scholarly journals A Girl from Qatar with Post-Infantile Acquired Cerebral Palsy Caused By Submersion Injury: A Rare Etiology and a Therapeutic-Challenge.

2022 ◽  
Vol 10 (2) ◽  
pp. 01-04
Author(s):  
Aamir Jalal Al-Mosawi
Keyword(s):  
Cerebral Palsy ◽  
Evidence Based ◽  
Posterior Cortex ◽  
Her Family ◽  
Cortical Injury ◽  
Spontaneous Movements ◽  
Anoxic Encephalopathy ◽  
The Family ◽  
Deep Grey Matter ◽  
The Brain

Background: Cerebral palsy is a heterogeneous disorder that can cause a lifelong disability that is associated with a non-progressive damage in the brain. It is commonly caused by antenatal, perinatal, early postnatal and neonatal conditions. However, post-neonatal cases of acquired cerebral palsy have also been reported, and were commonly caused by infection. Patients and Methods: The family of a girl from Qatar, who developed severe cerebral palsy caused by submersion injury, consulted us about the possible therapies for her condition. Clinical picture and brain imaging abnormalities are described, and the relevant literatures were reviewed with the aim of suggesting possible evidence-based therapies. Results: At the age of 23 months, a previously healthy girl developed anoxic encephalopathy after experiencing submersion injury. MRI showed evidence of significant hypoxic ischemic injury primarily affecting the deep grey matter, hippocami, mid-brain and the posterior cortex. EEG showed diffuse slowness of cerebral activity and diffuse attenuation of the background without no epileptic abnormalities suggesting diffuse encephalopathy resulting from diffuse cortical injury. At the about age of three and half years, her family consulted us about her condition as she was still showing no awareness to the environment, showing no significant spontaneous movements. She had poor head control. Unable to sit or stand alone, and had a flexed posture. She was on levetiracetam (Keppra), diazepam, and baclofen 30 mg daily. She was still having tracheotomy, and was fed through gastrostomy tube. Conclusion: In this paper, the rare occurrence of severe post-infantile cerebral palsy is described. Emphasis is made on the possibility of using evidence-based multi-factorial therapies in cerebral palsy.

A Girl from Qatar with Post-Infantile Acquired Cerebral Palsy Caused By Submersion Injury: A Rare Etiology and a Therapeutic Challenge

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Aamir Jalal Al-Mosawi
Keyword(s):  
Cerebral Palsy ◽  
Evidence Based ◽  
Posterior Cortex ◽  
Her Family ◽  
Cortical Injury ◽  
Spontaneous Movements ◽  
Anoxic Encephalopathy ◽  
The Family ◽  
Deep Grey Matter ◽  
The Brain

Background: Cerebral palsy is a heterogeneous disorder that can cause a lifelong disability that is associated with a non-progressive damage in the brain. It is commonly caused by antenatal, perinatal, early postnatal and neonatal conditions. However, post-neonatal cases of acquired cerebral palsy have also been reported, and were commonly caused by infection. Patients and methods: The family of a girl from Qatar, who developed severe cerebral palsy caused by submersion injury, consulted us about the possible therapies for her condition. Clinical picture and brain imaging abnormalities are described, and the relevant literatures were reviewed with the aim of suggesting possible evidence-based therapies. Results: At the age of 23 months, a previously healthy girl developed anoxic encephalopathy after experiencing submersion injury. MRI showed evidence of significant hypoxic ischemic injury primarily affecting the deep grey matter, hippocami, mid-brain and the posterior cortex. EEG showed diffuse slowness of cerebral activity and diffuse attenuation of the background without no epileptic abnormalities suggesting diffuse encephalopathy resulting from diffuse cortical injury. At the about age of three and half years, her family consulted us about her condition as she was still showing no awareness to the environment, showing no significant spontaneous movements. She had poor head control. Unable to sit or stand alone, and had a flexed posture. She was on levetiracetam (Keppra), diazepam, and baclofen 30 mg daily. She was still having tracheotomy, and was fed through gastrostomy tube. Conclusion: In this paper, the rare occurrence of severe post-infantile cerebral palsy is described. Emphasis is made on the possibility of using evidence-based multi-factorial therapies in cerebral palsy.

THE ATHETOID SYNDROME IN CEREBRAL PALSY

PEDIATRICS ◽  
1954 ◽  
Vol 14 (2) ◽  
pp. 130-132
Author(s):  
STANLEY S. LAMM ◽  
LEO J. KOVEN
Keyword(s):  
Cerebral Palsy ◽  
Family Background ◽  
Infancy And Childhood ◽  
The Family ◽  
Secondary Factor ◽  
Rh Incompatibility ◽  
The Brain

Athetosis in infancy and childhood is primarily the result of anoxia associated with the birth of the infant. A secondary factor is icterus and Rh incompatibility, especially in the deaf athetoid. The family background, and period of pregnancy appear to play no role in the etiology of athetosis. The order of pregnancy is highly significant, the risk of pathology being enhanced with the first delivery. The finding that anoxia plays the paramount role, is consistent with proven pathological studies which have revealed changes in the brain associated with anoxia. The incidence of athetosis may be lessened if the primary factors which lead to anoxia, Rh incompatibility and icterus, are avoided or controlled.

Living With Intellectual Disability

2022 ◽  
pp. 30-49
Author(s):  
Mansi Jadeja ◽  
Jamila Firdaus
Keyword(s):  
Intellectual Disability ◽  
Critical Value ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Previous Evidence ◽  
Her Family ◽  
The Family ◽  
Therapy Interventions ◽  
The Masses

The need to understand the quality of life of people with intellectual disability is crucial as this mental disability is considered to be a major setback for any individual and his/her family. Current researches focus on creating an equal platform to understand intellectual disability in order to gain more acceptances from the masses, especially for the families who have a member suffering from intellectual disability. The age of the family member and available care taking measures are also of critical value. Models of therapy/interventions drawn from previous evidence-based practices give a bright picture.

Living With Intellectual Disability

2020 ◽  
pp. 123-142
Author(s):  
Mansi Jadeja ◽  
Jamila Firdaus
Keyword(s):  
Intellectual Disability ◽  
Critical Value ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Previous Evidence ◽  
Her Family ◽  
The Family ◽  
Therapy Interventions ◽  
The Masses

The need to understand the quality of life of people with intellectual disability is crucial as this mental disability is considered to be a major setback for any individual and his/her family. Current researches focus on creating an equal platform to understand intellectual disability in order to gain more acceptances from the masses, especially for the families who have a member suffering from intellectual disability. The age of the family member and available care taking measures are also of critical value. Models of therapy/interventions drawn from previous evidence-based practices give a bright picture.

TEORI KECERDASAN, PENDIDIKAN ANAK, DAN KOMUNIKASI DALAM KELUARGA

1970 ◽  
Vol 6 (1) ◽  
Author(s):  
Muskinul Fuad
Keyword(s):  
Multiple Intelligences ◽  
Educational Activity ◽  
Howard Gardner ◽  
Human Beings ◽  
Brain Functions ◽  
Starting Point ◽  
The Family ◽  
Education Today ◽  
The Brain ◽  
Spatial Logics

The education system in Indonesia emphasize on academic intelligence, whichincludes only two or three aspects, more than on the other aspects of intelligence. For thatreason, many children who are not good at academic intelligence, but have good potentials inother aspects of intelligence, do not develop optimally. They are often considered and labeledas "stupid children" by the existing system. This phenomenon is on the contrary to the theoryof multiple intelligences proposed by Howard Gardner, who argues that intelligence is theability to solve various problems in life and produce products or services that are useful invarious aspects of life.Human intelligence is a combination of various general and specific abilities. Thistheory is different from the concept of IQ (intelligence quotient) that involves only languageskills, mathematical, and spatial logics. According to Gardner, there are nine aspects ofintelligence and its potential indicators to be developed by each child born without a braindefect. What Gardner suggested can be considered as a starting point to a perspective thatevery child has a unique individual intelligence. Parents have to treat and educate theirchildren proportionally and equitably. This treatment will lead to a pattern of education that isfriendly to the brain and to the plurality of children’s potential.More than the above points, the notion that multiple intelligences do not just comefrom the brain needs to be followed. Humans actually have different immaterial (spiritual)aspects that do not refer to brain functions. The belief in spiritual aspects and its potentialsmeans that human beings have various capacities and they differ from physical capacities.This is what needs to be addressed from the perspective of education today. The philosophyand perspective on education of the educators, education stakeholders, and especially parents,are the first major issue to be addressed. With this step, every educational activity andcommunication within the family is expected to develop every aspect of children'sintelligence, especially the spiritual intelligence.

Providing Care of Mild Traumatic Brain Injury by the Family Practice/Primary Care Optometrist

2018 ◽  
pp. 110-119
Keyword(s):  
Primary Care ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Family Practice ◽  
Advanced Training ◽  
Entry Level ◽  
The Family ◽  
Basic Understanding ◽  
The Brain

Primary Objectives: By extending the scope of knowledge of the primary care optometrist, the brain injury population will have expanded access to entry level neurooptometric care by optometric providers who have a basic understanding of their neurovisual problems, be able to provide some treatment and know when to refer to their colleagues who have advanced training in neuro-optometric rehabilitation.

Brain Evidence in Nursing Research: EEG Methodology

2020 ◽  
Vol 10 (1) ◽  
pp. 98-101
Author(s):  
Yueh-O Chuang ◽  
Ren-Jen Hwang
Keyword(s):  
Emotional Health ◽  
Physiological Data ◽  
Evidence Based ◽  
Nursing Research ◽  
Healthy Behaviors ◽  
Alpha Asymmetry ◽  
Role Of Nursing ◽  
Brain Behavior ◽  
Evidence Based Nursing ◽  
The Brain

This aim of the mini-review paper is to introduction the bio-physiologic measures of resting state EEG for nursing scientist. Article specifically addresses the emotional domain as clarified by concepts of brain evidence-based nursing research reviewed that the emotion aspect documented a strong link to frontal brain alpha activities asymmetry.  Extensive nursing research has been performed in emotional, behavioral, and/or psychological matters for healthy and unhealthy populations. Evidence-based nursing can transform the way that data is used to improve health and healthcare. One core role of nursing practice is to promote healthy behaviors. Previous researches have shown out that the brain is the main ambassador of behavioral change. The electroencephalogram (EEG) is an efficient tool to study brain-behavior relations. Evidences show that frontal alpha asymmetry is an important marker suggests that EEG is beneficial for assessment emotional capacities and appraises nursing efficiency. The basic resting alpha frontal asymmetry provides a reliable instrument in conducting nursing researches in order to strengthen the quality of nursing. Furthermore, we provide a viewpoint to show progress in the novel research issue probably for clinical applications. To integrate biological measures in order to gain highly accurate and precise advantages of EEG and beneficial assessment of the emotional capacities are suggested. Nursing promotes healthy behaviors including emotional health. Human behavior changes originate in the brain. EEG enables objective and biological insights into the cognitive process. As a foundation, the neuroscience research requires profound knowledge and tools to analyze bio-physiological data. Creating Cross-disciplinary cooperation must be inevitable alliances to advance nursing research.

scholarly journals Steps towards implementing evidence-based screening in family medicine in Ukraine: SWOT-analysis of an approach of multidimensional empowerment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Pavlo Kolesnyk ◽  
Thomas Frese ◽  
Shlomo Vinker ◽  
Ivanna Shushman ◽  
Albina Zharkova ◽  
...  
Keyword(s):  
Swot Analysis ◽  
Screening Program ◽  
Implementation Process ◽  
Evidence Based ◽  
National Guidelines ◽  
Family Doctors ◽  
External Threats ◽  
The Family ◽  
Gate Keeping ◽  
Rapid Tests

Abstract Background The purpose of this study is to forward the implementation of an operational evidence-based state screening program of common diseases in Ukraine, where currently no state-based and evidence-based screening (EBS) exists. EBS should be performed by Family Doctors in a primary care setting and concern prevalent diseases in adults, such as: obesity (BMI), hypertension (BP measurement), diabetes (glycaemia), dyslipidemia (cholesterol/lipids), colon cancer (FOBT/colonoscopy), breast cancer (mammography), STIs (chlamydia, syphilis), HIV, HBV, HCV (i.e. serology or other rapid tests), HPV (swabs), cervical cancer (test Pap). depression (i.e., PHQ-9), and smoking (i.e., Fagerstrom). Methods Four needs-based research actions were led among citizens and healthcare professionals, based on multidimensional empowerment. Internal Strengths and Weaknesses of the ongoing implementation process were identified through these studies, whereas external Opportunities and Threats were determined by the present socio-cultural and political context. This SWOT analysis is likely to guide future state-based initiatives to accomplish EBS implementation in Ukraine. Results Internal Strengths are the bottom-up multidimensional empowerment approach, teaching of EBS and the development of an internet-based platform “Screening adviser” to assist shared decision making for person-centred EBS programs. Internal Weaknesses identified for the Family Doctors are a heterogeneous screening and the risk of decreasing motivation to screen. External Opportunities include the ongoing PHC reform, the existent WONCA and WHO support, and the existence of EBS programs in Europe. External Threats are the lack of national guidelines, not fully introduced gate keeping system, the vulnerable socio-economic situation, the war situation in the East of Ukraine and the Covid-19 pandemic. Conclusions We started EBS implementation through research actions, based on a multidimensional empowerment of citizens, HCP and in EBS pathways involved stakeholder teams, to foster a sustainable operational human resource to get involved in that new EBS pathway to implement. The presented SWOT-analysis of this ongoing implementation process allows to plan and optimize future steps towards a state based and supports EBS program in Ukraine.

scholarly journals A Rare Case of Spontaneous Arachnoid Cyst Rupture Presenting as Right Hemiplegia and Expressive Aphasia in a Pediatric Patient

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 78
Author(s):  
Anne Bryden ◽  
Natalie Majors ◽  
Vinay Puri ◽  
Thomas Moriarty
Keyword(s):  
Cognitive Processing ◽  
Arachnoid Cyst ◽  
Memory Loss ◽  
Acute Onset ◽  
Word Finding ◽  
Outpatient Visits ◽  
The Family ◽  
History Of ◽  
Cyst Rupture ◽  
The Brain

This study examines an 11-year-old boy with a known history of a large previously asymptomatic arachnoid cyst (AC) presenting with acute onset of right facial droop, hemiplegia, and expressive aphasia. Shortly after arrival to the emergency department, the patient exhibited complete resolution of right-sided hemiplegia but developed headache and had persistent word-finding difficulties. Prior to symptom onset while in class at school, there was an absence of reported jerking movements, headache, photophobia, fever, or trauma. At the time of neurology consultation, the physical exam showed mildly delayed cognitive processing but was otherwise unremarkable. The patient underwent MRI scanning of the brain, which revealed left convexity subdural hematohygroma and perirolandic cortex edema resulting from ruptured left frontoparietal AC. He was evaluated by neurosurgery and managed expectantly. He recovered uneventfully and was discharged two days after presentation remaining asymptomatic on subsequent outpatient visits. The family express concerns regarding increased anxiety and mild memory loss since hospitalization.

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