Demonstration of tunable three-body interactions between superconducting qubits

Nonpairwise multi-qubit interactions present a useful resource for quantum information processors. Their implementation would facilitate more efficient quantum simulations of molecules and combinatorial optimization problems, and they could simplify error suppression and error correction schemes. Here we present a superconducting circuit architecture in which a coupling module mediates 2-local and 3-local interactions between three flux qubits by design. The system Hamiltonian is estimated via multi-qubit pulse sequences that implement Ramsey-type interferometry between all neighboring excitation manifolds in the system. The 3-local interaction is coherently tunable over several MHz via the coupler flux biases and can be turned off, which is important for applications in quantum annealing, analog quantum simulation, and gate-model quantum computation.Comment: 14 pages, 11 figure

Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop

<p>Abstract</p> <p>Background</p> <p>Envenomation by crotaline snakes (rattlesnake, cottonmouth, copperhead) is a complex, potentially lethal condition affecting thousands of people in the United States each year. Treatment of crotaline envenomation is not standardized, and significant variation in practice exists.</p> <p>Methods</p> <p>A geographically diverse panel of experts was convened for the purpose of deriving an evidence-informed unified treatment algorithm. Research staff analyzed the extant medical literature and performed targeted analyses of existing databases to inform specific clinical decisions. A trained external facilitator used modified Delphi and structured consensus methodology to achieve consensus on the final treatment algorithm.</p> <p>Results</p> <p>A unified treatment algorithm was produced and endorsed by all nine expert panel members. This algorithm provides guidance about clinical and laboratory observations, indications for and dosing of antivenom, adjunctive therapies, post-stabilization care, and management of complications from envenomation and therapy.</p> <p>Conclusions</p> <p>Clinical manifestations and ideal treatment of crotaline snakebite differ greatly, and can result in severe complications. Using a modified Delphi method, we provide evidence-informed treatment guidelines in an attempt to reduce variation in care and possibly improve clinical outcomes.</p

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Quantum-inspired and Quantum Optimization on a Superconducting Quantum Processor

Quantum and Quantum-inspired optimization represent rapidly growing fields that combine classical optimization techniques with either quantum-inspired ideas or quantum hardware to address complex optimization problems. This thesis provides an overview of quantum-inspired optimization as well as quantum optimization, including the theoretical underpinnings of both processes on hardware and in software. In particular, this thesis considers a specific, practically relevant problem, a BMW production planning problem, and evaluates the performance of quantum-inspired optimizers. This evaluation is implemented by comparing the performance of a family of quantum-inspired optimizers with that of several common black-box combinatorial methods. We find that the use of important operations research techniques including the incorporation of domain-specific information as well as state-space pruning improves the performance of all solvers. In addition, we find that in a majority of tested cases, quantum-inspired methods tie or improve upon the results of their conventional counterparts, albeit by small margins, particularly in regimes of moderate state-space size. This thesis demonstrates that quantum-inspired optimization can outperform many conventional optimization methods in some cases, motivating future use and study of quantum-inspired protocals as well as implementation of fully-quantum optimization techniques.S.M

Lehman06ai.eps

ABSTRACT The Cupido and Coahuila platforms of northeastern Mexico are part of the extensive carbonate platform system that rimmed the ancestral Gulf of Mexico during Barremian to Albian time. Exposures of Cupido and Coahuila lithofacies in several mountain ranges spanning an ~80 000 km 2 area reveal information about platform morphology and composition, paleoenvironmental relations, and the chronology of platform evolution. New biostratigraphic data, integrated with carbon and strontium isotope stratigraphy, significantly improve chronostratigraphic relations across the region. These data substantially change previous age assignments of several formations and force a revision of the longstanding stratigraphy in the region. The revised stratigraphy and enhanced time control, combined with regional facies associations, allow the construction of cross sections, isopach maps, and timeslice paleogeographic maps that collectively document platform morphology and evolution. The orientation of the Cupido (BarremianAptian) shelf margin was controlled by the emergent Coahuila basement block to the northwest. The south-facing margin is a highenergy grainstone shoal, whereas the margin facing the ancestral Gulf of Mexico to the eas

Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop.

BackgroundEnvenomation by crotaline snakes (rattlesnake, cottonmouth, copperhead) is a complex, potentially lethal condition affecting thousands of people in the United States each year. Treatment of crotaline envenomation is not standardized, and significant variation in practice exists.MethodsA geographically diverse panel of experts was convened for the purpose of deriving an evidence-informed unified treatment algorithm. Research staff analyzed the extant medical literature and performed targeted analyses of existing databases to inform specific clinical decisions. A trained external facilitator used modified Delphi and structured consensus methodology to achieve consensus on the final treatment algorithm.ResultsA unified treatment algorithm was produced and endorsed by all nine expert panel members. This algorithm provides guidance about clinical and laboratory observations, indications for and dosing of antivenom, adjunctive therapies, post-stabilization care, and management of complications from envenomation and therapy.ConclusionsClinical manifestations and ideal treatment of crotaline snakebite differ greatly, and can result in severe complications. Using a modified Delphi method, we provide evidence-informed treatment guidelines in an attempt to reduce variation in care and possibly improve clinical outcomes