Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention & Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {*Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention \& Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]},
pubstate = {published},
tppubtype = {article}
}
Vent, J; Koenig, J; Hellmich, M; Huettenbrink, K B; Damm, M
Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis Journal Article
In: Brain Research, vol. 1320, pp. 1–6, 2010.
Abstract | BibTeX | Tags: *Athletes, *Boxing, *Craniocerebral Trauma/co [Complications], *Olfactory Perception, Adolescent, adult, Discrimination (Psychology), Humans, Male, Matched-Pair Analysis, middle aged, Neuropsychological Tests, Olfaction Disorders/et [Etiology], PROTECTIVE clothing, Sensory Thresholds, Young Adult
@article{Vent2010,
title = {Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis},
author = {Vent, J and Koenig, J and Hellmich, M and Huettenbrink, K B and Damm, M},
year = {2010},
date = {2010-01-01},
journal = {Brain Research},
volume = {1320},
pages = {1--6},
abstract = {Recently, interest in the health of boxers has been raised by a petition of the British Medical Association to restrict boxing. However, scientific data on permanent damage are rare and typical localisations of injuries were yet to be defined. The aim of this study was to determine whether there are changes in the sense of smell in people undergoing recurrent head traumas. The hypothesis to be tested was if boxers had a reduced olfactory function. We used a matched pairs analysis design. Fifty healthy, male athletes underwent subjective olfactometry using Sniffin'Sticks testing (including threshold, discrimination and identification, TDI). Nasal endoscopy was performed and a thorough, questionnaire-based history was obtained. These data were correlated with normative data from healthy subjects. Statistical analysis was based on matched pairs analysis by t-tests, i.e. boxers and healthy (non-boxing) subjects. Boxers showed a mean TDI score of 32.5 compared to 35.1 of non-boxing controls (p=0.003). The olfactory threshold (p\<0.001) and odour identification (p\<0.05) were significantly decreased in boxers; whereas odour discrimination was unaffected. Performance of odour identification showed a correlation with cushioning of the gloves (p\<0.05), and thus seems a protective measure regarding the sense of smell. Boxing seems to affect olfactory function, particularly by reducing the olfactory threshold. Furthermore, cushioning of the gloves can be protective and should be increased to safeguard sportsmen from physical damage. Boxing can serve as a model for central regeneration after trauma. Copyright 2010 Elsevier B.V. All rights reserved.},
keywords = {*Athletes, *Boxing, *Craniocerebral Trauma/co [Complications], *Olfactory Perception, Adolescent, adult, Discrimination (Psychology), Humans, Male, Matched-Pair Analysis, middle aged, Neuropsychological Tests, Olfaction Disorders/et [Etiology], PROTECTIVE clothing, Sensory Thresholds, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Horner, A; VanDemark, M; Jensen, G A
The challenge of assessing a patient with dementia and head injury Journal Article
In: AACN Clinical Issues, vol. 13, no. 1, pp. 73–83, 2002.
Abstract | BibTeX | Tags: *Craniocerebral Trauma/co [Complications], *Dementia/co [Complications], Accidental Falls, Accidents, aged, Alzheimer Disease/di [Diagnosis], Brain Concussion/di [Diagnosis], Brain Concussion/et [Etiology], Brain Concussion/pp [Physiopathology], Craniocerebral Trauma/di [Diagnosis], Craniocerebral Trauma/pp [Physiopathology], Delirium/di [Diagnosis], Delirium/et [Etiology], Home, Humans
@article{Horner2002,
title = {The challenge of assessing a patient with dementia and head injury},
author = {Horner, A and VanDemark, M and Jensen, G A},
year = {2002},
date = {2002-01-01},
journal = {AACN Clinical Issues},
volume = {13},
number = {1},
pages = {73--83},
abstract = {Alzheimer's disease is emerging as a major health challenge for the 21st century. The reported case study discusses a 74-year-old woman with dementia of the Alzheimer type who sustained a head injury when she fell down the basement stairs. Differentiating the head injury from the preexisting dementia was complicated and required creative and astute assessment. Objective assessment tools discussed include the Mini-Mental State Examination, a delirium guide, and the Tinetti assessment tool. Predisposition to delirium is significant because of the comorbidities associated with cognitive impairment and head injury. Interventions to prevent delirium are recommended.},
keywords = {*Craniocerebral Trauma/co [Complications], *Dementia/co [Complications], Accidental Falls, Accidents, aged, Alzheimer Disease/di [Diagnosis], Brain Concussion/di [Diagnosis], Brain Concussion/et [Etiology], Brain Concussion/pp [Physiopathology], Craniocerebral Trauma/di [Diagnosis], Craniocerebral Trauma/pp [Physiopathology], Delirium/di [Diagnosis], Delirium/et [Etiology], Home, Humans},
pubstate = {published},
tppubtype = {article}
}
Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Vent, J; Koenig, J; Hellmich, M; Huettenbrink, K B; Damm, M
Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis Journal Article
In: Brain Research, vol. 1320, pp. 1–6, 2010.
@article{Vent2010,
title = {Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis},
author = {Vent, J and Koenig, J and Hellmich, M and Huettenbrink, K B and Damm, M},
year = {2010},
date = {2010-01-01},
journal = {Brain Research},
volume = {1320},
pages = {1--6},
abstract = {Recently, interest in the health of boxers has been raised by a petition of the British Medical Association to restrict boxing. However, scientific data on permanent damage are rare and typical localisations of injuries were yet to be defined. The aim of this study was to determine whether there are changes in the sense of smell in people undergoing recurrent head traumas. The hypothesis to be tested was if boxers had a reduced olfactory function. We used a matched pairs analysis design. Fifty healthy, male athletes underwent subjective olfactometry using Sniffin'Sticks testing (including threshold, discrimination and identification, TDI). Nasal endoscopy was performed and a thorough, questionnaire-based history was obtained. These data were correlated with normative data from healthy subjects. Statistical analysis was based on matched pairs analysis by t-tests, i.e. boxers and healthy (non-boxing) subjects. Boxers showed a mean TDI score of 32.5 compared to 35.1 of non-boxing controls (p=0.003). The olfactory threshold (p\<0.001) and odour identification (p\<0.05) were significantly decreased in boxers; whereas odour discrimination was unaffected. Performance of odour identification showed a correlation with cushioning of the gloves (p\<0.05), and thus seems a protective measure regarding the sense of smell. Boxing seems to affect olfactory function, particularly by reducing the olfactory threshold. Furthermore, cushioning of the gloves can be protective and should be increased to safeguard sportsmen from physical damage. Boxing can serve as a model for central regeneration after trauma. Copyright 2010 Elsevier B.V. All rights reserved.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Horner, A; VanDemark, M; Jensen, G A
The challenge of assessing a patient with dementia and head injury Journal Article
In: AACN Clinical Issues, vol. 13, no. 1, pp. 73–83, 2002.
@article{Horner2002,
title = {The challenge of assessing a patient with dementia and head injury},
author = {Horner, A and VanDemark, M and Jensen, G A},
year = {2002},
date = {2002-01-01},
journal = {AACN Clinical Issues},
volume = {13},
number = {1},
pages = {73--83},
abstract = {Alzheimer's disease is emerging as a major health challenge for the 21st century. The reported case study discusses a 74-year-old woman with dementia of the Alzheimer type who sustained a head injury when she fell down the basement stairs. Differentiating the head injury from the preexisting dementia was complicated and required creative and astute assessment. Objective assessment tools discussed include the Mini-Mental State Examination, a delirium guide, and the Tinetti assessment tool. Predisposition to delirium is significant because of the comorbidities associated with cognitive impairment and head injury. Interventions to prevent delirium are recommended.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bharadwaj, S; Rocker, J
Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management Journal Article
In: Current Opinion in Pediatrics, vol. 28, no. 1, pp. 121–131, 2016.
Abstract | BibTeX | Tags: *Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention & Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]
@article{Bharadwaj2016,
title = {Minor head injury: limiting patient exposure to ionizing radiation, risk stratification, and concussion management},
author = {Bharadwaj, S and Rocker, J},
year = {2016},
date = {2016-01-01},
journal = {Current Opinion in Pediatrics},
volume = {28},
number = {1},
pages = {121--131},
abstract = {PURPOSE OF REVIEW: We review recommendations from recent publications on the evaluation of minor head trauma. We focus on the risks of radiation from computed tomographies (CTs), the establishment of patient risk stratifications to help guide the necessity of emergent neuroimaging, and current thoughts regarding concussions. RECENT FINDINGS: Pediatric minor head injury is a common complaint in ambulatory settings. There is a significant amount of parental and practitioner anxiety regarding prognosis and whether or not to obtain CT imaging. New evidence has demonstrated the significant harmful effects of ionizing radiation. Recent studies have risk-stratified patients to identify those at risk of clinically important traumatic brain injury, to minimize the exposure to ionizing radiation for those who are at a low risk of any significant disorder. SUMMARY: Pediatric minor head injury is a common complaint, but the vast majority of those injured will suffer no significant consequences. The Pediatric Emergency Care Applied Research Network has created an algorithm to identify minor head trauma patients who require emergent head CTs versus those at low risk who do not require neuroimaging. Additionally, in recent years there has been an increase in the occurrence of concussions. We describe the characteristics of concussions, appropriate management, and the return-to-play guidelines.},
keywords = {*Brain Concussion/et [Etiology], *Craniocerebral Trauma/co [Complications], *Craniocerebral Trauma/ra [Radiography], *Radiation Injuries/pc [Prevention \& Control], ALGORITHMS, Brain Concussion/ra [Radiography], Brain Concussion/th [Therapy], Brain Injuries/ra [Radiography], Brain Injuries/th [Therapy], Child, Craniocerebral Trauma/th [Therapy], Humans, Radiation Injuries/et [Etiology], Risk Assessment/mt [Methods], Tomography, X-Ray Computed/ae [Adverse Effects]},
pubstate = {published},
tppubtype = {article}
}
Vent, J; Koenig, J; Hellmich, M; Huettenbrink, K B; Damm, M
Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis Journal Article
In: Brain Research, vol. 1320, pp. 1–6, 2010.
Abstract | BibTeX | Tags: *Athletes, *Boxing, *Craniocerebral Trauma/co [Complications], *Olfactory Perception, Adolescent, adult, Discrimination (Psychology), Humans, Male, Matched-Pair Analysis, middle aged, Neuropsychological Tests, Olfaction Disorders/et [Etiology], PROTECTIVE clothing, Sensory Thresholds, Young Adult
@article{Vent2010,
title = {Impact of recurrent head trauma on olfactory function in boxers: a matched pairs analysis},
author = {Vent, J and Koenig, J and Hellmich, M and Huettenbrink, K B and Damm, M},
year = {2010},
date = {2010-01-01},
journal = {Brain Research},
volume = {1320},
pages = {1--6},
abstract = {Recently, interest in the health of boxers has been raised by a petition of the British Medical Association to restrict boxing. However, scientific data on permanent damage are rare and typical localisations of injuries were yet to be defined. The aim of this study was to determine whether there are changes in the sense of smell in people undergoing recurrent head traumas. The hypothesis to be tested was if boxers had a reduced olfactory function. We used a matched pairs analysis design. Fifty healthy, male athletes underwent subjective olfactometry using Sniffin'Sticks testing (including threshold, discrimination and identification, TDI). Nasal endoscopy was performed and a thorough, questionnaire-based history was obtained. These data were correlated with normative data from healthy subjects. Statistical analysis was based on matched pairs analysis by t-tests, i.e. boxers and healthy (non-boxing) subjects. Boxers showed a mean TDI score of 32.5 compared to 35.1 of non-boxing controls (p=0.003). The olfactory threshold (p\<0.001) and odour identification (p\<0.05) were significantly decreased in boxers; whereas odour discrimination was unaffected. Performance of odour identification showed a correlation with cushioning of the gloves (p\<0.05), and thus seems a protective measure regarding the sense of smell. Boxing seems to affect olfactory function, particularly by reducing the olfactory threshold. Furthermore, cushioning of the gloves can be protective and should be increased to safeguard sportsmen from physical damage. Boxing can serve as a model for central regeneration after trauma. Copyright 2010 Elsevier B.V. All rights reserved.},
keywords = {*Athletes, *Boxing, *Craniocerebral Trauma/co [Complications], *Olfactory Perception, Adolescent, adult, Discrimination (Psychology), Humans, Male, Matched-Pair Analysis, middle aged, Neuropsychological Tests, Olfaction Disorders/et [Etiology], PROTECTIVE clothing, Sensory Thresholds, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Horner, A; VanDemark, M; Jensen, G A
The challenge of assessing a patient with dementia and head injury Journal Article
In: AACN Clinical Issues, vol. 13, no. 1, pp. 73–83, 2002.
Abstract | BibTeX | Tags: *Craniocerebral Trauma/co [Complications], *Dementia/co [Complications], Accidental Falls, Accidents, aged, Alzheimer Disease/di [Diagnosis], Brain Concussion/di [Diagnosis], Brain Concussion/et [Etiology], Brain Concussion/pp [Physiopathology], Craniocerebral Trauma/di [Diagnosis], Craniocerebral Trauma/pp [Physiopathology], Delirium/di [Diagnosis], Delirium/et [Etiology], Home, Humans
@article{Horner2002,
title = {The challenge of assessing a patient with dementia and head injury},
author = {Horner, A and VanDemark, M and Jensen, G A},
year = {2002},
date = {2002-01-01},
journal = {AACN Clinical Issues},
volume = {13},
number = {1},
pages = {73--83},
abstract = {Alzheimer's disease is emerging as a major health challenge for the 21st century. The reported case study discusses a 74-year-old woman with dementia of the Alzheimer type who sustained a head injury when she fell down the basement stairs. Differentiating the head injury from the preexisting dementia was complicated and required creative and astute assessment. Objective assessment tools discussed include the Mini-Mental State Examination, a delirium guide, and the Tinetti assessment tool. Predisposition to delirium is significant because of the comorbidities associated with cognitive impairment and head injury. Interventions to prevent delirium are recommended.},
keywords = {*Craniocerebral Trauma/co [Complications], *Dementia/co [Complications], Accidental Falls, Accidents, aged, Alzheimer Disease/di [Diagnosis], Brain Concussion/di [Diagnosis], Brain Concussion/et [Etiology], Brain Concussion/pp [Physiopathology], Craniocerebral Trauma/di [Diagnosis], Craniocerebral Trauma/pp [Physiopathology], Delirium/di [Diagnosis], Delirium/et [Etiology], Home, Humans},
pubstate = {published},
tppubtype = {article}
}