Brain injury : [BI]
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Brain injury : [BI] · Jan 2013
Minor head injury in children: evaluating written discharge advice provided by Scottish emergency departments.
Emergency departments (EDs) routinely provide written information when a child with head injury (HI) is discharged home. This usually contains advice about recognizing signs of serious complications such as intracranial bleeding. This study evaluated the quality of discharge leaflets currently provided by Scottish emergency departments (EDs) by comparing them against written discharge advice recommended by the Scottish Intercollegiate Guideline Network (SIGN). ⋯ Many leaflets did not include important information recommended by SIGN guidelines. There was considerable variation in the quality and clarity of written discharge advice provided. This may reduce the ability of parents to recognize rare but serious complications. It is recommended that a standardized HI information leaflet based on SIGN guidelines be used across all Scottish EDs.
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Brain injury : [BI] · Jan 2013
Changes in personality after mild traumatic brain injury from primary blast vs. blunt forces.
Injuries from explosive devices can cause blast-force injuries, including mild traumatic brain injury (mTBI). ⋯ These results suggest that blast forces alone can cause negativistic behavioural changes when evaluated with selected measures of personality. Further research on isolated blast-force mTBI should focus on these personality changes and their relationship to blast over-pressure.
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Brain injury : [BI] · Jan 2013
Parenting a child with a traumatic brain injury: experiences of parents and health professionals.
To qualitatively explore the experiences, challenges and needs of parents of children with traumatic brain injury (TBI) in order to inform future intervention research through incorporation of participant knowledge and experience. ⋯ Parenting interventions may provide essential support for parents in adjusting to and managing their child's difficulties and the efficacy of existing programmes needs evaluation. Addressing parent emotional adjustment and coping strategies is vital following paediatric TBI, given the impact on parent well-being and the potential negative effects on child outcomes through reduced parenting effectiveness. Group programmes may enable connection and support.
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Brain injury : [BI] · Jan 2013
Case ReportsComplications and consent following decompressive craniectomy: an illustrative case study.
To assess clinical outcome following restoration of cranial contour in a young male who had suffered a severe traumatic brain injury. ⋯ Long-term follow-up is required for patients with severe traumatic brain injury not only to assess outcome and complications, but also to assess how acceptable that outcome is for the patient and their families.
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Brain injury : [BI] · Jan 2013
Changes in intrinsic functional brain networks following blast-induced mild traumatic brain injury.
Blast-induced mild traumatic brain injuries (mTBI) commonly go undetected by computed tomography and conventional magnetic resonance imaging (MRI). This study was used to investigate functional brain network abnormalities in a group of blast-induced mTBI subjects using independent component analysis (ICA) of resting state functional MRI (fMRI) data. ⋯ The results suggest white matter disruption across certain attentional networks. Additionally, given their elevated activity relative to controls', the temporo-parietal junctions of blast mTBI subjects may be compensating for diffuse axonal injury in other cortical regions.