918 research outputs found
Estimating the effects of September 11 on Las Vegas Strip gaming volume
This paper examines the decrease in gross gaming volume, specifically slot machine coin-in, on the Las Vegas Strip resulting from the events of September 11, 2001. An intervention analysis based on a seasonal ARIMA model was developed from Nevada Gaming Control Board slot machine coin-in data analyzed from January 1990 to November 2004. The findings revealed that the Strip experienced an abrupt decline in gaming volume lasting five months. Although a quick recovery ensued, residual effects lasted approximately two years. In spite of the uniqueness of the events of September 11, this study should help managers in their response to future terrorist attacks and other catastrophic events
When I Grow Up, Everyone Will Love Me: Gender Performance and Liberation
Senior Project submitted to The Division of Arts of Bard College
What Happened to the Republican Party? The Right-Wing Media Ecosystem and the Rise of Right-Wing Populism
Senior Project submitted to The Division of Social Studies of Bard College
Delinquent, Dependent, and Neglected Children under the Family Court and Youth Commission Acts
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Evaluating metabolites in patients with major depressive disorder who received mindfulness-based cognitive therapy and healthy controls using short echo MRSI at 7 Tesla.
ObjectivesOur aim was to evaluate differences in metabolite levels between unmedicated patients with major depressive disorder (MDD) and healthy controls, to assess changes in metabolites in patients after they completed an 8-week course of mindfulness-based cognitive therapy (MBCT), and to exam the correlation between metabolites and depression severity.Materials and methodsSixteen patients with MDD and ten age- and gender-matched healthy controls were studied using 3D short echo-time (20 ms) magnetic resonance spectroscopic imaging (MRSI) at 7 Tesla. Relative metabolite ratios were estimated in five regions of interest corresponding to insula, anterior cingulate cortex (ACC), caudate, putamen, and thalamus.ResultsIn all cases, MBCT reduced severity of depression. The ratio of total choline-containing compounds/total creatine (tCr) in the right caudate was significantly increased compared to that in healthy controls, while ratios of N-acetyl aspartate (NAA)/tCr in the left ACC, myo-inositol/tCr in the right insula, and glutathione/tCr in the left putamen were significantly decreased. At baseline, the severity of depression was negatively correlated with my-inositol/tCr in the left insula and putamen. The improvement in depression severity was significantly associated with changes in NAA/tCr in the left ACC.ConclusionsThis study has successfully evaluated regional differences in metabolites for patients with MDD who received MBCT treatment and in controls using 7 Tesla MRSI
Endoscopic Barrett’s eradication: myth or reality?
Le traitement par résection endoscopique d’une lésion néoplasique
superficielle au sein d’un oesophage de Barrett est le nouveau
standard de la prise en charge de cette pathologie. Elle
permet d’orienter la stratégie thérapeutique ultérieure et en particulier
d’éviter l’oesophagectomie en cas de lésion intramuqueuse
de bon pronostic. Cependant, ce traitement local pose le problème
de la métaplasie intestinale résiduelle porteuse d’un risque
de développement de nouvelle lésion. La destruction endoscopique
de l’ensemble de la métaplasie et son remplacement par un
épithélium malpighien, permettraient une réduction du risque
néoplasique et de la nécessité de suivi de ces patients. À ce jour,
malgré de bons résultats immédiats, plusieurs techniques d’ablation
ont été abandonnées après démonstration d’une importante
fréquence de réapparition de la métaplasie et un taux élevé de
complications. L’ablation de la métaplasie par radiofréquence est
une technique endoscopique récente permettant la destruction
de larges plages de Barrett. Les résultats de suivi à 1 ou 2 ans
des patients traités par cette technique sont encourageants et
nous permettent de croire à l’avenir d’un traitement endoscopique
global du Barrett en dysplasie.Endoscopic mucosal resection is a new standard of work up and
therapeutic procedure in Barrett’s superficial neoplastic lesion. It
allows a better therapeutic strategy and avoids unnecessary oesophagectomy
even in case of low risk intramucosal cancer. However
this local treatment raises the problem of residual intestinal metaplasia
and the associated risk of new neoplastic lesion. The total
endoscopic Barrett’s eradication and the intestinal metaplasia
replacement with neosquamous epithelium could theoretically
reduce the risk of neoplasia and the necessity of patient follow-up.
Up to now, despite excellent immediate results, several Barrett’s
ablation techniques were abandoned because of high rate of intestinal
metaplasia reappearance and complications. Radiofrequency
ablation is a new endoscopic technique, which allows destruction
of large Barrett segments. One or two years’ follow-up studies of
this technique are encouraging. There is still a hope for a future of
global endoscopic treatment of dysplastic Barrett
Severe Neurological Impairment: Legal Aspects of Decisions to Reduce Care
Decisions to reduce care for patients with severe neurological impairment may raise legal questions. The laws of most states now authorize physicians to stop care for those who have suffered irreversible cessation of all functions of the brain (“brain death”). Where state law is not explicit, it is nevertheless probably lawful to regard brain death as death for legal purposes so long as currently accepted criteria are satisfied. Several courts have ruled that it is lawful to reduce care for patients in vegetative states, but have prescribed differing standards and procedures for implementing such decisions. The issue of whether parents can authorize physicians to reduce care for neurologically impaired children is the focus of current litigation. Implicit in this litigation is the question of how severe neurological impairment must be before parents and physicians may lawfully agree to reduce care. For severely impaired but not vegetative adults, there is some legal authority to justify certain decisions to reduce care. The issue of whether withholding feeding from a severely demented patient with life-threatening medical problems constitutes criminal behavior is now being considered by a state supreme court
Tour the United VCU, The Premier Urban Research University
This project will capitalize on the existing Open House weekends by offering a 60 minute tour of the MCV Campus. The tour will expose prospective students to VCU as a whole, highlighting the diverse range of studies and to present VCU as one university. The bus ride and walking tour will showcase the connection and relevance of both campuses, allowing prospective students with a myriad of interests to see all that VCU has to offer
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