Nutrition and Traumatic Brain Injury

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Author :
Publisher : National Academies Press
ISBN 13 : 0309210089
Total Pages : 444 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Nutrition and Traumatic Brain Injury by : Institute of Medicine

Download or read book Nutrition and Traumatic Brain Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-01 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) accounts for up to one-third of combat-related injuries in Iraq and Afghanistan, according to some estimates. TBI is also a major problem among civilians, especially those who engage in certain sports. At the request of the Department of Defense, the IOM examined the potential role of nutrition in the treatment of and resilience against TBI.

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.

Textbook of Traumatic Brain Injury, Third Edition

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371125
Total Pages : 996 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Textbook of Traumatic Brain Injury, Third Edition by : Jonathan M. Silver, M.D.

Download or read book Textbook of Traumatic Brain Injury, Third Edition written by Jonathan M. Silver, M.D. and published by American Psychiatric Pub. This book was released on 2018-12-05 with total page 996 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Translational Research in Traumatic Brain Injury

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Author :
Publisher : CRC Press
ISBN 13 : 1498766579
Total Pages : 412 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 2015-12-01 with total page 412 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 development of new diagnostic and therapeutic approaches has been disappointingly slow. Translational Research in Traumatic Brain Injury attempts to integrate expertise from across specialties to address knowledge gaps in the field of TBI. Its chapters cover a wide scope of TBI research in five broad areas: Epidemiology Pathophysiology Diagnosis Current treatment strategies and sequelae Future therapies Specific topics discussed include the societal impact of TBI in both the civilian and military populations, neurobiology and molecular mechanisms of axonal and neuronal injury, biomarkers of traumatic brain injury and their relationship to pathology, neuroplasticity after TBI, neuroprotective and neurorestorative therapy, advanced neuroimaging of mild TBI, neurocognitive and psychiatric symptoms following mild TBI, sports-related TBI, epilepsy and PTSD following TBI, and more. The book integrates the perspectives of experts across disciplines to assist in the translation of new ideas to clinical practice and ultimately to improve the care of the brain injured patient.

Traumatic Brain Injury

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Author :
Publisher : Springer Nature
ISBN 13 : 3030224368
Total Pages : 465 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Traumatic Brain Injury by : Jack W. Tsao

Download or read book Traumatic Brain Injury written by Jack W. Tsao and published by Springer Nature. This book was released on 2019-11-19 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated work covers numerous advances in traumatic brain injury diagnosis, evaluation, treatment, and pathophysiology. Since publication of the first edition in 2012, there has been greatly increased public awareness of the clinical consequences of even the mildest of head injuries, and the result has been a concerted effort of countries around the world to increase research funding. This second edition continues to focus on mild traumatic brain injury--or concussion--and contains updates to all the original chapters as well as adding new chapters addressing clinical sequelae, including pediatric concussion, visual changes, chronic traumatic encephalopathy, and blast-associated TBI. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, is a comprehensive resource designed for neurologists, primary care clinicians, sports physicians, and other medical providers, including psychologists and neuropsychologists, as well as athletic trainers who may evaluate and care for individuals who have sustained a TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies, and an updated appendix of ICD codes is included. An outstanding contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, again offers an invaluable resource for all providers who treat patients with TBI.

Brain Neurotrauma

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Publisher : CRC Press
ISBN 13 : 1466565993
Total Pages : 725 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 725 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every year, an estimated 1.7 million Americans sustain brain injury. Long-term disabilities impact nearly half of moderate brain injury survivors and nearly 50,000 of these cases result in death. Brain Neurotrauma: Molecular, Neuropsychological, and Rehabilitation Aspects provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma, including brain injury pathophysiology, biomarker research, experimental models of CNS injury, diagnostic methods, and neurotherapeutic interventions as well as neurorehabilitation strategies in the field of neurotraum research. The book includes several sections on neurotrauma mechanisms, biomarker discovery, neurocognitive/neurobehavioral deficits, and neurorehabilitation and treatment approaches. It also contains a section devoted to models of mild CNS injury, including blast and sport-related injuries. Over the last decade, the field of neurotrauma has witnessed significant advances, especially at the molecular, cellular, and behavioral levels. This progress is largely due to the introduction of novel techniques, as well as the development of new animal models of central nervous system (CNS) injury. This book, with its diverse coherent content, gives you insight into the diverse and heterogeneous aspects of CNS pathology and/or rehabilitation needs.

Manual of Traumatic Brain Injury

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 1617052698
Total Pages : 608 pages
Book Rating : 4.6/5 (17 download)

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Book Synopsis Manual of Traumatic Brain Injury by : Felise S. Zollman, MD, FAAN, FAAMA

Download or read book Manual of Traumatic Brain Injury written by Felise S. Zollman, MD, FAAN, FAAMA and published by Springer Publishing Company. This book was released on 2016-05-28 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Manual provides an excellent road map to the many topics relevant in the diagnosis, treatment, and long-term management of individuals with TBI. As such, the book can serve either as a fine introduction for the uninitiated or as a valued reference for seasoned clinicians. I highly recommend [it]... Journal of Head Trauma Rehabilitation This is a stellar quality book that will be beneficial for every member of the multidisciplinary team that is required to treat patients with TBI. It offers a concise but broad and informative view of the disorder, and can serve as an easy-to-read and access primary text. 4 Stars! Doody’s Reviews Now completely revised and updated, Manual of Traumatic Brain Injury:Assessment and Management, Second Edition is a comprehensive evidence-based guide to brain injury diagnosis, treatment, and recovery, delivered in a succinct format designed for targeted access to essential content. This concise text, featuring internationally known contributors drawn from leading TBI programs, is organized into five sections. Part 1 discusses fundamental concepts needed to provide a context for clinical decision-making. Part 2 covers mild TBI, from natural history to sports-related concussion, post-concussion syndrome, and more. Part 3 focuses on moderate to severe TBI and contains chapters on pre-hospital, emergency and ICU care, rehabilitation, community reintegration, management of associated impairments, and post-injury outcomes. Part 4 covers the complications and long-term sequelae that may arise in patients with TBI, including spasticity, movement disorders, posttraumatic seizures, hydrocephalus, behavioral and sleep disturbances, and chronic traumatic encephalopathy (CTE). Part 5 focuses on special considerations and resources, including issues specific to selected populations or injury environments (military, pediatric, workers compensation and older patients), as well as return to work and medico-legal issues in TBI. Comprehensively updated to reflect the current state of the art in this rapidly evolving field, this book is a must-have for neurologists, physiatrists, primary care physicians, mental health professionals, social workers, and other healthcare providers who treat TBI patients. New to the Second Edition: "Key Points" section in each chapter crystallizes important clinical pearls New chapters cover anoxia complicating TBI, screening for emotional distress in TBI patients, management of chronic behavioral disturbances, and assistive technology Every chapter has been updated to reflect current evidence-based practice

Traumatic Brain Injury, Part II

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Author :
Publisher : Elsevier
ISBN 13 : 9780444635211
Total Pages : 0 pages
Book Rating : 4.6/5 (352 download)

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Book Synopsis Traumatic Brain Injury, Part II by : Jordan H. Grafman

Download or read book Traumatic Brain Injury, Part II written by Jordan H. Grafman and published by Elsevier. This book was released on 2015-02-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Clinical Neurology volumes on Traumatic Brain Injury (TBI) provide the reader with an updated review of emerging approaches to TBI research, clinical management and patient rehabilitation. Chapters in Part II offer coverage of clinical sequelae and long-term outcome, brain plasticity and long-term risks, and clinical trials. Contemporary investigations on blast injury and chronic traumatic encephalopathy are presented, making this state-of-the-art volume a must have for clinicians and researchers concerned with the clinical management, or investigation, of TBI.

New Therapeutics for Traumatic Brain Injury

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Publisher : Academic Press
ISBN 13 : 0128027010
Total Pages : 352 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis New Therapeutics for Traumatic Brain Injury by : Kim Heidenreich

Download or read book New Therapeutics for Traumatic Brain Injury written by Kim Heidenreich and published by Academic Press. This book was released on 2016-09-27 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Therapeutics for Traumatic Brain Injury: Prevention of Secondary Brain Damage and Enhancement of Repair and Regeneration explores traumatic brain injury (TBI), a major cause of death and disability throughout the world. The delayed nature of the secondary injury phase suggests that there is a therapeutic window for pharmacological interventions or other approaches to prevent progressive tissue damage and improve functional outcomes. It is now apparent that therapeutic interventions should entail both protective and repair/regeneration strategies depending on the phase of brain injury. This book describes emerging experimental strategies for the treatment of TBI, including new anti-inflammatory or anti-apoptotic therapeutics that limit brain damage, and novel or repurposed drugs that enhance repair or regeneration of the brain after injury. Comprehensive overview of basic approaches and translational development of new therapies for TBI Edited by a prominent TBI researcher that includes contributions by leading global researchers in the field Presents a great resource for researchers and practitioners to learn more about the many evolving preclinical studies and clinical trials currently underway, and the challenges of bringing translational studies in TBI to the clinic

Management of Adults With Traumatic Brain Injury

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 158562988X
Total Pages : 598 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Management of Adults With Traumatic Brain Injury by : David B. Arciniegas

Download or read book Management of Adults With Traumatic Brain Injury written by David B. Arciniegas and published by American Psychiatric Pub. This book was released on 2013-04-03 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) is a public health issue of worldwide proportions, affecting motorists, victims of interpersonal violence, athletes, military service members, and Veterans, among others. Management of Adults with Traumatic Brain Injury provides evidence-informed guidance on the core topics in brain injury medicine, including the epidemiology and pathophysiology of TBI, the medical evaluation and neuropsychological assessment of persons with TBI, and the common cognitive, emotional, behavioral, and other neurological disturbances for which persons with TBI and their families seek clinical care. The volume offers many useful features to its readers, including: Chapters written by an internationally known group of editors and contributors offering cutting-edge, multidisciplinary perspectives in brain injury medicine. Guidance on the identification and management of early and late postinjury neuropsychiatric disturbances as well as their psychological and psychosocial consequences. Identification of special issues relevant to the evaluation and treatment of TBI and postconcussive symptoms among military service members, and Veterans. Discussion of the ethics and methods of forensic assessment of persons with TBI. Key Clinical Points that highlight concepts, assessment issues, and clinical management strategies in each chapter. A wealth of tables and figures to enhance the accessibility and clinical utility of the book, as well as appendices of additional readings and relevant websites for persons and families affected by TBI and the clinicians providing their care. Impressive breadth and depth of coverage, logical structure, clinically rich detail, and concise presentation make Management of Adults with Traumatic Brain Injury a must-read for every physician, nurse, and mental health practitioner working to improve the lives of persons with TBI.

Pediatric Hydrocephalus

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 8847021219
Total Pages : 455 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis Pediatric Hydrocephalus by : G. Cinalli

Download or read book Pediatric Hydrocephalus written by G. Cinalli and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the last ten years the pediatric neurosurgeon has witnessed a real revolution in the diagnosis and treatment of pediatric hydrocephalus, the most frequently encountered condition in everyday clinical practice. The evolution of MRI and the advent of neuroendoscopic surgery have resuscitated the interest in the classification, etiology and pathophysiology of hydrocephalus. The book offers an updated overview on the recent progress in this field, and a new approach to hydrocephalus: the reader will find in it a modern and new presentation of an old disease, where genetics, endoscopy, cost-effectiveness analyses and many other aspects of the various therapies are extensively discussed. The volume will be useful not only for neurosurgeons, but for all specialists interested in the various aspects of hydrocephalus: pediatricians, radiologists, endocrinologists, pathologists and geneticists.

Mild Traumatic Brain Injury

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Author :
Publisher : CRC Press
ISBN 13 : 1000207676
Total Pages : 151 pages
Book Rating : 4.0/5 (2 download)

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Book Synopsis Mild Traumatic Brain Injury by : Mark A. Mentzer

Download or read book Mild Traumatic Brain Injury written by Mark A. Mentzer and published by CRC Press. This book was released on 2020-10-25 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mild traumatic brain injury (mTBI), directly related to chronic traumatic encephalopathy, presents a crisis in contact sports, the military, and public health. Mild Traumatic Brain Injury: A Science and Engineering Perspective reviews current understanding of mTBI, methods of diagnosis, treatment, policy concerns, and emerging technologies. It details the neurophysiology and epidemiology of brain injuries by presenting disease models and descriptions of nucleating events, characterizes sensors, imagers, and related diagnostic measures used for evaluating and identifying brain injuries, and relates emerging bioinformatics analysis with mTBI markers. The book goes on to discuss issues with sports medicine and military issues; covers therapeutic strategies, surgeries, and future developments; and finally addresses drug trials and candidates for therapy. The broad coverage and accessible discussions will appeal to professionals in diverse fields related to mTBI, students of neurology, medicine, and biology, as well as policy makers and lay persons interested in this hot topic. Features Summarizes the entire scope of the field of mTBI Details the neurophysiology, epidemiology, and presents disease models and descriptions of nucleating events Characterizes sensors, imagers, and related diagnostic measures and relates emerging bioinformatics analysis with mTBI markers Discusses issues with sports medicine and military issues Covers therapeutic strategies, surgeries, and future developments and addresses drug trials and candidates Dr Mark Mentzer earned his PhD in Electrical Engineering from the University of Delaware. He is a former research scientist at the US Army Research Laboratory where he studied mild traumatic brain injury and developed early-detection brain injury helmet sensors. He is a certified test director and contracting officer representative. He possesses two Level-III Defense Acquisition University Certifications in Science and Technology Management and in Test and Evaluation. During his career, he developed a wide range of sensors and instrumentation as well as biochemical processes to assess brain trauma. Mentzer currently teaches graduate systems engineering and computer science courses at the University of Maryland University College.

Working with Traumatic Brain Injury in Schools

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Author :
Publisher : Routledge
ISBN 13 : 1136169903
Total Pages : 250 pages
Book Rating : 4.1/5 (361 download)

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Book Synopsis Working with Traumatic Brain Injury in Schools by : Paul B. Jantz

Download or read book Working with Traumatic Brain Injury in Schools written by Paul B. Jantz and published by Routledge. This book was released on 2014-01-10 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every day, children and adolescents worldwide return to the educational setting having sustained a traumatic brain injury (TBI). The possible negative consequences of TBI range from mild to severe and include neurological, cognitive, emotional, social, and behavioral difficulties. Within the school setting, the negative effects of TBI tend to persist or worsen over time, often resulting in academic and social difficulties that require formal and informal educational assistance and support. School psychologists and other educational professionals are well-positioned to help ensure students with TBI receive this assistance and support. Working with Traumatic Brain Injury in Schools is a comprehensive practitioner-oriented guide to effective school-based services for students who have experienced a TBI. It is primarily written for school-based professionals who have limited or no neurological or neuropsychological training; however, it contains educational information that is useful to professionals with extensive knowledge in neurology and/or neuropsychology. This book is also written for parents and guardians of students with TBI because of their integral role in the transition, school-based assessment, and school-based intervention processes. Chapter topics include: basic brain anatomy and physiology; head injury and severity level classifications; biomechanics of injury; injury recovery and rehabilitation; neurological, cognitive, emotional, behavioral, social, and academic consequences; understanding community-based assessment findings; a framework for school-based assessment (TBI-SNNAP); school-based psychoeducational report writing, and school-based interventions; monitoring pharmacological interventions; and prevention. An accompanying website includes handouts, sample reports, and training templates to assist professionals in recognizing and responding to students with TBI.

Embracing Hope After Traumatic Brain Injury

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Author :
Publisher : Routledge
ISBN 13 : 1000540170
Total Pages : 106 pages
Book Rating : 4.0/5 (5 download)

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Book Synopsis Embracing Hope After Traumatic Brain Injury by : Michael S. Arthur

Download or read book Embracing Hope After Traumatic Brain Injury written by Michael S. Arthur and published by Routledge. This book was released on 2022-02-10 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important book provides a firsthand account of a university professor who experienced traumatic brain injury. It tells the story of Michael Arthur, who had recently accepted a position as vice principal of a new high school. After only two weeks on the job, he was involved in a car accident while driving through an intersection in northern Utah. Through his personal account, he takes the reader into the dark interworkings of his mind as he tries to cope with his new reality. He provides insight into how he learned how to process information and even speak without stumbling on his words while also sharing how his significant relationships suffered as he tried to navigate the restless seas of doubt while trying to circumvent his unyielding symptoms. The book is about finding optimism and gaining insight into the struggles of the brain-injured patient and about trying to understand the perspectives of loved ones who can’t quite grasp the idea of an invisible injury. From the sudden onset of garbled speech to the challenges of processing information, the changing dynamic of the author’s life is highlighted to help family members and healthcare workers better understand.

Traumatic Brain Injury

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Author :
Publisher : Xlibris US
ISBN 13 : 1499081359
Total Pages : 185 pages
Book Rating : 4.4/5 (99 download)

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Book Synopsis Traumatic Brain Injury by : Lydia Greear

Download or read book Traumatic Brain Injury written by Lydia Greear and published by Xlibris US. This book was released on 2014-10-07 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a passionate account of Lydia Greears journey as the main caregiver and guardian for her adult son through recovery from a traumatic brain injury. A moment in time one Saturday night has brought about months of day-by-day steps through managing care for Thaddeus. The original documents were recorded day by day and then weeks and monthly accounts of progress as Thaddeus moved from ER to ICU to rehabilitation. This is an emotionally charged account of being challenged by the unknown. You will see her passion unfold and her challenge to keep a positive attitude as she manages people, systems, and facilities. Many family members are not prepared to deal with the drama of traumatic brain injury. Every brain injury is different, and recovery is uncertain. Lydia searched for support and information to help her deal with the realities of everyday life. There are written accounts published by former patients, doctors, and doctors who were patients. This is a book written from the family members perspective.

Traumatic Brain Injury, Part I

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Author :
Publisher : Elsevier
ISBN 13 : 0444634983
Total Pages : 491 pages
Book Rating : 4.4/5 (446 download)

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Book Synopsis Traumatic Brain Injury, Part I by : Jordan H. Grafman

Download or read book Traumatic Brain Injury, Part I written by Jordan H. Grafman and published by Elsevier. This book was released on 2015-02-19 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Clinical Neurology volume on traumatic brain injury (TBI) provides the reader with an updated review of emerging approaches to traumatic brain injury (TBI) research, clinical management and rehabilitation of the traumatic brain injury patient. Chapters in this volume range from epidemiology and pathological mechanisms of injury, and neuroprotection to long-term outcomes with a strong emphasis on current neurobiological approaches to describing the consequences and mechanisms of recovery from TBI. The book presents contemporary investigations on blast injury and chronic traumatic encephalopathy, making this state-of-the-art volume a must have for clinicians and researchers concerned with the clinical management, or investigation, of TBI. Internationally renowned scientists describe cutting edge research on the neurobiological response to traumatic brain injury, including descriptions of potential biomarkers and indicators of potential targets for treatments to reduce the impact of the injury Explores cellular and molecular mechanisms as well as genetic predictors of outcome Offers coverage of various diagnostic tools – CT, MRI, DDTI, fMRI, EEG, resting functional imaging, and more State-of-the-art traumatic brain injury management and treatment principles are presented for both civilian and military care

Traumatic Brain Injury in Sports

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Author :
Publisher : Taylor & Francis
ISBN 13 : 1000722805
Total Pages : 532 pages
Book Rating : 4.0/5 (7 download)

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Book Synopsis Traumatic Brain Injury in Sports by : Mark Lovell

Download or read book Traumatic Brain Injury in Sports written by Mark Lovell and published by Taylor & Francis. This book was released on 2020-07-09 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) in sports has become an important international public health issue over the past two decades. However, until recently, return to play decisions following a sports-related traumatic brain injury have been based on anecdotal evidence and have not been based on scientifically validated clinical protocols. Over the past decade, the field of Neuropsychology has become an increasingly important component of the return to play decision making process following TBI. Neuropsychological assessment instruments are increasingly being adapted for use with athletes throughout the world and the field of sports neuropsychology appears to be a rapidly evolving subspecialty. This book provides a comprehensive overview of the application of neuropsychological assessment instruments in sports, and it is structured to present a global perspective on contemporary research. In addition to a review of current research, Traumatic Brain Injury in Sports: An International Neuropsychological Perspective, presents a thorough review of current clinical models that are being implemented internationally within American and Australian rules football, soccer, boxing, ice hockey, rugby and equestrian sports.