Friday, October 18, 2019
Explain how Descartes represents a new philosophical beginning Essay
Explain how Descartes represents a new philosophical beginning - Essay Example In mathematics, we encounter absolute certainty, according to Descartes.â⬠(Kitcher, 2006, p. 482) His search for this absolute certainty in the field of philosophy begins with a radical rejection of all beliefs, perceptions and assumptions and a completely blank page on which he attempts to build up a new logical train of thought. This paper considers the steps that Descartes takes to distance himself from traditional ways of thinking and the nature of his radical new approach. The starting point that Descartes chooses is in keeping with the religious conventions of the time, since he addresses his work to ââ¬Å"those Most Wise and Distinguished men, the Deans and Doctors of the Faculty of Sacred Theology of Parisâ⬠(Descartes, p. 484) and he quotes the Bible and the Lateran Council of 1512-1517 to show that he is familiar with matters of the faith. His use of radical scepticism is presented as different approach to both physical and metaphysical problems and he implies t hat his intention is to follow a path of discovery which will be different from, but not contradictory to, articles of faith which are taught by the established Christian Church. Since the turn of the seventeenth century the Medieval mind-set of the Church had been badly shaken, first by the reformation and consequent debates and schisms across Europe, and secondly by a whole host of scientific discoveries that raised interesting questions about manââ¬â¢s place in the universe. Nowadays we call this major shift in world view ââ¬Å"the Enlightenment.â⬠In the first section of his treatise Descartes applies his radical scepticism to religion and science alike, suspending all that he has been taught, and coming down to the fundamental observation that the human being is made of two separate substances: the mind, which is immaterial and capable of thinking, and the body, which is corporal and capable of using the physical senses to apprehend and interact with the world. He cons iders how unreliable the senses are, and concludes that the only thing that he is absolutely certain of, is the fact that he is thinking with his mind. Body, senses and everything else are laid to one side and he concentrates on this thinking part of himself. In the second section he formulates his most famous saying ââ¬Å"cogito ergo sum: I think, therefore I amâ⬠(Descartes, p. 492) which shows that existence is derived from thinking, and not from anything outside the self that is thinking. This is a big departure from the teachings of the Church, which had traditionally placed itself in the role of teacher and authority on all matters. Thanks to the reformation there was a much greater focus on the individual, and Descartes latches on to this to stress both the mental activity that human beings are capable of, but also the fact that we are self-aware when we are engaged in this activity. All that exists around that thinking self is an illusion, and the only absolutely certa in thing is the individual and his ability to understand and to reason. The third section elaborates this point: ââ¬Å"I am a thing that thinks, that is to say a thing that doubts, affirms, denies, understands a few things, is ignorant of many things, refrains from willing, and also imagines and senses.ââ¬
Thursday, October 17, 2019
Are there any Medicaid policies towards illegal and legal immigrants Essay
Are there any Medicaid policies towards illegal and legal immigrants - Essay Example borders to work and to receive publicly-funded services, often with the aid of fraudulent documents. Such entry is a misdemeanor and, if repeated, becomes punishable as a felony. Over eight million illegal immigrants live in the United States -- some estimate even more.â⬠(American Patrol, 21 September 2008.) Research has found that ill legal immigration affects the citizens of that particular country, especially the poor people and the legal immigrants. It is also found that the taxes paid by these illegal immigrants are far less than the services received by them. Countries like United States of America are trying their level best to counter this by increased border patrol but this is not only reason for illegal immigration, most of the cases occur because of people who overstay even after their visa is expired. United States of America provides Medicaid facilities to the legal and illegal immigrants but this results in a very big loss for the economy of the country because the people take undue advantage of the same by overstaying in the hospitals even after recovery. The Medicaid policies depend on state to state but there are some states in America which provide the young children and elders requiring medical attention with great facilities like free drugs, free nursing and proper m edical attention. Off late the federal law has brought in many restrictions to keep a check on the illegal immigrants, this also ensures a strict check on the money spent on the public welfare. Some of the services provided by Medicaid to the people are Vaccine for the children, rural health care services, transportation services and these are just a handful of many services provided by the Medicaid in America. The funding of these services provided by the states comes from a partnership between the federal and the state government and this was established in the year 1965, this comes under the social security act. ââ¬Å"States with lower per capita
CHARITY PUBLIC RELATIONS Essay Example | Topics and Well Written Essays - 750 words
CHARITY PUBLIC RELATIONS - Essay Example Notably also, public relations is aimed at communicating to donors how resources have been spent and to attract further donations (Gregory, 2004). There is another outlook on public relations where persons tasked with this have to analyse trends, predict their consequences and counsel organizations on the best course of action along with how this will be implemented. This outlook provides credibility on the practice of public relations as it introduces a social science aspect where in the critics have dismissed public relations as being unsubstantial and flawed fundamentally (Butterick, 2011). Being difficult to define, public relations is a practice that is difficult to underpin its origins as well. One of the American pioneers of public relations, Ivy Lee, looked into policy management citing that good policy translates to good public relations. He went on to extend this definition by stating that public relations deals with everything entailed in expressing the policy or idea of an organization, incorporating the idea or policy expressed as well. For charitable organizations, their main concern is maintaining fruitful relationships between them and donors and this raises the issue of fund raising management. The policy or idea expressed by these organizations is philanthropic in nature that is not for the direct benefit of the organization rather for a societal issue such as public health. Philanthropy, in essence, is a relationship between donor and recipients where this relationship is mediated by cultivating an image of public good. Lee also looked into the ethics o f public relations at a time many were against the idea of press releases; he was of the opinion that organizations that sent out press releases to newspapers with the hope of influencing their content were not in the wrong so long as the sources of such releases could be identified. He felt that
Wednesday, October 16, 2019
Are there any Medicaid policies towards illegal and legal immigrants Essay
Are there any Medicaid policies towards illegal and legal immigrants - Essay Example borders to work and to receive publicly-funded services, often with the aid of fraudulent documents. Such entry is a misdemeanor and, if repeated, becomes punishable as a felony. Over eight million illegal immigrants live in the United States -- some estimate even more.â⬠(American Patrol, 21 September 2008.) Research has found that ill legal immigration affects the citizens of that particular country, especially the poor people and the legal immigrants. It is also found that the taxes paid by these illegal immigrants are far less than the services received by them. Countries like United States of America are trying their level best to counter this by increased border patrol but this is not only reason for illegal immigration, most of the cases occur because of people who overstay even after their visa is expired. United States of America provides Medicaid facilities to the legal and illegal immigrants but this results in a very big loss for the economy of the country because the people take undue advantage of the same by overstaying in the hospitals even after recovery. The Medicaid policies depend on state to state but there are some states in America which provide the young children and elders requiring medical attention with great facilities like free drugs, free nursing and proper m edical attention. Off late the federal law has brought in many restrictions to keep a check on the illegal immigrants, this also ensures a strict check on the money spent on the public welfare. Some of the services provided by Medicaid to the people are Vaccine for the children, rural health care services, transportation services and these are just a handful of many services provided by the Medicaid in America. The funding of these services provided by the states comes from a partnership between the federal and the state government and this was established in the year 1965, this comes under the social security act. ââ¬Å"States with lower per capita
Tuesday, October 15, 2019
Environmental engineering Essay Example | Topics and Well Written Essays - 500 words
Environmental engineering - Essay Example Note that oxidation occurs in the presence of organic matter, so nitrate acts an electron acceptor in the absence of free oxygen. The chemical reaction in this phase can be represented as: The precipitation of ammonia in the form of MgNH4PHO4 (MAP) through the addition of phosphoric acid and magnesium oxide is called MAP process. In this process the pH value is critical in the precipitation of MAP. It has 90% efficiencies (Siegrist, 1996). This is a physico-chemical process. When the pH of wastewater is maintained to 10 is easy to convert NH4+ to free ammonia. Then, an air stream is used to capture NH3 and it is absorbed in a solution with sulphuric acid to form (NH4)2SO4. It has 97% efficiency, (Siegrist, 1996). This is a physico-chemical process called air stripping process. Finally, biological phosphorus removal technique offer advantages over chemical processes, reduced energy consummation and reduce sludge production (Park, 1999). This method is justified because phosphorus exists in several forms in wastewater: orthophosphate, polyphosphate and organic phosphates. Note that phosphorus comes from human excrement and detergents presents in domestic wastewater. 1. There are some microorganisms that without oxygen and nitrates (anaerobic atmosphere), assimilate and store fermentation products produced by other facultative bacteria. The microorganisms derive energy for this assimilation from polyphosphates organisms, which are hydrolyzed to liberate energy. The free phosphorus that results from the hydrolysis reaction is released to the mixed liquor (Sankaramanchi, 2010). 2. In the following anoxic or aerobic phase these same microorganisms, consume both phosphorus and oxygen to metabolize the previously stored substrate for energy production and cell synthesis. The organisms take up the phosphorus in excess. The phosphorus is removed from the system during the normal sludge wasting procedure (Sankaramanchi,
Monday, October 14, 2019
A Review On Alcoholic Detection From EEG Signals
A Review On Alcoholic Detection From EEG Signals Abstract: This review covers advances of the past decade, in the development of EEG signal processing algorithms for alcoholic detection. In recent years, various computational approaches have been proposed to detect alcoholism from EEG recordings. In this paper, we review some of those approaches, and discuss their limitations and potential In part I, an introduction to the effect of alcohol on EEG is discussed briefly. We review some of the known effects of alcohol on EEG signal in part II. Some of the exiting state of the art signal processing techniques for alcoholic detection in EEG recordings are discussed in part III. A review of various signal processing methods used to classify alcoholics and controls is done. The potential and limitation of such computational approaches are discussed in part IV. A discussion on the potential use of EEG as a biomarker for alcoholism and as a mass screening tool is also discussed .At the end of the paper, we conclude by briefly addressing the future challenges and open problems in part V. PART I Introduction Alcoholism is a social bane that is affecting the human life in all aspects. Not only it causes damage to the human brain and other organs of the body in various ways, it also brings about a lot of difficulties and discomfort to an alcoholic person in his/her social life. A lot of research has gone into finding the ill effects and the extent to which it damages the human body. Some of the harmful effects include lack of coordination between body and mind, loss of vision, imbalance in walking, incoherent speech, memory slips, depression to name a few. These effects can be observed after only a few drinks and they may vanish once the person gives up drinking. However a person who is addicted to drinking large quantities of alcohol for a long time may be affected with these effects that persist for a longer time and severely damage one or more organs of the body. The way in which alcohol affects the brain and the probable reversal of the ill effects caused by heavy drinking on the brain still remain as hot topics in alcohol research [1]. Some of the factors that determine the extent to which alcohol affects the brain are: i) quantity and how frequently a person drinks ii) the age of the subject at which the habit of drinking started and how long it is being continued iii) subjects age, education, gender, genetic predisposition and family history of alcoholism iv) possibility of prenatal exposure and the overall health condition[47]. Heavy drinking not only affects the human brain but it also damages other vital organs of the body. It is also found that females are more affected than males in the way the alcohol consumption damages the various organs of the body. For example, a few years of heavy drinking in women cause cirrhosis [48] cardiomyopathy [49] and nerve damage [50] than in alcoholic men. However, the studies on sensitivity of females brain to alcohol-induced brain damage as compared with males, have not shown any conclusive results [1]. Alcohol intake combined with poor general health condition or with severe liver disease causes damage to the human brain in an indirect manner. For example, thiamine deficiency is common in people with alcoholism which is a result of poor overall nutrition [1].à A large percentage of alcoholics suffer from thiamine deficiency and some may even develop severe brain disorders such as [51] Wernicke-Korsakoff syndrome (WKS) [52]. The symptoms of WKS include mental confusi on, oculomotor disturbances and difficulty with muscle coordination, forgetfulness and frustration and have difficulty with walking and coordination [53] . One of the organs that severely gets affected by long term alcohol consumption in large quantities is the liver. In a person with a history of heavy long-term drinking, the liver s function is to breakdown alcohol into harmless by-products and flush them out of the body. However, the liver may get damaged due to excessive alcohol intake, leading to liver cirrhosis. This condition of the liver can harm the brain, leading to a potentially fatal brain disorder called hepatic encephalopathy [54].Some of the effects of Hepatic encephalopathy are disturbances in sleep patterns, mood swings, personality changes, anxiety, depression, attention deficits, difficulty in coordination like shaking of the hands ( asterixis). In the worst case, patients may slip into coma ( hepatic coma), which can lead to death. It is indeed difficult to diagnose these effects as related to hepatic encephalopathy. New imaging techniques assist researchers to study specific regions of brain in such patients, which helps them in knowing exactly how hepatic encephalopathy progresses. The studies have confirmed that at least two toxic substances, ammonia and manganese are responsible for the development of hepatic encephalopathy. The severely damaged liver cells allow these harmful toxic products to enter the brain, which in turn harms the brain cells. Alcohol consumption during pregnancy may lead to physical, learning, and behavioural problems in the developing fetal brain. The most serious of these problems is the fetal alcohol syndrome (FAS). Children with FAS may have distinct facial features [1]. FAS infants growth may be lesser than average. They may suffer from microcephaly. In infants with this syndrome, only a fewer neurons may be present or a fewer neurons may function properly. This will lead to problems in learning and behaviour for a long term. All alcoholics do not experience the ill effects of alcohol consumption in a similar manner to the same extent. The source of the disease may be different for different patients. This makes it difficult to pinpoint any one parameter as responsible for the brain disorders found in alcoholics. That is why, one of the active areas of research is to study why some patients are vulnerable to brain deficits while others are not [55]. Most alcoholics suffering from cognitive disorder improve in the structure and functioning of the brain within a year of abstinence [56-58].This may not be true in all cases. Therefore clinicians must devise different types of treatment methods to cater to different patients. They use brain-imaging techniques to determine the course and progress of treatment over a period of time. Researchers use imaging methods such as magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), positron emission tomography (PET), and electrophysiological brain mapping. These methods provide precise and accurate information on structural, functional and biochemical changes in patients brain over time. Sometimes, two or more brain imaging methods are used together to correlate the results and monitor when a chronic alcoholic patient stops drinking and again after long periods of sobriety ,the possibility of relapse of the drinking habit in the patient [59]. The process of memorization and retrieval depend on factors such as attention and motivation [60]. MRI of brain assist the physicians to study the effects of long time abstinence from alcohol on memory and attention, as well as changes that take place when drinking habit relapses. The aim of these studies is to differentiate between the alcohol-induced permanent effects on the brain and those which are reversible with abstinence. PET imaging assists researchers to visualize, in the living brain, the damages associated with heavy alcohol consumption [61]. This also enables scientists to analyse alcohols effects on neurotransmitter systems, brain cell metabolism and blood flow within the brain. These studies on alcoholics have shown the frontal lobe disorders, which are responsible for various functions associated with learning and memory and deficits in cerebellum which controls movement and coordination. PET can also be used for monitoring the effects of alcoholism treatment on the a ffected parts of the brain and may give new directions in developing medications to rectify the chemical deficits found in the brains of people with alcohol dependence. Numerous studies have shown the ill effects of alcohol on the human brain by observing and analysing the electroencephalogram (EEG) of the alcoholic subject and compared with that of a control subject. Electroencephalography (EEG) is a simple non invasive tool that records the brains electrical signals by placing electrodes on the scalp. These signals show real-time activity as it occurs in the brain. Many studies have shown that the effect of alcohol on the human brain can be perceived by processing the recording the EEG of an alcoholic subject. The single channel EEG recordings of a control and an alcoholic subject are as shown in fig 1.It can be observed that the time series EEG data of both control and alcoholic subjects are not clearly perceptible to the bare human eye. However, with the help of certain signal processing techniques either in the time domain or frequency domain or time-frequency domain or spatial domain techniques, the latent features can be extracted to identify the effects of alcohol on the human brain. As an illustration, the PSDs of the EEG of both control and alcoholic subject are as shown in fig2. From this it is very clear that the power contained in various frequency components are different for both control and alcoholic subjects. C:UsersMUDocumentsMATLABeeg_epilep_codestime_series_data.jpg C:UsersMUDocumentsMATLABeeg_epilep_codespsd_c_a.jpg Fig 1.Time series EEG data of control Fig2. PSD plot of EEG of control and alcoholic subjects and alcoholic subjects Many alcoholic men have low amplitude of their P3 components (fig 3). P3 amplitudes in alcoholic women reduce to a lesser extent than in men. The uniqueness of the reduction in P3 component among other symptoms is that even after the patient drops the habit of drinking alcohol, this reduction in P3 persists[63].Therefore this parameter can be thought of as a biomarker for alcohol dependence rather than an effect of alcohol consumption. There are many studies conducted on the reduced P3 amplitudes of young people who are not exposed to alcohol but their fathers being alcoholics [64, 65].Therefore, P3 can be used as biomarkers to help recognizing people who may be at greatest risk for developing problems with alcohol. graph Fig 3 . P3 amplitude in control and alcoholic subjects (Courtesy:[1]) Compared to other imaging methods discussed above, electrophysiological methods such as EEG processing for detection of alcoholics has a lot to offer in terms of mobility and cost involved. Hence it can be used as a mass screening tool for the underprivileged with a history of alcoholism. PART II Effect of Alcohol on EEG recordings Studies have shown that some of the major effects of alcohol on EEG are: i) enlargement of frontal negative occipital wave component ii) increase in ventricular and sulcal CSF volumes iii) Reduction in p300 component iv)Reduction in pre frontal cortical excitability v)Reduction in the amplitude of Error related negativity vi) Binge drinking effect on à ´ and fast à ²waves vii) Reduction in the power of EEG signal in frontal region and enhancement of à ¸ waves . viii) high à ² and à ¸ power in the resting EEG, abnormalities in eye movements, in saccadic inhibition during antisaccade tasks. These effects, however, are not always easily detectable. There tends to be a large variability from patient to patient. As a result, none of these phenomena allow at present to reliably detect the effect of alcohol at an early stage. Many recent studies have concentrated on how to improve the sensitivity of EEG for detecting alcoholism. In the following we briefly review some of these studies. A. Enlargement of frontal negative occipittal wave component Way back in 1990, Jerald Varner et al., reported a study of alcoholic organic syndrome patients using the occipital wave components of the event related potential (ERP) as an electrophysiological parameter [3]. The study was conducted on normal, Korsakoff, and alcoholic dementia patients. The frontal negative occipital wave was observed to be increased in alcoholic organic brain syndrome patients and it was concluded that it was probably due to an attention deficit, indicating a probable frontal lobe dysfunction. B. Increase in ventricular and sulcal CSF volumes Adolf Pfefferbaum et al., [4] quantified brain cerebrospinal fluid (CSF) volumes derived from computed tomography (CT) in alcoholics and controls. The results showed that the ventricular and sulcal CSF volumes in alcoholic patients were greater than was expected for their age. This also proved the previous results obtained from a similar study using CT and MRI showing greater vulnerability of the aging brain to alcohol. The absolute ventricular volumes were similar in MRI and CT, while MRI results showed larger sulcal volume estimates than the CT. It was concluded that MRI slice thickness and its resolution to partial volume effects led to this increase in sulcal volume estimate. C. Reduction in p300 component Shirley Y. Hill et al., studied the effect of alcohol on the p300 component [9] .According to this study , it was found that only patients(female) with comorbid depression had a reduced p300 amplitude ,while there was no difference in other alcoholic and control subjects(male and female) . From this study, it was also concluded that the P300 amplitude reduction seen in children prone to developing alcoholism seems to represent a delay in neuron development that normalizes as they grow into adulthood. In another similar study, Michio Hada et al., used bootstrap analysis method in which P3a current source density (CSD) maps showed distinct topographic mapping between alcoholics and control subjects in all the brain regions [10]. More sources and sinks were seen in the alcoholics than in the control subjects for P3a. The reduced P3a amplitude and sinks in alcoholics coupled with less specificity in their CSD maps, suggested disorganized less efficient functioning of the brain. This suggests a probable underlying CNS hyper excitability in alcoholics due to cortical disinhibition . D. Reduction in pre frontal cortical excitability Seppo Kahkonen et al. [13], reported the effects of alcohol on the prefrontal cortex in nine healthy subjects using transcranial magnetic stimulation (TMS) activated electroencephalogram (EEG) signals. Changes in EEG activity lasting up to 270 ms post stimulus were observed as a response to activation by TMS. The changes were observed more prominently at anterior electrodes suggesting the reduction in excitability in the prefrontal cortex due to alcohol. E. Reduction in the amplitude of Error related negativity A study by Clay B Holroyd et al., indicated that alcohol consumption reduces the amplitude of the error-related negativity (ERN)[14] component of the event related potential(ERP), a sharp negative going signal that occurs in the EEG at the instant when an incorrect motor response starts ( ie.,error commission). F. Binge drinking effect on à ´ and fast à ² waves Kelley E Courtney et al. evaluated the spectral power in the à ´ and fast à ² waves of EEG recordings of young undergraduate university students who varied in their binge drinking history [18].The aim of the study was to characterize the effects of binge drinking on central nervous system(CNS) neuroelectric activity in male and female undergraduate subjects. The EEG recordings of these subjects showed enhanced spectral power in the à ´ (0-4 Hz) and fast- à ² (20-35 Hz) bands for the high-binge drinkers. Although the dependence of fast- à ² power on binge drinking still remains unclear, the change in fast- à ² power indicates that EEG spectral pattern of high-binge drinkers is similar to that of alcoholics. This study indicated that the relative enhancement in fast- à ² power may be used as a biomarker for potential future alcoholism even in the absence of familial alcoholism. G.Effect on à ²,à ¸ ,à ³ waves ,eye movement disorders and saccadic inhibition Wu Di et al., discussed the change in the power of EEG signal in various parts of the brain after consuming alcohol , resulting in harmful effects on different parts of the brain and the body[19]. It was observed that while in the frontal region the power of the EEG signal decreased with the increase in the quantity of alcohol intake, the power of the EEG signal in central, occipital region increased. This study also revealed that while in the frontal region, the alcohol intake caused a transformation in the fast wave with decrease in the power of EEG signal, the fast wave reduced with an increase in the power of EEG signal in the central and occipital region. It was also observed that while the effect of alcohol in the frontal region indicated nerve stimulation of alcohol in this part, making drinkers to become excited after alcohol intake, in the central and occipital region, the effect of alcohol consumption led to an inhibitory action on the neuron cells, resulting in the weakeni ng of the body coordination and eyesight. Further it was noted that increase in alcohol intake resulted in à ¸ waves generation and gradual enhancement as the subjects were in state of drowsiness and the central nervous system(CNS) of the subjects was inhibited. At the same time, à ± and à ² waves were seen to gradually enhance and the region of these waves expanded after consuming alcohol. The study also indicated that the correlation between parts of brain decreased gradually because the clustering of the EEG signal was separated gradually into small clusters with increased alcohol intake. From this observation, it was concluded that too much drinking may lead to the decrease of balance, stability between the parts of the brain. S. Campanella et al., [41], studied various physiological parameters such as continuous EEG, oculomotor measures, cognitive ERPs and event-related oscillations that are affected in chronic alcoholic patients compared to healthy controls. This study was aimed at identifying links between these physiological parameters, altered cognitive processes and specific clinical symptoms. The result of their study showed:(1) high beta and theta power in the resting EEG, suggesting hyperarousal of CNS (2) abnormalities in smooth pursuit eye movements, in saccadic inhibition during antisaccade tasks, and in prepulse inhibition, suggesting disturbed attention and abnormal prefrontal inhibitory cortical dysfunction; (3) decreased amplitude for cognitive ERPs situated along the continuum of information processing, suggesting that alcoholism is associated with neurophysiological deficits at the level of the sensory cortex and not only disturbances involving associative cortices and limbic structures; and (4) decreased theta, gamma and delta oscillations, suggesting cognitive disinhibition at a functional level. Ajayan Padmanabhapillai et al.,[71] investigated the early evoked gamma band response in male adolescents at high risk and at low risk groups for a visual stimulus. The results indicate that the deficient early evoked gamma band response may indicate the risk of development of alcoholism and could be a potential bio marker for future addiction to alcoholism. David A. Kareken et al., [72] used functional magnetic resonance imaging (fMRI) to determine how family history affects the brains response to subjects preferred alcoholic drink odours (AO) as compared to appetitive control odours (ApCO). This study suggested that a family history of alcoholism and brain exposure to alcohol odour in heavy drinkers differentially affect the way in which brain responds to alcohol cues. H.Whole-genome association study on EEG waves Variation in resting EEG is associated with common, complex psychiatric diseases such as alcoholism, schizophrenia and anxiety disorders although it can not be used as a diagnostic tool for any of them. Such traits appear to be dependent on the underlying molecular processes than on clinical symptoms, and points to an alternative method for the identification of genetic variation that characterize complex psychiatric disorders. Colin A. Hodgkinsona et al.,[39], performed a whole-genome association study on alpha (à ±), beta (à ²), and theta (à ¸) EEG power in a Native American cohort of 322 individuals to maintain the genetic and environmental homogeneity of this population. Three genes SGIP1, ST6GALNAC3 and UGDH were nominally associated to variability of à ¸ or à ± power. SGIP1 was estimated to account for 8.8 % of variance in à ¸ power and this association was replicated in US Caucasians, where it accounted for 3.5% of the variance. Bayesian analysis of prior probability of association based upon earlier linkage to chromosome 1 and enrichment for vesicle-related transport proteins established the genuineness of the association of SGIP1 with à ¸ power. It was also found that the association of SGIP1 with alcoholism provides validation of the use of EEG as an endo phenotype for alcoholism. I.Effect of alcohol on facilitation effect The aim of this study by P. Maurage et al., [32], was to study cross modal (auditory-visual) processing while the subjects were given an emotional stimuli and specifically the auditory-visual facilitation effect. Twenty patients suffering from alcoholism, and 20 healthy controls were asked to identify the emotion (anger or happiness) displayed by auditory, visual or auditory-visual stimuli. The stimuli were designed to elicit a facilitation effect (namely, faster reaction times (RTs) for crossmodal condition than for unimodal ones).It was observed that the alcoholics showed less significant facilitation effect compared to their healthy counterparts.This lack of facilitation effect may be used as a biomarker for an impaired auditory-visual processing in alcoholics. PART III I. Signal processing techniques for detection of alcoholism in EEG signal The Electroencephalogram (EEG) is a bio signal containing information about the state of the brain. The latent information present in the EEG signal may not be visible for the human expert and any subtle variations hence cannot be observed and monitored as and when it occurs. Especially in the time series EEG data, subtle variations can not be perceived by human eye. In such a situation the computational approach becomes very important to extract any such micro variations in the EEG recording, containing significant information about the status of any pathology present. Also, since EEG is an inexpensive method and due to its portability, it can be used as a powerful mass screening tool. EEG signals are the signatures of neural activities. They are captured by multiple-electrode either invasively or non-invasively, over the cortex under the skull, or certain locations over the scalp, and can be recorded in different formats. The signals are normally presented in the time domain, but by applying simple signal processing tools such as the Fourier transform to perform frequency analysis and some imaging tools to visualize EEG topographies , the brain activities can be visualized in frequency or spatial domains respectively. Various time domain, frequency domain, time-frequency methods, statistical signal processing technique such as Wavelet transform [5], Recurrent Neural network [6], nonlinear systems [7], logistic regression [8], spectral densities of DWT coefficients [16], etc., and chaotic signal processing techniques [2] are used to study the pathology of brain such as epilepsy. These techniques are also used to classify between alcoholic, non-alcoholic and epilept ic subjects. In recent years, several research groups have started investigating the potential of electroencephalograms (EEGs) for detecting alcoholism and study the short term and long term effects on the brain. There have been many algorithms developed so far for processing EEG signals. Some of the operations include time-domain analysis, frequency-domain analysis, spatial-domain analysis, and multiway processing. Also, several algorithms have been developed to visualize the brain activity from images reconstructed from only the EEGs. Separation of the desired sources from the multisensor EEGs has been another research area. This can later lead to the detection of brain abnormalities such as epilepsy and the sources related to various physical and mental activities. In this section, some of the signal processing techniques applied to EEG signal for the detection of alcoholism is reviewed. A. Extraction of spectral band power and parametric methods Ong, Kok Mang et al, have shown that VEP (visually evoked potential) could be influenced by long term alcohol abuse [20]. The power spectral density of the recorded VEP was estimated using Burg algorithm (parametric analysis) and the extracted Gamma band power was used as features to train the neural network to classify the alcoholics and non-alcoholics. The authors claim that classification result of 97.50% accuracy has been achieved, to discriminate alcoholics from non-alcoholics.Kok-Meng Ong et al., have proposed Principal Component Analysis (PCA) method for the optimization of the selection of a subset of channels for single trial Visual Evoked Potentials (VEP) signals [23]. The proposed method was successful in optimizing a subset of channels that guaruntees high classification accuracy of alcoholics and non-alcoholics Another similar study by Ramaswamy Palaniappan et al., show that the difference of VEP signals between alcoholics and non-alcoholics can be observed using two spectral power ratios in gamma band (37-50 Hz) extracted from seven channels. This result implies that gamma band spectral power could be used as a biomarker on the lasting effects of long-term use of alcohol on visual response though the studied alcoholics have been abstinent for a minimum period of 1 month. Here Genetic algorithm (GA) is used to optimize the selection of subset of the feature set and classification is done with Fuzzy ARTMAP (FA) classifier [11], using VEP signals. The seven spectral bands of VEP signals are extracted using infinite impulse response (IIR) band-pass filters with constant gain and uniform bandwidth. Spectral power in these bands is calculated using Parsevals theorem and used as features to train the FA and ML-BP classifiers. The proposed technique discriminates alcoholics from non-alcoholics wit h high accuracy. In continuation of the previous work, Ramaswamy Palaniappan et al., in their work have derived second order autoregressive (AR) coefficients [21] to discriminate alcoholics using single trial gamma band Visual Evoked Potential (VEP) signals using 3 different classifiers: Simplified Fuzzy ARTMAP (SFA) neural network (NN), Multilayer-perceptron-back propagation (MLP-BP) NN and Linear Discriminant (LD) function . Here elliptic filtering was used in the gamma band spectral range on single trial VEP signals. The average classification errors of 2.6%, 2.8% and 11.9% were obtained from LD, MLP-BP and SFA classifiers. The high accuracy of LD classification results show the effectiveness of the proposed method to discriminate between alcoholic subjects and controls. Several improvements were proposed to previous work of automated classification of alcoholics and non-alcoholics [24] by the same author. In the previous paper, MLP-NN classifying energy of gamma band VEP signals gave the best cla ssification performance using 800 VEP signals from 10 alcoholics and 10 non-alcoholics. Here, the dataset was extended to include 3560 VEP signals from 102 subjects: 62 alcoholics and 40 non-alcoholic. The classification performance was improved by i) increasing the gamma band spectral range ii) Multiple Signal Classification algorithm was used to obtain the power of the dominant frequency in gamma band VEP signals for feature extraction iii) the use of the k nearest neighbour classifier. The performance was validated by a 10-fold cross validation classification. Modification resulted in an improvement in the classification percentage from 94.49% to 98.71% in maximum averaged CVC accuracy. In this paper by Ramaswamy Palaniappan [30], a method is proposed to discriminate chronic alcoholic from non-alcoholic subjects while the subjects were sober. Energies of EEG signals in multiple gamma bands were used as features while the subjects were asked to do a picture recognition task .A neural network was used for classifying chronic alcoholic subjects from controls. Leave one out cross validation strategy revealed that alcoholics could be discriminated from non-alcoholics with accuracy of 94.55%. This study shows that the energy in gamma band spectral energy can be used as a biomarker for screening of alcoholics. The classification of chronic alcoholics from non-alcoholics using the EEG is studied in this paper by A Shahina et al., [27].Weighted Linear Prediction Cepstral Coefficients were extracted from the VEP and used as discriminating feature vectors. Auto associative neural network was used to classify these vectors into alcoholics and non alcoholics. A recognition accuracy of 52.5% is achieved. This shows that all the 64 channels do not have the same discriminatory attributes causing a reduction in the accuracy levels. Hence the authors conclude that in order to improve the classification performance, there is a need for the optimization of the number of channels to be considered for classification. In this study by Tugce Balli et al., [31], they investigated the electrophysiological differences between alcoholic and control subjects using two different approaches namely complexity and energy analysis. The EEG data used in this study were recorded from 77 alcoholic and 44 control subjects while the subjects were performing delayed matching to sample object recognition task for three types of stimuli. The experimental paradigm evokes object recognition, visual short-term memory and decision making abilities. The results indicated that all regions (i.e. frontal, central, temporal, parietal and occipital) in the brain exhibit more complexity and less energy for alcoholic subjects as compared to controls. When different visual stimuli pairs were compared among alcoholic and control subjects, the results from energy analysis showed group wise differences in occipital and parietal regions. These results provide a strong indication on the impairment in brains electrophysiological activ ity for alcoholic subjects due to a history of long term alcohol abuse. Chronic alcoholism is classically associated with major deficits in the visual and auditory processing of emotions. However, the cross modal (auditory-visual) processing of emotional stimuli, which occurs most frequently in everyday life, has not yet been explored.
Sunday, October 13, 2019
Anorexia Nervosa Essay -- Eating Disorders
Thesis Statement: Anorexia Nervosa effects a person both physically and mentally. Anorexia represents one percent of most prevalent eating disorder diseases. The word anorexia itself means, ââ¬Å" lack of appetiteâ⬠. Anorexia is an all-encompassing pursuit of thinness. The person effected by Anorexia has an absolute fear of becoming obese (Matthew 4). Approximately one percent of adolescent girls develops Anorexia Nervosa, a dangerous condition in which they can literally starve themselves to death. People who starve intentionally starve themselves suffer from an eating disorder. The disorder, which usually begins in the young people around the time of puberty, involves extreme weight loss. At least fifteen percent below the individuals normal body weight. Many people with the disorder look emaciated, but are convinced they are over weight (Matthew 5). Anorexia Nervosa has three Diagnostic Criteria. One is refusal to maintain body weight at or above normal. The other is, intense fear of becoming fat, even though under average weight. The last one is, Disturbance in the way in which oneââ¬â¢s body weight or shape is experienced, undue influence of body weight or shape on self- evaluation, or denial of the seriousness of low body weight (Long 15). Anorexia Nervosa has two specific types, one is Restricting type and the other is Binge-Eating/Purging type. Restricting type during the current episode of Anorexia Nervosa, the person has not regularly engaged in binge- eating or purging behavior. In Binge- Eating /Purging type, during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating/purging behavior (Rockwell 10). Anorexia may not be noticed in early stages. The Anorexic usually chooses to wear layered and baggy clothes to hide the ââ¬Å"ugly fat bodyâ⬠.An Anorexic may have ritualistic eating patterns such as cutting food into little tiny pieces and weighing themselves. These can be found in people who are on a healthy diet, but in Anorexics these behaviors are extremely exaggerated. Other warnings are deliberate self-starvation with weight loss, fear of gaining weight, refusal to eat, denial of hunger, constant exercising, sensitivity to cold, absent or irregular periods, loss of scalp perception of being fat when the person is really to this. Some other associated features are depressed mood, somatic sexual dysfunction, and ... ...l with in society. Two developed Anorexia after seeing a ââ¬Å" movie of the weekâ⬠where the main character was Anorexic. Mikeââ¬â¢s ten year old daughter developed Anorexia after seeing ââ¬Å"The Body Trapâ⬠, a program on Nickelodeon. These findings seem to exemplify along standing debate, if educational programs prevent eating disorders or contribute to them. This is not a scientific study , just a dad with some very disturbing news: Television programs dealing with Anorexia and / or eating disorder are triggering Anorexia in some of our children (Long 15). Works Cited Cottrell, Randall R. "Anorexia Nervosa." Grolier Wellness Encyclopedia: Weight Control. Ed. Robert E. Kline. Vol. 15. Guilford, CT: Duskin, 1992. 117. Long, Phillip W. "Anorexia Nervosa." Internet Mental Health. Jan. 1997. St. Joseph Medical Center. 19 Aug. 1998 . Matthews, John R. Library in a Book: Eating Disorders. New York: Facts on File Inc. 1991 Oââ¬â¢Dwyer, Michael P. Student Eating Disorders : Anorexia Nervosa and Bulimia. Washington, D.C.: National Education Association, 2005. Rockwell, L., Understanding Eating Disorders. Washington, D.C.: Taylor & Francis. 2004
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