine 7 µg/kg bwt i.v. and anaesthesia was induced with ketamine 2.2 mg/kg bwt i.v. On two separate occasions horses each received infusions of ketamine 3 mg/kg bwt/h, medetomidine 5 µg/kg bwt/h, guaifenesin 100 mg/kg bwt/h (KMG) or ketamine 3 mg/kg bwt/h, medetomidine 5 µg/kg bwt/h, midazolam 0.1 mg/kg bwt/h (KMM) for 50 min. Cardiorespiratory variables and anaesthetic depth were assessed every 5-10 min. Recovery times after the infusions ceased were recorded and recovery quality was assessed using a composite score system (CSS), simple descriptive scale (SDS) and visual analogue scale (VAS). Multivariable models were used to generate mean recovery scores for each treatment and each recovery score system and provide P-values comparing treatment groups. RESULTS: Anaesthesia was uneventful with no difference in additional anaesthetic requirements and little clinically relevant differences in cardiopulmonary variables between groups. All horses recovered without incident with no significant difference in recovery times. Quality of the anaesthetic recovery was significantly better for the KMM group compared with the KMG group using the CSS (P<0.001), SDS (P<0.001) and VAS (P<0.001). MAIN LIMITATIONS: No surgical stimulus was applied and study animals may not represent general horse population. CONCLUSION: Midazolam is a suitable alternative to guaifenesin when co-infused with ketamine and medetomidine for anaesthesia in young horses undergoing noninvasive procedures. Both infusions produce a clinically comparable quality of anaesthesia; however, recovery from anaesthesia is of a better quality following an infusion of ketamine-medetomidine-midazolam.

Indurometer vs. Tonometer: Is the Indurometer Currently Able to Replace and Improve Upon the Tonometer?

BACKGROUND: The Indurometer is a tool designed by the Flinders Biomedical Engineering Department to replace the Tissue Tonometer. It measures the resistance to an applied force to quantify the amount of fibrosis present within the epifascial compartment of tissue. The aim of the study was to compare the current model of the Indurometer with the Tonometer to determine the level of variability and repeatability between the two devices and how the variability differs when compared to an individual's ISL stage. METHODS AND RESULTS: Data were gathered on a total of 180 participants with unilateral arm lymphedema as part of an international multicenter trial. For each participant three repeat measurements were obtained with the Indurometer and Tonometer at the anterior mid forearm and anterior mid upper arm. The Indurometer gave lower measurement values than the Tonometer. The Tonometer was found to be less variable than the Indurometer when measurements were taken from the anterior mid upper arm and the anterior mid forearm site. The Tonometer values were significantly less variable than the Indurometer values in ISL stages 1 and 2. No significant variability was found in stage 3. CONCLUSION: The Indurometer is easier to use as compared to the Tonometer. Modification of the Indurometer needs to take place in order to improve its variability before it can be considered as a replacement for the Tonometer in the assessment of lymphedema. The lack of understanding of the ISL classification system is a significant issue.

Towards a quantitative, measurement-based estimate of the uncertainty in photon mass attenuation coefficients at radiation therapy energies.

In this study, a quantitative estimate is derived for the uncertainty in the XCOM photon mass attenuation coefficients in the energy range of interest to external beam radiation therapy-i.e. 100 keV (orthovoltage) to 25 MeV-using direct comparisons of experimental data against Monte Carlo models and theoretical XCOM data. Two independent datasets are used. The first dataset is from our recent transmission measurements and the corresponding EGSnrc calculations (Ali et al 2012 Med. Phys. 39 5990-6003) for 10-30 MV photon beams from the research linac at the National Research Council Canada. The attenuators are graphite and lead, with a total of 140 data points and an experimental uncertainty of ∼0.5% (k = 1). An optimum energy-independent cross section scaling factor that minimizes the discrepancies between measurements and calculations is used to deduce cross section uncertainty. The second dataset is from the aggregate of cross section measurements in the literature for graphite and lead (49 experiments, 288 data points). The dataset is compared to the sum of the XCOM data plus the IAEA photonuclear data. Again, an optimum energy-independent cross section scaling factor is used to deduce the cross section uncertainty. Using the average result from the two datasets, the energy-independent cross section uncertainty estimate is 0.5% (68% confidence) and 0.7% (95% confidence). The potential for energy-dependent errors is discussed. Photon cross section uncertainty is shown to be smaller than the current qualitative 'envelope of uncertainty' of the order of 1-2%, as given by Hubbell (1999 Phys. Med. Biol 44 R1-22).

Determination of relative ion chamber calibration coefficients from depth-ionization measurements in clinical electron beams.

A method is presented to obtain ion chamber calibration coefficients relative to secondary standard reference chambers in electron beams using depth-ionization measurements. Results are obtained as a function of depth and average electron energy at depth in 4, 8, 12 and 18 MeV electron beams from the NRC Elekta Precise linac. The PTW Roos, Scanditronix NACP-02, PTW Advanced Markus and NE 2571 ion chambers are investigated. The challenges and limitations of the method are discussed. The proposed method produces useful data at shallow depths. At depths past the reference depth, small shifts in positioning or drifts in the incident beam energy affect the results, thereby providing a built-in test of incident electron energy drifts and/or chamber set-up. Polarity corrections for ion chambers as a function of average electron energy at depth agree with literature data. The proposed method produces results consistent with those obtained using the conventional calibration procedure while gaining much more information about the behavior of the ion chamber with similar data acquisition time. Measurement uncertainties in calibration coefficients obtained with this method are estimated to be less than 0.5%. These results open up the possibility of using depth-ionization measurements to yield chamber ratios which may be suitable for primary standards-level dissemination.

Difference in the relative response of the alanine dosimeter to megavoltage x-ray and electron beams.

In order to increase the usefulness of the alanine dosimeter as a tool for quality assurance measurements in radiotherapy using MV x-rays, the response with respect to the dose to water needs to be known accurately. This quantity is determined experimentally relative to (60)Co for 4, 6, 8, 10, 15 and 25 MV x-rays from two clinical accelerators. For the calibration, kQ factors for ionization chambers with an uncertainty of 0.31% obtained from calorimetric measurements were used. The results, although not inconsistent with a constant difference in response for all MV x-ray qualities compared to (60)Co, suggest a slow decrease from approximately 0.996 at low energies (4-6 MV) to 0.989 at the highest energy, 25 MV. The relative uncertainty achieved for the relative response varies between 0.35% and 0.41%. The results are confirmed by revised experimental data from the NRC as well as by Monte Carlo simulations using a density correction for crystalline alanine. By comparison with simulated and measured data, also for MeV electrons, it is demonstrated that the weak energy dependence can be explained by a transition of the alanine dosimeter (with increasing MV values) from a photon detector to an electron detector. An in-depth description of the calculation of the results and the corresponding uncertainty components is presented in an appendix for the interested reader. With respect to previous publications, the uncertainty budget had to be modified due to new evidence and to changes of the measurement and analysis method used at PTB for alanine/ESR.

Unfolding linac photon spectra and incident electron energies from experimental transmission data, with direct independent validation.

PURPOSE: In a recent computational study, an improved physics-based approach was proposed for unfolding linac photon spectra and incident electron energies from transmission data. In this approach, energy differentiation is improved by simultaneously using transmission data for multiple attenuators and detectors, and the unfolding robustness is improved by using a four-parameter functional form to describe the photon spectrum. The purpose of the current study is to validate this approach experimentally, and to demonstrate its application on a typical clinical linac. METHODS: The validation makes use of the recent transmission measurements performed on the Vickers research linac of National Research Council Canada. For this linac, the photon spectra were previously measured using a NaI detector, and the incident electron parameters are independently known. The transmission data are for eight beams in the range 10-30 MV using thick Be, Al and Pb bremsstrahlung targets. To demonstrate the approach on a typical clinical linac, new measurements are performed on an Elekta Precise linac for 6, 10 and 25 MV beams. The different experimental setups are modeled using EGSnrc, with the newly added photonuclear attenuation included. RESULTS: For the validation on the research linac, the 95% confidence bounds of the unfolded spectra fall within the noise of the NaI data. The unfolded spectra agree with the EGSnrc spectra (calculated using independently known electron parameters) with RMS energy fluence deviations of 4.5%. The accuracy of unfolding the incident electron energy is shown to be ∼3%. A transmission cutoff of only 10% is suitable for accurate unfolding, provided that the other components of the proposed approach are implemented. For the demonstration on a clinical linac, the unfolded incident electron energies and their 68% confidence bounds for the 6, 10 and 25 MV beams are 6.1 ± 0.1, 9.3 ± 0.1, and 19.3 ± 0.2 MeV, respectively. The unfolded spectra for the clinical linac agree with the EGSnrc spectra (calculated using the unfolded electron energies) with RMS energy fluence deviations of 3.7%. The corresponding measured and EGSnrc-calculated transmission data agree within 1.5%, where the typical transmission measurement uncertainty on the clinical linac is 0.4% (not including the uncertainties on the incident electron parameters). CONCLUSIONS: The approach proposed in an earlier study for unfolding photon spectra and incident electron energies from transmission data is accurate and practical for clinical use.

Detailed high-accuracy megavoltage transmission measurements: a sensitive experimental benchmark of EGSnrc.

PURPOSE: There are three goals for this study: (a) to perform detailed megavoltage transmission measurements in order to identify the factors that affect the measurement accuracy, (b) to use the measured data as a benchmark for the EGSnrc system in order to identify the computational limiting factors, and (c) to provide data for others to benchmark Monte Carlo codes. METHODS: Transmission measurements are performed at the National Research Council Canada on a research linac whose incident electron parameters are independently known. Automated transmission measurements are made on-axis, down to a transmission value of ∼1.7%, for eight beams between 10 MV (the lowest stable MV beam on the linac) and 30 MV, using fully stopping Be, Al, and Pb bremsstrahlung targets and no fattening filters. To diversify energy differentiation, data are acquired for each beam using low-Z and high-Z attenuators (C and Pb) and Farmer chambers with low-Z and high-Z buildup caps. Experimental corrections are applied for beam drifts (2%), polarity (2.5% typical maximum, 6% extreme), ion recombination (0.2%), leakage (0.3%), and room scatter (0.8%)-the values in parentheses are the largest corrections applied. The experimental setup and the detectors are modeled using EGSnrc, with the newly added photonuclear attenuation included (up to a 5.6% effect). A detailed sensitivity analysis is carried out for the measured and calculated transmission data. RESULTS: The developed experimental protocol allows for transmission measurements with 0.4% uncertainty on the smallest signals. Suggestions for accurate transmission measurements are provided. Measurements and EGSnrc calculations agree typically within 0.2% for the sensitivity of the transmission values to the detector details, to the bremsstrahlung target material, and to the incident electron energy. Direct comparison of the measured and calculated transmission data shows agreement better than 2% for C (3.4% for the 10 MV beam) and typically better than 1% for Pb. The differences can be explained by acceptable photon cross section changes of ≤0.4%. CONCLUSIONS: Accurate transmission measurements require accounting for a number of influence quantities which, if ignored, can collectively introduce errors larger than 10%. Accurate transmission calculations require the use of the most accurate data and physics options available in EGSnrc, particularly the more accurate bremsstrahlung angular sampling option and the newly added modeling of photonuclear attenuation. Comparison between measurements and calculations implies that EGSnrc is accurate within 0.2% for relative ion chamber response calculations. Photon cross section uncertainties are the ultimate limiting factor for the accuracy of the calculated transmission data (Monte Carlo or analytical).

Beam quality conversion factors for parallel-plate ionization chambers in MV photon beams.

PURPOSE: To investigate the behavior of plane-parallel ion chambers in high-energy photon beams through measurements and Monte Carlo simulations. METHODS: Ten plane-parallel ion chamber types were obtained from the major ion chamber manufacturers. Absorbed dose-to-water calibration coefficients are measured for these chambers and k(Q) factors are determined. In the process, the behaviors of the chambers are characterized through measurements of leakage currents, chamber settling in cobalt-60, polarity and ion recombination behavior, and long-term stability. Monte Carlo calculations of the absorbed dose to the air in the ion chamber and absorbed dose to water are obtained to calculate k(Q) factors. Systematic uncertainties in Monte Carlo calculated k(Q) factors are investigated by varying material properties and chamber dimensions. RESULTS: Chamber behavior was variable in MV photon beams, especially with regard to chamber leakage and ion recombination. The plane-parallel chambers did not perform as well as cylindrical chambers. Significant differences up to 1.5% were observed in calibration coefficients after a period of eight months although k(Q) factors were consistent on average within 0.17%. Chamber-to-chamber variations in k(Q) factors for chambers of the same type were at the 0.2% level. Systematic uncertainties in Monte Carlo calculated k(Q) factors ranged between 0.34% and 0.50% depending on the chamber type. Average percent differences between measured and calculated k(Q) factors were - 0.02%, 0.18%, and - 0.16% for 6, 10, and 25 MV beams, respectively. CONCLUSIONS: Excellent agreement is observed on average at the 0.2% level between measured and Monte Carlo calculated k(Q) factors. Measurements indicate that the behavior of these chambers is not adequate for their use for reference dosimetry of high-energy photon beams without a more extensive QA program than currently used for cylindrical reference-class ion chambers.

Sci-Thur PM: YIS - 07: Monte Carlo simulations to obtain several parameters required for electron beam dosimetry.

When current dosimetry protocols were written, electron beam data were limited and had uncertainties that were unacceptable for reference dosimetry. Protocols for high-energy reference dosimetry are currently being updated leading to considerable interest in accurate electron beam data. To this end, Monte Carlo simulations using the EGSnrc user-code egs_chamber are performed to extract relevant data for reference beam dosimetry. Calculations of the absorbed dose to water and the absorbed dose to the gas in realistic ion chamber models are performed as a function of depth in water for cobalt-60 and high-energy electron beams between 4 and 22 MeV. These calculations are used to extract several of the parameters required for electron beam dosimetry - the beam quality specifier, R50 , beam quality conversion factors, kQ and kR50 , the electron quality conversion factor, k'R50 , the photon-electron conversion factor, kecal , and ion chamber perturbation factors, PQ . The method used has the advantage that many important parameters can be extracted as a function of depth instead of determination at only the reference depth as has typically been done. Results obtained here are in good agreement with measured and other calculated results. The photon-electron conversion factors obtained for a Farmer-type NE2571 and plane-parallel PTW Roos, IBA NACP-02 and Exradin A11 chambers are 0.903, 0.896, 0.894 and 0.906, respectively. These typically differ by less than 0.7% from the contentious TG-51 values but have much smaller systematic uncertainties. These results are valuable for reference dosimetry of high-energy electron beams.

Sci-Thur PM: YIS - 02: A validated approach for clinical linacs to accurately determine the photon spectra and the incident electron energy.

In clinical photon beams, independent determination of the photon spectra and the incident electron energy is useful for beam (re)commissioning and for detector response modelling. In this study, an approach is developed for that purpose, and validated on a research linac whose photon spectra and electron beams are directly and independently known. In this approach, an optimized combination of transmission curves is measured using multiple attenuators and detectors to maximize energy differentiation. For validation, transmission measurements are made for 8 beams from 10-30 MV, with bremsstrahlung targets from Be to Pb. A protocol is established to account for many influence quantities including linac drifts (2%), polarity (6%), ion recombination (0.2%), leakage (0.3%), room scatter (0.8%), non-ideal attenuation (1.5%), attenuator mass thickness (4%), and photonuclear effect (5.6%). The experimental accuracy on the smallest signals is 0.4%. EGSnrc is upgraded to model photonuclear attenuation (without tracking secondary particles), and then used to model the full experiment. For direct transmission comparisons, the agreement is 2%. This allows for an estimate of 0.5% on the upper limit of photon cross section uncertainties, which is much better than the current estimate of 1-2%. The unfolded spectra agree with the benchmark ones within 4.5%. The incident electron energy is accurate within 5%, with 95% confidence. The overall improvement over the commonly used methods is a factor of 3. This transmission study is the first to independently determine the incident electron energy, and to recognize the significant role of the photonuclear effect at higher energies.

Sci-Sat AM: Brachy - 03: Feasibility study of the determination of absorbed dose to water using a fricke based system.

By measuring the dose to water directly a metrology standard, independent of air kerma, can be developed to make the basis of HDR brachytherapy dosimetry consistent with current dosimetry methods for external radiation beams. The Fricke dosimeter system, a liquid chemical dosimeter, provides a means of measuring the absorbed dose rate to water directly by measuring the radiation-induced change in absorption of the Fricke solution. In an attempt to measure the absorbed dose to water directly for a 192 Ir HDR brachytherapy source a ring shaped Fricke holder was constructed from PMMA, essentially following the work of Austerlitz et al. (Med. Phys. 2008). Benchmark measurements conducted in a 60 Co beam yielded a standard uncertainty in the absorption reading of 0.16 %, comparable with previous results in the literature. Measurements of the standard uncertainty of the control (unirradiated) solution using the holder yielded 0.2 %, indicating good process control and minimal contamination from the holder itself. However, it was found that the holder sealing method (to allow measurements in a water phantom) significantly contaminated the Fricke solution, resulting in an excessive background reading. Irradiations were therefore conducted in air to determine the feasibility of the procedure. Irradiations with a 17 GBq source gave a standard uncertainty of approximately 0.5 %, indicating that the target uncertainty of 1.5% for the measurement of absorbed dose to water using a Fricke-based primary standard is achievable. This would be comparable with calorimeter-based systems currently being developed.

Sci-Fri PM: Delivery - 04: Quantitative air communication testing of ion chambers for megavoltage dosimetry.

The valid application of the standard correction for air density (PTP in the TG-51 protocol) requires that for a vented ion chamber (basically all reference-class ion chambers) the air cavity does indeed communicate directly with the external environment. However, this assumption is not tested by users, and not universally verified by calibration laboratories. A system has therefore been developed at the National Research Council to test air communication of cylindrical and parallel-plate ion chambers. The systems is based on measurements in a vacuum vessel with a Sr-90 check source; the procedure is simple and quick and can measure ionization currents over the pressure range 0 kPa (atmospheric) to -20kPa (0.8 atm) with an uncertainty better than 0.2%. Investigation of a wide range of chamber types shows that for a coarse check on chamber performance (i.e., that the chamber is vented to atmosphere) measurement at a single polarity is sufficient (total test time less than 15 minutes) but for accurate characterization of the chamber performance, data at both polarities must be acquired. The accuracy of the system means that it can potentially be used to investigate: i) the validity of the pressure correction, and ii) the source of the polarity correction in cylindrical and parallel-plate chambers. The air communication test will be implemented as part of the standard calibration services provided by NRC for external beam radiotherapy.

Measured and Monte Carlo calculated K(Q) factors: accuracy and comparison.

PURPOSE: The journal Medical Physics recently published two papers that determine beam quality conversion factors, k(Q), for large sets of ion chambers. In the first paper [McEwen Med. Phys. 37, 2179-2193 (2010)], k(Q) was determined experimentally, while the second paper [Muir and Rogers Med. Phys. 37, 5939-5950 (2010)] provides k(Q) factors calculated using Monte Carlo simulations. This work investigates a variety of additional consistency checks to verify the accuracy of the k(Q) factors determined in each publication and a comparison of the two data sets. Uncertainty introduced in calculated k(Q) factors by possible variation of W/e with beam energy is investigated further. METHODS: The validity of the experimental set of k(Q) factors relies on the accuracy of the NE2571 reference chamber measurements to which k(Q) factors for all other ion chambers are correlated. The stability of NE2571 absorbed dose to water calibration coefficients is determined and comparison to other experimental k(Q) factors is analyzed. Reliability of Monte Carlo calculated k(Q) factors is assessed through comparison to other publications that provide Monte Carlo calculations of k(Q) as well as an analysis of the sleeve effect, the effect of cavity length and self-consistencies between graphite-walled Farmer-chambers. Comparison between the two data sets is given in terms of the percent difference between the k(Q) factors presented in both publications. RESULTS: Monitoring of the absorbed dose calibration coefficients for the NE2571 chambers over a period of more than 15 yrs exhibit consistency at a level better than 0.1%. Agreement of the NE2571 k(Q) factors with a quadratic fit to all other experimental data from standards labs for the same chamber is observed within 0.3%. Monte Carlo calculated k(Q) factors are in good agreement with most other Monte Carlo calculated k(Q) factors. Expected results are observed for the sleeve effect and the effect of cavity length on k(Q). The mean percent differences between experimental and Monte Carlo calculated k(Q) factors are -0.08, -0.07, and -0.23% for the Elekta 6, 10, and 25 MV nominal beam energies, respectively. An upper limit on the variation of W/e in photon beams from cobalt-60 to 25 MV is determined as 0.4% with 95% confidence. The combined uncertainty on Monte Carlo calculated k(Q) factors is reassessed and amounts to between 0.40 and 0.49% depending on the wall material of the chamber. CONCLUSIONS: Excellent agreement (mean percent difference of only 0.13% for the entire data set) between experimental and calculated k(Q) factors is observed. For some chambers, k(Q) is measured for only one chamber of each type--the level of agreement observed in this study would suggest that for those chambers the measured k(Q) values are generally representative of the chamber type.

Strength and neuromuscular adaptation following one, four, and eight sets of high intensity resistance exercise in trained males.

The optimal volume of resistance exercise to prescribe for trained individuals is unclear. The purpose of this study was to randomly assign resistance trained individuals to 6-weeks of squat exercise, prescribed at 80% of a 1 repetition-maximum (1-RM), using either one, four, or eight sets of repetitions to failure performed twice per week. Participants then performed the same peaking program for 4-weeks. Squat 1-RM, quadriceps muscle activation, and contractile rate of force development (RFD) were measured before, during, and after the training program. 32 resistance-trained male participants completed the 10-week program. Squat 1-RM was significantly increased for all groups after 6 and 10-weeks of training (P < 0.05). The 8-set group was significantly stronger than the 1-set group after 3-weeks of training (7.9% difference, P < 0.05), and remained stronger after 6 and 10-weeks of training (P < 0.05). Peak muscle activation did not change during the study. Early (30, 50 ms) and peak RFD was significantly decreased for all groups after 6 and 10-weeks of training (P < 0.05). Peak isometric force output did not change for any group. The results of this study support resistance exercise prescription in excess of 4-sets (i.e. 8-sets) for faster and greater strength gains as compared to 1-set training. Common neuromuscular changes are attributed to high intensity squats (80% 1-RM) combined with a repetition to failure prescription. This prescription may not be useful for sports application owing to decreased early and peak RFD. Individual responsiveness to 1-set of training should be evaluated in the first 3-weeks of training.

Vessel calibre and haemoglobin effects on pulse oximetry.

Despite its success as a clinical monitoring tool, pulse oximetry may be improved with respect to the need for empirical calibration and the reports of biases in readings associated with peripheral vasoconstriction and haemoglobin concentration. To effect this improvement, this work aims to improve the understanding of the photoplethysmography signal-as used by pulse oximeters-and investigates the effect of vessel calibre and haemoglobin concentration on pulse oximetry. The digital temperature and the transmission of a wide spectrum of light through the fingers of 57 people with known haemoglobin concentrations were measured and simulations of the transmission of that spectrum of light through finger models were performed. Ratios of pulsatile attenuations of light as used in pulse oximetry were dependent upon peripheral temperature and on blood haemoglobin concentration. In addition, both the simulation and in vivo results showed that the pulsatile attenuation of light through fingers was approximately proportional to the absorption coefficients of blood, only when the absorption coefficients were small. These findings were explained in terms of discrete blood vessels acting as barriers to light transmission through tissue. Due to the influence of discrete blood vessels on light transmission, pulse oximeter outputs tend to be dependent upon haemoglobin concentration and on the calibre of pulsing blood vessels-which are affected by vasoconstriction/vasodilation. The effects of discrete blood vessels may account for part of the difference between the Beer-Lambert pulse oximetry model and empirical calibration.