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Pathophysiology of Brain-Body Interactions in Aneurysmal Subarachnoid Hemorrhage (Paperback)
Loot Price: R2,290
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Pathophysiology of Brain-Body Interactions in Aneurysmal Subarachnoid Hemorrhage (Paperback)
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This monograph is an up-to-date, in-depth and more advanced
continuation of its accompanying monograph entitled Brain-Body
Interactions: Contemporary Outcome Prediction in Aneurysmal
Subarachnoid Hemorrhage using Bayesian Neural Networks and Fuzzy
Logic. The current monograph is divided into five sections. The
first section synthesises the most current evidence of underlying
pathophysiologic mechanisms of brain-body associations in
aneurysmal subarachnoid hemorrhage. It also describes
pathophysiologic manifestations of central autonomic nervous system
dysfunctions in ischemic stroke, intracerebral hemorrhage and
aneurysmal subarachnoid hemorrhage. The second section synthesises
and critically appraises the methodologic quality of existing
studies (including prospective and retrospective cohort studies and
randomised controlled trials) that derive clinical predictor tools
and clinical predictors used to determine outcome prognosis in
patients with aneurysmal subarachnoid hemorrhage. The third section
makes use of two aneurysmal subarachnoid hemorrhage databases
incorporating advances in the treatment of aneurysmal subarachnoid
hemorrhage. Both single prognostic factors and brain-body
interactions are explored to make several novel observations which
significantly influence clinical outcome in patients with ruptured
cerebral aneurysms. In its fourth section, clinical prognostic
decision-making tools are created using classification and
regression tree analysis. Prognostic subgroups demonstrate the
interplay of various underlying pathophysiologic mechanisms which,
together, adversely influence long-term neurologic and functional
outcomes in those with aneurysmal subarachnoid hemorrhage. Finally,
in Section Five, exploratory analyses are conducted using
artificial neural networks to further explore the brain-body
interface in aneurysmal subarachnoid hemorrhage, with in-depth
discussions of the autonomic nervous system and its dysfunction in
pathologic states. Using these clinical prognostic models, the
clinician can tailor individual-specific treatment efforts to
prevent and treat various alterations in the brain-body interface
in order to maximise the chances of survival and recovery after
aneurysmal subarachnoid haemorrhage.
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