Beyond transcoherent states: Field states for effecting optimal coherent rotations on single or multiple qubits

Semiclassically, laser pulses can be used to implement arbitrary transformations on atomic systems; quantum mechanically, residual atom-field entanglement spoils this promise. Transcoherent states are field states that fix this problem in the fully quantized regime by generating perfect coherence in an atom initially in its ground or excited state. We extend this fully quantized paradigm in four directions: First, we introduce field states that transform an atom from its ground or excited state to any point on the Bloch sphere without residual atom-field entanglement. The best strong pulses for carrying out rotations by angle $\theta$ are are squeezed in photon-number variance by a factor of $\rm{sinc}\theta$. Next, we investigate implementing rotation gates, showing that the optimal Gaussian field state for enacting a $\theta$ pulse on an atom in an arbitrary, unknown initial state is number squeezed by less: $\rm{sinc}\tfrac{\theta}{2}$. Third, we extend these investigations to fields interacting with multiple atoms simultaneously, discovering once again that number squeezing by $\tfrac{\pi}{2}$ is optimal for enacting $\tfrac{\pi}{2}$ pulses on all of the atoms simultaneously, with small corrections on the order of the ratio of the number of atoms to the average number of photons. Finally, we find field states that best perform arbitrary rotations by $\theta$ through nonlinear interactions involving $m$-photon absorption, where the same optimal squeezing factor is found to be $\rm{sinc}\theta$. Backaction in a wide variety of atom-field interactions can thus be mitigated by squeezing the control fields by optimal amounts.Comment: Updated formatting following acceptance in Quantu

Building a collaborative culture in cardiothoracic operating rooms: Pre and postintervention study protocol for evaluation of the implementation of teamSTEPPS training and the impact on perceived psychological safety

IntroductionThe importance of effective communication, a key component of teamwork, is well recognised in the healthcare setting. Establishing a culture that encourages and empowers team members to speak openly in the cardiothoracic (CT) operating room (OR) is necessary to improve patient safety in this high-risk environment.Methods and analysisThis study will take place at Barnes-Jewish Hospital, an academic hospital in affiliation with Washington University School of Medicine located in the USA. All team members participating in cardiac and thoracic OR cases during this 17-month study period will be identified by the primary surgical staff attending on the OR schedule.TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) training course will be taught to all CT OR staff. Before TeamSTEPPS training, staff will respond to a 39-item questionnaire that includes constructs from the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture, Edmondson’s ‘Measure of psychological safety’ questionnaire, and questionnaires on turnover intentions, job satisfaction and ‘burnout’. The questionnaires will be readministered at 6 and 12 months.The primary outcomes to be assessed include the perceived psychological safety of CT OR team members, the overall effect of TeamSTEPPS on burnout and job satisfaction, and observed turnover rate among the OR nurses. As secondary outcomes, we will be assessing self-reported rates of medical error and near misses in the ORs with a questionnaire at the end of each case.Ethics and disseminationEthics approval is not indicated as this project does not meet the federal definitions of research requiring the oversight of the Institutional Review Board (IRB). Patient health information (PHI) will not be generated during the implementation of this project. Results of the trial will be made accessible to the public when published in a peer-reviewed journal following the completion of the study.</jats:sec

Cognitive flexibility training for chronic pain: A randomized clinical study

INTRODUCTION: Previous studies suggest an association between cognitive flexibility and development of chronic pain after surgery. It is not known whether cognitive flexibility can be improved in patients with chronic pain. OBJECTIVES: This study tested whether a neurocognitive training program results in improved cognitive flexibility and pain in patients with chronic pain. METHODS: We conducted a single-center, prospective, randomized study investigating 5-week daily neurocognitive training in patients with chronic pain. Participants (n = 145) were randomized into neurocognitive training or care as usual, and they completed assessments at baseline, posttreatment, and 3 months. The treatment group was asked to spend 35 minutes daily completing a program with tasks on cognitive flexibility, memory, attention, and speed. The primary outcome was performance on the neurocognitive performance test (NCPT). Secondary outcomes included levels of pain interference and severity. RESULTS: At 5 weeks, the treatment group showed greater improvements on NCPT compared with the control group ( CONCLUSIONS: Outcomes suggest that using neurocognitive training to modify cognitive flexibility in patients with chronic pain may improve pain severity. This study provided effect size estimates to inform sample size calculations for randomized controlled trials to test the effectiveness of neurocognitive interventions for the prevention and treatment of chronic pain

Generating a 4-photon Tetrahedron State: Towards Simultaneous Super-sensitivity to Non-commuting Rotations

It is often thought that the super-sensitivity of a quantum state to an observable comes at the cost of a decreased sensitivity to other non-commuting observables. For example, a squeezed state squeezed in position quadrature is super-sensitive to position displacements, but very insensitive to momentum displacements. This misconception was cleared with the introduction of the compass state, a quantum state equally super-sensitive to displacements in position and momentum. When looking at quantum states used to measure spin rotations, N00N states are known to be more advantageous than classical methods as long as they are aligned to the rotation axis. When considering the estimation of a rotation with unknown direction and amplitude, a certain class of states stands out with interesting properties. These states are equally sensitive to rotations around any axis, are second-order unpolarized, and can possess the rotational properties of platonic solids in particular dimensions. Importantly, these states are optimal for simultaneously estimating the three parameters describing a rotation. In the asymptotic limit, estimating all d parameters describing a transformation simultaneously rather than sequentially can lead to a reduction of the appropriately-weighted sum of the measured parameters' variances by a factor of d. We report the experimental creation and characterization of the lowest-dimensional such state, which we call the "tetrahedron state" due to its tetrahedral symmetry. This tetrahedron state is created in the symmetric subspace of four optical photons' polarization in a single spatial and temporal mode, which behaves as a spin-2 particle. While imperfections due to the hardware limit the performance of our method, we argue that better technology can improve our method to the point of outperforming any other existing strategy in per-photon comparisons.Comment: 13 pages, 6 figure

Chronology with a pinch of salt:Integrated stratigraphy of Messinian evaporites in the deep Eastern Mediterranean reveals long-lasting halite deposition during Atlantic connectivity

The Messinian Salinity Crisis (MSC; 5.97–5.33 Ma) is considered an extreme environmental event driven by changes in climate and tectonics, which affected global ocean salinity and shaped the biogeochemical composition of the Mediterranean Sea. Yet, after more than 50 years of research, MSC stratigraphy remains controversial. Recent studies agree that the transition from the underlying pre-evaporite sediments to thick halite deposits is conformal in the deep Eastern Mediterranean Basin. However, the age of the base and the duration of halite deposition are still unclear. Also disputed is the nature of the intermediate and upper MSC units, which are characterized as periods of increased clastic deposition into the Eastern Mediterranean based on marginal outcrops and seismic data. We provide a multidisciplinary study of sedimentary, geochemical, and geophysical data from industrial offshore wells in the Levant Basin, which recovered a sedimentary record of deep-basin Mediterranean evaporites deposited during the MSC. In combination with previous observations of the MSC throughout the Mediterranean Basin, our results promote the need for a new chronological model. Remarkably, the one-kilometer-thick lower part of the evaporitic unit is composed of essentially pure halite, except for a thin transitional anhydrite layer at its base. The halite is undisturbed and homogeneous, lacking diverse features apparent in more proximal sections, indicating a deep-sea depositional environment. We find that distinct, meters-thick non-evaporitic intervals interbedded with the halite, previously thought to be clastic layers, are diatomites. While XRD analysis confirms an increase in clastic components in these sediments, they are composed primarily of well-preserved marine and freshwater planktonic diatoms. The occurrence of marine planktonic diatoms in these intervals indicates the input of Atlantic waters into the Mediterranean Basin during the deposition of the massive halite unit. Seismic stratigraphy and well-log cyclostratigraphy further support deep basin halite deposition, which started about 300 kyr earlier than widely assumed (~5.97 Ma). We propose that halite deposition in the deep Mediterranean took place during stage 1 of the MSC, rather than being limited to the short 50 kyr MSC acme when sea level was presumably at its lowest. Thus, brine formation, salt precipitation, and faunal extinction occurred at least in part in a deep, non-desiccated basin, with a restricted yet open Mediterranean-Atlantic connection that allowed inflow of oceanic water. We observe an increase in heavy minerals and reworked fauna within the clastic-evaporitic, Interbedded Evaporites of the basinal MSC section, and argue that these settings correspond in the deep basins with a significant sea-level drawdown during stage 2 of the MSC, as observed in the marginal sections. This correlation is corroborated by astrochronology and chemostratigraphic markers, such as the distribution of n-alkanes and biomarker-based thermal maturity indices. The Levant deposits indicate that high sea level and partial connectivity with global oceans promoted the deposition of deep-basin deep-water halite, while sea-level drawdown promoted deposition of reworked and transported material from the margins into deep Mediterranean basins. This study modifies the current understanding of the mechanisms governing salt deposition throughout the MSC with implications for other evaporitic events in the geologic record

AMELIE speeds Mendelian diagnosis by matching patient phenotype and genotype to primary literature

The diagnosis of Mendelian disorders requires labor-intensive literature research. Trained clinicians can spend hours looking for the right publication(s) supporting a single gene that best explains a patient’s disease. AMELIE (Automatic Mendelian Literature Evaluation) greatly accelerates this process. AMELIE parses all 29 million PubMed abstracts and downloads and further parses hundreds of thousands of full-text articles in search of information supporting the causality and associated phenotypes of most published genetic variants. AMELIE then prioritizes patient candidate variants for their likelihood of explaining any patient’s given set of phenotypes. Diagnosis of singleton patients (without relatives’ exomes) is the most time-consuming scenario, and AMELIE ranked the causative gene at the very top for 66% of 215 diagnosed singleton Mendelian patients from the Deciphering Developmental Disorders project. Evaluating only the top 11 AMELIE-scored genes of 127 (median) candidate genes per patient resulted in a rapid diagnosis in more than 90% of cases. AMELIE-based evaluation of all cases was 3 to 19 times more efficient than hand-curated database–based approaches. We replicated these results on a retrospective cohort of clinical cases from Stanford Children’s Health and the Manton Center for Orphan Disease Research. An analysis web portal with our most recent update, programmatic interface, and code is available at AMELIE.stanford.edu

Targeting of B and T lymphocyte associated (BTLA) prevents graft-versus-host disease without global immunosuppression

One-time treatment with an antibody against BTLA provides long-term protection against graft-versus-host disease without affecting effector T cell responses to tumors or pathogens

Measurement of the production of a W boson in association with a charm quark in pp collisions at √s = 7 TeV with the ATLAS detector

The production of a W boson in association with a single charm quark is studied using 4.6 fb−1 of pp collision data at s√ = 7 TeV collected with the ATLAS detector at the Large Hadron Collider. In events in which a W boson decays to an electron or muon, the charm quark is tagged either by its semileptonic decay to a muon or by the presence of a charmed meson. The integrated and differential cross sections as a function of the pseudorapidity of the lepton from the W-boson decay are measured. Results are compared to the predictions of next-to-leading-order QCD calculations obtained from various parton distribution function parameterisations. The ratio of the strange-to-down sea-quark distributions is determined to be 0.96+0.26−0.30 at Q 2 = 1.9 GeV2, which supports the hypothesis of an SU(3)-symmetric composition of the light-quark sea. Additionally, the cross-section ratio σ(W + +c¯¯)/σ(W − + c) is compared to the predictions obtained using parton distribution function parameterisations with different assumptions about the s−s¯¯¯ quark asymmetry