Impact of COVID-19 lockdowns on hospital presentations and admissions in the context of low community transmission: evidence from time series analysis in Melbourne, Australia.

BACKGROUND: Melbourne, Australia, successfully halted exponential transmission of COVID-19 via two strict lockdowns during 2020. The impact of such restrictions on healthcare-seeking behaviour is not comprehensively understood, but is of global importance. We explore the impact of the COVID-19 pandemic on acute, subacute and emergency department (ED) presentations/admissions within a tertiary, metropolitan health service in Melbourne, Australia, over two waves of community transmission (1 March to 20 September 2020). METHODS: We used 4 years of historical data and novel forecasting methods to predict counterfactual hospital activity for 2020, assuming absence of COVID-19. Observed activity was compared with forecasts overall, by age, triage category and for myocardial infarction and stroke. Data were analysed for all patients residing in the health service catchment area presenting between 4 January 2016 and 20 September 2020. RESULTS: ED presentations (n=401 805), acute admissions (n=371 723) and subacute admissions (n=15 676) were analysed. Substantial departures from forecasted presentation levels were observed during both waves in the ED and acute settings, and during the second wave in subacute. Reductions were most marked among those aged >80 and <18 years. Presentations persisted at expected levels for urgent conditions, and ED triage categories 1 and 5, with clear reductions in categories 2-4. CONCLUSIONS: Our analyses suggest citizens were willing and able to present with life-threatening conditions during Melbourne's lockdowns, and that switching to telemedicine did not cause widespread spill-over from primary care into ED. During a pandemic, lockdowns may not inhibit appropriate hospital attendance where rates of infectious disease are low.

Emulating Quantum Teleportation of a Majorana Zero Mode Qubit.

Topological quantum computation based on anyons is a promising approach to achieve fault-tolerant quantum computing. The Majorana zero modes in the Kitaev chain are an example of non-Abelian anyons where braiding operations can be used to perform quantum gates. Here we perform a quantum simulation of topological quantum computing, by teleporting a qubit encoded in the Majorana zero modes of a Kitaev chain. The quantum simulation is performed by mapping the Kitaev chain to its equivalent spin version and realizing the ground states in a superconducting quantum processor. The teleportation transfers the quantum state encoded in the spin-mapped version of the Majorana zero mode states between two Kitaev chains. The teleportation circuit is realized using only braiding operations and can be achieved despite being restricted to Clifford gates for the Ising anyons. The Majorana encoding is a quantum error detecting code for phase-flip errors, which is used to improve the average fidelity of the teleportation for six distinct states from 70.76±0.35% to 84.60±0.11%, well beyond the classical bound in either case.

Efficient Simulation of Loop Quantum Gravity: A Scalable Linear-Optical Approach.

The problem of simulating complex quantum processes on classical computers gave rise to the field of quantum simulations. Quantum simulators solve problems, such as boson sampling, where classical counterparts fail. In another field of physics, the unification of general relativity and quantum theory is one of the greatest challenges of our time. One leading approach is loop quantum gravity (LQG). Here, we connect these two fields and design a linear-optical simulator such that the evolution of the optical quantum gates simulates the spin-foam amplitudes of LQG. It has been shown that computing transition amplitudes in simple quantum field theories falls into the bounded-error quantum polynomial time class, which strongly suggests that computing transition amplitudes of LQG are classically intractable. Therefore, these amplitudes are efficiently computable with universal quantum computers, which are, alas, possibly decades away. We propose here an alternative special-purpose linear-optical quantum computer that can be implemented using current technologies. This machine is capable of efficiently computing these quantities. This work opens a new way to relate quantum gravity to quantum information and will expand our understanding of the theory.

Quantum-Limited Squeezed Light Detection with a Camera.

We present a technique for squeezed light detection based on direct imaging of the displaced-squeezed-vacuum state using a CCD camera. We show that the squeezing parameter can be accurately estimated using only the first two moments of the recorded pixel-to-pixel photon fluctuation statistics, with accuracy that rivals that of the standard squeezing detection methods such as a balanced homodyne detection. Finally, we numerically simulate the camera operation, reproducing the noisy experimental results with low signal samplings and confirming the theory with high signal samplings.

Quantum Beat between Sunlight and Single Photons.

We demonstrate fourth-order quantum beat between sunlight and single photons from a quantum dot. With a fast time-resolved detection system, we observed high-visibility quantum beat between the independent photons of different frequencies from the two astronomically separated light sources. The temporal dynamics of the beat oscillation indicate the coherent behavior of the interfering photons, and the raw visibility of two-photon interference shows violation of the classical limit with a frequency mismatch of three-times the line width.

Thresholded Quantum LIDAR: Exploiting Photon-Number-Resolving Detection.

We present a technique that improves the signal-to-noise-ratio (SNR) of range-finding, sensing, and other light-detection applications. The technique filters out low photon numbers using photon-number-resolving detectors. This technique has no classical analog and cannot be done with classical detectors. We investigate the properties of our technique and show under what conditions the scheme surpasses the classical SNR. Finally, we simulate the operation of a rangefinder, showing improvement with a low number of signal samplings and confirming the theory with a high number of signal samplings.

Quantum Interference between Light Sources Separated by 150 Million Kilometers.

We report an experiment to test quantum interference, entanglement, and nonlocality using two dissimilar photon sources, the Sun and a semiconductor quantum dot on the Earth, which are separated by ∼150 million kilometers. By making the otherwise vastly distinct photons indistinguishable in all degrees of freedom, we observe time-resolved two-photon quantum interference with a raw visibility of 0.796(17), well above the 0.5 classical limit, providing unambiguous evidence of the quantum nature of thermal light. Further, using the photons with no common history, we demonstrate postselected two-photon entanglement with a state fidelity of 0.826(24) and a violation of Bell inequality by 2.20(6). The experiment can be further extended to a larger scale using photons from distant stars and open a new route to quantum optics experiments at an astronomical scale.

Optical angular momentum manipulations in a four-wave mixing process.

We investigate the spatial and quantum intensity correlations between the probe and Stokes optical fields produced via four-wave mixing in a double-Λ configuration, when both incoming probe and control fields carry non-zero optical orbital angular momentum (OAM). We observed that the topological charge of the generated Stokes field obeyed the OAM conservation law. However, the maximum values and optimal conditions for the intensity squeezing between the probe and Stokes fields were largely independent of the angular momenta of the beams, even when these two fields had significantly different OAM charges. We also investigated the case of a composite-vortex pump field, containing two closely positioned optical vortices, and showed that the generated Stokes field carried the OAM corresponding to the total topological charge of the pump field, further expanding the range of possible OAM manipulation techniques.

Experimental Gaussian Boson sampling.

Gaussian Boson sampling (GBS) provides a highly efficient approach to make use of squeezed states from parametric down-conversion to solve a classically hard-to-solve sampling problem. The GBS protocol not only significantly enhances the photon generation probability, compared to standard Boson sampling with single photon Fock states, but also links to potential applications such as dense subgraph problems and molecular vibronic spectra. Here, we report the first experimental demonstration of GBS using squeezed-state sources with simultaneously high photon indistinguishability and collection efficiency. We implement and validate 3-, 4- and 5-photon GBS with high sampling rates of 832, 163 and 23 kHz, respectively, which is more than 4.4, 12.0, and 29.5 times faster than the previous experiments. Further, we observe a quantum speed-up on a NP-hard optimization problem when comparing with simulated thermal sampler and uniform sampler.

Sub-shot-noise-limited phase estimation via SU(1,1) interferometer with thermal states.

We theoretically study the phase sensitivity of an SU(1,1) interferometer with a thermal state and a squeezed vacuum state as inputs and parity detection as the measurement. We find that the phase sensitivity can beat the shot-noise limit and approaches the Heisenberg limit, with increasing input photon number, in an ideal situation. We also consider the effect of various noises, including photon loss, dark counts, and thermal photon noise. Our results show that the phase sensitivity is below the shot-noise limit with photon loss and dark counts, but cannot beat the shot-noise limit in the presence of thermal noise.

Graphene-based dual-band independently tunable infrared absorber.

In this paper, we theoretically demonstrate a dual-band independently tunable absorber consisting of a stacked graphene nanodisk and graphene layer with nanohole structure, and a metal reflector spaced by insulator layers. This structure exhibits a dipole resonance mode in graphene nanodisks and a quadrupole resonance mode in the graphene layer with nanoholes, which results in the enhancement of absorption over a wide range of incident angles for both TE and TM polarizations. The peak absorption wavelength is analyzed in detail for different geometrical parameters and the Fermi energy levels of graphene. The results show that both peaks of the absorber can be tuned dynamically and simultaneously by varying the Fermi energy level of graphene nanodisks and graphene layer with nanoholes structure. In addition, one can also independently tune each resonant frequency by only changing the Fermi energy level of one graphene layer. Such a device could be used as a chemical sensor, detector or multi-band absorber.

Orbital-angular-momentum-enhanced estimation of sub-Heisenberg-limited angular displacement with two-mode squeezed vacuum and parity detection.

We report on an orbital-angular-momentum-enhanced scheme for angular displacement estimation based on two-mode squeezed vacuum and parity detection. The sub-Heisenberg-limited sensitivity for angular displacement estimation is obtained in an ideal situation. Several realistic factors are also considered, including photon loss, dark counts, response-time delay, and thermal photon noise. Our results indicate that the effects of realistic factors on the sensitivity can be offset by raising orbital angular momentum quantum number ℓ. This implies that the robustness and the practicability of the system can be improved via raising ℓ without changing mean photon number N.

Multiphoton Interference in Quantum Fourier Transform Circuits and Applications to Quantum Metrology.

Quantum Fourier transforms (QFTs) have gained increased attention with the rise of quantum walks, boson sampling, and quantum metrology. Here, we present and demonstrate a general technique that simplifies the construction of QFT interferometers using both path and polarization modes. On that basis, we first observe the generalized Hong-Ou-Mandel effect with up to four photons. Furthermore, we directly exploit number-path entanglement generated in these QFT interferometers and demonstrate optical phase supersensitivities deterministically.

Erratum: Linear Optical Quantum Metrology with Single Photons: Exploiting Spontaneously Generated Entanglement to Beat the Shot-Noise Limit [Phys. Rev. Lett. 114, 170802 (2015)].

This corrects the article DOI: 10.1103/PhysRevLett.114.170802.

Linear optical quantum metrology with single photons: exploiting spontaneously generated entanglement to beat the shot-noise limit.

Quantum number-path entanglement is a resource for supersensitive quantum metrology and in particular provides for sub-shot-noise or even Heisenberg-limited sensitivity. However, such number-path entanglement has been thought to be resource intensive to create in the first place--typically requiring either very strong nonlinearities, or nondeterministic preparation schemes with feedforward, which are difficult to implement. Very recently, arising from the study of quantum random walks with multiphoton walkers, as well as the study of the computational complexity of passive linear optical interferometers fed with single-photon inputs, it has been shown that such passive linear optical devices generate a superexponentially large amount of number-path entanglement. A logical question to ask is whether this entanglement may be exploited for quantum metrology. We answer that question here in the affirmative by showing that a simple, passive, linear-optical interferometer--fed with only uncorrelated, single-photon inputs, coupled with simple, single-mode, disjoint photodetection--is capable of significantly beating the shot-noise limit. Our result implies a pathway forward to practical quantum metrology with readily available technology.

Scalable boson sampling with time-bin encoding using a loop-based architecture.

We present an architecture for arbitrarily scalable boson sampling using two nested fiber loops. The architecture has fixed experimental complexity, irrespective of the size of the desired interferometer, whose scale is limited only by fiber and switch loss rates. The architecture employs time-bin encoding, whereby the incident photons form a pulse train, which enters the loops. Dynamically controlled loop coupling ratios allow the construction of the arbitrary linear optics interferometers required for boson sampling. The architecture employs only a single point of interference and may thus be easier to stabilize than other approaches. The scheme has polynomial complexity and could be realized using demonstrated present-day technologies.

'Registrar in charge shifts': learning how to run a busy emergency department.

OBJECTIVES: In Australasia, emergency registrars usually gain experience 'running' an ED overnight - without supervision. This paper describes the introduction of FACEM-supervised daytime 'registrar in charge' (RIC) shifts into a tertiary adult ED over a 6 month period. METHODS: Each registrar was allocated at least one RIC shift during their 13 week ED term. Structured questionnaires gathered data regarding the educational impact of the shifts, any adverse effects on departmental function, changes to work practices, and perceptions of teaching and learning. Data were analysed using thematic analysis. RESULTS: During the study period, 16 senior ED registrars were rostered for 26 RIC shifts. Questionnaires were completed by 16/16 registrars and 13/16 emergency physicians. The RIC shifts were viewed positively by the emergency registrars - 93% reported useful feedback, felt that the shifts provided a good insight into their workplace behaviour, and that they should be rolled out across other departments. FACEMs were also positive in their evaluation, and reported little negative impact on departmental function. Major themes identified by both registrars and emergency physicians included communication skills, knowledge and experience, delegation, professionalism and organisational skills. Additional themes that were more prominent in FACEM responses included multitasking, dealing with interruptions, managing patient flow and being aware of the whole department. CONCLUSIONS: RIC shifts are a feasible and acceptable method to teach running the floor in the ED. Further study should assess impact on patient outcomes.

Objectively discerning Autler-Townes splitting from electromagnetically induced transparency.

Autler-Townes splitting (ATS) and electromagnetically induced transparency (EIT) both yield transparency in an absorption profile, but only EIT yields strong transparency for a weak pump field due to Fano interference. Empirically discriminating EIT from ATS is important but so far has been subjective. We introduce an objective method, based on Akaike's information criterion, to test ATS vs EIT from experimental data for three-level atomic systems and determine which pertains. We apply our method to a recently reported induced-transparency experiment in superconducting-circuit quantum electrodynamics.

Quantum metrology with two-mode squeezed vacuum: parity detection beats the Heisenberg limit.

We study the sensitivity and resolution of phase measurement in a Mach-Zehnder interferometer with two-mode squeezed vacuum (n photons on average). We show that superresolution and sub-Heisenberg sensitivity is obtained with parity detection. In particular, in our setup, dependence of the signal on the phase evolves n times faster than in traditional schemes, and uncertainty in the phase estimation is better than 1/n, and we saturate the quantum Cramer-Rao bound.