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The intracarotid amobarbital (or Amytal) procedure is commonly
referred to as the Wada test in tribute to Juhn Wada, the physician
who devised the technique and performed the fIrst basic animal
research and clinical studies with this method. Wada testing has
become an integral part of the pre operative evaluation for
epilepsy surgery. Interestingly, however, Wada initially developed
this method as a technique to assess language dominance in
psychiatric patients in order that electroconvulsant therapy could
be applied unilaterally to the non-dominant hemisphere. Epilepsy
surgery has matured as a viable treatment for intractable seizures
and is no longer confmed to a few major universities and medical
institutes. Yet, as is increasingly clear by examining the surveys
of approaches used by epilepsy surgery centers (e.g., Rausch, 1987;
Snyder, Novelly, & Harris, 1990), there is not only great
heterogeneity in the methods used during Wada testing to assess
language and memory functions, but there also seems to be a lack of
consensus regarding the theoretical assumptions, and perhaps, even
the goals of this procedure.
All Shall Go to Wrack First Book of The Laughing Lip Humanity
barely holds back the spidery zhizhu, voracious competitors for
rare Earth-like worlds. Imperial Fleet ships have disappeared from
the Reserve Anchorage near Proxima Centauri. Piracy is increasing
along Yi Tan's Reach. Human "Manifest Destiny" fanatics are
preparing biological genocide of Tau Ceti IV's non-human bipeds
while sympathizers in Fleet itself prepare for open rebellion. With
these crises converging, Cuchulain "Murphy" O'Meath of the
Emperor's Jin Jun has been set loose to disobey orders, forge
Imperial Writs, and just possibly find a way to get matters under
better control. Along the way, he illegally detains Lt. Urwah
Grunon, Fleet Marine, and Lt. Commander B. P. Avinashini, Fleet's
most skilled Gandiva pilot. O'Meath takes them to Tau Ceti IV to
find Fahnisht, O'Meath's non-human friend and Clanlord. The puzzle
begins to come together as the zhizhu lurk and genocide begins...
Look for "Demand the Debt That's Owing," the second book of The
Laughing Lip in mid-spring.
Her grandparents were heroes to three intelligent species. Her
parents are celebrated scholars. Bangaluru Agnivesh Kirthi is
teetering on the edge. Seventy-three years ago Cuchulain "Murphy"
O'Meath of the Emperor's Jin Jun and Fleet fighter pilot B. P.
Avinashini, Fleet helped prevent the genocide of the zhizhu, and
began the long process of rebuilding the genocide-decimated Horns
of Tau Ceti. Fifty-three years ago, they located the last vestiges
of the Manifest Destiny movement and ended its two decades of
multi-species terrorism. B. A. Kirthi, their granddaughter, tries
to eke out a living in the obsolete, salvaged Rani Lakshmi Bai. Her
dishonorable discharge from Fleet and the death she caused haunt
her. Fleet Admiral Idanha keeps her from finding a future. Her
grandmother, rigid and distant, is no help, and a friend of the
zhizhu to boot. The unraveling threads lead Kirthi to the unstable
flare star Zhu Rong, where she must reconcile past, present and
future.
Demand the Debt That's Owing The religiously pro-human Manifest
Destiny Movement's genocide of the Tau Ceti's intelligent species
has all but succeeded. Now Manifest Destiny seeks to launch its
biological weapons against the spidery zhizhu, voracious and
uncommunicative competitors for the rare Earth-like worlds in local
space. The Humanitas Church, a prime gateway to Manifest Destiny,
has converted an unknown number of Imperial Fleet crews. Vessels
stolen from Fleet's reserve anchorage are already crewed by
deserters, retirees, and others. Cuchulain "Murphy" O'Meath of the
Emperor's Jin Jun has limited time to interfere with Manifest
Destiny. Fahnisht, his non-human friend and Clanlord, intends to
collect the blood debt owed for his species' near-destruction. They
will do what they must to interfere with genocide, even of the
zhizhu. Fleet fighter pilot B. P. Avinashini and marine Urwah
Grunon, Fleet Marine, have both seen the ugly death the zhizhu
bring to human "cattle." Impressed by O'Meath as crew of Granuaile,
they can help - or they can give Manifest Destiny its chance to end
the zhizhu's own threat to consume humanity.
This book provides essential information about the variety of
seizure disorders to serve as a basic epilepsy reference guide for
students and practicing clinical neuropsychologists. In addition to
epilepsy neuropsychological assessment issues, the book provides an
overview of the known cognitive effects of seizures as well as the
adaptive, emotional, and psychiatric consequences of epilepsy
including a chapter on psychogenic nonepileptic seizures.
Diagnostic tests, such as EEG and structural neuroimaging, are
described and the leading treatment options are detailed with a
chapter on pharmacologic therapies which reviews the known
cognitive and behaivoral side effects of specific antiepileptic
drugs. Many of the more rare epilepsy disorders have been included
in the appendices for quick and easy reference. The book also
details the role of neuropsychology within the epilepsy surgery
process including pre/post surgery cognitive evaluations, cortical
stimulation mapping, functional neuroimaging, and intracarotid
amobarbital (Wada) procedures and reviews the major surgical
treatment options used in the intractable epilepsies. Case examples
are dispersed throughout the text with neuropsychological results
as heuristic aids. The book ends with a glossary of epilepsy terms
that may be used as a dictionary for the more experienced clinician
or as a tool to assist students and residents in learning.
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