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https://www.readbyqxmd.com/read/28817065/evaluation-and-treatment-of-mild-traumatic-brain-injury-the-role-of-neuropsychology
#1
REVIEW
Carolyn Prince, Maya E Bruhns
Awareness of mild traumatic brain injury (mTBI) and persisting post-concussive syndrome (PCS) has increased substantially in the past few decades, with a corresponding increase in research on diagnosis, management, and treatment of patients with mTBI. The purpose of this article is to provide a narrative review of the current literature on behavioral assessment and management of patients presenting with mTBI/PCS, and to detail the potential role of neuropsychologists and rehabilitation psychologists in interdisciplinary care for this population during the acute, subacute, and chronic phases of recovery...
August 17, 2017: Brain Sciences
https://www.readbyqxmd.com/read/28774225/the-anterior-temporal-lobes-new-frontiers-opened-to-neuropsychological-research-by-changes-in-health-care-and-disease-epidemiology
#2
Guido Gainotti
Changes in health care and disease epidemiology have shifted the attention of neuropsychologists and cognitive neuroscientists from vascular lesions to degenerative diseases or other bilateral brain lesions. This displacement of attention from vascular patients to patients with degenerative brain diseases allowed the discovery of hitherto unexplored and unheralded aspects of the neural substrates of human cognition. Three aspects of research on the anterior parts of the temporal lobes (ATLs) are the focus of the present review...
August 4, 2017: Journal of Neuropsychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/28741419/measuring-and-diagnosing-unilateral-neglect-a-standardized-statistical-procedure
#3
Alessio Toraldo, Cristian Romaniello, Paolo Sommaruga
OBJECTIVE: Unilateral neglect is usually investigated by adminstering stimuli (targets) in different positions, with targets being responded to by the patient (Hit) or omitted. In spite of this homogeneity of data type, neglect indices and diagnostic criteria vary considerably, causing inconsistencies in both clinical and experimental settings. We aimed at deriving a standard analysis which would apply to all tasks sharing this data form. METHODS: A-priori theoretical reasoning demonstrated that the mean position of Hits in space (MPH) is an optimal index for correctly diagnosing and quantifying neglect...
July 25, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28727326/-evaluation-of-an-outpatient-multidisciplinary-neuro-hiv-clinic-by-the-patients-and-referring-doctors
#4
Kevin Vallotton, Mélanie Métral, Oury Chocron, Reto Meuli, Deolinda Alves, Renaud Du Pasquier, Matthias Cavassini
The neurocognitive complaints among HIV infected patients remain frequent, and to establish their etiology can be challenging. We created in 2011 an outpatient Neuro-HIV clinical platform that takes advantage of a multidisciplinary approach with 5 specialists (neuropsychologist, neurologist, psychiatrist, infectiologist and neuroradiologist). In order to estimate its utility, we conducted two questionnaire-based interviews by phone calls with the patients and their referring physicians. Three quarters of both the patients and the physicians interviewed consider the platform useful or essential...
April 12, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28675974/toward-generally-accepted-forensic-assessment-practices-among-clinical-neuropsychologists-a-survey-of-professional-practice-and-common-test-use
#5
Casey LaDuke, William Barr, Donald L Brodale, Laura A Rabin
OBJECTIVE: This study investigated professional practice and common test use among clinical neuropsychologists engaging in forensic assessment. METHOD:  Doctorate-level psychologists active in the practice of neuropsychology and on the INS and NAN membership listings (n = 502) were surveyed about their demographics, professional practice, and common test use. Participants who reported engaging in forensic practice (n = 255) were further surveyed about their forensic practice...
July 4, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28657773/patterns-of-referral-in-high-school-concussion-management-programs-a-pilot-study-of-consultants-from-different-disciplines
#6
Jonathan D Lichtenstein, Kate S Linnea, Arthur C Maerlender
School-based concussion management programs cover thousands of young athletes, yet there is little in the way of research to assess program processes or outcomes. This study examined the referral patterns of consultants working with ten high school concussion management programs. In addition to the number of referrals made to specialists, other potential outcome variables were explored. The sample included over 5,000 athlete-seasons and 298 concussions managed directly by certified athletic trainers. All programs used computerized neuropsychological testing (both baseline and post injury)...
June 28, 2017: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/28640959/the-deeper-self-an-expanded-view-of-consciousness
#7
Steve Paulson, Siri Hustvedt, Mark Solms, Sonu Shamdasani
As science continues to explore the mysteries of the unconscious, two critical questions remain. First, can unconscious impulses, desires, and feelings be willfully raised to the level of the conscious self?, and, if so, would the unveiling of unconscious mechanisms lead to genuine self-knowledge or empowerment? Second, can we methodically tap into the unconscious to gear ourselves along more creative lines? If the unconscious is a source of intuitive and creative inspiration, how might a more expansive understanding of consciousness help us to flourish? How can we harness the intuitive parts of ourselves to think "outside the box," transcending the limitations of preconceived categories? And along those same lines, how would an expanded view of the unconscious frame our spiritual experiences or offer spiritual nourishment? Writer Siri Hustvedt, historian of psychology Sonu Shamdasani, and neuropsychologist Mark Solms will tackle everything from noetic experiences and the role of intuition to the phenomenon of peak experience and Jung's "collective unconscious...
June 22, 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/28640707/response-assessment-in-neuro-oncology-clinical-trials
#8
Patrick Y Wen, Susan M Chang, Martin J Van den Bent, Michael A Vogelbaum, David R Macdonald, Eudocia Q Lee
Development of novel therapies for CNS tumors requires reliable assessment of response and progression. This requirement has been particularly challenging in neuro-oncology for which contrast enhancement serves as an imperfect surrogate for tumor volume and is influenced by agents that affect vascular permeability, such as antiangiogenic therapies. In addition, most tumors have a nonenhancing component that can be difficult to accurately quantify. To improve the response assessment in neuro-oncology and to standardize the criteria that are used for different CNS tumors, the Response Assessment in Neuro-Oncology (RANO) working group was established...
July 20, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28632024/performance-validity-testing-in-a-clinical-sample-of-adults-with-sickle-cell-disease
#9
Katherine E Dorociak, Evan T Schulze, Lauren E Piper, Robert E Molokie, Julie K Janecek
OBJECTIVE: Neuropsychologists utilize performance validity tests (PVTs) as objective means for drawing inferences about performance validity. The Test of Memory Malingering (TOMM) is a well-validated, stand-alone PVT and the Reliable Digit Span (RDS) and Reliable Digit Span-Revised (RDS-R) from the Digit Span subtest of the WAIS-IV are commonly employed, embedded PVTs. While research has demonstrated the utility of these PVTs with various clinical samples, no research has investigated their use in adults with sickle cell disease (SCD), a condition associated with multiple neurological, physical, and psychiatric symptoms...
June 15, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28617067/parametric-model-measurement-reframing-traditional-measurement-ideas-in-neuropsychological-practice-and-research
#10
Gregory G Brown, Michael L Thomas, Virginie Patt
OBJECTIVE: Neuropsychology is an applied measurement field with its psychometric work primarily built upon classical test theory (CTT). We describe a series of psychometric models to supplement the use of CTT in neuropsychological research and test development. METHOD: We introduce increasingly complex psychometric models as measurement algebras, which include model parameters that represent abilities and item properties. Within this framework of parametric model measurement (PMM), neuropsychological assessment involves the estimation of model parameters with ability parameter values assuming the role of test 'scores'...
June 15, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28613961/school-based-multi-tiered-systems-of-support-mtss-an-introduction-to-mtss-for-neuropsychologists
#11
Danielle Wexler
When completing pediatric neuropsychological evaluations, it is important for clinicians to incorporate data from children's school environments. Today, the educational data available to neuropsychologists have resulted from the utilization of multi-tiered systems of support (MTSS) within schools; however, practitioners may lack knowledge and/or training in this school-based approach to assessment and intervention. Better understanding of MTSS may aid pediatric neuropsychologists in their interpretation and use of educational data commonly provided by schools...
June 14, 2017: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/28605723/a-combined-cognitive-and-gait-quantification-to-identify-normal-pressure-hydrocephalus-from-its-mimics-the-geneva-s-protocol
#12
Gilles Allali, Magali Laidet, Stéphane Armand, Shahan Momjian, Bruno Marques, Arnaud Saj, Frédéric Assal
OBJECTIVES: Idiopathic normal pressure hydrocephalus (iNPH) is very prevalent in aging, underdiagnosed, and represents a rare cause of reversible neurological condition. The clinical triad of iNPH - gait, cognitive and urinary symptoms - and its neuroradiological features (i.e. ventriculomegaly) are not specific and found a various neurodegenerative and/or vascular conditions. We present our iNPH standardized protocol at the Geneva University Hospitals involving a multispecialty team of behavioral neurologists, neurosurgeons, neuropsychologists, engineers, and physical therapists...
September 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28605690/potential-implications-of-luria-s-work-for-the-neuropsychology-of-epilepsy-and-epilepsy-surgery-a-perspective-for-re-examination
#13
REVIEW
Panayiotis Patrikelis, Giuliana Lucci, Anna Siatouni, Anastasia Verentzioti, Athanasia Alexoudi, Stylianos Gatzonis
The pioneeristic work of Alexander Romanovic Luria into the field of human neuropsychology offered eminent contributions to clinical praxis by providing theory guided methods and instruments for the study of higher cortical functions. However, lots of this knowledge corpus either remains untranslated and thus inaccessible, or in some cases selectively overlooked by academic authorities and consequently not passed to the future generations of experts. Although Luria was not exclusively devoted to the study of epilepsy, his theories and clinical approaches actually penetrate the whole neuropathology spectrum...
June 9, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28602887/cross-modal-recruitment-of-auditory-and-orofacial-areas-during-sign-language-in-a-deaf-subject
#14
Juan Martino, Carlos Velasquez, Javier Vázquez-Bourgon, Enrique Marco de Lucas, Elsa Gomez
BACKGROUND: Modern sign languages used by deaf people are fully expressive, natural human languages that are perceived visually and produced manually. The literature contains little data concerning human brain organization in conditions of deficient sensory information such as deafness. CASE DESCRIPTION: A deaf-mute patient underwent surgery of a left temporoinsular low-grade glioma. The patient underwent awake surgery with intraoperative electrical stimulation mapping, allowing direct study of the cortical and subcortical organization of sign language...
July 10, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28598726/outer-and-inner-tolerance-limits-their-usefulness-for-the-construction-of-norms-and-the-standardization-of-neuropsychological-tests
#15
Erminio Capitani, Marcella Laiacona
OBJECTIVES: After adjustment of scores for demographic variables, especially when test scales have an upper limit that causes a ceiling effect, the original score variability is deeply altered and the scale properties degenerate. We present a method for fixing normality thresholds on scores previously adjusted for demographic variables that overcomes these problems. METHODS: We suggest to fix norms using non-parametric tolerance limits. These limits, valid even for asymmetrical distributions and adjusted scores, can also be used as a basis for a non-parametric standardization of adjusted scores...
June 9, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28590154/practice-parameters-facilitating-adoption-of-advanced-technologies-for-enhancing-neuropsychological-assessment-paradigms
#16
Thomas D Parsons, Timothy McMahan, Robert Kane
OBJECTIVE: Clinical neuropsychologists have long underutilized computer technologies for neuropsychological assessment. Given the rapid advances in technology (e.g. virtual reality; tablets; iPhones) and the increased accessibility in the past decade, there is an on-going need to identify optimal specifications for advanced technologies while minimizing potential sources of error. Herein, we discuss concerns raised by a joint American Academy of Clinical Neuropsychology/National Academy of Neuropsychology position paper...
June 7, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28562194/the-cart-before-the-horse-when-cognitive-neuroscience-precedes-cognitive-neuropsychology
#17
Daniel Agis, Argye E Hillis
Cognitive neuropsychology (CN) has had an immense impact on the understanding of the normal cognitive processes underlying reading, spelling, spoken language comprehension and production, spatial attention, memory, visual perception, and orchestration of actions, through detailed analysis of behavioural performance by neurologically impaired individuals. However, there are other domains of cognition and communication that have rarely been investigated with this approach. Many cognitive neuropsychologists have extended their work in language, perception, or attention by turning to functional neuroimaging or lesion-symptom mapping to identify the neural mechanisms underlying the cognitive mechanisms they have identified...
May 31, 2017: Cognitive Neuropsychology
https://www.readbyqxmd.com/read/28557477/multivariate-normative-comparisons-for-neuropsychological-assessment-by-a-multilevel-factor-structure-or-multiple-imputation-approach
#18
Joost A Agelink van Rentergem, Nathalie R de Vent, Ben A Schmand, Jaap M J Murre, Hilde M Huizenga
Neuropsychologists administer neuropsychological tests to decide whether a patient is cognitively impaired. This clinical decision is made by comparing a patient's scores to those of healthy participants in a normative sample. In a multivariate normative comparison, a patient's entire profile of scores is compared to scores in a normative sample. Such a multivariate comparison has been shown to improve clinical decision making. However, it requires a multivariate normative data set, which often is unavailable...
May 29, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28555516/clinical-utility-of-the-rey-15-item-test-recognition-trial-and-error-scores-for-detecting-noncredible-neuropsychological-performance-in-a-mixed-clinical-sample-of-veterans
#19
K Chase Bailey, Jason R Soble, Justin J F O'Rourke
OBJECTIVE: This cross-sectional study examined the Rey 15-Item Test (RFIT), Recognition Trial, and Error Scores for identifying noncredible performance in a mixed clinical veteran sample compared to another widely used validity measure, the Test of Memory Malingering (TOMM). METHOD: Sixty-two veterans who completed the RFIT (Recall/Recognition Trials), TOMM, and Word Memory Test (WMT) during clinical evaluation were included. Using the WMT as the criterion, 71% (N = 44) were classified as valid and 29% (N = 18) as invalid...
May 30, 2017: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/28544310/implementing-the-psychosocial-standards-in-pediatric-cancer-current-staffing-and-services-available
#20
Michele A Scialla, Kimberly S Canter, Fang Fang Chen, E Anders Kolb, Eric Sandler, Lori Wiener, Anne E Kazak
BACKGROUND: Fifteen evidence-based Standards for Psychosocial Care for Children with Cancer and Their Families (Standards) were published in 2015. The Standards cover a broad range of topics and circumstances and require qualified multidisciplinary staff to be implemented. This paper presents data on the availability of psychosocial staff and existing practices at pediatric oncology programs in the United States, providing data that can be used to advocate for expanded services and prepare for implementation of the Standards...
May 19, 2017: Pediatric Blood & Cancer
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