The United States Chiropractic Workforce: An alternative or complement to primary care?

UnlabelledBackgroundIn the United States (US) a shortage of primary care physicians has become evident. Other health care providers such as chiropractors might help address some of the nation's primary care needs simply by being located in areas of lesser primary care resources. Therefore, the purpose of this study was to examine the distribution of the chiropractic workforce across the country and compare it to that of primary care physicians.MethodsWe used nationally representative data to estimate the per 100,000 capita supply of chiropractors and primary care physicians according to the 306 predefined Hospital Referral Regions. Multiple variable Poisson regression was used to examine the influence of population characteristics on the supply of both practitioner-types.ResultsAccording to these data, there are 74,623 US chiropractors and the per capita supply of chiropractors varies more than 10-fold across the nation. Chiropractors practice in areas with greater supply of primary care physicians (Pearson's correlation 0.17, p-value < 0.001) and appear to be more responsive to market conditions (i.e. more heavily influenced by population characteristics) in regards to practice location than primary care physicians.ConclusionThese findings suggest that chiropractors practice in areas of greater primary care physician supply. Therefore chiropractors may be functioning in more complementary roles to primary care as opposed to an alternative point of access

An ellipsoidal mirror for focusing neutral atomic and molecular beams

Manipulation of atomic and molecular beams is essential to atom optics applications including atom lasers, atom lithography, atom interferometry and neutral atom microscopy. The manipulation of charge-neutral beams of limited polarizability, spin or excitation states remains problematic, but may be overcome by the development of novel diffractive or reflective optical elements. In this paper, we present the first experimental demonstration of atom focusing using an ellipsoidal mirror. The ellipsoidal mirror enables stigmatic off-axis focusing for the first time and we demonstrate focusing of a beam of neutral, ground-state helium atoms down to an approximately circular spot, (26.8±0.5) μm×(31.4±0.8) μm in size. The spot area is two orders of magnitude smaller than previous reflective focusing of atomic beams and is a critical milestone towards the construction of a high-intensity scanning helium microscope

An ellipsoidal mirror for focusing neutral atomic and molecular beams

Manipulation of atomic and molecular beams is essential to atom optics applications including atom lasers, atom lithography, atom interferometry and neutral atom microscopy. The manipulation of charge-neutral beams of limited polarizability, spin or excitation states remains problematic, but may be overcome by the development of novel diffractive or reflective optical elements. In this paper, we present the first experimental demonstration of atom focusing using an ellipsoidal mirror. The ellipsoidal mirror enables stigmatic off-axis focusing for the first time and we demonstrate focusing of a beam of neutral, ground-state helium atoms down to an approximately circular spot, (26.8±0.5) μm×(31.4±0.8) μm in size. The spot area is two orders of magnitude smaller than previous reflective focusing of atomic beams and is a critical milestone towards the construction of a high-intensity scanning helium microscope

Circles in the Sky: Finding Topology with the Microwave Background Radiation

If the universe is finite and smaller than the distance to the surface of last scatter, then the signature of the topology of the universe is writ large on the microwave background sky. We show that the microwave background will be identified at the intersections of the surface of last scattering as seen by different ``copies'' of the observer. Since the surface of last scattering is a two-sphere, these intersections will be circles, regardless of the background geometry or topology. We therefore propose a statistic that is sensitive to all small, locally homogeneous topologies. Here, small means that the distance to the surface of last scatter is smaller than the ``topology scale'' of the universe.Comment: 14 pages, 10 figures, IOP format. This paper is a direct descendant of gr-qc/9602039. To appear in a special proceedings issue of Class. Quant. Grav. covering the Cleveland Topology & Cosmology Worksho

Particle Aggregation in a turbulent Keplerian flow

In the problem of planetary formation one seeks a mechanism to gather small solid particles together into larger accumulations of solid matter. Here we describe a scenario in which turbulence mediates this process by aggregating particles into anticyclonic regions. If, as our simulations suggest, anticyclonic vortices form as long-lived coherent structures, the process becomes more powerful because such vortices trap particles effectively. Even if the turbulence is decaying, following the upheaval that formed the disk, there is enough time to make the dust distribution quite lumpy.Comment: 16 pages, 9 figure

Super-roughening as a disorder-dominated flat phase

We study the phenomenon of super-roughening found on surfaces growing on disordered substrates. We consider a one-dimensional version of the problem for which the pure, ordered model exhibits a roughening phase transition. Extensive numerical simulations combined with analytical approximations indicate that super-roughening is a regime of asymptotically flat surfaces with non-trivial, rough short-scale features arising from the competition between surface tension and disorder. Based on this evidence and on previous simulations of the two-dimensional Random sine-Gordon model [Sanchez et al., Phys. Rev. E 62, 3219 (2000)], we argue that this scenario is general and explains equally well the hitherto poorly understood two-dimensional case.Comment: 7 pages, 4 figures. Accepted for publication in Europhysics Letter

Knot invariants in lens spaces

In this survey we summarize results regarding the Kauffman bracket, HOMFLYPT, Kauffman 2-variable and Dubrovnik skein modules, and the Alexander polynomial of links in lens spaces, which we represent as mixed link diagrams. These invariants generalize the corresponding knot polynomials in the classical case. We compare the invariants by means of the ability to distinguish between some difficult cases of knots with certain symmetries

Study of the island morphology at the early stages of Fe/Mo(110) MBE growth

We present theoretical study of morphology of Fe islands grown at Mo(110) surface in sub-monolayer MBE mode. We utilize atomistic SOS model with bond counting, and interactions of Fe adatom up to third nearest neighbors. We performed KMC simulations for different values of adatom interactions and varying temperatures. We have found that, while for the low temperature islands are fat fractals, for the temperature 500K islands have faceted rhombic-like shape. For the higher temperature, islands acquire a rounded shape. In order to evaluated qualitatively morphological changes, we measured averaged aspect ration of islands. We calculated dependence of the average aspect ratio on the temperature, and on the strength of interactions of an adatom with neighbors.Comment: 6 pages, 6 figures. Proceedings of 11-th Symposium on Surface Physics, Prague 200

Constraints on the Detectability of Cosmic Topology from Observational Uncertainties

Recent observational results suggest that our universe is nearly flat and well modelled within a $\Lambda$CDM framework. The observed values of $\Omega_{m}$ and $\Omega_{\Lambda}$ inevitably involve uncertainties. Motivated by this, we make a systematic study of the necessary and sufficient conditions for undetectability as well as detectability (in principle) of cosmic topology (using pattern repetition) in presence of such uncertainties. We do this by developing two complementary methods to determine detectability for nearly flat universes. Using the first method we derive analytical conditions for undetectability for infinite redshift, the accuracy of which is then confirmed by the second method. Estimates based on WMAP data together with other measurements of the density parameters are used to illustrate both methods, which are shown to provide very similar results for high redshifts.Comment: 16 pages, 1 figure, LaTeX2