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Books > Medicine > Clinical & internal medicine > Neurology & clinical neurophysiology
Ilana and Martin Gerschlowitz are an ordinary middle-class South African family – young, newly married with bright, promising futures. Ilana falls pregnant and gives birth to David, a happy, healthy baby boy. At 10 months old, David suffers recurring ear infections, and at 11 months old a terrible fever sends him to hospital. David’s behaviour abruptly changes – he no longer looks at his parents, his motor and budding language skills disappear, and the light in his eyes dims. It is the beginning of a journey with autism that few parents would ever want to encounter, and yet a staggering number of children are now diagnosed with autism, and the number of diagnoses rises every year. Ilana and Martin work tirelessly to understand David’s autism diagnosis, and to search for ways to treat their son. The couple arrange an international autism conference, open a treatment centre for autistic children, and begin outreach programs for underprivileged families dealing with autism. Ilana falls pregnant again and their third son, Aaron, develops normally. And then the unthinkable happens – at 16 months Aaron develops ear infections and they decide to insert grommets. Immediately after the procedure, they realise that Aaron is not behaving in his usual manner. Within days, it becomes clear that Aaron, too, has developed autism, and their journey begins afresh. Armed with the knowledge gained from years of treating David, the couple set about ensuring that Aaron’s condition is treated swiftly and carefully.
This outstanding text gives students a solid grounding in clinical and experimental neuropsychology. The author is a leading authority whose engaging writing style and thorough yet concise coverage of brain localization, anatomy, and their links to cognitive function make the book ideal for undergraduate or graduate use. It is illustrated with more than 60 figures, including six color plates.New to This Edition: *Incorporates more than two decades of major advances in the field--including developments in basic science, assessment, rehabilitation, and clinical research.*Coverage of neuroimaging.*Chapter on degenerative diseases and profound brain injury.
Whereas most books about neurologic examinations are disease and anatomy oriented, The Neurologic Examination: Scientific Basis for Clinical Diagnosis focuses on a pathophysiological approach to the nervous system. The authors emphasize that the scientific interpretation of symptoms obtained from carefully taking the patient's history and noting signs found during physical examination are essential in the diagnosis of neurologic diseases, even if laboratory testing, such as electrophysiology and neuroimaging, are being more widely used. This book aims to provide a bridge from the basic sciences such as anatomy, physiology, pharmacology, and molecular biology to the neurologic symptoms. Neurologic examinations provide the foundation for the diagnosis, and only after a thorough and expertly executed examination can one begin to incorporate laboratory testing and treatment. The Neurologic Examination: Scientific Basis for Clinical Diagnosis, based on the widely successful Japanese book Diagnosis of Neurological Diseases (Igakushoin, Japan, second edition 2013) by Dr. Shibasaki, hopes to revitalize the use of neurologic examinations before jumping straight into laboratory testing. Doing so can help cut down on time, patient and physician anxiety, and unnecessary testing expenses. This book is a must-read for all practicing neurologists, residents, and medical students. Key Features Include * The chapters are arranged in order of the actual steps in a neurologic examination; * Highly illustrated with figures and tables indicative of the neurologic signs and symptoms that may appear during the given step; and * 99 discussion boxes are inserted throughout to provide a more in-depth look at particular topics without interrupting the reading flow of the text.
This book focuses on two fundamental aspects of brain-language relations: one concerns the neural organization of language in the healthy brain; the other challenges current approaches to treatment of aphasia and offers a new theory for recovery from aphasia. The essence of the book lies in the phrase neural multifunctionality: the constant and dynamic incorporation of non-linguistic functions into language models of the intact brain. The book makes the claim that language is a construction, created as we use it, and cannot be understood as being supported by neurally based linguistic networks only. Rather, language emerges from the constant and dynamic interaction among neural networks subserving cognitive, affective, and praxic functions with neural networks subserving lexical retrieval (naming), sentence processing (comprehension), and discourse (communication, conversation). In persons with stroke-induced aphasia, neural networks for executive system function, attention, memory, motor system function, visual system function, and emotion interact with neural networks for language to produce the aphasia profile and to influence recovery from aphasia. Consequently, neural multifunctionality in aphasia explains individual differences in the lesion-deficit model and continued recovery over time, redefining the concept of recovery from aphasia and offering new opportunities for treatment.
No other neurological condition allows the same opportunities for an intracranial electrophysiological study of the human brain as epilepsy does. Epileptic surgery is designed to remove the epileptic focus from the human brain, thereby effecting either cure or substantial reduction of seizures in an individual with an otherwise intractable condition. Its use as a treatment modality dates from the late 19th century, and it has become a widely used treatment option throughout the world in the last 20-30 years. The complexity of epilepsy cases in surgical centres, and the need for invasive electrode studies for pre-surgical evaluation, are both greatly increasing. Invasive Studies of the Human Epileptic Brain is the definitive reference text on the use of invasive electroencephalographic (EEG) diagnostic studies in human epilepsy. Written by some of the most renowned epilepsy experts of the 20th and 21st centuries, the authors provide their expertise and insights into the identification and mapping of intracranial epileptiform and non-epileptiform activity, mapping of the human brain function, and approaches in the use of invasive electroencephalography in a variety of clinical situations. The book is organized into an easily readable series of chapters and is brilliantly illustrated with case studies; each providing an intuitively comprehensive approach to invasive brain studies.
Headache: Through the Centuries illuminates the history of headaches with a particular interest in how the disorder has been understood and treated since the earliest recorded accounts, dating from around 4000 BC. Different types of headache were being recognized as early as the 2nd century AD. Over the years, though, the classification of types of headache has changed so that headache patterns described in the past are often difficult to relate to present-day types of headache. Since that time, a great deal of material on the topic has become available, the full gamut of manifestations of the disorder has been described, and considerable insight into its mechanisms has been obtained, though no completely satisfactory explanation of the disorder has yet become available. Providing an extensive history and the development of our understanding of headache over the course of six millennia, Headache: Through the Centuries is thought-provoking and relevant reading for neurologists, medical historians, and anyone interested in headaches.
Atlas of EEG, Seizure Semiology, & Management, Second Edition,
is a richly-illustrated guide to the performance and interpretation
of EEG and management of epilepsy. Revised and updated in its
Second Edition, this new text features hundreds of detailed EEGs,
and covers the science in extensive scope and detail, beginning
with basic electronics and physiology and then moving through EEG
interpretation, epilepsy diagnosis, and ultimately epilepsy
management. The new edition also includes all basic classifications
and definitions of seizures and epilepsy, making it the perfect
clinical companion.
Hoarding involves the acquisition of and inability to discard large numbers of possessions that clutter the living area of the person collecting them. It becomes a disorder when the behavior causes significant distress or interferes with functioning. Hoarding can interfere with activities of daily living (such as being able to sit in chairs or sleep in a bed), work efficiency, family relationships, as well as health and safety. Hoarding behavior can range from mild to life-threatening. Epidemiological findings suggest that hoarding occurs in 2-6% of the adult population, making it two to three times more common than obsessive-compulsive disorder. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) now includes Hoarding Disorder as a distinct disorder within the OCD and Related Anxiety Disorders section, creating a demand for information about it. The Oxford Handbook of Hoarding and Acquiring is the first volume to detail the empirical research on hoarding. Including contributions from all of the leading researchers in the field, this comprehensive volume is divided into four sections in addition to introductory and concluding chapters by the editors: Phenomenology, Epidemiology, and Diagnosis; Etiology; Assessment and Intervention; and Hoarding in Special Populations. The summaries of research and clinical interventions contained here clarify the emotional and behavioral features, diagnostic challenges, and nature of the treatment interventions for this new disorder. This handbook will be a critical resource for both practitioners and researchers, including psychiatrists, psychologists, neurologists, epidemiologists, social workers, occupational therapists, and other health and mental health professionals who encounter clients with hoarding problems in their practice and research.
In the last fifteen years, there has been significant interest in studying the brain structures involved in moral judgments using novel techniques from neuroscience such as functional magnetic resonance imaging (fMRI). Many people, including a number of philosophers, believe that results from neuroscience have the potential to settle seemingly intractable debates concerning the nature, practice, and reliability of moral judgments. This has led to a flurry of scientific and philosophical activities, resulting in the rapid growth of the new field of moral neuroscience. There is now a vast array of ongoing scientific research devoted towards understanding the neural correlates of moral judgments, accompanied by a large philosophical literature aimed at interpreting and examining the methodology and the results of this research. This is the first volume to take stock of fifteen years of research of this fast-growing field of moral neuroscience and to recommend future directions for research. It features the most up-to-date research in this area, and it presents a wide variety of perspectives on this topic.
The Atlas of X-Linked Intellectual Disability Syndromes is a comprehensive and up-to-date summary of the clinically distinctive disorders caused by genes on the X chromosome. Clinical and laboratory data on 150 syndromes are presented in a concise and consistent manner. Each syndrome is defined and information is provided on somatic features, growth and development, neurological signs, cognitive performance, imaging and other laboratory findings, and when possible, the nature and localization of the responsible gene. Craniofacial and other somatic findings are extensively illustrated. A differential matrix accompanies each syndrome description to assist the reader in identifying other X-linked syndromes with overlapping features. Individual syndrome entries are supplemented with nineteen appendices that identify syndromes with common features and provide the location or mapping limits and function of the responsible genes. The authors have extensive experience in the clinical and laboratory delineation of X-linked intellectual disability. They have described new syndromes, regionally mapped disease loci on the X chromosome, and identified the genes responsible for X-linked syndromes.
Peter J. Jannetta, the neurosurgeon/neuroscientist who has
contributed so much to the evaluation and treatment of trigeminal
neuralgia and other cranial nerve disorders brings together the
most distinguished contributors in Trigeminal Neuralgia.
Here is the Fourth Edition of the classic text Electrodiagnosis in Diseases of Nerve and Muscle. With each subsequent edition, Dr. Kimura has built upon his extensive experience teaching electromyography (EMG) around the world and has transferred his knowledge to the book. It is intended for clinicians who perform electrodiagnostic procedures as an extension of their clinical examination, and will be of value to neurologists and physiatrists who are interested in neuromuscular disorders and noninvasive electrodiagnostic methods, particularly those practicing electromyography (EMG). The book provides a comprehensive review of most peripheral nerve and muscle diseases, including specific techniques and locations for performing each test. While the book has been thoroughly updated to reflect the growth that has been made in the field since 2001, a DVD has also been added to the book, allowing the readers to watch and listen to various types of normal and abnormal EMG activities. The book is designed for those interested in a broad review of electrodiagnostic medicine, especially to those dealing with patients with neuromuscular disorders, who may benefit from a referral for electromyography and nerve conduction studies as part of the clinical practice. It will appeal to those wanting a current update on the subject and those interested in state of the art information and observation of electrophysiologic techniques.
Migraine treatment improved considerably with the advent of the
'triptans' in the 1990s. While the drugs used previously for
headache treatment had efficacy, some compounds had bothersome side
effects and their overuse could lead to severe complications. In
the early days of the triptans, it was widely presumed that
migraine was no longer a treatment problem. However, it has
gradually been recognized that a significant proportion of patients
are not responsive to triptans or do not tolerate them. It is now
clear that, even with effective treatment, patients with frequent
migraine attacks are not treated well exclusively with acute
medications. This is partly because patients are still bothered by
the attacks and partly because frequent intake of acute medication
may result in medication-overuse headache. These problems have led
to a renewed interest in preventive migraine drugs.
The incidence of stroke in younger adults is rising, with approximately 5% of all ischaemic strokes occurring in individuals younger than 45 years and 10% occurring in those under 50. Causes and risk factor profiles among young ischaemic stroke patients differ significantly from those in elderly patients, and young patients frequently have genetic or other rare causes which require different diagnostic work-up and treatment strategies from older stroke patients. While the aetiology, diagnosis, and treatment of stroke are commonly covered elsewhere, there is little literature referring specifically to the treatment needs for younger stroke patients. Ischaemic Stroke in the Young brings together the latest research from leading stroke teams, and takes a detailed diagnostic approach to explore the issues particular to younger stroke victims. This problem-based approach complements existing stroke volumes, providing physicians and stroke service staff with the specific diagnostic and treatment information they need when dealing with younger stroke patients.
For modern scientists, history often starts with last week's
journals and is regarded as largely a quaint interest compared with
the advances of today. However, this book makes the case that,
measured by major advances, the greatest decade in the history of
brain studies was mid-twentieth century, especially the 1950s. The
first to focus on worldwide contributions in this period, the book
ranges through dozens of astonishing discoveries at all levels of
the brain, from DNA (Watson and Crick), through growth factors
(Hamburger and Levi-Montalcini), excitability (Hodgkin and Huxley),
synapses (Katz and Eccles), dopamine and Parkinson's (Carlsson),
visual processing (Hartline and Kuffler), the cortical column
(Mountcastle), reticular activating system (Morruzzi and Magoun)
and REM sleep (Aserinsky), to stress (Selye), learning (Hebb) and
memory (HM and Milner). The clinical fields are also covered, from
Cushing and Penfield, psychosurgery and brain energy metabolism
(Kety), to most of the major psychoactive drugs in use today
(beginning with Delay and Deniker), and much more.
A quest is never what you expect it to be. Elizabeth Madeline Martin spends her days in a retirement home in Cape Town, watching the pigeons and squirrels on the branch of a tree outside her window. Bedridden, her memory fading, she can recall her early childhood spent in a small wood-and-iron house in Blackridge on the outskirts of Pietermaritzburg. Though she remembers the place in detail – dogs, a mango tree, a stream – she has no idea of where exactly it is. ‘My memory is full of blotches,’ she tells her daughter Julia, ‘like ink left about and knocked over.’ Julia resolves to find the Blackridge house: with her mother lonely and confused, would this, perhaps, bring some measure of closure? A journey begins that traverses family history, forgotten documents, old photographs, and the maps that stake out a country’s troubled past – maps whose boundaries nature remains determined to resist. Kind strangers, willing to assist in the search, lead to unexpected discoveries of ancestors and wars and lullabies. Folded into this quest are the tender conversations between a daughter and a mother who does not have long to live. Taken as one, The Blackridge House is a meditation on belonging, of the stories we tell of home and family, of the precarious footprint of life.
Tourette syndrome (TS) is finally recognized as a common neurodevelopmental disorder, and has gained increasingly high social awareness and scientific interest worldwide. Knowledge of its clinical presentation, mechanisms of disease, and available treatment approaches has increased remarkably over the last decade. Likewise, the way clinicians, teachers, social care workers and families face the problems manifested by patients with TS is rapidly evolving. Tourette Syndrome, edited by Davide Martino and James F. Leckman, offers a unique opportunity to capture this interesting momentum through a comprehensive and up-to-date overview. Tourette Syndrome covers all of the main aspects related to TS, analyzing the complexity of its clinical presentation, the novel viewpoints of causes and mechanisms, the best way to assess TS patients, and the multifaceted and multidisciplinary treatment options. The multidisciplinary and up-to-date content is the main asset of this volume, which represents a useful source of consultation for a wide audience of professionals, all of whom will have access to what is known so far on TS within their particular area of expertise, at the same time being able to expand and update their knowledge in other areas. Medical and PhD students, as well as post-doctoral scientists, will be able to use the volume as a valuable learning source. Also, questions for future research are clearly presented in the volume, providing a summary of the viewpoint of the contributing authors upon where research on TS should be heading. Finally, clinicians and other health professionals will have access at a glance to the main patients' associations and organizations dedicated to TS worldwide, which can facilitate the direct contact with patients.
Life changes dramatically for the entire family when the decision is made to move a person who has dementia from home to community care. Rachael Wonderlin, a gerontologist, dementia care expert, and popular dementia care blogger, helps caregivers cope with the difficult behaviors, emotions, and anxieties that both they and their loved one may experience. Writing from her own practice and drawing on the latest research in gerontology and dementia, Wonderlin explains the different kinds of dementia, details the wide range of care communities available for people who have dementia, and speaks empathetically to the worry and guilt many families feel. "Do not let anyone make you feel like you have taken the 'easy way out' by choosing a dementia care community," she writes. "You are still going to deal with a lot of challenging behaviors, concerns, and questions regarding your loved one's care." When Someone You Know Is Living in a Dementia Care Community is an accessible guide offering answers to such questions as: * How do I choose a place for my loved one to live?* What can I find out by visiting a candidate memory-care community twice?* What do I do if my loved one asks about going home?* How can I improve the quality of my visits?* What is the best way to handle conflict between residents, or between the resident and staff?* How can I cope with my loved one's sundowning?* What do I do if my loved one starts a romantic relationship with another resident? An indispensable book for family members and friends of people with dementia, When Someone You Know is Living in a Dementia Care Community touches the heart while explaining how to make a difficult situation better.
This wide-ranging book takes a person-centred approach to supporting the person and their families/carers to live with dementia and challenge the stigma attached to the condition. Divided into four parts, it starts with the voices of people with dementia themselves, as they describe their own experience and how they are living with the disease. It moves on to look at how the range of caring and support professions can help people living with dementia and their families plan and prepare for and cope better with their deteriorating condition. It then turns to practical aspects of living with dementia - dementia in the workplace, communication, safety and the role of technology and design in prolonging independence - and day-to-day considerations, such as managing insomnia and eating well. It ends with an inspiring section on the many imaginative ways people with dementia can be helped to discover and continue to enjoy cultural and creative activities that celebrate their lives and promote their abilities.
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