A Survey of Local Optical Committees (LOCs) involved in Cataract Pathways within the London Region

Purpose: Cataract enhanced service (direct referral) schemes have been in existence for over 12 years. Such schemes make better use of the primary care practitioner's professional expertise and have the potential to reduce costs and provide an improved patient pathway. Surprisingly little has been published about these schemes, hence there is a lack of evidence to inform local decision making about existing and future services. The aim of this study was to provide more evidence by surveying the Local Optical Committees (LOCs) to obtain their views on their involvement or lack of involvement in cataract enhanced service schemes in the London region. Secondary aims were to compare how schemes operate and determine why schemes do not exist in some areas. Method: A structured survey of London’s 14 LOCs was carried out on two occasions (2007 and 2012). LOCs were contacted via e-mail, telephone or written letter. Some supporting information was obtained from PCTs. All data were analysed qualitatively. Results: In 2007, only two out of the 10 LOCs that had participated in the 2005 Cataract Choose and Book scheme were involved in running a full direct referral scheme. This had risen to six by 2012 with a total of 11 LOCs having participated in a trial/pilot scheme by that date. The remaining three LOCs have never participated in a scheme. Although there are similarities across schemes (e.g. requirement for accreditation, a referral fee etc), marked differences were found in patient booking arrangements, requirements during initial assessment and post-operative assessment. The percentage of LOCs involved in full schemes in the London region (43%) is lower than for the rest of England (69%). Where trial/pilot schemes had run but no full scheme had been implemented the major reasons reported were: lack of central funding; the schemes were only feasibility studies; and the requirement for a Unique Booking Reference Number (UBRN) for the Choose and Book process. Conclusions: Enhanced cataract service schemes do not always develop into full schemes even if the trial/pilot scheme has been deemed successful. Schemes may have a more prominent role in future with requirements on Clinical Commissioning Groups to provide an improved patient experience within tighter financial constraints. The co-ordinating activity across England of the Local Optical Committee Support Unit (LOCSU) and the newly formed Local Professional Networks for Eyecare should help increase uniformity of approach. All established cataract schemes will need to be re-procured during 2013/14 if they are to continue without interruption

Mimicking a Squeezed Bath Interaction: Quantum Reservoir Engineering with Atoms

The interaction of an atomic two-level system and a squeezed vacuum leads to interesting novel effects in atomic dynamics, including line narrowing in resonance fluorescence and absorption spectra, and a suppressed (enhanced) decay of the in-phase and out-of phase component of the atomic polarization. On the experimental side these predictions have so far eluded observation, essentially due to the difficulty of embedding atoms in a 4 pi squeezed vacuum. In this paper we show how to ``engineer'' a squeezed-bath-type interaction for an effective two-level system. In the simplest example, our two-level atom is represented by the two ground levels of an atom with angular momentum J=1/2 -> J=1/2 transition (a four level system) which is driven by (weak) laser fields and coupled to the vacuum reservoir of radiation modes. Interference between the spontaneous emission channels in optical pumping leads to a squeezed bath type coupling, and thus to symmetry breaking of decay on the Bloch sphere. With this system it should be possible to observe the effects predicted in the context of squeezed bath - atom interactions. The laser parameters allow one to choose properties of the squeezed bath interaction, such as the (effective) photon number expectation number N and the squeezing phase phi. We present results of a detailed analytical and numerical study.Comment: 24 pages, 8 figure

Implementation of quantum gates and preparation of entangled states in cavity QED with cold trapped ions

We propose a scheme to perform basic gates of quantum computing and prepare entangled states in a system with cold trapped ions located in a single mode optical cavity. General quantum computing can be made with both motional state of the trapped ion and cavity state being qubits. We can also generate different kinds of entangled states in such a system without state reduction, and can transfer quantum states from the ion in one trap to the ion in another trap. Experimental requirement for achieving our scheme is discussed.Comment: To appear in J. Opt.

Experimental investigation of early-time diffusion in the quantum kicked rotor using a Bose-Einstein condensate

We report the experimental observation of resonances in the early-time momentum diffusion rates for the atom-optical delta-kicked rotor. In this work a Bose-Einstein condensate provides a source of ultra-cold atoms with an ultra-narow initial momentum distribution, which is then subjected to periodic pulses (or "kicks") using an intense far-detuned optical standing wave. A quantum resonance occurs when the momentum eigenstates accumulate the same phase between kicks leading to ballistic energy growth. Conversely, an anti-resonance is observed when the phase accumulated from successive kicks cancels and the system returns to its initial state. Our experimental results are compared with theoretical predictions.Comment: 6 pages, 6 figure

Field correlations and effective two level atom-cavity systems

We analyse the properties of the second order correlation functions of the electromagnetic field in atom-cavity systems that approximate two-level systems. It is shown that a recently-developed polariton formalism can be used to account for all the properties of the correlations, if the analysis is extended to include two manifolds - corresponding to the ground state and the states excited by a single photon - rather than just two levels.Comment: 4 pages, 2 figures, published versio

Motion-light parametric amplifier and entanglement distributor

We propose a scheme for entangling the motional mode of a trapped atom with a propagating light field via a cavity-mediated parametric interaction. We then show that if this light field is subsequently coupled to a second distant atom via a cavity-mediated linear-mixing interaction, it is possible to transfer the entanglement from the light beam to the motional mode of the second atom to create an EPR-type entangled state of the positions and momenta of two distantly-separated atoms.Comment: 9 pages, 8 figures, REVTe

Entanglement between motional states of a single trapped ion and light

We propose a generation method of Bell-type states involving light and the vibrational motion of a single trapped ion. The trap itself is supposed to be placed inside a high-$Q$ cavity sustaining a single mode, quantized electromagnetic field. Entangled light-motional states may be readily generated if a conditional measurement of the ion's internal electronic state is made after an appropriate interaction time and a suitable preparation of the initial state. We show that all four Bell states may be generated using different motional sidebands (either blue or red), as well as adequate ionic relative phases.Comment: 4 pages, LaTe

Effects of motion in cavity QED

We consider effects of motion in cavity quantum electrodynamics experiments where single cold atoms can now be observed inside the cavity for many Rabi cycles. We discuss the timescales involved in the problem and the need for good control of the atomic motion, particularly the heating due to exchange of excitation between the atom and the cavity, in order to realize nearly unitary dynamics of the internal atomic states and the cavity mode which is required for several schemes of current interest such as quantum computing. Using a simple model we establish ultimate effects of the external atomic degrees of freedom on the action of quantum gates. The perfomance of the gate is characterized by a measure based on the entanglement fidelity and the motional excitation caused by the action of the gate is calculated. We find that schemes which rely on adiabatic passage, and are not therefore critically dependent on laser pulse areas, are very much more robust against interaction with the external degrees of freedom of atoms in the quantum gate.Comment: 10 pages, 5 figures, REVTeX, to be published in Walls Symposium Special Issue of Journal of Optics

Optical signatures of quantum phase transitions in a light-matter system

Information about quantum phase transitions in conventional condensed matter systems, must be sought by probing the matter system itself. By contrast, we show that mixed matter-light systems offer a distinct advantage in that the photon field carries clear signatures of the associated quantum critical phenomena. Having derived an accurate, size-consistent Hamiltonian for the photonic field in the well-known Dicke model, we predict striking behavior of the optical squeezing and photon statistics near the phase transition. The corresponding dynamics resemble those of a degenerate parametric amplifier. Our findings boost the motivation for exploring exotic quantum phase transition phenomena in atom-cavity, nanostructure-cavity, and nanostructure-photonic-band-gap systems.Comment: 4 pages, 4 figure