Generating Entangled Microwave Radiation Over Two Transmission Lines

Using a superconducting circuit, the Josephson mixer, we demonstrate the first experimental realization of spatially separated two-mode squeezed states of microwave light. Driven by a pump tone, a first Josephson mixer generates, out of quantum vacuum, a pair of entangled fields at different frequencies on separate transmission lines. A second mixer, driven by a $\pi$-phase shifted copy of the first pump tone, recombines and disentangles the two fields. The resulting output noise level is measured to be lower than for vacuum state at the input of the second mixer, an unambiguous proof of entanglement. Moreover, the output noise level provides a direct, quantitative measure of entanglement, leading here to the demonstration of 6 Mebit.s$^{-1}$ (Mega entangled bits per second) generated by the first mixer.Comment: 5 pages, 4 figures. Supplementary Information can be found here as an ancillary fil

Widely tunable, non-degenerate three-wave mixing microwave device operating near the quantum limit

We present the first experimental realization of a widely frequency tunable, non-degenerate three-wave mixing device for quantum signals at GHz frequency. It is based on a new superconducting building-block consisting of a ring of four Josephson junctions shunted by a cross of four linear inductances. The phase configuration of the ring remains unique over a wide range of magnetic fluxes threading the loop. It is thus possible to vary the inductance of the ring with flux while retaining a strong, dissipation-free, and noiseless non-linearity. The device has been operated in amplifier mode and its noise performance has been evaluated by using the noise spectrum emitted by a voltage biased tunnel junction at finite frequency as a test signal. The unprecedented accuracy with which the crossover between zero-point-fluctuations and shot noise has been measured provides an upper-bound for the noise and dissipation intrinsic to the device.Comment: Accepted for Physical Review Letters. Supplementary material can be found in the source packag

Rotator cuff tears after 70years of age: A prospective, randomized, comparative study between decompression and arthroscopic repair in 154 patients

SummaryIntroductionArthroscopic repair of rotator cuff tears leads to better clinical outcomes than subacromial decompression alone; however the former is rarely proposed to patients above 70years of age. Our hypothesis was that arthroscopic repair would be superior to decompression in patient 70years or older. The primary goal was to compare the clinical results obtained with each technique. The secondary goal was to analyze the effects of age, tendon retraction and fatty infiltration on the outcome.MethodsThis was a prospective, comparative, randomized, multicenter study where 154 patients were included who were at least 70years of age. Of the included patients, 143 (70 repair and 73 decompression) were seen at one-year follow-up; these patients had an average age of 74.6years. Shoulders had a complete supraspinatus tear with extension limited to the upper-third of the infraspinatus and Patte stage 1 or 2 retraction. Clinical outcomes were evaluated with the Constant, ASES and SST scores.ResultsAll scores improved significantly with both techniques: Constant +33.81 (P<0.001), ASES +52.1 (P<0.001), SST +5.86 (P<0.001). However, repair led to even better results than decompression: Constant (+35.85 vs. +31.8, P<0.05), ASES (+56.09 vs. +48.17, P=0.01), SST (+6.33 vs. +5.38, P=0.02). The difference between repair and decompression was not correlated with age; arthroscopic repair was also better in patients above 75years of age (Constant, ASES and SST scores P<0.01). There was no significant correlation between the final outcomes and initial retraction: Constant (P=0.14), ASES (P=0.92), SST (P=0.47). The difference between repair and decompression was greater in patients with stages 0 and 1 fatty infiltration (Constant P<0.02) than in patients with stages 2 and 3 fatty infiltration (Constant P<0.05).ConclusionThere was a significant improvement in all-clinical scores for both techniques 1year after surgery. Repair was significantly better than decompression for all clinical outcomes, even in patients above 75years of age. The difference observed between repair and decompression was greater in patients with more retracted tears and lesser in patients with more severe fatty infiltration.Level of proofII (prospective, randomized study with low power)

High-sensitivity AC-charge detection with a MHz-frequency fluxonium qubit

Owing to their strong dipole moment and long coherence times, superconducting qubits have demonstrated remarkable success in hybrid quantum circuits. However, most qubit architectures are limited to the GHz frequency range, severely constraining the class of systems they can interact with. The fluxonium qubit, on the other hand, can be biased to very low frequency while being manipulated and read out with standard microwave techniques. Here, we design and operate a heavy fluxonium with an unprecedentedly low transition frequency of $1.8~\mathrm{MHz}$. We demonstrate resolved sideband cooling of the ``hot'' qubit transition with a final ground state population of $97.7~\%$, corresponding to an effective temperature of $23~\mu\mathrm{K}$. We further demonstrate coherent manipulation with coherence times $T_1=34~\mu\mathrm{s}$, $T_2^*=39~\mu\mathrm{s}$, and single-shot readout of the qubit state. Importantly, by directly addressing the qubit transition with a capacitively coupled waveguide, we showcase its high sensitivity to a radio-frequency field. Through cyclic qubit preparation and interrogation, we transform this low-frequency fluxonium qubit into a frequency-resolved charge sensor. This method results in a charge sensitivity of $33~\mu\mathrm{e}/\sqrt{\mathrm{Hz}}$, or an energy sensitivity (in joules per hertz) of $2.8~\hbar$. This method rivals state-of-the-art transport-based devices, while maintaining inherent insensitivity to DC charge noise. The high charge sensitivity combined with large capacitive shunt unlocks new avenues for exploring quantum phenomena in the $1-10~\mathrm{MHz}$ range, such as the strong-coupling regime with a resonant macroscopic mechanical resonator

Management of the stiff shoulder. A prospective multicenter comparative study of the six main techniques in use: 235 cases

SummaryIntroductionStiffness in the shoulder is a frequent symptom associated with a number of clinical entities whose management remains inadequately defined.Patients and methodsThis prospective study of 235 cases of stiffness in the shoulder compared six therapeutic techniques with a mean follow-up of 13 months (range, 3–28 months) (T1: 58 cases, conventional rehabilitation under the pain threshold, T2: 59 cases, self-rehabilitation over the pain threshold, T3: 31 cases, T2 + supervision, T4: 11 cases, T1 + capsular distension, T5: 31 cases, T1 + locoregional anesthesia, T6: 45 cases, T1 + T5 + capsulotomy). The therapeutic power of each technique and its impact on the result were assessed at each self-rehabilitation and rehabilitation session during the first 6 weeks and then at 3 months, 6 months, and at the final revision depending on subjective criteria (pain, discomfort, and morale) and objective criteria (Constant score, goniometric measurements).ResultsConventional rehabilitation (T1) is less effective than self-rehabilitation over the pain threshold (T2 & T3) during the first 6 weeks (P<0.05). Self-rehabilitation stagnates between the 6th and 12th week except when it is supervised by a therapist (T3). Anesthesia (T4) and capsular distension (T5) do not lead to significantly different progression beyond 6 months. Capsulotomy does not demonstrate greater therapeutic power but its failure rate (persisting stiffness at 1 year) is 0% versus 14–17% for the other techniques (P<0.05).DiscussionThe techniques are complementary and therapeutic success stems from an algorithm adapted to the individual patient with, over the first 3 months, successive self-rehabilitation and conventional rehabilitation, possibly completed by capsular distension or anesthesia between the 3rd and 6th months. In case of failure at 6 months, endoscopic capsulotomy can be proposed. Therapeutic patient education and active participation are the key to treatment success or failure.Level of evidenceLevel III, case–control, prospective comparative