Overview of Epilepsy

Overview of Epilepsy Epilepsy Table of Contents Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 1 What is epilepsy? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 2 Diagnosis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Page 2-4 Types of Seizures †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 5-9 Types of Treatments †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Pages 9-10 Further Research †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Pages 11-12 Physiological issues with Epilepsy †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Page 12 Conclusion †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Pages 12-13 References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Pages 14-15 Introduction Epilepsy is a neurological disorder that targets 1 in 100 people in North America. Epilepsy is one of very few diseases without a definite cure. In fact scientists to this day cannot figure out what triggers these seizures. This is quite amazing considering the modern technologies medicine uses today. Throughout my paper I will explain what epilepsy is and what happens during an epileptic seizure, I will cover the different categories of seizures, how doctors diagnose epilepsy, and different types of treatment to help the patients with epilepsy. What is epilepsy? Epilepsy is a neurological disorder that attacks the nervous system. Another term for epilepsy is â€Å"seizure disorder† (www.epilepsy.com). To this day the exact factor that triggers an epileptic seizure is unknown. In other words epileptic seizures are idiopathic (Ogden, 2005). Seizures occur when too many brain cells get excited at the same time. A seizure is like an electrical storm in your brain. During this electrical storm your brain cannot perform its usual tasks, causing sudden changes in behaviour, sensations, movement, and awareness (www.epilepsysociety.org.uk). A typical seizure usually last between a few seconds, to a few minutes. Once the seizure is finished the victim enters a â€Å"post-ictal period. (The greek word â€Å"post† meaning â€Å"after†, and the Greek work â€Å"ictal† meaning â€Å"seizure† [http://www.behindthename.com]). During this post-ictal period, which can last from seconds to hours, the brain begins recovering, and the victim’s awareness will gradually increase. It is common to experience confusion and drowsiness during this phase. Diagnosis Epilepsy is the conditions of having spontaneous seizures. This means having one seizure is not enough to be diagnosed with epilepsy, there must be two or more. To be considered an epileptic seizure the seizure must occur spontaneously, without a direct factor (www.epilepsy.com). Doctors use three main ways to diagnose epilepsy. Neurological History – Doctors must be given specific description of previous seizures in the past. Such as; how long they lasted, what were you doing when the seizure occurred, what was your body’s behaviour/feeling before the seizure took place, and your body’s behaviour after the seizure ended (www.modernmedicine.com) People who suffer from having seizures do not remember what happens while a seizure takes place. That being said a description from a witness to your seizures could be very beneficial (www.epilepsyfoundation.org). Electroencephalograph – An electroencephalograph or an EEG is the most common tool used to diagnose epilepsy. An EEG measures the electrical signals passed from one neuron to another within the brain (www.epilepsyfoundation.org) ( see image 1). To measure these electrical signals doctors attach wires, known as electrodes, on the patients scalp (www.chp.edu). During an EEG no electricity is taken from the patient’s brain, and no electricity is injected into the patients brain. The EEG simply measures the electrical current travelling through the patient’s brain. Magnetic Resonance Imaging – a magnetic resonance imaging or MRI is a procedure used to create detailed images of the damaged area of your body. When diagnosing epilepsy an MRI can show damaged regions of your frontal lobe. (see figure 2) Wu XingXiaovi WangFangfang Xie Weihua, L. (2013) An MRI is done by using a large field of radio waves. An MRI is much more effective than an EEG, the neuron images created from an MRI shows exactly where the damaged area of the brain is (Robert F. LaPrade) From there procedures can made to repair or remove the damaged section of the frontal lobe that is causing epileptic seizures. Types of Epileptic Seizures Epileptic seizures are a very broad term. When diagnosing the type of epileptic seizures doctors categorize in two main categories; partial seizures, and primary generalized seizures. Within these two main categories there are more specific types of seizures (Stephen C. Schachter). The first category is â€Å"primary generalized seizures†. When a primary generalized seizure takes place both sides of the brain are affected at once, with a large amount of electrical discharge at the same time. The body is then accompanied by sudden movements, loss of awareness, or loss of consciousness. There are three types of primary generalized seizures: Clonic seizure (Grand Mal) – This type of seizure that most people visualize when they hear the word â€Å"seizure†. When a clonic seizure takes place the victim will stiffen and lose consciousness. – This is the â€Å"tonic phase†. The tonic phase usually lasts from thirty seconds, to a couple minutes (www.hopkinsmedicine.org). Next the body’s muscles then start to contract and back will begin to arch, and elbows and legs will start the flex. The last phase of the clonic seizure is jerking. The victim will lose all control of their body and will begin to jerk uncontrollably, this phase usually lasts around two or three minutes (www.nlm.nih.gov). Absence seizures (Petit Mal) – Absence seizures disconnect the victim from the world for a matter of a few seconds. This type of seizure is triggered from abnormal activity in the brain. Absence seizures occur mostly in children (www.epilepsy.com). There are two types of absence; Simple absence seizures, and Complex absence seizures. Simple Absence seizure – Usually last ten seconds or less. During these ten seconds the person â€Å"zones out† or stares off into the distance. This type of seizure is very difficult to diagnose (www.mayoclinic.org). Complex absence seizures – Usually lasts twenty seconds or less. During this time period then victim will â€Å"zone out† but will also be doing some sort of movement, such as; chewing, blinking, hand motions, or rubbing their fingers. (www.epilepsy.com). Myoclonic seizures – A myoclonic seizure is very brief, only lasting a matter of seconds. During this few seconds both sides of your body has sudden jerks at exactly the same time. During a myoclonic seizure the patient does not lose consciousness and does not have any memory loss (Orrin Devinsky, 7/2013). A myoclonic seizure can be compared to being in contact with a single jolt of electricity, sudden hiccups, or the jolt of waking up from sleep state very quickly (www.hopkinsmedicine.org) (Orrin Devinsky, 7/2013). Like absence seizures, myoclonic seizures are hard to diagnose and usually over looked because the seizures are so brief. The second category is â€Å"partial seizures†. When partial seizure takes place there is a large amount of electrical discharge in a certain area of the brain (Mary Ellen Ellis, July 25, 2012). Since only a specific location of the brain is effected, only a specific location of the body will be effected, depending on the location of the seizure in the brain. There are two types of partial seizures; Complex partial seizures, and simple partial seizures. Simple partial seizures: A typical simple partial seizure usually last between 30 seconds to two minutes (emedicine.medscape.com). When a patient has a simple partial seizure they are fully awake, alert, and able to interact with peers around them. The patient might lose one of their senses temporarily, be unable to move one of their fingers, or even stiffen one of their body parts (www.epilepsy.com). For the seizure to be considered a â€Å"simple partial seizure† memory, awareness, and consciousness must be preserved. Complex partial seizure – Similar to simple partial seizures, a complex partial seizure typically last between 30 seconds and two minutes (emedicine.medscape.com). During a complex partial seizure there are symptoms known as automatisms. Automatisms consist of lip-smacking, chewing, walking or pacing back and forth, swallowing, patting or fumbling (emedicine.medscape.com). A main difference between the two types of partial seizures is; consciousness, awareness, or memory is impaired. Unlike primary generalized seizures, partial seizures usually have a warning sign to inform the patient a seizure is near. This warning sign is called an â€Å"aura† (Columbia University, P. (2013)). An aura usually takes place a few seconds, or a few minutes before the seizure occurs. Aura’s can come in many different ways, such as; numbness, headaches, being light-headed, upset stomach, dizziness, the sensation of fear, forced thinking, abnormal sensations, or unusual tingle in a certain area of your body. When an epileptic patient senses one or more of these symptoms there is high probability a partial seizure will be soon to follow (William H. Blahd, Jr, August 25, 2011). Types of Epileptic Treatment The most common type of epileptic treatment is anti-epileptic drugs or AEG’s. With over twenty different choices seventy percent of epileptic patients choose anti-epileptic drugs. Although these medications to not cure epilepsy, it only suppresses the seizures (see figure #3, located on the top of the next page) (www.webmd.com). The way this medication works is by lowering the amount of electricity each neuron passes in the brain. This type of treatment is very useful in cases of generalized seizures. The only down fall from using anti-epileptic drugs is the side effects and because the medication acts on the brain and the body there is numerous side effects. The main four side effects are headaches, balancing troubles, more difficult to focus your eyes, and trouble thinking properly. This medication is not guaranteed to work; in some cases patients experience both seizures and side effects. When this occurs a new treatment is needed. This can be a switch to a different anti-e pileptic drug or a non-medicated treatment (Juan G Ochoa, Selim R Benbadis). If a patient does not have a seizure for two years and shows no sign of epilepsy on an EEG the doctor will slowly begin to ease off the medication. (FAULKNER M. A. (2014)) The other option of treatment for patients with epilepsy is the non-pharmaceutical route. Although anti-epileptic drugs have the highest success rate, non-medicated treatment has substantial research to support it (www.epilepsyontario.org). Brain surgery is the most common non-medicated treatment; the only issue with brain surgery is that it only works for partial seizures. The reason why is only works on partial seizures is because doctors can locate the specific area of the brain and remove sections of it. On grand mal seizures both hemispheres are triggered at the same time, in order to fix the epileptic problems doctors would have to remove too much of the brain, the patient would not live (www.epilepsyontario.org). New research always shows diet can be very beneficial; his is called the ketogenic diet. Its takes a lot of commitments considering no sweets or treats are allowed and 80 percent of the diet must be fatty foods, but low in carbohydrates. The ketogenic diet has success rates from 30 percent up to 50 percent (www.epilepsyontario.com). Further research Epilepsy has become more and more common in the past 20 years. Now that it has become more common scientists all over the world are beginning to test for a cure, weather that is a new class of medicine, gene therapy, or a non-medicated cure. The newest research for curing epilepsy is gene therapy. In 2009 scientist were able to figure out that the gene for epilepsy is located on chromosome 15 also known as â€Å"15q13.3†. (www.sciencedaily.com). With this knowledge and the proper technologies scientists can inject a virus containing the normal gene into chromosome where the epileptic mutation is. From there the normal gene will splice into the DNA strand, fixing the abnormal gene. In result epilepsy will be cured from the patient, and when they reproduce they can pass on a normal gene to their children. With this being said we can potentially remove epilepsy from our society. So far scientists have been able to cure rats with epilepsy using gene therapy, and now they have also been successful in Border Collie dogs. (Keijiro MizukamiAkira Yabukihye-Sook ChangUddin, M.) Another example of further research is new drug classes for epilepsy that are advancing each year. A good example of this is: September 2013 a new epileptic drug called Perampanel was released in United States. This new drug showed up to 35 percent more responsive outcomes than any other drug on the market. (www.ncbi.nlm.nih.gov). The only factor that is holding science back from curing epilepsy is funding. There is not enough funding going into epilepsy research. With the proper amount of Government funding or public donations epilepsy would be cured within the matter of five years from now. Physiological Issues with Epileptic patients Epilepsy does not affect the patient only physically, but also mentally and emotionally. Patients who suffer from epilepsy also have to deal with low self-esteem. Low self-esteem and epilepsy go hand and hand because patients with epilepsy are afraid of going out in public, or even doing the normal day to day things because the thought of having a seizure in public. (Ogden, 2005) It is extremely embarrassing for a patient suffering from epilepsy to have a seizure in front of their friends, family, or even strangers. Another emotional barrier that is part of suffering from epilepsy is the thought of never getting a driver’s license. Not getting a driver’s license makes everything in a normal adult life difficult. From getting to work, or getting groceries, or any sort of transportation. In some cases epilepsy makes the patient one hundred percent dependent on other people. Conclusion Life with epilepsy makes any day to day task more difficult. Epilepsy has impacted millions of people in a negative manner but further research is getting close to a cure, by using gene therapy research, and finding new classes of medicine. With the proper funding from the government epileptic medicine will continue to grow and be redefined. The research going into epilepsy is constantly growing, at this rate epilepsy will have a definite cure within the next decade, and using gene therapy epilepsy will also be removed from our society all together, allowing everyone to live epileptic free. Resources http://www.behindthename.com/names/usage/greek-mythology http://epilepsy.com/learn/epilepsy-101/what-epilepsy Ogden, 2005 http://www.epilepsysociety.org.uk/what-epilepsy#.UzXDJPnIZ5V http://www.professinals.epilepsy.com/page/after_ab_pos http://www.epilepsyfoundation.org/aboutepilepsy http://cedars-sinai.edu/Patients/Programs-and-Services/Epilepsy-Program/Diagnosing-Epilepsy/ http://www.modernmedicine.com/modern-medicine/news/neurological-assessment-refresher http://web.a.ebscohost.com/ehost/detail?vid=11sid=467a451f-9d21-4962-a627-675ecbe6d893%40sessionmgr4004hid=4204bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aqhAN=94116054 http://web.a.ebscohost.com/ehost/detail?vid=3sid=867d5b74-4a00-46de-86e1-686c17975c83%40sessionmgr4003hid=4112bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aqhAN=85968889 Figure 2 http://www.webmd.com/epilepsy/seizure-mri http://www.epilepsy.com/learn/types-seizures http://www.hopkinsmedicine.org http://nlm.nih.gov/medlineplus/ency/article/000695 http://epilepsy.com/learn/types-seizures/absense-seizures http://mayoclinic.org/diseases-conditions/petit-mal-seizure/basics/definition/con-20021252 http://www.epilepsy.com/learn/types-seizures/myoclonic-seizures http://www.hopkinsmedicine.org/neurology_neurosurgery/specialty_areas/epilepsy/seizures/types/myoclinc-seizures.html http://emedicine.medscape.com/article/1183962-overview http://emedicine.medscape.com/article/1183853-overview http://web.b.ebscohost.com/ehost/detail?vid=4sid=e018e8f4-ed9b-4c77-929f-f00e8685f286%40sessionmgr115hid=103bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=khhAN=39005165 à ¯Ã†â€™Ã… ¸(EBSCO #3) http://www.webmd.com/epilepsy/aura-and-seizures http://www.webmd.com/epilepsy/aura-and-seizures à ¯Ã†â€™Ã… ¸ William H. Blahd, Jr http://web.a.ebscohost.com/ehost/[emailprotected]gr4005vid=5ui=16088672id=59600950parentui=59600950tag=ANdb=aqh à ¯Ã†â€™Ã… ¸ Image #3 http://www.emedicine.medscape.com/article/1187334-overview à ¯Ã†â€™Ã… ¸ Juan G Ochoa, Selim R Benbadis http://epilepsyontario.org/non-pharmaceutical-treatments/ http://web.b.ebscohost.com/ehost/detail?vid=4sid=b0940d9f-1c3e-465e-af24-23be73f63bc7%40sessionmgr110hid=122bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aqhAN=15877590 http://www.sciencedaily.com/releases/2009/01/090114075919.htm http://web.a.ebscohost.com/ehost/detail?vid=3sid=d6e55ff9-b6e5-4a6d-ab81-7e59cc92f267%40sessionmgr4001hid=4209bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=aqhAN=95333447 Overview of Epilepsy Overview of Epilepsy TASK 3 REPORT ON EPILEPSY Epilepsy is a neurological disorder marked by sudden episodes of bodily disturbance, loss of consciousness, or seizures, related to abnormal electrical activity in the brain. Anything that injuries the brain can result in epilepsy. Some of the common causes are head injuries and strokes. Other more infrequent causes are brain tumours and some genetic disorders like tuber sclerosis. A seizure is the only observable symptom of epilepsy. There are various types of seizures and symptoms of each type. Seizures typically last from a few seconds to a few minutes. A person may lose awareness. They may not recall what occurred during the seizure or may not even realise they had a seizure. Seizures that make you fall to the ground or make the muscles stiffen or move out of control are easy to recognise. Some seizures might make you gaze into space for a few seconds. Others may only involve a few muscle jerks, a turn of the head, or an odd smell. Epileptic seizures often happen without notice. A seizure ends when the abnormal electrical activity in the brain stops and brain activity begins to return to normal. Idiopathic Generalised Epilepsy In idiopathic generalised epilepsy, there is often a genetic history of epilepsy. Idiopathic generalised epilepsy have a tendency to appear during childhood although it may not be diagnosed until maturity. In this type of epilepsy, no nervous system condition, other than the seizures, can be identified on either an EEG (EEG a test which measures electrical impulses in the brain) or MRI (imaging studies). People with idiopathic generalised epilepsy have ordinary brainpower and the outcomes of the neurological exam and MRI are usually normal. The results of the EEG test may show epileptic releases affecting one or more areas. The types of seizures that affect patients with idiopathic generalised epilepsy: Myoclonic seizures (unexpected and very short length of jerking) Absence seizures (staring spells) Generalised tonic-clonic seizures (affect the entire brain) Idiopathic Partial Epilepsy Idiopathic partial epilepsy begins in youth (between ages 5 and 8) and may be part of a family history. It is considered one of the mildest types of epilepsy. It is almost always outgrown by puberty and is never diagnosed in adults. Seizures tend to arise during sleep and are most often partial motor seizures that involve the face. This type of epilepsy is usually identified with an EEG. Symptomatic Generalised Epilepsy Symptomatic generalised epilepsy is caused by brain damage. For example, injury during birth is the most common cause of symptomatic generalised epilepsy. When the cause of symptomatic general epilepsy cannot be identified, the disorder may be referred to as cryptogenic epilepsy. Symptomatic Partial Epilepsy Symptomatic partial epilepsy is the most common type of epilepsy that begins in maturity, but it does occur often in children. This type of epilepsy is caused by a local condition of the brain, which can consequence from strokes, tumours, trauma, birth brain condition, scarring of brain tissue, cysts, or infections. These brain conditions can be seen on MRI scans, but often they cannot be recognised, because they are microscopic. Symptomatic partial epilepsy may be successfully treated with surgery. Identify and watch for a specific behaviour or physical and emotional signs that come before attacks. Its not exceptional, to feel annoyed or joyful several hours prior to the seizure, and immediately before the attack. The person may become conscious of a warning aura perhaps a taste or a smell. This notice may let the person to lie down in time to avoid falling down. In situations where the aura is a smell, some people are capable of fighting off seizures by smelling a strong odour, such as garlic or roses. When the first signs include depression, irritability, or a headache, an extra dosage of medication may help prevent an attack. Electroencephalogram (EEG) An EEG test measures the electrical activity of your brain through electrodes placed on your scalp. During the test, a person might be asked to breathe deeply or to close their eyes, as these activities could expose unfamiliar brain activity related to epilepsy. A person might also be asked to gaze at a flashing light, but the test will be stopped immediately if it seems like the flashing light could cause a seizure. Magnetic Resonance Imaging (MRI) Scan An MRI scan can often spot possible causes of epilepsy, such as faults in the structure of your brain or the existence of a brain tumour. At the moment there is no remedy for epilepsy. Anti Epileptic Drug (AED) Anti Epileptic Drugs are commonly the first choice of treatment. They work by changing the levels of chemicals in your brain. This reduces the chances of seizures. Around 70% control their seizures with AED. Vagus Nerve Stimulation (VNS) Vagus Nerve Stimulation is a therapy that is recommended when the Anti-Epileptic Drug dont work and epilepsy is still poorly controlled. This involves surgically implanting an electrical device, like a pacemaker, under the skin, near the collarbone. The electrical device has a lead that is bound around one of the nerves on the left side of your neck, identified as the vagus nerve. The electrical device passes a regular amount of electricity to the nerve to stimulate it. This can help to reduce the occurrence of seizures. Surgical procedure Surgery will only be suggested if a single area of one side of the brain is causing seizures. As with all types of surgery, this surgical procedure carries a threat. One person in 100 has a stroke after surgery and five in 100 suffer from memory problems. Yet, around 70% of people who suffer from epilepsy, after the surgical procedure they become absolutely free of seizures. Epilepsy Ireland was established in 1966 by a group of people who were eager to progress the quality of life of people with epilepsy in Ireland. Over 50 years, Epilepsy Ireland have grown and expanded. They now provide a range of services from their head office in Dublin and from regional offices in Cork, Dundalk, Galway, Kerry, Kilkenny, Letterkenny, Limerick, Sligo and Tullamore. Epilepsy Ireland is committed to working and consulting the needs of everyone with epilepsy in Ireland and their families. Certain objectives of Epilepsy Ireland are; to be committed to working and considering the needs of everyone with epilepsy in Ireland. To provide support, information and advice on health to people who are dealing with epilepsy. To undertake any awareness campaigns to improve peoples understanding of epilepsy, also to increase funds to support its work in an awareness-creating method. One of their main objective is to assume, inspire and support research into the source of epilepsy and a cure for it. Many people with epilepsy live standard lives. Progressive brain scans and other procedures allow greater accurateness in diagnosing epilepsy and defining when a patient may be aided by surgery. More than 20 different medications and a diversity of surgical methods are now available and offer good control of seizures for most people with epilepsy. Other treatment selections include the ketogenic diet and the vagus nerve stimulator. Research on the fundamental causes of epilepsy, include the recognition of genes for some types of epilepsy and seizures, it has managed a great improvement of understanding about epilepsy that may lead to more effective treatments or even some new ways of preventing epilepsy in the future. Works cited http://www.epilepsy.ie/index.cfm/spKey/info.what_is_epilepsy.what_causes_epilepsy_.html http://www.webmd.com/epilepsy/tc/epilepsy-symptoms http://www.webmd.boots.com/a-to-z-guides/epilepsy-basics?page=2 http://www.hse.ie/eng/health/az/E/Epilepsy/ http://www.epilepsy.ie/index.cfm/spKey/about.html

Planning Document

PLANNING DOCUMENT Planning Document HRM 517 – Managing Human Resource Projects Planning Document Construct a project charter to revamp the compensation and benefits package. The overall goal and strategy of the XYZ Company is to align its total compensation and benefits plan to the financial and operational results of the Corporation and the Business Unit.Alignment of variable compensation to performance is essential to ensure that the supervisory team and identified sole contributors share in the prosperity of the Company when our goals and objectives are exceeded and does not expect or receive variable compensation in those years where failed to meet our key business targets It is essential that each participant in the Supervisory Variable Compensation Plan (SVCP) has a clear understanding of the plan, understands the parameters and guidelines by which SVCP is paid and that a key component is utilizing â€Å"ACTUAL† overall financial and operational year end results.T he Supervisory Variable Compensation Plan (SVRP) is designed to establish the participation, criteria and the process by where variable compensation will or will not be paid out to those individuals who have been identified as participants in the plan and have made a contribution to the financial and operational results of the Business Unit. The following guidelines have been defined to assure that the SVRP is administered fairly and within the parameters required to protect the financial integrity of the Corporation. 1.SVRP payout is based on actual fiscal year financial and operational performance. 2. SVRP will be paid out on an annual basis. 3. Actual payouts are based on individual performance to defined objectives and targets from each qualified participant. 4. Objectives and targets will be established for each participant prior to the beginning of each fiscal year. Objectives and targets will be weighted based on importance. 5. Objectives and targets can be adjusted during th e year to reflect changing Business Unit performance or priorities. 6.A mid-year performance review with each participant with their respective manager is required and performance to date against objectives and targets should be reviewed. Mid- year reviews are to be documented and placed in the participants personnel file with a copy to the participant. 7. SVRP payouts will only be paid to participants who are on staff at fiscal year-end. 8. SVRP payouts are paid on final results achieved for each objective using the weighting established for each target. 9. All payouts will require the approval of two levels of management.In order to qualify for a payout under the Supervisory Variable Compensation Plan the following criteria must be met: 1. Eligibility – Identified first level supervisors, managers and individual contributors in the business units. Eligibility to participate in the plan will start after a 90 day probationary period for new hires. 2. Managers must have been i n the position a minimum of 6 months and performing at a â€Å"fully satisfactory† level. 3. All managers must have a completed Job Performance Evaluations (JPE) for their respective teams.Copies of the JPE must be on file with a copy sent to Human Resources. 4. Meet or exceed performance objectives and targets established at the beginning of the fiscal year. 5. Managers who are on an hourly rate will not qualify for the Supervisory Variable Compensation Plan. 6. For managers who do not have a full year of service will have the SVCP will be pro-rated for the year. SVCP Timeline: ? October 1, 2012 – Business Unit Objectives established ? November 1, 2012 – Individual Performance Plans developed ? May 2013 – Mid Year reviews ? November 2013 – Year End Final Results November 2013 – Final SVCP Calculations completed and submitted for approval ? December 2013 – SVCP payouts [pic] Incentive Plan Calculation Participants will have the opport unity to earn an SVRP payout of 20% of their base salary. The payout will be based on the participant’s performance to their individual objectives and the weighting assigned to each objective. [pic] Design a communication plan for the project. The project's communication plan will consist of the reasons why XYZ Company should revamp their compensation and benefits plan.The purpose of the change will help with productivity as well as seeking more customers within each business unit. It is important that all stakeholders understand why the company should make changes to enhance the business. The managers will see this change as a plus for them since it will include giving them a bonus based on productivity within their business unit. The compensation plan will allow room for hourly and salaried managers to receive incentive pay and this will also help them during performance review for advancement opportunities.The communication plan will include email, conference calls, meetin gs, and voice calls to push our compensation plan and get the information out to the managers. Furthermore; we will hold monthly training sessions for all managers to ensure they are receiving the correct information and training to be successful with this plan. Finally; we will have a Q session which will allow everyone to bring their issues and questions to the table every month.These sessions will help the stakeholders understand what concerns the managers may have or what they may need assistance with to obtain their goals. Define the scope of the project. In order for the plan to be a success there are a few things each business will have to focus on. One of the important factors include errors, if employees are making consistent errors at the customer sites this will cause issues with XYZ Company and the customer. As a team, all will have to determine if all the objectives have been met to include error free installations, and A1 customer service.As a company we have to do it right the first time because there is not guarantee that we will have a second time to correct it. Another important factor is safety, we have to maintain a minimum amount of preventable accidents on a monthly basis. To ensure that we are remaining in compliance, we will have to enforce our safety policy and place sanctions on those who are violating the company policies. Create a work breakdown structure including numbered components. Submit your WBS by creating a table inside your assignment. |Level |WBSCode |Element Name | |1 |1 |Compensation/Benefits Plan | |2 |1. 1 |Initiate Compensation Plan | |3 |1. 1. 1 |Evaluation & Make Recommendations | |3 |1. 1. |Develop Plan | |3 |1. 1. 3 |Present Compensation Plan to Stakeholders | |3 |1. 1. 4 |Stakeholders Review Plan | |3 |1. 1. 5 |Compensation Planned Approved | |2 |1. |Plan for next steps | |3 |1. 2. 1 |Create Scope Statement | |3 |1. 2. 2 |Organize and Select Compensation Team | |3 |1. 2. 3 |Compensation Team Meeting | |3 |1. . 4 |Develop Compensation Plan | |3 |1. 2. 5 |Submit Compensation Plan to Stakeholders | |3 |1. 2. 6 |Milestone: Compensation Plan Approval | |2 |1. 3 |Execution Plan |

Federal And Local Government Performance - 1259 Words

Looking closely to the federal and local governments, some federal departments and city departments provide quality services to the extent that people trust them more than the critics can understand. Surprisingly, some Americans trust certain federal departments than the federal government while at local government level, some people admire certain city programs than they like the city administration. According to Goodsell (2015), Ann Arbor-based company provided that in 2010 people showed that they trusted the federal government for its quality service delivery in some of its departments even though it declined afterward. At local government level. When measuring the federal government’s productivity, The Federal Productivity Index†¦show more content†¦But the recent study of 2004-2005 found the opposite. They discovered that bus systems operated by municipal and county work more efficiently because managers can handle the incompatible pressures from different stak eholders (Goodsell, 2015). To some extent, government can save money through contracting out some of it functions to the private companies. Moreover, there is also an assumption that bureaucracy is growing larger day-by-day which weakens personal liberty. The size of growth fluctuates, but the number is increasing at both state and local governments and decreasing at the federal government. Strengths of bureaucracy More trained personnel than contract workers. It has more money to subsidize certain services when private companies that operated bus systems went out of business. Moreover, most changes are initiated by the bureaucrats not elected officials (Goodsell, 2015). Most celebrated innovations were facilitated by bureaucrats. These are signs of their strengths. Weakness of bureaucracy Some government programs are poorly designed programs and it takes government some time to rectify the system like the Office of Disability Adjudication and Review (ODAR) due to processing time which spiked at some stage. True or false stories about critics It is untrue that all bureaucrats are arrogant to their clients and want to control them. This is dispelled by the interviews that GoodsellShow MoreRelatedCritique Of The Current Policy Challenge Essay1321 Words   |  6 Pagesthe required performance, for which federal law enforcements must undergo in their responsibilities to carry out the federal laws concerning federal policies and issues. As a result, in its critiques of federal policy being adapted properly by federal laws standards; it resulted in several issues such as: i. Too much discretion prioritizing state and local practice divergence in enforcing the federal laws. ii. 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This essay, 1920s vs 1960s, writen in AABB format, deals...

1920s vs. 1960s Over the past century, people living in the United States have experienced many changes. As the times change, so do the people. In the 1920s, people acted differently then compared to the people in the 1960s. Yet, they both have one thing in common; they shaped our history. In the 1920s, about 106,521,537 people inhabited the United States. It was a rough period in our history, with about 2,132,000 people unemployed and murder, swindles, and racketeering as the most popular crimes. The life expectancy of men and women during the 1920s was 53.6 years and 54.6 years respectively. Amazingly, the illiteracy rate was at a new low of only 6% of the population during this time period. Yet, despite all the aspects, which†¦show more content†¦Women in the early 1960s wore bouffant hairstyles, and like the 1920s, knee length dresses. However, later in the decade, mini skirts, or hot pants, with go-go boots became popular. These skirts revealed their legs as bodywear revealed their curves. Womens hairstyles even changed. Women either wore their hair very short or long and lanky. Also, peasant skirts, or granny dresses, and chunky shoes somehow came into fashion during this period of time too. By the end of the decade, unisex dressing was very popular espe cially with the hippies. Both sexes wore bell-bottom jeans, love beads, and embellished T-shirts. This was also the era of the Afro, which both sexes of African Americans wore. Theres nothing surer; the rich get richer and the poor get poorer. This was considered the beliefs of the roaring 20s. The Cotton Club was the first club that was opened to both white and black people. Coincidently, it was packed nightly. The 1920s is known as the Jazz Age. During this time period, the best selling pop hits were sentimental ballads, old-fashioned waltzes, and nonsense songs. In 1925, the Grand Ole Opry was transmitted on radio from Nashville for the first time. People were traveling to more places, which influenced their songs. Many of the songs produced during this period were about places such as the songs Chicago and California Here I Come. In the 1960s, America was ready for a change. Black rhythm and blues known as Motown became popular. Bob