Enhancement of Quantum Heat Engine by Encircling a Liouvillian Exceptional Point.

Quantum heat engines are expected to outperform the classical counterparts due to quantum coherences involved. Here we experimentally execute a single-ion quantum heat engine and demonstrate, for the first time, the dynamics and the enhanced performance of the heat engine originating from the Liouvillian exceptional points (LEPs). In addition to the topological effects related to LEPs, we focus on thermodynamic effects, which can be understood by the Landau-Zener-Stückelberg process under decoherence. We witness a positive net work from the quantum heat engine if the heat engine cycle dynamically encircles a LEP. Further investigation reveals that a larger net work is done when the system is operated closer to the LEP. We attribute the enhanced performance of the quantum heat engine to the Landau-Zener-Stückelberg process, enabled by the eigenenergy landscape in the vicinity of the LEP, and the exceptional point-induced topological transition. Therefore, our results open new possibilities toward LEP-enabled control of quantum heat engines and of thermodynamic processes in open quantum systems.

Dynamical control of quantum heat engines using exceptional points.

A quantum thermal machine is an open quantum system coupled to hot and cold thermal baths. Thus, its dynamics can be well understood using the concepts and tools from non-Hermitian quantum systems. A hallmark of non-Hermiticity is the existence of exceptional points where the eigenvalues of a non-Hermitian Hamiltonian or a Liouvillian superoperator and their associated eigenvectors coalesce. Here, we report the experimental realization of a single-ion heat engine and demonstrate the effect of Liouvillian exceptional points on the dynamics and the performance of a quantum heat engine. Our experiments have revealed that operating the engine in the exact- and broken-phases, separated by a Liouvillian exceptional point, respectively during the isochoric heating and cooling strokes of an Otto cycle produces more work and output power and achieves higher efficiency than executing the Otto cycle completely in the exact phase where the system has an oscillatory dynamics and higher coherence. This result opens interesting possibilities for the control of quantum heat engines and will be of interest to other research areas that are concerned with the role of coherence and exceptional points in quantum processes and in work extraction by thermal machines.

Linear response theory of open systems with exceptional points.

Understanding the linear response of any system is the first step towards analyzing its linear and nonlinear dynamics, stability properties, as well as its behavior in the presence of noise. In non-Hermitian Hamiltonian systems, calculating the linear response is complicated due to the non-orthogonality of their eigenmodes, and the presence of exceptional points (EPs). Here, we derive a closed form series expansion of the resolvent associated with an arbitrary non-Hermitian system in terms of the ordinary and generalized eigenfunctions of the underlying Hamiltonian. This in turn reveals an interesting and previously overlooked feature of non-Hermitian systems, namely that their lineshape scaling is dictated by how the input (excitation) and output (collection) profiles are chosen. In particular, we demonstrate that a configuration with an EP of order M can exhibit a Lorentzian response or a super-Lorentzian response of order Ms with Ms = 2, 3, …, M, depending on the choice of input and output channels.

Chiral and degenerate perfect absorption on exceptional surfaces.

Engineering light-matter interactions using non-Hermiticity, particularly through spectral degeneracies known as exceptional points (EPs), is an emerging field with potential applications in areas such as cavity quantum electrodynamics, spectral filtering, sensing, and thermal imaging. However, tuning and stabilizing a system to a discrete EP in parameter space is a challenging task. Here, we circumvent this challenge by operating a waveguide-coupled resonator on a surface of EPs, known as an exceptional surface (ES). We achieve this by terminating only one end of the waveguide with a tuneable symmetric reflector to induce a nonreciprocal coupling between the frequency-degenerate clockwise and counterclockwise resonator modes. By operating the system at critical coupling on the ES, we demonstrate chiral and degenerate perfect absorption with squared-Lorentzian lineshape. We expect our approach to be useful for studying quantum processes at EPs and to serve as a bridge between non-Hermitian physics and other fields that rely on radiation engineering.

Hierarchical Construction of Higher-Order Exceptional Points.

The realization of higher-order exceptional points (HOEPs) can lead to orders of magnitude enhancement in light-matter interactions beyond the current fundamental limits. Unfortunately, implementing HOEPs in the existing schemes is a rather difficult task, due to the complexity and sensitivity to fabrication imperfections. Here we introduce a hierarchical approach for engineering photonic structures having HOEPs that are easier to build and more resilient to experimental uncertainties. We demonstrate our technique by an example that involves parity-time symmetric optical microring resonators with chiral coupling among the internal optical modes of each resonator. Interestingly, we find that the uniform coupling profile is not required to achieve HOEPs in this system-a feature that implies the emergence of HOEPs from disorder and provides resilience against some fabrication errors. Our results are confirmed by using full-wave simulations based on Maxwell's equation in realistic optical material systems.

Controlling directional absorption with chiral exceptional surfaces.

Significant efforts have been dedicated to engineering optical systems with predefined, excitation-dependent light absorption. An important concept along this line is that of exceptional points which allow for engineering directional light absorbing schemes. Current systems, however, do not lend themselves to easy design criterion or robust experimental realization. Here we demonstrate that an optical microring resonator coupled to a waveguide terminated with a mirror supports a chiral exceptional surface that can be used as a platform for tailoring directional light absorption in a straightforward fashion. We further demonstrate that this configuration can be used to implement a unidirectional coherent perfect absorber with controllable differential loss by tuning only a single parameter.

Sensing with Exceptional Surfaces in Order to Combine Sensitivity with Robustness.

Exceptional points (EPs) are singularities that arise in non-Hermitian physics. Current research efforts focus only on systems supporting isolated EPs characterized by increased sensitivity to external perturbations, which makes them potential candidates for building next generation optical sensors. On the downside, this feature is also the Achilles heel of these devices: they are very sensitive to fabrication errors and experimental uncertainties. To overcome this problem, we introduce a new design concept for implementing photonic EPs that combine the robustness required for practical use together with their hallmark sensitivity. Particularly, our proposed structure exhibits a hypersurface of Jordan EPs embedded in a larger space, and having the following peculiar features: (1) A large class of undesired perturbations shift the operating point along the exceptional surface (ES), thus, leaving the system at another EP which explains the robustness; (2) Perturbations due to back reflection or backscattering force the operating point out of the ES, leading to enhanced sensitivity. Importantly, our proposed geometry is relatively easy to implement using standard photonics components and the design concept can be extended to other physical platforms such as microwave or acoustics.

Local anesthetics allergy: who should be tested?

Summary: Objective. To document the test results of patients referred to our clinic for testing with local anesthetics (LAs) in real life conditions and provide data related to the necessity of these tests. Methods. All consecutive subjects who were referred to be evaluated for LA allergy during a two-year follow up were included in the analysis. All subjects underwent skin prick / intradermal tests followed by a subcutaneous provocation test with the LAs tested. Results. A total of 228 subjects were included. The main referral reason was the presence of a history of drug hypersensitivity reaction (DHR) to drugs other than LAs (n = 128; 56%), whereas a history of LA allergy constituted the second most common referral reason (n = 64, 28.1%). In the majority of cases (n = 39; 60.9%), the culprit LA was not known by the patients. Asthma was the third most common referral reason, presented in 49 cases (21.5%). Ten cases had positivity to the tested LA in skin testing / challenges. Nine out of 10 patients had a history of DHR to drugs other than LA, whereas 5 of them had also a history of DHR to LA. Six of the 10 patients had a history of multiple DHR. None of the asthma patients without any DHR history were positive in the LA tests. Eight out of 10 cases who underwent skin testing / challenge with an alternative LA, tolerated the alternative LA. Conclusion. The most common referral reason for testing with LA was a history of DHR to drugs other than LAs, whereas asthma was the third most common referral reason. Patients with a history of multiple DHR may be considered for testing with LAs. Asthmatics and those with other allergic diseases without a history of drug / LA allergy do not need to be tested with LA.

High-order exceptional points in optomechanics.

We study mechanical cooling in systems of coupled passive (lossy) and active (with gain) optical resonators. We find that for a driving laser which is red-detuned with respect to the cavity frequency, the supermode structure of the system is radically changed, featuring the emergence of genuine high-order exceptional points. This in turn leads to giant enhancement of both the mechanical damping and the spring stiffness, facilitating low-power mechanical cooling in the vicinity of gain-loss balance. This opens up new avenues of steering micromechanical devices with exceptional points beyond the lowest-order two.

Visible light emission from a silica microbottle resonator by second- and third-harmonic generation.

We report the first observation of nonlinear harmonic generation and sum frequency generation (SFG) coupled with stimulated Raman scattering (SRS) via the second-order (χ(2)) and the third-order (χ(3)) nonlinearities in a silica microbottle resonator. The visible light emission due to third-harmonic generation (THG) was observed in both the output of a tapered fiber and the optical microscope images, which can be used to identify the axial mode profiles. SFG enabled by three- and four-wave mixing processes between the pump light and the light generated via SRS was also observed. Second-harmonic generation (SHG) and the SFG are enabled by χ(2) induced in silica by surface effects and multipole excitations.

Anomalous time delays and quantum weak measurements in optical micro-resonators.

Quantum weak measurements, wavepacket shifts and optical vortices are universal wave phenomena, which originate from fine interference of multiple plane waves. These effects have attracted considerable attention in both classical and quantum wave systems. Here we report on a phenomenon that brings together all the above topics in a simple one-dimensional scalar wave system. We consider inelastic scattering of Gaussian wave packets with parameters close to a zero of the complex scattering coefficient. We demonstrate that the scattered wave packets experience anomalously large time and frequency shifts in such near-zero scattering. These shifts reveal close analogies with the Goos-Hänchen beam shifts and quantum weak measurements of the momentum in a vortex wavefunction. We verify our general theory by an optical experiment using the near-zero transmission (near-critical coupling) of Gaussian pulses propagating through a nano-fibre with a side-coupled toroidal micro-resonator. Measurements demonstrate the amplification of the time delays from the typical inverse-resonator-linewidth scale to the pulse-duration scale.

Loss-induced suppression and revival of lasing.

Controlling and reversing the effects of loss are major challenges in optical systems. For lasers, losses need to be overcome by a sufficient amount of gain to reach the lasing threshold. In this work, we show how to turn losses into gain by steering the parameters of a system to the vicinity of an exceptional point (EP), which occurs when the eigenvalues and the corresponding eigenstates of a system coalesce. In our system of coupled microresonators, EPs are manifested as the loss-induced suppression and revival of lasing. Below a critical value, adding loss annihilates an existing Raman laser. Beyond this critical threshold, lasing recovers despite the increasing loss, in stark contrast to what would be expected from conventional laser theory. Our results exemplify the counterintuitive features of EPs and present an innovative method for reversing the effect of loss.

PT-symmetric phonon laser.

By exploiting recent developments associated with coupled microcavities, we introduce the concept of the PT-symmetric phonon laser with balanced gain and loss. This is accomplished by introducing gain to one of the microcavities such that it balances the passive loss of the other. In the vicinity of the gain-loss balance, a strong nonlinear relation emerges between the intracavity-photon intensity and the input power. This then leads to a giant enhancement of both optical pressure and mechanical gain, resulting in a highly efficient phonon-lasing action. These results provide a promising approach for manipulating optomechanical systems through PT-symmetric concepts. Potential applications range from enhancing mechanical cooling to designing phonon-laser amplifiers.

Drug allergy in tertiary care in Turkey: results of a national survey. The ADAPT study: adult drug allergy perception in Turkey.

BACKGROUND: No data are available on the incidence of drug hypersensitivity (DH) reactions in outpatient settings of tertiary allergy/immunology clinics. Our aims were to document the frequency of outpatient hospital admissions due to DH reactions to allergy/immunology clinics in adults and the management of these reactions in real life. We also investigated whether drug allergy affected social and medical behaviours of the patients. METHODS: This multi-centre study was performed for one year with the participation of 11 out of 16 tertiary allergy/clinical immunology clinics in Turkey. The study group consisted of the patients with DH reactions. Results of a questionnaire including drug reactions and management were recorded. RESULTS: Among 54,863 patients, 1000 patients with DH were enrolled with a median of 2.1% of all admissions. In real life conditions, the majority of approaches were performed for finding safe alternatives (65.5%; 1102 out of 1683) with 11.7% positivity. Diagnostic procedures were positive in 27% (154/581) of the patients. The majority of the patients had higher VAS scores for anxiety. A total of 250 subjects (25%) reported that they delayed some medical procedures because of DH. CONCLUSION: Our results documented the frequency of admissions due to DH reactions to allergy/clinical immunology clinics for the first time. Although physicians mostly preferred to perform drug tests in order to find safe alternatives, considering the fact that DH was confirmed in 27% of the patients, use of diagnostic tests should be encouraged, if no contraindication exists in order to avoid mislabelling patients as DH.

How do patients with asthma and COPD behave during fasting?

BACKGROUND-OBJECTIVE: Several factors might affect the adherence to treatment in patients with asthma and COPD. Among these factors, the effect of religious beliefs and behaviours has been less studied so far. In this study, the effect of fasting on drug use behaviours of patients with asthma and COPD were comparatively analysed. METHODS: A total of 150 adult patients with asthma and 150 adult patients with COPD were consecutively enrolled into this cross-sectional study. The patients were asked whether they fast during Ramadan and if the answer was yes, they were kindly asked to respond to further questions related to use of inhaled medications during that particular time. RESULTS: The majority of the cases from both groups [98 (65.3%) of asthma patients and 139 (92.6%) of COPD] were fasting during Ramadan. The majority of the patients with COPD (n=126; 90.6%) reported that they quitted their regular therapy basis during Ramadan. On the other hand, the majority of asthma patients used their controller inhaled medications during Ramadan and preferred to use them on iftar and sahur times (n=81, 82.6%). CONCLUSION: Our results showed that in a Muslim population, the patients with asthma and COPD do not feel their diseases to be an inhibitory factor for fasting during Ramadan. However, fasting seems to be an important determining factor in medication compliance by modifying the drug use behaviours in each group in a different way. Therefore, the patients should be informed about the effects of fasting on their disease and the allowed drugs during fasting.

Triggers of asthma and COPD: are they different?

BACKGROUND: Asthma symptoms can be triggered by a variety of factors commonly referred to as "triggers". Some of these factors can also induce severe asthma exacerbations. Thus, it can be assumed that actions taken against such triggers may prevent the progression of the disease. However, limited data exist on the clinical importance of these triggers in patients with chronic obstructive pulmonary disease (COPD). OBJECTIVE: To compare the effect of triggers on symptoms and actions taken against certain modifiable triggers in patients with asthma and COPD. METHODS: The study was conducted in a university hospital between June 2009 and June 2010. Patients with asthma and COPD were asked to complete a questionnaire in which both the factors triggering symptoms and the actions taken against several triggers were assessed. RESULTS: Three hundred consecutive adult patients (150 asthma, 150 COPD) were enrolled to the study. The frequency of triggering factors was similar in both groups. Vaccination rates for influenza and pneumococcus were significantly higher in patients with COPD. However, such anti-allergic approaches as the use of strategies to decrease dust exposure, the use of anti-mite bed sheets, and the removal of pets from the home were more commonly employed by asthmatic patients. CONCLUSION: This study revealed that certain triggers affected COPD and asthma patients to the same degree. Therefore, triggers and strategies for controlling modifiable triggers should be more concentrated on during education in both groups. However, the preventive effect of these strategies on disease progression, particularly in patients with COPD, needs clarification.

Faithful qubit distribution assisted by one additional qubit against collective noise.

We propose a distribution scheme of polarization states of a single photon over a collective-noise channel. By adding one extra photon with a fixed polarization, we can protect the state against collective noise via a parity-check measurement and postselection. While the scheme succeeds only probabilistically, it is simpler and more flexible than the schemes utilizing decoherence-free subspace. An application to the Bennett-Brassard 1984 protocol through a collective-noise channel, which is robust to the Trojan horse attack, is also given.