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Key thoughts leaders and practitioners in personalized medicine distil its current status, future directions, and recommendation for successful implementation of for brain disorders. This text is a summary of the “science to patient” continuum in and integrative neuroscience. Included are measures of genes using whole genome approaches and SNIPS, as well as BRAINmarkers of direct brain function such as brain imaging, biophysical changes and objective cognitive and behavioral measurements. The chapters provide a review of relevant literature; show the personalized diagnostic and treatment prediction solutions for patient care achieved through integrative neuroscience, providing a practical guide. This book provides a summary of the key translations from laboratory discoveries to patient and reimbursement issues, in personalized medicine.

Epilepsy is one of the most common disorders of the brain, and these patients often suffer from memory problems. There are a number of reasons for this: seizures can directly affect the brain in ways that disturb memory; epilepsy often results from trouble in brain regions closely linked to memory; the treatment of epilepsy can affect memory; epilepsy can cause psychological problems, like depression, which interfere with memory. This book reviews all aspects of the relationship between this common and potentially serious neurological disorder and memory, one of the core functions of the human mind. The chapters review the history of the subject; the clinical features of memory disorder in epilepsy; neuropsychological, neuroradiological, neuropathological, and electrophysiological findings; the roles of anticonvulsant side effects and psychiatric disorder; and the scope for memory support and rehabilitation. The study of patients with epilepsy has revealed much about the workings of memory, yet there has been no recent review of this field of research. This book aims to this gap.

Neuronal responses to identically presented stimuli are extremely variable. This variability has in the past often been regarded as “noise.” At the single neuron level, interspike interval (ISI) histograms constructed during either spontaneous or stimulus-evoked activity reveal a Poisson type distribution. These observations have been taken as evidence that neurons are intrinsically “noisy” in their firing properties. More recent attempts to measure the information content of single neuron spike trains have revealed that a surprising amount of information can be coded in spike trains even in the presence of trial-to-trial variability. Multiple single unit recording experiments have suggested that variability formerly attributed to noise in single cell recordings may instead simply reflect system-wide changes in cellular response properties. These observations raise the possibility that, at least at the level of neuronal coding, the variability seen in single neuron responses may not simply reflect an underlying noisy process. They further raise the very distinct possibility that noise may in fact contain real, meaningful information which is available for the nervous system in information processing. To understand how neurons work in concert to bring about coherent behavior and its breakdown in disease, neuroscientists now routinely record simultaneously from hundreds of different neurons and from different brain areas, and then attempt to evaluate the network activities by computing various interdependence measures including cross correlation, phase synchronization, and spectral coherence. This book examines neuronal variability from theoretical, experimental, and clinical perspectives.

Improvements in health care in the 21st century mean people are living longer, but with the paradox that chronic illness is increasingly prevalent. Dementia, a term used to describe various different brain disorders that involve a loss of brain function which is usually progressive and eventually severe, is a condition associated with an ageing population and is becoming increasingly common. Worldwide, there are approximately 24 million people with dementia, expected to rise to 81 million by 2040. Inevitably, people living with dementia will die, but their needs at the end of life are not well known. This book describes what might be achieved if the values and best practice of both dementia care and palliative care are brought together, to achieve quality end-of-life care for this specific group of patients. It explores what is known about the experience of dying with dementia, using a narrative approach, and develops a model that draws together a ‘person-centred’ approach to care. The book examines the possibilities and the challenges faced when trying to improve quality of life for people with dementia, and presents examples of good practice from across the world.