Dual Physician Couples: An Exploration of Family Stressors and Coping

Physician families have experienced significant changes in the last half century as the rise of female physicians has resulted in an increase in the number of dual physician couples. The present research is a qualitative study of dual physician couples (N = 32). A social exchange framework is used to conceptualize the costs and rewards that dual physician couples experience with regards to work and family domains. A constructivist grounded theory was used as a theory of methodology so that findings were grounded in the data. Results of this study showed that couples tended to struggle for what was important regarding the competing demands they faced yet, felt that their relationships were favorable when compared with their peers. Also it was found that couples tended to provide each other with empathy and that this resulted in their giving each other license to work as physicians with a less negative impact to the relationship. Theoretical analysis revealed that couples tended to experience confusing exchanges in which physician characteristics made it challenging to assess the costs and rewards of their relationship. This study has implications for theory and research as it incorporates family theory and analysis into the literature on dual physician families. Further, it incorporates qualitative research, which was suggested as necessary in previous studies. Lastly, it has implications for policy affecting physician work life environment and best practice intervention with these families

Spiral ground state in the quasi-two-dimensional spin-1/2 system Cu2GeO4

We apply density functional theory band structure calculations, the coupled-cluster method, and exact diagonalization to investigate the microscopic magnetic model of the spin-1/2 compound Cu2GeO4. The model is quasi-two-dimensional, with uniform spin chains along one direction and frustrated spin chains along the other direction. The coupling along the uniform chains is antiferromagnetic, J 130 K. The couplings along the frustrated chains are J1 -60 K and J2 80 K between nearest neighbors and next-nearest neighbors, respectively. The ground state of the quantum model is a spiral, with the reduced sublattice magnetization of 0.62 mu_B and the pitch angle of 84 deg, both renormalized by quantum effects. The proposed spiral ground state of Cu2GeO4 opens a way to magnetoelectric effects in this compound.Comment: Extended version: 8 pages, 5 figures, 1 tabl

Frustration and Dzyaloshinsky-Moriya anisotropy in the kagome francisites Cu3_3Bi(SeO3)2_3)_2O2_2X

We investigate the antiferromagnetic canting instability of the spin-1/2 kagome ferromagnet, as realized in the layered cuprates Cu$_3$Bi(SeO$_3)_2$O$_2$X (X=Br, Cl, and I). While the local canting can be explained in terms of competing exchange interactions, the direction of the ferrimagnetic order parameter fluctuates strongly even at short distances on account of frustration which gives rise to an infinite ground state degeneracy at the classical level. In analogy with the kagome antiferromagnet, the accidental degeneracy is fully lifted only by non-linear 1/S corrections, rendering the selected uniform canted phase very fragile even for spins-1/2, as shown explicitly by coupled-cluster calculations. To account for the observed ordering, we show that the minimal description of these systems must include the microscopic Dzyaloshinsky-Moriya interactions, which we obtain from density-functional band-structure calculations. The model explains all qualitative properties of the kagome francisites, including the detailed nature of the ground state and the anisotropic response under a magnetic field. The predicted magnon excitation spectrum and quantitative features of the magnetization process call for further experimental investigations of these compounds.Comment: 21 pages, 6 figure

Kinetic theory of cluster impingement in the framework of statistical mechanics of rigid disks

The paper centres on the evaluation of the function n(theta)=N(theta)/N0, that is the normalized number of islands as a function of coverage 0<theta<1, given N0 initial nucleation centres (dots) having any degree of spatial correlation. A mean field approach has been employed: the islands have the same size at any coverage. In particular, as far as the random distribution of dots is concerned, the problem has been solved by considering the contribution of binary collisions between islands only. With regard to correlated dots, we generalize a method previously applied to the random case only. In passing, we have made use of the exclusion probability reported in [S. Torquato, B. Lu, J. Rubinstein, Phys.Rev.A 41, 2059 (1990)], for determining the kinetics of surface coverage in the case of correlated dots, improving our previous calculation [M. Tomellini, M. Fanfoni, M. Volpe Phys. Rev.B 62, 11300, (2000)].Comment: 10 pages, 3 figure

Hidden magnetic order in CuNCN

We report a comprehensive experimental and theoretical study of the quasi-one-dimensional quantum magnet CuNCN. Based on magnetization measurements above room temperature as well as muon spin rotation and electron spin resonance measurements, we unequivocally establish the localized Cu+2-based magnetism and the magnetic transition around 70 K, both controversially discussed in the previous literature. Thermodynamic data conform to the uniform-spin-chain model with a nearest-neighbor intrachain coupling of about 2300 K, in remarkable agreement with the microscopic magnetic model based on density functional theory band-structure calculations. Using exact diagonalization and the coupled-cluster method, we derive a collinear antiferromagnetic order with a strongly reduced ordered moment of about 0.4 mu_B, indicating strong quantum fluctuations inherent to this quasi-one-dimensional spin system. We re-analyze the available neutron-scattering data, and conclude that they are not sufficient to resolve or disprove the magnetic order in CuNCN. By contrast, spectroscopic techniques indeed show signatures of long-range magnetic order below 70 K, yet with a rather broad distribution of internal field probed by implanted muons. We contemplate the possible structural origin of this effect and emphasize peculiar features of the microstructure studied with synchrotron powder x-ray diffraction.Comment: 17 pages, 17 figures, 1 tabl

Facies and faunal assemblage changes in response to the Holocene transgression in the Lagoon of Mayotte (Comoro Archipelago, SW Indian Ocean)

This paper documents the facies change in response to the Holocene transgression within five sediment cores taken in the lagoon of Mayotte, which contain a Type-1 depositional sequence (lowstand, transgressive and highstand deposits underlain by an erosive sequence boundary). Quantitative compositional analysis and visual examination of the bioclasts were used to document the facies changes. The distribution of the skeletal and non-skeletal grains in the lagoon of Mayotte is clearly controlled by (1) the rate and amplitude of the Holocene sea-level rise, (2) the pre-Holocene basement topography and (3) the growth-potential of the barrier reef during sea-level rise, and the changes in bathymetry and continuity during this period. The sequence boundary consists of the glacial karst surface. The change-over from the glacial lowstand is marked by the occurrence of mangrove deposits. Terrigenous and/or mixed terrigenous-carbonate muds to sandy muds with a mollusc or mollusc-ostracod assemblage dominate the transgressive deposits. Mixed carbonate-siliciclastic or carbonate sand to gravel with a mollusc-foraminifer or mollusc-coral-foraminifer assemblage characterize the early highstand deposits on the inner lagoonal plains. The early highstand deposits in the outer lagoonal plains consist of carbonate muds with a mollusc-foraminifer assemblage. Late highstand deposits consist of terrigenous muds in the nearshore bays, mixed terrigenous-carbonate sandy muds to sands with a mollusc-foraminifer assemblage on the inner lagoonal plains and mixed muds with a mollusc-foraminifer assemblage on the outer deep lagoonal plains. The present development stage of the individual lagoons comprises semi-enclosed to open lagoons with fair or good water exchange with the open ocean

Cholinergic modulation of response properties and orientation tuning of neurons in primary visual cortex of anaesthetized Marmoset monkeys

Cortical processing is strongly influenced by the actions of neuromodulators such as acetylcholine (ACh). Early studies in anaesthetized cats argued that acetylcholine can cause a sharpening of orientation tuning functions and an improvement of the signal-to-noise ratio (SNR) of neuronal responses in primary visual cortex (V1). Recent in vitro studies have demonstrated that acetylcholine reduces the efficacy of feedback and intracortical connections via the activation of muscarinic receptors, and increases the efficacy of feed-forward connections via the activation of nicotinic receptors. If orientation tuning is mediated or enhanced by intracortical connections, high levels of acetylcholine should diminish orientation tuning. Here we investigate the effects of acetylcholine on orientation tuning and neuronal responsiveness in anaesthetized marmoset monkeys. We found that acetylcholine caused a broadening of the orientation tuning in the majority of cells, while tuning functions became sharper in only a minority of cells. Moreover, acetylcholine generally facilitated neuronal responses, but neither improved signal-to-noise ratio, nor reduced trial-to-trial firing rate variance systematically. Acetylcholine did however, reduce variability of spike occurrences within spike trains. We discuss these findings in the context of dynamic control of feed-forward and lateral ⁄ feedback connectivity by acetylcholine

Frustration and Dzyaloshinsky-Moriya anisotropy in the kagome francisites Cu3Bi(SeO3)2O2X (X = Br, Cl)

We investigate the antiferromagnetic canting instability of the spin-1/2 kagome ferromagnet, as realized in the layered cuprates Cu3Bi(SeO3)2O2X (X = Br, Cl). While the local canting can be explained in terms of competing exchange interactions, the direction of the ferrimagnetic order parameter fluctuates strongly even at short distances on account of frustration which gives rise to an infinite ground state degeneracy at the classical level. In analogy with the kagome antiferromagnet, the accidental degeneracy is fully lifted only by nonlinear 1/S corrections, rendering the selected uniform canted phase very fragile even for spins-1/2, as shown explicitly by coupled-cluster calculations. To account for the observed ordering, we show that the minimal description of these systems must include the microscopic Dzyaloshinsky-Moriya interactions, which we obtain from density-functional band-structure calculations. The model explains all qualitative properties of the kagome francisites, including the detailed nature of the ground state and the anisotropic response under a magnetic field. The predicted magnon excitation spectrum and quantitative features of the magnetization process call for further experimental investigations of these compounds