1.

Record Nr.

UNINA9910689821103321

Titolo

Implementation of the USA PATRIOT ACT : prohibition of material support under sections 805 of the USA Patriot Act and 6603 of the Intelligence Reform and Terrorism Prevention Act of 2004 : hearing before the Subcommittee on Crime, Terrorism, and Homeland Security of the Committee on the Judiciary, House of Representatives, One Hundred Ninth Congress, first session, May 10, 2005

Descrizione fisica

1 online resource (iii, 53 p.)

Soggetti

Terrorism - Finance - Prevention

Civil rights - United States

Terrorists - Government policy - United States

National security - Law and legislation - United States

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia



2.

Record Nr.

UNINA9910970430803321

Titolo

Amyotrophic lateral sclerosis : a patient care guide for clinicians / / editors, Richard S. Bedlack, Hiroshi Mitsumoto

Pubbl/distr/stampa

New York, NY, : Demos Medical Publishing, LLC, 2013

ISBN

1417554126

1-934559-06-7

9786611974879

1-281-97487-0

1-61705-083-0

Edizione

[1st ed.]

Descrizione fisica

1 online resource (280 p.)

Altri autori (Persone)

BedlackRichard S

MitsumotoHiroshi

Disciplina

616.8/3

Soggetti

Amyotrophic lateral sclerosis

Motor neurons - Diseases

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Cover; Title; Copyright; Contents; Preface; Contributors; Chapter 1: What Is ALS?; Definitions; Motor Neuron System and Motor Neurons; ALS and Frontotemporal Dementia; ALS Lookalikes: Differential Diagnosis; Sporadic, Familial, and Western Pacific ALS; Familial ALS; Western Pacific ALS/PDC; Clinical Phenomenology: Onset and Spread; Pathophysiology at Tissue and Cellular Level; Descriptive Epidemiology of Sporadic ALS/MND; Environmental Risk Factors: Analytic Epidemiology; ALS as One of the System Degeneration Diseases; References; Chapter 2: Neurological Assessment and Medical Management

When to Suspect ALSHow to Diagnose ALS; ALS Mimics; Breaking the News; Assessments That are Important for Patient Care; Predicting Progression; Caring for Patients with ALS; Managing Common Symptoms; Pros and Cons of Specific ALS Therapies; Alternative and Off-Label Treatments; Resources Available to ALS Patients and Their Families; References; Chapter 3: Nursing: Care and Coordination; A Lasting Impression: The Day of Diagnosis; Coordination of the



Multidisciplinary Clinic; The Nurse as the Glue that Holds It All Together; Preparing for Clinic Day

Essential Patient Evaluations at Every ClinicKeeping the Day Organized; Communication Between Team Members on Clinic Day; Take-Home Messages for Patients; Post-Clinic Meeting; A Little Bit of Everything: Essentials of Each Discipline That the Nurse Must Know; Social Work; Speech and Swallowing; Patient Education; Special Issues; Resources for Professional Development; Visiting Established ALS Centers; Research Opportunities for Patients; Caring for the Caregiver; References; Chapter 4: Speech and Swallowing Interventions; Speech Features of ALS; Motor Speech/Dysarthria; Voice

Speaking Rate and IntelligibilityCommunication Effectiveness; Assessments; Dysarthria; Voice; Intelligibility; Communication Effectiveness; Speech Staging; Interventions; Compensatory Strategies; Voice Banking; Timing Referrals for AAC; Patient and Caregiver Education; Swallowing Features of ALS; Oral Phase Swallowing; Pharyngeal Phase Swallowing; Sensory Differences for ALS; Swallowing Assessment; Oral Phase Swallowing; Pharyngeal Phase Swallowing; Time to Consume Meals; MBSS/FEES; Timing Referrals for Percutaneous Endoscopic Gastrostomy (PEG); Interventions; Exercises; Swallowing Safety

Conserving EnergyManaging Secretions; References; Chapter 5: Nutrition and Nutrition Therapy; A Well-Balanced Diet; Nutritional Challenges in ALS; Integrated Approach to Nutritional Management in ALS; Diet Modification and Eating Strategies; Problems with Self Feeding; Chewing and Swallowing Difficulties; Diet Modification to Increase Calories; Hydration; Constipation; Determine if a Patient Is in Positive or Negative Energy Balance; Recommending a G-Tube as an Alternative Route for Nutritional Intake if EI < TDEE; Risk Stratification for G-Tube Insertion Based on %FVC; Dietary Supplements

Resources for People with ALS and Caregivers

Sommario/riassunto

Amyotrophic Lateral Sclerosis: A Patient Care Guide for Clinicians is intended as a practical reference for clinicians caring for ALS patients, and will bring together the collective wisdom of those at the forefront of patient-oriented research and practice. This will be an official project of the ALS Research Group (founded by Dr. Mitsumoto and currently headed by Dr. Bedlack), and provides both an evidence-based and experience-based guide to multidisciplinary ALS care. The book will begin with a brief review of current concepts of ALS including diagnostic criteria, genetic and sporadic subty