Abstract: Background and purpose: Brachytherapy treatment outcomes depend on the accuracy of the delivered dose distribution, which is proportional to the reference air-kerma rate (RAKR). Current societal recommendations require the medical physicist to compare the measured RAKR values to the manufacturer source calibration certificate. The purpose of this work was to report agreement observed in current clinical practice in the European Union. Materials and methods: A European survey was performed for high- and pulsed-dose-rate (HDR and PDR) highenergy sources (Ir-192 and Co-60), to quantify observed RAKR differences. Medical physicists at eighteen hospitals from eight European countries were contacted, providing 1,032 data points from 2001 to 2020. Results: Over the survey period, 77% of the Ir-192 measurements used a well chamber instead of the older Krieger phantom method. Mean differences with the manufacturer calibration certificate were 0.01% +/- 1.15% for Ir-192 and -0.1% +/- 1.3% for Co-60. Over 95% of RAKR measurements in the clinic were within 3% of the manufacturer calibration certificate. Conclusions: This study showed that the agreement level was generally better than that reflected in prior societal recommendations positing 5%. Future recommendations on high-energy HDR and PDR source calibrations in the clinic may consider tightened agreements levels.

Abstract: The concordance of the ACDM cosmological model in light of current observations has been the subject of an intense debate in recent months. The 2018 Planck Cosmic Microwave Background (CMB) temperature anisotropy power spectrum measurements appear at face value to favour a spatially closed Universe with curvature parameter Omega(K) < 0. This preference disappears if Baryon Acoustic Oscillation (BAO) measurements are combined with Planck data to break the geometrical degeneracy, although the reliability of this combination has been questioned due to the strong tension present between the two datasets when assuming a curved Universe. Here, we approach this issue from yet another point of view, using measurements of the full-shape (FS) galaxy power spectrum, P(k), from the Baryon Oscillation Spectroscopic Survey DR12 CMASS sample. By combining Planck data with FS measurements, we break the geometrical degeneracy and find Omega(K) = 0.0023 +/- 0.0028. This constrains the Universe to be spatially flat to sub-percent precision, in excellent agreement with results obtained using BAO measurements. However, as with BAO, the overall increase in the best-fit chi(2) suggests a similar level of tension between Planck and P(k) under the assumption of a curved Universe. While the debate on spatial curvature and the concordance between cosmological datasets remains open, our results provide new perspectives on the issue, highlighting the crucial role of FS measurements in the era of precision cosmology.

Abstract: We consider special classes of Palatini f(R) theories, featured by additional Loop Quantum Gravity inspired terms, with the aim of identifying a set of modified Ashtekar canonical variables, which still preserve the SU(2) gauge structure of the standard theory. In particular, we allow for affine connection to be endowed with torsion, which turns out to depend on the additional scalar degree affecting Palatini f( R) gravity, and in this respect we successfully construct a novel Gauss constraint. We analyze the role of the additional scalar field, outlining as it acquires a dynamical character by virtue of a non vanishing Immirzi parameter, and we describe some possible effects on the area operator stemming from such a revised theoretical framework. Finally, we compare our results with earlier studies in literature, discussing differences between metric and Palatini approaches. It is worth noting how the Hamiltonian turns out to be different in the two cases. The results can be reconciled when the analysis is performed in the Einstein frame.