Advanced Medical Imaging in Privately Insured Patients Recent Trends in Utilization and Payments

Boston University Health Policy Institut

Atom chips on direct bonded copper substrates

We present the use of direct bonded copper (DBC) for the straightforward fabrication of high power atom chips. Atom chips using DBC have several benefits: excellent copper/substrate adhesion, high purity, thick (> 100 microns) copper layers, high substrate thermal conductivity, high aspect ratio wires, the potential for rapid (< 8 hr) fabrication, and three dimensional atom chip structures. Two mask options for DBC atom chip fabrication are presented, as well as two methods for etching wire patterns into the copper layer. The wire aspect ratio that optimizes the magnetic field gradient as a function of power dissipation is determined to be 0.84:1 (height:width). The optimal wire thickness as a function of magnetic trapping height is also determined. A test chip, able to support 100 A of current for 2 s without failing, is used to determine the thermal impedance of the DBC. An assembly using two DBC atom chips to provide magnetic confinement is also shown.Comment: 8 pages, 5 figure

Time-resolved photoionization spectroscopy of mixed Rydberg-valence states:indole case study

Time-resolved photoelectron imaging reveals subtle new mechanistic insight into the ultraviolet relaxation dynamics of gas-phase indole.</p

Uplifting and Inflation with D3 Branes

Back-reaction effects can modify the dynamics of mobile D3 branes moving within type IIB vacua, in a way which has recently become calculable. We identify some of the ways these effects can alter inflationary scenarios, with the following three results: (1) By examining how the forces on the brane due to moduli-stabilizing interactions modify the angular motion of D3 branes moving in Klebanov-Strassler type throats, we show how previous slow-roll analyses can remain unchanged for some brane trajectories, while being modified for other trajectories. These forces cause the D3 brane to sink to the bottom of the throat except in a narrow region close to the D7 brane, and do not ameliorate the \eta-problem of slow roll inflation in these throats; (2) We argue that a recently-proposed back-reaction on the dilaton field can be used to provide an alternative way of uplifting these compactifications to Minkowski or De Sitter vacua, without the need for a supersymmetry-breaking anti-D3 brane; and (3) by including also the D-term forces which arise when supersymmetry-breaking fluxes are included on D7 branes we identify the 4D supergravity interactions which capture the dynamics of D3 motion in D3/D7 inflationary scenarios. The form of these potentials sheds some light on recent discussions of how symmetries constrain D term interactions in the low-energy theory.Comment: JHEP.cls, 35 pages, 3 .eps figure

Inflating in a Better Racetrack

We present a new version of our racetrack inflation scenario which, unlike our original proposal, is based on an explicit compactification of type IIB string theory: the Calabi-Yau manifold P^4_[1,1,1,6,9]. The axion-dilaton and all complex structure moduli are stabilized by fluxes. The remaining 2 Kahler moduli are stabilized by a nonperturbative superpotential, which has been explicitly computed. For this model we identify situations for which a linear combination of the axionic parts of the two Kahler moduli acts as an inflaton. As in our previous scenario, inflation begins at a saddle point of the scalar potential and proceeds as an eternal topological inflation. For a certain range of inflationary parameters, we obtain the COBE-normalized spectrum of metric perturbations and an inflationary scale of M = 3 x 10^{14} GeV. We discuss possible changes of parameters of our model and argue that anthropic considerations favor those parameters that lead to a nearly flat spectrum of inflationary perturbations, which in our case is characterized by the spectral index n_s = 0.95.Comment: 20 pages, 7 figures. Brief discussion on the non-gaussianity of this model, one more figure of the field trajectories added as well as other minor changes to the tex

Contribution of patient, physician, and environmental factors to demographic and health variation in colonoscopy follow-up for abnormal colorectal cancer screening test results

BACKGROUND: Patient, physician, and environmental factors were identified, and the authors examined the contribution of these factors to demographic and health variation in colonoscopy follow-up after a positive fecal occult blood test/fecal immunochemical test (FOBT/FIT) screening. METHODS: In total, 76,243 FOBT/FIT-positive patients were identified from 120 Veterans Health Administration (VHA) facilities between August 16, 2009 and March 20, 2011 and were followed for 6 months. Patient demographic (race/ethnicity, sex, age, marital status) and health characteristics (comorbidities), physician characteristics (training level, whether primary care provider) and behaviors (inappropriate FOBT/FIT screening), and environmental factors (geographic access, facility type) were identified from VHA administrative records. Patient behaviors (refusal, private sector colonoscopy use) were estimated with statistical text mining conducted on clinic notes, and follow-up predictors and adjusted rates were estimated using hierarchical logistic regression. RESULTS: Roughly 50% of individuals completed a colonoscopy at a VHA facility within 6 months. Age and comorbidity score were negatively associated with follow-up. Blacks were more likely to receive follow-up than whites. Environmental factors attenuated but did not fully account for these differences. Patient behaviors (refusal, private sector colonoscopy use) and physician behaviors (inappropriate screening) fully accounted for the small reverse race disparity and attenuated variation by age and comorbidity score. Patient behaviors (refusal and private sector colonoscopy use) contributed more to variation in follow-up rates than physician behaviors (inappropriate screening). CONCLUSIONS: In the VHA, blacks are more likely to receive colonoscopy follow-up for positive FOBT/FIT results than whites, and follow-up rates markedly decline with advancing age and comorbidity burden. Patient and physician behaviors explain race variation in follow-up rates and contribute to variation by age and comorbidity burden. Cancer 2017;123:3502-12. Published 2017. This article is a US Government work and is in the public domain in the USA

Variant N=(1,1) Supergravity and (Minkowski)_4 x S^2 Vacua

We construct the fermionic sector and supersymmetry transformation rules of a variant N=(1,1) supergravity theory obtained by generalized Kaluza-Klein reduction from seven dimensions. We show that this model admits both (Minkowski)_4 x S^2 and (Minkowski)_3 x S^3 vacua. We perform a consistent Kaluza-Klein reduction on S^2 and obtain D=4, N=2 supergravity coupled to a vector multiplet, which can be consistently truncated to give rise to D=4, N=1 supergravity with a chiral multiplet.Comment: Latex, 17 pages. Version appearing in Classical and Quantum Gravit

Ghost Images in Helioseismic Holography? Toy Models in a Uniform Medium

Helioseismic holography is a powerful technique used to probe the solar interior based on estimations of the 3D wavefield. Porter--Bojarski holography, which is a well-established method used in acoustics to recover sources and scatterers in 3D, is also an estimation of the wavefield, and hence it has the potential to be applied to helioseismology. Here we present a proof of concept study, where we compare helioseismic holography and Porter--Bojarski holography under the assumption that the waves propagate in a homogeneous medium. We consider the problem of locating a point source of wave excitation inside a sphere. Under these assumptions, we find that the two imaging methods have the same capability of locating the source, with the exception that helioseismic holography suffers from "ghost images" (i.e., artificial peaks away from the source location). We conclude that Porter--Bojarski holography may improve the current method used in helioseismology.Comment: 17 pages, 8 figure

Overproduction of cosmic superstrings

We show that the naive application of the Kibble mechanism seriously underestimates the initial density of cosmic superstrings that can be formed during the annihilation of D-branes in the early universe, as in models of brane-antibrane inflation. We study the formation of defects in effective field theories of the string theory tachyon both analytically, by solving the equation of motion of the tachyon field near the core of the defect, and numerically, by evolving the tachyon field on a lattice. We find that defects generically form with correlation lengths of order M_s^{-1} rather than H^{-1}. Hence, defects localized in extra dimensions may be formed at the end of inflation. This implies that brane-antibrane inflation models where inflation is driven by branes which wrap the compact manifold may have problems with overclosure by cosmological relics, such as domain walls and monopoles.Comment: 31 pages, 16 figures, JHEP style; References added; Improved discussion of initial condition