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TBI: the disability in disguise.

Authors: Zubko N PMID: 21877491 [PubMed - in process] (Source: Behavioral Healthcare)

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Prevalence and Treatment of Headaches in Veterans With Mild Traumatic Brain Injury.

Conclusion.- There was an increased prevalence of headaches in veterans with mild TBI. Most of the TBI veterans in our study group were exposed to blast injury and findings indicate that the nature of head trauma may be contributing to headaches. Findings highlight the need for developing effective headache prevention and treatment strategies for all persons with mild TBI and in particular for veterans with blast-related mild TBI. PMID: 21762135 [PubMed - as supplied by publisher] (Source: Headache)

Hydrocortisone Therapy for Patients with Multiple Trauma: The Randomized Controlled HYPOLYTE Study: Roquilly A, Mahe PJ, Seguin P, et al. JAMA 2011;305:1201–9.

Stress-related adrenal insufficiency associated with polytrauma has been postulated as a factor in the development of hospital-acquired infections. This multicenter, randomized, double-blind, parallel, placebo-controlled study conducted in seven separate intensive care units (ICUs) in France from November 15, 2006 to August 4, 2009 was designed to test the idea that steroid treatment could reduce the prevalence of hospital-acquired pneumonia in trauma patients. All multiple-trauma patients, defined as having two or more traumatic injuries and injury severity score>15, aged>15 years who were expected to require mechanical ventilation for more than 48h, were included. All patients were tested for corticosteroid insufficiency with a corticotropin test. Upon completion of this test, patients w...

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Differential Sensitivity of TOMAL Subtests and Index Scores to Pediatric Traumatic Brain Injury.

The objective of the present study was to examine and compare the subtest, index, and factor scores of the Test of Memory and Learning (TOMAL), using receiver-operating characteristic curves, to investigate their sensitivity and specificity to traumatic brain injury (TBI) in children and adolescents. One hundred and fifty participants who had sustained TBI were compared to 150 controls matched on age and gender from the TOMAL's standardization sample. Results indicated that the greatest area under the curve (AUC) was for the Object Recall (OR) subtest score, the Composite Memory Index (CMI), and the attention factor score. The optimal CMI cutoff score for a TBI diagnosis was 83. When factor scores were compared, the attention factor and two verbal factors had significantly larger AUCs than...

Prevalence and Treatment of Headaches in Veterans With Mild Traumatic Brain Injury.

Conclusion.- There was an increased prevalence of headaches in veterans with mild TBI. Most of the TBI veterans in our study group were exposed to blast injury and findings indicate that the nature of head trauma may be contributing to headaches. Findings highlight the need for developing effective headache prevention and treatment strategies for all persons with mild TBI and in particular for veterans with blast-related mild TBI. PMID: 21762135 [PubMed - as supplied by publisher] (Source: Headache)
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