Assessing competency for concealed-weapons permits - The physician's role

Shortly after the shootings in Newtown, Connecticut, two of us received letters from our county sheriff in North Carolina asking whether one of our patients had medical or physical conditions that would preclude issuance of a permit to carry a concealed weapon. Uncomfortable with our limited knowledge about such permits and our expected role, and fearing that our participation could affect our relationships with patients, we began exploring the ethical, legal, and policy considerations regarding physician involvement in this process

A (Running) Bolt for New Reasons

We construct a four-parameter family of smooth, horizonless, stationary solutions of ungauged five-dimensional supergravity by using the four-dimensional Euclidean Schwarzschild metric as a base space and "magnetizing" its bolt. We then generalize this to a five-parameter family based upon the Euclidean Kerr-Taub-Bolt. These "running Bolt" solutions are necessarily non-static. They also have the same charges and mass as a non-extremal black hole with a classically-large horizon area. Moreover, in a certain regime their mass can decrease as their charges increase. The existence of these solutions supports the idea that the singularities of non-extremal black holes are resolved by low-mass modes that correct the singularity of the classical black hole solution on large (horizon-sized) scales.Comment: 25 pages, 3 figures, LaTeX; v2: minor changes, references adde

Physician attitudes and experience with permit applications for concealed weapons

To the Editor: Every U.S. state allows people to carry concealed weapons within certain limits and after varied approval processes. Although many states require physician participation to help determine competency, it is not known whether physicians are capable of assessing a patient’s competence to carry a concealed weapon

Solar Neutrino Constraints on the BBN Production of Li

Using the recent WMAP determination of the baryon-to-photon ratio, 10^{10} \eta = 6.14 to within a few percent, big bang nucleosynthesis (BBN) calculations can make relatively accurate predictions of the abundances of the light element isotopes which can be tested against observational abundance determinations. At this value of \eta, the Li7 abundance is predicted to be significantly higher than that observed in low metallicity halo dwarf stars. Among the possible resolutions to this discrepancy are 1) Li7 depletion in the atmosphere of stars; 2) systematic errors originating from the choice of stellar parameters - most notably the surface temperature; and 3) systematic errors in the nuclear cross sections used in the nucleosynthesis calculations. Here, we explore the last possibility, and focus on possible systematic errors in the He3(\alpha,\gamma)Be7 reaction, which is the only important Li7 production channel in BBN. The absolute value of the cross section for this key reaction is known relatively poorly both experimentally and theoretically. The agreement between the standard solar model and solar neutrino data thus provides additional constraints on variations in the cross section (S_{34}). Using the standard solar model of Bahcall, and recent solar neutrino data, we can exclude systematic S_{34} variations of the magnitude needed to resolve the BBN Li7 problem at > 95% CL. Additional laboratory data on He3(\alpha,\gamma)Be7 will sharpen our understanding of both BBN and solar neutrinos, particularly if care is taken in determining the absolute cross section and its uncertainties. Nevertheless, it already seems that this ``nuclear fix'' to the Li7 BBN problem is unlikely; other possible solutions are briefly discussed.Comment: 21 pages, 3 ps figure

Instabilities in a Two-Component, Species Conserving Condensate

We consider a system of two species of bosons of equal mass, with interactions $U^{a}(|x|)$ and $U^{x}(|x|)$ for bosons of the same and different species respectively. We present a rigorous proof -- valid when the Hamiltonian does not include a species switching term -- showing that, when $U^{x}(|x|)>U^{a}(|x|)$, the ground state is fully "polarized" (consists of atoms of one kind only). In the unpolarized phase the low energy excitation spectrum corresponds to two linearly dispersing modes that are even a nd odd under species exchange. The polarization instability is signaled by the vani shing of the velocity of the odd modes.Comment: To appear in Phys. Rev.

Barrier effects on the collective excitations of split Bose-Einstein condensates

We investigate the collective excitations of a single-species Bose gas at T=0 in a harmonic trap where the confinement undergoes some splitting along one spatial direction. We mostly consider onedimensional potentials consisting of two harmonic wells separated a distance 2 z_0, since they essentially contain all the barrier effects that one may visualize in the 3D situation. We find, within a hydrodynamic approximation, that regardless the dimensionality of the system, pairs of levels in the excitation spectrum, corresponding to neighbouring even and odd excitations, merge together as one increases the barrier height up to the current value of the chemical potential. The excitation spectra computed in the hydrodynamical or Thomas-Fermi limit are compared with the results of exactly solving the time-dependent Gross-Pitaevskii equation. We analyze as well the characteristics of the spatial pattern of excitations of threedimensional boson systems according to the amount of splitting of the condensate.Comment: RevTeX, 12 pages, 13 ps figure

Roles of Fast-Cyclotron and Alfven-Cyclotron Waves for the Multi-Ion Solar Wind

Using linear Vlasov theory of plasma waves and quasi-linear theory of resonant wave-particle interaction, the dispersion relations and the electromagnetic field fluctuations of fast and Alfven waves are studied for a low-beta multi-ion plasma in the inner corona. Their probable roles in heating and accelerating the solar wind via Landau and cyclotron resonances are quantified. We assume that (1) low-frequency Alfven and fast waves have the same spectral shape and the same amplitude of power spectral density; (2) these waves eventually reach ion cyclotron frequencies due to a turbulence cascade; (3) kinetic wave-particle interaction powers the solar wind. The existence of alpha particles in a dominant proton/electron plasma can trigger linear mode conversion between oblique fast-whistler and hybrid alpha-proton cyclotron waves. The fast-cyclotron waves undergo both alpha and proton cyclotron resonances. The alpha cyclotron resonance in fast-cyclotron waves is much stronger than that in Alfven-cyclotron waves. For alpha cyclotron resonance, an oblique fast-cyclotron wave has a larger left-handed electric field fluctuation, a smaller wave number, a larger local wave amplitude, and a greater energization capability than a corresponding Alfven-cyclotron wave at the same wave propagation angle \theta, particularly at $80^\circ$ < \theta < $90^\circ$. When Alfven-cyclotron or fast-cyclotron waves are present, alpha particles are the chief energy recipient. The transition of preferential energization from alpha particles to protons may be self-modulated by differential speed and temperature anisotropy of alpha particles via the self-consistently evolving wave-particle interaction. Therefore, fast-cyclotron waves as a result of linear mode coupling is a potentially important mechanism for preferential energization of minor ions in the main acceleration region of the solar wind.Comment: 29 pages, 10 figures, 3 tables. Accepted for publication in Solar Physic

Spinor condensates and light scattering from Bose-Einstein condensates

These notes discuss two aspects of the physics of atomic Bose-Einstein condensates: optical properties and spinor condensates. The first topic includes light scattering experiments which probe the excitations of a condensate in both the free-particle and phonon regime. At higher light intensity, a new form of superradiance and phase-coherent matter wave amplification were observed. We also discuss properties of spinor condensates and describe studies of ground--state spin domain structures and dynamical studies which revealed metastable excited states and quantum tunneling.Comment: 58 pages, 33 figures, to appear in Proceedings of Les Houches 1999 Summer School, Session LXXI

Emerging role of insulin with incretin therapies for management of type 2 diabetes

Type 2 diabetes mellitus (T2DM) is a progressive disease warranting intensification of treatment, as beta-cell function declines over time. Current treatment algorithms recommend metformin as the first-line agent, while advocating the addition of either basal-bolus or premixed insulin as the final level of intervention. Incretin therapy, including incretin mimetics or enhancers, are the latest group of drugs available for treatment of T2DM. These agents act through the incretin axis, are currently recommended as add-on agents either as second-or third-line treatment, without concurrent use of insulin. Given the novel role of incretin therapy in terms of reducing postprandial hyperglycemia, and favorable effects on weight with reduced incidence of hypoglycemia, we explore alternative options for incretin therapy in T2DM management. Furthermore, as some evidence alludes to incretins potentially increasing betacell mass and altering disease progression, we propose introducing these agents earlier in the treatment algorithm. In addition, we suggest the concurrent use of incretins with insulin, given the favorable effects especially in relation to weight gain