Development of the Federal Law of Gambling

The Commission on the Review of the National Policy Toward Gambling, believing that the States should have the primary responsibility for determining what forms of gambling may legally take place within their borders, recently suggested that the federal government should prevent interference by one State with the gambling policies of another, and should act to protect identifiable national interests. Although this broad recommendation reinforces the role the federal government has traditionally played in regulating gambling, the Commission also proposed specific amendments to the cur- rent federal gambling laws. Should Congress act upon the Commission\u27s report or otherwise attempt a comprehensive review of federal gambling policy–such legislation, S. 1437, has already passed the Senate–its members ought to bring to their task a firm grasp of what the federal gambling law is, how that law developed, and what policies underlie it. This Article seeks to shed light on each of these questions

Finite Size Corrections for the Pairing Hamiltonian

We study the effects of superconducting pairing in small metallic grains. We show that in the limit of large Thouless conductance one can explicitly determine the low energy spectrum of the problem as an expansion in the inverse number of electrons on the grain. The expansion is based on the formal exact solution of the Richardson model. We use this expansion to calculate finite size corrections to the ground state energy, Matveev-Larkin parameter, and excitation energies.Comment: 22 pages, 1 figur

On the scaling approach to electron-electron interactions in a chaotic quantum dot

A scaling theory is used to study the low energy physics of electron-electron interactions in a double quantum dot. We show that the fact that electrons are delocalized over two quantum dots does not affect the instability criterion for the description of electron-electron interactions in terms of a ``universal interaction Hamiltonian''.Comment: 4 pages, 3 figure

Role of a parallel magnetic field in two dimensional disordered clusters containing a few correlated electrons

An ensemble of 2d disordered clusters with a few electrons is studied as a function of the Coulomb energy to kinetic energy ratio r_s. Between the Fermi system (small r_s) and the Wigner molecule (large r_s), an interaction induced delocalization of the ground state takes place which is suppressed when the spins are aligned by a parallel magnetic field. Our results confirm the existence of an intermediate regime where the Wigner antiferromagnetism defavors the Stoner ferromagnetism and where the enhancement of the Lande g factor observed in dilute electron systems is reproduced.Comment: 4 pages, 3 figure

Linear Increments with Non-monotone Missing Data and Measurement Error.

Linear increments (LI) are used to analyse repeated outcome data with missing values. Previously, two LI methods have been proposed, one allowing non-monotone missingness but not independent measurement error and one allowing independent measurement error but only monotone missingness. In both, it was suggested that the expected increment could depend on current outcome. We show that LI can allow non-monotone missingness and either independent measurement error of unknown variance or dependence of expected increment on current outcome but not both. A popular alternative to LI is a multivariate normal model ignoring the missingness pattern. This gives consistent estimation when data are normally distributed and missing at random (MAR). We clarify the relation between MAR and the assumptions of LI and show that for continuous outcomes multivariate normal estimators are also consistent under (non-MAR and non-normal) assumptions not much stronger than those of LI. Moreover, when missingness is non-monotone, they are typically more efficient

Interplay between pairing and exchange in small metallic dots

We study the effects of the mesoscopic fluctuations on the competition between exchange and pairing interactions in ultrasmall metallic dots when the mean level spacing is comparable or larger than the BCS pairing energy. Due to mesoscopic fluctuations, the probability to have a non-zero spin ground state may be non-vanishing and shows universal features related to both level statistics and interaction. Sample to sample fluctuations of the renormalized pairing are enlightened.Comment: 10 pages, 5 figure

Do published guidelines for evaluation of Irritable Bowel Syndrome reflect practice?

BACKGROUND: The only US guidelines listed in the National Guideline Warehouse for the diagnosis of Irritable Bowel Syndrome (IBS) are the expert opinion guidelines published by The American Gastroenterology Association. Although the listed target audience of these guidelines includes family physicians and general internists, the care recommended in the guidelines has not been compared to actual primary care practice. This study was designed to compare expert opinion guidelines with the actual primary care provided and to assess outcomes in the 3 years following the IBS diagnosis. METHODS: This is a retrospective medical record review study using a random sample of incident IBS cases from all Olmsted County, Minnesota providers diagnosed between January 1, 1993 and December 31, 1995. Data was collected on all care and testing provided to the subjects as well as 3-year outcomes related to the IBS diagnosis. RESULTS: Of the 149 IBS patients, 99 were women and the mean age was 47.6 years. No patient had all of the diagnostic tests recommended in the guidelines. 42% had the basic blood tests of CBC and a chemistry panel. Sedimentation rate (2%) and serum thyroxine level (3%) were uncommon. Colon imaging studies were done in 41% including 74% of those over the age of 50. In the 3 years following the diagnosis, only one person had a change in diagnosis and no diagnoses of gastro-intestinal malignancies were made in the cohort. CONCLUSIONS: Primary care practice based diagnostic evaluations for IBS differ significantly from the specialty expert opinion-based guidelines. Implementation of the specialty guidelines in primary care practice would increase utilization with apparent limited improvement in diagnostic outcomes