NTL Issue 12




The Sarah Network Of Rehabilitation Hospitals

The public health care system in Brazil is similar that of many other countries: it is run by the Ministry of Health, which distributes federal health funding to state and municipal governments, which in turn administer these financial resources according to the needs of its populations. Brazil also has a parallel private health care system, distinct from the public one that dispenses services at a cost. [full story]

Medical-Legal Illustration: What Health Care Professionals Should Know

Professionals of numerous medical as well as health care subspecialties are often called upon to provide expert opinions in the context of litigation. Those providing medical-legal opinions may either be called due to their role as a treater of a patient involved in litigation or retained to provide so called “expert witness” testimony because these specialists are recognized as experts in a specific area (even though they may not have treated a patient involved in litigation). In either case, the role of the testifying professional is very important in helping decision makers or triers of fact identify and appreciate the truth in order to achieve just resolution of the contested issue(s). [full story]

Overcoming Anomy: The Impact of Positive Rituals on Quality of Life

Quality of life can be elusive and complicated for all individuals and can be dramatically so for people with traumatic brain injury who are globally challenged. Physical prowess, cognitive functioning, family, friends, sexuality, employment and hope are among the markers of a quality of life that may be jeopardized or lost for many with TBI. These losses and/or perceived losses combined with a lowered threshold for mediating one’s emotional state, commonly give rise to demonstrations of anger and hostility. This article is intended to provide the reader with an alternative therapeutic strategy to address these behaviors which interfere with a quality of life. If my life has no meaning or value, then I will behave in a way to cause your life to be void of meaning and value as well. When this statement was first shared with me I was struck by its profound implication relative to a variety of quality of life issues affecting many people with TBI. It was immediately evident that for a significant percentage of people with TBI, especially those requiring pervasive supports, that their life lacks meaning – diminished of value. [full story]


The NeuroTrauma Letter is produced quarterly by the International Brain Injury Association.  Please address editorial questions to 

Editor in Chief 
Nathan D. Zasler, M.D., United States

Articles of Note

In order to keep IBIA members apprised of current brain injury literature, NTL editors and editorial board members have prepared a list of recently published articles that may be of interest. [full story]


Founded in 1993, IBIA was created in response to the growing demand from professionals and advocates throughout the world for collaboration and more information on all aspects of brain injury, from prevention to long-term care issues.  Benefits of membership include an annual subscription to the journal Brain Injury as well as quarterly issues of this publication, the International NeuroTrauma Letter. To receive a membership form, click here (pdf)


Join the IBIA Listserv

In an effort to provide global communication among members, IBIA has created a brain injury Listserv.  To sign up for the Listserv, click here. Please note that membership in IBIA is required to join the Listserv. 



Click here view upcoming brain injury conferences and events.

Editorial Board 
Michael Barnes, M.D., United Kindom 
Lucia Braga, Ph.D., Brazil 
Christine Croisiaux, M.D., Belgium 
Jose Leon-Carrion, Ph.D., Spain 
Donald Stein, Ph.D., United States 
Walter Videtta, M.D., Argentina