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Journal of Intellectual Disability - Diagnosis and Treatment

Neurochemistry of Neurochemicals: Messengers of Brain Functions - Pages 137-151

Md. Sahab Uddin, Abdullah Al Mamun, Md. Tanvir Kabir, Md. Nasrullah, Ferdous Wahid, Mst. Marium Begum, Zubair Khalid Labu, Md. Sohanur Rahman, Md. Tanjir Islam, Md. Shah Amran and Mohamed M. Abdel-Daim

DOI: https://doi.org/10.6000/2292-2598.2017.05.04.6

 

Published: 15 January 2018

 


Abstract: Neurochemistry refers to the chemical processes that occur in the brain and nervous system. This section of study determines how neurochemicals influence the network of neural operation. The brain transfers numerous chemical information via neurons to communicate. The main role of neurochemistry activities takes place in the brain, which allows it to perform numerous actions. Foundation of brain is a little bit different from man to man and several things can play a role in the levels of various neurotransmitters in the brain. It is supposed that differences in brain chemistry may accountable for a variety of behavioral disorders. A particular cell called neurons is the basis of brain. Neurotransmitters have the capability that it can trigger when ordered to do so, along with receptors for specific neurotransmitters. By sending messages with neurotransmitters to signal various cell activities, brain perform its functions. Neurotransmitter spreads chemical messages from neuron to neuron to broadcast certain work and thus it works. A neuron may accept many chemical messages, both positive and negative from the other neurons contiguous it. They are accountable to get the neuron to reply in different ways, or they may work combine to produce a certain effect. Since all of this occurs just within a split second, the neurotransmitter must be cleared away rapidly so that the same receptors can be activated again and again. Psychoactive drugs work by briefly influencing a man's neurochemistry, which thusly causes changes in a man's mind-set, cognition, perception and behavior. Neuropeptides are endogenous protein molecules that are utilized for neuronal signaling. These molecules exert more prolonged and diverse effects on behavior than neurotransmitters. Therefore the objective of this appraisal is to show study of the brain’s chemical makeup especially neurotransmitters, psychopharmaceuticals, neuropeptides and their activities to nervous tissue.

Keywords: Neurochemistry, Neurochemicals, Messengers, Neurotransmitters, Psychopharmaceuticals, Neuropeptides, Brain Functions.

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Journal of Intellectual Disability - Diagnosis and Treatment

Editorial: Neurodevelopmental Disorders and Importance of Early Assessment and Early Interventions - Pages 100-101

Harieta E. Manolova

Published: 15 January 2018

 


Abstract:

Keywords:

Journal of Intellectual Disability - Diagnosis and Treatment

Asperger’s Syndrome in a Clinical Sample: Reasons for Referral and Comorbidity 

- Pages 117-123

S. Staykova, D. Terziev, H. Manolova, M. Hristova and A. Bistrian

Published: 17 January 2018

 


Abstract: Asperger’s Syndrome (AS) is an autism spectrum disorder without mental retardation and language delay. AS often remains unrecognized until these children fail to adapt to school or kindergarten. The comorbid psychiatric disorders, achieving clinical significance, were considered as another pathway to diagnosis. This study is aimed to elucidate the reasons for referral, the frequency and the kinds of comorbidities in a clinical sample of consecutive cases of children and adolescents with AS. To this objective, clinical records of children and adolescents, who have received a DSM-IV diagnosis of AS after multidisciplinary assessment in a given time period were reviewed. After excluding 3 cases due to insufficient information, 24 cases of children and adolescents with Asperger’s Syndrome (23 boys and one girl) were identified. The mean age at the time of assessment and receiving diagnosis was 9.6 yrs. (age range 4 to 17 years). In twenty-one (87%) of the cases the reason for referral was an episode of disorganized behavior following an attempt to enrollthe child at school or kindergarten, and more rare referral occurred within the significant school transition period. In the remaining 3 cases, the reason for referral was a comorbid condition. Comorbid conditions identified at the moment of assessment include: ADHD documented in 4 cases, tics in 3 cases, obsessive-compulsive behaviors in 4 cases, Stereotypic Movement Disorder or Trichotilomania in 4 of the cases. Within the clinical sample, a priori expected to include relatively severe cases, a higher frequency of comorbidity was found as compared to the rates in the general population. Adjustment reactions and comorbidities occasioned the referral, while AS was diagnosed only after specialized multidisciplinary assessment.

Keywords: Asperger’s Syndrome, reason for referral, comorbidity.

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Journal of Intellectual Disability - Diagnosis and Treatment

Assessment of Intellectual Functioning among Children with Neurodevelopmental Disorders: Challenges and Implications Beyond the Clinical Practice 

- Pages 124-129

 

Mihaela Hristova, Harieta Manolova, Svetla Staykova and G. Markova

Published: 17 January 2018

 


Abstract: Early and precise identification of neurodevelopmental disorders together with provision of adequate and timely interventions remain increasingly important tasks for multidisciplinary clinical teams. А central component in this process of comprehensive clinical evaluation is the assessment of children’s intellectual functioning. Intelligence test results represent a central component in the decision making process of determining a child’s future in terms of: qualification for special education, access to social welfare support, placement in therapeutic programs, etc. Clinical results yielded through the application of standardized intelligence assessment instruments (WISC, K-ABC, RPM), and especially the overall quantitative measure of cognitive ability (IQ) have become a central, and sometimes the only measure taken into consideration when determining a child’s level of functioning. Together with some distinct benefits, this practice places many children at risk of being underestimated and calls for revision and modification of standard assessment procedures. In line with these considerations, authors raise for discussion traditional approaches to diagnostics of intellectual functioning, highlighting some challenges, emerging from the constitutive particularities in the cognitive functioning of children with neurodevelopmental disorders. An attempt for identifying areas for further improvement alongside with research-informed recommendations for a contemporary, individualized and sensitive to the specifications of children with neurodevelopmental disorders assessment practice are outlined at the end of this paper. According to the authors’ opinion, exploration of the topic provides an important opportunity to advance the understanding of clinicians, primary healthcare professionals, educators and other professionals involved in supporting children with developmental deficits.

Keywords: Neurodevelopmental disorders, cognitive functioning, intelligence testing, Wechsler intelligence scales for children (WISC), profile analysis.

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Journal of Intellectual Disability - Diagnosis and Treatment

Child Welfare Reform in Bulgaria – from Institutional to Family-Based Community Care: Engaging with Families, Children and Colleagues?

- Pages 130-136

 

G. Markova, H. Manolova and M. Hristova

Published: 17 January 2018

 


Abstract: The authors present the child welfare policy reform and the process of deinstitutionalization of children’s services in Bulgaria. These developments are examined in the context of the country’s transition from a post-totalitarian to a liberal democratic state and from collectivistic to individual-centred practices. Therefore, the implementation of social policy promoting and regulating individualised community-based services faces challenges related to attitudes that support group-oriented and institutional-based care. There are three key contextual barriers to the provision of quality services for children with disability: engaging with the individual client, involving parents, and working in multidisciplinary teams. Clinical social work vignettes are presented to illustrate the above challenges. 

Keywords: Child welfare reform, deinstitutionalization, social policy, multidisciplinary teamwork, parenting, socialism, attitudes towards the state.

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