Tailored diffractions of asymmetric columns and symmetric rows in two-dimensional multi-element phase gratings.

Two-dimensional multi-element phase gratings can be engineered to show an even symmetry along one direction while an odd symmetry along the other direction in terms of offset refractive indices in each unit cell. The interplay of such even and odd symmetries has been explored to tailor diffraction columns and rows on demand by making offset refractive indices to satisfy specific requirements and hence attain different types of destructive interference. The resultant tailoring effects include the directional column elimination, the grouped column elimination, and the directional column selection as well as the natural row absence, the grouped row elimination, and the central row selection.

Biphoton generation enhanced by nonlocal nonlinearity via Rydberg interactions.

Strongly correlated Stokes and anti-Stokes photon pairs (biphotons) exhibiting very large generation rates and spectral brightnesses could be attained at extremely low pump powers and optical depths. This is realized via spontaneous four-wave mixing in cold atoms with enhanced nonlocal (Rydberg) optical nonlinearities and prepared into a dark state with a large population imbalance. The scheme works with all light fields on resonance yet with negligible linear absorption and Raman gain.

Effect of China's long-term care insurance on health outcomes of older disabled people: role of institutional care.

Since the public long-term care insurance (LTCI) system was piloted in Chengdu, China, in October 2017, there has been considerable growth of LTC institutions in China. This study aimed to evaluate the health value effect of LTCI in older patients with severe disabilities in an LTC institution. This prospective study was based on data from 985 severe disability patients with or without LTCI from October 2017 to May 2021 in the Eighth People's Hospital, Chengdu, China. The Cox proportional hazard model estimated LTCI's health value, including survival probability and risk of pneumonia/pressure ulcers. Subgroup analysis was performed for sex, age, Charlson Comorbidity Index (CCI), and the number of drugs. In the analysis, 519 and 466 patients in LTCI and non-LTCI groups were included, respectively. In adjusted Cox analyses, the LTCI group had a significantly elevated survival rate compared with the non-LTCI groups at 12 months (P < .001, hazard ratio (HR) = 1.758, 95% confidence interval (CI) 1.300-2.376). At 40 months, the adjusted survival rate was 62.6% in the LTCI group, which was significantly higher (53.7%; P = .003, HR = 1.438, 95% CI 1.131-1.831). The subgroups of patients aged 60 to 79 years (interaction P = .007) and with CCI ≥ 3 (interaction P = .026) were more significantly associated with survival improvement than those aged >80 years and with CCI< 3. The LTCI group was also at lower risk for hospital-acquired pneumonia (P = .016, HR 0.622, 95% CI 0.422-0.917) and pressure ulcers (P = .008, HR 0.695, 95% CI 0.376-0.862). The improved survival of LTCI remained stable in sensitivity analyses. For older patients with severe disabilities, in a LTC institution, LTCI significantly improved their health profile and longevity after a year, suggesting the large role and development potentiality of institution care in the LTCI system of China.

Light transfer transitions beyond higher-order exceptional points in parity-time and anti-parity-time symmetric waveguide arrays.

We propose two non-Hermitian arrays consisting of N = 2l + 1 waveguides and exhibiting parity-time (P T) or anti-P T symmetry for investigating light transfer dynamics based on Nth-order exceptional points (EPs). The P T-symmetric array supports two Nth-order EPs separating an unbroken and a broken phase with real and imaginary eignvalues, respectively. Light transfer dynamics in this array exhibits radically different behaviors, i.e. a unidirectional oscillation behavior in the unbroken phase, an edge-towards localization behavior in the broken phase, and a center-towards localization behavior just at Nth-order EPs. The anti-P T-symmetric array supports also two Nth-order EPs separating an unbroken and a broken phase, which refer however to imaginary and real eigenvalues, respectively. Accordingly, light transfer dynamics in this array exhibits a center-towards localization behavior in the unbroken phase and an origin-centered oscillation behavior in the broken phase. These nontrivial light transfer behaviors and their controlled transitions are not viable for otherwise split lower-order EPs and depend on the underlying SU(2) symmetry of spin-l matrices.

Giant Atoms in a Synthetic Frequency Dimension.

Giant atoms that interact with real-space waveguides at multiple spatial points have attracted extensive attention due to their unique interference effects. Here we propose a feasible scheme for constructing giant atoms in a synthetic frequency dimension with, e.g., a dynamically modulated superconducting resonator and a tailored three-level artificial atom. Both analytical and numerical calculations show good agreement between our scheme and real-space two-level giant atoms. In particular, the symmetry of the model in momentum space can be broken by tuning the phase of the external field applied on the atom, enabling chiral interactions between the atom and the frequency lattice. We further demonstrate the possibility of simulating cascaded interaction and directional excitation transfer in the frequency dimension by directly extending our model to involve more such effective giant atoms.

Topological edge states controlled by next-nearest-neighbor coupling and Peierls phase in a P T-symmetric trimerized lattice.

We study the topological features in a trimerized lattice of parity-time symmetry with comparable nearest-neighbor (NN) and next-nearest-neighbor (NNN) couplings as well as a Peierls phase. Eigen energies of four edge states in two bandgaps, of topological origin verified by the quantized total Zak phase, are surprisingly independent of the NNN coupling and the Peierls phase. Topological regions with respect to the intercell NN coupling, as the intracell NN coupling is fixed, can be extended with reinforced localization strengths for one pair of edge states but reduced with weakened localization strengths for the other pair of edge states, by increasing the NNN coupling. The partial overlapping between extended and reduced topological regions promises then a two-step phase transition of 'zero - two - four' edge states, viable to be periodically modulated by the Peierls phase.

Controlled unidirectional reflection in cold atoms via the spatial Kramers-Kronig relation.

It is known that the Kramers-Kronig (KK) relation between real and imaginary parts of the optical susceptibility in the frequency domain can also be realized in the space domain, as first proposed in [Nat. Photonics9(7), 436 (2015)10.1038/nphoton.2015.106]. We here study a mechanism to implement spatial KK relations in a cold atomic sample and use it to control unidirectional reflectionless for probe light incident from either the left or right side of the sample at will. In our model, the complex frequency dependent atomic susceptibility is mapped into a spatially dependent one, employing a far-detuned driving field of intensity linearly varied in space. The reflection of an incident light from one side of the sample can then be set to vanish over a specific frequency band directly by changing the driving field parameters, such as its intensity and frequency. Also, by incorporating the Bragg scattering into the spatial KK relation, the reflectivity from the opposite side of the sample, though typically small for realistic atomic densities, can be made to increase to improve the reflectivity contrast. The present scheme bears potentials for all-optical network applications that require controllable unidirectional light propagation.

Efficient generation of heralded narrowband color-entangled states.

We show that narrowband two-color entangled single Stokes photons can be generated in a ultra-cold atoms sample via selective excitation of two spontaneous four-wave mixing (SFWM) processes. Under certain circumstances, the generation, heralded by the respective common anti-Stokes photon, is robust against losses and phase-mismatching and is remarkably efficient owing to balanced resonant enhancement of the two four-wave mixing processes in a regime of combined induced transparency. Maximally color-entangled states can be easily attained by adjusting the detunings of the external couplings and driving fields, even when these are quite weak.

In-phase and anti-phase entanglement dynamics of Rydberg atomic pairs.

We study the correlated evolutions of two far-spaced Rydberg atomic pairs with different resonant frequencies, interacting via van der Waals (vdW) potentials and driven by a common laser field. They are found to exhibit in-phase (anti-phase) beating dynamics characterized by identical (complementary) intra-pair entanglements under a specific condition in regard of inter-pair vdW potentials and driving field detunings. This occurs when each atomic pair just oscillates between its ground state and symmetric entangled state because its doubly excited state and asymmetric entangled state are forbidden due to rigid dipole blockade and perfect destructive interference, respectively. More importantly, optimal inter-pair overall entanglement can be attained at each beating node corresponding to semi-optimal intra-pair entanglements, and inevitable dissipation processes just result in a slow decay of intra-pair and inter-pair entanglements yet without destroying in-phase and anti-phase beating dynamics.

Nonreciprocal interference and coherent photon routing in a three-port optomechanical system.

We study the interference between different weak signals in a three-port optomechanical system, which is achieved by coupling three cavity modes to the same mechanical mode. If one cavity serves as a control port and is perturbed continuously by a control signal, nonreciprocal interference can be observed when another signal is injected upon different target ports. In particular, we exhibit frequency-independent perfect blockade induced by the completely destructive interference over the full frequency domain. Moreover, coherent photon routing can be realized by perturbing all ports simultaneously, with which the synthetic signal only outputs from the desired port. We also reveal that the routing scheme can be extended to more-port optomechanical systems. The results in this paper may have potential applications for controlling light transport and quantum information processing.

Effect of intraocular anti-VEGF on cystoid macular edema associated with Henoch-Schonlein purpura-a case report.

BACKGROUND: To report a bilateral cystoid macular edema associated with Henoch-Schonleinpurpura. CASE PRESENTATION: A 21-year-old man presented a bilateral, painless, and bilateral blurred vision for 5 weeks with visual acuity (VA) of 6/12 on the right eye and 6/48 on the left. FA and OCT showed bilateral cystoid macular edema, and the fundus photograph showed retinal hemorrhages. Using intravenous dexamethasone could reduce macular edema, but it reoccurred shortly after switching to oral prednisone. Repeated intraocular injection of anti-VEGF in both eyes was performed and VA improved to 6/6 on the right eye and 6/7.5 on the left with the regression of edema after 6 months follow-up. CONCLUSIONS: Intraocular anti-VEGF might be an alternative choice to glucocorticoid in cases of bilateral cystoid macular edema associated with Henoch-Schonlein purpura.

Controllable optical response in a three-mode optomechanical system by driving the cavities on different sidebands.

We study the controllable optical response in a three-mode optomechanical system comprised of two indirectly coupled cavity modes and an intermediate mechanical mode. The two cavity modes are assumed to have different frequencies and driven by two control fields on the red and blue sidebands, respectively. When the system is perturbed by two probe fields satisfying the specific matching condition, a series of intriguing phenomena can be observed by adjusting phases and amplitudes of the control fields, such as absorption-amplification switching, ultra-narrow response windows, frequency-independent perfect reflection, and ultralong optical group delay. We also compare our system with conventional optomechanical systems to highlight its distinct features. Our results may have potential applications in optical communication and quantum information processing.

Entanglement optimization of filtered output fields in cavity optomechanics.

Output entanglement is a key element in quantum information processing. Here, we show how to obtain optimal entanglement between two filtered output fields in a three-mode optomechanical system. First, we obtain the key analytical expression of optimal time delay between the two filtered output fields, from which we can obtain the optimal coupling for output entanglement without time delay. In this case, our linearized analysis predicts that the entanglement saturates to an optimal value as the optomechanical coupling is increased. Furthermore, we obtain the optimal output entanglement with time delay. These results should be very helpful in conceiving new optomechanical schemes of quantum information processing with their efficiency depending critically on the degree of output entanglement.

Which Combination Treatment Is Better for Spinal Metastasis: Percutaneous Vertebroplasty With Radiofrequency Ablation, 125I Seed, Zoledronic Acid, or Radiotherapy?

BACKGROUND: Percutaneous vertebroplasty (PVP) can not only alleviate pain but also restore mechanical stability with injection of bone cement, whereas it exhibits a poor effect on antitumor activity. But through combinations with other therapies, it may be possible to achieve the maximum effect in clinical treatment. Thus, this study is designed to assess the clinical efficacy of PVP separately combined with 4 ways for spinal metastasis (SM) treatment. STUDY QUESTION: Which combination treatment is better for spinal metastasis, percutaneous vertebroplasty with radiofrequency ablation, I seed, zoledronic acid or radiotherapy? STUDY DESIGN: A total of 169 patients with SM were retrospectively recruited and randomly assigned to 4 groups to receive 4 different ways separately: 49 patients (group A) received PVP plus I seed, 51 (group B) received PVP plus radiofrequency ablation (RFA), 38 (group C) underwent PVP plus zoledronic acid (ZA), and 31 (group D) underwent PVP plus radiotherapy (RT). MEASURES AND OUTCOMES: All of them underwent routine examinations before operation. Visual analog scale (VAS), World Health Organization (WHO) Pain Relief, and ODI were applied to evaluate pain relief and motor function. RESULTS: PVP plus RT achieved the best efficacy in relieving pains, with the highest WHO Pain Relief (P < 0.05). The PVP plus RFA exhibited lowest ODI, suggesting the best outcome after treatment (P < 0.05). The PVP plus I showed the lowest VAS score, but it was the worst to improve the routine exercise ability and relieve pains from patients. The PVP plus ZA presented higher VAS and ODI (P < 0.05). CONCLUSIONS: PVP combined with I seed exhibited the best clinical efficacy in terms of VAS, PVP combined with RT was the best choice in terms of WHO Pain Relief, and PVP combined with RFA showed the best effect in terms of ODI for the treatment of SM.

Engineering steady Knill-Laflamme-Milburn state of Rydberg atoms by dissipation.

The Knill-Laflamme-Milburn (KLM) states have been proved to be a useful resource for quantum information processing [Nature409, 46 (2001)]. For atomic KLM states, several schemes have been put forward based on the time-dependent unitary dynamics, but the dissipative generation of these states has not been reported. This work discusses the possibility for creating different forms of bipartite KLM states in neutral atom system, where the spontaneous emission of excited Rydberg states, combined with the Rydberg antiblockade mechanism, is actively exploited to engineer a steady KLM state from an arbitrary initial state. The numerical simulation of the master equation signifies that a fidelity above 99% is available with the current experimental parameters.

Intrinsic link of asymmetric reflection and diffraction in non-Hermitian gratings.

Asymmetric reflection in Bragg gratings and asymmetric diffraction in diffraction gratings are both linked to parity-time (PT) symmetry in non-Hermitian optics, but their direct relation has not been examined. To fill this gap, we first consider a PT-symmetric sinusoidal grating to compare the contrast of forward and backward reflectivities and the ratio of ±1-order diffraction efficiencies. Analytical and numerical results show that they change with identical tendencies and peaks at same positions in a wide parameter space, indicating thus an intrinsic link in both PT symmetric and PT broken phases. The underlying physics is found to be that the unbalanced coupling strengths between forward and backward reflected waves are identical to those between 0-order and ±1-order diffracted waves. We then consider a non-Hermitian grating dynamically induced in cold atomic lattices to include higher-order diffractions and corresponding reflections.Full numerical calculations show that the aforementioned findings hold also true in this complicated but practical grating, even in more general non-Hermitian cases beyond the exact PT symmetry.

Dissipation-induced W state in a Rydberg-atom-cavity system.

A dissipative scheme is proposed to prepare tripartite W state in a Rydberg-atom-cavity system. It is an organic combination of quantum Zeno dynamics, Rydberg antiblockade, and atomic spontaneous emission to turn the tripartite W state into the unique steady state of the whole system. The robustness against the loss of cavity and the feasibility of the scheme are demonstrated thoroughly by the current experimental parameters, which lead to a high fidelity above 98%.

Controlling transverse shift of the reflected light via high refractive index with zero absorption.

We present a theoretical investigation on controlling the transverse shift while most of the researches are on longitudinal Goos-Hänchen shift. A two-layer system is considered. The refractive index of the first layer is fixed. The second layer is an atomic system coupled by a strong laser field to realize the Λ-style electromagnetically induced transparency, and an additional microwave field drives the transition between the lower two levels to construct high refractive index with zero absorption. We use such phenomenon to modify the refractive index, and consequently the transverse shift in reflection. The properties of the atomic system and the transverse shift of reflected field are briefly studied. Our investigation shows that the shift can be tuned by the strength of the microwave field. And since the atomic system is quite sensitive to the phase of the light fields, through which the transverse shift can be manipulated effectively. More importantly, the absorption is limited due to the presence of the microwave field.

Asymmetric light diffraction of an atomic grating with PT symmetry.

Cold atoms trapped in one-dimensional optical lattices and driven to the four-level N configuration are exploited for achieving an electromagnetically induced grating with parity-time-symmetry. This nontrivial grating exhibits unidirectional diffraction patterns, e.g., with incident probe photons diffracted into either negative or positive angles, depending on the sign relation between spatially modulated absorption and dispersion coefficients. Such asymmetric light diffraction is a result of the out-of-phase interplay of amplitude and phase modulations of transmission function and can be easily tuned via optical depth, probe detuning, pump Rabi frequencies, etc.

Engineering steady-state entanglement via dissipation and quantum Zeno dynamics in an optical cavity.

A new mechanism is proposed for dissipatively preparing maximal Bell entangled state of two atoms in an optical cavity. This scheme integrates the spontaneous emission, the light shift of atoms in the presence of dispersive microwave field, and the quantum Zeno dynamics induced by continuous coupling, to obtain a unique steady state irrespective of initial state. Even for a large cavity decay, a high-fidelity entangled state is achievable at a short convergence time, since the occupation of the cavity mode is inhibited by the Zeno requirement. Therefore, a low single-atom cooperativity C=g2/(κγ) is good enough for realizing a high fidelity of entanglement in a wide range of decoherence parameters. As a straightforward extension, the feasibility for preparation of two-atom Knill-Laflamme-Milburn state with the same mechanism is also discussed.