By Prof. Laura H. Goldstein, Dr. Jane E. McNeil
This transparent and available textual content presents trainee and certified scientific psychologists with an updated precis of neuropsychological overview and rehabilitation concerns.
even if usually seen as a speciality inside medical Psychology, wisdom of neuropsychology and its purposes is appropriate to all parts of scientific paintings the place sufferers are displaying a few swap of their cognitive functioning. This edited quantity makes a speciality of what the clinician must be aware of so that it will determine the cognitive functioning in their patron and to think about rehabilitation and treatments.
Readers also will locate functional info bearing on:
- newly constructed neuroimaging suggestions
- the results of prescription and non-prescription medicines on cognitive functioning
- the interface among neuropsychological review and psychiatric issues
- post-qualification education in medical neuropsychology
- rules governing medico-legal paintings in civil instances within the united kingdom
Laura H. Goldstein and Jane McNeil have a long time of expertise educating neuropsychology to trainee and certified scientific psychologists on the Institute of Psychiatry in London.
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Additional info for Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians
Neonatal outcome The immediate neonatal period is a time of great risk for the FGR infant. Because of intrauterine malnutrition, stores of glycogen and fat are low, leading to hypoglycemia and poor neonatal temperature control. Hypocalcemia, probably due to relative hypoparathyroidism, is also common and may present as a jittery infant or as neonatal convulsions. Polycythemia and increased blood viscosity may cause sludging in capillaries, predisposing to thrombosis and pulmonary hypertension, cerebral infarction, and necrotizing enterocolitis.
Vascular disease reduces uteroplacental blood flow and transfer of nutrients to the fetus. Pre-eclampsia is associated with abnormal trophoblastic invasion of maternal spiral arterioles, which ultimately results in luminal narrowing and diminished placental blood flow. Sickle cell disease is also associated with FGR, because of local hypoxia secondary to poor uterine perfusion rather than maternal hypoxemia. Finally, conditions in which there is chronic maternal hypoxia (cyanotic heart disease, pulmonary disease, and high altitude) or maternal anemia reducing oxygen transfer to the fetus are risk factors for compromised fetal growth.
Difficulty arises in situations where only the second fetus demonstrates an abnormal pattern and cannot be further evaluated. If no assurance of fetal well-being can be obtained, prompt delivery is advised. The route of delivery depends on the presentation, estimation of birthweights, experience of the obstetrician, and compliance of the patient. In the majority of situations the first twin will present by the vertex and a trial of vaginal delivery may be attempted in some cases. When both twins present vertex, a trial of vaginal delivery may be attempted regardless of the estimated fetal weights.
Clinical Neuropsychology: A Practical Guide to Assessment and Management for Clinicians by Prof. Laura H. Goldstein, Dr. Jane E. McNeil