7 research outputs found

    Compressive gate set tomography

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    Flexible characterization techniques that identify and quantify experimental imperfections under realistic assumptions are crucial for the development of quantum computers. Gate set tomography is a characterization approach that simultaneously and self-consistently extracts a tomographic description of the implementation of an entire set of quantum gates, as well as the initial state and measurement, from experimental data. Obtaining such a detailed picture of the experimental implementation is associated with high requirements on the number of sequences and their design, making gate set tomography a challenging task even for only two qubits. In this work, we show that low-rank approximations of gate sets can be obtained from significantly fewer gate sequences and that it is sufficient to draw them randomly. Such tomographic information is needed for the crucial task of dealing with coherent noise. To this end, we formulate the data processing problem of gate set tomography as a rank-constrained tensor completion problem. We provide an algorithm to solve this problem while respecting the usual positivity and normalization constraints of quantum mechanics by using second-order geometrical optimization methods on the complex Stiefel manifold. Besides the reduction in sequences, we demonstrate numerically that the algorithm does not rely on structured gate sets or an elaborate circuit design to robustly perform gate set tomography and is therefore more broadly applicable than traditional approaches.Comment: 14+12 pages, several figures and diagram

    Stability of classical shadows under gate-dependent noise

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    Expectation values of observables are routinely estimated using so-called classical shadows\unicode{x2014}the outcomes of randomized bases measurements on a repeatedly prepared quantum state. In order to trust the accuracy of shadow estimation in practice, it is crucial to understand the behavior of the estimators under realistic noise. In this work, we prove that any shadow estimation protocol involving Clifford unitaries is stable under gate-dependent noise for observables with bounded stabilizer norm\unicode{x2014}originally introduced in the context of simulating Clifford circuits. For these observables, we also show that the protocol's sample complexity is essentially identical to the noiseless case. In contrast, we demonstrate that estimation of `magic' observables can suffer from a bias that scales exponentially in the system size. We further find that so-called robust shadows, aiming at mitigating noise, can introduce a large bias in the presence of gate-dependent noise compared to unmitigated classical shadows. Nevertheless, we guarantee the functioning of robust shadows for a more general noise setting than in previous works. On a technical level, we identify average noise channels that affect shadow estimators and allow for a more fine-grained control of noise-induced biases.Comment: 26 pages, 1 figure; v2: Improved presentation of results in the main tex

    Relationship between oral declaration on adherence to ivermectin treatment and parasitological indicators of onchocerciasis in an area of persistent transmission despite a decade of mass drug administration in Cameroon

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    BACKGROUND: Onchocerciasis control for years has been based on mass drug administration (MDA) with ivermectin (IVM). Adherence to IVM repeated treatment has recently been shown to be a confounding factor for onchocerciasis elimination precisely in rain forest areas where transmission continues and Loa loa co-exists with Onchocerca volvulus. In this study, participants’ oral declarations were used as proxy to determine the relationship between adherence to IVM treatment and parasitological indicators of onchocerciasis in the rain forest area of Cameroon with more than a decade of MDA. METHODS: Participants were recruited based on their IVM intake profile with the aid of a semi-structured questionnaire. Parasitological examinations (skin sniping and nodule palpation) were done on eligible candidates. Parasitological indicators were calculated and correlated to IVM intake profile. RESULTS: Of 2,364 people examined, 15.5 % had never taken IVM. The majority (40.4 %) had taken the drug 1–3 times while only 18 % had taken ≄ 7 times. Mf and nodule prevalence rates were still high at 47 %, 95 % CI [44.9–49.0 %] and 36.4 %, 95 % CI [34.4–38.3 %] respectively. There was a treatment-dependent reduction in microfilaria prevalence (r(s) =−0.986, P = 0.01) and intensity (r(s) =−0.96, P = 0.01). The highest mf prevalence (59.7 %) was found in the zero treatment group and the lowest (33.9 %) in the ≄ 7 times treatment group (OR = 2.8; 95 % CI [2.09–3.74]; P < 0.001). Adults with ≄ 7 times IVM intake were 2.99 times more likely to have individuals with no microfilaria compared to the zero treatment group (OR = 2.99; 95 % CI [2.19–4.08], P < 0.0001). There was no clear correlation between treatment and nodule prevalence and intensity. CONCLUSION: Adherence to ivermectin treatment is not adequate in this rain forest area where L. loa co-exists with O. volvulus. The prevalence and intensity of onchocerciasis remained high in individuals with zero IVM intake after more than a decade of MDA. Our findings show that using parasitological indicators, reduction in prevalence is IVM intake-dependent and that participants’ oral declaration of treatment adherence could be relied upon for impact studies. The findings are discussed in the context of challenges for the elimination of onchocerciasis in this rain forest area

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    Metabolic Effects of Alcohol on the Endocrine System

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    Critical Intersections and Engagements

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    Effect of Antiplatelet Therapy on Survival and Organ Support–Free Days in Critically Ill Patients With COVID-19

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