Ultrasound Servoing of Catheters for Beating Heart Valve Repair

Robotic cardiac catheters have the potential to revolutionize heart surgery by extending minimally invasive techniques to complex surgical repairs inside the heart. However, catheter technologies are currently unable to track fast tissue motion, which is required to perform delicate procedures inside a beating heart. This paper presents an actuated catheter tool that compensates for the motion of heart structures like the mitral valve apparatus by servoing a catheter guidewire inside a flexible sheath. We examine design and operation parameters and establish that friction and backlash limit the tracking performance of the catheter system. Based on the results of these experiments, we implement compensation methods to improve trajectory tracking. The catheter system is then integrated with an ultrasound-based visual servoing system to enable fast tissue tracking. In vivo tests show RMS tracking errors of 0.77 mm for following the porcine mitral valve annulus trajectory. The results demonstrate that an ultrasound-guided robotic catheter system can accurately track the fast motion of the mitral valve.Engineering and Applied Science

Chemical Tools for Protein Imaging in Live Bacterial Cells

Bacteria spatially and temporally localize their proteins to carry out fundamental cellular processes. Methods for visualizing protein subcellular localization have been critical to our understanding of prokaryotic cell biology. Fluorescent reporters have been instrumental for imaging bacterial proteins in live cells. Small-molecule fluorescent dyes, which have favorable spectral properties, including high brightness and photostability, are attractive in labeling proteins of interest. Here we present a method to site-specifically label the N-termini of bacterial protein targets in situ for fluorescence imaging in bacterial cells. The method uses the eukaryotic enzyme N-myristoyltransferase to ligate target proteins, bearing a nonapeptide recognition sequence, with an azide-bearing fatty acid. Subsequent strain-promoted azide–alkyne cycloaddition with fluorophores enable tagging of chemotaxis and cell division proteins in live cells. We describe using a reactive BODIPY fluorophore for visualization of the chemotaxis proteins Tar and CheA and the division proteins FtsZ and FtsA. Next we integrate a single copy of the gene encoding the protein target into the chromosome via Tn7 transposon mutagenesis and use the method to fluorescently label a bacterial chemoreceptor. Finally, we describe the preparation of photoswitchable rhodamine spirolactam dyes for super-resolution imaging in live bacterial cells. Our work highlights the utility of using photoswitchable molecules to label intracellular protein targets. The ability to tag proteins, perform super-resolution imaging, and visualize proteins in space and time will prove broadly useful

Quantum History cannot be Copied

We show that unitarity does not allow cloning of any two points in a ray. This has implication for cloning of the geometric phase information in a quantum state. In particular, the quantum history which is encoded in the geometric phase during cyclic evolution of a quantum system cannot be copied. We also prove that the generalized geometric phase information cannot be copied by a unitary operation. We argue that our result also holds in the consistent history formulation of quantum mechanics.Comment: Latex file, No figures, 9 page

Multi-Dimensional Hermite Polynomials in Quantum Optics

We study a class of optical circuits with vacuum input states consisting of Gaussian sources without coherent displacements such as down-converters and squeezers, together with detectors and passive interferometry (beam-splitters, polarisation rotations, phase-shifters etc.). We show that the outgoing state leaving the optical circuit can be expressed in terms of so-called multi-dimensional Hermite polynomials and give their recursion and orthogonality relations. We show how quantum teleportation of photon polarisation can be modelled using this description.Comment: 10 pages, submitted to J. Phys. A, removed spurious fil

Equivalent efficiency of a simulated photon-number detector

Homodyne detection is considered as a way to improve the efficiency of communication near the single-photon level. The current lack of commercially available {\it infrared} photon-number detectors significantly reduces the mutual information accessible in such a communication channel. We consider simulating direct detection via homodyne detection. We find that our particular simulated direct detection strategy could provide limited improvement in the classical information transfer. However, we argue that homodyne detectors (and a polynomial number of linear optical elements) cannot simulate photocounters arbitrarily well, since otherwise the exponential gap between quantum and classical computers would vanish.Comment: 4 pages, 4 figure

3D Ultrasound-Guided Motion Compensation System for Beating Heart Mitral Valve Repair

Beating heart intracardiac procedures promise significant benefits for patients, however, the fast motion of the heart poses serious challenges to surgeons. We present a new 3D ultrasound-guided motion (3DUS) compensation system that synchronizes instrument motion with the heart. The system utilizes the fact that the motion of some intracardiac structures, including the mitral valve annulus, is largely constrained to translation along one axis. This allows the development of a real-time 3DUS tissue tracker which we integrate with a 1 degree-of-freedom actuated surgical instrument, real-time 3DUS instrument tracker, and predictive filter to devise a system with synchronization accuracy of 1.8 mm RMSE. User studies involving the deployment of surgical anchors in a simulated mitral annuloplasty procedure demonstrate that the system increases success rates by over 100%. Furthermore, it enables more careful anchor deployment by reducing forces to the tissue by 50% while allowing instruments to remain in contact with the tissue for longer periods.Engineering and Applied Science

More Than Meets the Kappa for Antibody Superantigen Protein L (PpL)

Immunoglobulin superantigens play an important role in affinity purification of antibodies and the microbiota-immune axis at mucosal areas. Based on current understanding, Staphylococcal Protein A (SpA), Streptococcal Protein G (SpG) and Finegoldia Protein L (PpL) are thought to only bind specific regions of human antibodies, allowing for selective purification of antibody isotypes and chains. Clinically, these superantigens are often classified as toxins and increase the virulence of the producing pathogen through unspecific interactions with immune proteins. To perform an in-depth interaction study of these three superantigens with antibodies, bio-layer interferometry (BLI) measurements of their interactions with a permutation panel of 63 IgG1 variants of Pertuzumab and Trastuzumab CDRs grafted to the six human Vκ and seven human VH region families were tested. Through this holistic and systemic analysis of IgG1 variants with various antibody regions modified, comparisons revealed novel PpL–antibody interactions influenced by other non-canonical antibody known light-chain framework regions, whereas SpA and SpG showed relatively consistent interactions. These findings have implications on PpL-based affinity antibody purification and design that can guide the engineering and understanding of PpL-based microbiota-immune effects

Quantum deleting and Signalling

It is known that if we can clone an arbitrary state we can send signal faster than light. Here, we show that deletion of unknown quantum state against a copy can lead to superluminal signalling. But erasure of unknown quantum state does not imply faster than light signalling.Comment: Latex file, 6 pages, no figure

Mindfulness-based cognitive therapy v. group psychoeducation for people with generalised anxiety disorder: randomised controlled trial

Background: Research suggests that an 8-week mindfulness-based cognitive therapy (MBCT) course may be effective for generalised anxiety disorder (GAD). Aims: To compare changes in anxiety levels among participants with GAD randomly assigned to MBCT, cognitive–behavioural therapy-based psychoeducation and usual care. Method: In total, 182 participants with GAD were recruited (trial registration number: CUHK_CCT00267) and assigned to the three groups and followed for 5 months after baseline assessment with the two intervention groups followed for an additional 6 months. Primary outcomes were anxiety and worry levels. Results: Linear mixed models demonstrated significant group × time interaction (F(4,148) = 5.10, P = 0.001) effects for decreased anxiety for both the intervention groups relative to usual care. Significant group × time interaction effects were observed for worry and depressive symptoms and mental health-related quality of life for the psychoeducation group only. Conclusions: These results suggest that both of the interventions appear to be superior to usual care for the reduction of anxiety symptoms