13,139 research outputs found

    Neurophysiological and Behavioral Responses to Music Therapy in Vegetative and Minimally Conscious States

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    Assessment of awareness for those with disorders of consciousness is a challenging undertaking, due to the complex presentation of the population. Debate surrounds whether behavioral assessments provide greatest accuracy in diagnosis compared to neuro-imaging methods, and despite developments in both, misdiagnosis rates remain high. Music therapy may be effective in the assessment and rehabilitation with this population due to effects of musical stimuli on arousal, attention, and emotion, irrespective of verbal or motor deficits. However, an evidence base is lacking as to which procedures are most effective. To address this, a neurophysiological and behavioral study was undertaken comparing electroencephalogram (EEG), heart rate variability, respiration, and behavioral responses of 20 healthy subjects with 21 individuals in vegetative or minimally conscious states (VS or MCS). Subjects were presented with live preferred music and improvised music entrained to respiration (procedures typically used in music therapy), recordings of disliked music, white noise, and silence. ANOVA tests indicated a range of significant responses (p ? 0.05) across healthy subjects corresponding to arousal and attention in response to preferred music including concurrent increases in respiration rate with globally enhanced EEG power spectra responses (p = 0.05–0.0001) across frequency bandwidths. Whilst physiological responses were heterogeneous across patient cohorts, significant post hoc EEG amplitude increases for stimuli associated with preferred music were found for frontal midline theta in six VS and four MCS subjects, and frontal alpha in three VS and four MCS subjects (p = 0.05–0.0001). Furthermore, behavioral data showed a significantly increased blink rate for preferred music (p = 0.029) within the VS cohort. Two VS cases are presented with concurrent changes (p ? 0.05) across measures indicative of discriminatory responses to both music therapy procedures. A third MCS case study is presented highlighting how more sensitive selective attention may distinguish MCS from VS. The findings suggest that further investigation is warranted to explore the use of music therapy for prognostic indicators, and its potential to support neuroplasticity in rehabilitation programs

    Who Are the Givers? Briefing Paper on British Social Attitudes to Charitable Giving

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    This Institute for Philanthropy paper summarizes the findings of the annual British Social Attitudes Survey on the attitudes and values of Britons regarding charitable giving and philanthropy, and on their behavior. The authors differentiate the target group by age, education, religion, income, political affiliation, and newspaper readership, and determines that there are broadly three groups in British society: contributors, bystanders, and investors

    The Case for Community Colleges: Aligning Higher Education and Workforce Needs in Massachusetts

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    Reviews research on the need for middle-skilled workers with at least an associate's degree, Massachusetts' community college system, promising models for aligning community college curricula with workforce needs, and challenges. Makes recommendations

    The Deterrent Effects of National Anti-Cartel Laws: Evidence from the International Vitamins Cartel

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    This paper estimates the effect on international trade flows during the 1990s of the formation of the vitamins cartel. After this cartel began operating, exports from countries where the cartel conspirators' headquarters were located to those nations in Asia, Western Europe, and Latin America that did not have active cartel enforcement regimes tended to rise in value more than in those nations that had such regimes. As industry studies suggest that the demand for vitamins is price inelastic, this finding is supportive of the hypothesis that the vitamins cartel raised prices further in nations without active cartel enforcement regimes. These findings also have implications for the cost-benefit analyses of anti-cartel laws. In nine economies in Western Europe and Latin America, where recent estimates of government outlays on competition policy enforcement were found, these expenditures were compared to the additional overcharges on vitamins imports that would have resulted if each of these nations did not have an active cartel enforcement regime. In seven of the nine economies, the reduction in overcharges on this one international cartel alone exceeded a quarter of their government's spending on the entire competition policy enforcement regime. These findings have a direct bearing on the debate, currently taking place at the World Trade Organization, on the merits of multilateral disciplines that would require all WTO members to enact and enforce provisions against hard core cartels.
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