Identification of Neuropsychological Deficit: Levels of Assessment

1994 ◽  
Vol 79 (3) ◽  
pp. 1251-1255
Author(s):  
Arthur MacNeill Horton

A problem frequently confronting the clinical neuropsychologist is that of adjusting assessment methods to the clinical question asked and available resources of time and technical expertise. Suggestions are made for selecting clinical instruments for neuropsychological assessment at three levels, namely, screening, classification, and selection of treatment. Brief neuropsychological test batteries are proposed for each level.

1995 ◽  
Vol 81 (1) ◽  
pp. 217-218 ◽  
Author(s):  
A. M. Horton

The Alternative Impairment Index, a measure composed of scores derived from the Halstead-Reitan Neuropsychological Test Battery, was proposed as a new measure of neuropsychological impairment in adults. This pilot study investigated the feasibility of a Children's Version of the Alternative Impairment Index. Test records for 16 normal and brain-damaged children, between the ages of 9 and 14 years, who had been administered the complete Halstead-Reitan Neuropsychological Test Battery for Older Children, were obtained and the Children's Version of the Alternative Impairment Index and the Children's Total Neuropsychological Deficit Score were compared for agreement on severity. Agreement, i.e., 56% or 9/16 correct agreement, was weak.


2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Jennifer A. Foley ◽  
Tom Foltynie ◽  
Patricia Limousin ◽  
Lisa Cipolotti

DBS is an increasingly offered advanced treatment for Parkinson’s disease (PD). Neuropsychological assessment is considered to be an important part of the screening for selection of candidates for this treatment. However, no standardised screening procedure currently exists. In this study, we examined the use of our standardised neuropsychological assessment for the evaluation of surgical candidates and to identify risk factors for subsequent decline in cognition and mood. A total of 40 patients were assessed before and after DBS. Evaluation of mood and case notes review was also undertaken. Before DBS, patients with PD demonstrated frequent impairments in intellectual functioning, memory, attention, and executive function, as well as high rates of mood disorder. Post-DBS, there was a general decline in verbal fluency only, and in one patient, we documented an immediate and irreversible global cognitive decline, which was associated with older age and more encompassing cognitive deficits at baseline. Case note review revealed that a high proportion of patients developed mood disorder, which was associated with higher levels of depression at baseline and greater reduction in levodopa medication. We conclude that our neuropsychological assessment is suitable for the screening of candidates and can identify baseline risk factors, which requires careful consideration before and after surgery.


2017 ◽  
Vol 23 (4) ◽  
pp. 510-523 ◽  
Author(s):  
Wladyslaw GARDZIEJCZYK ◽  
Piotr ZABICKI

The choice of the most beneficial road alignment variant is a multicriteria issue, based on transport, economic, social and environmental criteria. The criteria chosen for a multicriteria analysis can be expressed through measurable or immeasurable parameters. In order to compare and assess the variants it is necessary to normalize the criteria, which means a rescaling of their value, so that the criteria values fall into a specific range. The main aim of normalization is to assign an identical weight to each criterion in relation to other criteria. This article presents a review of the influence of criteria normalization methods and the variant assessment methods on the choice of the most beneficial road alignment variant on the example of the bypass of the town of Księżyno, which is a stretch of Regional Road 678 near Bialystok. Four variants of road alignment were compared and their ranking was created using six assessment methods. It was proven that the choices of the criteria normalization method as well as the variant assessment method both have signifi­cant influence on the result of the multicriteria analysis in the decision-making process of selecting the road alignment.


2014 ◽  
pp. 20-28
Author(s):  
Bidita Bhattacharya

Man’s interest in the relationship between the brain and behaviour extends back at least 2500 years. The study of brain behaviour relationship evolved with the development of a science of human behaviour based on the function of human brain, known as neuropsychology. Clinical neuropsychology in the 20th century showed a steady accumulation of clinical reports and research investigations that have gradually refined the theoretical positions. However, assessment relies heavily on the use of specific tests to investigate brain-behaviour relationships. There has been several specific standerdized tests as well as test batteries developed across the globe. Current article has focused on different neuropsychological test batteries to evaluate individuals suspected of having brain dysfunction or damage.


2017 ◽  
Author(s):  
Andries J. van der Walt ◽  
Marc W. Van Goethem ◽  
Jean-Baptiste Ramond ◽  
Thulani P. Makhalanyane ◽  
Oleg Reva ◽  
...  

AbstractBackgroundMetagenomics allows unprecedented access to uncultured environmental microorganisms. The analysis of metagenomic sequences facilitates gene prediction and annotation, and enables the assembly of draft genomes, including uncultured members of a community. However, while several platforms have been developed for this critical step, there is currently no clear framework for the assembly of metagenomic sequence data.ResultsTo assist with selection of an appropriate metagenome assembler we evaluated the capabilities of nine prominent assembly tools on nine publicly-available environmental metagenomes, as well as three simulated datasets. Overall, we found that SPAdes provided the largest contigs and highest N50 values across 6 of the 9 environmental datasets, followed by MEGAHIT and metaSPAdes. MEGAHIT emerged as a computationally inexpensive alternative to SPAdes, assembling the most complex dataset using less than 500 GB of RAM and within 10 hours.ConclusionsWe found that assembler choice ultimately depends on the scientific question, the available resources and the bioinformatic competence of the researcher. We provide a concise workflow for the selection of the best assembly tool.


2020 ◽  
Vol 7 (12) ◽  
pp. 3971
Author(s):  
Syed Javid F. Qadri ◽  
Mufti Mahmood Ahmed ◽  
Zafar Saleem Khanday ◽  
Asim Leharwaal

Background: Percutaneous nephrolithotomy (PCNL) is an important surgical method for managing renal stones of any size. Anomalous kidneys pose additional technical challenge to the operating surgeon to perform PCNL in these anatomically abnormal kidneys especially if the stone load is large. The aim of this study is to present the efficacy and limitations of PCNL in managing stones >2 cm in size in anomalous kidneys.Methods: This was a retrospective single centre study of PCNL in anomalous kidneys with stones >2 cm in size.Results: 30 patients of kidney stones >2 cm underwent PCNL. Our series of patients included 19 (63.32%) cases of horseshoe kidneys, 9 (30%) malrotated kidneys, 1 (3.34%) pelvic and 1 (3.34%) crossed fused ectopia. We achieved complete stone clearance in 26 (86.67%) patients. Presence of staghorn calculus was the most important statistically significant factor limiting complete clearance.Conclusion: PCNL is an effective procedure for management of patients with large stones in anomalous kidneys. Appropriate preoperative evaluation especially imaging, appropriate selection of cases and most importantly excellent technical expertise is needed to achieve high stone clearance rates with minimal morbidity.


1989 ◽  
Vol 69 (3-1) ◽  
pp. 899-902 ◽  
Author(s):  
R. Walter Heinrichs

A summary index of neuropsychological impairment (mean Luria-Nebraska T score), along with age, education, and presence/absence of confirmed brain disease, was used to predict employment status (working/not working). Subjects were 50 patients referred for neuropsychological assessment of confirmed or suspected brain damage. The Luria-Nebraska index contributed about 8% of explained variance independently of the other predictors. The joint validity was about 29% of criterion variance. This is related to issues in the use of neuropsychological data to predict functional variables.


2005 ◽  
Vol 13 (4) ◽  
pp. 299-316 ◽  
Author(s):  
Sergio Andreozzi ◽  
Danilo Montesi ◽  
Rocco Moretti

Grid systems enable the sharing of a large number of geographically-dispersed resources among different communities of users. They require a mapping functionality for the association of users requests expressed in terms of requirements and preferences to actual resources. This functionality should deal with a potentially high number of similar resources and with the diversity of the perceived satisfactions of users. We propose XMatch, a query language enabling the expression of the user request in terms of the expected satisfaction over XML-based representation of available resources. This language offers a compact way for users to express their preferences for Grid resources and enable the maximization of the global preference.


2019 ◽  
pp. 146-176
Author(s):  
Karen Postal

Jurors may have no idea how our assessment tools and procedures work. Professionals are so used to speaking and thinking with the basic assumptions of our professions that those assumptions become invisible to us. Standardized testing and normative interpretation are a great example of this concept. After years of graduate school and clinical practice, when a neuropsychologist uses the word testing we have a very precise image in our thought bubbles of a battery of valid and reliably constructed instruments, normed on appropriate populations, administered in a standardized fashion, and interpreted in the context of the larger assessment. But very few jurors will have been exposed to the concept of normative interpretation. To ensure that jurors and triers of fact have access to our broader message regarding assessment results, we need to begin our testimony with a clear, accessible, and engaging description of our assessment tools and process. This chapter addresses strategies for explaining psychological and neuropsychological assessment procedures, as well as specific tests like the MMPI, in a clear, accessible manner.


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