Long-term clinical and neuropsychological outcomes of West Nile virus infection.

Background: Since its introduction in 1999, West Nile virus has rapidly become the most common arboviral infection in North America. Little is known about the long-term clinical sequelae of West Nile virus infection.

Methods: A total of 49 patients with laboratory-confirmed West Nile virus infection were identified through state-based surveillance.

Contribution of functional ratings to prediction of longterm employment outcome after traumatic brain injury.

The present study investigated the contribution of functional ratings to prediction of employment outcome after traumatic brain injury (TBI). Previous studies have suggested that functional ratings obtained at a significant time post-injury can supplement neurologic, pre-injury, neuropsychologic, and other post-injury variables in predicting long-term employment outcome. Functional ratings studied were patients' needs for physical, cognitive, and behavioural supervision.

The effect of importance level, delay, and rate of forgetting on prose recall in multiple sclerosis.

Memory deficits are frequently seen in patients with multiple sclerosis (MS). The focus of this study was to examine semantic encoding and the rate of forgetting in MS patients. The prose passages of the Wechsler Memory Scale Logical Memory subtest were used to examine MS patients' semantic sensitivity to the idea units of a story.

Impaired awareness and employment outcome after traumatic brain injury.

Inaccurate self-awareness is a common finding after traumatic brain injury. Such impaired awareness has been hypothesized to limit patients' eventual functional outcomes by decreasing motivation for treatment and resulting in selection of inappropriate long-term goals. Previous investigations of the association between impaired awareness and employment outcome have produced inconsistent results.

Prediction of employment outcome one to three years following traumatic brain injury (TBI).

The current study investigated the relationship between age, education (EDUC), pre-injury productivity (PIP), Glasgow Coma Scale score, and a functional rating score at admittance and discharge from rehabilitation (Disability Rating Scale [DRS]) to employment status at one to three years following traumatic brain injury. EDUC, admit DRS, discharge DRS, and PIP all correlated significantly with follow-up employment status, 0.29, -0.

The Awareness Questionnaire: factor structure and internal consistency.

Patients with traumatic brain injuries often show impaired awareness of their impairments. This impaired awareness can decrease motivation for treatment and limit eventual functional outcome. The importance of this phenomenon has led to the development of multiple techniques and scales for measuring impaired awareness.

Assessment and treatment of impaired awareness after brain injury: implications for community re-integration.

Impaired self-awareness of deficits is a common finding in patients who have suffered traumatic brain injury. Impaired awareness can limit motivation for treatment and contribute to poor outcome. Consequently, it is important for brain injury rehabilitation professionals to understand this phenomenon and utilize treatment approaches that may improve patient awareness.

Efficacy of postacute brain injury rehabilitation for patients with primary malignant brain tumors.

Background: Patients with primary malignant brain tumors (PMBT) often have neurobehavioral deficits due to the tumor, subsequent surgery, and therapies that interfere with their ability to live independently or work. Previous studies have shown that such patients generally have a progressive decline in functioning from diagnosis to death. Consequently, PMBT patients have not been considered good candidates for rehabilitation services.

Failure of posttrial administration of vasopressin analogue (DDAVP) to influence memory in healthy, young, male volunteers.

The effects of intranasal treatment with DDAVP on healthy, male volunteers was assessed. Subjects were asked to learn prose passages and then were given either 60 micrograms of DDAVP or saline in a double-blind procedure. Subjects were then asked to recall the passages after a 24-h delay.

Vasopressin analogue (DDAVP) facilitates recall of narrative prose.

The effects of treatment with 1-desamino-D-arginine vasopressin (DDAVP) on memory in healthy adult human subjects were investigated. Each subject (males only) received 60 micrograms of DDAVP intranasally and then heard six narrative passages of prose presented at differing rates of presentation. Proportion of recall was measured at high, medium, and low levels of importance of idea units within the passage.