...for Traumatic Brain Injury 1. Introduction and core story elements a. What is the overview of the purpose of the study and the problem discussed? i. Research has shown that hypothermia has neuroprotective effects and might be an effective source of treatment for patients with head injuries. When discussing the treatment of patients with traumatic brain injuries, hypothermia is a controversial issue. The purpose of this study was to compare existing research on the use of hypothermia with TBI patients to determine if it is an adequate form of treatment. b. Is the problem clearly stated? . Yes. Hypothermia has been shown to have neuroprotective effects and may have benefit in the treatment of head injuries. However, it is a controversial treatment in traumatic brain injury. c. Is the problem clearly supported with literature? . The question is supported by literature but the conclusion is not. d. What are the research questions? . Is hypothermia an adequate form of treatment to prevent secondary injury in patients with a TBI? e. Are the questions clearly stated? . The question was not clearly stated within this article. The introduction leads up to the idea that hypothermia is an effective treatment for TBI but there is not a clear PICOT formed question. Evaluate the literature reviewed . What literature was reviewed to support the purpose and need for the study? . Brain Trauma Foundation. (2007). Guidelines for the management of severe traumatic brain injury:...
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...Development TBI in Early Childhood: Impact of Early Intervention on Childhood Development Traumatic brain injury (TBI) is a growing concern for children in their preschool years. Children of young ages undergo many developmental changes during the ages of two through five. These changes are significant for their growth and maturity. They include cognitive, social, and behavioral development as well as development in executive functioning. Sustaining a traumatic brain injury during these years can pose as a direct risk of developmental deficits in any or all of these areas. After an extensive literature review, it was found that most of the previous research resulted in areas of consensus. These areas compare the how TBI severity and the age of the TBI effect developmental. Results from multiple studies show that the more sever the TBI, the more prevalent the developmental deficiencies (Gerrard-Morris, A., Taylor, H., Yeates, K., Walz, N., Stancin, T., Minich, N., & Wade, S., 2009; McKinlay, A., Grace, R., Horward, L., Fergusson, D., & MacFarlane, M., 2008; Morse, S., Haritou, F., Ong, K., Anderson, V., Catroppa, C., & Rosenfeld, J., 1999; Taylor, H., Swartwout, M., Yeates, K., Walz, N., Stancin, T., & Wade, S., 2008). It is also found that children injured in early childhood are more vulnerable to developmental deficits, According to Taylor et. al (2008), a younger age at the time of injury is a predictor of worse outcomes. Although many researchers in this field have shared...
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...7/21/2015 Mild Traumatic Brain Injury and Degenerative Cognitive Diseases Buck (2011) conducted an advanced review of current literature involving the growing issue of repeated Mild Traumatic Brain Injury (MTBI) and its long lasting effects on creating degenerative cognitive diseases titled Mild Traumatic Brain Injury; A Silent Epidemic in Our Practices. MTBI can cause a host of degenerative brain diseases such as Alzheimer’s disease, Parkinson’s disease, and dementia pugilistica, as well as a multitude of sensory, emotional, behavioral, communicational, and intellectual issues. These can range from difficulty regarding memory or speaking to depression and Post Traumatic Stress Disorder. Repeated MTBI has proven to especially dangerous as it is often more difficult to diagnose due to the relatively minor immediate implications that it presents, as opposed to the more blunt and obvious symptoms of severe or moderate TBI. Buck (2011) states that “A diagnosis of severe or moderate TBI is relatively straightforward given the availability of diagnostic technology, including computer tomography scans and magnetic resonance imaging. Mild injuries, however, are far more difficult to diagnosis”. This is due to an underreporting of MTBI by those who suffer from this variety of head trauma as the symptoms may be subdued enough in order to not cause an alarm as well as current technology not being able “to reliably detect the neural damage that occurs in mild injuries”. Another major...
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...Lahey Foundations of Special Education Article Review 2 November 27, 2012 Source and Issue Statement “Brain Injured Students At My School? In My Room?” by Bobbin Kyte Cave comes from The Clearing House journal and was published in 2004. This article discusses traumatic brain injury and how it relates to an educational environment. It outlines some of the causes of TBI, what results from a brain injury, how the law intertwines with TBI and which educational interventions are successful for students with a brain injury. Critique The background information provided about TBI is thorough, but some areas if the paper could use more empirical support. For example, the first paragraph of the manifestation section could use some support for the idea that, “Students with brain injuries often have good memory for prior learning but exhibit an inability to connect new learning to prior knowledge,” (Cave, 2004). This could be a result of the author’s professional experiences as a psychological development counselor, but nothing directly indicates that. Another area that is in need of empirical support is the second paragraph on page 172. The statement that begins, “Students with brain injuries find it helpful when…” appears to be a matter of opinion without the research to lend credibility to this statement. Overall the manifestation section of the article is very thorough in its coverage of the many different ways in which brain injuries affect individuals. The author at one point makes...
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...Literature review A concussion is often referred to mild brain injury by medical professionals. The study of Gerberich published in 1983 was one of the first widely cited articles to deal with concussions in high school football and spanned the years 1978–1982. Emily A. Harrison, a doctoral candidate in the History of Science Department at Harvard University researched, sports concussion has become a prominent public health problem in the early 21st century, also referred to as “The Concussion Crisis.” Harrison found that Football-related concussion contributed to much of the epidemic burden and inspired a lot of public awareness. The crisis has been around for more than a century. In the first decades of the sport of football, concussions...
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...Department. We evaluate soldier’s medical diagnoses and process cases for medical discharge. Over the years I have counseling numerous mental health patients that are returning from deployment. Our goal is to advise and refer soldiers and family members to the appropriate sources to include, Social Work Service. Cases with extreme mental disability are soldiers with Post Traumatic Stress Disorder (PTSD) with major sleep disorders. The problem is regardless of the psychotherapy and medication the soldiers are given they continue to have extreme nightmares of death and fear. Soldier that are diagnose with PTSD normally gets two to four hours of sleep a night. Beginning with the first step in the research process is to identifying the problem. Our dilemma was soldier Behavioral Health Care beyond Army life. Data was gathered from our Mental Health Department and Traumatic Brain Injury database. After we identify the problem a Case Review Committee meeting was conducted with the hospital Behavioral Health Providers to discuss and analyze the gathered data. The outcome was to set up a Case Review Committee with department heads at the local VA hospital that cares for soldier mental health care after the Army. In Collaboration with doctors and the Veteran Military Coordinators at the VA Greater Los Angeles Healthcare...
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...operations. The United States began combat operations in Iraq and Afghanistan on October 7, 2001 in response to the September 11, 2001 terrorist attacks officially referred to as Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Since October 2001, about 1.9 million service members have been deployed to Afghanistan and Iraq (Asbury & Martin, 2011). OEF/OIF has many unique features with regard to the military forces being sent to fight oversees. The all-volunteer military has experienced multiple deployments to the combat areas, with an increased use of the National Guard and Reserve Components, higher numbers of deployed women and parents of young children, and increases in the number of service members surviving severe injuries and other side effects from combat (Shaw & Hector, 2010). Service members may be subjected to more than one deployment. Studies show that overall about 40% of current military service members have been deployed more than once, with over one quarter serving more than two tours in combat (Sheppard, Malatras, & Israel, 2010). The repeat deployments have created taxing situations for the service members and their families. Moreover, the deployments average a length of sixteen months; which includes pre-deployment training and post deployment transition (Sheppard et al., 2010). An average of 44% of these service members are parents, with an average of...
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...Tommy Novak C. Kaiser English 111 11/3/2015 NHL and brain injuries Playing hockey often leads to brain injuries later in life, hockey injuries can be prevented by wearing safer equipment and rule changes can be implemented to improve player safety. All of the hitting and checking have gone unnoticed for far too long so many great athletes have been injured by someone else’s hitting and/or checking. A few of these injured players include but are not just limited to Sidney Crosby of the Pittsburgh Penguins who decided to take the 2011 season off due to lingering concussion symptoms from a hit. Patrick Kane, of the Chicago Blackhawks who suffered a broken collarbone, and Stan Mikita who has no recollection at all of ever lacing up the skate and playing hockey. And...
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...Stephen Mannar Instructor: NRS -433V Nursing Research December 11, 2011 Caring Science | Sources 1. Legitimizing basic research by evaluating quality.Abstract:The aim of this study was to use ethical arguments to strengthen the relationship between the concepts of legitimacy and evaluation. The analysis is based on the ethics of Levinas and Buber and is motivated by a sense of responsibility using dialogical ideology as a mediator. The main questions in this study consider the following: Does caring science as an independent academic discipline have the moral responsibility to develop a theory for evaluating the quality of basic research? and Will such a quality evaluation theory have a reasonable probability of introducing legitimization into caring science? On an ethical level, this study introduces a meaningful interaction inspired by social demands and is linked to the concept of research justification. Legitimization turns from an abstract idea to an achievable entity by an act. The act of evaluation has the likelihood of delegating legitimacy and empowers the foundation of caring science, which in turn will become a cornerstone of nursing. At this stage there is no intention to develop an evaluation theory, rather to create a meaningful discussion for the future development of an ethics-based theory.2. Watson's caring science as a framework...
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...Concussion Institute, a concussion is “a complex pathophysiological process that affects the brain, typically induced by trauma to the brain” (2016). Most concussions occur without the individual losing consciousness yet these impairments can lead to dementia, aggression, confusion, impaired judgment, and depression and may not be treatable. In fact, per Marcos Abreu, “the American Academy of Neurology discovered that athletes are at greatest risk of repeat injury in the first 10 days’ post-concussion and suggested that the more head injuries a person suffers; the more likely they are to face complications...
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...Differences and Similarities in Generalized Characteristic Traits among Genders: The Sociopath and Psychopath by Evelyn J. Dotson MS, University of Phoenix, 2015 Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Science Psychology University of Phoenix March, 2015 Abstract Psychopathic and sociopathic general characteristic traits are found in both genders in various populations. More research on the general characteristic traits of females is needed. Research for the female populations will give professionals information about the differences displayed between genders. Different applied sciences will also further their knowledge in treatment options for either tendency. The study used explored if any differences existed between genders with intensified levels of psychopathic traits in regard to psychopathy factor scores. The sample consisted of 2,500 people of both genders (52.6% women) (M=22.15; SD=1.38) from the generalized population, aged 20-24. Results displayed women with psychopathic personality traits had significantly higher levels of behavioral tendencies than men of the same. The genders did display a difference in aggressive behavior. The men showed a significant amount of aggressive behaviors compared to the women. The gender differences displayed in the seven psychopathic features show the variations needed for treatment options. Differences and Similarities in Generalized Characteristic Traits among...
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...A Literature Review of Tinnitus Andrew Folz Rockhurst University Abstract Tinnitus is the perception of sound within the human ear when no actual sound is present. Tinnitus usually interpreted as a ringing sound that varies in frequency and loudness. There are many causes of tinnitus along with symptoms that are caused by tinnitus. Millions of people, primarily men, are affected with chronic tinnitus that usually leads to hearing loss. This literary review of Tinnitus will cover a current, basic knowledge of tinnitus, possible causes of tinnitus, conditions that may cause tinnitus, experiments involving mice to discover new findings in tinnitus research, and possible treatments that are currently being studied. Tinnitus is the perception of sound within the human ear when no actual sound is present. Though often unrecognized, tinnitus affects millions of people worldwide. Tinnitus is one of the most common physical symptoms. It affects 10-15% of the population at some point in their lives (Holmes and Padgham, 2009). Derived from the Latin word, “tinnire,” which means to ring, tinnitus is commonly experienced as high-pitched noise with mechanical, electrical, or musical qualities. The underlying pathophysiology of tinnitus is unclear. It seems unlikely there is a single underlying cause, but tinnitus may accompany almost any auditory dysfunction. Damage to the middle ear, cochlea, audiovestibular nerve, and cerebral pathways between the cochlear nucleus and primary auditory...
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... Dr. D.L. James Editor-‐in-‐Chief Student Perspectives in Cognitive Neuroscience 1 August 2014 Dear Dr. James, I would like to submit my article entitled, “Recovery from Childhood Traumatic Brain Injury: Case Study-‐Susan” for publication as a review article in the Student Perspective in Cognitive Neuroscience. The article traces traumatic brain injury in an eight-‐year-‐old child with a premorbid Attention Deficit/Hyperactivity Disorder (ADHD) and challenging family environment. With the aid of Luria’s conceptual approach to brain organisation and function, and Piaget’s stages of cognitive development, we are able to gauge the impact of the trauma on brain function and also the long term effects...
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...EXECUTIVE SUMMARY This paper analyzes the cost/benefit of long-term care of Soldiers returning from Iraq and Afghanistan and the constraints the Department of Veterans Affairs faces in trying to meet the needs of these Soldiers. This paper uses data collected from government sources like the Department of Veterans Affairs and the Veterans Benefit Administration. The conclusions of the analysis are that: (a) The Veterans Health Administration (VHA) is already overwhelmed by the number of patients it currently sees and the addition of these new Veteran’s seeking care will put a severe strain on the resources that are currently available; (b) The Veterans Benefit Association (VBA) is in need of restructuring to be able to handle the influx on claims it is currently experiencing. As it stands now the current wait time is up to 90 days before a Veteran will receive their disability rating and that time can increase with these additional claims; and (c) Providing medical care and disability compensation benefits to the Soldiers returning from the conflicts in Iraq and Afghanistan can cost anywhere from $400 - $900 billion depending on the type of care required, how quickly they file their claims, and the growth rate of those benefits. The recommendations that need to be considered include: increasing the staff as well as the budget for Veterans Medical Centers especially those that specialize in mental health treatment; restructure the claims process and increase...
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...Table of Contents Introduction…………………….………………………………………………………………….3 Review of literature………... …………………………………………………………………….3 Framework...............................................................................................................................…... 6 Hypothesis…….. …….……….………………………………………………………………….. 6 Research questions……. …….……………………………………………………………….…...6 Methods…………………….…………………………………………………………………..…4 Design …………………………………..………………………………………………….7 Intervention ……………..……………………………..………………………………….. 7 Sample/Setting …………………….…………………………..……………………………7 Power analysis …………………………………..…………….……………………………8 Instrumentation ...............................................................................................................…...8 Data collection ……………………………………..………….……………………………8 Statistics and data analysis …………………………………………………………….…...9 Expected results …………………………………………………………………………………..9 References cited………………………………………………………………………………….10 Appendix A………………………………………………………………………………………13 Appendix B………………………………………………………………………………………14 Appendix C………………………………………………………………………………………15 Appendix D………………………………………………………………………………………16 Ventilator associated pneumonia and chlorhexidine use in the traumatic brain injured patient Ventilator associated pneumonia (VAP), is defined as, a nosocomial pneumonia that develops more than 48 hours following endotrachial intubation and mechanical...
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