Superconductivity and strong interactions in a tunable moiré quasicrystal.

Electronic states in quasicrystals generally preclude a Bloch description1, rendering them fascinating and enigmatic. Owing to their complexity and scarcity, quasicrystals are underexplored relative to periodic and amorphous structures. Here we introduce a new type of highly tunable quasicrystal easily assembled from periodic components. By twisting three layers of graphene with two different twist angles, we form two mutually incommensurate moiré patterns. In contrast to many common atomic-scale quasicrystals2,3, the quasiperiodicity in our system is defined on moiré length scales of several nanometres. This 'moiré quasicrystal' allows us to tune the chemical potential and thus the electronic system between a periodic-like regime at low energies and a strongly quasiperiodic regime at higher energies, the latter hosting a large density of weakly dispersing states. Notably, in the quasiperiodic regime, we observe superconductivity near a flavour-symmetry-breaking phase transition4,5, the latter indicative of the important role that electronic interactions play in that regime. The prevalence of interacting phenomena in future systems with in situ tunability is not only useful for the study of quasiperiodic systems but may also provide insights into electronic ordering in related periodic moiré crystals6-12. We anticipate that extending this platform to engineer quasicrystals by varying the number of layers and twist angles, and by using different two-dimensional components, will lead to a new family of quantum materials to investigate the properties of strongly interacting quasicrystals.

Directional Localization from a Magnetic Field in Moiré Systems.

Moiré materials provide a highly tunable platform in which novel electronic phenomena can emerge. We study strained moiré materials in a uniform magnetic field and predict highly anisotropic electrical conductivity that switches easy axis as magnetic field or strain is varied. The dramatic anisotropy reflects one-dimensional localization (directional localization) of the electron wave functions along a crystal axis due to quantum interference effects. This can be understood in an effective one-dimensional quasiperiodic Aubry-André-Harper-like model, or in a complementary semiclassical picture. This phenomenon should be observable in strained moiré materials at realistic fields and low strain disorder, as well as unstrained systems with anisotropic Fermi surfaces.

Phenomenology of the Prethermal Many-Body Localized Regime.

The dynamical phase diagram of interacting disordered systems has seen substantial revision over the past few years. Theory must now account for a large prethermal many-body localized regime in which thermalization is extremely slow, but not completely arrested. We derive a quantitative description of these dynamics in short-ranged one-dimensional systems using a model of successive many-body resonances. The model explains the decay timescale of mean autocorrelators, the functional form of the decay-a stretched exponential-and relates the value of the stretch exponent to the broad distribution of resonance timescales. The Jacobi method of matrix diagonalization provides numerical access to this distribution, as well as a conceptual framework for our analysis. The resonance model correctly predicts the stretch exponents for several models in the literature. Successive resonances may also underlie slow thermalization in strongly disordered systems in higher dimensions, or with long-range interactions.

Exploring the psychological impact of contact tracing work on staff during the COVID-19 pandemic.

BACKGROUND: Contact tracing is a key control measure in the response to the COVID-19 pandemic. While quantitative research has been conducted on the psychological impact of the pandemic on other frontline healthcare workers, none has explored the impact on contact tracing staff. METHODS: A longitudinal study was conducted using two repeated measures with contact tracing staff employed in Ireland during the COVID-19 pandemic using two-tailed independent samples t tests and exploratory linear mixed models. RESULTS: The study sample included 137 contact tracers in March 2021 (T1) and 218 in September 2021 (T3). There was an increase from T1 to T3 in burnout related exhaustion (p < 0·001), post-traumatic stress disorder (PTSD) symptom scores (p < 0·001), mental distress (p < 0·01), perceived stress (p < 0·001) and tension and pressure (p < 0·001). In those aged 18-30, there was an increase in exhaustion related burnout (p < 0·01), PTSD symptoms (p < 0·05), and tension and pressure scores (p < 0·05). Additionally, participants with a background in healthcare showed an increase in PTSD symptom scores by T3 (p < 0·001), reaching mean scores equivalent to those of participants who did not have a background in healthcare. CONCLUSIONS: Contact tracing staff working during the COVID-19 pandemic experienced an increase in adverse psychological outcomes. These findings highlight a need for further research on psychological supports required by contact tracing staff with differing demographic profiles.

Polyandry as a Male Strategy? A Game between Aggressive and Tolerant Males, Arbitrated by Females.

AbstractUnrelated males sometimes share their nests and their mates, an example of male-male cooperation that calls for an evolutionary explanation. We developed a game-theoretic model of this situation under the assumption that males could be either "aggressors," attempting to drive off any other arriving male, or "tolerators," willing to share a nest and mates with another tolerator male. We modeled nest dynamics by changing the frequency of the two types in the population and determined how this affected their fitness. We use the sea lamprey as a case study to generate a plausible array of behavioral traits and ecological conditions for the model. Under these conditions, only aggressors or only tolerators could persist, not both, but we also show how exceptions can arise. Aggressors predominated for the standard conditions we chose, but tolerators could take over when females favored them through nest choice or increased mating rate. High nesting densities and high fighting costs also tended to favor tolerators. At moderate to low densities of individuals in the nesting area, female behavior, based on their own costs and benefits, should determine the outcome.

Boosting the Quantum State of a Cavity with Floquet Driving.

The striking nonlinear effects exhibited by cavity QED systems make them a powerful tool in modern condensed matter and atomic physics. A recently discovered example is the quantized pumping of energy into a cavity by a strongly coupled, periodically driven spin. We uncover a remarkable feature of these energy pumps: they coherently translate, or boost, a quantum state of the cavity in the Fock basis. Current optical cavity and circuit QED experiments can realize the required Hamiltonian in a rotating frame. Boosting thus enables the preparation of highly excited nonclassical cavity states in near-term experiments.

Moiré Landau Fans and Magic Zeros.

We study the energy spectrum of moiré systems under a uniform magnetic field. The superlattice potential generally broadens Landau levels into Chern bands with finite bandwidth. However, we find that these Chern bands become flat at a discrete set of magnetic fields which we dub "magic zeros." The flat band subspace is generally different from the Landau level subspace in the absence of the moiré superlattice. By developing a semiclassical quantization method and taking account of superlattice induced Bragg reflection, we prove that magic zeros arise from the simultaneous quantization of two distinct k-space orbits. For instance, we show the chiral model of TBG has flat bands at special fields for any twist angle in the nth Landau level for |n|>1. The flat bands at magic zeros provide a new setting for exploring crystalline fractional quantum Hall physics.

Resolving conflict over within-pair mating rate in external fertilizers.

Besides egg fertilization, females of many taxa obtain direct fitness benefits from male mates, such as food, protection or paternal care. But males often increase their own fitness by mating with several females, among which they distribute sperm along with the above-mentioned benefits, reducing the benefits to individual females. These diverging interests lead to a conflict in which each female may try to ensure male fidelity and get exclusive access to male-provided benefits. Here, we use a theoretical model to show how a female of an externally fertilizing species may achieve mate fidelity by soliciting copulations at such a rate that the male has insufficient sperm left to increase his fitness with additional females. We show that three alternative condition-dependent evolutionarily stable mating relationships emerge in this scenario, based on whether one mate's preference for mating rate dominates, or the conflict is resolved by what amounts to negotiation. We demonstrate how these outcomes depend on some features of physiology, ecology, and behavior. In particular, a greater reproductive benefit to a female from exclusive access to a male partner-or the occasional tendency of females to withhold eggs during mating-can increase male fidelity; and continuous sperm regeneration rather than an initially-set stock of sperm allows for multiple within-pair mating across all three mating patterns.

Non-adherence to COVID-19 containment behaviours: results from an all-Ireland telephone survey.

BACKGROUND: COVID-19 public health measures like handwashing and social distancing can help stem the spread of the virus. Adherence to guidelines varies between individuals. This study aims to identify predictors of non-adherence to social distancing and handwashing guidelines. METHODS: A cross-sectional weekly telephone survey was conducted over eight weeks (11/06/2020-05/08/2020). The sample included adults resident on the island of Ireland (75:25 split between ROI and NI). Data were collected on demographics, threat perceptions, fear of COVID-19, response efficacy and self-efficacy, response cost and social norms, COVID-19 behaviours, mood, loneliness, and self-reported health. RESULTS: 3011 participants were surveyed. Handwashing non-adherers were more likely to be male (OR: 5.2, 95% CI: 2.4 - 11.3), to have higher levels of loneliness (OR: 1.86, 95% CI: 1.1 - 3.1), and higher perceptions of handwashing costs (OR: 3.4, 95% CI: 2.2 - 5.2). Those reporting rarely engaging in social distancing were more likely to be members of lower socioeconomic groups, to be younger (OR: 0.97, 95% CI: 0.96 - 0.98), male (OR: 1.67, 95% CI: 1.1 - 2.5), healthcare workers (OR: 1.98, 95% CI: 1.1 - 3.4), to report lower mood (OR: 1.72, 95% CI: 1.3 - 2.2), were less likely to live in households with people aged under-18 (OR: 0.75, 95% CI: 0.6 - 0.9), and to have lower fear of COVID-19 (OR: 0.79, 95% CI: 0.6 - 0.9). CONCLUSIONS: Non-adherers to handwashing differ to social distancing non-adherers. Public health messages should target specific demographic groups and different messages are necessary to improve adherence to each behaviour.

Nonadiabatic Topological Energy Pumps with Quasiperiodic Driving.

We derive a topological classification of the steady states of d-dimensional lattice models driven by D incommensurate tones. Mapping to a unifying (d+D)-dimensional localized model in frequency space reveals anomalous localized topological phases (ALTPs) with no static analog. While the formal classification is determined by d+D, the observable signatures of each ALTP depend on the spatial dimension d. For each d, with d+D=3, we identify a quantized circulating current and corresponding topological edge states. The edge states for a driven wire (d=1) function as a quantized, nonadiabatic energy pump between the drives. We design concrete models of quasiperiodically driven qubits and wires that achieve ALTPs of several topological classes. Our results provide a route to experimentally access higher dimensional ALTPs in driven low-dimensional systems.

Exploring 2D Synthetic Quantum Hall Physics with a Quasiperiodically Driven Qubit.

Quasiperiodically driven quantum systems are predicted to exhibit quantized topological properties, in analogy with the quantized transport properties of topological insulators. We use a single nitrogen-vacancy center in diamond to experimentally study a synthetic quantum Hall effect with a two-tone drive. We measure the evolution of trajectories of two quantum states, initially prepared at nearby points in synthetic phase space. We detect the synthetic Hall effect through the predicted overlap oscillations at a quantized fundamental frequency proportional to the Chern number, which characterizes the topological phases of the system. We further observe half-quantization of the Chern number at the transition between the synthetic Hall regime and the trivial regime, and the associated concentration of local Berry curvature in synthetic phase space. Our Letter opens up the possibility of using driven qubits to design and study higher-dimensional topological insulators and semimetals in synthetic dimensions.

Predicting Habitat Choice after Rapid Environmental Change.

Decisions made while searching for settlement sites (e.g., nesting, oviposition) often have major fitness implications. Despite numerous case studies, we lack theory to explain why some species are thriving while others are making poor habitat choices after environmental change. We develop a model to predict (1) which kinds of environmental change have larger, negative effects on fitness, (2) how evolutionary history affects susceptibility to environmental change, and (3) how much lost fitness can be recovered via readjustment after environmental change. We model the common scenario where animals search an otherwise inhospitable matrix, encountering habitats of varying quality and settling when finding a habitat better than a threshold quality level. We consider decisions and fitness before environmental change, immediately following change (assuming that animals continue to use their previously adaptive decision rules), and after optimal readjustment (e.g., via learning or evolution). We find that decreases in survival per time step searching and declines in habitat quality or availability generally have stronger negative effects than reduced season duration. Animals that were adapted to good conditions remained choosy after conditions declined and thus suffered more from environmental change than those adapted to poor conditions. Readjustment recovered much of the fitness lost through a reduction in average habitat quality but recovered much less following reductions in habitat availability or survival while searching. Our model offers novel predictions for empiricists to test as well as suggestions for prioritizing alternative mitigation steps.

Long-term drug treatment of patients with alcohol dependence.

Drug therapy for alcohol dependence should only be used in conjunction with a comprehensive treatment plan. Naltrexone and acamprosate have well established efficacy and are first-line treatments. Naltrexone is recommended for patients aiming to cut down their alcohol intake who do not have severe liver disease or an ongoing need for opioids. Acamprosate is recommended for those who have achieved and wish to maintain abstinence. Disulfiram is no longer considered first-line treatment due to difficulties with compliance and toxicity. Although baclofen and topiramate have evidence of benefit, they are not registered for alcohol dependence and should only be considered in specialist practice.

Supporting and activating clinical governance development in Ireland: sharing our learning.

PURPOSE: The purpose of this paper is to present a description of the Irish national clinical governance development initiative and an evaluation of the initiative with the purpose of sharing the learning and proposing actions to activate structures and processes for quality and safety. The Quality and Patient Safety Division of the Health Service Executive established the initiative to counterbalance a possible focus on finances during the economic crisis in Ireland and bring attention to the quality of clinical care. DESIGN/METHODOLOGY/APPROACH: A clinical governance framework for quality in healthcare in Ireland was developed to clearly articulate the fundamentals of clinical governance. The project plan involved three overlapping phases. The first was designing resources for practice; the second testing the implementation of the national resources in practice; and the third phase focused on gathering feedback and learning. FINDINGS: Staff responded positively to the clinical governance framework. At a time when there are a lot of demands (measurement and scrutiny) the health services leads and responds well to focused support as they improve the quality and safety of services. Promoting the use of the term "governance for quality and safety" assisted in gaining an understanding of the more traditional term "clinical governance". The experience and outcome of the initiative informed the identification of 12 key learning points and a series of recommendations RESEARCH LIMITATIONS/IMPLICATIONS: The initial evaluation was conducted at 24 months so at this stage it is not possible to assess the broader impact of the clinical governance framework beyond the action project hospitals. PRACTICAL IMPLICATIONS: The single most important obligation for any health system is patient safety and improving the quality of care. The easily accessible, practical resources assisted project teams to lead changes in structures and processes within their services. This paper describes the fundamentals of the clinical governance framework which might serve as a guide for more integrative research endeavours on governance for quality and safety. ORIGINALITY/VALUE: Experience was gained in both the development of national guidance and their practical use in targeted action projects activating structures and processes that are a prerequisite to delivering safe quality services.

Tools and methods for evaluating the change to health service delivery due to pandemics or other similar emergencies: A rapid evidence review.

The novel coronavirus, SARS-CoV-2 and its associated disease COVID-19, were declared a pandemic in March 2020. Countries developed rapid response activities within their health services to prevent spread of the virus and protect their populations. Evaluating health service delivery change is vital to assess how adapted practices worked, particularly during times of crisis. This review examined tools and methods that are used to evaluate health service delivery change during pandemics and similar emergencies. Five databases were searched, including PubMed, CENTRAL, Embase, CINAHL, and PsycINFO. The SPIDER tool informed the inclusion criteria for the articles. Articles in English and published from 2002 to 2020 were included. Risk of bias was assessed using the Mixed-Methods Appraisal Tool (MMAT). A narrative synthesis approach was used to analyse the studies. Eleven articles met the inclusion criteria. Many evaluation tools, methods, and frameworks were identified in the literature. Only one established tool was specific to a particular disease outbreak. Others, including rapid-cycle improvement and PDSA cycles were implemented across various disease outbreaks. Novel evaluation strategies were common across the literature and included checklists, QI frameworks, questionnaires, and surveys. Adherence practices, experience with telehealth, patient/healthcare staff safety, and clinical competencies were some areas evaluated by the tools and methods. Several domains, including patient/practitioner safety and patient/practitioner experience with telemedicine were also identified in the studies.

Exploring the needs and experiences of contact tracing staff during the COVID-19 pandemic in Ireland.

BACKGROUND: Contact tracing is a key component in controlling the spread of COVID-19, however little research has focused on learning from the experiences of contact tracing staff. Harnessing learning from those in this role can provide valuable insights into the process of contact tracing and how best to support staff in this crucial role. METHODS: Thematic analysis was used to analyse 47 semi-structured interviews conducted with contact tracing staff via telephone or Zoom at three time points in 2021: March, May and September-October. RESULTS: Six themes related to the contact tracing role were identified, including training, workforce culture, systems issues, motivation and support. While initially nervous in the role, participants were motivated to contribute to the pandemic response and believed the role provided them with valuable transferable skills. Participants described the training as having improved over time while desiring more proactive training. Sources of frustration included a perceived lack of opportunity for feedback and involvement in process changes, feelings of low autonomy, and a perception of high staff turnover. Participants expressed a need for improved communication of formal emotional supports. Increased managerial support and provision of opportunities for career advancement may contribute to increased motivation among staff. CONCLUSIONS: These findings identify the experiences of contact tracing staff working during the COVID-19 pandemic, and have important implications for the improvement of the contact tracing system. Recommendations based on learning from participants offer suggestions as to how best to support the needs of contact tracing staff during a pandemic response.

An insect-feeding guild of carnivorous plants and spiders: does optimal foraging lead to competition or facilitation?

Carnivorous plants and spiders, along with their prey, are main players in an insect-feeding guild found on acidic, poorly drained soils in disturbed habitat. Darwin's notion that these plants must actively attract the insects they capture raises the possibility that spiders could benefit from proximity to prey hotspots created by the plants. Alternatively, carnivorous plants and spiders may deplete prey locally or (through insect redistribution) more widely, reducing each other's gain rates from predation. Here, we formulate and analyze a model of this guild, parameterized for carnivorous sundews and lycosid spiders, under assumptions of random movement by insects and optimal foraging by predators. Optimal foraging here involves gain maximization via trap investment (optimal web sizes and sundew trichome densities) and an ideal free distribution of spiders between areas with and without sundews. We find no facilitation: spiders and sundews engage in intense exploitation competition. Insect attraction by plants modestly increases sundew gain rates but slightly decreases spider gain rates. In the absence of population size structure, optimal spider redistribution between areas with and without sundews yields web sizes that are identical for all spiders, regardless of proximity to sundews. Web-building spiders have higher gain rates than wandering spiders in this system at high insect densities, but wandering spiders have the advantage at low insect densities. Results are complex, indicating that predictions to be tested empirically must be based on careful quantitative assessment.

Wolbachia re-replacement without incompatibility: potential for intended and unintended consequences.

Recent releases of mosquitoes infected with different Wolbachia types into Australia have led to conditions that have not been observed naturally and that have not been considered theoretically. In an ongoing public health campaign, two Wolbachia infection types have been introduced, and the infections differ in their fitness cost imposed on the host mosquito. The dynamics of each infection type as it interacts with the indigenous uninfected host population have been previously examined via models and empirical tests. Here we conduct a modeling analysis to predict the dynamics when the two infection types do not remain geographically isolated. The results demonstrate the potential replacement and loss of the more costly infection type, which may not be the desired public health outcome.

Ergodicity breaking in rapidly rotating C60 fullerenes.

Ergodicity, the central tenet of statistical mechanics, requires an isolated system to explore all available phase space constrained by energy and symmetry. Mechanisms for violating ergodicity are of interest for probing nonequilibrium matter and protecting quantum coherence in complex systems. Polyatomic molecules have long served as a platform for probing ergodicity breaking in vibrational energy transport. Here, we report the observation of rotational ergodicity breaking in an unprecedentedly large molecule, 12C60, determined from its icosahedral rovibrational fine structure. The ergodicity breaking occurs well below the vibrational ergodicity threshold and exhibits multiple transitions between ergodic and nonergodic regimes with increasing angular momentum. These peculiar dynamics result from the molecule's distinctive combination of symmetry, size, and rigidity, highlighting its relevance to emergent phenomena in mesoscopic quantum systems.