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Background: Both quantitative flow ratio (QFR) and fractional flow reserve derived from computed tomography (FFRCT) have shown significant correlations with invasive wire-based fractional flow reserve. However, the correlation between QFR and FFRCT is not fully investigated in patients with complex coronary artery disease (CAD). The aim of this study is to investigate the correlation and agreement between QFR and FFRCT in patients with de novo three-vessel disease and/or left main CAD. Methods: This is a post-hoc sub-analysis of the international, multicenter, and randomized SYNTAX III REVOLUTION trial, in which both invasive coronary angiography and coronary computed tomography angiography were prospectively obtained prior to the heart team discussion. QFR was performed in an independent core laboratory and compared with FFRCT analyzed by HeartFlow™. The correlation and agreement between QFR and FFRCT were assessed per vessel. Furthermore, independent factors of diagnostic discordance between QFR and FFRCT were evaluated. Results: Out of 223 patients, 40 patients were excluded from this analysis due to the unavailability of FFRCT and/or QFR, and a total of 469 vessels (183 patients) were analyzed. There was a strong correlation between QFR and FFRCT (R ​= ​0.759; p ​< ​0.001), and the Bland-Altman analysis demonstrated a mean difference of −0.005 and a standard deviation of 0.116. An independent predictor of diagnostic concordance between QFR and FFRCT was the lesion location in right coronary artery (RCA) (odds ratio 0.395; 95% confidence interval 0.174–0.894; P ​= ​0.026). Conclusion: In patients with complex CAD, QFR and FFRCT were strongly correlated. The location of the lesion in RCA was associated with the highest diagnostic concordance between QFR and FFRCT.

BACKGROUND: Personalized long term vital prognosis plays a key role in deciding between percutaneous coronary intervention (PCI) and CABG in patients with complex coronary artery disease. The FASTTRACK CABG trial enrolls patients with the sole guidance of coronary computed tomographic angiography (CCTA) and fractional flow reserve CCTA (FFRCT). The feasibility/non-feasibility of this approach is determined by the surgeon request to have access to the invasive coronary angiography. METHODS: This interim analysis, which was requested by the Data and Safety Monitoring Board (DSMB), compared the treatment decision of the "on site" Heart team to the recommended treatment as per the SYNTAX Score II 2020 (SS-2020), which was prospectively assessed by the central core laboratory in the first 57 consecutive patients (half of the planned population) enrolled in this First in Man study. RESULTS: The average anatomical SYTAX Score is 35.6 ± 11.5. The SS-2020 predicted 5-year MACE and 10-year all-cause mortality are 14.7 % and 21.6 % following CABG, and 23.0 % and 30.4 % following PCI. Among the enrolled patients the SS-2020 predicts long-term PCI outcomes similar to CABG (absolute risk difference ≤0 % in favor of PCI) in only two patients whilst the remaining 55 patients had a predicted survival benefit with CABG. CONCLUSIONS: According to the SS-2020, the first 57 patients recruited into the FASTTRACK CABG trial received the appropriate modality of revascularization and the DSMB allowed the investigators to complete the study.

IntroductionThe previously published SYNTAX III REVOLUTION trial demonstrated that clinical decision-making between coronary artery bypass graft (CABG) and percutaneous coronary intervention based on coronary CT angiography (CCTA) had a very high agreement with the treatment decision derived from invasive coronary angiography (ICA). The study objective of the FASTTRACK CABG is to assess the feasibility of CCTA and fractional flow reserve derived from CTA (FFRCT) to replace ICA as a surgical guidance method for planning and execution of CABG in patients with three-vessel disease with or without left main disease.Methods and analysisThe FASTTRACK CABG is an investigator-initiated single-arm, multicentre, prospective, proof-of-concept and first-in-man study with feasibility and safety analysis. Surgical revascularisation strategy and treatment planning will be solely based on CCTA and FFRCT without knowledge of the anatomy defined by ICA. Clinical follow-up visit including CCTA will be performed 30 days after CABG in order to assess graft patency and adequacy of the revascularisation with respect to the surgical planning based on non-invasive imaging (CCTA) with functional assessment (FFRCT) and compared with ICA. Primary feasibility endpoint is CABG planning and execution solely based on CCTA and FFRCT in 114 patients. Primary safety endpoint based on 30 day CCTA is graft assessment and topographical adequacy of the revascularisation procedure. Automatic non-invasive assessment of functional coronary anatomy complexity is also evaluated with FFRCT for functional Synergy Between percutaneous coronary intervention With Taxus and Cardiac Surgery Score assessment on CCTA. CCTA with FFRCT might provide better anatomical and functional analysis of the coronary circulation leading to appropriate anatomical and functional revascularisation, and thereby contributing to a better outcome.Ethics and disseminationEach patient has to provide written informed consent as approved by the ethical committee of the respective clinical site. Results will be submitted for publication in peer-reviewed journals and will be disseminated at scientific conferences.Trial registration numberNCT04142021.

We outline the experimental concept and key scientific capabilities of AION (Atom Interferometer Observatory and Network), a proposed UK-based experimental programme using cold strontium atoms to search for ultra-light dark matter, to explore gravitational waves in the mid-frequency range between the peak sensitivities of the LISA and LIGO/Virgo/ KAGRA/INDIGO/Einstein Telescope/Cosmic Explorer experiments, and to probe other frontiers in fundamental physics. AION would complement other planned searches for dark matter, as well as probe mergers involving intermediate mass black holes and explore early universe cosmology. AION would share many technical features with the MAGIS experimental programme in the US, and synergies would flow from operating AION in a network with this experiment, as well as with other atom interferometer experiments such as MIGA, ZAIGA and ELGAR. Operating AION in a network with other gravitational wave detectors such as LIGO, Virgo and LISA would also offer many synergies., v3: Update to match published version in JCAP

We have investigated scaling properties of the Aubry-Andr\'e model and related one-dimensional quasiperiodic Hamiltonians near their localisation transitions. We find numerically that the scaling of characteristic energies near the ground state, usually captured by a single dynamical exponent, does not obey a power law relation. Instead, the scaling behaviour depends strongly on the correlation length in a manner governed by the continued fraction expansion of the irrational number $\beta$ describing incommensurability in the system. This dependence is, however, found to be universal between a range of models sharing the same value of $\beta$. For the Aubry-Andr\'e model, we explain this behaviour in terms of a discrete renormalisation group protocol which predicts rich critical behaviour. This result is complemented by studies of the expansion dynamics of a wave packet under the Aubry-Andr\'e model at the critical point. Anomalous diffusion exponents are derived in terms of multifractal (R\'enyi) dimensions of the critical spectrum; non-power-law universality similar to that found in ground state dynamics is observed between a range of critical tight-binding Hamiltonians., Comment: 18 pages, 13 figures

In a many-body localized (MBL) quantum system, the ergodic hypothesis breaks down completely, giving rise to a fundamentally new many-body phase. Whether and under which conditions MBL can occur in higher dimensions remains an outstanding challenge both for experiments and theory. Here, we experimentally explore the relaxation dynamics of an interacting gas of fermionic potassium atoms loaded in a two-dimensional optical lattice with different quasi-periodic potentials along the two directions. We observe a dramatic slowing down of the relaxation for intermediate disorder strengths and attribute this partially to configurational rare-region effects. Beyond a critical disorder strength, we see negligible relaxation on experimentally accessible timescales, indicating a possible transition into a two-dimensional MBL phase. Our experiments reveal a distinct interplay of interactions, disorder, and dimensionality and provide insights into regimes where controlled theoretical approaches are scarce., Comment: 5 pages, 4 figures. Comments and suggestions welcome

Optimal and intuitive robotic machining is still a challenge. One of the main reasons for this is the lack of robot stiffness, which is also dependent on the robot positioning in the Cartesian space. To make up for this deficiency and with the aim of increasing robot machining accuracy, this contribution describes a solution approach for optimizing the stiffness over a desired milling path using the free degree of freedom of the machining process. The optimal motion is computed based on the semantic and mathematical interpretation of the manufacturing process modeled on its components: product, process and resource; and by configuring automatically a sample-based motion problem and the transition-based rapid-random tree algorithm for computing an optimal motion. The approach is simulated on a CAM software for a machining path revealing its functionality and outlining future potentials for the optimal motion generation for robotic machining processes.

We experimentally observe many-body localization of interacting fermions in a one-dimensional quasi-random optical lattice. We identify the many-body localization transition through the relaxation dynamics of an initially-prepared charge density wave. For sufficiently weak disorder the time evolution appears ergodic and thermalizing, erasing all remnants of the initial order. In contrast, above a critical disorder strength a significant portion of the initial ordering persists, thereby serving as an effective order parameter for localization. The stationary density wave order and the critical disorder value show a distinctive dependence on the interaction strength, in agreement with numerical simulations. We connect this dependence to the ubiquitous logarithmic growth of entanglement entropy characterizing the generic many-body localized phase., 6 pages, 6 figures + supplementary information

The geometric structure of an energy band in a solid is fundamental for a wide range of many-body phenomena in condensed matter and is uniquely characterized by the distribution of Berry curvature over the Brillouin zone. In analogy to an Aharonov-Bohm interferometer that measures the magnetic flux penetrating a given area in real space, we realize an atomic interferometer to measure Berry flux in momentum space. We demonstrate the interferometer for a graphene-type hexagonal lattice, where it has allowed us to directly detect the singular $\pi$ Berry flux localized at each Dirac point. We show that the interferometer enables one to determine the distribution of Berry curvature with high momentum resolution. Our work forms the basis for a general framework to fully characterize topological band structures and can also facilitate holonomic quantum computing through controlled exploitation of the geometry of Hilbert space., Comment: 5+5 pages

5 págs.; 4 figs.; complementary material, © 2015, National Academy of Sciences. All rights reserved. The dynamics of quantum phase transitions pose one of the most challenging problems in modern many-body physics. Here, we study a prototypical example in a clean and well-controlled ultracold atom setup by observing the emergence of coherence when crossing the Mott insulator to superfluid quantum phase transition. In the 1D Bose-Hubbard model, we find perfect agreement between experimental observations and numerical simulations for the resulting coherence length. We, thereby, perform a largely certified analog quantum simulation of this strongly correlated system reaching beyond the regime of free quasiparticles. Experimentally, we additionally explore the emergence of coherence in higher dimensions, where no classical simulations are available, as well as for negative temperatures. For intermediate quench velocities, we observe a power-law behavior of the coherence length, reminiscent of the Kibble-Zurek mechanism. However, we find nonuniversal exponents that cannot be captured by this mechanism or any other known model., We acknowledge financial support by Deutsche Forschungsgemeinschaft Grant FOR801 (Deutsch-Israelisches Kooperationsprojekt Quantum Phases of Ultracold Atoms in Optical Lattices), the US Defense Advanced Research Projects Agency (Optical Lattice Emulator Program), Nanosystems Initiative Munich, Spanish Ministerio de Economía y Competitividad Project FIS2011-29287, the Spanish Junta para la Ampliación de Estudios Predoctoral Program, CAM Research Consortium QUITEMAD S2009-ESP-1594, the European Union (Simulations and Interfaces with Quantum Systems), the European Research Council (Taming nonequilibrium quantum systems), Studienstiftung des Deutschen Volkes.

We investigate the expansion of bosons and fermions in a homogeneous lattice after a sudden removal of the trapping potential using exact numerical methods. As a main result, we show that in one dimension, both bosonic and fermionic Mott insulators expand with the same velocity, irrespective of the interaction strength, provided the expansion starts from the ground state of the trapped gas. Furthermore, their density profiles become identical during the expansion: The asymptotic density dynamics is identical to that of initially localized, non-interacting particles, and the asymptotic velocity distribution is flat. The expansion velocity for initial correlated Mott insulating states is therefore independent of the interaction strength and particle statistics. Interestingly, this non-equilibrium dynamics is sensitive to the interaction driven quantum phase transition in the Bose-Hubbard model: While being constant in the Mott phase, the expansion velocity decreases in the superfluid phase and vanishes for large systems in the non-interacting limit. These results are compared to the set-up of a recent experiment [PRL 110, 205301 (2013)], where the trap opening was combined with an interaction quench from infinitely strong interactions to finite values. We carry out an analogous analysis for a two-component Fermi gas, with similar observations. In addition, we study the effect of breaking the integrability of hard-core bosons in different ways: While the fast ballistic expansion from the ground state of Mott insulators in one dimension remains unchanged for finite interactions, we observe strong deviations from this behavior on a two-leg ladder even in the hard-core case. This change in dynamics bares similarities with the dynamics in the dimensional crossover from one to two dimensions observed in the aformentioned experimental study., 18 pages including 17 figures, similar to published version

We theoretically investigate the thermodynamics of an interacting inhomogeneous two-component Fermi gas in an optical lattice. Motivated by a recent experiment by L. Hackerm\"uller et al., Science, 327, 1621 (2010), we study the effect of the interplay between thermodynamics and strong correlations on the size of the fermionic cloud. We use dynamical mean-field theory to compute the cloud size, which in the experiment shows an anomalous expansion behavior upon increasing attractive interaction. We confirm this qualitative effect but, assuming adiabaticity, we find quantitative agreement only for weak interactions. For strong interactions we observe significant non-equilibrium effects which we attribute to a dynamical arrest of the particles due to increasing correlations., Comment: 4.5 pages, 5 figures (slightly different from published version)

We consider the problem of modeling and control of the nonlinear dynamics of a micro manipulator, utilized for machining operations in combination with industrial robots. Position control of the micro manipulator is a challenging problem because of the actuation principle, which is based on piezo-actuators with inherent nonlinear behavior. The major nonlinearities in the manipulator are identified and explicitly modeled in this paper. Different model structures are outlined and subsequent identification experiments are performed and evaluated. The obtained models form the basis for a combined feedforward and feedback control scheme for accurate position control. Experimental results obtained with the developed control scheme are presented and discussed. We show that the accuracy of the controller is increased significantly with the proposed scheme, compared to a linear controller.

The strong process forces arising during high-speed machining operations, combined with the limited stiffness of industrial robots, have hampered the usage of industrial robots in high-end milling tasks. However, since such manipulators may offer flexible and cost-effective machining solutions, a three-dimensional piezo-actuated compensation mechanism, which aims to compensate for the positioning errors of the robot, has earlier been developed. A prototype model-based control scheme for position control of the mechanism, utilizing LQG control, has been proposed. The main contribution of this paper is an experimental verification of the benefit of utilizing the online compensation scheme. We show that the milling accuracy achieved with the proposed compensation mechanism is increased up to three times compared to the uncompensated case.

We have experimentally studied few-body impurity systems consisting of a single fermionic atom and a small bosonic field on the sites of an optical lattice. Quantum phase revival spectroscopy has allowed us to accurately measure the absolute strength of Bose-Fermi interactions as a function of the interspecies scattering length. Furthermore, we observe the modification of Bose-Bose interactions that is induced by the interacting fermion. Because of an interference between Bose-Bose and Bose-Fermi phase dynamics, we can infer the mean fermionic filling of the mixture and quantify its increase (decrease) when the lattice is loaded with attractive (repulsive) interspecies interactions., 4+ pages, 5 figures, updated to published version

The fermionic Hubbard model plays a fundamental role in the description of strongly correlated materials. Here we report on the realization of this Hamiltonian using a repulsively interacting spin mixture of ultracold $^{40}$K atoms in a 3D optical lattice. We have implemented a new method to directly measure the compressibility of the quantum gas in the trap using in-situ imaging and independent control of external confinement and lattice depth. Together with a comparison to ab-initio Dynamical Mean Field Theory calculations, we show how the system evolves for increasing confinement from a compressible dilute metal over a strongly-interacting Fermi liquid into a band insulating state. For strong interactions, we find evidence for an emergent incompressible Mott insulating phase., 21 pages, 5 figures and additional supporting material

Saccharomyces cerevisiae cells treated with the immunosuppressant rapamycin or depleted for the targets of rapamycin TOR1 and TOR2 arrest growth in the early G1 phase of the cell cycle. Loss of TOR function also causes an early inhibition of translation initiation and induces several other physiological changes characteristic of starved cells entering stationary phase (G0). A G1 cyclin mRNA whose translational control is altered by substitution of the UBI4 5' leader region (UBI4 is normally translated under starvation conditions) suppresses the rapamycin-induced G1 arrest and confers starvation sensitivity. These results suggest that the block in translation initiation is a direct consequence of loss of TOR function and the cause of the G1 arrest. We propose that the TORs, two related phosphatidylinositol kinase homologues, are part of a novel signaling pathway that activates eIF-4E-dependent protein synthesis and, thereby, G1 progression in response to nutrient availability. Such a pathway may constitute a checkpoint that prevents early G1 progression and growth in the absence of nutrients.

Arthropathies present a major challenge for the public health system, both in terms of epidemiology and health economics, particularly against the background of demographic changes in the Western world. Much attention must be paid to prevention, because of the limited options and high technical and financial expenditure with respect to treatment. Among other factors, nutrition plays an important role. However, many and various unsolved questions must be answered before health claims for food constituents in the field of joint health can be established for use as consumer information, as will be described taking glucosamine as an example. These questions will be discussed and possible alternatives to conventional practice considered.

Objective Repair of the bicuspid aortic valve may be performed in aortic regurgitation and aneurysm. Dilatation of the atrioventricular junction has been identified as a risk factor for repair failure, and we have used suture annuloplasty to correct atrioventricular junction enlargement. The objective was to compare the early results of aortic repair with and without annuloplasty. Methods Between November 1995 and January 12, a total of 559 patients were treated with bicuspid aortic valve repair for predominant regurgitation (n = 389), aortic aneurysm (n = 158), or acute dissection (n = 12). Isolated valve repair (aortic valve repair) was performed for aortic valve regurgitation with preserved aortic dimensions (n = 208) and sinotubular junction remodeling plus valve repair for aortic aneurysm and preserved root size (n = 116). Root remodeling was used for dilatation involving the root (n = 235). In 193 patients, dilatation of the atrioventricular junction (>27 mm) was corrected with suture annuloplasty. Results Hospital mortality was 0.5% (n = 3); 2 patients required pacemaker implantation. Reoperation was necessary for recurrent regurgitation (n = 54) or stenosis (n = 2); 10-year freedom from reoperation was 82% but was inferior after isolated valve repair (70%, P = .007) compared with the 2 other techniques. Application of suture annuloplasty improved 3-year freedom from reoperation after isolated repair (84%) to 92% ( P = .07). In all groups, the proportion of patients with no or trivial regurgitation was significantly higher with annuloplasty. Conclusions Preservation of the bicuspid aortic valve is feasible in many patients. Long-term stability of the repaired valves is good; the negative impact of a dilated atrioventricular junction can be reduced by suture annuloplasty.