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Pediatric Otolaryngology Trends In Patient Care Volume During Covid-19: A Survey Study, William R Pellegrini, Anna H Messner, Jessica R Levi Jan 2023

Pediatric Otolaryngology Trends In Patient Care Volume During Covid-19: A Survey Study, William R Pellegrini, Anna H Messner, Jessica R Levi

Faculty, Staff and Students Publications

PURPOSE: To assess changes in outpatient clinic, inpatient consult, and operative volumes among pediatric otolaryngologists in response to the COVID-19 pandemic.

MATERIALS AND METHODS: An online questionnaire was distributed to 535 active members of the American Society of Pediatric Otolaryngology from April 21, 2020, to May 4, 2020. The questionnaire assessed operative and clinical volumes during a two-week period between April 6, 2020, to April 20, 2020, while restrictions on elective surgery were in place, as compared to an average two-week period before the start of the COVID-19 pandemic.

RESULTS: Both outpatient clinic and inpatient consult visit volume decreased significantly …


Long-Term Outcomes And Trends In Liver Transplantation For Hereditary Hemochromatosis In The United States, Peter Lymberopoulos, Sameer Prakash, Anjiya Shaikh, Anshul Bhatnagar, Anthony K Allam, Karthik Goli, John A Goss, Fasiha Kanwal, Abbas Rana, Kris V Kowdley, Prasun Jalal, George Cholankeril Jan 2023

Long-Term Outcomes And Trends In Liver Transplantation For Hereditary Hemochromatosis In The United States, Peter Lymberopoulos, Sameer Prakash, Anjiya Shaikh, Anshul Bhatnagar, Anthony K Allam, Karthik Goli, John A Goss, Fasiha Kanwal, Abbas Rana, Kris V Kowdley, Prasun Jalal, George Cholankeril

Faculty, Staff and Students Publications

There have been conflicting data regarding liver transplantation (LT) outcomes for hereditary hemochromatosis (HH), with no recent data on LT outcomes in patients with HH in the past decade. Using the United Network for Organ Sharing registry, we evaluated waitlist and post-LT survival in all adult patients listed for HH without concomitant liver disease from 2003 to 2019. Post-LT survival for HH was compared with a propensity-matched (recipient and donor factors) cohort of recipients with chronic liver disease (CLD). From 2003 to 2019, 862 patients with HH were listed for LT, of which 55.6% ( n = 479) patients underwent …


Chronic Liver Disease-Related Mortality In Diabetes Before And During The Covid-19 In The United States, Donghee Kim, Omar Alshuwaykh, Brittany B Dennis, George Cholankeril, Joshua W Knowles, Aijaz Ahmed Jan 2023

Chronic Liver Disease-Related Mortality In Diabetes Before And During The Covid-19 In The United States, Donghee Kim, Omar Alshuwaykh, Brittany B Dennis, George Cholankeril, Joshua W Knowles, Aijaz Ahmed

Faculty, Staff and Students Publications

BACKGROUND: Global pandemic of COVID-19 represents an unprecedented challenge. COVID-19 has predominantly targeted vulnerable populations with pre-existing chronic medical diseases, such as diabetes and chronic liver disease.

AIMS: We estimated chronic liver disease-related mortality trends among individuals with diabetes before and during the COVID-19 pandemic.

METHODS: Utilizing the US national mortality database and Census, we determined the quarterly age-standardized chronic liver disease-related mortality and quarterly percentage change (QPC) among individuals with diabetes.

RESULTS: The quarterly age-standardized mortality for chronic liver disease and/or cirrhosis among individuals with diabetes remained stable before the COVID-19 pandemic and sharply increased during the COIVD-19 pandemic …


Cannabis Use Disorder, Suicide Attempts, And Self-Harm Among Adolescents: A National Inpatient Study Across The United States, Adeolu Funso Oladunjoye, Elijah Li, Kammarauche Aneni, Edore Onigu-Otite Jan 2023

Cannabis Use Disorder, Suicide Attempts, And Self-Harm Among Adolescents: A National Inpatient Study Across The United States, Adeolu Funso Oladunjoye, Elijah Li, Kammarauche Aneni, Edore Onigu-Otite

Faculty, Staff and Students Publications

Background: Suicide is among the top three causes of adolescent mortality. There is a scarcity of research examining cannabis use and suicidal behavior in adolescents.

Objectives: To determine the association between cannabis use disorder (CUD) and suicide attempt/self-harm in a hospitalized sample of adolescents.

Methods: We conducted a cross-sectional observation study using data from the Nationwide Inpatient Sample collected over four years from January 1, 2016, through December 31, 2019. We included adolescents aged 10-19 hospitalized during the above period (N = 807,105). The primary outcome was suicide attempt/self-harm and the main predictor was CUD. The International Classification of Diseases …


Trends In Disease Severity Among Critically Ill Children With Severe Acute Respiratory Syndrome Coronavirus 2: A Retrospective Multicenter Cohort Study In The United States, Catherine E Ross, Jeffrey P Burns, Anne V Grossestreuer, Pallav Bhattarai, Christine A Mckiernan, Jennifer D Franks, Sonja Lehmann, Jill L Sorcher, Matthew P Sharron, Kitman Wai, Haitham Al-Wahab, Konstantinos Boukas, Mark W Hall, George Ru, Anita I Sen, Hariprem R Rajasekhar, Lawrence C Kleinman, John K Mcguire, Amy S Arrington, Flor Munoz-Rivas, Christopher M Osborne, Lara S Shekerdemian Jan 2023

Trends In Disease Severity Among Critically Ill Children With Severe Acute Respiratory Syndrome Coronavirus 2: A Retrospective Multicenter Cohort Study In The United States, Catherine E Ross, Jeffrey P Burns, Anne V Grossestreuer, Pallav Bhattarai, Christine A Mckiernan, Jennifer D Franks, Sonja Lehmann, Jill L Sorcher, Matthew P Sharron, Kitman Wai, Haitham Al-Wahab, Konstantinos Boukas, Mark W Hall, George Ru, Anita I Sen, Hariprem R Rajasekhar, Lawrence C Kleinman, John K Mcguire, Amy S Arrington, Flor Munoz-Rivas, Christopher M Osborne, Lara S Shekerdemian

Faculty, Staff and Student Publications

OBJECTIVES: To describe trends in critical illness from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children over the course of the COVID-19 pandemic. We hypothesized that PICU admission rates were higher in the Omicron period compared with the original outbreak but that fewer patients needed endotracheal intubation.

DESIGN: Retrospective cohort study.

SETTING: This study took place in nine U.S. PICUs over 3 weeks in January 2022 (Omicron period) compared with 3 weeks in March 2020 (original period).

PATIENTS: Patients less than or equal to 21 years old who screened positive for SARS-CoV-2 infection by polymerase chain reaction or …


A Rapid, Low-Cost, And Highly Sensitive Sars-Cov-2 Diagnostic Based On Whole-Genome Sequencing, Per A Adastra, Neva C Durand, Namita Mitra, Saul Godinez Pulido, Ragini Mahajan, Alyssa Blackburn, Zane L Colaric, Joshua W M Theisen, David Weisz, Olga Dudchenko, Andreas Gnirke, Suhas S P Rao, Parwinder Kaur, Erez Lieberman Aiden, Aviva Presser Aiden Jan 2023

A Rapid, Low-Cost, And Highly Sensitive Sars-Cov-2 Diagnostic Based On Whole-Genome Sequencing, Per A Adastra, Neva C Durand, Namita Mitra, Saul Godinez Pulido, Ragini Mahajan, Alyssa Blackburn, Zane L Colaric, Joshua W M Theisen, David Weisz, Olga Dudchenko, Andreas Gnirke, Suhas S P Rao, Parwinder Kaur, Erez Lieberman Aiden, Aviva Presser Aiden

Faculty, Staff and Students Publications

Early detection of SARS-CoV-2 infection is key to managing the current global pandemic, as evidence shows the virus is most contagious on or before symptom onset. Here, we introduce a low-cost, high-throughput method for diagnosing and studying SARS-CoV-2 infection. Dubbed Pathogen-Oriented Low-Cost Assembly & Re-Sequencing (POLAR), this method amplifies the entirety of the SARS-CoV-2 genome. This contrasts with typical RT-PCR-based diagnostic tests, which amplify only a few loci. To achieve this goal, we combine a SARS-CoV-2 enrichment method developed by the ARTIC Network (https://artic.network/) with short-read DNA sequencing and de novo genome assembly. Using this method, we can reliably ( …


Figg At 5: An Update On Us Public Perspectives On Forensic Investigative Genetic Genealogy Five Years After Its Introduction To Criminal Investigations, Sophie L Schott, April Adams, Ryan J Dougherty, Taylor Montgomery, Folasade C Lapite, Faith E Fletcher Jan 2023

Figg At 5: An Update On Us Public Perspectives On Forensic Investigative Genetic Genealogy Five Years After Its Introduction To Criminal Investigations, Sophie L Schott, April Adams, Ryan J Dougherty, Taylor Montgomery, Folasade C Lapite, Faith E Fletcher

Center for Medical Ethics and Health Policy Staff Publications

Nearly 50 years after Roe versus Wade, the United States Supreme Court's decision in Dobbs versus Jackson Women's Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restrictions. Abortion research not only includes studies that establish the safety, quality, and efficacy of evidence-based abortion care protocols, but also encompasses studies on the availability of abortion care, the consequences of being denied an abortion, and …


Svb Financial Group Systemic Risk Report—Fr Y-15, Dan Beck Dec 2022

Svb Financial Group Systemic Risk Report—Fr Y-15, Dan Beck

Documents

No abstract provided.


Factors Associated With A Diagnosis Of Sarcoidosis Among Us Veterans Of Iraq And Afghanistan, Nisha Jani, Israel C Christie, Tianshi David Wu, Daniel E Guzman, Jaehwan Han, Bryan Broderick, Michael J Falvo, Anays Sotolongo, Omowunmi Y Osinubi, Drew A Helmer Dec 2022

Factors Associated With A Diagnosis Of Sarcoidosis Among Us Veterans Of Iraq And Afghanistan, Nisha Jani, Israel C Christie, Tianshi David Wu, Daniel E Guzman, Jaehwan Han, Bryan Broderick, Michael J Falvo, Anays Sotolongo, Omowunmi Y Osinubi, Drew A Helmer

Center for Medical Ethics and Health Policy Staff Publications

This study evaluated risk factors of sarcoidosis among Airborne Hazards and Open Burn Pit Registry (AHOBPR) participants using a retrospective age and sex-matched case-control design of AHOBPR participants deployed to Afghanistan or Southwest Asia with and without sarcoidosis diagnosed in the Veterans Health Administration (VHA). Logistic regression models tested for associations between sarcoidosis and self-reported cumulative deployment-related exposures. 661 Veterans (0.37%) were diagnosed with sarcoidosis in VHA. Logistic regression demonstrated lower odds of sarcoidosis in Hispanic participants (OR 0.08, CI 0.04-0.15) and those who served in the Navy (OR 0.40, CI 0.21-0.72). African American veterans (OR 2.27, CI 1.66-3.11) and …


American Policy Discourses On China: Two Centuries Of National Imagination And Constructed Reality, Yan Chang Bennett Dec 2022

American Policy Discourses On China: Two Centuries Of National Imagination And Constructed Reality, Yan Chang Bennett

Doctoral Dissertations and Projects

In the 2022 U.S. National Security Strategy (NSS), the United States government has declared that the world is at an inflection point in which there are tremendous challenges that the American people face with regard to their collective continuing security and prosperity. One of those challenges that the Biden administration has identified is the government of the People’s Republic of China (PRC), which, according to the NSS, “harbors the intention and increasingly, the capacity to reshape the international order in favor of one that tilts the global field to its benefit.” As the administration believes, The PRC threatens the U.S.-led …


The Doctrine Of Veil-Piercing Liability In Poland And Selected Countries: A Comparative Law Study, Mariusz Fras Dec 2022

The Doctrine Of Veil-Piercing Liability In Poland And Selected Countries: A Comparative Law Study, Mariusz Fras

Journal of Civil Law Studies

The separation of a company from its members, based on legal personality, is recognized as one of the fundamental principles of corporate law. It expresses the legal distinction between the two entities. A consequence of the separateness principle is that members are not liable for the debts of their companies, and companies cannot be held liable for the debts of their members. However, such consequences of the principle of mutual autonomy of companies and their members are in sharp contrast with commercial reality, in which intertwined corporate groups operate as a single economic entity. In market transactions, a subsidiary often …


Careers Lost To Long Covid, Emily Sauchelli Dec 2022

Careers Lost To Long Covid, Emily Sauchelli

Capstones

Americans have had to adjust to new lifestyles as a result of the lingering symptoms associated with long COVID. Many have had no choice but to leave the workforce. Those with long COVID are putting the career paths they intended for themselves behind them, due to their inability to keep up with their jobs as a result of their lingering symptoms. Accommodations and resources on how those with long COVID can reenter back into the workforce are coming at a slow pace, as employers are not recognizing how to help those with long COVID stay and thrive in the workplace. …


A Bayesian Susceptible-Infectious-Hospitalized-Ventilated-Recovered Model To Predict Demand For Covid-19 Inpatient Care In A Large Healthcare System, Stella Coker Watson Self Ph.D., Ms, Rongjie Huang, Shrujan Amin, Joseph Ewing, Carolina Rudisill, Alexander C. Mclain Ph.D. Dec 2022

A Bayesian Susceptible-Infectious-Hospitalized-Ventilated-Recovered Model To Predict Demand For Covid-19 Inpatient Care In A Large Healthcare System, Stella Coker Watson Self Ph.D., Ms, Rongjie Huang, Shrujan Amin, Joseph Ewing, Carolina Rudisill, Alexander C. Mclain Ph.D.

Faculty Publications

The COVID-19 pandemic has strained healthcare systems in many parts of the United States. During the early months of the pandemic, there was substantial uncertainty about whether the large number of COVID-19 patients requiring hospitalization would exceed healthcare system capacity. This uncertainty created an urgent need to accurately predict the number of COVID-19 patients that would require inpatient and ventilator care at the local level. As the pandemic progressed, many healthcare systems relied on such predictions to prepare for COVID-19 surges and to make decisions regarding staffing, the discontinuation of elective procedures, and the amount of personal protective equipment (PPE) …


Afghan Refugees Engagement Journalism, Angrej Singh Dec 2022

Afghan Refugees Engagement Journalism, Angrej Singh

Capstones

My community of focus is Afghan refugees who came to the U.S. after Aug. 15, 2021. Since mid-Aug. of 2021, nearly 76,000 Afghan refugees came to the U.S. after living across eight U.S. military bases for a few months — with the help of resettlement agencies — they have resettled to 48 states in which they are starting to rebuild their lives. During the uncertainty of their legal status, multiple Afghan led organizations have been calling on Congress to pass an Afghan Adjustment Act. This legislation would create a pathway for permanent status to the thousands that were granted entry …


Latinos Move The Us Economy, But Hardly Get To Write About It, Ana T. Sola Dec 2022

Latinos Move The Us Economy, But Hardly Get To Write About It, Ana T. Sola

Capstones

Cuando se escribe sobre la economía, hay que incluir una diversidad de voces en la historia porque todo el mundo participa en la economía de una forma u otra. La misma filosofía debe aplicarse a quien escribe estas historias. Sin embargo, dentro de todas las complicaciones que existen dentro de la industria de las comunicaciones, hay un problema en particular desatendido.

El campo de estudios económicos tiene fama de carecer de expertos de diversa procedencia, y parece repetirse en la industria del periodismo. Antes de este proyecto, solo se me occuría un puñado de periodistas latinos especializados en el area …


Topics And Sentiment Surrounding Vaping On Twitter And Reddit During The 2019 E-Cigarette And Vaping Use-Associated Lung Injury Outbreak: Comparative Study, Dezhi Wu, Erin Kasson, Avineet Kumar Singh, Yang Ren, Nina Kaiser, Ming Huang, Patricia A Cavazos-Rehg Dec 2022

Topics And Sentiment Surrounding Vaping On Twitter And Reddit During The 2019 E-Cigarette And Vaping Use-Associated Lung Injury Outbreak: Comparative Study, Dezhi Wu, Erin Kasson, Avineet Kumar Singh, Yang Ren, Nina Kaiser, Ming Huang, Patricia A Cavazos-Rehg

2020-Current year OA Pubs

BACKGROUND: Vaping or e-cigarette use has become dramatically more popular in the United States in recent years. e-Cigarette and vaping use-associated lung injury (EVALI) cases caused an increase in hospitalizations and deaths in 2019, and many instances were later linked to unregulated products. Previous literature has leveraged social media data for surveillance of health topics. Individuals are willing to share mental health experiences and other personal stories on social media platforms where they feel a sense of community, reduced stigma, and empowerment.

OBJECTIVE: This study aimed to compare vaping-related content on 2 popular social media platforms (ie, Twitter and Reddit) …


Cause For Alarm: Punk Rock, Politics, Race, And The Problem Of Irony In Modern America, Colin Shea Campbell Dec 2022

Cause For Alarm: Punk Rock, Politics, Race, And The Problem Of Irony In Modern America, Colin Shea Campbell

Theses and Dissertations

This dissertation traces the history of punk rock and the birth and progression of the “punk ethos,” the principles and stylistic choices that characterized punk as a subculture and lifestyle of which music was a part. It argues that the punk ethos emerged as a result of two interrelated tensions within punk – the first between an inclusive vision of punk that welcomed new people and an exclusive vision that aimed, for various reasons, to limit the genre’s appeal to a select few. The second tension that defined the punk ethos related to the question of whether punk would be …


Ypfs Lessons Learned Oral History Project: An Interview With Stefan Ingves, Stefan Ingves, Maryann Haggerty, Carey Mott Dec 2022

Ypfs Lessons Learned Oral History Project: An Interview With Stefan Ingves, Stefan Ingves, Maryann Haggerty, Carey Mott

Documents

No abstract provided.


How I Approach Leishmaniasis: Diagnosis And Treatment In The United States, Tara E Ness, Rachel Martin-Blais, Jill E Weatherhead Dec 2022

How I Approach Leishmaniasis: Diagnosis And Treatment In The United States, Tara E Ness, Rachel Martin-Blais, Jill E Weatherhead

Faculty, Staff and Students Publications

Leishmaniasis is a vector-borne disease caused by over 20 species of obligate intracellular protozoa belonging to the genus Leishmania. Leishmaniasis has a global distribution, including in the United States, and can cause a spectrum of clinical syndromes, including cutaneous, mucosal, and visceral diseases depending on host factors and the infecting Leishmania spp. Accurate diagnosis, including Leishmania species identification, is an important step to guide the most appropriate therapeutic intervention. Antileishmanial therapy is dependent on the Leishmania spp. identified, the clinical syndrome, and the child's immune system. However, many treatment regimens for children have been extrapolated from adult clinical trials, which …


Assets: Other: Repurchase Agreements - Foreign Official: Wednesday Level, Federal Reserve System: Board Of Governors Dec 2022

Assets: Other: Repurchase Agreements - Foreign Official: Wednesday Level, Federal Reserve System: Board Of Governors

Documents

No abstract provided.


From Immigrant To Refugee: An Evaluation And Case Study Of The Historiography Surrounding Chinese Immigration To The Americas And Caribbean, 1840s-2000s, Joshua Cannon Dec 2022

From Immigrant To Refugee: An Evaluation And Case Study Of The Historiography Surrounding Chinese Immigration To The Americas And Caribbean, 1840s-2000s, Joshua Cannon

Research Papers

From the middle of the nineteenth century to the early and mid-twentieth century, Chinese immigrants came to the Americas and the Caribbean in droves. Often these immigrants came to places like the American Mid-West, Peru, or Jamaica as indentured laborers. Ushered into nations hoping to obtain great riches to bring back to China, most of these immigrants fell into unfair and arduous labor contracts. This paper asks: what are the trends in this research, and where is it lacking? The work presented in this paper is in two parts. The first part explores the methodologies within prominent positions on Chinese …


La Presencia Y Accesibilidad Del Español En Los Sitios Web De Hospitales En El Estado De Nueva York, Jessica Dandrow Dec 2022

La Presencia Y Accesibilidad Del Español En Los Sitios Web De Hospitales En El Estado De Nueva York, Jessica Dandrow

Languages, Literatures & Cultures

Resumen

La población hispana en los Estados Unidos está creciendo rápidamente, trayendo consigo la lengua española. Sin embargo, hay varios aspectos del país que aún no se han adaptado para mantenerse al día con estos cambios. Con el aumento del uso del Internet como modo para comunicarse y difundir información, uno podría esperar que se vea un aumento de la traducción de los sitios web en inglés al español; desgraciadamente, esto no parece suceder en el caso entre los sitios web de hospitales en los EE. UU., según las pocas investigaciones realizadas tratando este tema. La falta de traducción suficiente …


Lessons Learned: Hiroshi Nakaso, Mercedes Cardona, Hiroshi Nakaso Dec 2022

Lessons Learned: Hiroshi Nakaso, Mercedes Cardona, Hiroshi Nakaso

Documents

Recommended Citation Haggerty, Maryann (2022) "Lessons Learned: Hiroshi Nakaso," Journal of Financial Crises: Vol. 4 : Iss. 4, 626-629. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/33


Lessons Learned: Claudia Sahm, Mercedes Cardona, Claudia Sahm Dec 2022

Lessons Learned: Claudia Sahm, Mercedes Cardona, Claudia Sahm

Documents

Recommended Citation: Cardona, Mercedes (2022) "Lessons Learned: Claudia Sahm," Journal of Financial Crises: Vol. 4 : Iss. 4, 633-636. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/35


Lessons Learned: Gaurav Vasisht, Mercedes Cardona, Gaurav Vasisht Dec 2022

Lessons Learned: Gaurav Vasisht, Mercedes Cardona, Gaurav Vasisht

Documents

Recommended Citation Ward, Sandra (2022) "Lessons Learned: Gaurav Vasisht," Journal of Financial Crises: Vol. 4 : Iss. 4, 646-648. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/39


Lessons Learned: Mike Leahy, Mercedes Cardona, Mike Leahy Dec 2022

Lessons Learned: Mike Leahy, Mercedes Cardona, Mike Leahy

Documents

Recommended Citation Sim Esmen, Yasemin (2022) "Lessons Learned: Mike Leahy," Journal of Financial Crises: Vol. 4 : Iss. 4, 622-625. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/32


Lessons Learned: Veerathai Santiprabhob, Mercedes Cardona, Veerathai Santiprabhob Dec 2022

Lessons Learned: Veerathai Santiprabhob, Mercedes Cardona, Veerathai Santiprabhob

Documents

Recommended Citation Haggerty, Maryann (2022) "Lessons Learned: Veerathai Santiprabhob," Journal of Financial Crises: Vol. 4 : Iss. 4, 637-639. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/36


Lessons Learned: Kevin Stiroh, Mercedes Cardona, Kevin Stiroh Dec 2022

Lessons Learned: Kevin Stiroh, Mercedes Cardona, Kevin Stiroh

Documents

Recommended Citation Cardona, Mercedes (2022) "Lessons Learned: Kevin Stiroh," Journal of Financial Crises: Vol. 4 : Iss. 4, 643-645. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/38


Lessons Learned: Andrew Gray, Mercedes Cardona, Andrew Gray Dec 2022

Lessons Learned: Andrew Gray, Mercedes Cardona, Andrew Gray

Documents

Recommended Citation: Cardona, Mercedes (2022) "Lessons Learned: Andrew Gray," Journal of Financial Crises: Vol. 4 : Iss. 4, 613-616. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/30


Lessons Learned: Deborah Perelmuter, Mercedes Cardona, Deborah Perelmuter Dec 2022

Lessons Learned: Deborah Perelmuter, Mercedes Cardona, Deborah Perelmuter

Documents

Recommended Citation Cardona, Mercedes (2022) "Lessons Learned: Deborah Perelmuter," Journal of Financial Crises: Vol. 4 : Iss. 4, 630-632. Available at: https://elischolar.library.yale.edu/journal-of-financial-crises/vol4/iss4/34