TY - JOUR. T1 - Episodically remitting akinetic mutism following subarachnoid hemorrhage. AU - Burruss, John W.. AU - Chacko, Ranjit C.. PY - 1999/1/1. Y1 - 1999/1/1. N2 - Akinetic mutism is characterized by alertness with near complete absence of volitional activity. The authors report a case of episodicallly remitting akinetic mutism following subarachnoid hemorrhage.. AB - Akinetic mutism is characterized by alertness with near complete absence of volitional activity. The authors report a case of episodicallly remitting akinetic mutism following subarachnoid hemorrhage.. UR - http://www.scopus.com/inward/record.url?scp=0032909615&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0032909615&partnerID=8YFLogxK. U2 - 10.1176/jnp.11.1.100. DO - 10.1176/jnp.11.1.100. M3 - Article. C2 - 9990564. AN - SCOPUS:0032909615. VL - 11. SP - 100. EP - 102. JO - Journal of Neuropsychiatry and Clinical Neurosciences. JF - Journal of Neuropsychiatry and Clinical Neurosciences. SN - ...

Akinetic mutism is a medical term describing patients tending neither to move (akinesia) nor speak (mutism). Akinetic mutism was first described in 1941 as a mental state where patients lack the ability to move or speak. However, their eyes may follow their observer or be diverted by sound. Patients lack most motor functions such as speech, facial expressions, and gestures, but demonstrate apparent alertness. They exhibit reduced activity and slowness, and can speak in whispered monosyllables. Patients often show visual fixation on their examiner, move their eyes in response to an auditory stimulus, or move after often repeated commands. Patients with akinetic mutism are not paralyzed, but lack the will to move. Many patients describe that as soon as they will or attempt a movement, a counter-will or resistance rises up to meet them. Akinetic mutism varies across all patients. Its form, intensity, and clinical features correspond more closely to its functional anatomy rather than to its ...

Locked in syndrome, from stroke, TBI, ALS, encephalitis, or just intubation with paralysis or limb trauma was always a communication challenge. Now, after having it myself for a few days from an

A syndrome characterized by a silent and inert state without voluntary motor activity despite preserved sensorimotor pathways and vigilance.

We studied a 70-year-old woman with a unique combination of hyperkinesia and mutism. These findings differed from akinetic mutism because there was continuous bilateral ballism and dystonia--hence the term hyperkinetic mutism. CT demonstrated bilateral calcifications in the basal ganglia, and MRI indicated bilateral watershed infarcts. Different dopaminergic mechanisms may underlie the hyperkinesia and mutism.

The behavioral features of four children with acquired neurologic mutism are reported from the Department of Neurology, University Hospital Rotterdam-Dijkzigt, Rotterdam; and Department of Medical Psychology, Ziekenhuis Walcheren, Vlissingen, The Netherlands. Neuropsychologic examinations revealed changes in phonation, orofacial movements, communicative behavior, and linguistic functions. Case 1, akinetic mutism, post severe head injury, hemorrhage in left fronto-parietal area, spastic quadriplegia, motionless except for slow eye movements and head turning when addressed, no orofacial movements except smacking of lips, recovered slow dysarthric speech after 15 months; word finding unimpaired; Case 2, aphasic mutism, post head injury coma and contusion of left hemisphere, right flaccid hemiparesis, mobility improved in 6 weeks, but aphasia persisted; Case 3, cortical deafness, post head trauma neglect for verbal and nonverbal auditory stimuli, recovery of awareness of language and sounds after 5 ...

ABSTRACT: The locked-in syndrome (pseudocoma) describes patients who are awake and conscious but selectively deefferented, i.e., have no means of producing speech, limb or facial movements. Acute ventral pontine lesions are its most common cause. People with such brainstem lesions often remain comatose for some days or weeks, needing artificial respiration and then gradually wake up, but remaining paralyzed and voiceless, superficially resembling patients in a vegetative state or akinetic mutism. In acute locked-in syndrome (LIS), eye-coded communication and evaluation of cognitive and emotional functioning is very limited because vigilance is fluctuating and eye movements may be inconsistent, very small, and easily exhausted. It has been shown that more than half of the time it is the family and not the physician who first realized that the patient was aware. Distressingly, recent studies reported that the diagnosis of LIS on average takes over two and half months. In some cases it took four to ...

Diminution of basal ganglia dopaminergic function may play an important role in the generation of akinetic mutism in a patient with anterior cerebral arterial i

Akinetic mutism describes a situation where a patient is alert but unable to move or talk. These symptoms are caused by brain damage.

TY - JOUR. T1 - Bilateral anterior cerebral artery infarction resulting from explosion-type injury to the head and neck. AU - Lipschutz, Joshua H.. AU - Pascuzzi, Robert. AU - Bognanno, James. AU - Putty, Tim. PY - 1991. Y1 - 1991. N2 - A 43-year-old woman suffered a blast-type injury to the head and neck. She subsequently developed bilateral internal carotid artery occlusion and bilateral anterior cerebral artery infarction not demonstrated by magnetic resonance imaging scan 24 hours after the explosion, but confirmed by a second scan 8 days after the explosion. In patients with blast-type injury to the head and neck who develop coma with a nonfocal neurological exam, the possibility of bilateral carotid artery occlusion and bilateral ischemic infarction should be considered.. AB - A 43-year-old woman suffered a blast-type injury to the head and neck. She subsequently developed bilateral internal carotid artery occlusion and bilateral anterior cerebral artery infarction not demonstrated by ...

Introduction. The traditional view of cognition in idiopathic or genetic generalized epilepsy (GGE) is that one size fits all i.e. only very mild generalized impairment might be detected, if any. This paper describes four case studies of cognitive functioning in GGE patients with photosensitivity and reflexive seizures. Aim. The aim was to discover whether each individuals set of cognitive deficits varied in accordance with his/her other clinical phenomena such as photosensitivity and kinds of reflexive seizures. Method. Neurological and cognitive performance was assessed by comprehensive evaluation of each patient based on interviews, neurologists EEG reports and neuropsychological tests. Assessment of cognitive domains included estimated pre-morbid I.Q. based on reading ability and demographic norms, current I.Q., attention factors, verbal memory, visual memory and executive functions. Results. Clinical signs and investigative studies indicated that two cases typically began reflexive ...

Pet-Tekk - Large Burrow - Granite Size: 13.5″ x 6.75″ x 6.5″ Tall Pet-Tekk Burrows are made in the U.S.A. We are dedicated to developing new products that will enhance the lives of terrarium pets ad well as creating more natural and beautiful environments for you to enjoy.. ...

The Federation of American Scientists Biosecurity Project has prepared a brief online survey to collect feedback on our Case Studies in Dual-use Biological Research. To thank participants for completing the survey, we will enter them into a drawing for an 8GB iPod nano. Click here to go to the case studies or here to go directly to the survey. The survey is open now through May 31, 2007.. If you have any colleagues, students or friends involved in biological research or biosecurity, please let them know about the Case Studies and the survey. Thank you for your feedback!. The first four case studies include an introduction to biosecurity, the poliovirus synthesis experiments conducted in Eckard Wimmers laboratory at the State University of New York at Stony Brook; the porous particle development work of David Edwards at Harvard University; and the mousepox experiments conducted by two Australian researchers, Ron Jackson and Ian Ramshaw.. We include in-depth interviews with the researchers to ...

Our courses are suitable for Medical professionals and Aesthetic practitioners. NB: We expect the delegates to have read the course materials fully prior to attending the onsite course at the Academy of Advanced Aesthetics. In order to graduate from all of our courses, students will need to pass a final written examination to assess their knowledge and understanding, and to pass a practical observation performing the treatment in full, including client consultation and aftercare. For Level 4 courses, after having completed the practical session at the Academy, students will be asked to complete four case studies and a 5,000-word assignment in order to complete the course. Level 4 Accredited Course certificates will be issued externally. For our Short Courses, we will provide an Academy of Advanced Aesthetics Diploma. Our short courses, for those wish to learn more about the treatments without gaining an accredited Level 4 course, are two days in duration. The HIFU Level 4 accredited course for ...

While conventional wisdom and recently published studies may hold that link building takes a long time to have a positive impact, columnist Conrad Saam begs to differ and shares four case studies.

Hi, yesterday had done echo and pro bnp the results are..... Structural Interpretation Akinetic lateral wall. Severely hypokinetic inferior wall. IVS, anterior wall and LV apex are showing norma...

Selective Mutism is a condition that severely restricts a childs capacity for communicating verbally outside the home and typically occurs at the rate of 1 in every 200 children in primary school and much more frequently in preschool-aged children. It is a treatable anxiety disorder, but generally requires 1 to 2 years of treatment in order to resolve. The transition to school for preschoolers with Selective Mutism is often a stressful and difficult process and raises many questions for caregivers and parents. There are many factors to consider around such a transition such as educating the primary school and teachers about selective mutism, and preparing the child for the transition.. ...

This evening webinar about helping preschoolers with selective mutism transition to school is suitable for parents, educators and support staff who have a child with selective mutism transitioning from preschool to school in the upcoming year.

Research-based treatments found effective for Selective Mutism Some of the following information is excerpted from: Cohan, S.L., Chavira, D.A., and Stein, M.B.

Learn more about Penetrating Brain Injury at Doctors Hospital of Augusta DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...

OBJECTIVE The aim of this study is to examine the prevalence of selective mutism (SM) in Kocaeli, Turkey. METHOD Kindergarten, first, second and third grade students of all public/private schools within the city were included in the study. SM screening forms prepared on basis of DSM-IV were submitted to classroom teachers in all these schools asking whether they had any students meeting such symptoms. RESULTS About 84.51% of the schools returned forms covering 64,103 children. Five hundred and twenty six of these children were thought to have symptoms of SM by their teachers. After their DSM-IV based clinical evaluation by a child and adolescent psychiatrist, only 21 children were diagnosed as SM. Among the SM group, three were in the kindergarten, 15 were in the first grade and three were in the second grade. Twelve of the children were male and nine were female (male: female ratio is 1.3:1). In this cross-sectional study, 0.83% of children were reported to have SM symptoms by their teachers.

Treating Selective Mutism is difficult, likely because the behavior is an effective strategy for reducing childrens anxiety feelings.

Belmont Psychological Services is a group of psychotherapists who specialize in the provision of Cognitive Behavioral Therapy (CBT). CBT is a structured and focused style of therapy that provides people with the concrete tools that they need to get better quickly. It is by far the most researched of all the clinical orientations and has been proven to be helpful for a wide variety of mental health problems. BPS is the leading provider of CBT in Long Beach, CA. Our therapists are known in the community for helping patients with complex problems who have failed to make progress in past treatment. We are extremely successful in treating patients who have more complicated problems such as Obsessive Compulsive Disorder and Bipolar Disorder. Our clinicians are also unique in that we are some of the few providers in the area who use CBT with younger children who demonstrate a variety of problems, including selective mutism, school refusal, separation anxiety, and/or phobias.. If you are interested in ...

AFTER two years of silence and close to 100 sessions, Eloise Radosevic spoke her first words to her psychologist. Before that shed pass notes, unable to talk in sessions due to a severe but extremely rare social anxiety condition called selective mutism, which made even simple conversations with her own grandparents difficult.

Dr. Rachel Busman discusses selective mutism disorder, from its prevalence, and how it impacts school and social life, to the most effective treatments.

This started me thinking of the slow progress Josiah did show, what he was already achieving already. If one is honest he/she must admit dealing with Selective Mutism as a parent is frustrating it takes some time to achieve anything and even then they can regress without warning or any reasons why. This is what lead to our decision, did I want to start medication out of frustration. Secondly for medication to work there must be a strong support base, which in some aspects we didnt have. We were and still are waiting on the results of the funding application the school had made. If were to take a risk and try the medication we want to have everything set in place at this point that isnt the case. I also considered that the impact for Josiah to overcome his fears and the strength of self he would have if he was able to do this on his own. Now dont get me wrong I wouldnt allow him to suffer in his anxiety or flounder, this only works as long as their is small baby steps of progress. So for now ...

Dr. Katherine Dahlsgaard discusses the high risk factor of selective mutism in twin siblings, and offers a few methods of specialized treatment. Scientific

Haseki Educational and Research Hospital, Neurosurgery Department İstanbul, Turkey AIM: Cerebellar mutism is a documented complication of posterior fossa surgery in pediatric ages. Risk factors such as the type of tumor, size, and location of tumor, hyrdrocephalus, postoperative cerebellar swelling for cerebellar mutism were investigated in this study.. MATERIAL and METHODS: A consecutive series of 32 children with a cerebellar tumor were operated on at the Haseki Educational and Research Hospital, Department of Neurosurgery, between 1990 and 2005. Their speech and neuroradiological studies were systematically analysed both preoperatively and postoperatively. RESULTS: Cerebellar mutism developed in ten children (32%) in the early postoperative period. The type of tumor, midline localization, and vermian incision were significant single independent risk factors. In addition, an interdependency of possible risk factors (tumor>5 cm, medulloblastoma) was found. The latency for the development of ...

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Sites in this category deal with this psychiatric disorder that is characterized by consistent failure to speak in select social settings in which there is an expectation to speak; such as school.

Are you looking for disease information or support? Simply type in the name of a disease or condition and Disease InfoSearch will locate quality information from a database of more than 13,000 diseases and thousands of support groups and foundations.

One of our amazing therapists, Limur, describes one of the life-changing therapies she has carried out this year. Stay posted - more MMOC to come! In August 2020, Meli was silent and scared in the presence of anyone outside her nuclear family - a deer in the headlights look when peers or adults approached. In Kindergarten she was stilted - didnt talk, play, run or laugh. Now 4 months later (despite 2 lockdowns!) Meli is energetic, friendly, talkative and happy with friends in kindergarten!. This is what it took: A small steps program including 3 meetings at Melis home during which she gradually warmed up to Limurs presence and forged a friendly chatty relationship with her. Then 15 sessions in school, initially with Limur, recreating the verbal home relationship, then adding in peers and staff, finally taking the therapy from the designated room to the public areas.. Melis parents couldnt be more thrilled, seeing their child thriving - skipping happily to school!. ...

This is a book about a girl with an autistic brother. The autistic brother is crucial to the plot, but her actual brother is really more of a plot device than anything else.. ...

So this week I had an experience online on facebook on one of the communities were we were discussing organisation, home routines and how we all cope with the pressures that we face. During the discussion it was revealed how hard it is for us all to cope and how much we need to take a handle on our lives to make things easier, less stressful and much easier to run. One of my weird passions is organisation, not in the sense that I have my house clean or that everything is run perfectly. But in the sense of my life I try to keep things under control by using the tools that we have online and using our technology such as our phones and ...

Arsenic is a non-essential element that poses risks in many environments, including soil, groundwater, and surface water. Insights into the environmental biogeochemistry of As can be gained by comparing As and P reaction processes. Arsenic and P are chemical analogues, and it is proposed that they have similar chemical behaviors in environmental systems. However some chemical properties of As and P are distinct, such as redox reactions, causing the biogeochemical behavior of the two elements to differ. In the environment, As occurs as either As(V) or As(III) oxyanions (e.g., AsO43− or AsO33−). In contrast, P occurs predominantly as oxidation state five plus; most commonly as the orthophosphate ion (PO43−). In this paper, data from four published case studies are presented with a focus on P and As distribution and speciation in soil. The goal is show how analyzing P chemistry in soils can provide greater insights into As reaction processes in soils. The case studies discussed include: (1) soil

The application of twin screw extrusion (TSE) as a scalable and green process for the manufacture of cocrystals was investigated. Four model cocrystal forming systems, Caffeine-Oxalic acid, Nicotinamide-trans cinnamic acid, Carbamazepine-Saccharin, and Theophylline-Citric acid, were selected for the study. The parameters of the extrusion process that influenced cocrystal formation were examined. TSE was found to be an effective method to make cocrystals for all four systems studied. It was demonstrated that temperature and extent of mixing in the extruder were the primary process parameters that influenced extent of conversion to the cocrystal in neat TSE experiments. In addition to neat extrusion, liquid-assisted TSE was also demonstrated for the first time as a viable process for making cocrystals. Notably, the use of catalytic amount of benign solvents led to a lowering of processing temperatures required to form the cocrystal in the extruder. TSE should be considered as an efficient, scalable, and

Sarah- An eleven year-old girl who participated in our Jumpstart group mentoring lunch groups has selective mutism. She would not talk to her peers, teachers or other adults; she would simply retreat into her own world. Throughout the year she participated more and more in our group sessions. The girls in her group were very supportive of her and tried to draw her out. By the end of the year she was openly talking and making friends, as well as singing in the hallways and answering questions in class. The counselor told Youth Connections program coordinator that she was impressed with the impact that we had on the student and that there had been a huge change in the young girl during the school year. ...

Selective mutism is different from being shy. And the inability to speak is not the same (but can co-occur with) social anxiety disorder.

Dr. Lake & Associates offers neuropsychological testing, gifted testing, individual therapy, parent coaching, consultation, and groups. We treat mood disorders, anxiety, ADHD, employment stress, OCD, behavioral problems, Autism (ASD), grief, depression, selective mutism, twice-exceptional 2e.

This report raises the issue of a patient who, despite the preservation of intraoperative mMEPs, emerged from anaesthesia with hemiplegia and mutism. Unexpected postoperative neurological deficits are traumatic to both patients, their family, and the surgical team. In this setting, the ability to predict outcome significantly contributes to the clinical management of these patients. Whenever neuroimaging studies are not conclusive, functional-rather than morphological-evaluation of the integrity of M1/CST using neurophysiological tests could be useful.. Zentner et al 8 described 13 patients who had resective procedures involving the SMA. Despite preservation of mMEPs at the end of surgery in all of them, five patients emerged from anaesthesia with a typical SMA syndrome including hemiplegia contralateral to the resection side. Elicitability of mMEPs was tested early postoperatively using the single magnetic stimulus technique, but mMEPs were not present in the immediate postoperative period and ...

Another word for muteness. Find more ways to say muteness, along with related words, antonyms and. Muteness or mutism (from Latin mutus silent) is defined as an absence of speech while

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There is no way back to the Garden of Eden, back to nature, and no chance of becoming the gods we appear to think we are now. We neither would want to overcome nature nor would we want to go back to nature. There is at least one more option: to find balance with nature. This could be a sensible, alternate path to the future and a goal to be reached with all deliberate speed for the sake of the children. After all, we are borrowing this world from our children. Surely we will not continue mortgaging the childrens future and ruining the planet all of us inhabit here now to the point Earth cannot be fruitfully inhabited by them and coming generations. Certainly not on our watch!. Responsible people will have to stop colluding in elective mutism and ignoring the best available scientific evidence of human population dynamics and human overpopulation of the Earth. The time remaining for us elders to secure a good enough future for the children is fairly short, I suppose. We cannot effectively ...

Climate change is causing growing variability and uncertainty in rainfall in Africa. Since the continents food production systems are dominantly rain-fed, these changes are putting food security at even higher risk. In order to reduce this dependency, institutional reforms in the agricultural water sectors have become a priority in research and policy.. In this report, Atakilte Beyene, senior researcher at the Nordic Africa Institute, together with twelve researchers based in Africa, studies current agricultural water reforms in Kenya, Tanzania, Uganda, and other East African countries. The report consists of four case studies and an introductory section. The first case study evaluates the performance of community participation in water resources governance in the Mount Kenya Region. It uncovers the implication of a ban on traditional institutions on water security at a catchment level. The second case analyses the prospects of introducing pro-poor water schemes in conditions where climate ...

Our latest JWMM paper by Masson (Centre de Recherche et de Développement en Science du Sol, Economie, Environnement, Aménagement), Lefer (Université du Littoral-Côte-dOpale), Boulemia (Université dArtois), and Naji (University of Lille Nord de France) is now out. Read more about representing drainage porosity as a function of constant loss and initial runoff time with applications in four case studies.

(1998) Backer, Rogers. Journal of Health Communication. Four case studies of the adoption of work-site AIDS programs are investigated, two of which were modifications of the Centers for Disease Control and Preventions Business Responds to AIDS (BRTA) p...

The purpose of the session was to better understand governance challenges related to forest landscape restoration (FLR) implementation, and options to address these. The session was organised as follows: Stephanie Mansourian introduced the subject of governance and FLR. She was followed by four case study presentations: Nadine Crookes from Parks Canada, John Crockett from the US Forest Service, Gérard Rambeloarisoa from the Madagascar Biodiversity Fund and Chris Buss from IUCN, and then 20 minutes of questions and discussion. A total of 30-40 participants attended the one hour session. Read more…. ...

This book addresses the history of interaction in the Aegean world during the third century BC. The main focus is the island of Delos and its important regional sanctuary. Through a thorough investigation of the Delian epigraphic and material evidence, it explores how and to which degree the islands of the southern Aegean formed active networks of political, religious, and cultural interaction. The book aims to show that this kind of regional interaction in the southern Aegean resulted in the creation of a regional identity, which was expressed, among other things, in the existence of a federal union of the islands, the so-called Islanders League. It is structured along the lines of four case studies which explore different types of networks around Delos: the federal organization of islands (Islanders League), the participation of Delian and other agents in the processes of monumentalization of the Delian landscape, the network of honours, and the social dynamics of dedication through the record of

Part One: Evaluating Numbers -- Plausibility -- Fun with Averages -- Axis Shenanigans -- Hijinks with How Numbers Are Reported -- How Numbers Are Collected -- Probabilities -- Part Two: Evaluating Words -- How Do We Know? -- Identifying Expertise -- Overlooked, Undervalued Alternative Explanations -- Counterknowledge -- Part Three: Evaluating The World -- How Science Works -- Logical Failures -- Knowing What You Dont Know -- Bayesian Thinking in Science and in Court -- Four Case Studies ...

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. (4th ed., text rev.). Washington, DC: Author. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. American Speech-Language-Hearing Association. (2016). Code of ethics [Ethics]. Available from www.asha.org/policy/. Anstendig, K. D. (1999). Is selective mutism an anxiety disorder? Rethinking its DSM-IV classification. Journal of Anxiety Disorders, 13, 417-434. Beidel, D. C., & Turner, S. M. (2007). Shy children, phobic adults. Nature and treatment of social anxiety disorder (2nd ed.). Washington, DC: American Psychological Association. Beidel, D. C., Turner, S. M., & Morris, T. M. (1999). Psychopathology of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 643-650. Bergman, R., Piacentini, J., & McCracken, J. (2002). Prevalence and description of selective mutism in a ...

Define Extrapyramidal syndrome. Extrapyramidal syndrome synonyms, Extrapyramidal syndrome pronunciation, Extrapyramidal syndrome translation, English dictionary definition of Extrapyramidal syndrome. abbreviation for earnings per share

Selective Mutism Therapy and Counseling at the Cognitive Behavior Therapy Center. San Jose, Saratoga, Los Gatos, Cupertino, Campbell, Monte Sereno, Sunnyvale,

Autism is a developmental disorder that causes a child to have impairments in communication. Children with autism may have a delay in (or complete lack of) the development of spoken language. The most obvious signs of autism are usually noticed between 2 and 3 years of age. Although many children on the spectrum do speak, they may use language in unusual ways, avoid eye contact, and prefer to be alone. Autism may first be noticed by school professionals, who become aware that the child is not interacting socially with his peers in an appropriate way.. Other Possibilities:. Selective Mutism:. Selective mutism is an anxiety disorder in which children do not speak in particular social situations. Many children with selective mutism are talkative at home, but there may be a complete lack of speech in other settings, such as in school. They may not communicate with peers or teachers at all, which can lead to school professionals being concerned about their social development. These social ...

Penetrating traumatic brain injury (pTBI) has been difficult to model in small laboratory animals, such as rats or mice. Previously, we have established a non-fatal, rat model for pTBI using a modified air-rifle that accelerates a pellet, which hits a small probe that then penetrates the experimental animals brain. Knockout and transgenic strains of mice offer attractive tools to study biological reactions induced by TBI. Hence, in the present study, we adapted and modified our model to be used with mice. The technical characterization of the impact device included depth and speed of impact, as well as dimensions of the temporary cavity formed in a brain surrogate material after impact. Biologically, we have focused on three distinct levels of severity (mild, moderate, and severe), and characterized the acute phase response to injury in terms of tissue destruction, neural degeneration, and gliosis. Functional outcome was assessed by measuring bodyweight and motor performance on rotarod. The results

The shooter was identified as 23-year-old Seung-Hui Cho, a senior at Virginia Tech. He was a South Korean citizen with U.S. permanent resident status who was majoring in English. The Virginia Tech Review Panels August 2007 report (Massengill Report) devoted more than 20 pages to Chos troubled history.[3]:21[83]:31-53 At three years of age, Cho was described as shy, frail, and wary of physical contact.[84] In eighth grade, Cho was diagnosed with severe depression as well as selective mutism, an anxiety disorder that inhibited him from speaking in certain situations and/or to specific people.[85][86] While early media reports carried reports by South Korean relatives that Cho had autism,[87][88] the Massengill Report stated that the relationship between selective mutism and autism was unclear.[83]:34-35 Chos family sought therapy for him, and he received help periodically throughout middle school and high school.[83]:34-39 Early reports also indicated Cho was bullied for speech difficulties ...

Creutzfeldt-Jacob disease should be considered in the setting of a rapidly progressive dementia with psychiatric symptoms, ataxia, mutism, myoclonus, and pyramidal or extrapyramidal signs. 1

Dear Editor,. Cognitive disorders and depression are intensely correlated, not only by sharing risk factors, but also by frequently showing similar presentations. This might lead to challenging cases among the elderly population, since, in old age, depression commonly manifests with prominent neurovegetative and cognitive symptoms1. Here we report the case of a patient who had been treated, but after clinical evaluation demonstrated to be a case of sporadic Creutzfeldt-Jakob disease (sCJD), a rare and fatal neurodegenerative condition.. A 77 year-old female, without relevant psychiatric or medical history. Six months before admission, she presented with increasingly irritability and sadness. Within days, clinical condition declined, progressing to mutism, lack of interaction, anorexia, immobility and was treated with different combinations of antidepressants and antipsychotics, with the hypothesis of major depression. She was then referred to the Psychiatry inpatient unit of the local University ...

The Childhood Mental Disorders and Illnesses topic center provides an overview of mental and emotional disorders and illnesses impacting children and their families including attention deficit hyperactivity (ADHD), mental retardation, autism and other pervasive development disorders, and disorders of learning, speech and communication, movement, motor function, feeding, conduct, elimination, and anxiety (such as selective mutism and separation anxiety).

The Childhood Mental Disorders and Illnesses topic center provides an overview of mental and emotional disorders and illnesses impacting children and their families including attention deficit hyperactivity (ADHD), mental retardation, autism and other pervasive development disorders, and disorders of learning, speech and communication, movement, motor function, feeding, conduct, elimination, and anxiety (such as selective mutism and separation anxiety).

The Childhood Mental Disorders and Illnesses topic center provides an overview of mental and emotional disorders and illnesses impacting children and their families including attention deficit hyperactivity (ADHD), mental retardation, autism and other pervasive development disorders, and disorders of learning, speech and communication, movement, motor function, feeding, conduct, elimination, and anxiety (such as selective mutism and separation anxiety).

I am checking as the mom much farther down the road to be a help, if I can. My daughter was diagnosed in November 2012. This is our five year anniversary with this disease and there is HOPE for all of your kids. This is long but please read: With one of the most profound and difficult to treat cases to ever treat - my daughter is staring community college in the spring! You name the symptom and she has exhibited it - to name a few... complex tics, anorexia, bed wetting, mutism, depression, OCD, sleep disorders, a host of psychiatric symptoms (including schizoprhenic type symptoms including violence), and catatonia. She has also had every treatment - countless antibiotics, IVIVGs, rituximab, cell cept, prophylactic antibiotix, cytoxan, tociluzimab. We lost four years of life - she lost high school, and I shut down ever yaspect of life to take care of her. It has been lonely, frustrating, difficult, depressing...and yet hopeful, strengthening, funny, and finally TRIUMPHANT. I am repositing ...

Case 1 A 67 year-old woman with a history of HTN presented to the ED after being found at work not moving her right side. Exam shows mutism, R face and arm plegia with decreased sensation in R arm as well as L gaze deviation and R homonymous hemianopsia. Her symptoms began at noon, it is now 4:30 p.m. There are no contraindications to tPA.

I dont know, I was initially diagnosed with selective mutism when I was a kid which was heavily linked with social anxiety. I was aspie as well but didnt get diagnosed until I was 18. I did have social anxiety as well or im pretty sure I did. Cause attempting to intiate a conversation or talk to someone was very hard. It terrified me. That psych I saw for 3 years when I was young didnt realize anything. I dont know if it was because I was female. I was guessing because aspergers was less known about back then.. ...

V tokratni 7. ediciji mini festivala Metaljot Raspaljot gostimo žanrsko zelo pester nabor bandov. The Canyon Observer pri nas veljajo za prvake atmosferičnega sludge, noise, post-rock/metala, kjer lahko pričakujemo nič drugega kot audio-vizualno poslastico, vse ostale besede bi bile povsem odveč.. Pravtako, kot The Canyon Observer iz Ljubljane prihaja stoner, progressive, metal jam trio Jegulja, ki že lep čas navdušujejo na domačih in tujih odrih. Če ste ljubitelji progresivnega in alternativnega metala (sebi pravijo, da igrajo dentist metal) tipa Mastodon, Deftones, Tool in The Dillinger Escape plan vam bodo zagotovo všeč tudi kranjski Amalgam, ki ga sestavljajo člani skupin Armaroth, Raggalution, Didge in Mutism. Iz Prekmurja, natančneje iz Lendave nam po sveže izdanem albumu prihajajo Inhibis, ki igrajo mešanico alternative, post-stoner rocka in metala. Za odmik iz realnosti pa bo poskrebel Dejan Požegar (Nakajima, Wreck), ki stoji za umetniškim imenom Neo-Cymex, kateri ...

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Interest areas: attachment; bereavement; domestic abuse; working with hard to reach/engage families - systemic and community based work; parenting groups; schools as systems - eg research and revising policies; staff support and stress; eliciting the voice of the child and involving the child in decisions; therapeutic work eg narrative therapy, therapeutic stories, PCP, CBT; group work; selective mutism; identity of PMLD children ...

I was 9-11 years old when I progressively went from 90% meaning deaf and predominantly stored phrases, TV scripts and echolalia to being only 50% meaning deaf and finally striving to string simple novel sentences together. By age 11 I could construct slow, klunky simple sentences (and still also had fluent, expressive echolalia), by age 12 I could do long litanies at people and was developing simple conversing skills. By 18 I had learned to suppress much of my echolalia, keeping my self chatter for when I was alone. So how did this happen?. Around age 9-11 my father left a record player and a pile of old 78 records in my room featuring a vast array of theatrical songs from the 1920s-1940s and I came to sing in a vast array of voices with far expanded, albeit echolalic, vocabulary. This also greatly improved my confidence with verbal speech and my enjoyment of it and countered many an episode of Selective Mutism as I progressively moved into functional speech.. Around age 9-10 I was also left a ...

Tinley 1979:33). The Pilanesberg was to be different and the aim was to reflect a new vision of conservation practice in Africa.. Not only did they introduce the radical idea of using national parks sustainably as engines of regional development sensitive to local community needs, Van Riet and Tinley also introduced a novel concept of planning and design (Farrell et al. 1978). After surveying the geomorphology and other aspects of the landscape, habitats and vegetation cover, their report proposed that in order to maximise wildlife viewing in the small area and utilise it to the best advantage, all major tourism facilities should be located on the boundaries of the park, thus preserving the interior of the crater from unsightly camps, restaurants and other amenities. This peripheral development was different from other national parks and game reserves which had normally sited major visitor accommodation within the protected area itself. Moreover, using the internal watersheds as ecological ...

도서관에서 가져오기! Basics of genealogy reference : a librarians guide. [Jack Simpson] -- This book offers novice and experienced reference librarians an introduction to tried-and-true genealogy techniques and resources. With the help of four case studies, Simpson outlines a basic ...

Through four case studies in Lebanon, Jordan, Kenya, and Ethiopia, the project will demonstrate the value of local knowledge ecosystems in promoting a more nuanced and localized understanding of how refugees, host communities, states, and development actors in the Global South can deal more effectively with the challenge of forced displacement ...

Through four case studies in Lebanon, Jordan, Kenya, and Ethiopia, the project will demonstrate the value of local knowledge ecosystems in promoting a more nuanced and localized understanding of how refugees, host communities, states, and development actors in the Global South can deal more effectively with the challenge of forced displacement ...

Parkinsons Disease: Epidemiology, Causes, Features, Diagnosis and Management Akinetic Rigid Syndrome or Idiopathic Parkinson Disease-Are a number of

The symptoms of congenital heart failure are addressed in this surgical procedure for mounting a patch in the ventricle of the heart to reduce ventricular volume. Placement of the patch is facilitated by palpating a beating heart to identify akinetic, although normal appearing, tissue. An apical patch having an oval configuration facilitates return of the heart to a normal apical shape which enhances muscle fiber efficiency and a normal writhing pumping action. An inferior patch having a triangular configuration can also be used. The patches include a semi-rigid ring, and a circumferential rim to address bleeding. Patch placement is further enhanced by creating a Fontan-type neck and use of pledged sutures. Intraoperative vascularization and valve replacement is easily accommodated. Increased injection fraction, reduced muscle stress, improved myocardial protection, and ease of accurate patch placement are all achieved with this procedure.

A system for improving cardiac function is provided. A foldable and expandable frame having at least one anchoring formation is attached to an elongate manipulator and placed in a catheter tube while folded. The tube is inserted into a left ventricle of a heart where the frame is ejected from the tube and expands in the left ventricle. Movements of the elongate manipulator cause the anchor to penetrate the heart muscle and the elongate manipulator to release the frame. The installed frame minimizes the effects of an akinetic portion of the heart forming an aneurysmic bulge.

The PDB archive contains information about experimentally-determined structures of proteins, nucleic acids, and complex assemblies. As a member of the wwPDB, the RCSB PDB curates and annotates PDB data according to agreed upon standards. The RCSB PDB also provides a variety of tools and resources. Users can perform simple and advanced searches based on annotations relating to sequence, structure and function. These molecules are visualized, downloaded, and analyzed by users who range from students to specialized scientists.

This mutation was identified in a Korean woman with AD and a family history of the disease (Kim et al., 2020). Her symptoms, starting at age 40, included memory impairment, visuospatial dysfunction, abulia, apathy, and depression. Moreover, shortly prior to death and three years after disease onset, the patient developed myoclonus and seizures. Her APOE genotype was APOE3/APOE3.. This variant was not found in the gnomAD database, nor in 500 Korean controls.. Neuropathology ...