Toward the realization of a primary low-pressure standard using a superconducting microwave resonator

We describe a primary gas pressure standard based on the measurement of the refractive index of helium gas using a microwave resonant cavity in the range between 500 Pa and 20 kPa. To operate in this range, the sensitivity of the microwave refractive gas manometer (MRGM) to low-pressure variations is substantially enhanced by a niobium coating of the resonator surface, which becomes superconducting at temperatures below 9 K, allowing one to achieve a frequency resolution of about 0.3 Hz at 5.2 GHz, corresponding to a pressure resolution below 3 mPa at 20 Pa. The determination of helium pressure requires precise thermometry but is favored by the remarkable accuracy achieved by ab initio calculations of the thermodynamic and electromagnetic properties of the gas. The overall standard uncertainty of the MRGM is estimated to be of the order of 0.04%, corresponding to 0.2 Pa at 500 and 8.1 Pa at 20 kPa, with major contributions from thermometry and the repeatability of microwave frequency measurements. A direct comparison of the pressures realized by the MRGM with the reference provided by a traceable quartz transducer shows relative pressure differences between 0.025% at 20 kPa and -1.4% at 500 Pa.

Avasopasem manganese (GC4419) protects against cisplatin-induced chronic kidney disease: An exploratory analysis of renal metrics from a randomized phase 2b clinical trial in head and neck cancer patients

Head and neck squamous cell carcinoma (HNSCC) patients treated with high-dose cisplatin concurrently with radiotherapy (hdCis-RT) commonly suffer kidney injury leading to acute and chronic kidney disease (AKD and CKD, respectively). We conducted a retrospective analysis of renal function and kidney injury-related plasma biomarkers in a subset of HNSCC subjects receiving hdCis-RT in a double-blinded, placebo-controlled clinical trial (NCT02508389) evaluating the superoxide dismutase mimetic, avasopasem manganese (AVA), an investigational new drug. We found that 90 mg AVA treatment prevented a significant reduction in estimated glomerular filtration rate (eGFR) three months as well as six and twelve months after treatment compared to 30 mg AVA and placebo. Moreover, AVA treatment may have allowed renal repair in the first 22 days following cisplatin treatment as evidenced by an increase in epithelial growth factor (EGF), known to aid in renal recovery. An upward trend was also observed in plasma iron homeostasis proteins including total iron (Fe-blood) and iron saturation (Fe-saturation) in the 90 mg AVA group versus placebo. These data support the hypothesis that treatment with 90 mg AVA mitigates cisplatin-induced CKD by inhibiting hdCis-induced renal changes and promoting renal recovery.

A multicentre, randomised trial comparing schedules of G-CSF (filgrastim) administration for primary prophylaxis of chemotherapy-induced febrile neutropenia in early stage breast cancer

BACKGROUND

The optimal duration of filgrastim as primary febrile neutropenia (FN) prophylaxis in early breast cancer patients is unknown, with 5, 7 or 10 days being commonly prescribed. This trial evaluates whether 5 days of filgrastim was non-inferior to 7/10 days.

PATIENTS AND METHODS

In this randomised, open-label trial, early breast cancer patients who were to receive filgrastim as primary FN prophylaxis were randomly allocated to 5 versus 7 versus 10 days of filgrastim for all chemotherapy cycles. A protocol amendment in November 2017 allowed subsequent patients (N = 324) to be randomised to either 5 or 7/10 days. The primary outcome was a composite of either FN or treatment-related hospitalisations. Secondary outcomes included chemotherapy dose reductions, delays and discontinuations. Analyses were carried out by per protocol (primary) and intention-to-treat, and the non-inferiority margin was set at 3% for the risk of having FN and/or hospitalisation per cycle of chemotherapy.

RESULTS

Patients (N = 466) were randomised to receive 5 (184, 39.5%), or 7/10 (282, 60.5%) days of filgrastim. In our primary analysis, the difference in risk of either FN or treatment-related hospitalisation per cycle was -1.52% [95% confidence interval (CI): -3.22% to 0.19%] suggesting non-inferiority of a 5-day filgrastim schedule compared with 7/10-days. The difference in events per cycle for FN was 0.11% (95% CI: -1.05 to 1.27) while for treatment-related hospitalisations it was -1.68% (95% CI: -2.73% to -0.63%). The overall proportions of patients having at least one occurrence of either FN or treatment-related hospitalisation were 11.8% and 14.96% for the 5- and 7/10-day groups, respectively (risk difference: -3.17%, 95% CI: -9.51% to 3.18%).

CONCLUSION

Five days of filgrastim was non-inferior to 7/10 days. Given the cost and toxicity of this agent, 5 days should be considered standard of care. CLINICALTRIALS.

GOV REGISTRATION

NCT02428114 and NCT02816164.

Refractive-index gas thermometry

The principles and techniques of primary refractive-index gas thermometry (RIGT) are reviewed. Absolute primary RIGT using microwave measurements of helium-filled quasispherical resonators has been implemented at the temperatures of the triple points of neon, oxygen, argon and water, with relative standard uncertainties ranging from 9.1 × 10-6 to 3.5 × 10-5. Researchers are now also using argon-filled cylindrical microwave resonators for RIGT near ambient temperature, with relative standard uncertainties between 3.8 × 10-5 and 4.6 × 10-5, and conducting relative RIGT measurements on isobars at low temperatures. RIGT at optical frequencies is progressing, and has been used to perform a Boltzmann constant measurement at room temperature with a relative standard uncertainty of 1.2 × 10-5. Uncertainty budgets from implementations of absolute primary microwave RIGT, relative primary microwave RIGT and absolute primary optical RIGT are provided.

Realization of an ultra-high precision temperature control in a cryogen-free cryostat

Single-pressure refractive-index gas thermometry (SPRIGT) is a new type primary thermometry jointly developed by TIPC of CAS in China and LNE-Cnam in France. To realize a competitive uncertainty of 0.25 mK for the thermodynamic temperature measurement, a cryogen-free cryostat with high-stability better than 0.2 mK should be designed. This paper presented the first experimental results of temperature control for this cryostat. To realize this objective, multi-layer radiation shields combined with a thermal-resistance method were used to isolate the thermal-noise from surroundings. Besides, a new temperature control method based on a gas-type heat switch and proportional-integral-derivative control method was proposed, which was applicable to different temperature ranges by changing the working modes of the heat switch. After optimizing, the ultra-high precision temperature control in the range of 5-25 K has been fully realized, which was the temperature instability (with standard deviation) of 0.021 mK at 5.0 K, 0.05 mK at 5.7 K, 0.042 mK at 7.4 K, 0.029 mK at 14.3 K, and 0.022 mK at 25 K with the sampling time of 0.8 s. This was almost the best reporting result in the world and showed its great potential in SPRIGT.

The Boltzmann project

The International Committee for Weights and Measures (CIPM), at its meeting in October 2017, followed the recommendation of the Consultative Committee for Units (CCU) on the redefinition of the kilogram, ampere, kelvin and mole. For the redefinition of the kelvin, the Boltzmann constant will be fixed with the numerical value 1.380 649 × 10-23 J K-1. The relative standard uncertainty to be transferred to the thermodynamic temperature value of the triple point of water will be 3.7 × 10-7, corresponding to an uncertainty in temperature of 0.10 mK, sufficiently low for all practical purposes. With the redefinition of the kelvin, the broad research activities of the temperature community on the determination of the Boltzmann constant have been very successfully completed. In the following, a review of the determinations of the Boltzmann constant k, important for the new definition of the kelvin and performed in the last decade, is given.

Progress towards the determination of thermodynamic temperature with ultra-low uncertainty

Previous research effort towards the determination of the Boltzmann constant has significantly improved the supporting theory and the experimental practice of several primary thermometry methods based on the measurement of a thermodynamic property of a macroscopic system at the temperature of the triple point of water. Presently, experiments are under way to demonstrate their accuracy in the determination of the thermodynamic temperature T over an extended range spanning the interval between a few kelvin and the copper freezing point (1358 K). We discuss how these activities will improve the link between thermodynamic temperature and the temperature as measured using the International Temperature Scale of 1990 (ITS-90) and report some preliminary results obtained by dielectric constant gas thermometry and acoustic gas thermometry. We also provide information on the status of other primary methods, such as Doppler broadening thermometry, Johnson noise thermometry and refractive index gas thermometry. Finally, we briefly consider the implications of these advancements for the dissemination of calibrated temperature standards.

Determination of the Boltzmann constant using a quasi-spherical acoustic resonator

The paper reports a new experiment to determine the value of the Boltzmann constant, k(B)=1.3806477(17)×10(-23) J K(-1), with a relative standard uncertainty of 1.2 parts in 10(6). k(B) was deduced from measurements of the velocity of sound in argon, inside a closed quasi-spherical cavity at a temperature of the triple point of water. The shape of the cavity was achieved using an extremely accurate diamond turning process. The traceability of temperature measurements was ensured at the highest level of accuracy. The volume of the resonator was calculated from measurements of the resonance frequencies of microwave modes. The molar mass of the gas was determined by chemical and isotopic composition measurements with a mass spectrometer. Within combined uncertainties, our new value of k(B) is consistent with the 2006 Committee on Data for Science and Technology (CODATA) value: (k(B)(new)/k(B_CODATA)-1)=-1.96×10(-6), where the relative uncertainties are u(r)(k(B)(new))=1.2×10(-6) and u(r)(k(B_CODATA))=1.7×10(-6). The new relative uncertainty approaches the target value of 1×10(-6) set by the Consultative Committee on Thermometry as a precondition for redefining the unit of the thermodynamic temperature, the kelvin.

Characterization of condenser microphones under different environmental conditions for accurate speed of sound measurements with acoustic resonators

Condenser microphones are more commonly used and have been extensively modeled and characterized in air at ambient temperature and static pressure. However, several applications of interest for metrology and physical acoustics require to use these transducers in significantly different environmental conditions. Particularly, the extremely accurate determination of the speed of sound in monoatomic gases, which is pursued for a determination of the Boltzmann constant k by an acoustic method, entails the use of condenser microphones mounted within a spherical cavity, over a wide range of static pressures, at the temperature of the triple point of water (273.16 K). To further increase the accuracy achievable in this application, the microphone frequency response and its acoustic input impedance need to be precisely determined over the same static pressure and temperature range. Few previous works examined the influence of static pressure, temperature, and gas composition on the microphone's sensitivity. In this work, the results of relative calibrations of 1/4 in. condenser microphones obtained using an electrostatic actuator technique are presented. The calibrations are performed in pure helium and argon gas at temperatures near 273 K and in the pressure range between 10 and 600 kPa. These experimental results are compared with the predictions of a realistic model available in the literature, finding a remarkable good agreement. The model provides an estimate of the acoustic impedance of 1/4 in. condenser microphones as a function of frequency and static pressure and is used to calculate the corresponding frequency perturbations induced on the normal modes of a spherical cavity when this is filled with helium or argon gas.

Acoustic field in a quasi-spherical resonator: unified perturbation model

Gas-filled quasi-spherical resonators are excellent tools for the measurement of thermophysical properties of gas and have also been retained for the determination of the Boltzmann constant with a low uncertainty, which can be derived from measurements of both the speed of sound in a noble gas and the volume of the resonator. To achieve this, a detailed modeling of the acoustic field in quasi-spherical resonators is of importance. Several phenomena and perturbations must be taken into account, including, among inertia and compressibility, heat conduction, viscosity, the shape of the resonator, small irregularities on the wall, and so on. The aim of this paper is to provide improvements to the current models of the acoustic field in such resonator. Namely, the model given here takes into account all the different perturbing elements together in a unique formalism, including the coupling between the different perturbing elements and the resulting modal coupling in a consistent manner. The first results obtained from this analytical model on a simple configuration show that the effect of modal coupling is small but should not be neglected regarding the accuracy required here, even if several improvements could still be provided to this new unified model.