25 research outputs found

    The walls of gated communities in Brazil and Turkey: security, separation or status?

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    Gated communities are common types of housing estates found in many countries. They are based on strictly controlled access of people. Houses, and at times high-rise apartment blocks, are built behind a common wall, along private internal streets. Both in Brazil and in Turkey these types of residential neighborhoods can be found mainly on the outskirts of large urban areas. This paper investigates the reasons for the increase of such residential areas, in relation to the two countries urban problems. In Brazil the dominant reason for the proliferation of gated communities, found in the literature and in advertisement of such estates, is security, in view of the countries high crime rates. In Turkey the main reason for a family to choose to live in such residential areas is status and privacy. Although Brazil and Turkey have very different cultural backgrounds, in both countries gated communities are increasingly popular. The attraction of these so-called communities must therefore be analyzed. Are people more vulnerable in large mega-cities? Also, the impact on urban prospects as a whole must be discussed. Socio-cultural and psychological concepts such as territoriality, security, privacy, which can be represented by a pattern of behavior of an individual or group, as based on control of space, are thus touched on in the paper. Conclusions confirm that the reasons for preferences for gated communities are the feeling of belonging to a special place, fear of crime and a sense security and determine decision making of families in their homeownership choices

    End-to-end performance of mixed RF/FSO transmission systems

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    Due to copyright restrictions, the access to the full text of this article is only available via subscription.In this paper, we consider a heterogenous scenario where free-space optical (FSO) and radio-frequency (RF) technologies are deployed together as a dual-hop communication system, and we investigate the end-to-end outage performance of this so-called mixed RF/FSO system. The RF and FSO links are, respectively, modeled as Rayleigh fading (due to multipath propagation) and M-distributed fading (due to atmospheric turbulence). We derive exact closed-form expressions for the outage probability and demonstrate that the existing outage results in the literature for mixed FSO systems can be obtained as special cases of our results. The effect of pointing errors in the FSO link is further investigated

    Remission of alcohol dependency following deep brain stimulation of the nucleus accumbens: valuable therapeutic implications?

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    Chronic consumption of alcohol represents one of the greatest health and socioeconomic problems worldwide. We report on a 54‐year‐old patient with a severe anxiety disorder and secondary depressive disorder in whom bilateral deep brain stimulation (DBS) of the nucleus accumbens was carried out. Despite the absence of desired improvement in his primary disorder, we observed a remarkable although not primarily intended alleviation of the patient's comorbid alcohol dependency. Our case report demonstrates the extremely effective treatment of alcohol dependency by means of DBS of the nucleus accumbens and may reveal new prospects in overcoming therapy resistance in dependencies in general

    Remission of alcohol dependency following deep brain stimulation of the nucleus accumbens: valuable therapeutic implications?

    No full text
    Chronic consumption of alcohol represents one of the greatest health and socioeconomic problems worldwide. We report on a 54-year-old patient with a severe anxiety disorder and secondary depressive disorder in whom bilateral deep brain stimulation (DBS) of the nucleus accumbens was carried out. Despite the absence of desired improvement in his primary disorder, we observed a remarkable although not primarily intended alleviation of the patient’s comorbid alcohol dependency. Our case report demonstrates the extremely effective treatment of alcohol dependency by means of DBS of the nucleus accumbens and may reveal new prospects in overcoming therapy resistance in dependencies in general

    Deep brain stimulation for treatment-refractory obsessive compulsive disorder: a systematic review

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    Background: Obsessive-compulsive disorder is one of the most disabling of all psychiatric illnesses. Despite available pharmacological and psychotherapeutic treatments about 10% of patients remain severely affected and are considered treatment-refractory. For some of these patients deep brain stimulation offers an appropriate treatment method. The scope of this article is to review the published data and to compare different target structures and their effectiveness. Methods: PubMed search, last update June 2013, was conducted using the terms deep brain stimulation and obsessive compulsive disorder. Results: In total 25 studies were found that reported five deep brain stimulation target structures to treat obsessive-compulsive disorder: the anterior limb of the internal capsule (five studies including 14 patients), nucleus accumbens (eight studies including 37 patients), ventral capsule/ventral striatum (four studies including 29 patients), subthalamic nucleus (five studies including 23 patients) and inferior thalamic peduncle (two studies including 6 patients). Despite the anatomical diversity, deep brain stimulation treatment results in similar response rates for the first four target structures. Inferior thalamic peduncle deep brain stimulation results in higher response rates but these results have to be interpreted with caution due to a very small number of cases. Procedure and device related adverse events are relatively low, as well as stimulation or therapy related side effects. Most stimulation related side effects are transient and decline after stimulation parameters have been changed. Conclusion: Deep brain stimulation in treatment-refractory obsessive-compulsive disorder seems to be a relatively safe and promising treatment option. However, based on these studies no superior target structure could be identified. More research is needed to better understand mechanisms of action and response predictors that may help to develop a more personalized approach for these severely affected obsessive compulsive patients
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