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Vegetative State by Ralf J. Jox,Katja Kuehlmeyer,Georg Marckmann,Eric Racine Pdf
Decision making for patients in the vegetative state is a complex issue and needs an interdisciplinary discourse that combines different perspectives. This book is based on an international neuroethics workshop for young academics and health care practitioners that took place in Munich and was funded by the German Ministry of Education and Research (BMBF). Various competitively-selected participants from different countries describe their scientific contributions or their clinical experiences. Moreover, experts from the field of medical ethics, neuroethics, and neuroscience contribute their Ã?Â?perspectives. (Series: Ethik in der Praxis / Practical Ethics - Studien / Studies - Vol. 36)
Life-Sustaining Treatments and Vegetative State by G. Gigli,Nathan D. Zasler Pdf
The miracles of modern medicine have created scenarios in which patients remain dependent on life-sustaining treatments for years. Possibly, one of the most dramatic examples of such a clinical scenario is the vegetative state (VS), a clinical condition that occurs when an individual enters a neurological state marked by periods of wakefulness and arousal but without associated demonstrable awareness/consciousness. There is extensive debate as to whether assisted nutrition and hydration (ANH) should be withdrawn from patients in VS, permanent or otherwise. This book will provide cutting edge information to many scientists and clinicians interested in this clinical topic. It could also be a source of anthropological, philosophical and ethical reflection. The many dilemmas raised by the medical, religious, ethical and societal response to persons in VS go well beyond the clinical condition itself and have profound implications for the fundamental values in our global society.It is for this reason that the authors thought it was important to also provide a vehicle, not only for scientific and bioethical reflections, but also for the religious views and tenants of Judeo-Christian thought on the controversial topic of VS and, inherent in that conversation, the controversy of withdrawal and withholding of care.
Surviving Brain Damage After Assault by Barbara A. Wilson,Samira Kashinath Dhamapurkar,Anita Rose Pdf
At the age of twenty eight Gary was assaulted by a gang with baseball bats and a hammer, resulting in several skull fractures and severe brain damage. For nineteen months he had little awareness of his surroundings before he started to show some recovery. This inspirational book documents his exceptional journey. The book presents a series of interviews with Gary, his mother Wendie, who never gave up, the medical team who initially treated him, and the therapists who worked with him over a period of three years. Through their testimony we learn about the devastating effects which can follow a serious assault to the head, and the long process of recovery over several years. With specialist rehabilitation and continuing family support Gary has exceeded expectations and, apart from some minor physical problems, he is now a normal young man. Surviving Brain Damage after Assault shows that, contrary to popular belief, considerable gains can be made by people who have experienced a long period of reduced consciousness. The book will be of great value to all professionals working in rehabilitation - psychologists, speech and language therapists, occupational therapists, social workers and rehabilitation doctors, and to people who have sustained a brain injury and their families.
The Assessment and Rehabilitation of Vegetative and Minimally Conscious Patients by Martin R. Coleman Pdf
The vegetative state - a condition in which someone is awake but unaware with no evidence of a working mind - is both emotive and challenging. This condition and that of someone who gains partial recovery of mental and neurological functions - known as the minimally conscious state - have provoked intense debate and considerable interest amongst scientists, health care professionals, ethicists, philosophers and lawyers. This unique special issue unites many experts in the field to review and discuss the many advances made in our understanding of these conditions. The strength of this special issue lies in the wide range of topics discussed - from definitions and diagnostic criteria to hotly debated topics such as whether a person in the vegetative state is truly unaware. This edition will serve as both a useful reference to those caring for people in these conditions as well as to those investigating the physiological basis of human consciousness.
"From renowned neuroscientist Adrian Owen comes a thrilling, heartbreaking tale of discovery in one of the least-understood scientific frontiers: the twilight region between full consciousness and brain death. People who inhabit this middle region called the 'gray zone' have sustained traumatic brain injuries or are the victims of stroke or degenerative diseases, such as Alzheimer's and Parkinson's. Many are oblivious to the outside world, and their doctors and families often believe they're incapable of thought. But a sizable number of patients--as many as twenty percent--are experiencing something different: intact minds adrift within damaged brains and bodies. In 2006, Adrian Owen led a team that discovered this lost population and made medical history, provoking an ongoing debate among scientists, physicians, and philosophers about the meaning, value, and purpose of life. In Into the Gray Zone, we follow Owen as he pushes forward the boundaries of science, using a variety of sophisticated brain scans, auditory prompts, and even Alfred Hitchcock film clips to not only 'find' patients who are trapped inside their heads but to actually communicate with them and elicit answers to moving questions, such as 'Are you in pain?' and 'Do you want to go on living?' and 'Are you happy?' (Many gray zone patients do, in fact, claim to be satisfied with their quality of life.) Into the Gray Zone shines a fascinating light on how we think, remember, and pay attention. And it shows us how the field of brain-computer interfaces is about to explode, radically changing prognoses for people with impaired brain function and creating, for all of us, the tantalizing possibility of telepathy and augmented intelligence. Ultimately; this is not just a spellbinding story of scientific discovery but a deeply human, affirming book that causes us to wonder anew at the indomitable bonds of love."--Jacket.
Dictionary of Global Bioethics by Henk ten Have,Maria do Céu Patrão Neves Pdf
This Dictionary presents a broad range of topics relevant in present-day global bioethics. With more than 500 entries, this dictionary covers organizations working in the field of global bioethics, international documents concerning bioethics, personalities that have played a role in the development of global bioethics, as well as specific topics in the field.The book is not only useful for students and professionals in global health activities, but can also serve as a basic tool that explains relevant ethical notions and terms. The dictionary furthers the ideals of cosmopolitanism: solidarity, equality, respect for difference and concern with what human beings- and specifically patients - have in common, regardless of their backgrounds, hometowns, religions, gender, etc. Global problems such as pandemic diseases, disasters, lack of care and medication, homelessness and displacement call for global responses.This book demonstrates that a moral vision of global health is necessary and it helps to quickly understand the basic ideas of global bioethics.
Author : Royal College of Physicians of London Publisher : Royal College of Physicians Page : 22 pages File Size : 40,5 Mb Release : 2003 Category : Persistent vegetative state ISBN : 9781860161865
Re-Engineering of the Damaged Brain and Spinal Cord by Klaus Wild Pdf
Traumatic Brain Injury (TBI) can lead to loss of skills and to mental cognitive behavioural deficits. Paraplegia after Spinal Cord Injury (SCI) means a life-long sentence of paralysis, sensory loss, dependence and in both, TBI and SCI, waiting for a miracle therapy. Recent advances in functional neurosurgery, neuroprosthesis, robotic devices and cell transplantation have opened up a new era. New drugs and reconstructive surgical concepts are on the horizon. Social reintegration is based on holistic rehabilitation. Psychological treatment can alleviate and strengthen affected life. This book reflects important aspects of physiology and new trans-disciplinary approaches for acute treatment and rehabilitation in neurotraumatology by reviewing evidence based concepts as they were discussed among bio and gene-technologists, physicians, neuropsychologists and other therapists at the joint international congress in Brescia 2004.
This serial is firmly established as an extensive documentation of the advances in contemporary brain research. Each volume presents authoritative reviews and original articles by invited specialists. This volume concentrates on coma and consciousness science. presenting articles from leading figures in the area on the clinical and ethical implications of work in this field. The book provides a thorough review of the various aspects of coma science from a review of the concepts, questioning of recent advances, case studies, through to where research in the field is heading. * Provides the reader with a unique overview of all aspects of new advances in coma science * Broad focus with contributions by the top scientists worldwide in the respective disciplines
Conscious in a Vegetative State? A Critique of the PVS Concept by Peter McCullagh Pdf
Having been originally introduced as a term to facilitate discussion of a specific group of patients regarded as entering a state of unawareness following coma, the ‘Persistent Vegetative State’ (PVS) has established itself as an apparently discrete medical condition with clear-cut implications for ethicists and lawyers that exceed any scientifically based understanding. As a consequence of this upgrading, conclusions drawn about the status and hence the management of this uncommon condition have been increasingly extended to other patients with much more common forms of disability. This book traces the origins of prevailing perceptions about PVS and submits these to critical examination. In doing this it comes to the conclusion that inadequate attention has been paid to acknowledging what is not known about affected individuals and that assumptions have consistently come to be traded as facts. Re-examination of the basis of the PVS and the adoption of a more scientific approach is long overdue and is owed to the community at large which has generally been provided by many medical practitioners with a ‘dumbed-down’ account of the condition. The book will be of interest to philosophers, medical graduates and neuroscientists but is also intended to remain accessible to the general reader with an interest in the wider implications of trends in medical thinking for attitudes towards many classes of patient. It has an extensive bibliography and will be of specific interest to bioethicists and lawyers with professional interests in PVS.
The Neurology of Consciousness by Steven Laureys,Olivia Gosseries,Giulio Tononi Pdf
The second edition of The Neurology of Consciousness is a comprehensive update of this ground-breaking work on human consciousness, the first book in this area to summarize the neuroanatomical and functional underpinnings of consciousness by emphasizing a lesional approach offered by the study of neurological patients. Since the publication of the first edition in 2009, new methodologies have made consciousness much more accessible scientifically, and, in particular, the study of disorders, disruptions, and disturbances of consciousness has added tremendously to our understanding of the biological basis of human consciousness. The publication of a new edition is both critical and timely for continued understanding of the field of consciousness. In this critical and timely update, revised and new contributions by internationally renowned researchers—edited by the leaders in the field of consciousness research—provide a unique and comprehensive focus on human consciousness. The new edition of The Neurobiology of Consciousness will continue to be an indispensable resource for researchers and students working on the cognitive neuroscience of consciousness and related disorders, as well as for neuroscientists, psychologists, psychiatrists, and neurologists contemplating consciousness as one of the philosophical, ethical, sociological, political, and religious questions of our time. New chapters on the neuroanatomical basis of consciousness and short-term memory, and expanded coverage of comas and neuroethics, including the ethics of brain death The first comprehensive, authoritative collection to describe disorders of consciousness and how they are used to study and understand the neural correlates of conscious perception in humans. Includes both revised and new chapters from the top international researchers in the field, including Christof Koch, Marcus Raichle, Nicholas Schiff, Joseph Fins, and Michael Gazzaniga
Author : L. Syd M. Johnson Publisher : Oxford University Press Page : 305 pages File Size : 54,9 Mb Release : 2022 Category : Medical ISBN : 9780190943646
The Ethics of Uncertainty by L. Syd M. Johnson Pdf
"Consciousness isn't a thing you can poke a stick at. It's not a natural kind, like a bit of quartz, or quarks, or water. Like "life," which can be attributed to many entities, but is not a thing with reality apart from living entities, consciousness can be attributed to conscious entities without being some further thing or fact, some mysterious, mentalizing "force" that can exist without conscious entities. It is manifested in conscious states and creatures, but isn't a thing in and of itself. One of the enduring puzzles about consciousness and conscious states is how they, as apparently mental, nonphysical states, can manifest in a physical entity like a brain. We can point to a physical bit of brain, to a neuron, or a structure like the thalamus, but we can't locate the consciousness within that bit of brain or its neural cells"--
The Boundaries of Consciousness: Neurobiology and Neuropathology by Steven Laureys Pdf
Consciousness is one of the most significant scientific problems today. Renewed interest in the nature of consciousness - a phenomenon long considered not to be scientifically explorable, as well as increasingly widespread availability of multimodal functional brain imaging techniques (EEG, ERP, MEG, fMRI and PET), now offer the possibility of detailed, integrated exploration of the neural, behavioral, and computational correlates of consciousness. The present volume aims to confront the latest theoretical insights in the scientific study of human consciousness with the most recent behavioral, neuroimaging, electrophysiological, pharmacological and neuropathological data on brain function in altered states of consciousness such as: brain death, coma, vegetative state, minimally conscious state, locked-in syndrome, dementia, epilepsy, schizophrenia, hysteria, general anesthesia, sleep, hypnosis, and hallucinations. The interest of this is threefold. First, patients with altered states of consciousness continue to represent a major clinical problem in terms of clinical assessment of consciousness and daily management. Second, the exploration of brain function in altered states of consciousness represents a unique lesional approach to the scientific study of consciousness and adds to the worldwide effort to identify the "neural correlate of consciousness". Third, new scientific insights in this field have major ethical and social implications regarding our care for these patients.