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Gaylord Hospital in Wallingford has special unit to treat adolescents with spinal cord injuries – Torrington Register Citizen

Posted: June 26, 2017 at 10:51 am

WALLINGFORD >> Even in a hospital floor full of nurses, a mother of a teenager recovering from a spinal cord or brain injury never wants to be far away.

I can hear mom in my sleep, said Shirleyann Pompea, whose daughter fractured her neck and injured her spinal cord in April. I can get there before the call bell.

Pompeas daughter, Janelle, lived at Gaylord Specialty Healthcare for close to two months while she recovered from the injuries she suffered in a car accident in Redding. And every night of her stay in Wallingford, Pompea or her husband, have been right next door.

For the 49 days shes been here, weve been here, Pompea said on a recent day her daughter was set to finally go home.

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The Adolescent Spinal Cord Injury Unit at the Gaylord Hospital was recently recognized by the Greater New Haven Chamber of Commerces Health Care Council for its innovative approach to caring for teenagers and their families. Gaylord Specialty Healthcare/Gaylord Hospital serves approximately 1,400 inpatients and 6,000 outpatients every year. The hospital specializes in care for complex injuries where patients require intensive rehabilitation.

The Adolescent Spinal Cord Injury Unit opened last spring and is complete with two family suites that allow parents or other family to sleep right next door to the patient. Kimberly Thompson, a spokeswoman for the hospital, said someone is always waiting to fill a suite as soon as it empties.

The two rooms of the suite are connected by bathrooms, so theres no need to go into a hospital hallway in the middle of the night if the patient needs something, Thompson said.

Youve already had something traumatic happen to your family, Thompson said. The family suites were created to help limit further trauma by letting parents be nearby, she said.

In addition, each patient in the unit has access to Wi-Fi and a Netflix subscription. Theres a game room called The Loft complete with video games, board games, and extra chairs for visiting friends.

Pompea said she and her husband, and sometimes their older sons, took turns staying overnight in the suite so their 16-year-old daughter would never be alone there overnight. Having easy access to their daughter and a place to stay was invaluable for them as a family, especially given her length of stay at the hospital, Pompea said.

Prior to moving into Gaylord Hospital, their daughter spent the 11 days immediately after her car accident in an Intensive Care Unit in New Haven followed by nine days in a burn unit in Bridgeport. Prior to coming to Wallingford, family members had to stay in nearby hotels and couldnt be with her all the time.

The most important thing was keeping her in good spirits, Pompea said. Having that adolescent room, you cant go wrong.

Being able to stay right next door helped Pompea be able to help her daughter get ready for bed each night, and dressed and ready each morning. The comfort of the suite allowed her to stay up and watch television with her daughter until she was ready to go to sleep, paint her nails to keep her spirits up, or even hold pizza parties for her friends

Were definitely catering to (the teenager) population now more than ever, said Heather Hancort, a nurse manager on the adolescent brain and spinal cord unit at Gaylord Hospital. Now, were able to properly care for the patients and their families.

An aspiring interior decorator or event planner, Janelle Pompea said she also spent time to decorate her room and make it feel like her own.

I didnt feel like I was in a hospital, she said. I was not claustrophobic or like I wanted to get out or anything.

But, she also made sure she wasnt spending too much time there. She liked to keep her days full at the hospital, scheduling therapy sessions or time in the gym as often as she could so her days were packed and she avoided just sitting in her room.

Ive wanted to be busy, she said. I was trying to get as much in as possible.

Though Pompea left the hospital, she said she would be back to continue outpatient therapy. Pompea has limited arm mobility, her left arm must stay in a sling, and she still wears a neck brace. Of the seven teenagers that were piled into the car that crashed in April, all without seatbelts on, Pompea is the last to be leaving a hospital.

Since being at Gaylord Hospital, Pompea said she was grateful to have her mom right next door in case she needed anything, especially in the middle of the night.

I prefer my mom helping me, because shes my mom, she said. She kept my company.

Pompeas mom would even scroll through her iPad for her in the evenings when she wanted to use it. At least she did until Pompea learned to use her feet to do it on her own.

As for advice for other teenagers who might find themselves in the brain injury and spinal cord unit of a hospital, Pompea said its always best to think positively.

On the bright side, youre alive, she said. I probably wouldve died if no one was there to get us out of the car.

While she finally got to go home from Gaylord Hospital, 69 days after the accident, Pompea has another countdown going.

On July 12, shell finally get to remove her neck brace, another milestone to look forward to in her long road to recovery.

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Urinary catheter-associated microbiota change in accordance with treatment and infection status. – UroToday

Posted: at 10:51 am

The use of long-term catheterisation to manage insensate bladders, often associated with spinal cord injury (SCI), increases the risk of microbial colonisation and infection of the urinary tract. Urinary tract infection (UTI) is typically diagnosed and treated based on the culturing of organisms from the urine, although this approach overlooks low titer, slow growing and non-traditional pathogens. Here, we present an investigation of the urinary tract microbiome in catheterised SCI individuals, using T-RFLP and metagenomic sequencing of the microbial community. We monitored three neurogenic patients over a period of 12 months, who were part of a larger study investigating the efficacy of probiotics in controlling UTIs, to determine how their urinary tract microbial community composition changed over time and in relation to probiotic treatment regimens. Bacterial biofilms adherent to urinary catheters were examined as a proxy for bladder microbes. The microbial community composition of the urinary tract differed significantly between individuals. Probiotic therapy resulted in a significant change in the microbial community associated with the catheters. The community also changed as a consequence of UTI and this shift in community composition preceded the clinical diagnosis of infection. Changes in the microbiota due to probiotic treatment or infection were transient, resolving to microbial communities similar to their pre-treatment communities, suggesting that the native community was highly resilient. Based on these results, we propose that monitoring a patient’s microbial community can be used to track the health of chronically catheterized patients and thus, can be used as part of a health-status monitoring program.

PloS one. 2017 Jun 19*** epublish ***

Laetitia Bossa, Kimberly Kline, Diane McDougald, Bonsan Bonne Lee, Scott A Rice

Neuroscience Research Australia (NEURA), Sydney, New South Wales, Australia., The Singapore Centre for Environmental Life Sciences Engineering, The School of Biological Sciences, Nanyang Technological University, Singapore.

PubMed http://www.ncbi.nlm.nih.gov/pubmed/28628622

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Global Spine Biologics Market 2016 Industry Analysis & Forecast 2024 – The Legman News

Posted: at 10:51 am

Spine Biologics Market

Zion Market Research, the market research group announced the analysis report titled Spine Biologics Market: Global Industry Analysis, Size, Share, Growth, Trends, and Forecasts 20162024

Global Spine Biologics Market: Overview

Spine biologics is a treatment that is used during the spine fusion surgery for the treatment of spinal deformities that include spinal cord injuries, trauma, degenerative disc disease, and tumors. It stimulates the growth of the bone formation through different stages which include inflammatory, repair, and remodeling. Spine biologics are used in the treatment of symptomatic deformity to achieve successful arthrodesis. Spine biologics is a minimally invasive method and it requires less time as compared to that of open surgical procedures. Request Free Sample Report @https://www.zionmarketresearch.com/sample/spine-biologics-market

Global Spine Biologics Market: Growth Factors

Major factors that are driving the spine biologics market growth include a rise in the number of geriatric population, benefits provided by spine biologics is faster recovery, minimal postoperative time, and ability to activate cellular growth. Spinal disorders are most common in men and women over 50 years. Spinal injuries can be due to the enlargement of bones & joints, thickening of the band of the tissue, which supports the spine. This is the key factor that is fuelling the market growth in the coming years. People who are at the high risk of spinal deformities need to undergo spinal fusion surgery thus increasing its demand in the global market. However, higher cost of the bone grafts, hostile reimbursement scenario, and concerns regarding the bone grafting procedures is expected to hamper the global spine biologics market growth.

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The spine biologics market is segmented on the basis of product, surgery, and region. The product segment is classified into the cell based matrix, spinal allografts, platelet rich plasma, and bone graft substitutes. The spinal allografts segment is sub-segmented into the demineralized bone matrix and machined bones allograft. The bone graft substitute is sub-segmented into synthetic bone grafts and bone morphogenetic proteins. Depending on the surgery, the market is divided into anterior cervical discectomy and fusion, lateral lumbar interbody fusion, transforaminal lumbar interbody fusion, anterior lumbar interbody fusion, and other surgeries. The region wise breakdown of the market includes North America, Europe, Asia-Pacific, Latin America, and the Middle East & Africa.

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North America contributed the largest market share in the global spine biologics market due to stable economic growth. North America is followed by Europe. Other factors influencing the market are an increase in the disposal income, growing population, improved medical literacy, and raising awareness regarding newly developed technologies. Spine biologics have a tremendous demand from the regions of America owing to the advancement in the technology and large pool of the patients. The market in Asia Pacific is experiencing growth in the market owing to increase in the patient pool, advanced rheumatoid arthritis and osteoarthritis procedure, availability of the sophisticated diagnostic technique, and growing awareness among the people. Emerging economies such as China, India, Korea, Thailand, and Vietnam are supporting the market due to economic growth, high prevalence, fast disease progression, improving healthcare facility, and insurance coverage.

Global Spine Biologics Market: Competitive Players

Major companies operating in the global spine biologics market are Exactech, Inc., Alphatec Holdings, Inc., Globus Medical, Depuy Synthes, Inc., and Zimmer Biomet Holdings, Inc. Other prominent players include RTI Surgical, Inc., Medtronic Plc., Xtant Medical., Orthofix International N.V., NuVasive, Inc., Nutech, SeaSpine, and Life Spine, Inc.

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Injured Gazan Teen Denied Exit Permit for Medical Treatment – International Middle East Media Center

Posted: at 10:50 am

Khaled Ghamri, 17, in the intensive care unit of Al-Aqsa Martyrs Hospital, central Gaza. (Photo: courtesy of Ghamri family)

Israeli authorities denied 17-year-old Khaled Ghamri an exit permit to travel from Gaza to Jerusalem, for medical treatment ,after Israeli forces critically injured him during a protest near the Israel-Gaza border on May 23.

Israeli forces across the border fence shot Khaled, then 16, near Bureij refugee camp, in central Gaza, with live ammunition on May 23, critically injuring him. The bullet caused an arm fracture, damage to multiple organs, as well as severe bleeding that left him in a coma. On the treating doctors recommendation, the family applied for an urgent permit for Khaled and an escort to travel through the Israeli-controlled Erez crossingto Jerusalem for specialized care, but the permit was denied.

We are waiting to transfer him to the hospital in Jerusalem, but we dont know why Israel is refusing to let him in through Erez crossing, said Khaleds father to Defense for Children International Palestine. He has the right to be treated and return home to his family and his school.

Dr. Iyad Jabri, the head of Surgery and Urology Department at Al-Aqsa Martyrs Hospital in Deir Al-Balah, told DCIP that a single bullet hit Khaleds right arm, cut through a nerve and caused a fracture. The bullet exited from the other side of this arm, Jabri said, and settled in the right side of Khaleds stomach, causing damage to the aorta, liver, right kidney, ureter, and intestines.

Khaled underwent surgery to remove his right kidney and repair damage to his aorta. Heavy blood loss carried the possibility of damage to other organs, including his brain, and caused a nine-day coma, according to Jabri.

While Khaled was still in a coma, on May 27, his family applied for permission for Khaled to exit Gaza for treatment in an Israeli hospital but the Israeli Civil Affairs Office handed them a denial decision, according to the boys father, Husni Ghamri.

On May 31, when Khaled recovered from the coma, he began daily courses of dialysis to remove toxins in his left kidney.

Ghamri said that he filed a second medical travel permit request on Khaleds behalf on May 31 and is awaiting a response from Israeli authorities.

According to the World Health Organization (WHO), over 42 percent of Palestinian requests for medical travel out of Gaza were denied or delayed by Israeli authorities in April 2017. Of this number, three children were denied and 178 children were delayed care.

WHO also reported that three Palestinians, including a 5-year-old girl with cerebral palsy, died in Gaza in April while waiting for permission to leave for external treatment.

As a state party to the Convention on the Rights of the Child, Israel has obligated itself to recognize childrens right to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health, as laid out in Article 24.

Search IMEMC: DCIP

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Head shave to raise money for Raife – Wiltshire Times

Posted: at 10:50 am

A YOUNG girl is going to have her long locks shaved off to raise money for a Melksham youngster with cerebral palsy, to help him walk more easily.

Raife Wilson was born having lost the majority of his right temporal lobe due to a significant bleed to the brain, which led to numerous difficulties including cerebral palsy.

His family are currently aiming to raise 45,000 so he can have life-changing surgery which will ease stiffness and spasticity and 10-year-old Skye Williams is going to have her head shaved to boost funds.

Mum Keileigh Williams, 31, of Bowerhill, said: Skye has wanted to do it for a while but wasnt sure which charity to pick, so when Laura said she was setting up a charity for Raife, it seemed like the obvious choice.

Her hair goes all the way down past her shoulders so its going to be a big shock when it all comes off. Shes having a number 4 done so its going to be very different.

Were so proud of her, shes a very caring young girl, as is her sister, Phoenix.

My six-year-old son Aston had cancer two years ago and is currently in remission, so Skye and Phoenix became even more caring and selfless as a result of that.

The shave will take place on stage at the Trowbridge Civic Centre on August 4, when CBBC presenter Gemma Hunt brings a fun-filled, pirate-themed party to the town to raise money for Raife.

Skye’s hair will be donated to the Little Princess Trust, which makes wigs from real hair for children losing their own hair through cancer treatment.

Raifes mum, Laura Wilson, who is close friends with Mrs Williams, said: We are so proud of Skye and very grateful, its a very brave thing for a 10-year-old girl to do.

We cant wait for Gemmas party, it falls on Raifes birthday and hes so excited.

For more information and tickets, visit https://www.trowbridgecivic.co.uk/event/Gemmas+Pirate+Party

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Prevacus Inc., Announces the Addition of Randy Travis to its Advisory Board – EconoTimes

Posted: at 10:49 am

Monday, June 26, 2017 1:02 PM UTC

TALLAHASSEE, Fla., June 26, 2017 — Prevacus, Inc., a leading biopharmaceutical company focused on developing treatments for concussion (mild traumatic brain injury (mTBI)) and other neurological disorders, today announced a partnership with country music legend Randy Travis and The Randy Travis Foundation.

“I am delighted to have the support of Randy and his foundation,” said Dr. Jake VanLandingham, CEO of Prevacus. “Randy suffered a significant neurological injury and has worked hard to recover. He is a passionate fighter and a powerful voice for others in need, especially for members of our military struggling with neurological conditions associated with brain injury. With Randys support, we will continue developing PRV-002, our novel concussion treatment, to help make the world safer for members of our military, professional athletes and the general populace.”

Randy and his Foundation will join others at Prevacus including Brett Favre, Jay Saldi, Roger Staubach, Leigh Steinberg, James Bus Cook, Abby Wambach, Dale Jarrett, Steve Mariucci, Eddie DeBartolo Jr., Matt Hasselbeck, Warren Moon and Kerri Walsh-Jennings.

About Prevacus Prevacus, Inc. is a biopharmaceutical company developing drug candidates with the potential to advance treatment in the fields of traumatic brain injury and other neurological disorders. The Company’s first development candidate (PRV-002) represents a breakthrough strategy for treating concussion working at the molecular level to simultaneously reduce inflammation, swelling, ischemic injury and oxidative stress.

About The Randy Travis FoundationThe Randy Travis Foundation is a charity dedicated to raising awareness for viral cardiomyopathy and providing arts and music enrichment for children. The two-part purpose connects a diverse group of people to support and find a cure for viral cardiomyopathy resulting in neurological damage along with providing opportunities for at-risk children to participate in arts and music programs. The foundation mission is to serve those affected by viral cardiomyopathy by facilitating research and support for individuals affected by the condition along with creating opportunities for involvement in enrichment programs for children.

About Concussion A concussion is a type of traumatic brain injury caused by a significant force to the head or upper body causing the brain to shake inside the skull. The injury is defined as a concussion when it causes a change in mental status such as amnesia, disorientation, mental fogginess, confusion, nausea/vomiting, blurred vision, headache, balance deficits or loss of consciousness. There are 21 symptoms demonstrated to be associated with concussion. Loss of consciousness does not indicate injury severity. Because no two concussions are exactly alike, effects and recovery are sometimes difficult to assess. Therefore the condition requires a compound that can work to reduce multiple pathological issues.

About PRV-002 PRV-002 is a fully synthetic non-naturally occurring neurosteroid administered through the nasal cavity. PRV-002 carries with it equivalent, if not superior, neuroprotective effects compared to related neurosteroids. Animal models of concussion demonstrated that PRV-002 reduces the behavioral pathology associated with brain injury symptoms such as memory impairment, anxiety, and motor/sensory performance. Additionally, PRV-002 is lipophilic and can easily cross the blood-brain barrier to rapidly eliminate swelling, oxidative stress and inflammation in the brain while restoring proper blood flow.

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Untreated Traumatic Brain Injury Keeps Youth in Juvenile Justice System – Juvenile Justice Information Exchange

Posted: at 10:49 am

Traumatic brain injury (TBI) within youth, defined by the Centers for Disease Control and Prevention as an injury to the head that causes disruption of the normal function of the brain, is fast becoming an issue of concern for parents across the United States. High-profile incidents of TBI reported in professional athletes have sparked conversations on the safety of youth participation in a variety of sporting activities including hockey, boxing, soccer and full-contact football.

TBI that occurs during sporting events is only the tip of the iceberg. TBI also occurs frequently because of falls, motor vehicle accidents, fights and physical abuse perpetrated by adults. Hence, youth between the ages of 15 to 19 are one of the highest-risk groups to experience TBI, and the consequences of this high rate of TBI within youth are diverse and far reaching. TBI within youth have been shown to be associated with higher levels of anxiety, depression, attention deficit and hyperactivity disorder, attempted suicide, and abuse of alcohol and/or drugs.

Furthermore, TBI has also been shown to increase criminal behavior by youth and lead to their later involvement with law enforcement. A systematic review of research found that TBI is approximately three times more likely to occur within youth in the juvenile justice system relative to their nondelinquent peers. Therefore, we make an urgent call to action to all practitioners across the juvenile justice system to focus on TBI with evidence-driven assessment tools and interventions.

We believe, based on the prevalence of TBI and its known effects within youth in the juvenile justice system, that practitioners are increasing the likelihood for some of the most disadvantaged and marginalized youth to repeatedly fail by not adequately addressing TBI. Repeated failures will contribute to a destructive cycle of criminal behavior that causes harm both to the youth and society at large. For the youth with TBI adjudicated multiple times, instability and stigmatization accumulates with each encounter, thus further alienating the youth from pro-social opportunities. For society, the cost of additional crime and incarceration of youth with TBI contributes to the already high price that local and state government pay to ameliorate crime.

The first step to address TBI is the systematic assessment for it within all youth who enter the juvenile justice system. Practitioners must accurately assess for a problem in order to understand it, and TBI is no different. The traditional means of assessment has primarily included a single yes or no question asking the youth whether he or she has experienced any head injury that caused them to black out or lose consciousness. However, the use of a single question gives a very truncated view of an individuals TBI history and it fails to differentiate the severity of lifetime TBI experiences.

Instead, practitioners in the juvenile justice system should adopt evidence-driven assessment tools that provide a systematic method to capture an individuals TBI history. Two assessments that have been tested for accuracy are the Ohio State University TBI Identification (OSU-TBI-ID) method and the Traumatic Brain Injury Questionnaire (TBIQ). The OSU-TBI-ID is a structured interview process that guides a practitioner to probe all significant medical injuries experienced by a youth in their lifetime in order to identify and further elucidate those that involved the head, neck or high-velocity forces.

An important gap not adequately addressed by many of the assessments of TBI is how to capture the occurrence of mild TBI. Existing assessment tools primarily focus on head injuries that either led to the seeking of medical attention or a loss of consciousness.

However, it is estimated that approximately 85 percent of all TBIs are never documented because they do not result in a loss of consciousness or require medical attention. While any one mild TBI is likely to not result in anything worse than short-term headache or dizziness, the accumulation of multiple mild TBIs has the potential to result in similar consequences to that of a more severe TBI. Therefore, we believe that practitioners should supplement either the OSU-TBI-ID or the TBIQ with a question about injuries to the head or neck that resulted in disorientation, dizziness, confusion or a dazed state.

Beyond simply identifying a history of TBI with the systematic assessment of all youth in the juvenile justice system, practitioners also need to implement evidence-driven interventions to help youth be successful long term. In particular, interventions that focus on coping skills and executive functioning or cognitive abilities that include cognitive flexibility, inhibition, working memory, problem solving and goal-directed behavior have the potential to provide important benefits for youth in the juvenile justice system.

Interventions that have undergone evaluation and shown promising results are the Coping Skills Group, Goal Management Training and the Attention Improvement and Management Program. For example, Goal Management Training is a low-cost, straightforward intervention that provides a structure for youth with TBI to think about their thinking (i.e., metacognition) and execute goal-directed behaviors in their daily living. Each of these interventions could easily complement treatment modalities already shown to be effective with youth in the juvenile justice system, such as cognitive behavioral therapy.

Overall, the prevalence of TBI among youth in the justice system is an important issue that requires an urgent call to action for all practitioners who work with juvenile delinquents. There absolutely must be widespread implementation of evidence-driven assessment and intervention to address TBI throughout the juvenile justice system. Failure to act on this issue will continue to relegate thousands of youth every year to a lifetime of further hardship and disadvantage. We have the tools to address TBI and we must act.

Tanya Renn is a National Institute on Drug Abuse T32 postdoctoral fellow at the Brown School of Social Work and works with the Institute for Advancing Justice Research and Innovation.

Christopher Veeh is a research assistant professor working for the Institute for Advancing Justice Research and Innovation at the Brown School of Social Work.

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New Tools for Children’s Hospital of Philadelphia Primary Care Clinicians Leads to Robust and Quick Uptake of … – PR Newswire (press release)

Posted: at 10:49 am

“Historically, integrating new evidence into provider behavior can take many years. However, we demonstrated a rather robust and quick uptake of several recommended clinical strategies, even ones new to many primary care providers,” says Kristy Arbogast, PhD, lead author and co-director of CHOP’s Center for Injury Research and Prevention. “The EHR platform allowed us to provide clinical practice guidance across our geographically and socio-economically diverse network, and promote systematic implementation and documentation of emerging recommended practices. We want all patients to get ‘CHOP-level care’ no matter where they enter our system.”

The study’s results highlight that in the two years leading up to the intervention, neither management strategy was implemented and documented consistently or systematically. In the pre-intervention period, performance of the vestibular oculomotor exam was documented in the EHR for only 1.8 percent of concussion visits. In contrast, 71 percent of visits in the post-intervention period included evidence of this exam for an overall 129 percent increase from July 2012 to June 2014.

During the pre-intervention period, 19 percent of concussion visits included EHR documentation of sharing return-to-learn and return-to-play guidelines. In contrast, in the post-intervention period these phrases were found in 73 percent of EHRs for a total increase of 85 percent.

The vast majority of exams performed in the post-intervention period (95 percent) were documented within a “Concussion SmartSet” template in CHOP’s electronic health record system, EpicCare, showing that the template facilitated performance and systematic documentation of the exam components.

“We were motivated to create the Concussion SmartSet by increasing numbers of youth seeking concussion care in primary care,” says Christina Master, MD, study co-author and a primary care sports medicine specialist. “During a provider needs assessment we identified a clear clinical need and engaged front-line clinicians in the design of the tool. We also provided hands-on, in-person provider training on the use of the tool during continuing education events at CHOP’s Care Network sites. These steps were critical to our success.”

“We are encouraged by the power of the electronic health record platform to improve best practices for concussion and other medical conditions,” says Juliet Haarbauer-Krupa, PhD, study co-author and senior health scientist at CDC’s Injury Center. “Linking these provider behaviors to better patient outcomes is one potential next step for this line of research.”

Large and small health networks and practices can use the emerging evidence-base in concussion to develop their own clinical guidelines and pathways. The Concussion Care for Kids: Minds Matter website from CHOP has resources that are freely available for use. Additional resources for healthcare providers and others involved in the care of children are available from CDC through HEADS UP to Youth Sports at https://www.cdc.gov/headsup/youthsports/index.html.

Kristy B. Arbogast, PhD, Allison E. Curry, PhD, Kristina B. Metzger, PhD, Ronni S. Kessler, MS, Jeneita M. Bell, MD, Juliet Haarbauer-Krupa, PhD, Mark R. Zonfrillo, MD, Matthew J. Breiding, PhD, Christina L. Master, MD. Improving Primary Care Provider Practices in Youth Concussion Management. Clinical Pediatrics. May-19-2017. 10.1177/0009922817709555

About Children’s Hospital of Philadelphia: Children’s Hospital of Philadelphia was founded in 1855 as the nation’s first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children’s Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country. In addition, its unique family-centered care and public service programs have brought the 546-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.

About CDC’s National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention: For more than 20 years, the Injury Center has helped protect Americans from injuries and violence. As the nation’s leading authority on injury and violence, we study violence and injuries, research the best ways to prevent them, and apply science and create real-world solutions to keep people safe, healthy, and productive. Within the Division of Unintentional Injury Prevention, it is part of our mission to reduce deaths and injuries from traumatic brain injury (TBI). Our work informs how to protect people from TBIs, help medical professionals improve TBI treatment, and support state TBI surveillance and prevention efforts. For more information, visit http://www.cdc.gov/traumaticbraininjury.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/new-tools-for-childrens-hospital-of-philadelphia-primary-care-clinicians-leads-to-robust-and-quick-uptake-of-concussion-management-strategies-300479495.html

SOURCE Children’s Hospital of Philadelphia

http://www.chop.edu

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New Tools for Children’s Hospital of Philadelphia Primary Care Clinicians Leads to Robust and Quick Uptake of … – PR Newswire (press release)

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Concussion Guidelines Adopted at International Level – UB School of Medicine and Biomedical Sciences News

Posted: at 10:49 am

Research that shows activity aids recovery for concussion patients has been adopted by experts in the field.

New guidelines published this month in the British Journal of Sports Medicine are intended to guide clinical practice, as well as future research in the field of sport-related concussion.

The guidelines include research by John J. Leddy, MD, clinical professor of orthopaedics, and Barry S. Willer, PhD, professor of psychiatry.

The 2017 Concussion in Sport Group drafted new guidelines on how to best treat concussion for individuals ages 6 and older. For the first time, the recommendation for prolonged complete rest post-concussion was updated.

We are not saying, after a concussion, go crazy and resume life as if nothing happened, says Leddy, an adjunct professor of rehabilitation science. What we are saying is that after two days of complete rest, if your symptoms have stabilized and you are starting to feel better, then it is OK to start to gradually do life activities and get your heart rate up a little. Dont just sit in a bed with the lights off.

Guidelines are released every four years to reflect updates that have taken place in the field of concussion research, he says. The biggest change from 2012 to 2016, Leddy says, was the replacement of the recommendation for complete rest beyond the first few days after concussion with guided and controlled activity.

The old guidelines indicated that individuals should not return to activity until they were asymptomatic. Until that time, the individual was told to do nothing.

This was known as cocoon therapy, Leddy says, That was how the old guidelines were interpreted and patients were resting, literally being told to do nothing, until they were asymptomatic. The problem with that was even non-concussed people often have some symptoms on any given day.

The guidelines were good at keeping kids from participating at activities that risk another head injury before recovery, but were being interpreted to recommend that any level of exertion was detrimental to the brain. We now know that interpretation was wrong. All over the world, the treatment of complete rest was prolonging symptoms in many people.

The document was developed by experts in the field of concussion for physicians and health care providers who are involved in athlete care at a recreational, elite and professional level.

“This document has major implications in terms of concussion treatment,” says Leddy, medical director of the UBMD Concussion Management Clinic, who was part of the panel that formed the new guidelines. “It is the most cited document when it comes to treating concussion. These guidelines are meant to inform practitioners what the latest evidence says and to give advice about how to handle concussion.”

Leddy says these guidelines have influence all over the world.

The advice offered through the guidelines, he says, is often followed by professional sports teams, college athletic departments, high schools, physical therapists, athletic trainers, sports physicians, primary care doctors and pediatricians.

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Concussion Guidelines Adopted at International Level – UB School of Medicine and Biomedical Sciences News

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What Treatments Are Available to Combat Male Impotence? – Information Nigeria

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The Most Recent Advances in the Treatment of Erectile Dysfunction

Impotence is one of the most common forms of male s*xual dysfunction. In fact, one in every 10 men has a problem achieving and/or sustaining an erection at some point or another. If you have struggled with this yourself, its worth seeking out medical help. Due to advances in this area, there are multiple treatments available that you may find effective.

Counseling It is estimated that up to 90 percent of erectile problems have a psychological cause.

This encompasses everything from relationships difficulties to performance anxiety even more complex psychological issues. An experienced counselor or therapist can help. You can learn techniques to decrease your anxiety and stress that you may associate with s*x. Your partner may also learn how to help with these techniques.

Lifestyle Changes to Eliminate Underlying Causes Erectile dysfunction (ED) is linked to several lifestyle habits that you can modify. ED can be the motivation it may take for you to address these. These changes will reduce your health risks even if you opt for other forms of treatment.

Stop smoking. Smoking causes circulatory problems that affect the ability to achieve or sustain an erection. Reduce or stop drinking alcohol. Alcohol can impair your ability to have an erection. Increase your physical activity. Getting regular exercise keeps your circulatory system healthy, including your ability to have an erection. Vacuum Pump Treatments A vacuum pump is a plastic, cylindrical device that is placed over the man-hood. Sucking out air from the tube creates pressure that causes blood to be forced into the man-hood. A ring can then be applied temporarily to the base of the man-hood to stop the blood from draining away too quickly, thereby sustaining the erection. This may be a preferable treatment to using medications as there is no ongoing expense or risk of drug interactions.

Medication Treatments There are multiple medications that have been developed for the treatment of erectile dysfunction. The oral medications work by enhancing the effects of nitric oxide, allowing more blood flow into the man-hood. They require s*xual stimulation for you to have an erection.

Viagra (sildenafil) is one of the best-known medications for erectile dysfunction. It takes effect within an hour and usually lasts for three to four hours. Cialis (tadalafil) must be taken 30 minutes before s*xual activity. Levitra or Staxyn (vardenafil) must be taken from 10 minutes to one hour prior to s*xual activity. It can be effective for up to 12 hours. Stendra (avanafil) can be taken 15 minutes before s*xual activity. These medications produce an erection without requiring s*xual stimulation:

Muse (alprostadil) intraurethral therapy is a small pellet of a medication that is put directly into the urethra. The drug is then absorbed into the erectile tissue of the man-hood. It provides an erection within five to 10 minutes. Alprostadil or combination medication self-injections: You inject the medication directly into the shaft of the man-hood whenever you want to have s*x. The medication usually works within about 15 minutes.

Alternative medicine supplements are widely marketed but the FDA has issued warnings about herbal Viagra as they can contain potentially harmful drugs in unknown dosages. They are especially dangerous for men who take nitrates and shouldnt take the prescription oral medications for ED. Sometimes the supplements illegally contain the prescription medication and there can be a dangerous interaction.

Hormone Treatments Hormonal problems are rarely the cause of impotence, though some find hormone replacement therapy to be effective. Hormone replacement therapy to boost your levels of testosterone should only be pursued after undergoing tests to confirm a deficiency.

Penile Prosthesis Treatments You should not consider a penile prosthesis (implant) until other forms of treatment have been tried. There are two types of penile implants:

Semi-rigid man-hood implant: this implant keeps the man-hood rigid all the time. The man-hood can be bent downwards when youre not having s*x. Hydraulic man-hood implant: a pump is implanted into the scrotum. Surgical Treatments There are a number of surgical procedures that can be carried out if, for example, there are abnormalities in the blood flow in and out of your man-hood. If you are struggling with erectile dysfunction, there are many forms of treatment that can help. ED can signal that you have other health problems, so it is wise to get a checkup to assess your health. Discuss your options with your doctor to find the best treatment for your lifestyle.

source: Verywell

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