The GCS is used to grade TBI as mild, moderate, or severe ( Table 4.1) ( Teasdale and Jennett, 1974). All grades of TBI can be associated with long-term physical, emotional, behavioral, and cognitive consequences that permanently affect an individual's ability to perform routine activities and return to work ( Langlois et al., 2006 Daneshvar et al. Although prognosis is often predicted based on measured clinical severity, the extent to which each of these severity assessments correlates with outcome is less clear. The most commonly used assessment scales, the Glasgow Coma Scale (GCS) score and the duration of LOC or PTA, use clinical assessment to grade the severity of the trauma. The severity of TBI can be quantified using a variety of measures. The US Department of Veterans Affairs and the Department of Defense's Clinical Practice Guideline For Management of Concussion/mTBI (version 1.0, April 2009) defines TBI asĪ traumatically induced structural injury and/or physiologic disruption of brain function as a result of an external force that is indicated by new onset or worsening of at least one of the following clinical signs, immediately following the event: any period of loss of or a decreased level of consciousness (LOC), any loss of memory for events immediately before or after the injury (post-traumatic amnesia ), any alteration in mental state at the time of the injury (confusion, disorientation, slowed thinking, etc.), neurologic deficits (weakness, loss of balance, change in vision, praxis, paresis/plegia, sensory loss, aphasia, etc.) that may or may not be transient, or intracranial lesion. Disabling the auto-update feature will prevent Microsoft from providing you with the latest Silverlight functionality and security features.Traumatic brain injury (TBI) occurs when a force transmitted to the head or body results in neuropathologic damage and dysfunction. The Microsoft Silverlight auto-update feature helps make sure that your computer is up-to-date. To learn more about how to set the auto-update configuration for all users. This configuration will disable the Updates tab of the Microsoft Silverlight Configuration dialog box to prevent individual users from ignoring the administrator’s setting. This will enable the installer to properly configure the Silverlight updater to use the updated components.Ī computer administrator can configure the Silverlight auto-updater for all users. If you have installed all critical updates and these options are still not enabled, then you will need to uninstall Silverlight and then install the latest version from the You can enable automatic updates by visitingĪnd installing any critical updates which you are missing. If these components are outdated then you will not be able to select either of the auto-update options. The Microsoft Silverlight auto-update feature depends on several Microsoft Windows components being up to date. "Install updates automatically" and "Check for updates" options not available.To update Silverlight and other Microsoft products. You can still receive updates by selecting the Check for updates, but let me choose whether to download and install them option or by using Because a prompt is required, updates cannot be installed automatically, so the Install updates automatically option is disabled. Silverlight asks for your permission to update by showing you a prompt when updates are found. If you are using Windows Vista and User Account Control (UAC) is enabled, then Silverlight will require your permission to download and install updates.
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