Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans

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Author :
Publisher : National Academies Press
ISBN 13 : 0309486890
Total Pages : 211 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-20 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

Brain Neurotrauma

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Publisher : CRC Press
ISBN 13 : 1466565993
Total Pages : 718 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Brain Neurotrauma by : Firas H. Kobeissy

Download or read book Brain Neurotrauma written by Firas H. Kobeissy and published by CRC Press. This book was released on 2015-02-25 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.

All the Signs of Brain Damage

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Publisher : Dog Ear Publishing
ISBN 13 : 9781457515910
Total Pages : 180 pages
Book Rating : 4.5/5 (159 download)

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Book Synopsis All the Signs of Brain Damage by : Tonee Morton

Download or read book All the Signs of Brain Damage written by Tonee Morton and published by Dog Ear Publishing. This book was released on 2012-11 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the world today, the percentage of finding love or even a mate for that matter is almost little to none because men and women do not understand where they should be with one another from the start. From the "meet and greet" process to finally making it into a relationship, what has been lost in translation is the "getting to know" process. "All the Signs of Brain Damage" will show men and women that all is not lost in translation, and that love still exists for the believer and the person who is willing to devote themselves to truth and honesty about their contributions to "LOVE." So before you make that leap towards love, I will suggest that you jump at this opportunity to find out what part you are to play in something becoming successful with your mate of choice. Until then, stay SANE!!!! With his humbling, yet aggressive approach, Tonee Morton has provided the New Aged woman and the tradition man with a debut novel that will empower the heart to help the mind to grow. By adding powerful quotes with the logic that he has learned from his deceased mother, he has provided men and women with a masterpiece of truth and honesty that only a mother could love. Tonee Morton owns Rush City Creations that has provided ideas for companies in the realm of television, music, clothing and social networking. He found his gift and passion for writing at the University of Wisconsin, Superior and then embarked on a writing career in the Minneapolis area. Fascinated by the people who have wrote books about relationships, Tonee decided that it was time to reveal his own findings about "LOVE." And I must say that his findings helped me to find MYSELF!

Translational Research in Traumatic Brain Injury

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Publisher : CRC Press
ISBN 13 : 1498766579
Total Pages : 388 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Translational Research in Traumatic Brain Injury by : Daniel Laskowitz

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Sports-Related Concussions in Youth

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Publisher : National Academies Press
ISBN 13 : 0309288037
Total Pages : 215 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Sports-Related Concussions in Youth by : National Research Council

Download or read book Sports-Related Concussions in Youth written by National Research Council and published by National Academies Press. This book was released on 2014-02-04 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Brain Injury Medicine

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323779441
Total Pages : 594 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Brain Injury Medicine by : Blessen C. Eapen

Download or read book Brain Injury Medicine written by Blessen C. Eapen and published by Elsevier Health Sciences. This book was released on 2020-07-17 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only review book currently available in this complex field, Brain Injury Medicine: Board Review focuses on the prevention, diagnosis, treatment, and management of individuals with varying severity levels of brain injury. Focused, high-yield content prepares you for success on exams and in practice, with up-to-date coverage of traumatic brain injury (TBI), stroke, CNS neoplasms, anoxic brain injury, and other brain disorders. This unique review tool is ideal for residents, fellows, and practitioners studying or working in the field and preparing to take the brain injury medicine exam. Supports self-assessment and review with 200 board-style questions and explanations. Covers the information you need to know on traumatic brain injury by severity and pattern, neurologic disorders, systemic manifestations, rehabilitation problems and outcomes, and basic science. Includes questions on patient management including patient evaluation and diagnosis, prognosis/risk factors, and applied science. Discusses key topics such as neurodegeneration and dementia; proteomic, genetic, and epigenetic biomarkers in TBI; neuromodulation and neuroprosthetics; and assistive technology. Reviews must-know procedures including acute emergency management and critical care; post-concussion syndrome assessment, management and treatment; diagnostic procedures and electrophysiology; neuroimaging, and brain death criteria. Ensures efficient, effective review with content written by experts in physical medicine and rehabilitation, neurology, and psychiatry and a format that mirrors the board exam outline.

Imaging Acute Neurologic Disease

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Publisher : Cambridge University Press
ISBN 13 : 1107035945
Total Pages : 393 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Imaging Acute Neurologic Disease by : Massimo Filippi

Download or read book Imaging Acute Neurologic Disease written by Massimo Filippi and published by Cambridge University Press. This book was released on 2014-09-11 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive survey of best practice in using diagnostic imaging in acute neurologic conditions. The symptom-based approach guides the choice of the available imaging tools for efficient, accurate, and cost-effective diagnosis. Effective examination algorithms integrate neurological and imaging concepts with the practical demands and constraints of emergency care.

Concussive Brain Trauma

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Publisher : CRC Press
ISBN 13 : 9780849397073
Total Pages : 436 pages
Book Rating : 4.3/5 (97 download)

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Book Synopsis Concussive Brain Trauma by : Rolland S. Parker

Download or read book Concussive Brain Trauma written by Rolland S. Parker and published by CRC Press. This book was released on 2000-12-27 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: A wide-range study of victims of head injury often reveals disorders that are neglected by less extensive examinations, and dispels the idea that there is usually a benign outcome. Focusing on a public health problem affecting millions of people of all ages, with approximately 1,300 references, Concussive Brain Trauma: Neurobehavioral Impairment and Maladaptation addresses such topics as the recognition of minor traumatic brain injury in the emergency room and clinical practice. The book is unique in its coverage of the personality changes, family dysfunction, and stress that often occur in wake of concussive brain trauma. Case examples illustrate persistent and acute alterations of consciousness, as well as cognitive, mood, personality, and social effects of head injury, in order to guide appropriate treatment. In addition, the book documents unfamiliar signs not included in the usual list of postconcussive symptoms. Concussive Brain Trauma: Neurobehavioral Impairment and Maladaptation stands alone as an in-depth, authoritative guide to the condition also described as closed head injury and "minor" traumatic brain injury.

Shaken Brain

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Publisher :
ISBN 13 : 0674987411
Total Pages : 369 pages
Book Rating : 4.6/5 (749 download)

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Book Synopsis Shaken Brain by : Elizabeth Sandel

Download or read book Shaken Brain written by Elizabeth Sandel and published by . This book was released on 2020 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports concussions make headlines, but you don't have to be an NFL star to suffer traumatic brain injury. In Shaken Brain, Elizabeth Sandel, MD, shares stories and research from her decades treating and studying brain injuries. She explains what concussions do to our bodies, how to avoid them, and how to recover.

League of Denial

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Publisher : Crown
ISBN 13 : 0770437567
Total Pages : 457 pages
Book Rating : 4.7/5 (74 download)

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Book Synopsis League of Denial by : Mark Fainaru-Wada

Download or read book League of Denial written by Mark Fainaru-Wada and published by Crown. This book was released on 2014-08-26 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • The story of how the NFL, over a period of nearly two decades, denied and sought to cover up mounting evidence of the connection between football and brain damage “League of Denial may turn out to be the most influential sports-related book of our time.”—The Boston Globe “Professional football players do not sustain frequent repetitive blows to the brain on a regular basis.” So concluded the National Football League in a December 2005 scientific paper on concussions in America’s most popular sport. That judgment, implausible even to a casual fan, also contradicted the opinion of a growing cadre of neuroscientists who worked in vain to convince the NFL that it was facing a deadly new scourge: a chronic brain disease that was driving an alarming number of players—including some of the all-time greats—to madness. In League of Denial, award-winning ESPN investigative reporters Mark Fainaru-Wada and Steve Fainaru tell the story of a public health crisis that emerged from the playing fields of our twenty-first-century pastime. Everyone knows that football is violent and dangerous. But what the players who built the NFL into a $10 billion industry didn’t know—and what the league sought to shield from them—is that no amount of padding could protect the human brain from the force generated by modern football, that the very essence of the game could be exposing these players to brain damage. In a fast-paced narrative that moves between the NFL trenches, America’s research labs, and the boardrooms where the NFL went to war against science, League of Denial examines how the league used its power and resources to attack independent scientists and elevate its own flawed research—a campaign with echoes of Big Tobacco’s fight to deny the connection between smoking and lung cancer. It chronicles the tragic fates of players like Hall of Fame Pittsburgh Steelers center Mike Webster, who was so disturbed at the time of his death he fantasized about shooting NFL executives, and former San Diego Chargers great Junior Seau, whose diseased brain became the target of an unseemly scientific battle between researchers and the NFL. Based on exclusive interviews, previously undisclosed documents, and private emails, this is the story of what the NFL knew and when it knew it—questions at the heart of a crisis that threatens football, from the highest levels all the way down to Pop Warner.

Rehabilitation After Traumatic Brain Injury

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323544576
Total Pages : 295 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Rehabilitation After Traumatic Brain Injury by : Blessen C. Eapen

Download or read book Rehabilitation After Traumatic Brain Injury written by Blessen C. Eapen and published by Elsevier Health Sciences. This book was released on 2018-01-24 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the full spectrum of rehabilitation after traumatic brain injury, this practical reference by Drs. Blessen C. Eapen and David X. Cifu presents best practices and considerations for numerous patient populations and their unique needs. In an easy-to-read, concise format, it covers the key information you need to guide your treatment plans and help patients relearn critical life skills and regain their independence. - Covers neuroimaging, neurosurgical and critical care management, management of associated complications after TBI, pharmacotherapy, pain management, sports concussion, assistive technologies, and preparing patients for community reintegration. - Discusses special populations, including pediatric, geriatric, and military and veteran patients. - Consolidates today's available information and guidance in this challenging and diverse area into one convenient resource.

Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)

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Publisher : McGraw-Hill Education / Medical
ISBN 13 : 9781259644030
Total Pages : 4048 pages
Book Rating : 4.6/5 (44 download)

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Book Synopsis Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2) by : J. Larry Jameson

Download or read book Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2) written by J. Larry Jameson and published by McGraw-Hill Education / Medical. This book was released on 2018-08-13 with total page 4048 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. MASTER MODERN MEDICINE! Introducing the Landmark Twentieth Edition of the Global Icon of Internal Medicine The definitive guide to internal medicine is more essential than ever with the latest in disease mechanisms, updated clinical trial results and recommended guidelines, state-of-the art radiographic images, therapeutic approaches and specific treatments, hundreds of demonstrative full-color drawings, and practical clinical decision trees and algorithms A Doody's Core Title for 2019! Recognized by healthcare professionals worldwide as the leading authority on applied pathophysiology and clinical medicine, Harrison’s Principles of Internal Medicine gives you the informational foundation you need to provide the best patient care possible. Essential for practice and education, the landmark 20th Edition features: Thoroughly revised content—covering the many new breakthroughs and advances in clinical medicine that have occurred since the last edition of Harrison’s. Chapters on acute and chronic hepatitis, management of diabetes, immune-based therapies in cancer, multiple sclerosis, cardiovascular disease, HIV, and many more, deliver the very latest information on disease mechanisms, diagnostic options, and the specific treatment guidance you need to provide optimal patient care. State-of-the-art coverage of disease mechanisms: Harrison’s focuses on pathophysiology with rigor, and with the goal of linking disease mechanisms to treatments. Improved understanding of how diseases develop and progress not only promotes better decision-making and higher value care, but also makes for fascinating reading and improved retention. Harrison’s summarizes important new basic science developments, such as the role of mitochondria in programmed and necrotic cell death, the immune system’s role in cancer development and treatment, the impact of telomere shortening in the aging and disease processes, and the role of the microbiome in health and disease. Understanding the role of inflammation in cardiovascular disease, the precise mechanisms of immune deficiency in HIV/AIDS, prions and misfolded proteins in neurodegenerative diseases, and obesity as a predisposition to diabetes are just a few examples of how this edition provides essential pathophysiology information for health professionals. All-new sections covering a wide range of new and emerging areas of vital interest to all healthcare professionals. New sections include: Sex and Gender-based Issues in Medicine; Obesity, Diabetes Mellitus, and Metabolic Syndrome; and Consultative Medicine— Plus, a new Part covering cutting-edge topics in research and clinical medicine includes great new chapters on the role of Epigenetics in Health and Disease, Behavioral Strategies to Improve Health, Genomics and Infectious Diseases, Emerging Neuro-Therapeutic Technologies, and Telomere Function in Health and Disease, and Network System Medicine. Important and timely new chapters—such as Promoting Good Health, LGBT Health, Systems of Healthcare, Approach to Medical Consultation, Pharmacogenomics, Antimicrobial Resistance, Worldwide Changes in Patterns of Infectious Diseases, Neuromyelitis Optica, and more—offer the very latest, definitive perspectives on must-know topics in medical education and practice. Updated clinical guidelines, expert opinions, and treatment approaches from renowned editors and authors contribute to the accuracy and immediacy of the text material and present a clear blueprint for optimizing patien

Gulf War and Health

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Publisher : National Academies Press
ISBN 13 : 0309124085
Total Pages : 396 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Gulf War and Health by : Institute of Medicine

Download or read book Gulf War and Health written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-02 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: The seventh in a series of congressionally mandated reports on Gulf War veterans health, this volume evaluates traumatic brain injury (TBI) and its association with long-term health affects. That many returning veterans have TBI will likely mean long-term challenges for them and their family members. Further, many veterans will have undiagnosed brain injury because not all TBIs have immediately recognized effects or are easily diagnosed with neuroimaging techniques. In an effort to detail the long term consequences of TBI, the committee read and evaluated some 1,900 studies that made up its literature base, and it developed criteria for inclusion of studies to inform its findings. It is clear that brain injury, whether penetrating or closed, has serious consequences. The committee sought to detail those consequences as clearly as possible and to provide a scientific framework to assist veterans as they return home.

The Traumatized Brain

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Publisher : JHU Press
ISBN 13 : 1421417952
Total Pages : 219 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis The Traumatized Brain by : Vani Rao

Download or read book The Traumatized Brain written by Vani Rao and published by JHU Press. This book was released on 2015-11-15 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Useful information and real hope for patients and families whose lives have been altered by traumatic brain injury. A traumatic brain injury is a life-changing event, affecting an individual’s lifestyle, ability to work, relationships—even personality. Whatever caused it—car crash, work accident, sports injury, domestic violence, combat—a severe blow to the head results in acute and, often, lasting symptoms. People with brain injury benefit from understanding, patience, and assistance in recovering their bearings and functioning to their full abilities. In The Traumatized Brain, neuropsychiatrists Drs. Vani Rao and Sandeep Vaishnavi—experts in helping people heal after head trauma—explain how traumatic brain injury, whether mild, moderate, or severe, affects the brain. They advise readers on how emotional symptoms such as depression, anxiety, mania, and apathy can be treated; how behavioral symptoms such as psychosis, aggression, impulsivity, and sleep disturbances can be addressed; and how cognitive functions like attention, memory, executive functioning, and language can be improved. They also discuss headaches, seizures, vision problems, and other neurological symptoms of traumatic brain injury. By stressing that symptoms are real and are directly related to the trauma, Rao and Vaishnavi hope to restore dignity to people with traumatic brain injury and encourage them to ask for help. Each chapter incorporates case studies and suggestions for appropriate medications, counseling, and other treatments and ends with targeted tips for coping. The book also includes a useful glossary, a list of resources, and suggestions for further reading.

Do Seizures Damage the Brain

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Author :
Publisher : Elsevier Publishing Company
ISBN 13 :
Total Pages : 548 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Do Seizures Damage the Brain by : Thomas Sutula

Download or read book Do Seizures Damage the Brain written by Thomas Sutula and published by Elsevier Publishing Company. This book was released on 2002 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are the consequences, if any, of repeated brief seizures that are the defining feature of epilepsy? A firm answer to this question has been surprisingly elusive for a variety of reasons. Clearly there is a subset of patients who appear to tolerate seizures with relatively limited long-term consequences, and not all patients are destined to progress to intractability with frequent seizures and disability. This variability and individual susceptibility has made it difficult to make statements that fairly apply to the full range of people with epileptic disorders, whose disorders span a broad spectrum from mild with excellent control and few limitations, to severe with multiple daily seizures and pronounced disability that affects employment, educational performance, an personal life. This volume seeks to explore the spectrum of severe to more subtle damage that may be a consequence of seizures. The contributing authors have addressed these questions and related issues using a variety of methods in experimental models and in patients with epilepsy.

Disruptive Mood

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Publisher : OUP Oxford
ISBN 13 : 0191662062
Total Pages : 191 pages
Book Rating : 4.1/5 (916 download)

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Book Synopsis Disruptive Mood by : Argyris Stringaris

Download or read book Disruptive Mood written by Argyris Stringaris and published by OUP Oxford. This book was released on 2015-03-05 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to understanding and treating children and adolescents prone to extreme levels of angry outbursts, Disruptive Mood: Irritability in Children and Adolescents is based on the very latest research and theory. Providing both a clinical and scientific perspective on irritability in children, this book is a timely look at recent developments in the field. Abnormal states of anger are a common reason for referral to child health services, and cause concern in clinics, schools, and families. Misdiagnosis and treatment can stem from a lack of understanding of the mechanisms involved in high levels of anger in children, and Disruptive Mood: Irritability in Children and Adolescents provides clear guidance on the development of abnormal states of anger, their consequences for later development, and how to assess and make differential diagnoses between them. A useful resource for clinical practice, this book is concise and accessible, and offers tools for evaluating treatments. Disruptive Mood: Irritability in Children and Adolescents is designed for practitioners involved in child and adolescent mental health and education and researchers who need an introduction to this complex field.

Traumatic Brain Injury and Neuropsychological Impairment

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461233984
Total Pages : 462 pages
Book Rating : 4.4/5 (612 download)

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Book Synopsis Traumatic Brain Injury and Neuropsychological Impairment by : Rolland S. Parker

Download or read book Traumatic Brain Injury and Neuropsychological Impairment written by Rolland S. Parker and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: The brain is a delicate, complex, and easily disrupted organ. Unfortunately, the frequency of brain injury and the impairing effects of even seemingly minor injury is generally unknown to the public, the media, and, surprisingly, even many health professionals. It is hoped that this book will make a contribution to the welfare of brain-damaged people through a comprehensive and detailed state ment concerning their impairment and how to recognize it. Increased under standing of impairment, and the significant symptoms that reveal it, will enhance treatment planning, and aid in avoiding the error of assuming that symptoms are emotional, malingering, or exaggerations. In writing this book I have drawn on my experience in assessing individuals of all ages who have undergone traumatic brain injury, in order to alert the public, their families, concerned professionals, teaching physicians, psychologists, and attorneys to the clinical and technical issues that will aid in understanding and serving these people. Experience as a psychotherapist and career counselor offered a clinical perspective from which to document the conclusion that trau matic brain damage frequently impairs adaptive capacity of children and adults after even relatively "minor" injury.