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Traumatic brain injury in childs

Tracey A Brickell, Louis M French, Rachel L Gartner, Angela E Driscoll, Megan M Wright, Sara M Lippa, Rael T Lange
PURPOSE/OBJECTIVE: To examine factors related to perceived caregiving burden in a sample of caregivers assisting service members and veterans (SMVs) across four areas: SMV injury and health status; caregiver life circumstances; caregiver duty and responsibilities; and caregiver needs. Research Method/Design: Participants were 214 caregivers (95.8% female; 86.0% spouse/partner; Age: M = 38.6 years [SD = 10.4]) of SMVs who sustained a mild, moderate, severe, or penetrating traumatic brain injury (TBI)...
March 21, 2019: Rehabilitation Psychology
Kelly Sarmiento, Karen E Thomas, Jill Daugherty, Dana Waltzman, Juliet K Haarbauer-Krupa, Alexis B Peterson, Tadesse Haileyesus, Matthew J Breiding
Traumatic brain injuries (TBIs), including concussions, are at the forefront of public concern about athletic injuries sustained by children. Caused by an impact to the head or body, a TBI can lead to emotional, physiologic, and cognitive sequelae in children (1). Physiologic factors (such as a child's developing nervous system and thinner cranial bones) might place children at increased risk for TBI (2,3). A previous study demonstrated that 70% of emergency department (ED) visits for sports- and recreation-related TBIs (SRR-TBIs) were among children (4)...
March 15, 2019: MMWR. Morbidity and Mortality Weekly Report
Scott Hemphill, Luke McMenamin, Mark C Bellamy, Philip M Hopkins
Propofol infusion syndrome is a rare, potentially fatal condition first described in children in the 1990s and later reported in adults. We provide a narrative review of what is currently known about propofol infusion syndrome, including a structured analysis of all published case reports; child and adult cases were analysed separately as propofol is no longer used for long-term sedation in children. The review contains an update on current knowledge of the pathophysiology of this condition along with recommendations for its diagnosis, prevention, and management...
April 2019: British Journal of Anaesthesia
Rabiatul A Abdul Rahman, Fazah A Hanapiah, Azlina W Nikmat, Nor A Ismail, Haidzir Manaf
OBJECTIVE: To investigate the effects of concurrent tasks (motor and cognitive) on postural control performance in children with traumatic brain injury (TBI) compared to typically developing (TD) control subjects. METHODS: Sixteen children with TBI (aged 11.63+/-1.89 years) and 22 TD controls (aged 11.41+/-2.24 years) participated in this case-control study. This study was conducted between May 2016 and March 2017. Each child performed static standing under 3 different conditions: single, concurrent motor, and concurrent cognitive task...
January 2019: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
Shari L Wade, Stacey P Raj, Emily L Moscato, Megan E Narad
PURPOSE: Technological advances have made the delivery of psychological interventions via web-based platforms increasingly feasible. In recent years, there has been growth in the delivery of psychological interventions through web-based modalities, that is, telepsychology. Although there is evidence supporting the usability and feasibility of telepsychology for a range of populations, there is limited literature on clinician perceptions delivering telepsychology, particularly to pediatric rehabilitation populations...
February 28, 2019: Rehabilitation Psychology
Gabrielle Lalonde, Annie Bernier, Cindy Beaudoin, Jocelyn Gravel, Miriam H Beauchamp
There is emerging evidence that parent-child interactions are affected by early childhood traumatic brain injury (TBI). These findings are of functional importance when considering the high prevalence of TBI in early childhood alongside evidence that young children exposed to positive relationships with their parents early in life exhibit better social functioning concurrently and longitudinally. Given that the overall quality of parent-child interactions is the result of both parent and child emotional and behavioural dispositions, it remains unclear which parental or child-related factors contribute to the quality of interactions post-TBI...
February 19, 2019: Journal of Neuropsychology
Doug King, Patria A Hume, Natalie Hardaker, Alan Pearce, Cloe Cummins, Trevor Clark
AIM: To provide epidemiological data and related costs to the national health insurance scheme for traumatic brain injury (TBI) in New Zealand. METHOD: A retrospective analytical review utilising detailed descriptive minor and moderate-to-severe epidemiological TBI data obtained from the Accident Compensation Corporation (ACC) for 2012-2016. Injuries were analysed by three levels of increasing severity: moderate, moderate-to-serious (MSC) and severe claims categories...
February 12, 2019: Journal of the Neurological Sciences
Lorna Wales, Peter Sidebotham, Carol Hawley
Impaired self-awareness is a common consequence following a brain injury that affects engagement in rehabilitation and results in poor long term functional outcomes. Literature regarding self-awareness following a brain injury in childhood is lacking. The aim of this research study was to understand the self-awareness of deficits from a developmental perspective. METHODS: A multiple case study design with fully integrated mixed methodology (QUAN+QUAL). Fifteen children/young people (CYP) with traumatic brain injury (TBI) (5-17 years; 10 male) were recruited and data were collected from CYP, their parents and teachers...
January 25, 2019: Brain Injury: [BI]
Darshini Ayton, Elizabeth Pritchard, Tess Tsindos
Brain injury is often a precursor to, or result of, family violence. Yet there is little research identifying the connection of these two phenomena. The health cost (personal or societal) of brain injury within the family violence context is difficult to ascertain. Family violence can lead to lifelong psychological or physical scars and even death. A systematic review was conducted over three databases using Medical Subject Heading terms to investigate incidence, prevalence, and contributing factors of brain injury within a family violence context...
January 16, 2019: Trauma, Violence & Abuse
Belinda Shao, Matei A Banu, Jason J Carroll, Philip M Meyers, Sean D Lavine, Neil A Feldstein, Richard C E Anderson
Cerebral vasospasm is associated with significant morbidity, and most commonly occurs following subarachnoid hemorrhage. Rarely, vasospasm can follow tumor resection and traumatic brain injury. We present the first reported case of a young child who developed diffuse vasospasm following open fenestration of an arachnoid cyst and was promptly treated, with full recovery of neurologic function. Although vasopasm after arachnoid cyst fenestration is rare, it can be included in the differential for a new focal neurologic deficit...
January 16, 2019: Pediatric Neurosurgery
Erik P Hess, James L Homme, Anupam B Kharbanda, Leah Tzimenatos, Jeffrey P Louie, Daniel M Cohen, Lise E Nigrovic, Jessica J Westphal, Nilay D Shah, Jonathan Inselman, Michael J Ferrara, Jeph Herrin, Victor M Montori, Nathan Kuppermann
Importance: The Pediatric Emergency Care Applied Research Network prediction rules for minor head trauma identify children at very low, intermediate, and high risk of clinically important traumatic brain injuries (ciTBIs) and recommend no computed tomography (CT) for those at very low risk. However, the prediction rules provide little guidance in the choice of home observation or CT in children at intermediate risk for ciTBI. Objective: To compare a decision aid with usual care in parents of children at intermediate risk for ciTBI...
September 7, 2018: JAMA Network Open
Richard E Nelson, Junjie Ma, Yan Cheng, Linda Ewing-Cobbs, Amy Clark, Heather Keenan
BACKGROUND: We enrolled patients in a prospective study in which we obtained estimates of the direct and indirect burden for families of children with traumatic brain injury (TBI) relative to a control group of families of children with orthopedic injury (OI). METHODS: Parents were surveyed at 3 time points following injury: 3, 6, and 12 months. At each follow-up contact, we asked parents to list the number of workdays missed, number of miles traveled, amount of travel-related costs, and whether their child had an emergency department (ED) visit, hospital admission, any over-the-counter (OTC) medications, and any prescription medications during that time period...
January 2, 2019: Journal of Head Trauma Rehabilitation
Michele Romoli, Petra Mazzocchetti, Renato D'Alonzo, Sabrina Siliquini, Victoria Elisa Rinaldi, Alberto Verrotti, Paolo Calabresi, Cinzia Costa
After more than a century from its discovery, valproic acid (VPA) still represents one of the most efficient antiepileptic drugs (AEDs). Pre and post-synaptic effects of VPA depend on a very broad spectrum of actions, including the regulation of ionic currents and the facilitation of GABAergic over glutamatergic transmission. As a result, VPA indirectly modulates neurotransmitter release and strengthens the threshold for seizure activity. However, even though participating to the anticonvulsant action, such mechanisms seem to have minor impact on epileptogenesis...
December 27, 2018: Current Neuropharmacology
Charmaine Childs, Lynne A Barker, Alex Md Gage, Mike Loosemore
Purpose: Changes to retina have been reported after a number of neurodegenerative conditions. The purpose of this study was to investigate retinal structures in Olympic boxers exposed to frequent head blows. Methods: Retinal imaging offers potential as a non-invasive biomarker of neuropathology. Macula and retinal nerve fiber layer (RNFL) thickness was measured using optical coherence tomography (OCT) in UK Olympic boxers attending two mandatory eye screening programs, 18 months apart...
2018: Eye and Brain
Catharine Vander Linden, Helena Verhelst, Ellen Deschepper, Guy Vingerhoets, Karel Deblaere, Karen Caeyenberghs
BACKGROUND: Executive dysfunctioning after pediatric traumatic brain injury (TBI) has been linked to poor outcomes in school performance, social functioning and employment. The credibility of training-induced cognitive enhancement in TBI is threatened by its limited proof of benefit in executive skills of daily living. AIM: Our primary aim was to investigate if cognitive intervention for improving impairments in executive functions in the chronic stage of traumatic brain injury is effective during adolescence...
December 14, 2018: European Journal of Physical and Rehabilitation Medicine
Brian MacWhinney
Ongoing advances in computer technology have opened up a deluge of new datasets for understanding human behavior (Goldstone & Lupyan, 2016). Many of these datasets provide information on the use of written language. However, data on naturally occurring spoken-language conversations are much more difficult to obtain. A major exception to this is the TalkBank system, which provides online multimedia data for 14 types of spoken-language data: language in aphasia, child language, stuttering, child phonology, autism spectrum disorder, bilingualism, Conversation Analysis, classroom discourse, dementia, right hemisphere damage, Danish conversation, second language learning, traumatic brain injury, and daylong recordings in the home...
December 3, 2018: Behavior Research Methods
Jessica M Aguilar, Amy E Cassedy, Emily L Shultz, Michael W Kirkwood, Terry Stancin, Keith Owen Yeates, H Gerry Taylor, Shari L Wade
OBJECTIVE: To examine the effectiveness of a web-based parenting intervention (Internet-Based Interacting Together Everyday: Recovery After Childhood TBI [I-InTERACT]) and an abbreviated version (Express) in reducing executive dysfunction and internalizing problems among young children following traumatic brain injury (TBI). METHOD: Parents of 113 children (ages 3-9 years) who had sustained a TBI were randomized to 1 of 3 treatment groups: I-InTERACT, Express, or an Internet Resource Comparison (IRC) group...
November 28, 2018: Journal of Head Trauma Rehabilitation
(no author information available yet)
OBJECTIVEThere remains uncertainty regarding the appropriate level of care and need for repeating neuroimaging among children with mild traumatic brain injury (mTBI) complicated by intracranial injury (ICI). This study's objective was to investigate physician practice patterns and decision-making processes for these patients in order to identify knowledge gaps and highlight avenues for future investigation.METHODSThe authors surveyed residents, fellows, and attending physicians from the following pediatric specialties: emergency medicine; general surgery; neurosurgery; and critical care...
October 1, 2018: Journal of Neurosurgery. Pediatrics
Shari L Wade, Amy E Cassedy, McKenna Sklut, H Gerry Taylor, Kelly A McNally, Michael W Kirkwood, Terry Stancin, Brad G Kurowski
Objective: To characterize treatment preferences for delivery of family problem-solving treatment (F-PST) to adolescents with behavioral challenges following traumatic brain injury (TBI) and to examine associations with attrition, adherence, satisfaction, and efficacy. Method: Adolescents who had been hospitalized for moderate to severe TBI were randomized to face-to-face F-PST (n = 34), therapist-guided online F-PST (n = 56), and self-guided online F-PST (n = 60)...
November 19, 2018: Journal of Pediatric Psychology
Dennis J Caine, Kasey Young, Aaron J Provance
Mountain-biking has become a popular competitive and recreational activity but also involves risk of injury. This article provides an overview of what is known about the scope of the injury problem affecting children and adolescent mountain bikers, the risk factors involved and injury prevention strategies. The proportion of injured child and adolescent mountain bikers ranges from 10.6% to 64.0%, but few studies provide separate analysis of youth injuries. Upper extremity injuries appear most common except among adolescents where the risk of head injury and traumatic brain injuries are greater...
2018: Research in Sports Medicine
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