This book presents theoretical underpinnings of perinatal and pediatric bereavement, chapters on dimensions of perinatal and pediatric loss that have been of interest recently, and clinical interventions derived from research. It is divided into two sections. The first section has 10 chapters focusing on aspects of perinatal loss. It presents background content on various grief theories developed in the past five decades. These theories have expanded our understanding of the processes of death, dying, and bereavement. Grief after pregnancy loss can be more complicated for certain groups. The book provides a comprehensive overview of perinatal grief among lesbian couples and an overview of perinatal loss in adolescents, discussing normal adolescent growth and development, and using Sanders’s integrated theory of bereavement to discuss the common physical, emotional, social, and cognitive reactions to loss. The second section has eight chapters focusing on various aspects of caring for families whose children are dying or who have died, and caring for children who are grieving. Sometimes, the death of a child can occur under traumatic circumstances, setting the stage for very intense psychological responses. The book focuses on the impact of the cause of the death on posttraumatic stress responses and overall parental health after the traumatic loss of a child and describes supportive interventions for bereaved parents. Suicide is one of the most traumatic losses a family can experience. Finally, the book presents the importance of creating and capturing meaningful moments in the time leading up to and after the death of a child, focusing on the importance of relationships among families and professionals as they prepare for the child’s death.
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Creativity must represent something different, new, or innovative. It has to be different and also be appropriate to the task at hand. The first chapter of the book deals with the Four-Criterion Construct of Creativity, which attempts to integrate both Western and Eastern conceptions of creativity. This is followed by a chapter which addresses how creativity operates on individual and social/environmental levels, and the effects and outcomes of the creative mind. Chapter 3 discusses the structure of creativity. A key work on creative domains is that of Carson, Peterson, and Higgins, who devised the creativity achievement questionnaire (CAQ) to assess 10 domains. The fourth chapter discusses measures of creativity and divergent thinking tests, Torrance Tests, Evaluation of Potential Creativity (EPOC) and Finke Creative Invention Task. Some popular personality measures use different theories, such as Eysenck’s Personality Questionnaire, which looks at extraversion, neuroticism and psychoticism. Chapter 6 focuses on a key issue, intrinsic versus extrinsic motivation and their relationship to creativity. While the seventh chapter deals with the relationship between creativity and intelligence, the eighth chapter describes three ’classic’ studies of creativity and mental illness which focus on the connection between bipolar disorder and creativity, usage of structured interviews and utilization of historiometric technique. One school admissions area that already uses creativity is gifted admissions—which students are chosen to enter gifted classes, programs, or after-school activities. The book also talks about creative perceptions and dwells upon the question whether creativity is good or bad.
This book presents the best short introduction to genius to be found. It is a valuable resource for all students of psychology and anyone interested in the field. The book examines the many definitions of “genius”, and the multiple domains in which it appears, including art, science, music, business, literature, and the media. The term genius is peculiar. It can be precisely defined or loosely defined. It can be applied to a diversity of phenomena or confined to just one or two. It all depends on how you use the term. The tremendous range in usage reflects the fact that genius is both a humanistic concept with a long history and a scientific concept with a much shorter history. There are two principal ways to assess degrees of genius. One is historiometric, and the other is psychometric. Whatever the actual association between historiometric and psychometric genius, we have a strong inclination to associate the two concepts. This connection was demonstrated in a recent survey of college students at both U.S. and Canadian universities. The book also examines three alternative positions on the nature of cognitive ability: unified intellect, diverse intellects and hierarchical intellect. Whether intelligence is unified or multiple, all budding geniuses must go through some sort of apprenticeship period in which they acquire the expertise that will enable them to make original and exemplary contributions to their chosen domain of achievement. The book further explains what psychologists have said about problem-solving research in cognitive psychology.
This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).
This book explores a set of key topics that have shaped research and given us a much better understanding of how language processing works. The study of language involves examining sounds, structure, and meaning, and the book covers the aspects of language in each of these areas that are most relevant to psycholinguistics. The book then covers relatively low-tech methods that simply involve pencil and paper as well as very high-tech methods like functional magnetic resonance imaging (fMRI) that use advanced technology to determine brain activity in response to language and discusses a topic that has dominated the field for over two decades how people handle ambiguity in language. It describes how language is represented, both in the brain itself and in how multiple languages interact, which parts of the brain are critical for the basics of language, and how language ability can be disrupted when the brain is damaged. The book further talks about progressive language disorders like semantic dementia and what the study of disordered language can tell us about the neurological basis of language. Finally, it looks at sign language research to see if and how sign language processing differs from speech and a relatively new hypothesis that has emerged: most previous work has taken for granted that comprehenders (and speakers) fully process language, that is that we try to build complete representations of what we hear, read, or produce.
The purpose of this book is to dispel many of the myths about the gifted, define the term in a nonelitist manner, explore how it manifests in individuals, describe why it is important, consider its origins, examine its psychological implications, and provide guidelines for its recognition, assessment, and development. It provides a cohesive conception of the psychology and development of a group with special needs. This perspective was shaped through 50 years of concentrated study and is informed by the author’s experience as a teacher of gifted elementary students, a counselor of gifted adolescents, a teacher educator of graduate students in gifted education, a psychologist specializing in the assessment of giftedness, a clinician with gifted clients, the creator of a refereed psychological journal on adult giftedness, and a researcher. In humanistic psychology, optimal development has been conceptualized differently. Self-realization can be understood in terms of Maslow’s self-actualization, Dabrowski’s secondary integration, Jung’s individuation, or other theoretical perspectives of human development. Families, educators, and psychologists can support inner development or they can act as agents of socialization, exhorting the gifted to "work harder" to attain external trappings of success.
The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.
This book is a response that fosters education, practice development, and professionalism. The bachelor of science in nursing (BSN) is the essential educational foundation to give nurses the knowledge to improve health outcomes and provide the highest quality care. It provides the essentials of nursing theory and the importance of having a philosophy of nursing that informs our professional role. The book is written to assist with the transition from the role of the LPN to the baccalaureate-prepared registered nurse (RN). Licensed practical nurses (LPNs) who enter a university to advance their education through seeking a baccalaureate of nursing degree often find the experience of socializing into the new professional role challenging. The book analyzes the change process, discusses Benner’s stages of clinical competence, examines the philosophy of nursing and describes stress reduction measures. The terms leadership and management are described, and the role of the baccalaureate-prepared nurse as leader and manager is explored. Finally the book talks about the Skill Competencies required for the Baccalaureate-Prepared Nurse-electronic health records (EHRs); the Technology Informatics Guiding Education Reform (TIGER) Movement; Simulated E-Health Delivery System (SEEDS) and Nursing Informatics Education Model (NIEM). The Quality and Safety Education for Nurses (QSEN) program was created in 2005 by an expert panel of nursing educators with the aim of preparing future nurses to continuously advance the quality and safety of the health care system in which they practice. The group developed six core competencies to be incorporated into nursing curricula: client-centered care; teamwork and collaboration; evidence-based practice; quality improvement; safety; and informatics.
This book is intended to introduce the exciting, challenging, stimulating, and inspiring world of behavioral intervention research. It is about the science and state-of-the-art practices in designing, evaluating, and then translating, implementing, and disseminating novel behavioral interventions for maximum impact on the health and well-being of individuals, families, and their communities. Each chapter tackles critical considerations in behavioral intervention research. The approach is to be as broad and inclusive as possible of the many nuances, intricacies, and issues in this form of inquiry. The book covers a wide range of topics including examining the heart of the matter or strategies for developing behavioral interventions including the pipeline for advancing interventions, the role of theory, intervention delivery characteristics, standardizing treatments, and use of technology. This is followed by evaluative considerations including selecting control groups; identifying recruitment, retention, and fidelity strategies; using mixed methodologies; and ethical challenges. Then the book examines outcome measures and analytic considerations including economic evaluations for maximizing the yield of trial data, and how implementation science can inform the development and advancement of behavioral interventions. Finally, the book explores a host of professional issues unique to this form of inquiry including challenges in staffing behavioral interventionist studies, how to obtain funding for developing and evaluating an intervention, and what, when, and where to publish. Case examples from successful behavioral intervention trials are used throughout each chapter to illustrate key concepts.
This book describes innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services including primary care, health promotion, disease prevention, and behavioral health care to residents of underserved communities throughout the United States. The book provides a historical perspective on nurse-managed health centers (NMHCs), includes chapters on the practical aspects of starting and operating NMHCs, combined with case studies that illustrate the challenges, lessons learned, and successes of NMHCs, and deals with an assessment of the current status of NMHCs and a vision for their future. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform.
Stereo electroencephalography (
EEG) has become the predominant method across the world to invasively explore patients with focal epilepsy who are potential candidates for resective surgery. This required many epilepsy centers to introduce major workflow adaptations, investment in surgical and imaging technologies, and seek training in placement and interpretation of depth electrodes recordings. It became evident that a comprehensive, practical textbook outlining the different steps and nuances of the methodology was missing. This book covers all practical aspects of stereo EEGand is a quintessential staple for anybody learning and working in the field of epilepsy surgery, including adult and pediatric epileptologists and neurophysiologists, functional neurosurgeons, technologists, and trainees in these areas. The book is a complete and practical guide to thinking and doing stereoelectroencephalography ( SEEG) which will be a solid reference to practitioners around the world. Almost all chapters feature illustrative cases to explain specific aspects and key concepts of the SEEGmethodology. The section covering the practical approach to specific epilepsy syndromes includes voice-over slide presentations demonstrating the process of a systematic patient discussion, hypothesis generation, and electrode planning followed by data interpretation and delineation of surgical resection. The book starts with the historical background and principles of stereo EEGand discusses the role of the noninvasive evaluation and patient selection. It describes technical aspects of electrodes, multimodal data coregistration, and guidelines for invasive monitoring. The book then presents the conceptual framework of stereo EEGfollowed by surgical aspects of stereo EEGelectrode placement covering robotic and frame-based approaches, specific pediatric aspects, and potential complications. It describes data interpretation of physiologic, interictal, and ictal epileptic activity, and outlines conceptual and methodological aspects of electrical stimulation mapping. The book ends with discussing surgical procedures to remove the epileptogenic zone and a review of seizure and cognitive outcome with stereo EEG.
While there are several comprehensive textbooks on movement disorders, all are lengthy, thick, hardbound books and thus are less useful for the busy, practicing clinician who often needs a quick guide on the diagnostic approach and therapy for various movement disorders. There are a few practical, therapeutic handbooks on Parkinson disease but there are none for other types of movement disorders (chorea, dystonia, myoclonus, ataxia, etc). The ever busy clinician will also benefit from a “primer” on
DBS—its new device types, indications, identification of ideal and non-ideal candidates, and trouble-shooting. This third edition is a practical yet authoritative guide to the diagnosis and work up, and the pharmacological, non-pharmacological and surgical treatments of all types of movement disorders for the clinician-intraining and the practicing clinician. The authors used an “expanded outline bullet point” format, with liberal use of flow charts, algorithms and tables, with emphasis on clinical presentation, work-up and management, rather than pathophysiology and disease mechanism. In summary, this book should provide a comprehensive and practical approach to the neurological, behavioral, and surgical treatment of movement disorders. Because the authors anticipate that clinicians may be reading this book comprehensively, from start to finish; or, using it “on demand” by quickly surveying specific chapters related to the phenomenology of a challenging patient—content overlap has been intentional, to emphasize concepts and principles in diagnosis and management. Several movement disorders can present with different phenomenologies, thus several disorders will reappear in various chapters. From the first to this latest edition, the authors aim has always been to empower the modern clinician with the necessary skills in making the evaluation of movement disorders less intimidating and more rewarding.
As the field of intensive care unit (
ICU) electroencephalogram ( EEG) monitoring evolves, the use of continuous EEGmonitoring ( cEEG) is expanding beyond seizure detection. EEGprovides continuous and noninvasive monitoring of brain function and, coupled with quantitative EEG, enables clinicians to monitor for signs of acute and evolving cerebral injury. Early identification of these electroencephalographic biomarkers may, in turn, offer targets for therapeutic neuroprotective interventions. This book provides a contemporary and concise summary of important principles ranging from seizure identification and encephalopathy grading to advanced techniques of quantitative EEGand multimodality monitoring. These principles are important for current clinical care and advancement of the field. It includes 12 core chapters, each of which begins with text, tables, and figures and ends with a series of EEGimages illustrating the concepts and principles discussed in the text. Each chapter is written by experts in the field. In addition, case-based approaches to common scenarios focus on EEGpattern recognition, diagnostic evaluation, and management. The cases not only build upon EEGskills learned in the chapters but also cover additional diagnostic and management principles. The book also includes chapter-based board-style multiple-choice questions and videos available online to elucidate important concepts. This atlas will benefit an audience ranging from novices to experts in the fields of neurology, epilepsy, neurophysiology, neurocritical care, neonatology, and cardiac and pediatric critical care medicine.
As incredible it is to us to consider how far the ketogenic diet has come in 100 years, it is equally amazing to realize that this Ketogenic Diets book is now in its seventh edition, 25 years after its first publication by Demos Health. This edition continues the recent tradition of updating us every five years on what’s new and noteworthy in the use of ketogenic diets, and the authors appreciate many comments from parents and patients that this book has become a “gold standard” guide. The author’s intention is to continue to make this book helpful for everyone on the ketogenic journey: parents, patients, caregivers for sure, but also physicians, dietitians, scientists, nurses, and social workers. They consider it a success if it helped make ketogenic diet therapies more approachable and effective for you, your family, and/or your ketogenic diet center. Now, with over 10 years of experience, this seventh edition includes all-new material and guidance for adults starting dietary therapies, including information from a recent international expert guideline publication. For children, the 2009 pediatric ketogenic diet consensus statement was recently revised in 2018; details and changes from this important paper will be seen throughout this book. New chapters include exogenous ketones, a fifth ketogenic diet entitled the “modified ketogenic diet”, intermittent fasting, the influence of ketogenic diets on the gut microbiome, and expanded use for infants. Much of the final editing of this edition occurred during the COVID-19 pandemic, and the authors included information learned about how to manage ketogenic diet therapies in a crisis/pandemic situation. Finally, as ketogenic diets continue to be used by more countries every year, this book highlights some of the international recipes, cultures, and even scientific initiatives of this worldwide expansion.
This book provides us with what we need to sleep well. It provides the tools and techniques to reverse insomnia and improve sleep long-term. Insomnia, persistent trouble getting to sleep or staying asleep, affects our daytime functioning and wellbeing. The book breaks down the principles of cognitive behavioral therapy for insomnia (
CBT-I), the sleep program considered first-line treatment in the clinic, into a step-by-step and reader friendly program that can be easily followed at home. Written by a clinical psychologist and researcher who has worked in the sleep field for 40 years, the book uses data from a real patient to illustrate each step of the process. The book is complete with detailed sleep diaries, worksheets, and more, all of which are also available online to download and use on your own journey to sleeping better now and into the future. Guiding readers through this self-directed sleep therapy program, the book features updated information and new scientific findings on key topics for patients and health care providers including: tried-and-true CBT-Imethods of sleep management; successful cognitive therapy methods to deal with racing thoughts at bedtime; different sleep needs for women and men through life and health conditions; influence of nutrition, exercise, and sex on sleep in a brand-new chapter; depression, anxiety, and traumatic stress and how they intersect with sleep; and prescribed and non-prescribed medications, herbal remedies, and cannabis for sleep.
Botulinum toxin (
BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNTproduct requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNTproducts available in the USA(abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA(Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNTdosage information for each of these BoNTproducts is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNTproduct for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.
This edition of the Handbook of
EEGInterpretation promises to be the best iteration yet. Each chapter is written by a professor of neurology subspecializing in the field of epilepsy. As in any field of medicine, the best quality of care evolves and is reflected by new knowledge borne by the practitioner. In the case of electroencephalography ( EEG), this knowledge is a function of exposure and of experience. Hence, the book hopes to fill a void that exists by providing quick and easy access to topics in EEGin the hopes of ultimately providing better patient care. The book reviews abnormal nonepileptiform EEG. In addition to the chapter on abnormal epileptiform EEG, these are foundational chapters necessary to provide an accurate clinical correlation and facilitate appropriate patient management of patients with seizures and neurological illnesses that may have management decisions predicated upon interpretation of EEG. The book summarizes pediatric seizures and the role of ambulatory EEG, in addition to video- EEGand adult seizures, new chapters to emphasize the increasing role of event recording with EEG. The chapter on sleep provides a focus on and correlation of patients with sleep disorders and epilepsy. The chapter on neurointensive intraoperative monitoring, adds very instructive information to performing a variety of monitoring techniques in the operating room, in addition to a chapter on electrocorticography, to expand on examples that involve patients with epilepsy, brain tumor, vascular malformations, and other diseases of the cerebrum. The excellent final chapter, magnetoencephalography, includes examples to illustrate the powerful source localizing capability of this technique. With completion of the third edition of the handbook, it is the authors hope that it will continue to serve clinicians young and old, experienced and novice, physician and technologist alike.
This book provides the ultimate resource for all students and practitioners seeking the professional credential and committed to lifelong learning and career growth in public health. Chapters are organized by all ten core competency domain areas, beginning with Evidence-Based Approaches to Public Health and including chapters on Communication, Leadership, Law and Ethics, Public Health Biology and Human Disease Risk, Collaboration and Partnerships, Program Planning and Evaluation, Program Management, and Policy in Public Health, before concluding with Health Equity and Social Justice. Covering over 150 topic areas, each chapter introduces the core objectives of each domain area to frame the goals of the
CPHexam and highlight the complete content outline featured on the exam. Chapters include the fundamental information public health professionals must learn to be effective workers in the field followed by approximately 600 practice questions with detailed rationales for correct answers at the end of each chapter. Using this method, the number of practice questions are divided equally among each domain area for comprehensive study and exam preparation. Written by a CPHcertified educational leader in public health and containing over three exams’ worth of questions, this book is the most useful and thorough exam review resource on the market, great for on-the-go study and preparation.
Fast Facts for the Antepartum and Postpartum Nurse:A Nursing Orientation and Care Guide in a Nutshell
This book provides a basic reference for nurses caring for women and their families during the antepartum and postpartum periods. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values.
This book is a study guide/self-evaluation tool to prepare for the ABPN exam and MOC exam in vascular neurology. It is representative of the areas tested on the exam, including the standard clinical and basic science of stroke and some of the esoterica that appear on the exam. The book serves as a study guide for any neurologist, internist, or family practitioner interested in expanding his or her knowledge in this important field. The practice exam question-and-answer format is an effective and engaging study method, as opposed to a didactic review or summary reader. It is useful also to identify areas of weakness that require further study. The book has over 600 questions divided across fifteen sections. The fifteen sections are as follows: Basic Science; Vascular and Brain Anatomy; Clinical Pathology; Pharmacology and Pharmacokinetics; Epidemiology, Genetics, Primary Prevention; Ischemic Disease of the Brain and Spinal Cord; Hemorrhagic Disease of the Brain and Spinal Cord; Neuro-Ophthalmology; Cardiovascular Disease; Hematology; Pediatric Cerebrovascular Disease; Neurovascular Imaging; Clinical Trials and Ethics; Recovery and Rehabilitation; and Case Studies in Cerebrovascular Disease. The questions include cytotoxic edema following cerebral ischemia, internal carotid artery; cavernous malformations; thiazide diuretics; fibromuscular dysplasia; transient global amnesia; spinal epidural hematomas; ischemic optic neuropathy; atrial fibrillation; Von Willebrand disease; Perinatal ischemic stroke; cerebral microbleeds; modified Rankin scale; botulinum toxin and so on. Explanatory answers with appropriate references are included to facilitate learning. Most of the references are relatively recent, but for certain topics, the classic references, such as Niels Lassen’s work on incomplete cerebral ischemia and Anthony Furlan’s classic description of retinal ischemia presenting as visual change in bright light have been included.
This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.
Continuous EEG monitoring is an important tool for assessing brain functions and allows clinicians to identify malignant EEG patterns quickly and provide more effective care. This book presents the wide range of technical and clinical issues encountered in successful critical care EEG. It focuses on the challenges of EEG interpretation that are unique to EEG monitoring in the ICU. The book is organized into five parts containing forty chapters. The first part describes technical issues such as EEG acquisition equipment, electrodes and montages, networking, remote monitoring and data storage, and staffing an ICU monitoring unit. The second part presents various indications for continuous EEG monitoring such as status epilepticus, ischemic stroke, subarachnoid hemorrhage, intracranial hemorrhage, infectious and inflammatory conditions, traumatic brain injury, and cardiac arrest. The third part focuses on EEG Interpretation and presents an overview of standardized critical care EEG terminology. Part four describes treatment of generalized convulsive status epilepticus, non-convulsive status epilepticus in adults, and status epilepticus in the pediatric population. It also discusses alternative treatments for refractory status epilepticus, and prophylaxis of seizures in the ICU population. The final part presents neonatal ICU EEG guidelines, American Clinical Neurophysiology Society (ACNS) consensus statement for pediatrics and adults, billing and coding for ICU EEG monitoring, report generation and communication with the ICU team, multimodality monitoring, and future directions for EEG monitoring in the ICU.
Inherited metabolic epilepsies represent a diverse group of disorders of inborn errors of metabolism in which epilepsy is a clinically significant component. This book, organized into six parts containing 43 chapters, is based on a sequential exposition of general principles, basic science, clinical science, small molecule disorders, large molecule disorders, and conclusions. Part I describe recognition, scope, and implications of inherited metabolic epilepsies and provides an overview of metabolic disease. Part II covers principles and mechanisms of metabolic epilepsies, metabolic energetics, an approach to molecular pathways with emphasis on the ubiquitous mechanistic target of rapamycin (mTOR) pathway that governs cellular proliferation and has implications from central nervous system (CNS) development to degeneration, excitatory/inhibitory imbalance that is at the heart of epilepsy, chaperone proteins representing a novel approach to metabolism, and neurophysiologic studies aimed at measuring neurotransmission. Part III explores neuroimaging including spectroscopy, electroencephalography, neuropathology, genomic technology, and use of the ketogenic diet in metabolic epilepsies. Individual disorders are categorized with the small versus large molecule format, with special emphasis given to certain metabolic disorders to highlight their unique characteristics. Part IV describes small molecule diseases such as amino and organic acid disorders, urea cycle disorders, pyridoxamine 5´-phosphate oxidase (PNPO) deficiency, disorders of GABA metabolism, DEND syndrome, Lesch-Nyhan disease to name a few. Part V presents large molecule diseases such as congenital disorders of glycosylation, lysosomal storage diseases, peroxisomal diseases, and leukodystrophies. The conclusion part covers diagnostic and therapeutic approaches, genetic counseling, family resources, and an algorithmic clinical approach to inherited metabolic epilepsies. The book will educate physicians, particularly specialists and trainees in pediatric and adult neurology, neurodevelopmental disabilities, epilepsy, and genetics, while caring for patients with inherited metabolic epilepsies, as well as spur further research into basic mechanisms and clinical trials in this group of maladies.
Women have unique biopsychosocial factors that make them more vulnerable to mental illness. Many of these mental illnesses can elicit enormous physical, emotional, financial, and social barriers. This is books serves as a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. The book is divided into four sections. The first section deals with the role of cultural competence in mental health and the various types of violence such as sexual assault, rape and stalking perpetrated on women. It emphasizes key stressors specific to women that are precursors to mental illness. The second section looks at the mental disorders affecting special populations among women including girl children and adolescent females, and aged women. Disorders for other unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence are also discussed here. In the third section, chapters address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. The final section of the book is devoted to the discussion of the various psychiatric issues common to women: anxiety disorders; mood disorders; eating disorders; personality disorders; psychotic disorders; sleep disorders; substance abuse disorders; grief and loss; schizophrenia; and sexual dysfunction.
Play is central in the development of the child's identity and the process of self-definition. In the safety of the parent—child relationship, play emerges as a powerful self-shaping force. Through play, infants and children begin to experience others, supporting the brain in its transformation into a social structure. This book marks an important historic moment in recognition of therapeutic and intentional play as a crucial and essential component that is interwoven within the eight phases of eye movement desensitization and reprocessing (
EMDR) therapy with children. The play themes of traumatized children are full of cognitive, emotional, somatic, and behavioral elements that are reminiscent of the traumatic events they experienced as well as the legacy of what these experiences did to their neurobiological systems. The book offers enormous alternatives and ingenious ways of using the playroom to provide a fertile ground where the child can play out explicit material as well as implicit urges. It integrates EMDRand play therapy to create a powerful method for treating children suffering from trauma. It also includes contributions from dually credentialled EMDRclinicians and registered play therapists, art therapists, and sand tray practitioners. The book offers a fully integrated approach to EMDRand play therapy faithful to the eight phases of standard EMDRprotocol and play therapy principles. It includes a chapter on culturally sensitive EMDRand play using Latinx culture as the lens describes how traditional play therapy creates an emotionally safe space for trauma work for children. The book provides hands-on play therapy interventions for each EMDRphase in quick reference format and delivers multiple interventions with rationale, step-by-step directions, materials required, case examples, and visual aids.
This book is the first resource fully dedicated to quantitative
EEG( QEEG) analysis, tailored for physicians or EEGtechnologists who work with critically ill patients. With the rise of continuous EEGmonitoring in intensive care, clinicians are increasingly called on to make real-time clinical judgments with little formal guidance on how to interpret QEEG. The book is configured to meet daily practice challenges. It addresses not only technical fundamentals, but also provides numerous examples of signature QEEGpatterns and artifacts to instruct both untrained and experienced eyes. The book walks the reader from essential principles all the way through to practical pattern recognition. With full-page reference samples pairing raw EEGwith quantitative EEGspectrograms, brief clinical vignettes, and explanatory captions noting significant features, it provides a roadmap for understanding and applying QEEGdata in critically ill patients. The book contains more than 400 full-page vivid color QEEGexamples paired with raw EEGto build interpretive skills and enhance clinical decision-making. It presents thorough discussions of both normal and abnormal findings and QEEGartifacts that set the standard for effective use of quantitative electroencephalography and trend analysis in the ICU. The book is organized into three sections. Section one presents the principles of quantitative electroencephalography. Section two discusses the clinical practice of quantitative electroencephalography. Section three describes the artifacts in quantitative electroencephalography. Complete with a broad range of patterns and page after page of full-color samples, the book is designed to be the authoritative QEEGreference for neurologists, intensivists, technologists, and trainees working in critical care settings.
This book addresses the role of neuromonitoring in neurocritical care. It discusses current utilization, benefits, and concerns for each commercially available neuromonitoring device and describes basic strategies for neuromonitoring implementation and analysis. Topics covered in the book include: intracranial pressure (ICP) monitoring, transcranial Doppler (TCD) monitoring, continuous electroencephalography (EEG) monitoring, cerebral oxygenation, brain-tissue perfusion monitoring and cerebral microdialysis. The roles of ICP monitoring and control are both unique and vital to neurocritical care. There are four main locations within the brain where ICP monitoring devices are frequently placed: fluid filled ventricle, brain parenchyma, subarachnoid, and epidural space. The decision of which location and device to use is based on the clinical scenario, appearance of the head computed tomography (CT) (i.e., size of cerebral lateral ventricles) and operator experience. Patients with brain injuries may have impaired cerebral autoregulation. Continuous monitoring of cerebral autoregulation is feasible in neurocritical care. In patients with brain injury, conservation of cerebral autoregulation is related to prognosis. Monitoring of cerebral autoregulation is useful for optimizing and individualizing the therapeutic management of patients with brain injury. The book also focuses on strategies for successful training of the neurocritical care nurse and the role of the nurse in neuromonitoring. The responsibility of the advanced practice nurse (APN) in developing a successful neuromonitoring unit is also addressed. Finally, the book focuses on the current benefits, misunderstandings, limitations, and unjustified expectations surrounding multimodal monitoring (MMM).
This book addresses new treatment pathways, outcomes, and economics of spasticity care within the larger context of the rapidly changing health care environment. Divided into four sections, the book is intended to provide both clinicians and researchers up-to-date access on the latest comprehensive treatment of spasticity. The first part of the book includes a general overview with four chapters highlighting why spasticity is important, epidemiology of spasticity and other signs of the upper motor neuron syndrome, and finally ancillary findings associated with caring for the patient with spasticity. The second part of the book focuses on the assessment tools in diagnosis and management of spasticity. It includes an outline of general overview measurement tools, specific techniques and scales, assessment of the upper and lower extremity, and setting realistic goals for treatment. The third part of the book explains the role of the physical and occupational therapist in spasticity management, the use of ultrasound in guidance of botulinum toxin management, and emerging technologies in the treatment of spasticity. The final part of the book is devoted to individual diseases involving spasticity and treatment within the context of these conditions. In addition to updated chapters on evaluation, genetics, and spasticity in adults and children with spinal cord injury, multiple sclerosis, stroke, traumatic brain injury, and cerebral palsy, the book include new chapters on more specialized areas including spasticity in patients with cancer, treatment of spasticity in patients in long-term care facilities, and the economics of spasticity treatment.
Clinical Neurophysiology in Pediatrics:A Practical Approach to Neurodiagnostic Testing and Management
This book serves as an excellent reference for the clinical provider as well as for trainees and technologists in gaining greater knowledge in the various subspecialty areas of clinical neurophysiology (CNP). Each chapter emphasizes a different focused area of neurophysiology and brings together the clinical and technical information needed for understanding. Chapters are devoted to pediatric sleep disorders, epilepsy, febrile seizures, and nonepileptic paroxysmal disorders. Other chapters are devoted to pediatric muscular dystrophies, electromyography (EMG), brachial plexopathies, and peripheral neuropathy. A chapter devoted to intraoperative monitoring is included along with other chapters on evoked potentials and autonomic disorders. In several chapters, multiple authors have contributed, each providing aspects related to their research or area of unique expertise. The future role of CNP in pediatric (and adult) neurologic diseases will most certainly evolve from where it is today. Advances in neuroimaging and molecular and genetic testing have allowed much more specific diagnoses than allowed by CNP procedures. This coupled with advances in technology and the availability of new procedures is making the future of CNP more exciting than its past was. The book discusses some ways in which CNP will evolve and the factors responsible for it.
This book introduces emerging research methods that will assist community health researchers interested in effectively addressing the complex health issues faced by communities today. It also introduces readers to several research methods particularly appropriate for addressing the context of health issues, translating research into action, and engaging community and relevant stakeholders. Use of these methods will lead to advancements in the field of community health and ultimately to improvements in community health. The book illustrates how community health researchers must move beyond the rigid distinction between qualitative and quantitative methods to adopt new integrated research methods to understand health as a community system. Within the discipline of public health, community health is an important and evolving subdiscipline that specifically emphasizes disease prevention and early intervention for members of a given community. The book includes spatial analysis, agent-based models, community-network analysis and realist reviews and addresses system dynamics, concept mapping, visual voices and media analysis. Integration of qualitative and quantitative data is key to generating unique insights into the mechanisms linking complex community health issues and to providing critical guidance regarding the pathways toward effective intervention and prevention. Institutional pilot funding, often available to researchers based at academic institutions, is a good option to garner support for innovative community health research projects. Partnering with other researchers and community members to learn and apply new and innovative research methods is a necessary steps toward more effectively addressing and improving the health of communities.
This book addresses key health literacy issues as they affect the health and well-being of the aging population. It emphasizes increasing health literacy among older adults through the use of technological tools and features, the most current research, and evidence-based programs and practices. It provides expansive coverage of the intersection of technology and health literacy, highlighting innovative approaches and discussing how to use technology with resource-limited groups. The book focuses on rural, impoverished, culturally diverse, and low literacy elders and presents gold standard intervention programs and models. Individual chapters discuss interpretation of lab results, how the family physician can explain the diagnosis and treatment regimen to older patients, how the Explanatory Model can facilitate communication between the physical therapist and the patient and how health literacy fits into the public health domain. Occupational therapy (OT) professionals advocate for the well-being of the clients they serve and promote higher levels of independence among older adults. The book also has a chapter explaining the different modalities located within the radiology department and what can be expected as part of the examination process for the geriatric patient population.
This book addresses strategies for community-oriented health services, including those that arise from systemic influences such as environmental and social injustices. It seeks to present an imperative transdisciplinary shift in thinking about health services toward understanding communities as resources for their own health improvement. Applying a transdisciplinary approach, this book seeks to bridge the discourses between environmental justice, public health, community well-being, and service development, which are rarely considered together in spite of their mutual interdependence. The book is intended for use by senior undergraduate and graduate students in public or population health sciences, including rehabilitation counseling, community psychology, counseling psychology, public health, medical anthropology, social policy, and related disciplines. Health policy and service providers in the private and public sectors and international aid agencies will find the book an invaluable resource for their health promotion and development programs in global communities. The individual chapters of the book aim to present as comprehensive a coverage of the specific themes as possible. Each chapter addresses community-oriented health from a variety of health conditions and traditions. Each chapter also addresses pertinent health policy aspects in the context of national, federal, or international conventions to highlight the importance of the community-oriented health concepts being discussed.
This book presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. The book contains 13 chapters, organized into five parts. The first part provides an introduction to aging in rural places, including the overwhelming task of defining what is meant by “rural” and presenting demographics, descriptions, and the diversity of rural communities. It offers a picture of persons aging in rural areas, including their challenges and strengths, with special consideration for social and ethnic minorities within this population. Whereas the second part focuses on the health status and the specific health and human service needs and opportunities of rural older adults and their focuses on needs and opportunities, the third part moves toward addressing these issues with health and human services available to rural older adults and their families. The fourth part examines the role of health and human service professionals who work with rural older adults and their families in these programs and services, with attention to interdisciplinary practice and professional competency. In addition to the aforementioned content, the book offers several unique features, including the following: case examples, professional competencies, useful websites, suggested activities and exercises, discussion questions, PowerPoint slides, and instructors manual with test question bank.
This book describes the public health system in broad strokes in order to focus the reader on basic public health goals, principles, structures, and practices. Public health shares with the clinical professions a fundamental caring for humanity through concern for health. For these reasons, public health is sometimes viewed as a type of clinical profession. Primary prevention intends to prevent the development of disease and the occurrence of injury, and thus, to reduce their incidence in the population. The central focus of clinical professions is to restore health or prevent exacerbation of health problems. The health care system undoubtedly has its smallest impact on primary prevention, once again that group of interventions that focus on preventing disease, illness, and injury from occurring. The control of an infectious disease outbreak is an example of the promise of public health collective action that prevents the occurrence of disease, disability, and premature death by assuring conditions in which people can be healthy. Among the programs administered by the National Center for Chronic Disease Prevention and Health Promotion is the Preventive Health and Health Services Block Grant program, which provides funds to state-level agencies to support both public health agency capacity development and chronic disease prevention programs. The Agency for Healthcare Research and Quality (AHRQ) is the lead federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans. Unintentional injuries are a leading cause of death in the United States among all age, race, and ethnic groups, and motor vehicle accidents are the foremost cause of unintentional injuries. Good leadership is essential for the well-being of any organization, including public health.
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. This book collects over 90 of the most memorable and challenging movement disorder cases from the world’s leading authorities in this specialty. It presents case vignettes covering the entire phenomenology of movement disorders and walks the reader through the diagnostic process - much like being in the examining room with a master clinician. The movement disorders discussed in the book include: Parkinson’s Disease, tremors, chorea, dystonia, ataxia, tics, stereotypies, myoclonus syndrome, startle syndrome, and psychogenic movement disorder. Each case follows a set format consisting of four sections: The Case; The Approach; The Lesson; Reference and Suggested Readings. Imaging findings and other illustrations amplify the discussion where pertinent. The book is designed to help hone diagnostic skills and inform treatment decisions for the full spectrum of movement disorders. The lessons learned need not be all scientific, such as describing the first case on a new genetic disorder. More often, the lessons are that about human frailty, medical intuition, a caregiver’s strength, a doctor’s uncertainty, or a patient’s determination and will to survive. The book and its collection of cases, is as much about the art and the compassion, as it is about the science of our profession. Each case will invoke a lesson on persistence or practicality, thoroughness or focused observation, objectivity or intuition, and professionalism or empathy.
This book for undergraduate and graduate survey courses encompasses a wide range of key issues in occupational health psychology (OHP) from a North American perspective. It draws from the domains of psychology, public health, preventive medicine, nursing, industrial engineering, law, and epidemiology to focus on the theory and practice of protecting and promoting the health, well-being, and safety of individuals in the workplace and improving the quality of work life. The book addresses key psychosocial work issues that are often related to mental and physical health problems, including psychological distress, burnout, depression, accidental injury, obesity, and cardiovascular disease. It examines leadership styles as they impact organizational culture and provides specific recommendations for reducing employee-related stress through improved leader practices. Also addressed is the relationship between adverse psychosocial working conditions and harmful health behaviors, along with interventions aimed at improving the work environment and maximizing effectiveness. Additionally, the book discusses how scientists and practitioners in OHP conduct research and other important concerns such as workplace violence, work/life balance, and safety.
This book is a guide to the values and traits, knowledge, and competencies needed by public health professionals to mobilize people, organizations, and communities to effectively tackle tough public health challenges. This competency-based leadership book is designed specifically for students and practitioners in public health, highlighting those aspects of leadership unique to this field. The book is divided into four parts. The first part of the book deals with the call for public health leadership. It introduces a framework for the book based on the values, traits, knowledge base, and competencies of effective public health leaders. The framework builds on four complementary perspectives on leadership: servant leadership, complexity leadership, integrative leadership, and adaptive leadership. The second part is devoted to preparing for public health leadership. Chapters here survey the values, traits, and knowledge base of effective public health leaders. Seven values of public health leaders are particularly critical for their effectiveness: social justice, reliance on evidence, interdependence, respect, community self-determination, transparency, and the requisite role of government. Along with behavioural skills, these values, traits, and knowledge base are the foundation for mastering the competencies. The competencies for public health leadership are discussed in Part III. The five competency sets are invigorating bold(er) pursuit of population health; engaging diverse others; effectively wielding power; preparing for surprise; and driving for execution and continuous improvement. Each chapter highlights the public health leadership values, traits, and knowledge that contribute particularly to effective performance of the competency set. Then, each of the five competencies in the competency set is examined in turn. The last part of the book provides guidance for intentional actions to improve leadership competencies and to sustain effectiveness.
In the last decade, several professional societies have published guidelines on various aspects of monitoring, and other publications have further documented the utility of neurophysiologic intraoperative monitoring (NIOM). This book covers basic aspects of monitoring, provides details of monitoring specific types of surgeries, along with technical requirements and addresses the administrative aspects of running an NIOM service. The book is divided into three parts. Part I introduces the reader to the operating room environment and discusses all the basic NIOM modalities such as somatosensory, motor and brainstem auditory evoked potentials, electroencephalography (EEG) and electromyography (EMG), with each modality being discussed in a separate chapter. A chapter detailing anesthetic effects on NIOM is also in this part. The second part on clinical methods, reviews the use of NIOM in various types of surgeries including that of vertebral column, spinal cord, tethered cord, peripheral nerve and brainstem. The chapters present the basics of anatomy, physiology and surgery of the various procedures. Details of the monitoring modalities and their interpretative criteria are presented. Technical sections in each chapter review practical information about the logistics of monitoring a particular type of surgery. Part III, focusing on administrative issues, provides a lot of useful practical information, such as technical aspects of NIOM machines and remote monitoring. Other chapters discuss billing, ethical and legal issues. A separate chapter is dedicated to the requirement for training interpreting physicians and technologists.
Today, owing to advances in biochemistry and next generation sequencing, we know more about the specific causes of early life epilepsies associated with encephalopathy than ever before. This book is a highly practical but sophisticated guide to the care of children with pediatric epilepsy. The first two sections of the book deal with the basic mechanisms including pathophysiology of seizures and epidemiology, etiology and diagnosis of pediatric epilepsy. Section III of this book on age-related syndromes, groups the epilepsies in a novel way; looking at epilepsies from the perspective of an electroencephalographer. There are the familial epilepsies with focal seizures, the genetic generalized epilepsies, the self-limited epilepsies, the epilepsies with encephalopathy, and the epilepsies related to focal structural lesions. The book includes a discussion of those issues of particular relevance to the female patient beyond just teratogenesis, including polycystic ovary syndrome and catamenial epilepsy. Several antieplieptic drugs such as Barbiturate, Primidone and Benzodiazepine, and the ketogenic diet and alternative and anti-inflammatory therapies are covered in the Section V of the book. The penultimate section discusses epilepsy surgery and neurostimulation. The book ends with an expanded discussion of the epilepsy spectrum, illustrating that epilepsy is more than just a susceptibility to seizures by focusing on quality of life, psychiatric comorbodities of childhood epilepsy, and behavioral and cognitive side-effects of anti-epileptic drugs.
The practice of neonatal electroencephalography (EEG) combines clinical medicine and biomedical technology. This book consists of chapters concerning the approach to visual analysis, techniques of recording, artifacts of noncerebral origin, age-dependent normal findings, patterns of uncertain diagnostic significance, age-dependent abnormal EEG findings, and seizures. Chapters consist of explanatory text, tables, a list of figures, and the sample EEGs themselves with their legends. In presenting samples, the authors have emphasized specific components of the neonatal EEG. The basic principles of visual analysis and interpretation of the electroencephalogram (EEG) that applies to older patients also generally apply to neonates, although with some additional special considerations. The general principles of recording the EEG apply to the recording of the EEG in neonates with some important additions and exceptions. The differentiation of true brain electrical activity from extraneous artifacts is critical to the interpretation of neonatal EEG. Visual analysis of the neonatal EEG requires the recognition of the conceptional age-dependent features characteristic of specific epochs of development. The book electrographic features in four different formats: a table that lists specific elements, a narrative that describes the continuum of development, and a summary by epoch of conceptional age (CA) of the expected elements. A number of waveforms and patterns have not been reported to occur in normal infants. Sharp waves or sharp-and-slow-wave complexes are commonly recorded from the midtemporal region during sleep in apparently normal premature and term infants. Temporal sharp waves classified as normal are usually mono- or diphasic. The book also discusses disordered maturational development, maturational abnormalities and neonatal seizures.
This book demonstrates a logical approach to the nervous system that should serve the student throughout medical school rotations, postgraduate residency training, and medical practice during the lifelong learning task of evaluating patients with neurological problems. After a brief introduction to the concept of localization, Chapter 2 of the book deals with the brain and spinal cord of the central nervous system (CNS). The brain includes the cerebrum, cerebellum, and brainstem, and is organized into the four lobes of each cerebral hemisphere, plus the basal ganglia, thalamus and hypothalamus (diencephalon), brainstem, and cerebellum. Chapter 3 discusses the function of peripheral nerves and cardinal signs of peripheral nerve disease such as weakness, wasting and areflexia, and reviews the anatomical organization of peripheral nervous system (PNS). The fourth chapter includes special applications of neuro-logic covering coma, epilepsy, movement, vertigo, cord compression, and autonomics. The autonomic nervous system (ANS) enables, modulates, and controls the automatic functions we take for granted during day-to-day life until something goes awry. Chapter 6 focuses on the frontal lobe and associated subcortical structures that are the areas most involved in the pathogenesis of many psychiatric syndromes. The neurological examination is designed to assist with the localization of a patient’s disturbance affecting the nervous system. The exam consists of examination of mental status, cranial nerves, and that of other elements, namely motor, sensory and reflexes.
Image-guided interventions for pain management have evolved since being performed with palpation guidance. The utilization of fluoroscopic guided interventions for pain management has emerged in treating painful spinal conditions. During residency or fellowship, the trainee often has limited experience in standard of care and broad interventional pain management techniques. The goal of this book is to provide a rapid and accurate reference for interventional pain management physicians, allow dynamic teaching of interventional procedures, and understanding and visualizing interventional techniques for commonly performed interventional pain management procedures. It also describes etiology, physical examination techniques, and treatment plans of common painful conditions treated by an interventional pain management physician. The book consists of 9 chapters. The first chapter discusses the anatomy of spine and spinal cord for pain procedures. The second chapter provides an overview of C-arm and covers radiation safety, biologic effects of x-rays, radiographic contrast agents, needle anatomy and techniques of C-arm. The third chapter discusses pharmacotherapy in pain management. The fourth, fifth and sixth chapter describes disorders and commonly performed procedures of cervical spine, thoracic spine and lumbar spine. The seventh chapter discusses sympathetic blocks such as stellate ganglion block, celiac plexus block, lumbar sympathetic block, superior hypogastric block, ganglion impar block, and complex regional pain syndrome. The eighth chapter describes the mechanism of action, indications, screening, equipment, procedure planning, trial technique, and complications of spinal cord stimulation. It also presents current companies offering spinal cord stimulation. The final chapter lists common pain diagnosis and ICD codes.
Courses in epilepsy and EEG education are available through several national and international societies. However, there are few textbooks available for those interested in obtaining a well-rounded education in this discipline. This book contains enough information to provide an excellent foundation for understanding epilepsy and is concise enough to be read cover-to-cover. For easy readability, the book is divided into four parts. Part I covers the clinical aspects such as pathophysiology, genetics, epidemiology, etiology and differential diagnosis as well as epileptic seizures, epilepsy syndromes and neonatal seizures. The second part is devoted to various diagnostic procedures in a variety of settings. These include normal EEG, ambulatory EEG, EEG in an ICU, seizure semiology, scalp video and intracranial EEG, brain mapping, structural and functional neuroimaging, the Wada test, and epilepsy surgery and neuropsychological evaluation. Treatment aspects are dealt with in Part III. Chapters cover the first-, second- and third-generation antiepileptic drugs (AEDs) as well as the newest antiepileptic drugs and drugs in development. Epilepsy surgery and stimulation and dietary therapies are also examined. A separate chapter looks at alternative therapies including mindfulness meditation, yoga, Reiki and healing touch. The last part on special situations includes chapters on metabolic epilepsies, bone health, headaches, and the sudden unexpected death in epilepsy (SUDEP).
The ability to properly interpret and develop independence and proficiency in neuroradiological studies is crucial for all neurologists. A visual memory of a clinical case is retained and absorbed in a way traditional text readings are not. In this book, each topic is introduced with a brief clinical scenario to reinforce this connection, and the text is populated with a broad array of neuroimages, including
CT, MRI, MRA, and angiography. Every topic begins with a brief case scenario and image-based diagnosis, and is followed by a short introduction to the disorder, clinical presentation, radiographic appearance, diagnostic hallmarks, differential diagnosis, and treatment. The abundantly illustrated book covers the following major areas of neurology: ischemia including ischemic stroke and brainstem stroke syndromes; hemorrhage including amyloid beta related angiitis ( ABRA) and cerebral amyloid angiopathy ( CAA); arteriovenous malformations; neoplastic diseases such as primary central nervous system neoplasm; pituitary disorders; cystic lesions; demyelinating diseases such as multiple sclerosis ( MS) and optic neuritis ( ON); epilepsy including frontal and temporal lobe epilepsies and limbic encephalitis ( LE); infectious diseases such as HIVdementia complex; neurodegenerative diseases including Alzheimer’s disease ( AD), Huntington’s disease and Parkinson’s disease; toxic and metabolic disorders such as central pontine myelinolysis ( CPM) and cyclosporine toxicity; pediatric neurological diseases including acute cerebellar ataxia, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ( MELAS), and septo-optic dysplasia; neurocutaneous syndromes; trauma; and some miscellaneous diseases such as Behcet’s disease.
This book provides an up-to-date practical clinical guide to evidence-based stroke recovery and rehabilitation built on a foundation of basic neurophysiology, neuroscience, and psychological science. It provides in-depth information on the assessment and management of all acute and long-term stroke-related impairments and complications including cognitive dysfunctions, musculoskeletal pain, and psychological issues. The book examines risk factors, epidemiology, prevention, and neurophysiology as well as complementary and alternative therapies, functional assessments, care systems, ethical issues, and community and psychosocial reintegration. It features expanded coverage of key issues such as the role of robotics and virtual reality in rehabilitation. Chapters have been incorporated to cover fields of recent exploration including transcranial magnetic stimulation, biomarkers, and genetics of recovery as well as essentials like the use of medication and the survivor’s perspective. The up-to-date presentation of scientific underpinnings and multi-specialty clinical perspectives from physical medicine and rehabilitation, neurology, physical therapy, occupational therapy, speech and language pathology, and nursing ensures that the book will continue to serve as an invaluable reference for every health care professional working to restore function and help stroke survivors achieve their maximum potential.
Ambulatory electroencephalography (aEEG) monitoring is not limited to the home environment. It is a useful diagnostic test to evaluate an individual in whom seizures or seizure-like episodes are suspected in their natural environment wherever that may be. This book reviews some of the background distinctions for the technique of aEEG and instrumentation and polygraphic aEEG recording. aEEG monitoring often yields information in the evaluation of epilepsy and in the differential diagnosis of other conditions that mimic epilepsy including psychogenic nonepileptic seizures (PNES), syncope, cardiogenic etiologies, parasomnias, migraine, and transient ischemic attacks. The book discusses the yield of aEEG and compares it with other short- and long-term monitoring techniques in epilepsy. It then provides a thorough assessment of ambulatory sleep studies. Chronic intracranial aEEG monitoring is covered with a new type of aEEG monitoring to provide not only electrocorticography but also encompass treatment using neuromodulation. The book also delivers an inside look at aEEG in the future with development of “wearables” that will allow us to learn new information that involves not only detection but prediction. The practical implications of aEEG involved in proper coding and billing are also reviewed. Case histories are included of patients evaluated with aEEG to underscore key points of practical value.
The use of high frequency ultrasound as an imaging modality for the musculoskeletal system has expanded dramatically in the past decade. Despite its growth, standardized training for use of this modality is not yet available in the majority of residency training programs. This book illustrates and teaches the basic components of many of the skills and knowledge needed to begin incorporating the use of ultrasound in a musculoskeletal practice. The goal is provide a simplified approach for those getting started in musculoskeletal ultrasound. This includes developing understanding in use of the controls and function of the ultrasound machine, commonly used terminology, obtaining and optimizing the image, and proper scanning technique and the ergonomics involved. The book is also designed to instruct in the recognition of the appearance of various musculoskeletal tissue, commonly seen artifacts, foreign bodies and masses, and understanding basics of interventional ultrasound. It also provides an understanding of the basic physics used in ultrasound. Principles of further advancement of skills and initiating a practice are discussed. Doppler imaging helps to identify certain vascular structures, gives an indication of vascular flow, and can also be used to assess for increased vascularity in pathologic conditions. Separate chapters cover imaging of tendons, muscles, and nerves. Ultrasound allows visualization of both the needle and soft tissue target in real time. This improves accuracy of needle placement for both injection and aspiration procedures.
This book seeks to launch a new field of equity in health, as a new global approach to inequities in health. The goal is to shift the discourse toward a focus on moving from InEquity in Health to Equity In Health and spur a global movement in response to the major civil rights issue of the twenty-first century involving injustice in health. The book is intended for policy makers, funders, providers, researchers, interventionists, educators, and community members. It identifies the forces driving and embodied within a new field of equity in health while also identifying these as the thirteen guiding principles for the new field. The book is organized into eight parts. Part I introduces new theory, paradigms, and perspectives, starting with challenges in eliminating health disparities. Part II introduces new procedures and policies deemed vital for a new field of equity in health, specifying some of the implications for funders, researchers, and policy makers. Part III reviews the legacy and role of racism in contributing to disparities, while also discussing the implications and recommendations for research and practice. Part IV covers the key role of collaborations, partnerships, and community-based participatory research in the field of equity in health. Part V presents new Internet technology for use in achieving wide dissemination of health information, interventions, and training that attains a global reach. Part VI covers the training of community health workers and peer educators, suggesting how they play a vital role in the field of equity in health. Part VII, attention is turned to other special populations also considered the most vulnerable and what it will take to close gaps in health. The final part covers the task of closing the education and health gaps by addressing these dual inter-related disparities through effective engagement.
This book is intended for public health practitioners, researchers, students, and other professionals who work in rural settings or who are interested in learning more about the unique aspects of public health in rural areas. It first presents some of the best-established challenges in rural public health, including medical care barriers, workforce issues, and ethics, followed by some of the specific rural-focused solutions that have been developed through faith-based initiatives and integrated care efforts. By recognizing the socioeconomic and cultural factors unique to rural areas as not only contributing to health disparities (e.g., higher smoking rates) but also as providing avenues for addressing them (e.g., faith-based initiatives), rural public health practitioners can begin to make long-needed progress in protecting the health of one fifth of the U.S. population. The book then discusses both the scope and state of prevention for specific health issues in rural settings, including mental health, substance abuse, heart disease, obesity, diabetes, HIV, environmental health, minority health, migrant farmworker health, and elderly health. The book then concludes with a summary of the future directions in rural public health to serve as a road map for moving forward.
Contemporary research has found that memory is much more than the process for recalling information that has been learned and retained. Memory is central to all human endeavors. Memory is the sine qua non of human psychology. How humans process, store, retrieve, and use memory is intrinsically interesting. This book is about human memory: how it works, how it sometimes does not work, why it is important, and why it is interesting. It describes the major structural and functional theories that guide our understanding of memory. The modal model has three memory buffers: sensory information store, short-term memory and long-term memory. The book focuses on everyday functions of memory, including memorizing things, remembering to do things (prospective memory), and recalling how to do things, such as skills, procedures, and navigation. Disorders of memory including Alzheimer’s and amnesia are examined along with exceptional memory skills, such as the phenomenon of individuals with highly superior autobiographical memory. The book also addresses the intriguing and controversial topics of repressed and recovered memories, the validity of memory in courtroom testimony, and the effects of remembering traumatic events.