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Contusion

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141. Concussion classification via deep learning using whole-brain white matter fiber strains. Full Text available with Trip Pro

Concussion classification via deep learning using whole-brain white matter fiber strains. Developing an accurate and reliable injury predictor is central to the biomechanical studies of traumatic brain injury. State-of-the-art efforts continue to rely on empirical, scalar metrics based on kinematics or model-estimated tissue responses explicitly pre-defined in a specific brain region of interest. They could suffer from loss of information. A single training dataset has also been used (...) to evaluate performance but without cross-validation. In this study, we developed a deep learning approach for concussion classification using implicit features of the entire voxel-wise white matter fiber strains. Using reconstructed American National Football League (NFL) injury cases, leave-one-out cross-validation was employed to objectively compare injury prediction performances against two baseline machine learning classifiers (support vector machine (SVM) and random forest (RF)) and four scalar

2018 PLoS ONE

142. Association between head injury and concussion with retinal vessel caliber. Full Text available with Trip Pro

Association between head injury and concussion with retinal vessel caliber. The adverse long-term consequences following traumatic brain injury are poorly understood, particularly on the cerebral microvasculature. Retinal vessels are a surrogate marker of cerebral vascular changes. We therefore aimed to examine the cross-sectional association between serious head injury or being knocked unconscious, and/or concussion and retinal microvascular signs, specifically, mean retinal arteriolar (...) and venular calibre, in older adults after accounting for potential confounders. This cohort study involved 2,624 adults with mean age of 66.9 (±9.1) years who self-reported head injury and concussion parameters, and had gradable retinal photographs. Face-to-face interviews with trained interviewers allowed participants to report prior serious head injury or being knocked unconscious, and/or a previous diagnosis of concussion by a medical professional. Fundus photographs were taken and retinal vascular

2018 PLoS ONE

143. Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion. Full Text available with Trip Pro

Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion. To determine whether earlier time to initiation of aerobic exercise following acute concussion is associated with time to full return to (1) sport and (2) school or work.A retrospective stratified propensity score survival analysis of acute (≤14 days) concussion was used to determine whether time (days) to initiation of aerobic exercise post-concussion was associated with, both, time (days (...) ) to full return to (1) sport and (2) school or work.A total of 253 acute concussions [median (IQR) age, 17.0 (15.0-20.0) years; 148 (58.5%) males] were included in this study. Multivariate Cox regression models identified that earlier time to aerobic exercise was associated with faster return to sport and school/work adjusting for other covariates, including quintile propensity strata. For each successive day in delay to initiation of aerobic exercise, individuals had a less favourable recovery

2018 PLoS ONE

144. Multifactorial examination of sex-differences in head injuries and concussions among collegiate soccer players: NCAA ISS, 2004–2009 Full Text available with Trip Pro

Multifactorial examination of sex-differences in head injuries and concussions among collegiate soccer players: NCAA ISS, 2004–2009 While head injuries and concussions are major concerns among soccer players, the multifactorial nature of head injury observations in this group remains relatively undefined. We aim to extend previous analyses and examine sex-differences in the incidence of head injuries, odds of head injuries within an injured sample, and severity of head injuries, among (...) , 1.11]). Whereas, the rate of injury due to contact with apparatus (ball/goal) was nearly 2.5 times higher (RR = 2.46, 95% CI = [1.76, 3.44]) and the rate due to contact with a playing surface was over two times higher (RR = 2.29, 95% CI = [1.34, 3.91]) in women than in men. In our multifactorial models, we also observed that the association between sex and head injury corollaries varied by injury mechanism.Sex-differences in the incidence, odds (given an injury), and severity (concussion diagnosis

2017 Injury epidemiology

145. A case of real spinal cord injury without radiologic abnormality in a pediatric patient with spinal cord concussion Full Text available with Trip Pro

A case of real spinal cord injury without radiologic abnormality in a pediatric patient with spinal cord concussion Real spinal cord injury without radiologic abnormality (SCIWORA) is a rare clinical entity.The patient was a 13-year-old girl whose body was overturned anteriorly after crashing her bicycle into a curb. Following the accident, in which her neck and upper back hit the ground, she could not move due to paralysis. On arrival, she had paresis of the bilateral upper extremities

2017 Spinal cord series and cases

146. Management of Concussion-mild Traumatic Brain Injury (mTBI)

Management of Concussion-mild Traumatic Brain Injury (mTBI) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF CONCUSSION-MILD TRAUMATIC BRAIN INJURY Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2016 VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury February 2016 Page 2 of 133 Prepared by: The Management of Concussion-mild Traumatic Brain Injury Working Group With support from

2016 VA/DoD Clinical Practice Guidelines

147. Myocardial Contusion

Myocardial Contusion Myocardial Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Myocardial Contusion Myocardial Contusion (...) Aka: Myocardial Contusion From Related Chapters II. Causes Chest III. History Bent stearing wheel in a IV. Signs Anterior chest wall injury signs Sternal tenderness Sternal deformity V. Labs Serial levels Serum myoglobin Serum VI. Diagnostics Telemetry monitoring Serial Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Myocardial Contusion." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

148. Pulmonary Contusion

SnomedCT 157522006 , 10050004 English Contusion of chest wall , Contusion, chest wall , Superfic bruising chest wall , Contusion of chest , Bruising of chest , contusion of chest (physical finding) , contusion of chest , bruising chest , bruised chest , contusion chest wall , chest contusion , chest wall contusion , Superficial bruising of chest wall , Contusion of chest (disorder) Dutch blauwe plek op borst , borstkaskneuzing French Ecchymose de la poitrine , Contusion de la paroi thoracique German (...) Pulmonary Contusion Pulmonary Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pulmonary Contusion Pulmonary Contusion Aka

2018 FP Notebook

149. Brain Contusion

Brain Contusion Brain Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Brain Contusion Brain Contusion Aka: Brain Contusion (...) From Related Chapters II. Pathophysiology III. Signs ral Focal neurologic deficits Prolonged coma Decerebrate rigidity Unequal dilated pupils IV. Imaging (at presention and repeated in 12 hours) Cerebral Necrosis Intraparenchymal V. Management Emergent Neurosurgical Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Brain Contusion." Click on the image (or right click) to open the source website in a new browser window. Related

2018 FP Notebook

150. Contusion

Contusion Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Contusion Contusion Aka: Contusion , Bruise , Soft Tissue Hematoma (...) , Subcutaneous Hematoma , Subepidermal Hemorrhage , Bruising II. Pathophysiology Blunt injury disrupts soft tissue (skin, muscle) capillaries and venules, resulting in into local interstitial tissue III. Risk Factors (e.g. Ehlers-Danlos Syndrome) s IV. Exam Do not blanch on pressure Contrast with a ( , ) which does blanch Compare with or which like a Contusion does not blanch Color (unreliable as an indicator of injury timing) Days 0-2: Swelling and tenderness Days 2-5: Red, blue or purple coloration Days 5

2018 FP Notebook

151. Cardiac Contusion

Trip Database) Ontology: Contusion to heart (C0273112) Definition (NCI_FDA) A bruise to the heart. Definition (NCI) A bruise to the heart. Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 210054006 , 17414004 English Myocardial Contusion , myocardial contusion (diagnosis) , myocardial contusion , cardiac contusions , cardiac contusion , contusion heart , contusions heart , heart contusion , CONTUSION, MYOCARDIAL , MYOCARDIAL CONTUSION , CARDIAC CONTUSION , CONTUSION, CARDIAC , Cardiac contusion (...) Cardiac Contusion Cardiac Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cardiac Contusion Cardiac Contusion Aka: Cardiac

2018 FP Notebook

152. Quadriceps Contusion

Portuguese Contusão da coxa Spanish Cardenales en el muslo , Contusión de muslo , contusión de muslo , contusión de muslo (trastorno) , contusión del muslo (trastorno) , contusión del muslo Japanese 大腿の挫傷 , 大腿部の挫傷 , ダイタイノザショウ , ダイタイブノザショウ English thigh tissue injury contusion , Contusion of thigh , Bruising of thigh , contusion of thigh , contusion of thigh (physical finding) , bruised thighs , contusions thigh , bruised thigh , thigh contusion , thigh bruising , Thigh bruise , Thigh - bruise (...) , Contusion, thigh , Superficial bruising of thigh , Contusion of thigh (disorder) , contusion; quadriceps femoris Czech Zhmoždění stehna , Kontuze stehna Korean 넓적다리의 타박상 Hungarian A comb zúzódása , Véraláfutás a combon Derived from the NIH UMLS ( ) Related Topics in Hip Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty

2018 FP Notebook

153. Cardiac Contusion

Trip Database) Ontology: Contusion to heart (C0273112) Definition (NCI_FDA) A bruise to the heart. Definition (NCI) A bruise to the heart. Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 210054006 , 17414004 English Myocardial Contusion , myocardial contusion (diagnosis) , myocardial contusion , cardiac contusions , cardiac contusion , contusion heart , contusions heart , heart contusion , CONTUSION, MYOCARDIAL , MYOCARDIAL CONTUSION , CARDIAC CONTUSION , CONTUSION, CARDIAC , Cardiac contusion (...) Cardiac Contusion Cardiac Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cardiac Contusion Cardiac Contusion Aka: Cardiac

2018 FP Notebook

154. Predictors of outcome in the management of Traumatic Bifrontal Contusions - a systematic review

Predictors of outcome in the management of Traumatic Bifrontal Contusions - a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

155. Sport-related concussion: Evaluation and management

Sport-related concussion: Evaluation and management Concussion is a common injury among children and adolescents participating in organized sports and recreational activities. Any child or youth who sustains a concussion should be removed from play immediately and medically evaluated as soon as possible. Cognitive and physical rest are recommended to allow symptoms to resolve. Cognitive rest may require temporary school absence and/or a modified class work or homework load. After symptoms have (...) completely resolved at rest and a full return to school is achieved, the student can progress through a medically supervised, stepwise exertion protocol to return to play. Everyone involved in child and youth sports must recognize the signs and symptoms of concussion, and ensure that any child or adolescent suspected of sustaining a concussion is properly evaluated and managed by qualified medical personnel. The present statement replaces a previous Canadian Paediatric Society position statement

2014 Canadian Paediatric Society

156. Pain and Bruising Levels After Lip Augmentation: A Comparison of Anterograde and Retrograde Techniques Using an Automated Motorized Injection Device. A Blinded, Prospective, Randomized, Parallel Within-Subject Trial. (Abstract)

Pain and Bruising Levels After Lip Augmentation: A Comparison of Anterograde and Retrograde Techniques Using an Automated Motorized Injection Device. A Blinded, Prospective, Randomized, Parallel Within-Subject Trial. Dermal fillers for lip augmentation can be injected using various techniques. Although all seem to provide acceptable results, it is not clear which technique is safer, less painful, and provides greater patient comfort.To compare patients' self-reported pain intensity during (...) intensity was self-assessed using a 100-mm visual analog scale. Presence and severity of bruising were recorded.Forty-four women (mean age 30.3 years) were randomized. Mean self-reported pain score was 53.1% lower with the anterograde technique than with the retrograde (p < .0001). The anterograde technique had lower rates of site reactions, showed a faster recovery time, and 68.2% of patients favored this technique.This study demonstrated that the anterograde technique was less painful, and led

2019 Dermatologic Surgery Controlled trial quality: uncertain

157. A Pilot Randomised Double-Blind Study of the Tolerability and efficacy of repetitive Transcranial Magnetic Stimulation on Persistent Post-Concussion Syndrome. Full Text available with Trip Pro

A Pilot Randomised Double-Blind Study of the Tolerability and efficacy of repetitive Transcranial Magnetic Stimulation on Persistent Post-Concussion Syndrome. This study investigates the effect of Repetitive Transcranial Magnetic Stimulation (rTMS) on persistent post-concussion syndrome (PCS). The study design was a randomized (coin toss), placebo controlled, and double-blind study. Thirty-seven participants with PCS were assessed for eligibility; 22 were randomised and 18 completed the study (...) requirements. Half the participants with PCS were given an Active rTMS intervention and the other half given Sham rTMS over 3 weeks. Follow ups were at the end of treatment and at 30 and 60 days. The primary outcome measure was the Rivermead Post-Concussion Symptoms Questionnaire (RPQ3 & RPQ13). The results indicate participants with more recent injuries (<12 month), who received Active rTMS, showed significant improvements compared to those of: 1) the same subgroup who received Sham, and 2) those

2019 Scientific reports Controlled trial quality: predicted high

158. Hyperbaric oxygen for post-concussive symptoms in United States military service members: a randomized clinical trial. (Abstract)

Hyperbaric oxygen for post-concussive symptoms in United States military service members: a randomized clinical trial. In prior military randomized trials, participants with persistent symptoms after mild traumatic brain injury (TBI) reported improvement regardless of receiving hyperbaric oxygen (HBO₂) or sham intervention. This study's objectives were to identify outcomes for future efficacy trials and describe changes by intervention.This Phase II, randomized, double-blind, sham-controlled (...) trial enrolled military personnel with mild TBI and persistent post-concussive symptoms. Participants were randomized to receive 40 HBO₂ (1.5 atmospheres absolute (ATA), ⟩99% oxygen, 60 minutes) or sham chamber sessions (1.2 ATA, room air, 60 minutes) over 12 weeks. Participants and evaluators were blinded to allocation. Outcomes assessed at baseline, 13 weeks and six months included symptoms, quality of life, neuropsychological, neurological, electroencephalography, sleep, auditory, vestibular

2019 Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc Controlled trial quality: predicted high

159. Antidepressants for depression after concussion and traumatic brain injury are still best practice. Full Text available with Trip Pro

Antidepressants for depression after concussion and traumatic brain injury are still best practice. Depression is a common complication of traumatic brain injury (TBI). New evidence suggests that antidepressant medication may be no more effective than placebo in this population.Selective serotonin reuptake inhibitors are recommended as first-line treatment for depression in contemporary expert consensus clinical practice guidelines for management of TBI. This recommendation is based on multiple

2019 BMC Psychiatry

160. A technology-enabled electronic incident report to document and facilitate management of sport concussion: A cohort study of youth and young adults. Full Text available with Trip Pro

A technology-enabled electronic incident report to document and facilitate management of sport concussion: A cohort study of youth and young adults. Despite the widespread awareness of concussion across all levels of sport, the management of concussion from youth to college is inconsistent and fragmented. A fundamental gap contributing to inconsistent care is the lack of a scalable, systematic approach to document initial injury characteristics following concussion. The purpose of this study (...) was to determine differences in injury profiles and management of youth, high school, and college athletes using a mobile application for incident report documentation.A cohort study was conducted in which concussion electronic incident report data from 46 high schools and colleges, and Cleveland Clinic ambulatory concussion clinics were gathered and analyzed.In sum, 1421 (N = 88 youth, N = 1171 high school and N = 162 college) athletes with sport-related concussions were included.Despite the relative absence

2019 Medicine

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