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brain injury in children

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https://www.readbyqxmd.com/read/29029289/post-traumatic-hydrocephalus-in-children-a-retrospective-study-in-42-pediatric-hospitals-using-the-pediatric-health-information-system
#1
Robert H Bonow, Assaf P Oron, Brian W Hanak, Samuel R Browd, Randall M Chesnut, Richard G Ellenbogen, Monica S Vavilala, Frederick P Rivara
BACKGROUND: Post-traumatic hydrocephalus (PTH) is a potentially treatable cause of poor recovery from traumatic brain injury (TBI) that remains poorly understood, particularly among children. OBJECTIVE: To better understand the risk factors for pediatric PTH using a large, multi-institutional database. METHODS: We conducted a retrospective cohort study using administrative data from 42 pediatric hospitals participating in the Pediatric Health Information System...
October 6, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29025454/an-audit-of-traumatic-brain-injury-tbi-in-a-busy-developing-world-trauma-service-exposes-a-significant-deficit-in-resources-available-to-manage-severe-tbi
#2
Ellen Jerome, Grant L Laing, John L Bruce, Ben Sartorius, Petra Brysiewicz, Damian L Clarke
BACKGROUND: Traumatic brain injury (TBI) affects large numbers of patients, both adults and children, and significant resources are needed to manage it. OBJECTIVE: To determine the burden of TBI and the adequacy of available resources to manage in the Pietermaritzburg Metropolitan Trauma Service (PMTS). METHODS: All patients with a TBI were identified from the hybrid electronic medical registry at Grey's and Edendale hospitals in Pietermaritzburg (PMB), KwaZulu-Natal, South Africa...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29016432/is-systemic-inflammatory-response-syndrome-relevant-to-pulmonary-complications-and-mortality-in-multiply-injured-children
#3
Waleed Al-Mahdi, Mazen M Ibrahim, David A Spiegel, Alexandre Arkader, Michael Nance, Keith Baldwin
BACKGROUND: Systemic inflammatory response syndrome (SIRS) is a well-recognized phenomenon in adult trauma populations. The "initial hit" of the traumatic event is often coupled with a systemic immune response characterized by changes in vital signs and laboratory indicators. A "second hit" from surgery during this time frame often results in acute lung injury, along with deterioration of the patient's clinical condition. We hypothesized that children and adolescents would experience SIRS physiology, but would not experience adult respiratory distress syndrome (ARDS) or "second hit" related death to the extent seen in the adult populations...
October 9, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28994623/exploring-functional-outcomes-and-allied-health-staffing-levels-in-an-inpatient-paediatric-rehabilitation-unit
#4
Penelope J Ireland, Amanda Francis, Shani Jackman, Kim McLennan
PURPOSE: This study provides data from a paediatric tertiary hospital on the length of stay, functional improvement and allied health workload for children and adolescents on active inpatient rehabilitation programs. METHODS: An audit was conducted of records of patients managed through an inpatient rehabilitation program at a 359 bed tertiary children's hospital in Brisbane, Australia between December 2014 and December 2015. Data relating to diagnosis, length of stay, functional change, occasions of allied health service and hours of patient attributable allied health professional time were collected...
October 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28988852/assessment-of-a-nutritional-supplement-containing-resveratrol-prebiotic-fiber-and-omega-3-fatty-acids-for-the-prevention-and-treatment-of-mild-traumatic-brain-injury-in-rats
#5
Sabrina Salberg, Glenn Yamakawa, Jennaya Christensen, Bryan Kolb, Richelle Mychasiuk
Children and adolescents have the highest rates of traumatic brain injury (TBI), with mild TBI (mTBI) accounting for most of these injuries. Adolescents are particularly vulnerable and often suffer from post-injury symptomologies that may persist for months. We hypothesized that the combination of resveratrol (RES), prebiotic fiber (PBF), and omega-3 fatty acids (docosahexaenoic acid (DHA)) would be an effective therapeutic supplement for the mitigation of mTBI outcomes in the developing brain. Adolescent male and female Sprague Dawley rats were randomly assigned to the supplement (3S) or control condition, which was followed by a mTBI or sham insult...
October 5, 2017: Neuroscience
https://www.readbyqxmd.com/read/28986325/an-emotional-go-no-go-fmri-study-in-adolescents-with-depressive-symptoms-following-concussion
#6
Rachelle A Ho, Geoffrey B Hall, Michael D Noseworthy, Carol DeMatteo
BACKGROUND: Following concussion, adolescents may experience both poor inhibitory control and increased depressive symptoms. fMRI research suggests a physiological difference between patients with clinical depression and patients with depressive symptoms after concussion. The scarcity of information surrounding depression following concussion in youth makes it difficult to identify patients at risk of depression after injury. This is the first study to examine neural activity patterns in adolescents with post-concussive depressive symptoms...
October 3, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28985200/cellular-therapy-for-traumatic-neurological-injury
#7
REVIEW
Charles S Cox
Neurological injury is the primary lethal mechanism of injury in children, and the primary etiology of long-term disability after trauma. Laboratories and clinical/translational teams have sought to develop stem/progenitor cell therapies to improve recovery in a clinical setting in which there is no significant reparative option. While none of these treatments are currently standard therapeutics, Phase 2b clinical trials are underway in both adults and children in severe traumatic brain injury and Phase 1/2a trials in spinal cord injury...
October 6, 2017: Pediatric Research
https://www.readbyqxmd.com/read/28984377/age-and-sex-related-effects-in-children-with-mild-traumatic-brain-injury-on-diffusion-magnetic-resonance-imaging-properties-a-comparison-of-voxelwise-and-tractography-methods
#8
Naomi J Goodrich-Hunsaker, Tracy J Abildskov, Garrett Black, Erin D Bigler, Daniel M Cohen, Leslie K Mihalov, Barbara A Bangert, H Gerry Taylor, Keith O Yeates
Although there are several techniques to analyze diffusion-weighted imaging, any technique must be sufficiently sensitive to detect clinical abnormalities. This is especially critical in disorders like mild traumatic brain injury (mTBI), where pathology is likely to be subtle. mTBI represents a major public health concern, especially for youth under 15 years of age. However, the developmental period from birth to 18 years is also a time of tremendous brain changes. Therefore, it is important to establish the degree of age- and sex-related differences...
October 6, 2017: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/28981346/the-need-for-va-leadership-in-advancing-traumatic-brain-injury-care
#9
Geoffrey Ling
Traumatic brain injury (TBI) afflicts veterans, active duty service members and the civilian community. An estimated 5.3 million US men, women, and children live with a permanent TBI-related disability. There is no cure for TBI, and the discovery of new and effective treatments is complicated by the fact that TBI is multifaceted and varies from individual to individual. Due to its established research centers, wealth of veteran health data, and commitment to veteran health, the VA should be considered a natural leader for expanded TBI research...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28980490/the-prevalence-of-traumatic-brain-injury-comorbid-anxiety-and-other-psychiatric-disorders-in-an-outpatient-child-and-adolescent-mental-health-service
#10
Michelle Albicini, Matthew Eggleston, Audrey McKinlay
BACKGROUND: A history of traumatic brain injury (TBI) is prevalent in children and adolescents within the health system, which may be accompanied with higher rates of poor mental health outcomes including anxiety and other psychiatric disorders. AIMS: To explore rates of TBI and associated anxiety and other psychiatric diagnoses in children and adolescents aged 5-18 years within the mental health system. METHODS: Participants were recruited from an outpatient mental health service in Canterbury, New Zealand...
October 5, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28977753/the-manitoba-youth-justice-program-empowering-and-supporting-fasd-affected-youth-in-conflict-with-the-law
#11
Sally Elizabeth Longstaffe, Albert Chudley, Mary Kate Harvie, Teresa Brown, Dan Neault, Trevor John Markesteyn
Fetal Alcohol Spectrum Disorder (FASD) describes a constellation of physical, cognitive, neurologic and behavioral impairments resulting from prenatal exposure to alcohol. FASD is recognized as being one of the largest causes of preventable brain injury in children. There had long been concerns that some youth in conflict with the law may be affected with FASD given repetitive patterns of offending and apparent lack of understanding of consequences of their actions. In 2004 funding was received from Justice Canada for a pilot project with a cross departmental steering committee working together to determine a best way of working across systems to provide FASD assessments to these youth...
October 4, 2017: Biochemistry and Cell Biology, Biochimie et Biologie Cellulaire
https://www.readbyqxmd.com/read/28972396/intranasal-nerve-growth-factor-administration-improves-cerebral-functions-in-a-child-with-severe-traumatic-brain-injury-a-case-report
#12
Antonio Chiaretti, Giorgio Conti, Benedetto Falsini, Danilo Buonsenso, Matteo Crasti, Luigi Manni, Marzia Soligo, Claudia Fantacci, Orazio Genovese, Maria Lucia Calcagni, Daniela Di Giuda, Maria Vittoria Mattoli, Fabrizio Cocciolillo, Pietro Ferrara, Antonio Ruggiero, Susanna Staccioli, Giovanna Stefania Colafati, Riccardo Riccardi
BACKGROUND: Nerve growth factor (NGF) promotes neural recovery after experimental traumatic brain injury (TBI) supporting neuronal growth, differentiation and survival of brain cells and up-regulating the neurogenesis-associated protein Doublecortin (DCX). Only a few studies reported NGF administration in paediatric patients with severe TBI. METHODS: A four-year-old boy in a persistent unresponsive wakefulness syndrome (UWS) was treated with intranasal murine NGF administration 6 months after severe TBI...
October 3, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28970241/does-the-addition-of-a-black-bone-sequence-to-a-fast-multisequence-trauma-mr-protocol-allow-mri-to-replace-ct-after-traumatic-brain-injury-in-children
#13
M H G Dremmen, M W Wagner, T Bosemani, A Tekes, D Agostino, E Day, B P Soares, T A G M Huisman
BACKGROUND AND PURPOSE: Head CT is the current neuroimaging tool of choice in acute evaluation of pediatric head trauma. The potential cancer risks of CT-related ionizing radiation should limit its use in children. We evaluated the role of MR imaging, including a "black bone" sequence, compared with CT in detecting skull fractures and intracranial hemorrhages in children with acute head trauma. MATERIALS AND METHODS: We performed a retrospective evaluation of 2D head CT and brain MR imaging studies including the black bone sequence of children with head trauma...
September 28, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28969315/alternative-technique-or-mitigating-strategy-for-sevoflurane-induced-neurodegeneration-a-randomized-controlled-dose-escalation-study-of-dexmedetomidine-in-neonatal-rats
#14
J-R Lee, E P Lin, R D Hofacer, B Upton, S Y Lee, L Ewing, B Joseph, A W Loepke
Background: Brain injury in newborn animals from prolonged anaesthetic exposure has raised concerns for millions of children undergoing anaesthesia every yr. Alternative anaesthetic techniques or mitigating strategies are urgently needed to ameliorate potentially harmful effects. We tested dexmedetomidine, both as a single agent alternative technique and as a mitigating adjuvant for sevoflurane anaesthesia. Methods: Neonatal rats were randomized to three injections of dexmedetomidine (5, 25, 50, or 100 µg kg -1 every 2 h), or 6 h of 2...
September 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28969310/what-do-recent-human-studies-tell-us-about-the-association-between-anaesthesia-in-young-children-and-neurodevelopmental-outcomes
#15
J D O'Leary, D O Warner
Anaesthetic and sedative drugs transiently disrupt normal neural activity to facilitate healthcare procedures in children, but they can also cause long-term brain injury in experimental animal models. The US Food and Drug Administration (FDA) has recently advised that repeated or lengthy exposures to anaesthetic and sedative drugs prior to 3 yr of age have the potential to harm the development of children's brains and added warnings to these drug labels. Paediatric anaesthesia toxicity could represent a significant public health issue, and concern about this potential injury in children has become an important issue for families, paediatric clinicians and healthcare regulators...
September 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28965695/-evaluating-a-child-after-a-febrile-seizure-insights-on-three-important-issues
#16
S Auvin, M Antonios, G Benoist, M-A Dommergues, F Corrard, V Gajdos, C Gras Leguen, E Launay, A Salaün, L Titomanlio, L Vallée, M Milh
Febrile seizures (FS) are the most common seizures seen in the paediatric population in the out-of-hospital and emergency department settings, and they account for the majority of seizures seen in children younger than 5 years old. An FS is a seizure accompanied by fever, without central nervous system infection, occurring in children between 6 months and 5 years old. Five criteria have been used and taught to classify any FS as simple or complex FS. These factors do not bear the same significance for clinical practice, in particular, the decision to perform a lumbar puncture for cerebrospinal fluid analysis to rule out an intracranial infection...
September 28, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28958282/bicycle-helmets-save-more-than-heads-experience-from-a-pediatric-level-i-trauma-hospital
#17
Patrick D Michael, Daniel L Davenport, John M Draus
We studied pediatric bicycle accident victims (age ≤ 15 years) who were treated at our pediatric Level I trauma center during a 10-year period. Demographic data, injury severity, hospital course, and hospital cost data were collected. We compared the children who were helmeted to those who were unhelmeted. Our study cohort consisted of 516 patients. Patients were mostly male (70.2%) and white (84.7%); the median age was nine years. There were 101 children in the helmet group and 415 children in the unhelmeted group...
September 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28956988/recognition-and-nursing-management-of-abusive-head-trauma-in-children
#18
Francesca Louise Payne, Daphin Nazareth Fernandez, Lucy Jenner, Siba Prosad Paul
Abusive head trauma (AHT) describes an injury to the head caused by a deliberate impact or shaking by a parent or carer. It can cause significant morbidity and mortality in infants, and is most commonly seen in those aged under 2 years. The initial presentation of AHT can include vague symptoms and the correct diagnosis may be missed by health professionals. Subdural haematoma, brain oedema and retinal haemorrhages are well-known features associated with AHT. However, other conditions such as birth trauma, accidental falls in infants and bleeding disorders can all mimic AHT, thus making its recognition difficult...
September 28, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28953177/commentary-on-validity-of-accelerometry-to-measure-physical-activity-intensity-in-children-with-an-acquired-brain-injury
#19
Jennifer Fernandez, Kaitlin Brockett, Marissa Slate, Jessica Walters-Carlson
No abstract text is available yet for this article.
October 2017: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/28953176/validity-of-accelerometry-to-measure-physical-activity-intensity-in-children-with-an-acquired-brain-injury
#20
Emmah Baque, Leanne Sakzewski, Stewart G Trost, Roslyn N Boyd, Lee Barber
PURPOSE: To evaluate the validity of the ActiGraph accelerometer (AG) to differentiate between standardized, physical activity tasks using oxygen consumption ((Equation is included in full-text article.)O2) as the criterion measure in children and adolescents with an acquired brain injury; to determine vector magnitude activity intensity cut-points; to compare performance of cut-points to previously published cut-points. METHODS: Twenty-seven children performed standardized walking and stepping activities wearing a portable indirect calorimeter, AG, and heart rate monitor...
October 2017: Pediatric Physical Therapy
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